A 6-year-old boy presents with fatigue and joint pain. Labs show antinuclear antibodies. Most likely diagnosis is:

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PN Pediatric Nursing Online Practice B Questions

Question 1 of 5

A 6-year-old boy presents with fatigue and joint pain. Labs show antinuclear antibodies. Most likely diagnosis is:

Correct Answer: B

Rationale: SLE features fatigue, joint pain, and ANA positivity in children, per ACR. A, C-E differ in serology.

Question 2 of 5

A 1-year-old girl presents with fever and a maculopapular rash after fever resolution. Most likely diagnosis is:

Correct Answer: C

Rationale: Roseola shows a rash post-fever, per AAP. A, B, D, E have concurrent fever and rash.

Question 3 of 5

A 4-year-old girl presents with abdominal pain and a palpable mass. Ultrasound shows a cystic ovarian mass. Most likely diagnosis is:

Correct Answer: C

Rationale: Functional cyst is common and benign in girls, per ACOG. A, B, D, E differ in imaging.

Question 4 of 5

A 5-year-old boy presents with fever and a sore throat. Exam shows tonsillar exudates. Most likely diagnosis is:

Correct Answer: B

Rationale: Strep throat features fever and exudates, per IDSA. A, C-E differ.

Question 5 of 5

A 15-year-old boy has small testes and no facial hair. Karyotype reveals 47,XXY. Most likely diagnosis is:

Correct Answer: C

Rationale: Klinefelter syndrome fits delayed puberty and 47,XXY, per AAP (doc p149, Q568).

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