A 6-year-old boy presents with fatigue and pallor. Labs show hemoglobin of 7 g/dL and Howell-Jolly bodies. Most likely diagnosis is:

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Question 1 of 5

A 6-year-old boy presents with fatigue and pallor. Labs show hemoglobin of 7 g/dL and Howell-Jolly bodies. Most likely diagnosis is:

Correct Answer: B

Rationale: Sickle cell disease shows Howell-Jolly bodies, per ASH. A, C-E differ.

Question 2 of 5

A 5-year-old girl presents with polyuria and weight loss. Labs show blood glucose of 250 mg/dL and ketonuria. Most likely diagnosis is:

Correct Answer: B

Rationale: Type 1 diabetes fits polyuria and ketonuria, per ADA. A, C-E differ.

Question 3 of 5

A 6-year-old boy presents with fatigue and bone pain. Labs show anemia and blasts on peripheral smear. Most likely diagnosis is:

Correct Answer: C

Rationale: ALL shows fatigue and blasts, per NCI. A, B, D, E differ.

Question 4 of 5

Which newborn reflex is elicited by stroking the lateral sole of the infant’s foot from the heel to the ball of the foot?

Correct Answer: C

Rationale: Babinski reflex C is elicited by stroking the lateral sole, per document 8.

Question 5 of 5

A yellow crust has formed over the circumcision site. The mother calls the hotline 5 days after her son was circumcised. She is very concerned. On which rationale should the nurse base her reply?

Correct Answer: B

Rationale: The yellow crust should not be removed B as it’s normal healing, per document p5, 5.

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