A 6-year-old girl presents with weight loss and night sweats. Chest x-ray shows hilar lymphadenopathy. Most likely diagnosis is:

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Question 1 of 5

A 6-year-old girl presents with weight loss and night sweats. Chest x-ray shows hilar lymphadenopathy. Most likely diagnosis is:

Correct Answer: B

Rationale: Tuberculosis fits weight loss and hilar nodes, per CDC. A, C-E differ.

Question 2 of 5

A 3-year-old girl presents with fever and a stiff neck. CSF shows gram-positive cocci. Most likely diagnosis is:

Correct Answer: B

Rationale: S. pneumoniae meningitis features gram-positive cocci, per AAP. A, C-E differ.

Question 3 of 5

A 1-year-old boy presents with recurrent infections and hepatosplenomegaly. Labs show low IgM. Most likely diagnosis is:

Correct Answer: C

Rationale: XLA causes infections and low IgM, per NIAID. A, B, D, E differ.

Question 4 of 5

A 2-month-old infant presents with poor feeding and tachypnea. Echocardiogram shows a patent ductus arteriosus. The next step is:

Correct Answer: B

Rationale: Indomethacin closes a symptomatic PDA, per AHA. A, C-E are for persistent cases.

Question 5 of 5

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

Correct Answer: C

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

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