A 7-year-old boy presents with chest pain and a murmur. Echocardiogram shows mitral valve prolapse. The next step is:

Questions 56

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Question 1 of 9

A 7-year-old boy presents with chest pain and a murmur. Echocardiogram shows mitral valve prolapse. The next step is:

Correct Answer: C

Rationale: Observation is standard for asymptomatic mitral valve prolapse, per AHA. A, B, D, E are for complications.

Question 2 of 9

To promote absorption of an iron supplement, it should be administered

Correct Answer: C

Rationale: Vitamin C in orange juice enhances iron absorption post-meal C, per document p5, 2.

Question 3 of 9

A child with celiac disease should avoid

Correct Answer: B

Rationale: Gluten B triggers celiac symptoms, per document p57, 9.

Question 4 of 9

A child with a history of cystic fibrosis appears with fever and respiratory distress. Chest x-ray reveals hyperinflation and perihilar infiltrates. Most likely diagnosis is:

Correct Answer: D

Rationale: Cystic fibrosis exacerbation fits fever, distress, and x-ray findings, per CFF. A-C, E are less likely.

Question 5 of 9

A 10 year-old-child is diagnosed with Hepatitis A. What is most likely way the child contracted this disease.

Correct Answer: D

Rationale: Hepatitis A spreads via fecal-oral route, often contaminated water (D). Blood (A) is Hep B/C, droplets (B) respiratory viruses, ticks (C) Lyme. Document: 'The ingestion of contaminated water… [is how] hepatitis A [is contracted].'

Question 6 of 9

A 10-year-old girl appears with precocious puberty and café-au-lait spots. Physical examination reveals fibrous dysplasia of bone. Most likely diagnosis is:

Correct Answer: B

Rationale: McCune-Albright syndrome fits precocious puberty, café-au-lait spots, and fibrous dysplasia, per AAP (doc p149, Q576).

Question 7 of 9

From what herb does digitalis originate?

Correct Answer: D

Rationale: Digitalis, a cardiac glycoside, comes from foxglove (D). Cinchona (A) yields quinine, poppy (B) opiates, and chamomile (C) is sedative. Document: 'Digitalis originates from foxglove.'

Question 8 of 9

A 2-year-old boy presents with fever and ear pain. Exam shows a bulging tympanic membrane. Most likely diagnosis is:

Correct Answer: B

Rationale: AOM features fever and bulging TM, per AAP. A, C-E differ.

Question 9 of 9

A child with asthma should avoid

Correct Answer: D

Rationale: All *E* are asthma triggers, per document p23, 6.

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