A 7-year-old girl presents with polyuria and polydipsia. Blood glucose is 300 mg/dL, and urine shows ketones. Most likely diagnosis is:

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Question 1 of 5

A 7-year-old girl presents with polyuria and polydipsia. Blood glucose is 300 mg/dL, and urine shows ketones. Most likely diagnosis is:

Correct Answer: B

Rationale: Type 1 diabetes is common in children with hyperglycemia and ketonuria, per ADA. A, C-E don’t fit the profile.

Question 2 of 5

A 2-month-old infant presents with tachypnea and retractions. Chest x-ray shows hyperinflation and perihilar infiltrates. Most likely diagnosis is:

Correct Answer: B

Rationale: Bronchiolitis features tachypnea, retractions, and x-ray findings in infants, per AAP. A, C-E differ.

Question 3 of 5

A 5-year-old boy presents with abdominal pain and a palpable mass. CT shows a suprarenal mass with calcifications. Most likely diagnosis is:

Correct Answer: B

Rationale: Neuroblastoma is a common childhood tumor with a suprarenal mass and calcifications, per NCI. A, C-E differ in location or imaging.

Question 4 of 5

A 4-year-old girl presents with a high fever and drooling. X-ray shows a steeple sign. Most likely diagnosis is:

Correct Answer: A

Rationale: Croup shows a steeple sign with fever and respiratory symptoms, per AAP. B-E differ in x-ray.

Question 5 of 5

A 4-year-old girl presents with abdominal pain and vomiting. Ultrasound shows a doughnut sign. Most likely diagnosis is:

Correct Answer: B

Rationale: Intussusception shows a doughnut sign, per AAP. A, C-E differ.

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