A child appears with chronic cough and recurrent pneumonia. Physical examination reveals digital clubbing. Sweat chloride test is positive. Most likely diagnosis is:

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PN Pediatric Nursing Online Practice B Questions

Question 1 of 5

A child appears with chronic cough and recurrent pneumonia. Physical examination reveals digital clubbing. Sweat chloride test is positive. Most likely diagnosis is:

Correct Answer: D

Rationale: Cystic fibrosis fits chronic cough, recurrent pneumonia, clubbing, and positive sweat test, per CFF. A-C, E don’t align.

Question 2 of 5

A 9-year-old girl presents with abdominal pain and a palpable mass. Ultrasound shows an ovarian cyst. Most likely diagnosis is:

Correct Answer: B

Rationale: Functional cysts are common in prepubertal girls and often benign, per ACOG. A-D are less likely without specific signs.

Question 3 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 4 of 5

A 2-year-old boy presents with fever and a limp. X-ray shows periosteal elevation in the tibia. Most likely diagnosis is:

Correct Answer: B

Rationale: Osteomyelitis features fever, limp, and periosteal elevation, per AAP. A, C-E differ in imaging.

Question 5 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.

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