A child with a history of asthma suddenly develops unilateral wheezing and respiratory distress following choking while eating peanuts. Most likely diagnosis is:

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Question 1 of 5

A child with a history of asthma suddenly develops unilateral wheezing and respiratory distress following choking while eating peanuts. Most likely diagnosis is:

Correct Answer: B

Rationale: Foreign body aspiration fits sudden unilateral wheezing post-choking, per AAP. Asthma is bilateral, and C-E are less acute.

Question 2 of 5

Most common cause of liver disease in patients with cystic fibrosis is:

Correct Answer: C

Rationale: Biliary cirrhosis is the top liver disease in cystic fibrosis, from bile duct obstruction, per CFF. A, B, D, E are rare.

Question 3 of 5

A 15-year-old boy with a history of cystic fibrosis appears with fever and hemoptysis. Chest x-ray reveals a new infiltrate in the right upper lobe. Most likely diagnosis is:

Correct Answer: A

Rationale: Pneumonia fits fever, hemoptysis, and infiltrate in cystic fibrosis, per CFF. B-E are less consistent.

Question 4 of 5

A newborn presents with cyanosis and respiratory distress. Chest x-ray shows a narrow mediastinum and egg-on-string appearance. Most likely diagnosis is:

Correct Answer: B

Rationale: Transposition of the great arteries shows a narrow mediastinum and egg-on-string sign, per AAP. A, C-E have different x-ray findings.

Question 5 of 5

A 6-month-old infant presents with stridor and barking cough. Symptoms worsen at night. Most likely diagnosis is:

Correct Answer: B

Rationale: Croup features stridor and barking cough, worse at night, in infants, per AAP. A, C-E differ in presentation.

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