A child with a history of cystic fibrosis appears with abdominal pain and vomiting. Physical examination reveals a palpable mass in the right lower quadrant. Most likely diagnosis is:

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Question 1 of 5

A child with a history of cystic fibrosis appears with abdominal pain and vomiting. Physical examination reveals a palpable mass in the right lower quadrant. Most likely diagnosis is:

Correct Answer: C

Rationale: Distal intestinal obstruction syndrome fits abdominal pain, vomiting, and a mass in cystic fibrosis, per CFF. A, B, D, E are less likely.

Question 2 of 5

A child with a history of cystic fibrosis appears with fever and hemoptysis. Chest x-ray reveals cavitation in the right upper lobe. Most likely diagnosis is:

Correct Answer: D

Rationale: Bronchiectasis fits hemoptysis and cavitation in cystic fibrosis, per CFF. A-C, E are less likely.

Question 3 of 5

A 3-year-old girl presents with a limp and knee pain. X-ray shows a lytic lesion in the femur. Most likely diagnosis is:

Correct Answer: B

Rationale: Ewing sarcoma presents with lytic bone lesions in young children, per NCI. A, C-E have different x-ray or clinical features.

Question 4 of 5

A 2-year-old boy presents with a barky cough and stridor. X-ray shows a steeple sign. Most likely diagnosis is:

Correct Answer: A

Rationale: Croup features a barky cough, stridor, and steeple sign, per AAP. B-E differ in presentation.

Question 5 of 5

A 6-month-old infant presents with stridor and respiratory distress. Laryngoscopy shows a subglottic narrowing. Most likely diagnosis is:

Correct Answer: C

Rationale: Subglottic stenosis features chronic stridor and narrowing, per AAP. A, B, D, E have different causes.

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