A child with a history of cystic fibrosis appears with abdominal pain and vomiting for the past 2 days. Abdominal x-ray reveals multiple air-fluid levels and a mass in the right lower quadrant. The next step in management is:

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Question 1 of 5

A child with a history of cystic fibrosis appears with abdominal pain and vomiting for the past 2 days. Abdominal x-ray reveals multiple air-fluid levels and a mass in the right lower quadrant. The next step in management is:

Correct Answer: C

Rationale: Gastrografin enema treats distal intestinal obstruction syndrome in cystic fibrosis, per CFF. A, B, D, E are less appropriate.

Question 2 of 5

A 3-year-old girl presents with recurrent urinary tract infections. Renal ultrasound reveals bilateral vesicoureteral reflux. The next step in management is:

Correct Answer: B

Rationale: Antibiotic prophylaxis is the initial management for vesicoureteral reflux to prevent UTIs, per AAP guidelines. Surgery is considered for severe cases, C is for acute infection, D is adjunctive, and E risks recurrent infections.

Question 3 of 5

A 1-year-old boy presents with recurrent ear infections and hearing loss. Tympanometry shows flat curves. Most likely diagnosis is:

Correct Answer: B

Rationale: Otitis media with effusion causes flat tympanometry and hearing loss post-infections, per AAP. A, C-E have distinct findings.

Question 4 of 5

A 5-year-old girl presents with hematuria and proteinuria. Labs show low C3 levels. Most likely diagnosis is:

Correct Answer: B

Rationale: Poststreptococcal GN features hematuria, proteinuria, and low C3, per AAP. A, C-E have normal or different complement.

Question 5 of 5

A 3-year-old boy presents with fever and a vesicular rash on the trunk. Most likely diagnosis is:

Correct Answer: B

Rationale: Chickenpox presents with fever and vesicular rash, per CDC. A, C-E have different rashes.

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