A child with a history of cystic fibrosis appears with fever and increased coughing. Sputum culture reveals Pseudomonas aeruginosa and Staphylococcus aureus. The next step in management is:

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Question 1 of 5

A child with a history of cystic fibrosis appears with fever and increased coughing. Sputum culture reveals Pseudomonas aeruginosa and Staphylococcus aureus. The next step in management is:

Correct Answer: C

Rationale: IV antibiotics treat dual infection with P. aeruginosa and S. aureus in cystic fibrosis, per CFF. A, B, D, E are inadequate.

Question 2 of 5

A 2-year-old boy presents with fever and a seizure. Exam shows a bulging fontanelle. Most likely diagnosis is:

Correct Answer: B

Rationale: Meningitis fits fever, seizure, and bulging fontanelle, per AAP. A, C-E lack this triad.

Question 3 of 5

A 6-month-old infant presents with pallor and lethargy. Labs show hemoglobin of 6 g/dL and reticulocytosis. Most likely diagnosis is:

Correct Answer: B

Rationale: Hemolytic anemia fits pallor, low hemoglobin, and reticulocytosis, per AAP. A-D have different lab patterns.

Question 4 of 5

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

Correct Answer: B

Rationale: Bronchiolitis features tachypnea, wheezing, and hyperinflation in infants, per AAP. A, C-E differ.

Question 5 of 5

A 2-month-old infant presents with poor weight gain and tachypnea. Chest x-ray shows cardiomegaly. Most likely diagnosis is:

Correct Answer: B

Rationale: CHF features poor growth, tachypnea, and cardiomegaly, per AHA. A, C-E differ in x-ray.

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