A child with a history of cystic fibrosis is diagnosed to have pneumonia. The sputum culture reveals Burkholderia cepacia. The next step in management is:

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Question 1 of 5

A child with a history of cystic fibrosis is diagnosed to have pneumonia. The sputum culture reveals Burkholderia cepacia. The next step in management is:

Correct Answer: C

Rationale: IV antibiotics are required for Burkholderia cepacia pneumonia in cystic fibrosis, per CFF, due to resistance. A, B, D, E are inadequate.

Question 2 of 5

A newborn failed to pass meconium within the first 24 hours of life. Abdominal x-ray reveals a ground glass appearance. Most likely diagnosis is:

Correct Answer: D

Rationale: Meconium peritonitis fits a ground glass appearance from perforation, per AAP. D has a soap bubble sign, A-C differ.

Question 3 of 5

A 2-week-old infant presents with jaundice and poor feeding. Labs show direct bilirubin of 5 mg/dL. The next step is:

Correct Answer: C

Rationale: Abdominal ultrasound evaluates conjugated hyperbilirubinemia (direct bilirubin >2 mg/dL) for biliary atresia, per AAP. A, D-E are for indirect jaundice, B is invasive.

Question 4 of 5

A 3-month-old infant presents with apnea and cyanosis. EEG shows epileptiform activity. Most likely diagnosis is:

Correct Answer: C

Rationale: Seizure disorder fits apnea, cyanosis, and EEG findings, per AAP. A, B, D, E lack epileptiform activity.

Question 5 of 5

A 4-year-old boy presents with abdominal pain and a sausage-shaped mass. Ultrasound shows intussusception. The next step is:

Correct Answer: C

Rationale: Air enema is the first-line treatment for intussusception, per AAP. A, B, D, E are secondary.

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