A child with a history of cystic fibrosis suddenly develops massive hemoptysis. The next step in management is:

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Question 1 of 5

A child with a history of cystic fibrosis suddenly develops massive hemoptysis. The next step in management is:

Correct Answer: B

Rationale: Bronchial artery embolization is the urgent treatment for massive hemoptysis in cystic fibrosis, per CFF. A, C-E don’t address bleeding.

Question 2 of 5

A newborn appears with respiratory distress and cyanosis. Chest x-ray reveals dextrocardia and a boot-shaped heart. Most likely diagnosis is:

Correct Answer: A

Rationale: Tetralogy of Fallot fits dextrocardia and a boot-shaped heart, per AAP. B-E don’t match x-ray findings.

Question 3 of 5

A 7-year-old girl presents with polyuria and polydipsia. Blood glucose is 300 mg/dL, and urine shows ketones. Most likely diagnosis is:

Correct Answer: B

Rationale: Type 1 diabetes is common in children with hyperglycemia and ketonuria, per ADA. A, C-E don’t fit the profile.

Question 4 of 5

A 4-year-old boy presents with abdominal pain and bloody diarrhea. Stool culture grows E. coli O157:H7. Most likely diagnosis is:

Correct Answer: C

Rationale: Hemolytic uremic syndrome follows E. coli O157:H7 with bloody diarrhea, per CDC. A, B, D, E differ in etiology.

Question 5 of 5

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

Correct Answer: B

Rationale: Bronchiolitis features tachypnea, retractions, and x-ray findings in infants, per AAP. A, C-E differ.

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