A mother refuses to administer inhaled steroids to her 5-year-old son with moderate persistent asthma because of potential side effects. The physician should start with:

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Question 1 of 5

A mother refuses to administer inhaled steroids to her 5-year-old son with moderate persistent asthma because of potential side effects. The physician should start with:

Correct Answer: D

Rationale: Leukotriene antagonists are an alternative controller for moderate persistent asthma when inhaled steroids are refused, per GINA. A-C, E are less suitable.

Question 2 of 5

Most common pulmonary function abnormality in patients with cystic fibrosis is:

Correct Answer: B

Rationale: Obstructive lung disease is the hallmark of cystic fibrosis, from mucus plugging, per CFF. A, C-E are less typical.

Question 3 of 5

A newborn appears with respiratory distress and a scaphoid abdomen. Chest x-ray reveals bowel loops in the left hemithorax. Most likely diagnosis is:

Correct Answer: B

Rationale: Congenital diaphragmatic hernia fits distress, scaphoid abdomen, and bowel in chest, per AAP. A, C-E differ.

Question 4 of 5

A 5-year-old boy presents with fever and neck stiffness. CSF analysis shows pleocytosis and low glucose. Most likely diagnosis is:

Correct Answer: B

Rationale: Bacterial meningitis features fever, neck stiffness, and CSF with pleocytosis and low glucose, per AAP. A, C-E differ in CSF findings.

Question 5 of 5

A 4-month-old infant presents with a heart rate of 220 bpm and poor feeding. ECG shows narrow QRS tachycardia. Most likely diagnosis is:

Correct Answer: B

Rationale: SVT is common in infants with narrow QRS tachycardia, per AHA. A, C-E have different ECG findings.

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