A newborn appears with ambiguous genitalia and a 46,XX karyotype. Maternal history reveals virilization during pregnancy. Most likely diagnosis is:

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Pediatric Cardiac Nclex Practice Questions Questions

Question 1 of 5

A newborn appears with ambiguous genitalia and a 46,XX karyotype. Maternal history reveals virilization during pregnancy. Most likely diagnosis is:

Correct Answer: A

Rationale: CAH fits XX karyotype and maternal virilization, per AAP (doc p148, Q561).

Question 2 of 5

Most common cause of diabetes mellitus in children is:

Correct Answer: A

Rationale: Type 1 diabetes is the most common form in children, per AAP (doc p150, Q593).

Question 3 of 5

A 5-year-old girl presents with fever and a red, swollen ankle. Aspiration shows gram-positive cocci. Most likely diagnosis is:

Correct Answer: A

Rationale: Septic arthritis fits fever and gram-positive cocci, per AAP. B-E lack infection.

Question 4 of 5

A 1-year-old boy presents with recurrent pneumonia and steatorrhea. Sweat chloride test is positive. Most likely diagnosis is:

Correct Answer: C

Rationale: Cystic fibrosis fits pneumonia and positive sweat test, per CFF. A, B, D, E differ.

Question 5 of 5

A 5-year-old girl presents with abdominal pain and bloody diarrhea. Stool culture grows E. coli O157:H7. Most likely diagnosis is:

Correct Answer: C

Rationale: HUS follows E. coli O157:H7 with bloody diarrhea, per CDC. A, B, D, E differ.

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