A newborn appears with prolonged jaundice, umbilical hernia, and large fontanelles. Labs reveal elevated TSH and low T4. Most likely diagnosis is:

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Question 1 of 5

A newborn appears with prolonged jaundice, umbilical hernia, and large fontanelles. Labs reveal elevated TSH and low T4. Most likely diagnosis is:

Correct Answer: B

Rationale: Congenital hypothyroidism fits jaundice, hernia, large fontanelles, and abnormal thyroid labs, per AAP (doc p149, Q581).

Question 2 of 5

A 5-year-old boy presents with hematuria and edema. Labs show hypoalbuminemia. Most likely diagnosis is:

Correct Answer: B

Rationale: Nephrotic syndrome features hematuria, edema, and hypoalbuminemia, per AAP. A, C-E differ.

Question 3 of 5

A 3-year-old boy presents with fever and stridor. X-ray shows a steeple sign. Most likely diagnosis is:

Correct Answer: B

Rationale: Croup shows stridor and steeple sign, per AAP. A, C-E differ.

Question 4 of 5

A 2-month-old infant presents with poor feeding and tachypnea. Echocardiogram shows a large ventricular septal defect. The next step is:

Correct Answer: B

Rationale: Diuretics manage heart failure in large VSDs, per AHA. A, C-E depend on severity.

Question 5 of 5

A 3-month-old infant presents with cyanosis and a murmur. Echocardiogram shows tetralogy of Fallot. The next step is:

Correct Answer: A

Rationale: Surgery corrects tetralogy of Fallot, per AHA. B-E are temporizing.

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