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

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Question 1 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 2 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.

Question 3 of 5

A 4-year-old girl presents with pallor and fatigue. Labs show hemoglobin of 7 g/dL and spherocytes. Most likely diagnosis is:

Correct Answer: C

Rationale: Hereditary spherocytosis fits pallor and spherocytes, per ASH. A, B, D, E have different smears.

Question 4 of 5

A 2-year-old boy presents with abdominal pain and bloody stools. Ultrasound shows a telescoping bowel segment. Most likely diagnosis is:

Correct Answer: B

Rationale: Intussusception features pain, bloody stools, and telescoping on ultrasound, per AAP. A, C-E differ in imaging.

Question 5 of 5

A 1-year-old boy presents with recurrent infections and hepatosplenomegaly. Labs show low IgG. Most likely diagnosis is:

Correct Answer: C

Rationale: XLA features infections, hepatosplenomegaly, and low IgG, per NIAID. A, B, D, E differ in labs.

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