A newborn failed to pass meconium within the first 24 hours of life. Abdominal x-ray reveals a soap bubble appearance in the right lower quadrant. Most likely diagnosis is:

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Question 1 of 5

A newborn failed to pass meconium within the first 24 hours of life. Abdominal x-ray reveals a soap bubble appearance in the right lower quadrant. Most likely diagnosis is:

Correct Answer: D

Rationale: Meconium ileus shows a soap bubble sign on x-ray, common in cystic fibrosis, per AAP. A-C, E have different findings.

Question 2 of 5

A 4-month-old infant presents with watery diarrhea and dehydration. Stool culture grows Vibrio cholerae. The best treatment is:

Correct Answer: C

Rationale: Oral rehydration solution is the cornerstone for cholera, per WHO, correcting dehydration. A, B, D, E are adjunctive or contraindicated.

Question 3 of 5

A 3-year-old girl presents with a high fever and drooling. X-ray shows a thumbprint sign. Most likely diagnosis is:

Correct Answer: B

Rationale: Epiglottitis presents with fever, drooling, and a thumbprint sign, per AAP. A, C-E have different signs.

Question 4 of 5

A 6-month-old infant presents with poor feeding and hypotonia. Exam shows hepatomegaly and hypoglycemia. Most likely diagnosis is:

Correct Answer: A

Rationale: Glycogen storage disease causes hypotonia, hepatomegaly, and hypoglycemia, per NORD. B-E differ in presentation.

Question 5 of 5

A 5-year-old boy presents with fever and a sore throat. Exam shows pharyngeal exudates and palatal petechiae. Most likely diagnosis is:

Correct Answer: C

Rationale: Mononucleosis features exudates and palatal petechiae, per CDC. A, B, D, E lack petechiae.

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