A newborn failed to pass meconium within the first 24 hours of life. He appears with abdominal distension and vomiting. Most likely diagnosis is:

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Pediatric Gi Disorders Practice Questions Questions

Question 1 of 5

A newborn failed to pass meconium within the first 24 hours of life. He appears with abdominal distension and vomiting. Most likely diagnosis is:

Correct Answer: D

Rationale: Meconium ileus fits failure to pass meconium with distension and vomiting, often in cystic fibrosis, per AAP. A-C, E present differently.

Question 2 of 5

A child with a history of cystic fibrosis appears with fever and increased sputum production. Sputum culture reveals Aspergillus fumigatus. Most likely diagnosis is:

Correct Answer: C

Rationale: Allergic bronchopulmonary aspergillosis fits Aspergillus in cystic fibrosis with respiratory symptoms, per CFF. A, B, D, E are less likely.

Question 3 of 5

A 1-month-old infant presents with projectile vomiting. Physical exam reveals an olive-shaped mass in the epigastrium. Most likely diagnosis is:

Correct Answer: B

Rationale: Pyloric stenosis presents with projectile vomiting and a palpable mass, per AAP. A, C-E have different features.

Question 4 of 5

A 6-month-old infant presents with hypotonia and tongue fasciculations. EMG shows denervation. Most likely diagnosis is:

Correct Answer: B

Rationale: Spinal muscular atrophy features hypotonia, fasciculations, and denervation, per NORD. A, C-E have distinct findings.

Question 5 of 5

A 4-year-old boy presents with a high fever and rash. Exam shows conjunctivitis and cervical lymphadenopathy. Most likely diagnosis is:

Correct Answer: B

Rationale: Kawasaki disease includes fever, rash, conjunctivitis, and lymphadenopathy, per AHA. A, C-E lack this combination.

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