A newborn presents with cyanosis and respiratory distress. Chest x-ray shows a narrow mediastinum and egg-on-string appearance. Most likely diagnosis is:

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Question 1 of 5

A newborn presents with cyanosis and respiratory distress. Chest x-ray shows a narrow mediastinum and egg-on-string appearance. Most likely diagnosis is:

Correct Answer: B

Rationale: Transposition of the great arteries shows a narrow mediastinum and egg-on-string sign, per AAP. A, C-E have different x-ray findings.

Question 2 of 5

A 1-month-old infant presents with cyanosis during feeding. Echocardiogram shows tetralogy of Fallot. The next step is:

Correct Answer: A

Rationale: Surgery is the definitive treatment for tetralogy of Fallot, per AHA. B-E are temporizing or unrelated.

Question 3 of 5

A 5-year-old girl presents with abdominal pain and vomiting. Ultrasound shows a target sign in the right lower quadrant. Most likely diagnosis is:

Correct Answer: B

Rationale: Intussusception shows a target sign on ultrasound, per AAP. A, C-E differ in imaging.

Question 4 of 5

A 4-year-old girl presents with fever and conjunctivitis. Exam shows a polymorphous rash and swollen hands. Most likely diagnosis is:

Correct Answer: B

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

Question 5 of 5

A 5-year-old girl presents with weight loss and polyuria. Labs show blood glucose of 200 mg/dL. Most likely diagnosis is:

Correct Answer: B

Rationale: Type 1 DM is common in kids with hyperglycemia, per ADA. A, C-E differ in etiology.

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