A newborn presents with excessive oral secretions and choking during the first feeding. What is the most likely diagnosis?

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Question 1 of 5

A newborn presents with excessive oral secretions and choking during the first feeding. What is the most likely diagnosis?

Correct Answer: D

Rationale: Esophageal atresia with or without tracheoesophageal fistula presents with excessive oral secretions, choking, and difficulty feeding due to a disconnected or abnormal esophagus. Diagnosis is confirmed with a nasogastric tube X-ray.

Question 2 of 5

Enuresis is defined as

Correct Answer: A

Rationale: Enuresis is clinically defined as involuntary urination at least twice weekly for three consecutive months in children aged 5 or older.

Question 3 of 5

A 4-year-old boy with asthma has had mild wheezing only four times since you began treating him 6 months ago with theophylline... You should consider the likely cause of vomiting to be

Correct Answer: C

Rationale: Theophylline toxicity is likely due to the interaction with erythromycin/sulfisoxazole, which inhibits theophylline metabolism.

Question 4 of 5

Major depression in children may be characterized by

Correct Answer: D

Rationale: Major depression in children can have a genetic basis, may start before adolescence, and carries risks for future depressive episodes. Hallucinations are uncommon but possible.

Question 5 of 5

Which of the following is an index of poor outcome in fulminant hepatitis

Correct Answer: B

Rationale: A prolonged prothrombin time unresponsive to vitamin K suggests severe hepatic synthetic dysfunction and is a poor prognostic indicator in fulminant hepatitis.

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