All the following can cause metabolic acidosis with a high anion gap Except:

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Question 1 of 5

All the following can cause metabolic acidosis with a high anion gap Except:

Correct Answer: C

Rationale: Renal tubular acidosis causes normal anion gap metabolic acidosis, unlike other conditions listed, which lead to a high anion gap due to acid accumulation.

Question 2 of 5

A preterm neonate has a sudden onset of abdominal distension, bloody stools, and feeding intolerance. What is the most likely diagnosis?

Correct Answer: B

Rationale: Necrotizing enterocolitis (NEC) is a life-threatening condition in preterm infants characterized by intestinal inflammation, leading to distension, bloody stools, and potential perforation. Risk factors include prematurity and enteral feeds.

Question 3 of 5

Features suggestive of minor manifestation of acute rheumatic fever include

Correct Answer: C

Rationale: Minor criteria include arthralgia (joint pain without objective findings), fever, elevated acute phase reactants, and prolonged PR interval on ECG.

Question 4 of 5

The diurnal variation in Peak Expiratory Flow (PEF) that is consistent with asthma is more than

Correct Answer: B

Rationale: Diurnal PEF variability of more than 20% is characteristic of poorly controlled asthma, indicating increased airway reactivity.

Question 5 of 5

Jaundice appearing on day of life suggests all of the above EXCEPT

Correct Answer: D

Rationale: Fetal-to-maternal transfusion would not cause jaundice in the newborn

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