An 11-year-old boy presented with a 1-month history of fever, pallor, and easy skin bruising. His CBC showed: Hb $5.0 \mathrm{gm} / \mathrm{dl}$, WBC $90.000 / \mathrm{cmm}$, Plt 33.000 with many blast cells in the peripheral film. His chest X-ray showed big mediastinal mass. Physical examination showed pale, febrile, ill looking boy with generalized lymph node enlargement, mild respiratory distress and hepatosplenomegaly. Of the following, the MOST likely diagnosis is

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Nursing Practice Questions for Pediatric Infectious Disease Questions

Question 1 of 5

An 11-year-old boy presented with a 1-month history of fever, pallor, and easy skin bruising. His CBC showed: Hb $5.0 \mathrm{gm} / \mathrm{dl}$, WBC $90.000 / \mathrm{cmm}$, Plt 33.000 with many blast cells in the peripheral film. His chest X-ray showed big mediastinal mass. Physical examination showed pale, febrile, ill looking boy with generalized lymph node enlargement, mild respiratory distress and hepatosplenomegaly. Of the following, the MOST likely diagnosis is

Correct Answer: B

Rationale: Precursor T-cell ALL often presents with a mediastinal mass, high WBC, and lymphadenopathy.

Question 2 of 5

The MOST common clinical presentation of Hodgkin disease in children is painless lymph node enlargement of which region?

Correct Answer: B

Rationale: Cervical lymphadenopathy is the most common presenting feature of Hodgkin disease in children.

Question 3 of 5

A unique symptom of slowly growing CNS tumors is

Correct Answer: A

Rationale: Poor school performance can result from gradual cognitive decline due to slow-growing CNS tumors.

Question 4 of 5

The MOST common malignancy in infancy is

Correct Answer: B

Rationale: Neuroblastoma is the most common malignancy in infants, often diagnosed before age 1.

Question 5 of 5

A strong mimicker of neuroblastoma is

Correct Answer: A

Rationale: Wilms' tumor can mimic neuroblastoma with an abdominal mass, though their features (e.g., hematuria in Wilms') differ.

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