Best diagnostic study to detect the carrier of adrenoleukodystrophy is:

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Question 1 of 5

Best diagnostic study to detect the carrier of adrenoleukodystrophy is:

Correct Answer: B

Rationale: Elevated very-long-chain fatty acids (VLCFA) in plasma is the standard carrier test for adrenoleukodystrophy (NORD). A, C-E are less specific or confirmatory.

Question 2 of 5

A preterm infant was diagnosed with NEC. Blood culture was obtained. Ampicillin and gentamicin were started. In most patients with NEC, blood culture usually yields:

Correct Answer: A

Rationale: Most NEC cases yield no pathogen in blood cultures, as it’s primarily ischemic, not septic (AAP). B-E are less common.

Question 3 of 5

A child with a history of asthma suddenly develops unilateral wheezing and respiratory distress following choking while eating peanuts. Most likely diagnosis is:

Correct Answer: B

Rationale: Foreign body aspiration fits sudden unilateral wheezing post-choking, per AAP. Asthma is bilateral, and C-E are less acute.

Question 4 of 5

A 6-month-old girl with a history of wheezing following an upper respiratory infection appears with fever and respiratory distress. She failed to improve after nebulized albuterol therapy. Most likely diagnosis is:

Correct Answer: D

Rationale: Bronchiolitis fits a 6-month-old with URI-triggered wheezing unresponsive to albuterol, per AAP, as it’s viral-driven. A-C, E don’t align.

Question 5 of 5

Most common cause of liver disease in patients with cystic fibrosis is:

Correct Answer: C

Rationale: Biliary cirrhosis is the top liver disease in cystic fibrosis, from bile duct obstruction, per CFF. A, B, D, E are rare.

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