Inhaled glucocorticoid therapy can cause dysphonia in patients with asthma. The cause of dysphonia is:

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Pediatric Gi Disorders Practice Questions Questions

Question 1 of 5

Inhaled glucocorticoid therapy can cause dysphonia in patients with asthma. The cause of dysphonia is:

Correct Answer: A

Rationale: Vocal cord myopathy from inhaled glucocorticoids causes dysphonia via local steroid effects on laryngeal muscles (ATS). Fungal infection causes thrush, and C-E are unrelated.

Question 2 of 5

Most common cause of metabolic acidosis in children is:

Correct Answer: D

Rationale: Diarrhea is the most common cause of metabolic acidosis in kids via bicarbonate loss (AAP). A-D are less frequent.

Question 3 of 5

A newborn appears with multiple seizures within the first few hours of life. Multiple anticonvulsant medications have failed to control seizure activities. Most likely enzyme deficiency in this patient is:

Correct Answer: B

Rationale: Glutamic acid decarboxylase deficiency causes pyridoxine-dependent seizures, resistant to standard anticonvulsants (NORD). A, C-E cause other metabolic issues.

Question 4 of 5

All of the following are included in the asthma triad except:

Correct Answer: C

Rationale: The asthma triad includes aspirin intolerance, nasal polyps, and asthma (A, B, D) (ATS). Bronchiolitis is unrelated, and E is a trigger, not part of the triad.

Question 5 of 5

A newborn failed to pass meconium within the first 24 hours of life. He appears with abdominal distension and vomiting. Most likely diagnosis is:

Correct Answer: D

Rationale: Meconium ileus fits failure to pass meconium with distension and vomiting, often in cystic fibrosis, per AAP. A-C, E present differently.

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