Phosphorus moves into the intracellular space resulting in hypophosphatemia in the following condition:

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Question 1 of 5

Phosphorus moves into the intracellular space resulting in hypophosphatemia in the following condition:

Correct Answer: C

Rationale: Respiratory alkalosis shifts phosphorus intracellularly due to alkalemia, lowering serum levels (UpToDate). Acidosis (A, D) shifts it out, and B, E have minimal effect.

Question 2 of 5

A child appears with metabolic acidosis. Basic laboratory tests should include all of the following except:

Correct Answer: D

Rationale: Liver enzymes aren’t routine for initial metabolic acidosis workup; A-C, E assess cause and severity (AAP).

Question 3 of 5

The most accurate assessment of gestational age at term is:

Correct Answer: C

Rationale: Abdominal circumference and femoral length together are most accurate at term (ACOG). A-D are less reliable late.

Question 4 of 5

Most common site of necrotizing enterocolitis (NEC) is:

Correct Answer: A

Rationale: Distal ileum is the most common NEC site in preterms, per AAP. A-D are less frequent.

Question 5 of 5

A 5-year-old boy with moderate persistent asthma appears with wheezing and shortness of breath despite using inhaled steroids for the past 3 months. The next step in management is:

Correct Answer: B

Rationale: Adding a leukotriene antagonist is the next step for uncontrolled moderate persistent asthma on inhaled steroids, per GINA. A-D may escalate unnecessarily.

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