The last dose of hepatitis B vaccine should not be given before age:

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Question 1 of 5

The last dose of hepatitis B vaccine should not be given before age:

Correct Answer: D

Rationale: The third hepatitis B dose is recommended at 6 months , per CDC, ensuring full immunity. Earlier doses (A-D) are part of the schedule but not the final one.

Question 2 of 5

A 5-day-old girl appears for a routine physical examination. She is receiving breast milk. Mother is worried. The child had 5 loose, greenish-yellow stools containing mucus for the past 2 days. The next step in management is:

Correct Answer: D

Rationale: Reassurance fits; 5-6 loose stools daily are normal for breastfed newborns, with mucus common (AAP). No dehydration or sepsis signs warrant A-D.

Question 3 of 5

Most common initial manifestation of childhood cerebral form of adrenoleukodystrophy (ALD) is:

Correct Answer: A

Rationale: Hyperactivity is often the first sign of cerebral ALD in children, preceding neurological decline (NORD). B-E appear later.

Question 4 of 5

Appropriate therapy for patients with pyridoxine dependency with seizures is:

Correct Answer: D

Rationale: Vitamin B6 at 10-100 mg/kg is the standard treatment for pyridoxine-dependent seizures (NORD). Lower doses (C, D) may suffice for deficiency, not dependency.

Question 5 of 5

A 5-year-old boy appears with wheezing and shortness of breath after exposure to a cat. Physical examination reveals bilateral wheezing and respiratory distress. He improves significantly after nebulized albuterol therapy. Most likely diagnosis is:

Correct Answer: D

Rationale: Asthma fits a 5-year-old with allergen-triggered wheezing responsive to albuterol (ATS). Bronchiolitis is less likely at this age, and A, B, E don’t match.

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