The most accurate assessment of gestational age in the second trimester is:

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Question 1 of 5

The most accurate assessment of gestational age in the second trimester is:

Correct Answer: B

Rationale: Biparietal diameter is the most accurate second-trimester measure (ACOG). D is first-trimester, and A, C, E are supplementary.

Question 2 of 5

A mother refuses to administer inhaled steroids to her 5-year-old son with moderate persistent asthma because of potential side effects. The physician should start with:

Correct Answer: D

Rationale: Leukotriene antagonists are an alternative controller for moderate persistent asthma when inhaled steroids are refused, per GINA. A-C, E are less suitable.

Question 3 of 5

Most common gastrointestinal manifestation in patients with cystic fibrosis is:

Correct Answer: A

Rationale: Pancreatic insufficiency is the most common GI issue in cystic fibrosis, affecting 85-90% of patients, per CFF. B-E are less frequent.

Question 4 of 5

Most common pulmonary function abnormality in patients with cystic fibrosis is:

Correct Answer: B

Rationale: Obstructive lung disease is the hallmark of cystic fibrosis, from mucus plugging, per CFF. A, C-E are less typical.

Question 5 of 5

A newborn appears with respiratory distress and a scaphoid abdomen. Chest x-ray reveals bowel loops in the left hemithorax. Most likely diagnosis is:

Correct Answer: B

Rationale: Congenital diaphragmatic hernia fits distress, scaphoid abdomen, and bowel in chest, per AAP. A, C-E differ.

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