The most common site for temperature in a 4-year-old is

Correct Answer: A

Rationale: Axillary A is safest for young children, per document p55, 8.

Correct Answer: D

Rationale: All D are meningitis signs, per document p60, 2.

Correct Answer: A

Rationale: DPT, OPV, Hep B A align with 6-month schedule, per document p20, .

Correct Answer: A

Rationale: Obesity is the most common risk factor for type 2 diabetes in children, per AAP (doc p151, Q599).

Correct Answer: D

Rationale: Tepid sponging D is the immediate physical method to reduce fever in a convulsing child, per document .

Correct Answer: C

Rationale: Hypospadias, a urethral opening defect, requires surgical repair before 18 months (C) for optimal outcomes. It doesn’t self-correct (A), preschool age (B) is too late, and repair doesn’t increase cancer risk (D). Document: 'Treatment for hypospadias consists of surgical repair… usually performed before 18 months.'

Correct Answer: C

Rationale: A 7-year-old with recent parental separation shows school refusal, aggression, social withdrawal, and temper outbursts, suggesting major depressive disorder (Choice C). These symptoms—irritability, anhedonia (avoiding friends), and behavioral changes—align with pediatric depression, often triggered by stressors like divorce. ADHD (Choice A) involves chronic inattention/hyperactivity, not acute onset. Conduct disorder (Choice B) lacks the mood and withdrawal elements. Separation anxiety (Choice D) focuses on clinginess, not aggression or anhedonia. Depression best explains the presentation.

Correct Answer: D

Rationale: Meconium ileus shows a soap bubble sign on x-ray, common in cystic fibrosis, per AAP. A-C, E have different findings.

Correct Answer: C

Rationale: Oral rehydration solution is the cornerstone for cholera, per WHO, correcting dehydration. A, B, D, E are adjunctive or contraindicated.