Nokea
A 3-month-old infant presents with poor feeding and lethargy. Labs show hypoglycemia and ketosis. Most likely diagnosis is:
- A. Sepsis
- B. Glycogen storage disease
- C. Galactosemia
- D. Fatty acid oxidation disorder
Correct Answer: D
Rationale: FAOD causes hypoglycemia and ketosis, per NORD. A-C, E differ.
You may also like to solve these questions
Which drug will you prepare for a child with convulsions in the ER?
- A. Ampicillin
- B. Chloroquine
- C. Hydrocortisone
- D. Phenobarbital
Correct Answer: D
Rationale: Phenobarbital D is the anticonvulsant for seizures, per document 6.
A 3-year-old with a head injury should be monitored for
- A. Pupil response
- B. Breathing
- C. Consciousness
- D. All of the above
Correct Answer: D
Rationale: All D assess head injury, per document p47, 0.
A 2-year-old boy presents with fever and a vesicular rash in the mouth. Most likely diagnosis is:
- A. Measles
- B. Herpangina
- C. Hand-foot-mouth disease
- D. Chickenpox
Correct Answer: C
Rationale: HFMD features fever and oral vesicles, per CDC. A, B, D, E differ in distribution.
A 19-year-old pregnant mother likes all-night dance parties. She took methylenedioxymetamphetamine (MDMA 'X', Ecstasy) routinely before and during pregnancy. The most likely fetal defect is:
- A. Pulmonary
- B. Gastrointestinal
- C. CNS
- D. Cardiac
Correct Answer: D
Rationale: MDMA use in pregnancy is linked to cardiac defects , like septal defects, per studies (Teratology). A-C, E are less specific.
A 3-year-old with a burn should avoid
- A. Breaking blisters
- B. Infection
- C. Pain
- D. Swelling
Correct Answer: A
Rationale: Breaking blisters A increases infection risk, per document p42, 3.