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A 3-year-old girl presents with recurrent ear infections and speech delay. Audiometry shows conductive hearing loss. Most likely diagnosis is:
- A. Sensorineural hearing loss
- B. Otitis media with effusion
- C. Cholesteatoma
- D. Mastoiditis
Correct Answer: B
Rationale: OME causes conductive loss post-infections, per AAP. A, C-E differ.
You may also like to solve these questions
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.
A 2-year-old boy presents with fever and a stiff neck. CSF analysis shows gram-positive cocci. Most likely diagnosis is:
- A. Viral meningitis
- B. Streptococcus pneumoniae meningitis
- C. Haemophilus influenzae meningitis
- D. Neisseria meningitidis meningitis
Correct Answer: B
Rationale: S. pneumoniae meningitis is a common cause of bacterial meningitis with gram-positive cocci in CSF, per AAP. A, C-E differ in etiology or CSF findings.
Most common endocrine abnormality in patients with cystic fibrosis is:
- A. Hypothyroidism
- B. Diabetes mellitus
- C. Adrenal insufficiency
- D. Hyperthyroidism
Correct Answer: B
Rationale: Cystic fibrosis-related diabetes is the most common endocrine issue, from pancreatic damage, per CFF. A, C-E are less frequent.
A 3-month-old infant presents with poor feeding and hypotonia. MRI shows periventricular leukomalacia. Most likely diagnosis is:
- A. Hypoxic-ischemic encephalopathy
- B. Congenital infection
- C. Metabolic disorder
- D. Trauma
Correct Answer: A
Rationale: HIE causes leukomalacia, per AAP. B-E differ.
A child with nephrotic syndrome requires
- A. High-protein diet
- B. Low-salt diet
- C. Steroids
- D. All of the above
Correct Answer: D
Rationale: All D manage nephrotic syndrome, per document p60, 3.