A 15-year-old girl has a 1-month history of urinary frequency without dysuria and recent onset of an itchy rash beneath both breasts. She has been gaining weight over the past year and regularly complains of fatigue. She is afebrile, with a weight greater than the 99th percentile and has an erythem...
A 15-year-old girl has a 1-month history of urinary frequency without
dysuria and recent onset of an itchy rash beneath both breasts. She has
been gaining weight over the past year and regularly complains of
fatigue. She is afebrile, with a weight greater than the 99th percentile
and has an erythematous, macular rash beneath both breasts
characterized by satellite lesions. Urinalysis is significant for 2+
glucosuria but no pyuria. Which of the following is the most likely
diagnosis?
Selected Answer: b.
Diabetes mellitus
• Question 3
1 out of 1 points
A 16-year-old is brought in as a walk-in by his parents. His parents state
that he acutely developed a fever, chills and rash. He has been confused
and not answering their questions. On examination he is toxically ill
appearing, and is febrile, tachycardic and hypotensive. He is noted to
have a diffuse petechial rash. What is the most likely diagnosis?
Selected Answer: c.
, Meningococcemia
• Question 4
1 out of 1 points
Lyme disease is most closely associated with which of the following skin
lesions? Selected Answer: b.
Erythema migrans
• Question 5
1 out of 1 points
Unilateral wheezing is a finding suggestive of
Selected Answer: d.
Foreign body aspiration
• Question 6
0 out of 1 points
When examining a child with abdominal pain, what symptom would lead to a likely organic
etiology?
Selected Answer: d.
Suprapubic pain
,• Question 7
0 out of 1 points
Kawasaki disease is most common in
Selected Answer: a.
Females
• Question 8
0 out of 1 points
What does shift to the left mean in a white blood
count? Selected Answer: c.
A rise in lymphocytes
• Question 9
1 out of 1 points
A 3-week old presents to the office in January with a 1-week history of
nasal congestion and occastional cough. On the night prior to the visit in
infant developed a fever 102ºF rectally, was difficult to breastfeed, and
had paroxysmal coughing and noisy, labored breathing. On exam, you
note an ill-appearing infant who is lethergic with wheezing, tachypnea,
and intercostal retractions. The infant is home with the mom at this time;
however, has a sibling who is 4-years-old and is in daycare and recently
had cold symptoms. If the patient has been diagnosed with RSV
bronchiolitis, which of the following would be the treatment of choice?
Selected Answer: d.
Fluids and nutritional support and close monitoring
, • Question 10
1 out of 1 points
Antibiotic therapy is one of the mainstays of treatment for which of the following causes of
wheezing?
Selected Answer: e.
Epiglottitis
• Question 11
0 out of 1 points
The most useful test for evaluation of suspected acute rheumatic fever
is Selected Answer: a.
C-reactive protein (CRP)
• Question 12
0 out of 1 points
The most common trigger for an acute asthma episode in the very young child
is Selected Answer: b.
Outdoor allergens
• Question 13
1 out of 1 points
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