Pediatrics Questions Channel πŸ’‰πŸ’Š
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🩺 Daily Pediatrics Q&A | Clinical Scenarios | Evidence-based Notes | For Med Students & Practitioners.

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A 7-year-old child presents with cough and nasal congestion lasting more than 10 days. The parent reports that the child initially improved but then developed fever > 102Β°F and purulent nasal discharge for over 3 days. What is the most likely diagnosis?
Anonymous Quiz
24%
Viral upper respiratory infection (URI)
11%
Allergic rhinitis
60%
Acute bacterial sinusitis
6%
Influenza
πŸ‘7πŸ‘2
A 3-year-old child has bilateral pedal edema, flaky paint dermatosis, and sparse, easily pluckable hair. The most likely diagnosis is:
Anonymous Quiz
8%
Marasmus
67%
Kwashiorkor
19%
Marasmic-kwashiorkor
6%
Vitamin A deficiency
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A 1-year-old infant on prolonged exclusive cow’s milk feeding presents with pallor and irritability. Lab findings: microcytic hypochromic anemia. What is the likely cause?
Anonymous Quiz
14%
Vitamin B12 deficiency
80%
Iron deficiency anemia
5%
Hemolytic anemia
2%
Aplastic anemia
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A 6-month-old baby presents with cough, wheeze, and difficulty breathing. There is hyperinflated chest and bilateral crepitations. What is the most common cause?
Anonymous Quiz
7%
Parainfluenza virus
87%
Respiratory Syncytial Virus (RSV)
4%
Influenza virus
2%
Adenovirus
πŸ‘7
A 9-year-old child has fever, joint pain, and carditis. Which of the following is a major criterion in Jones criteria?
Anonymous Quiz
6%
Fever
18%
Arthralgia
8%
Elevated ESR
67%
Erythema marginatum
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Pediatrics Questions Channel πŸ’‰πŸ’Š
A 7-year-old child presents with cough and nasal congestion lasting more than 10 days. The parent reports that the child initially improved but then developed fever > 102Β°F and purulent nasal discharge for over 3 days. What is the most likely diagnosis?
πŸ–‹ Acute bacterial sinusitis is diagnosed when any of the following are present:

- Persistent symptoms (>10 days without improvement),

- Severe symptoms (fever >102Β°F and purulent nasal discharge >3 days), or

- Worsening symptoms after initial improvement (β€œdouble worsening”).


πŸ–‹ Viral URIs typically resolve within 7–10 days, and allergic rhinitis has chronic, non-febrile symptoms.
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The study of disease and its causes is called:
Anonymous Quiz
2%
Anatomy
5%
Physiology
89%
Pathology
4%
Microbiology
❀1
A 2-month-old infant has a continuous murmur best heard at the left infraclavicular area. Bounding pulses are present. What is the most likely diagnosis?
Anonymous Quiz
12%
Atrial septal defect
21%
Ventricular septal defect
61%
Patent ductus arteriosus
6%
Tetralogy of Fallot
πŸ‘7❀1
A 3-year-old child presents with fever, cough, coryza, conjunctivitis, and maculopapular rash starting behind the ears. What is the pathognomonic sign?
Anonymous Quiz
82%
Koplik’s spots
11%
Postauricular lymphadenopathy
5%
Forchheimer spots
3%
Strawberry tongue
πŸ‘8
A 5-year-old boy presents with periorbital edema, proteinuria, and hypoalbuminemia. Most likely cause is:
Anonymous Quiz
8%
Focal segmental glomerulosclerosis
67%
Minimal change disease
20%
Post-streptococcal GN
5%
IgA nephropathy
πŸ‘7❀4
A 6-year-old has night blindness and Bitot’s spots. What is the appropriate treatment?
Anonymous Quiz
54%
Vitamin A 200,000 IU immediately
14%
Vitamin A 100,000 IU only once
19%
Vitamin A 50,000 IU daily for 3 days
14%
Vitamin A 10,000 IU daily for 2 weeks
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Pediatrics Questions Channel πŸ’‰πŸ’Š
A 6-year-old has night blindness and Bitot’s spots. What is the appropriate treatment?
WHO protocol:

6–11 months: 100,000 IU

>12 months: 200,000 IU immediately, repeat next day and after 2 weeks.
πŸ‘7πŸ‘2
A 3-day-old full-term baby presents with yellow discoloration of the eyes. The baby is active and feeding well. Total bilirubin is 10 mg/dL. The most likely diagnosis is:
Anonymous Quiz
68%
Physiological jaundice
8%
Pathological jaundice
20%
Breast milk jaundice
4%
Hemolytic disease of newborn
πŸ‘7❀5
A newborn develops jaundice within 12 hours of life. What is the most likely cause?
Anonymous Quiz
7%
Breast milk jaundice
17%
Physiological jaundice
70%
ABO incompatibility
6%
Sepsis
πŸ‘5πŸ”₯3
A 2-hour-old term baby born by cesarean section develops tachypnea and mild retractions. Oβ‚‚ saturation is normal and chest X-ray shows prominent vascular markings and fluid in fissures. Most likely diagnosis:
Anonymous Quiz
14%
Meconium aspiration syndrome
10%
Hyaline membrane disease
75%
Transient tachypnea of the newborn (TTN)
2%
Pneumonia
πŸ‘8❀3
A 5-year-old boy presents with painful limp, fever, and refusal to move his right hip. ESR and CRP are elevated. X-ray is normal.Which is the most likely diagnosis?
Anonymous Quiz
26%
Transient synovitis
58%
Septic arthritis
11%
Legg–Calvé–Perthes disease
4%
Slipped capital femoral epiphysis
πŸ‘8❀2
A 6-year-old presents with fever, sore throat, and a sandpaper-like rash on the trunk. Tongue is red and prominent papillae are seen.What is the likely organism?
Anonymous Quiz
21%
Staphylococcus aureus
53%
Streptococcus pyogenes
14%
Streptococcus pneumoniae
12%
Corynebacterium diphtheriae
πŸ‘6πŸ‘3❀1
A 7-year-old develops fever for 3 days followed by a rash that starts on the trunk and spreads to the face and limbs. The rash fades in 24 hours. There is no Koplik spot and the child appears well.What is the most likely diagnosis?
Anonymous Quiz
15%
Measles
34%
Rubella
39%
Roseola infantum
13%
Scarlet fever
πŸ‘10❀1
A newborn does not cry after birth. The first step in resuscitation is:
Anonymous Quiz
5%
Provide oxygen
36%
Clear airway
51%
Dry and stimulate the baby
8%
Start chest compressions
πŸ‘9❀1
A 32-week preterm baby develops recurrent apnea and cyanosis. Which of the following best explains the cause?
Anonymous Quiz
57%
Surfactant deficiency
34%
Brainstem immaturity
5%
Pneumothorax
4%
Infection
πŸ‘7πŸ€”1
A 2-day-old newborn has poor feeding, lethargy, and temperature instability. Which of the following investigations is most diagnostic?
Anonymous Quiz
23%
C-reactive protein
51%
Blood culture
7%
Chest X-ray
19%
Lumbar puncture
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