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 12-month-old infant is evaluated for developmental milestones. Which gross motor skill is typically expected at this age?
Anonymous Quiz
25%
Cruises along furniture
7%
Crawls
10%
Sits with support
2%
Rolls from back to stomach
56%
Walks independently
A 3-year-old child is evaluated for gross motor development. Which of the following skills is typically expected at this age?
Anonymous Quiz
4%
Walks independently
22%
Climbs stairs with one foot per step
59%
Rides a tricycle and throws a ball overhand
12%
Jumps with both feet together
3%
Hops on one foot
A 4-month-old infant presents with a flattened area on one side of the skull but is otherwise healthy and neurologically normal. What is the most likely diagnosis?
Anonymous Quiz
19%
Craniosynostosis
69%
Plagiocephaly
6%
Microcephaly
5%
Hydrocephalus
1%
Macrocephaly
πŸ‘1
A 3-month-old infant presents with an abnormally shaped head. On examination, there is ridge formation along the sagittal suture and the head appears long and narrow. What is the most likely diagnosis?
Anonymous Quiz
17%
Plagiocephaly
14%
Hydrocephalus
4%
Microcephaly
15%
Positional molding
50%
Craniosynostosis
A 7-year-old child presents with fever, headache, and myalgia. On exam, there are petechial lesions on the palms and soles that are now spreading to the trunk. What is the most likely diagnosis?
Anonymous Quiz
9%
Measles
17%
Scarlet fever
9%
Varicella
41%
Hand-foot-and-mouth disease
25%
Rocky Mountain spotted fever
A 32-year-old woman presents with recurrent vaginal candidiasis that is refractory to standard antifungal therapy. Which underlying condition should be evaluated first, and what test should be done?
Anonymous Quiz
5%
Iron deficiency anemia with CBC
45%
Diabetes mellitus with fasting blood glucose or HbA1c
40%
HIV infection by rapid HIV test
2%
Hypothyroidism with TSH measurement
9%
Immunoglobulin deficiency with serum Ig levels
A newborn is diagnosed with tracheoesophageal fistula (TEF) with esophageal atresia (EA). Which screening is most appropriate due to commonly associated anomalies?
Anonymous Quiz
4%
Limb X-rays only
8%
Genetic karyotype alone
7%
MRI of spine only
16%
Head CT and abdominal X-ray
64%
Echocardiography and renal ultrasound
A 3-month-old infant presents with inspiratory stridor that worsens when supine and improves when prone. Laryngoscopy shows supraglottic collapse during inspiration. What is the most likely diagnosis?
Anonymous Quiz
12%
Foreign body aspiration
18%
Tracheomalacia
18%
Subglottic stenosis
4%
Vocal cord paralysis
47%
Laryngomalacia
A 2-year-old has ptosis, miosis, and facial anhidrosis. Labs: ↑ urine VMA. Imaging: cervical sympathetic chain mass. Most likely diagnosis?
Anonymous Quiz
15%
Ganglioneuroblastoma
25%
Congenital Horner
5%
Lymphangioma
46%
Neuroblastoma
9%
Pancoast tumor
A 3-week-old infant presents with persistent, non-bilious projectile vomiting after feeds. On exam, you palpate a firm β€œolive-sized” mass in the right upper quadrant. Labs show hypochloremic, hypokalemic metabolic alkalosis. Next best step in management?
Anonymous Quiz
5%
Immediate endoscopic pyloric dilation
86%
Correct fluid & electrolyte imbalance, then perform pyloromyotomy
7%
Start proton pump inhibitor and observe
1%
Upper GI series, then discharge with oral feeds
2%
Initiate nasogastric suction only
A 6-week-old infant presents with progressive jaundice, hepatomegaly, and pale stools. Labs show direct hyperbilirubinemia. What is the most likely diagnosis?
Anonymous Quiz
11%
Neonatal hepatitis
6%
Galactosemia
73%
Biliary atresia
7%
Alpha-1 antitrypsin deficiency
3%
Choledochal cyst
πŸ‘4
A 4-day-old newborn has not passed meconium, feeds poorly, and appears hypotonic. Exam shows a large anterior fontanelle and constipation. Most likely cause?
Anonymous Quiz
16%
Hirschsprung disease
13%
Meconium ileus (cystic fibrosis)
65%
Congenital hypothyroidism
3%
Small left colon syndrome
3%
Normal variant
❀3
A 3-week-old infant presents with sudden bilious vomiting, abdominal distension, and lethargy. Vital signs show tachycardia and hypotension. What is the most likely diagnosis?
Anonymous Quiz
39%
Midgut Volvulus
12%
Hirschsprung disease
20%
Pyloric stenosis
10%
Meconium ileus
19%
Necrotizing enterocolitis
A 2-year-old swallows a metallic pin. X-ray shows it lodged in the proximal duodenum. The child is asymptomatic. What is the next best step?
Anonymous Quiz
33%
Observe and repeat X-ray in 24 hours
8%
Give laxatives and monitor stools
40%
Immediate endoscopic removal
4%
Attempt removal with magnet or external manipulation
15%
Wait for spontaneous passage
6-month-old infant with hard, infrequent stools, otherwise healthy.
Initial management?
Anonymous Quiz
31%
Fruit juice/puree
7%
Mineral oil
26%
Lactulose solution
25%
Rectal stimulation
11%
Anorectal testing
πŸ–Š Pediatric abdominal wall defects
πŸ‘3
A 3-year-old child presents with recurrent febrile urinary tract infections. Ultrasound shows normal kidneys. Which of the following diagnostic tests is indicated to evaluate for vesicoureteral reflux?
Anonymous Quiz
3%
MRI of the kidneys
86%
Contrast voiding cystourethrogram (VCUG)
6%
Cystoscopy
3%
Plain abdominal X-ray
2%
Nuclear medicine renal scan