Pediatrics Questions Channel 💉💊
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🩺 Daily Pediatrics Q&A | Clinical Scenarios | Evidence-based Notes | For Med Students & Practitioners.

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A 28-year-old woman presents with easy bruising and mucosal bleeding. Labs show isolated thrombocytopenia with normal PT and PTT. Bone marrow biopsy reveals increased megakaryocytes. What is the most likely diagnosis?
Anonymous Quiz
10%
Aplastic anemia
15%
Thrombotic thrombocytopenic purpura
62%
Immune thrombocytopenic purpura
6%
Disseminated intravascular coagulation
6%
Acute leukemia
During acute inflammation, inflammatory cells and plasma proteins migrate from the bloodstream to the primary site of injury. Into which compartment do they move?
Anonymous Quiz
8%
Intravascular space
13%
Intracellular space
67%
Interstitial space
13%
Lymphatic lumen
0%
Synovial cavity
A newborn presents with severe hypospadias, and one testis is undescended. What is the first step in evaluation?
Anonymous Quiz
31%
Hormonal assay (testosterone and AMH)
27%
Karyotype analysis
21%
MRI of the pelvis
21%
Immediate surgical repair of hypospadias
A 4-year-old child presents with severe intellectual disability, minimal speech, frequent inappropriate laughter, seizures, and an ataxic gait. Genetic testing shows loss of maternal gene expression at chromosome 15q11–q13. The most likely diagnosis is?
Anonymous Quiz
34%
Angelman syndrome
37%
Prader-Willi syndrome
21%
Fragile X syndrome
6%
Rett syndrome
3%
Tuberous sclerosis
A 2-month-old infant has a soft, nontender bulge at the umbilicus that protrudes when crying and is easily reducible. The infant is otherwise healthy. What is the most appropriate management?
Anonymous Quiz
7%
Immediate surgical repair
67%
Reassurance and observation
11%
Emergent reduction due to high strangulation risk
11%
Abdominal binder placement
5%
Urgent imaging to evaluate bowel ischemia
Teenager with progressive ataxia, absent reflexes, loss of vibration sense, and hypertrophic cardiomyopathy. GAA repeat expansion on chromosome 9. The Cause is?
Anonymous Quiz
19%
Autoimmune demyelination
14%
Copper accumulation
34%
Dystrophin mutation
16%
α-Synuclein aggregation
17%
Frataxin deficiency
A newborn has severe hypotonia and poor feeding. At age 5, he develops hyperphagia and obesity. Genetic testing reveals a deletion on chromosome 15q11–q13 inherited from his father. What is the most likely diagnosis?
Anonymous Quiz
19%
Angelman syndrome
52%
Prader-Willi syndrome
22%
Fragile X syndrome
3%
Rett syndrome
5%
Friedreich ataxia
A 2-year-old boy presents with abdominal distension and a palpable right upper quadrant mass. Laboratory studies show markedly elevated alpha-fetoprotein (AFP). Imaging reveals a solitary liver mass. What is the most likely diagnosis?
Anonymous Quiz
55%
Hepatoblastoma
25%
Hepatocellular carcinoma
7%
Neuroblastoma
11%
Wilms tumor
3%
Rhabdomyosarcoma
A 2-year-old child presents with intermittent jaundice and abdominal pain. RUQ ultrasound shows dilation of the gallbladder and a fusiform dilation of the extrahepatic biliary tree that communicates with the bile ducts. What is the most likely diagnosis?
Anonymous Quiz
44%
Choledochal cyst
33%
Biliary atresia
12%
Cholelithiasis
4%
Hepatoblastoma
7%
Primary sclerosing cholangitis
A premature neonate with jaundice is started on intravenous antibiotics for suspected sepsis. Shortly after receiving therapy, the infant develops worsening hyperbilirubinemia. Which of the following drugs is most likely responsible?
Anonymous Quiz
9%
Ampicillin
22%
Gentamicin
8%
Cefotaxime
53%
Ceftriaxone
8%
Vancomycin
A full-term infant is exclusively breastfed. At what age should iron supplementation typically begin to prevent iron deficiency anemia?
Anonymous Quiz
6%
Birth
9%
2 months
19%
4 months
49%
6 months
17%
12 months
A 2-year-old child who is not toilet trained needs a urine culture. What is the preferred method to collect a sterile urine sample?
Anonymous Quiz
8%
Bag collection
30%
Clean-catch midstream
17%
Suprapubic aspiration
42%
Transurethral catheterization
3%
Random urine sample