Author: Anonymous

An adolescent who presents with agitation, disorientation, and hypertension has hypernatremia and an elevated urine sodium. Which of the following is the MOST likely cause?  

A 5 day old infant presents with severe tachypnea and mild cyanosis. On examination, he has poor peripheral perfusion, hepatomegaly, and a 2/6 systolic ejection murmur at the LUSB. He became acidotic over the next few hours. His CXR shows a reticular pattern with a small heart size. The most likely diagnosis is:  

Which of the following situations in a patient with sickle cell disease is least likely to require a packed red blood cell transfusion?

Your patient presented with persistent bloody diarrhea. You are awaiting the stool culture results. Gastroenteritis caused by Escherichia coli is associated with which of the following complications?

A 2 year old is postoperative day #0 from placement of a tracheostomy. The child experiences an acute desaturation episode and his chest is not moving despite ventilation with hand bagging. What is the most appropriate intervention?  

An 8 y.o. child with the diagnosis of Oppositional Defiant Disorder is more likely to have which of the following conditions?

You are called for a stab wound to the chest. The patient is a 19 yo M who has a radial pulse, but no obtainable blood pressure. He is anxious and gasping for air.  On auscultation he has absent breath sounds on one side and you observe distended neck veins, & tracheal deviation. His CXR is below.    What is the most appropriate first step in management of shock in this patient?  

The most common X linked cause of intellectual disability is identified as:

 Which of the following substances is associated with pupillary constriction?  

You have a 3 year old male patient on your pediatric service who has a history of hydrocephalus and currently has a VP shunt in place. You review the complications of having a shunt with your NP student. Which of the following is a true statement?