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A 5 y/o recently diagnosed with neuroblastoma is currently receiving outpatient chemotherapy. Development of which of the following symptoms would indicate a medical emergency?

A 13-month-old who is currently being treated for neuroblastoma, arrives in the emergency department with fever to 103º F, BP of 70/40, lethargy and poor oral intake. After addressing airway, breathing and circulation, the most important intervention for this child is to

A sexually active 16 year old male presents with acute testicular pain and mild abdominal discomfort. The most appropriate action to complete first is: 

A teen is diagnosed with a gastric ulcer caused by helicobacter pylori. Of the following options, what is the most evidence-based recommended treatment?

In order to support healing, an infant with a recent bowel surgery should begin what nutrition therapy as soon as possible?

A 19-month-old had a five minute episode of generalized shaking followed by brief unresponsiveness. The child is noted to have fever and bilateral otitis media. Appropriate management includes:

A teenager sustains a puncture wound in the sole of a foot after stepping on a protruding nail. The most appropriate INITIAL management of this injury would be

Iron dextran complex is added to the total parenteral nutrition of a child with irritable bowel disease who is NPO and anemic. The most important monitoring labs during administration include: 

A 13 y/o is diagnosed with IDDM. He learns insulin dosing and carbohydrate counting during his admission. He adds a nutrition app on his phone and wants to use it with each meal. He does not want the school nurse to be involved with checking his blood sugar and wants to obtain them himself. Based on his developmental level, which is most appropriate?

An infant with poor tone, constipation, weak cry, and ptosis presents to the ED for poor respiratory effort.  There is no recent history of illness or fever. Which of the following would be considered first on the differential list?