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, A 6-year-old male is brought in for evaluation of a painful hip. He has been limping and not wanting
to walk for the past 2 days. He has no obvious injury. He feels a little better if he is given ibuprofen.
He has not had a fever and does not have any other current symptoms, although he had "the flu" last
week. On examination, his vital signs are normal. His right hip has some pain with internal rotation.
He walks with a pronounced limp. Which of the following statements is most accurate?
He should have a complete blood count (CBC) and ESR.
Drew is a 6-month-old with newly diagnosed sickle cell disease. His mother brings him to the office
for a well-baby visit. Which of the following should you do on this visit?
Immunize Drew with diphtheria, tetanus, and pertussis: Haemophilus influenzae type B (HIB),
hepatitis B (HBV), and polio vaccines.
A 5-year-old girl is somewhat short and has mild leg bowing. Her medical history is significant only
for well-controlled seizure disorder. Serum calcium, phosphorus, and alkaline phosphatase levels and
urinary amino acid concentration are normal. A bone age is notable for abnormal distal radius and
ulna mineralization. Which of the following is the most likely diagnosis?
Vitamin D deficiency
Kawasaki disease is most common in
Children younger than 5 years of age
The most common congenital heart defect in children as
Ventricular septal defect
Which of the following is a characteristic physical sign of fragile X syndrome in adolescent males?
Macro-orchidism
While doing a 5-year-old well child exam, you notice two small patches of hair loss. Broken hair is
present, as is erythema and scaling. On the basis of this information, which of these is the likely
diagnosis?
Tinea corporis
Which of the following is not a feature of DiGeorge syndrome?
Frontal bossing
Newborn R.T. has a vascular lesion that will not fade as she gets older. What is your diagnosis?
Port-wine stain (nervus flammeus)
A 9-month-old has been diagnosed with gastroenteritis. He attends a daycare facility. What is the
likely cause of the illness?
Rotavirus
During the 2-year-old well-child visit, the child's mother shows you a picture from the birthday party.
You notice only one eye has a red reflex on the picture. When you do the exam, in the right eye, you
notice leukocoria. What is your diagnosis?