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Pediatrics Flashcards

7 cards from real SPEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A 15-year-old female presents with primary amenorrhea, short stature, a webbed neck, and wide-spaced nipples. Karyotype shows 45,X. What is the diagnosis?

    Answer: Turner syndrome

    Turner syndrome (45,X) presents with primary amenorrhea, short stature, webbed neck, and gonadal dysgenesis.

  2. A 3-year-old presents with a painless abdominal mass that does not cross the midline. CT scan shows a large renal tumor. What is the most likely diagnosis?

    Answer: Wilms tumor (nephroblastoma)

    Wilms tumor is the most common pediatric renal malignancy, typically presenting as a painless flank mass in children aged 3–4 years.

  3. An infant born at 28 weeks develops respiratory distress immediately after birth with grunting, nasal flaring, and intercostal retractions. Chest X-ray shows diffuse ground-glass opacities. What is the primary cause?

    Answer: Respiratory distress syndrome (RDS) due to surfactant deficiency

    RDS in premature infants results from insufficient surfactant production, causing alveolar collapse and diffuse ground-glass opacities on chest X-ray.

  4. A 4-year-old presents with abdominal pain, palpable purpura on the buttocks and lower extremities, arthritis, and hematuria. What is the most likely diagnosis?

    Answer: Henoch-Schönlein Purpura (IgA vasculitis)

    HSP (IgA vasculitis) is the most common childhood vasculitis, characterized by palpable purpura, arthritis, abdominal pain, and renal involvement.

  5. A newborn has cyanosis that improves with crying but worsens with feeding. Passing a catheter through the nose is difficult bilaterally. What is the most likely diagnosis?

    Answer: Choanal atresia

    Bilateral choanal atresia causes nasal airway obstruction; crying forces mouth breathing and relieves cyanosis, while feeding (nasal breathing required) worsens it.

  6. A 9-year-old boy presents with painless gross hematuria, tea-colored urine, periorbital edema, and hypertension 2 weeks after a strep throat infection. What is the most likely diagnosis?

    Answer: Post-streptococcal glomerulonephritis

    Post-streptococcal glomerulonephritis follows pharyngitis by 1–3 weeks and presents with hematuria, edema, hypertension, and low complement levels.

  7. A 2-month-old is brought in for well-child care. Which vaccine combination is given at this visit according to the CDC immunization schedule?

    Answer: DTaP, Hib, PCV13, IPV, Rotavirus, Hepatitis B

    At 2 months, infants receive DTaP, Hib, PCV13, IPV, Rotavirus, and the second dose of Hepatitis B per the CDC schedule.