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6877 Pediatrics

A baby is born after 31st gestational weeks by cesarean delivery. The child has tachypnea, nasal flaring, subcostal and intercostals retraction. Nasogastric tube was positioned without problems. Chest radiography shows bilateral, diffuse, ground-glass appearance, air bronchograms and poor lung expansion. What is the best treatment plan in the present case?

AOxygen therapy
BSurfactant administration and oxygen therapy
CEmergency surgical repair of tracheoesophageal fistula
DNo therapy, only observation
Pediatrics
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6878 Pediatrics

A 16-year-old girl, accompanied by her mother, is in your office for a well-adolescent visit. The mother asks about drug and alcohol abuse. You explain that the warning signs of abuse include which of the following?

AExcessive concern for weight and body configuration
BImproved school performance
CRecent changes from age-appropriate, acceptable friends to younger associates
DDeterioration in personal habits, hygiene, dress, grooming, speech patterns, and fluency of expression
Pediatrics
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6883 Pediatrics

A nine-month-old boy of Sindhi parents presented to you with complaints of progressive lethargy, irritability and pallor since 6 months of age. Examination revealed severe pallor. Investigation showed Hb-3.8 g%; MCV- 58 fL, MCH-19.4 pg/cell. Osmotic fragility is normal; Blood film shows target cells and normoblasts. X-ray skull shows expansion of erythroid marrow. Which of the following is the most likely diagnosis:

AIron deficiency anemia
BAcute lymphoblastic anemia
CHemoglobin D disease
DHereditary spherocytosis
Pediatrics
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