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1. A 6-year-old child presents with a high fever, cough, and difficulty
breathing. Which of the following would be the most appropriate initial
clinical decision?
 A. Prescribe antibiotics and schedule a follow-up in one week.
 B. Perform a complete blood count and chest X-ray.
 C. Recommend over-the-counter cough syrup and rest.
 D. Administer a bronchodilator and reassess in 24 hours.
 **Answer: B.** A complete blood count and chest X-ray would help
determine if there is an infection or other causes for the symptoms.
2. In assessing a pediatric patient with suspected appendicitis, which
clinical decision would be most appropriate?
 A. Immediate surgical consultation.
 B. Wait and observe for symptom progression.
 C. Prescribe pain medication and advise bed rest.
 D. Conduct an abdominal ultrasound and complete blood count.
 **Answer: D.** An abdominal ultrasound and complete blood count
can help confirm the diagnosis of appendicitis.
3. When considering pharmacological interventions for ADHD in
pediatric patients, which factor is most crucial for clinical decisionmaking?
 A. The cost of medication.
 B. The preference of the parents.
 C. The age of the child.
 D. The child's response to previous medications.
 **Answer: D.** The child's response to previous medications will guide
the clinician in choosing the most effective treatment.
4. A pediatric patient with type 1 diabetes has fluctuating blood glucose
levels. What is the best course of action for clinical decision-making?
 A. Adjust insulin dosage according to carbohydrate intake.
 B. Keep insulin dosage constant and control diet strictly.
 C. Increase insulin dosage across the board.
 D. Refer to a dietician for nutritional counseling.
 **Answer: A.** Adjusting insulin dosage according to carbohydrate
intake allows for more precise control of blood glucose levels.
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