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Students should not submit late work without a good explanation

When a chapter’s readings are broken up into multiple quizzes, it’s best to read the entire chapter first before taking those quizzes. 

Which of the following assignments should some students skip altogether? Which is particularly unwise to use unauthorized resources to complete? 

A child with anemia has iron studies ordered to distinguish iron deficiency anemia from anemia of chronic inflammation. Which pattern most strongly supports iron deficiency anemia?

Which urine culture result best supports the diagnosis of UTI in a symptomatic child with pyuria?

A 9-year-old presents with fever, sore throat, tonsillar exudate, and tender anterior cervical lymph nodes. She has no cough. A rapid antigen detection test for group A strep is performed. The test has high specificity but moderate sensitivity.

A 3-week-old infant is brought to the emergency department with a rectal temperature of 38.5°C. The infant is sleepy, feeding poorly, and appears ill. Blood, urine, and cerebrospinal fluid cultures are obtained. The parents ask why antibiotics are being started before the culture results are back. Which explanation best describes the rationale for empiric treatment?

A 10-year-old boy presents with tea-colored urine and mild facial swelling. BP is above the 95th percentile for age, sex, and height. UA shows 3+ blood, 2+ protein, and RBC casts. Nitrites and leukocyte esterase are negative.

A newly graduated nurse practitioner is seeing a 6-year-old with fever, sore throat, headache, abdominal pain, and a diffuse sandpaper-like rash. The NP enters the symptoms into a generative AI tool, which suggests “viral exanthem” as the most likely diagnosis and recommends supportive care. The child is ill-appearing, has palatal petechiae, tender anterior cervical lymph nodes, and no cough Which action best reflects safe and appropriate use of AI in clinical decision-making?

A 10-month-old uncircumcised male presents with fever to 39.3°C for 24 hours. He is well appearing, has no cough, rhinorrhea, vomiting, diarrhea, or rash, and exam does not reveal a clear source of fever. He has no prior history of UTI. Using a pediatric UTI prediction tool such as UTICalc, which clinical decision is most appropriate? UTICalc (Clinical Prediction Tool): https://uticalc.pitt.edu/