When performing a physical exam on a pediatric patient you note an extra heart sound. Which heart sound can be considered a normal variation in children?

What is your recommendation for treatment?

What is the most likely cause of this patient’s diarrhea?

A 5-year-old child is brought into your clinic for immunizations and physical exam. The mother states her child is a little “under the weather.” Which of the following is a contraindication to vaccinating this child?

Normal/expected side effects to vaccines can include all of the following except: 

According to JNC-8 guidelines, which of the following is the most appropriate threshold to treat a 70-year-old Caucasian male for hypertension?

A pediatric patient has a delayed femoral pulse. You have the nurse measure the blood pressure in both arms and legs. The pressure in the arms is >20mmHg of that in the legs. What diagnosis do you suspect?

What is your top differential diagnosis? 

What is your differential? 

This patient has significant risk factors for which condition?