Pediatric Board Review Sample Questions/ 7-year-old girl brought in by her mother who is very alarmed and concerned and asks to speak to you privately

This week's sample Pediatric Board Review and clinical Vignette is from our Laughing Your Way to Passing the Pediatric Boards / Clinical Vignettes  and involves a 7 year old girl brought in by her mother who asks to speak with you privately. After you have reviewed the clinical vignette, we have outlined the question again with notes demonstrating how to approach such a question on the exam and how to break it down so you can answer the questions correctly  

Now that you have reviewed the clinical vignette, please review the hlites and notes which demonstrate the systematic approach used by thousands of pediatric board candidates who have successfully passed the boards the first time around. The detailed answers are below.