Case Quizzes
Test your knowledge with ASPHO’s Case Quizzes on a variety of pediatric hematology/oncology topics. Over 20 quizzes are available with new quizzes added every other month and highlighted in ASPHO eNews.
Each case quiz includes a description of the case, multiple answer options, an explanation of the correct answer, and learning points on the topic. Case quizzes are developed by ASPHO volunteers, searchable by topic and available at no cost.
June 2026 Case Quiz
A 2-Year-Old With Failure to Thrive and Vomiting
The patient is a 2-year-old boy with failure to thrive who presented to the ER due to vomiting. He has no diarrhea. This is the patient’s third visit to the ER for vomiting in the past 3 weeks. He also seems increasingly fatigued and is sleeping most of the day. His mother reports he is having episodes of grabbing his head crying.
On exam in the ER, he is afebrile, HR 115, BP 110/60. He is sleepy but awakes appropriately for age. Pupils are equal and reactive. He has subtle lateral gaze restriction bilaterally with nystagmus. His cranial nerves are otherwise normal. He has normal strength and no dysmetria when reaching for objects. The examiner notes that the patient holds an iPad within inches of his face. His abdomen is soft, nontender, and has no palpable masses.
What is best next step in workup?
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