Chronic Pediatric Conditions Practice Test

An 8-year-old boy with repaired Tetralogy of Fallot has 2 months of reduced exercise tolerance. Echocardiogram shows right ventricular outflow tract dilation and moderate pulmonary regurgitation. He participates in sports without symptoms at rest. Which of the following is the most appropriate adjustment to the current treatment plan?

A 12-year-old girl with type 1 diabetes has 2 weeks of early-morning hypoglycemia (55–65 mg/dL). HbA1c is 7.4%. She recently increased evening physical activity and eats a smaller dinner. She takes glargine at bedtime and rapid-acting insulin with meals; adherence is good. Which medication should be initiated or adjusted?