ATI RN · Obstetrics and Pediatrics · NCLEX Questions Pediatric Infectious Diseases
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Showing all 5 practice questions with expert explanatory rationales.
Hand-foot-mouth disease is one of the more distinctive rash syndromes; it is MOST frequently caused by
Expert Explanatory Rationale
Correct Answer: coxsackievirus A16
Positive blood culture in bacterial enteritis is expected in
Expert Explanatory Rationale
Correct Answer: nontyphoidal Salmonella
A 5-year-old black male has had fever, headache, abdominal pain, and muscle aches for the preceding 3-4 days. His temperature is $103.4^{\circ} \mathrm{F}$, heart rate is 130, and respirations are 40 per minute. He appears acutely ill and dehydrated. He has no rash. No history of tick bite is obtained, and the child had recently been camping in rural Wisconsin. Laboratory findings include WBC count of $2,300 / \mathrm{mm}^3, 24 \%$ segmented neutrophils, $65 \%$ bands, $8 \%$ lymphocytes, and platelet count $57,000 / \mathrm{mm}^5$. Elevations in serum AST (465 IU/L; normal, 0-40 IU/L) were also present. A peripheral blood smear reveals small blue clusters of bacterialike bodies in an aggregate within the cytoplasm of $1 \%$ of circulating mononuclear WBCs. What is the most appropriate diagnosis?
Expert Explanatory Rationale
Correct Answer: Ehrlichiosis
After resection of a posterior fossa tumor in a 10-year- old boy, he became mute suddenly and his family reported recent behavioral changes in form of irritability and occasional apathy. Of the following, the MOST likely diagnosis is
Expert Explanatory Rationale
Correct Answer: cerebellar mutism syndrome
Group A streptococcus can be subdivided into more than 220 serotypes on the basis of the M protein antigen, M serotyping is valuable for epidemiologic studies; specific group A streptococcus diseases tend to be associated with certain M types. Of the following, the M type associated with glomerulonephritis is
Expert Explanatory Rationale
Correct Answer: 12
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