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ATI RN · Obstetrics and Pediatrics · NCLEX Questions Pediatric Infectious Diseases

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Hand-foot-mouth disease is one of the more distinctive rash syndromes; it is MOST frequently caused by

A. coxsackievirus A6
B. coxsackievirus A16
C. enterovirus 71
D. coxsackievirus B2

Expert Explanatory Rationale

Correct Answer: coxsackievirus A16

Question 2 of 5

Positive blood culture in bacterial enteritis is expected in

A. Shigella
B. Campylobacter jejuni
C. Yersina enterocolitica
D. nontyphoidal Salmonella

Expert Explanatory Rationale

Correct Answer: nontyphoidal Salmonella

Question 3 of 5

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?

A. Staphylococcal septicemia
B. Ehrlichiosis
C. Meningococcemia
D. Hemolytic uremic syndrome

Expert Explanatory Rationale

Correct Answer: Ehrlichiosis

Question 4 of 5

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

A. posterior fossa syndrome
B. middle cerebral artery syndrome
C. cerebellar mutism syndrome
D. somnolence syndrome

Expert Explanatory Rationale

Correct Answer: cerebellar mutism syndrome

Question 5 of 5

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

A. 1
B. 6
C. 12
D. 18

Expert Explanatory Rationale

Correct Answer: 12

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