A 16-year-old female has abrupt onset of high fever, vomiting, and diarrhea, with a diffuse sunburn-like rash, hyperemia of the pharyngeal and conjunctival membranes, oliguria, and postural hypotension. The most likely diagnosis is

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Pediatric Infectious Diseases Questions

Question 1 of 5

A 16-year-old female has abrupt onset of high fever, vomiting, and diarrhea, with a diffuse sunburn-like rash, hyperemia of the pharyngeal and conjunctival membranes, oliguria, and postural hypotension. The most likely diagnosis is

Correct Answer: D

Rationale: Toxic shock syndrome presents with fever, rash, and multisystem involvement including hypotension.

Question 2 of 5

The only absolute contraindication to subsequent administrations of acellular pertussis vaccine is

Correct Answer: C

Rationale: Anaphylaxis to a prior dose is the only absolute contraindication to DTaP.

Question 3 of 5

Which is not a manifestation of parvovirus B19 infection?

Correct Answer: D

Rationale: CD4:CD8 reversal is not a feature of parvovirus B19 infection.

Question 4 of 5

Which is not true concerning congenital cytomegalovirus infection?

Correct Answer: C

Rationale: Only about 10-15% of congenital CMV cases are symptomatic, not 60%.

Question 5 of 5

A 2-month-old infant has conjunctivitis, tachypnea, and mild cough. There is no fever. Rales are present bilaterally. The most likely etiology is

Correct Answer: D

Rationale: Chlamydia trachomatis causes afebrile pneumonia with conjunctivitis in young infants.

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