A 20-month-old develops hemolytic anemia, anuria, azotemia, and thrombocytopenia after a bout of febrile bloody diarrhea. What is the most likely cause of this illness?

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Nursing Practice Questions for Pediatric Infectious Disease Questions

Question 1 of 5

A 20-month-old develops hemolytic anemia, anuria, azotemia, and thrombocytopenia after a bout of febrile bloody diarrhea. What is the most likely cause of this illness?

Correct Answer: C

Rationale: Enterohemorrhagic E. coli causes hemolytic uremic syndrome (HUS) following bloody diarrhea.

Question 2 of 5

A 15-year-old male presents to your office with complaint of fever, malaise, headache, cough, and shortness of breath. A chest radiograph reveals left upper and lower lobe infiltrates. His WBC count is elevated. He states that he recently received a pet cockatiel that became ill and died. What is the most likely diagnosis?

Correct Answer: C

Rationale: Psittacosis (Chlamydia psittaci) is linked to bird exposure, causing pneumonia with systemic symptoms.

Question 3 of 5

All of the following have been shown to be routes of transmission for tularemia EXCEPT

Correct Answer: D

Rationale: Tularemia is not transmitted person-to-person; it’s zoonotic via ticks, aerosols, or water.

Question 4 of 5

Which of the following vaccines should NOT be given to children with severe combined immunodeficiency syndrome?

Correct Answer: B

Rationale: Live vaccines like measles are contraindicated in SCID due to severe immune deficiency.

Question 5 of 5

Which is the most common cause of osteomyelitis?

Correct Answer: A

Rationale: S. aureus is the most frequent cause of osteomyelitis in children.

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