A 3-week-old male baby develops a rash involving the face and periorbital area after exposure to sunlight; you suspect neonatal lupus. The NEXT step of management of the baby is

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Question 1 of 5

A 3-week-old male baby develops a rash involving the face and periorbital area after exposure to sunlight; you suspect neonatal lupus. The NEXT step of management of the baby is

Correct Answer: A

Rationale: Anti-Ro/SSA antibodies are key in diagnosing neonatal lupus and predicting congenital heart block.

Question 2 of 5

Which of these antituberculosis agents can cause optic neuritis?

Correct Answer: D

Rationale: Ethambutol is known to cause dose-dependent optic neuritis, presenting as decreased visual acuity and red-green color blindness.

Question 3 of 5

A preterm neonate has a sudden onset of abdominal distension, bloody stools, and feeding intolerance. What is the most likely diagnosis?

Correct Answer: B

Rationale: Necrotizing enterocolitis (NEC) is a life-threatening condition in preterm infants characterized by intestinal inflammation, leading to distension, bloody stools, and potential perforation. Risk factors include prematurity and enteral feeds.

Question 4 of 5

Mid diastolic rumble murmur at the lower left sternal border may be heard in the following structural heart disease:

Correct Answer: A

Rationale: Mitral valve stenosis causes a mid-diastolic rumbling murmur due to turbulent blood flow across the narrowed mitral valve. It is best heard at the apex and sometimes radiates to the left sternal border.

Question 5 of 5

Which of the following statements is true concerning susceptibility to pertussis?

Correct Answer: D

Rationale: The acellular pertussis vaccine is recommended by the American Academy of Pediatrics beginning at age 6 weeks. Infants are at greater risk for complications of pertussis.

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