A 3-year-old child presented with increased nasal secretions and low-grade fever for 1 week followed by paroxysmal coughing with post tussive emesis, the child was vaccinated with 1st 2 doses at one week and two month. Of the following, the MOST helpful diagnostic test for this condition is

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Question 1 of 5

A 3-year-old child presented with increased nasal secretions and low-grade fever for 1 week followed by paroxysmal coughing with post tussive emesis, the child was vaccinated with 1st 2 doses at one week and two month. Of the following, the MOST helpful diagnostic test for this condition is

Correct Answer: D

Rationale: PCR (D) is the most sensitive and rapid test for pertussis, especially in partially vaccinated children, per CDC.

Question 2 of 5

In gastroenteritis, a large inoculums is required to cause infection with

Correct Answer: B

Rationale: Salmonella (B) requires a high inoculum (~10⁵ organisms) to infect, unlike Shigella (A), EHEC (C), Giardia (D), or Entamoeba (E), per microbiology.

Question 3 of 5

Regarding serological tests of hepatitis B virus (HBV) infection and it's significance, all the following matching are true EXCEPT

Correct Answer: B

Rationale: Anti-HBs (B) indicates immunity, not window phase (anti-HBc does), unlike correct matches (A, C, D, E), per serology.

Question 4 of 5

A 2-year-old girl presented with fever, urgency, dysuria, and abdominal pain. Of the following, the MOST common etiological pathogen is

Correct Answer: D

Rationale: E. coli (E) causes ~80% of pediatric UTIs, per microbiology data.

Question 5 of 5

A 21-day-old infant presented with poor weight gain, decreased feeding, fever, and jaundice; urinalysis showing leukocyturia of 20 WBCs/mm³; total bilirubin level, 13 mg/dl and direct bilirubin level, 4 mg/dl Of the following, the MOST appropriate treatment is

Correct Answer: B

Rationale: Neonatal UTI (<28 days) with systemic signs requires IV gentamicin (B), per AAP, due to sepsis risk.

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