A 5-year-old urban male was admitted to the hospital because of low-grade fever, flaccid paralysis of both legs, sensory changes, and absent ankle deep tendon reflexes. The child had received only two immunizations with OPV at the age of 2 and 6 months. His diagnosis is most probably

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Infectious Disease Pediatric Questions

Question 1 of 5

A 5-year-old urban male was admitted to the hospital because of low-grade fever, flaccid paralysis of both legs, sensory changes, and absent ankle deep tendon reflexes. The child had received only two immunizations with OPV at the age of 2 and 6 months. His diagnosis is most probably

Correct Answer: A

Rationale: Incomplete OPV vaccination in an urban setting suggests wild poliovirus as the cause of paralytic polio.

Question 2 of 5

Production of an exopolysaccharide protective biofilm (slime) is an attribute of which organism?

Correct Answer: B

Rationale: Coagulase-negative staphylococci produce biofilm, aiding in device-related infections.

Question 3 of 5

The preferred treatment of Lyme disease in a child 13 years of age is

Correct Answer: A

Rationale: Doxycycline is preferred for Lyme disease in children over 8 years.

Question 4 of 5

Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) should be administered at which ages?

Correct Answer: C

Rationale: DTaP schedule is 2, 4, 6, 15-18 months, and 4-6 years per CDC.

Question 5 of 5

Which is not true of herpes simplex virus (HSV) infections in neonates?

Correct Answer: C

Rationale: Most mothers of HSV-infected newborns lack a history of genital HSV.

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