ATI RN
Infectious Disease Pediatric Questions
Question 1 of 4
A mother of an 11-month-old baby girl who had ingested a tasteless alkali, initial endoscopy revealed full-thickness liquefaction necrosis of the esophagus. She underwent successful dilatation of esophageal stricture after 3 weeks from the accident. Mother is asking about any other future risk of this condition. Of the following, the MOST appropriate explanation include
Correct Answer: C
Rationale: Caustic ingestion with necrosis carries a long-term risk of esophageal carcinoma (C), requiring follow-up, per gastroenterology literature.
Question 2 of 4
Morning stiffness is seen in which of the following pediatric diseases?
Correct Answer: B
Rationale: Morning stiffness is a hallmark of systemic lupus erythematosus and other inflammatory arthritides, reflecting joint inflammation.
Question 3 of 4
Criteria for diagnosis of Kawasaki disease include all the following EXCEPT
Correct Answer: B
Rationale: Kawasaki disease requires bilateral non-suppurative conjunctivitis, not suppurative, which suggests a bacterial etiology.
Question 4 of 4
A 10-year-old female with history of insidious onset of fatigue, malaise, and progressive muscle weakness, accompanied by low-grade fevers and scaly, red plaques are found across the knuckles, she is not able to sit up from a supine position, investigations revealed: elevated muscle enzymes (ALT, AST, LDH, CPK, and aldolase), EMG abnormalities: fasciculations, needle insertion irritability, and high-frequency discharges. Of the following, the MOST serious complication that can occurs in this patient is the development of
Correct Answer: B
Rationale: In juvenile dermatomyositis (as described), infections are the most serious complication due to immunosuppression and muscle involvement increasing susceptibility.