A sexually active adolescent presents with copious malodorous yellow vaginal discharge with vulvovaginal irritation. Which is the most likely etiology?

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Pediatric Infectious Diseases Questions

Question 1 of 5

A sexually active adolescent presents with copious malodorous yellow vaginal discharge with vulvovaginal irritation. Which is the most likely etiology?

Correct Answer: B

Rationale: Trichomonas vaginalis causes malodorous, yellow discharge with irritation.

Question 2 of 5

In meningitis, the characteristic sign of increased intracranial pressure with brain herniation is

Correct Answer: D

Rationale: Bradycardia with hypertension (E, Cushing’s triad) signals herniation in meningitis, more specific than vomiting (A), headache (B), papilledema (C), or fontanelle bulging (D, infants only).

Question 3 of 5

All the following matching regarding prevention of encephalitis are true EXCEPT

Correct Answer: D

Rationale: HSV neonatal encephalitis prevention uses cesarean delivery, not IV acyclovir (E) prophylactically, unlike true matches (A, B, C, D), per guidelines.

Question 4 of 5

Regarding paranasal sinuses, all the following are true EXCEPT

Correct Answer: D

Rationale: Ethmoid (A), sphenoid (B), and frontal (C, E) development aligns with norms. Maxillary sinuses are pneumatized at birth, not 2 years (D), per anatomy.

Question 5 of 5

A 7-year-old boy presented with earache and aural discharge mainly in left side, he recently was diving in swimming pool; on examination he is afebrile with tenderness on movement of the pinna. Of the following, the MOST likely cause of this condition is

Correct Answer: C

Rationale: Pseudomonas aeruginosa (C) is the most common cause of otitis externa in swimmers, per infectious disease data.

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