All of the following are true of cat-scratch disease EXCEPT that

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Pediatric Infectious Diseases Questions

Question 1 of 5

All of the following are true of cat-scratch disease EXCEPT that

Correct Answer: C

Rationale: Fever occurs in about 30-60% of cat-scratch disease cases, not 90%.

Question 2 of 5

In regions where penicillin-resistant pneumococci are prevalent, patients who are strongly suspected of having bacterial meningitis should receive which of the following antimicrobial agents added to ceftriaxone or cefotaxime for empirical antimicrobial therapy?

Correct Answer: C

Rationale: Vancomycin covers penicillin-resistant pneumococci in bacterial meningitis.

Question 3 of 5

A 16-year-old female has abrupt onset of high fever, vomiting, and diarrhea, with a diffuse sunburn-like rash, hyperemia of the pharyngeal and conjunctival membranes, oliguria, and postural hypotension. The most likely diagnosis is

Correct Answer: D

Rationale: Toxic shock syndrome presents with fever, rash, and multisystem involvement including hypotension.

Question 4 of 5

A 14-year-old child develops a nontender, solitary nodule that slowly enlarged over several weeks and that began at the site of an abrasion that occurred while cleaning his fish aquarium. Which is the most likely infecting organism?

Correct Answer: C

Rationale: Mycobacterium marinum causes 'fish tank granuloma' from aquarium exposure.

Question 5 of 5

The only absolute contraindication to subsequent administrations of acellular pertussis vaccine is

Correct Answer: C

Rationale: Anaphylaxis to a prior dose is the only absolute contraindication to DTaP.

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