ATI RN
Pediatric Infectious Diseases Questions
Question 1 of 5
An 8-year-old girl is brought by her mother to your clinic with high concern about breast mass; you find a well nourished; normally developed girl with asymmetrical; tender pea-size right breast mass just beneath the nipple. Of the following, the MOST appropriate action is to
Correct Answer: A
Rationale: Asymmetrical, tender subareolar mass at 8 suggests early thelarche (puberty onset), a normal variant, warranting reassurance (A). Hormones (B), U/S (C), mammography (D), or FNA (E) are unnecessary without red flags.
Question 2 of 5
The MOST common adverse reaction to intramuscular immunoglobulin is
Correct Answer: A
Rationale: Pain at the injection site is the most frequent side effect of intramuscular immunoglobulin administration.
Question 3 of 5
Preterm infant, weight $1600 \mathrm{gm}$, should not receive the following vaccine at birth
Correct Answer: D
Rationale: MMR is contraindicated at birth; it’s typically given at 12-15 months of age.
Question 4 of 5
Fever is defined as a rectal temperature of
Correct Answer: C
Rationale: Fever is typically defined as a rectal temperature of 38°C or higher.
Question 5 of 5
Which type of fever is persistent and varies by more than $0.5°C (0.9°F)/day?
Correct Answer: D
Rationale: Remittent fever fluctuates more than 0.5°C daily but remains elevated.