ATI RN
Infectious Disease Pediatric Questions
Question 1 of 5
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 2 of 5
Completion of the Tanner stages in females should take 4 to 5 years. The peak growth spurt usually occurs during
Correct Answer: B
Rationale: The peak growth spurt in girls occurs at Tanner stages II-III (B), before menarche, as estrogen accelerates growth, unlike earlier (A), later (C, D), or pubarche (E) timing.
Question 3 of 5
An 11-year-old adolescent girl presents with a complaint of odorless/colorless vaginal discharge. Locally you find a well estrogenized vulva and hymen without erythema or excoriation. Of the following, the MOST appropriate action is to
Correct Answer: D
Rationale: Odorless, colorless discharge with estrogenized vulva at 11 is physiologic leukorrhea from puberty, needing reassurance (E). Cultures (A), menarche link (B), hormones (C), or U/S (D) are unwarranted without symptoms.
Question 4 of 5
Vaccines are defined as whole or parts of microorganisms administered to prevent an infectious disease. Which of the following is a live attenuated vaccine?
Correct Answer: D
Rationale: Varicella vaccine is a live attenuated vaccine, whereas the others listed are inactivated or subunit vaccines.
Question 5 of 5
All the following are major recommended indications for IVIG EXCEPT
Correct Answer: C
Rationale: Hepatitis A prophylaxis typically uses intramuscular immunoglobulin, not IVIG.