Febrile children with sickle cell anemia are at an

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Infectious Disease Pediatric Questions

Question 1 of 5

Febrile children with sickle cell anemia are at an increased risk for having overwhelming sepsis. Some of these children can be given intramuscular ceftriaxone and treated as outpatients. Which of the following should lead to hospitalization?

A. Temperature greater than $40^{\circ} \mathrm{C}$ B. WBC count less than 5,000 cells $/ \mu \mathrm{L}$ C. WBC count greater than 30,000 cells/ $\mu \mathrm{L}$ D. All of the above

Correct Answer: D

Rationale: All listed factors indicate severe illness requiring hospitalization in sickle cell patients.

Question 2 of 5

The preferred treatment of Lyme disease in a child 13 years of age is

A. doxycycline B. amoxicillin C. ceftriaxone D. erythromycin

Correct Answer: A

Rationale: Doxycycline is preferred for Lyme disease in children over 8 years.

Question 3 of 5

Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) should be administered at which ages?

A. 2 and 4 months and $1-6$ years B. 2, 4, 6, and 12 months, and 10-12 years C. 2, 4, 6, and 15-18 months, and 4-6 years D. 2, 4, 6, and 15-18 months, 4-6 years, and every 5 years thereafter

Correct Answer: C

Rationale: DTaP schedule is 2, 4, 6, 15-18 months, and 4-6 years per CDC.

Question 4 of 5

Which is not true of herpes simplex virus (HSV) infections in neonates?

A. Most cases are caused by HSV type 2. B. Women with primary HSV genital tract infection are more likely to transmit infection to their offspring than women with recurrent HSV infection. C. Most mothers of newborns with perinatal HSV have a history of genital HSV. D. Most mothers of newborns with perinatal HSV are asymptomatic at delivery.

Correct Answer: C

Rationale: Most mothers of HSV-infected newborns lack a history of genital HSV.

Question 5 of 5

The peak age group of HHV-6 infection is

A. in newborns, acquired as a congenital infection B. 0-3 years C. 5-15 years D. Over 13 years

Correct Answer: B

Rationale: HHV-6 (roseola) peaks in children 6 months to 3 years.

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Febrile children with sickle cell anemia are at an increased risk for having overwhelming sepsis. Some of these children can be given intramuscular ceftriaxone and treated as outpatients. Which of the following should lead to hospitalization?

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Infectious Disease Pediatric Questions

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