Late neonatal hypocalcemia (after 3 days of life) is often the result of

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Pediatric Infectious Disease Practice Questions Questions

Question 1 of 5

Late neonatal hypocalcemia (after 3 days of life) is often the result of

Correct Answer: D

Rationale: Late hypocalcemia (>3 days) often stems from high phosphate milk (E), binding calcium, common in formula-fed infants, unlike other causes (A, B, C, D) which are less frequent.

Question 2 of 5

Congenital CMV infection proved when CMV detected within the first

Correct Answer: A

Rationale: CMV detection within 3 weeks (A) confirms congenital infection, distinguishing it from postnatal acquisition, per diagnostic standards.

Question 3 of 5

A 3-week-old infant presented with poor feeding, maculopapular rash over the palms and soles and around the mouth, and bloody nasal discharge; on examination there are hepatosplenomegaly and lymphadenopathy; CBC reveals hemolytic anemia and thrombocytopenia. Of the following, the MOST likely diagnosis is

Correct Answer: A

Rationale: Rash on palms/soles, snuffles, hepatosplenomegaly, and anemia at 3 weeks point to congenital syphilis (A), unlike HSV (B), CMV (C), rubella (D), or toxoplasmosis (E) presentations.

Question 4 of 5

The unexplained additional risk factor for early-onset neonatal sepsis is

Correct Answer: A

Rationale: Male sex (A) is an unexplained risk factor for early-onset sepsis, beyond preterm birth (B), maternal fever (C), tachycardia (D), or PROM (E), per studies.

Question 5 of 5

Seizures noted in the delivery room often are caused by

Correct Answer: D

Rationale: Hypoxic-ischemic encephalopathy (D) is a common delivery room seizure cause due to perinatal asphyxia, per neonatal neurology.

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