ATI RN
Infectious Disease Pediatric Questions
Question 1 of 5
Morning stiffness is seen in which of the following pediatric diseases?
Correct Answer: B
Rationale: Morning stiffness is a hallmark of systemic lupus erythematosus and other inflammatory arthritides, reflecting joint inflammation.
Question 2 of 5
A 10-year-old female with history of insidious onset of fatigue, malaise, and progressive muscle weakness, accompanied by low-grade fevers and scaly, red plaques are found across the knuckles, she is not able to sit up from a supine position, investigations revealed: elevated muscle enzymes (ALT, AST, LDH, CPK, and aldolase), EMG abnormalities: fasciculations, needle insertion irritability, and high-frequency discharges. Of the following, the MOST serious complication that can occurs in this patient is the development of
Correct Answer: B
Rationale: In juvenile dermatomyositis (as described), infections are the most serious complication due to immunosuppression and muscle involvement increasing susceptibility.
Question 3 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 4 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 5 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.