On examining a full-term newborn, the physician noted mild hepatomegaly. The remainder of the physical findings was normal, including head circumference and retinas. A urine culture grew cytomegalovirus (CMV). Results of head ultrasonography were normal. Subsequent testing disclosed no metabolic disorders. What deficit is most likely to occur in the next year?

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Pediatric Infectious Disease Practice Questions Questions

Question 1 of 5

On examining a full-term newborn, the physician noted mild hepatomegaly. The remainder of the physical findings was normal, including head circumference and retinas. A urine culture grew cytomegalovirus (CMV). Results of head ultrasonography were normal. Subsequent testing disclosed no metabolic disorders. What deficit is most likely to occur in the next year?

Correct Answer: B

Rationale: Congenital CMV commonly leads to sensorineural hearing loss within the first year.

Question 2 of 5

Which is true concerning infections in immunocompromised persons?

Correct Answer: B

Rationale: Normal flora like coagulase-negative staphylococci can cause severe infections in immunocompromised patients.

Question 3 of 5

Which is not true about cat-scratch disease?

Correct Answer: B

Rationale: Diagnosis of cat-scratch disease can be made clinically or serologically, not solely by culture.

Question 4 of 5

Which is not a common manifestation of congenital rubella syndrome?

Correct Answer: A

Rationale: Snuffles is typical of congenital syphilis, not rubella.

Question 5 of 5

Which is not true of the risk of vaccine-associated paralytic poliomyelitis (VAPP)?

Correct Answer: B

Rationale: The risk of VAPP is highest with the first OPV dose, not subsequent doses.

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