Patients who should receive prophylaxis for $P$. carinii pneumonia are those afflicted with

Questions 91

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Infectious Disease Pediatric Questions

Question 1 of 5

Patients who should receive prophylaxis for $P$. carinii pneumonia are those afflicted with

Correct Answer: B

Rationale: Severe combined immunodeficiency (SCID) increases risk for Pneumocystis pneumonia, requiring prophylaxis.

Question 2 of 5

Which of the following routes of transmission has been associated with several large outbreaks of human listeriosis?

Correct Answer: D

Rationale: Food-borne transmission (e.g., contaminated dairy) is the primary route for listeriosis outbreaks.

Question 3 of 5

A 5-year-old urban male was admitted to the hospital because of low-grade fever, flaccid paralysis of both legs, sensory changes, and absent ankle deep tendon reflexes. The child had received only two immunizations with OPV at the age of 2 and 6 months. His diagnosis is most probably

Correct Answer: A

Rationale: Incomplete OPV vaccination in an urban setting suggests wild poliovirus as the cause of paralytic polio.

Question 4 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?

Correct Answer: D

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

Question 5 of 5

Production of an exopolysaccharide protective biofilm (slime) is an attribute of which organism?

Correct Answer: B

Rationale: Coagulase-negative staphylococci produce biofilm, aiding in device-related infections.

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