The 12-year-old son of diplomat parents presents with crampy abdominal pain, fever, migratory arthralgias, and hepatosplenomegaly. During the past 5 years, his family has lived in the Philippines, Kampuchea, Senegal, and Mali. Ultrasound examination of his abdomen shows periportal fibrosis consistent with schistosomiasis. His kidneys and bladder are normal. Which of the following schistosome species is UNLIKELY to be the cause of his illness?

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Pediatric Infectious Disease NCLEX Questions Questions

Question 1 of 5

The 12-year-old son of diplomat parents presents with crampy abdominal pain, fever, migratory arthralgias, and hepatosplenomegaly. During the past 5 years, his family has lived in the Philippines, Kampuchea, Senegal, and Mali. Ultrasound examination of his abdomen shows periportal fibrosis consistent with schistosomiasis. His kidneys and bladder are normal. Which of the following schistosome species is UNLIKELY to be the cause of his illness?

Correct Answer: D

Rationale: S. haematobium primarily affects the urinary tract, not causing periportal fibrosis seen with S. mansoni or S. japonicum.

Question 2 of 5

The drug of choice for empirical treatment of indwelling line and prosthesis infections caused by coagulase-negative staphylococci is

Correct Answer: D

Rationale: Vancomycin is effective against coagulase-negative staphylococci, common in device infections.

Question 3 of 5

The recommended treatment of Mycoplasma pneumoniae illness is

Correct Answer: C

Rationale: Macrolides like erythromycin are effective against Mycoplasma pneumoniae.

Question 4 of 5

Enteroviruses include all of the following viruses EXCEPT

Correct Answer: D

Rationale: Polyomaviruses are not enteroviruses; they belong to a different family.

Question 5 of 5

Which is recommended for a woman with active genital HSV infection during labor?

Correct Answer: D

Rationale: Cesarean section within 4 hours of membrane rupture reduces HSV transmission risk.

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