ATI RN
Pediatric Infectious Disease Questions
Question 1 of 5
The Apgar score is a good method for assessing the need to resuscitate a newborn, all the following parameters are evaluated EXCEPT
Correct Answer: C
Rationale: Apgar assesses heart rate (A), respiration (B), color (D), reflex (E), and tone (not listed), but not temperature (C), which isn’t part of the 0-10 score.
Question 2 of 5
A 9-month-old infant presents with history of early-onset jaundice and growth retardation; on examination there are cataracts, hepatosplenomegaly, and purpuric skin lesions; CBC revealed thrombocytopenia; echo study showed peripheral pulmonary artery stenosis. Of the following, the MOST likely diagnosis is
Correct Answer: D
Rationale: Cataracts, purpura, thrombocytopenia, and pulmonary stenosis at 9 months point to congenital rubella (D), unlike syphilis (A), HSV (B), CMV (C), or toxoplasmosis (E) profiles.
Question 3 of 5
Ganciclovir is antiviral agent used in severely symptomatic congenital CMV infection to decrease the progression of
Correct Answer: A
Rationale: Ganciclovir in congenital CMV reduces hearing loss progression (A), a key morbidity, with less impact on chorioretinitis (B), organomegaly (C), rash (D), or calcifications (E).
Question 4 of 5
The drug of choice for treatment of congenital syphilis is
Correct Answer: A
Rationale: Penicillin (A) is the gold standard for congenital syphilis, effective against Treponema pallidum, per CDC guidelines.
Question 5 of 5
The mainstay of treatment for neonatal sepsis is
Correct Answer: C
Rationale: Ampicillin and gentamicin (C) cover GBS and gram-negatives, the mainstay for neonatal sepsis, per AAP guidelines.