ATI RN
Pediatric Infectious Disease Questions
Question 1 of 5
The BEST screening radiographic study for a patient with suspicious cervical lymphadenopathy, fever and weight loss is
Correct Answer: A
Rationale: Chest X-ray is the best initial screening tool to evaluate for mediastinal masses or lung involvement in conditions like lymphoma.
Question 2 of 5
A 3-year- old girl with newly diagnosed paravertebral neuroblastoma, presented to the pediatric emergency department with rapid onset weakness of both lower limbs following a 3-day history of severe back pain. Of the following, the MOST possible diagnosis is
Correct Answer: C
Rationale: Spinal cord compression from a paravertebral neuroblastoma explains the lower limb weakness and back pain.
Question 3 of 5
Almost all the following pediatric malignancies require chemotherapy EXCEPT
Correct Answer: B
Rationale: Low-grade neuroblastoma may be managed with observation or surgery alone in some cases, unlike the others requiring chemotherapy.
Question 4 of 5
A translocation between chromosomes 9 and 22 (BCR-ABL) plays an important role in the development of
Correct Answer: B
Rationale: The BCR-ABL translocation (Philadelphia chromosome) is a hallmark of chronic myeloid leukemia.
Question 5 of 5
The MOST common chromosomal translocation in pediatric acute lymphoblastic leukemia is
Correct Answer: A
Rationale: t(12;21) (TEL-AML1) is the most common translocation in pediatric ALL, occurring in about 25% of cases.