The characteristic skin lesions of Pseudomonas are:

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Question 1 of 5

The characteristic skin lesions of Pseudomonas are:

Correct Answer: D

Rationale: Ecthyma gangrenosum is the classic Pseudomonas lesion, featuring necrotic ulcers, especially in immunocompromised patients (IDSA). Erythema multiforme is immune-related, nodules are nonspecific, pustular melanosis is neonatal, and cellulitis lacks specificity.

Question 2 of 5

A child is admitted in a pediatric intensive care unit (PICU) after a motor vehicle accident. The mother is acting very hostile towards the PICU staff. The appropriate way to handle the situation is:

Correct Answer: D

Rationale: Counseling addresses the mother’s distress, improving cooperation while prioritizing care (AAP). Options A-D avoid or worsen the situation.

Question 3 of 5

Best diagnostic study to detect the carrier of adrenoleukodystrophy is:

Correct Answer: B

Rationale: Elevated very-long-chain fatty acids (VLCFA) in plasma is the standard carrier test for adrenoleukodystrophy (NORD). A, C-E are less specific or confirmatory.

Question 4 of 5

Best method used to reduce nosocomial infection in NICU is:

Correct Answer: A

Rationale: Handwashing is the most effective way to reduce NICU infections (CDC). B-E are adjunctive.

Question 5 of 5

A preterm infant was diagnosed with NEC. Blood culture was obtained. Ampicillin and gentamicin were started. In most patients with NEC, blood culture usually yields:

Correct Answer: A

Rationale: Most NEC cases yield no pathogen in blood cultures, as it’s primarily ischemic, not septic (AAP). B-E are less common.

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