The classic hemorrhagic disease of the newborn (HDN) usually occurs between 3 and 7 days of life, early HDN occurs at the 1st day if mother receive

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Pediatric Infectious Disease Practice Questions Questions

Question 1 of 5

The classic hemorrhagic disease of the newborn (HDN) usually occurs between 3 and 7 days of life, early HDN occurs at the 1st day if mother receive

Correct Answer: C

Rationale: Early HDN on day 1 occurs with maternal anticonvulsants like tegretol (C), inducing vitamin K deficiency, per pharmacology.

Question 2 of 5

Early clamping of umbilical cord may lead to all the following EXCEPT

Correct Answer: B

Rationale: Early clamping risks anemia (A), murmur (C), and poor perfusion (D). Less tachypnea (B) isn’t an effect; it may worsen breathing.

Question 3 of 5

Which of the following is immune mediated hemolysis in the newborn?

Correct Answer: C

Rationale: ABO incompatibility (C) is immune-mediated hemolysis, unlike genetic conditions (A, B, D, E).

Question 4 of 5

A 7-month-old child presents in late October with 3 days of fever to $103^{\circ} \mathrm{F}$, a mildly injected pharynx, mild cervical adenopathy, and diarrhea. On the fourth day of the illness, the fever ceases and a measles-like rash appears. The most likely diagnosis is

Correct Answer: D

Rationale: HHV-6 (roseola) typically presents with high fever followed by a rash after fever resolution, common in infants.

Question 5 of 5

A 15-year-old female wishes to play soccer in school and needs medical clearance. On physical examination, her liver edge is palpable and seems minimally enlarged. Ultrasonography of the liver shows one cyst approximately 3 $\mathrm{cm}$ in diameter. Her menstruation is normal. Results of serologic test results for Echinococus and hepatitis are negative, and liver enzyme values are normal. She has lived her whole life in Salt Lake City, Utah, and has never traveled abroad. Which factor is most important in allowing her to play this sport?

Correct Answer: B

Rationale: Negative echinococcal serology rules out hydatid disease, the primary concern for a liver cyst in sports clearance.

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