The MOST appropriate treatment for neonatal group B streptococcal meningitis is

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Pediatric Infectious Diseases Questions

Question 1 of 5

The MOST appropriate treatment for neonatal group B streptococcal meningitis is

Correct Answer: B

Rationale: High-dose penicillin (B) is optimal for GBS meningitis, penetrating CSF effectively, per neonatal protocols.

Question 2 of 5

Hypoxic-ischemic encephalopathy stage 2 is characterized by all the following EXCEPT

Correct Answer: D

Rationale: HIE stage 2 includes miosis (A), seizures (B), hypotonia (C), and hyperreflexia (E). Active Moro (D) is absent due to neurologic depression.

Question 3 of 5

In necrotizing enterocolitis (NEC), even with aggressive and appropriate medical management, 25%-50% of infants require surgical intervention. Of the following, the MOST obvious indication for surgical intervention is

Correct Answer: B

Rationale: Pneumoperitoneum (B) is the clearest surgical indication in NEC, signaling perforation, per surgical guidelines.

Question 4 of 5

Crigler-Najjar syndrome characterized by all the following EXCEPT

Correct Answer: B

Rationale: Crigler-Najjar is recessive (A), causes unconjugated (not direct, B) hyperbilirubinemia, with Type I kernicterus (C), Type II phenobarbital response (D), and enzyme deficiency (E).

Question 5 of 5

The presence of dark color urine and gray-white (acholic) stools with jaundice after the second week of life strongly suggest

Correct Answer: B

Rationale: Dark urine and acholic stools with jaundice post-2 weeks indicate biliary atresia (B), obstructing bile flow, per diagnostic signs.

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