ATI RN
Pediatric Immune Disorder Test Questions Questions
Question 1 of 5
The most likely diagnosis in the patient described in Question 2 is
Correct Answer: C
Rationale: Chronic granulomatous disease (CGD) is indicated by recurrent infections with catalase-positive organisms like Staphylococcus aureus, including lymphadenitis and liver abscesses, due to defective phagocyte function. Bruton agammaglobulinemia involves B-cell defects, AIDS is a T-cell disorder, and Kostmann disease is severe congenital neutropenia, none of which fit this presentation as well as CGD.
Question 2 of 5
The initial screening laboratory evaluation of a child with recurrent infections for possible immunodeficiency includes all of the following EXCEPT
Correct Answer: D
Rationale: The NBT test is a specific diagnostic test for CGD, not part of initial screening. CBC, lymphocyte count, and immunoglobulin levels are broad screening tools for immunodeficiency.
Question 3 of 5
What is the phagocytic defect of chronic granulomatous disease?
Correct Answer: C
Rationale: CGD is caused by an inability to activate the neutrophil respiratory burst, impairing oxidative killing of ingested microbes.
Question 4 of 5
Failure to thrive, diarrhea, malabsorption, and infections with opportunistic infections (i.e., fungi, Candida sp, Pneumocystis jiroveci [carinii]) suggest
Correct Answer: C
Rationale: T-cell defects lead to impaired cellular immunity, increasing susceptibility to opportunistic infections like fungi and Pneumocystis jiroveci.
Question 5 of 5
A 5-month-old infant presented with reluctance to feed, lethargy, abdominal distension, and severe gingivitis. The parents are healthy relatives and gave history of non-purulent omphalitis with separation of umbilical stump at the age of 2 months. His peripheral smear showed neutrophil count 24,000/mm3. Of the following, the MOST likely diagnosis is
Correct Answer: D
Rationale: Leukocyte adhesion deficiency causes delayed umbilical cord separation, high neutrophil counts, and non-purulent infections due to impaired migration.