Twin-to-twin transfusion syndrome suggested by

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Infectious Disease Pediatric Questions

Question 1 of 5

Twin-to-twin transfusion syndrome suggested by

Correct Answer: C

Rationale: Twin-to-twin transfusion syndrome (TTTS) is diagnosed with >20% weight discordance and >5 g/dL hemoglobin difference (C), reflecting significant vascular shunting, per standard criteria.

Question 2 of 5

Severe cold injury in an infant is manifested by all the following EXCEPT

Correct Answer: D

Rationale: Severe hypothermia causes acidosis (A), bradycardia (B), hypoglycemia (C), and cyanosis (D). Pulmonary hemorrhage (E) is linked to prematurity or RDS, not cold injury directly.

Question 3 of 5

Ebstein anomaly can be induced by teratogenic effect of

Correct Answer: A

Rationale: Lithium (A) exposure in pregnancy is linked to Ebstein anomaly (tricuspid valve malformation), unlike other teratogens (B, C, D, E) with different effects.

Question 4 of 5

Infants with congenital rubella should be isolated while in the hospital and kept away from susceptible pregnant women when sent home for about

Correct Answer: A

Rationale: Congenital rubella infants shed virus for up to 1 year (A), requiring isolation to protect pregnant women, per CDC guidelines.

Question 5 of 5

Regarding herpes simplex virus (HSV) infection, all the following statements are true EXCEPT

Correct Answer: A

Rationale: Neonatal HSV is mostly HSV-2 (70-85%), not HSV-1 (A), due to genital prevalence. Birth canal acquisition (B), primary infection risk (C), reactivation risk (D), and asymptomatic mothers (E) are true.

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