What is the MOST common site of skeletal tuberculosis?

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Nursing Practice Questions for Pediatric Infectious Disease Questions

Question 1 of 5

What is the MOST common site of skeletal tuberculosis?

Correct Answer: A

Rationale: Spinal tuberculosis (A), or Pott’s disease, is the most common skeletal TB site, accounting for ~50% of cases, per orthopedic infectious disease studies.

Question 2 of 5

A 9-year-old child presented with history of fall from a height, he developed otorrhea and basilar skull fracture; 2 wk later he developed fever, headache, repeated vomiting, and nuchal rigidity; cerebrospinal fluid findings are (leukocytes 1600/μL with PMNs predominate), protein (140 mg/dL), and glucose (39 mg/dL); serum glucose (109 mg/dL). Of the following, the MOST common organism causing this condition is

Correct Answer: D

Rationale: Post-traumatic meningitis after basilar skull fracture with CSF leak is most often due to S. pneumoniae (E), from nasopharyngeal flora, per trauma-related infection data.

Question 3 of 5

The incidence of streptococcal pharyngitis increased in

Correct Answer: C

Rationale: Strep pharyngitis peaks in school-age children (C, 5-15 years), due to close contact, per epidemiology.

Question 4 of 5

The region of lymphadenopathy that's affected by tuberculosis and known as Ghon complex is

Correct Answer: A

Rationale: The Ghon complex involves hilar (A) lymph nodes and lung parenchyma in primary TB, per pathology.

Question 5 of 5

Treatment with erythromycin in the paroxysmal stage of pertussis

Correct Answer: A

Rationale: Erythromycin in pertussis’ paroxysmal stage (A) doesn’t alter course or spread, effective only in catarrhal stage, per guidelines.

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