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Pediatric Rounds Review Questions

Multiple Lung Abscesses in a Toddler

Robert W. Tolan, Jr., MD

Dr. Tolan is chief, Division of Allergy, Immunology and Infectious Diseases, The Children’s Hospital at Saint Peter’s University Hospital, and a clinical associate professor of pediatrics, Drexel University College of Medicine, Philadelphia, PA.

The questions below are based on the August 2008 Pediatric Rounds article, “Multiple Lung Abscesses in a Toddler.”


Choose the single best answer for each question.

1. Which of the following is not a common cause of cavitary lung disease in children?
  1. Pulmonary tuberculosis
  2. Citrobacter infection
  3. Necrotizing pneumococcal pneumonia
  4. Community-associated methicillin-resistant Staphylococcus aureus pneumonia
  5. Aspirated foreign body
Click here to compare your answer.

2. Citrobacter species would be the most likely cause of which of the following infections in newborns and children?

  1. Bloodstream infection
  2. Central nervous system infection
  3. Osteomyelitis
  4. Pneumonia
  5. Urinary tract infection
Click here to compare your answer.

3. Which of the following conditions is most likely to predispose a child to lung abscess?

  1. Necrotizing community-acquired bacterial pneumonia
  2. Foreign body aspiration
  3. Underlying immunodeficiency
  4. Recurrent aspiration of oral secretions
  5. Gastroesophageal reflux disease
Click here to compare your answer.

4. Which of the following is the LEAST common sign or symptom of lung abscess in children?
  1. Chest pain
  2. Cough
  3. Fever
  4. Hemoptysis
  5. Tachypnea
Click here to compare your answer.


5. Appropriate initial therapy for a child with complicated pneumonia might include which of the following?

  1. Ampicillin/sulbactam and clindamycin
  2. Ceftriaxone
  3. Ciprofloxacin
  4. Doxycycline
  5. Piperacillin/tazobactam
Click here to compare your answer.

 

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