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Multiple Lung Abscesses in a Toddler
Robert W. Tolan, Jr., MD
Dr. Tolan is chief, Division of Allergy, Immunology and Infectious Diseases, The Childrens Hospital at Saint Peters 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.
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1. Which of the following is not a common cause of cavitary lung disease in children?
- Pulmonary tuberculosis
- Citrobacter infection
- Necrotizing pneumococcal pneumonia
- Community-associated methicillin-resistant Staphylococcus aureus pneumonia
- Aspirated foreign body
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2. Citrobacter species would be the most likely cause of which of the following infections in newborns and children?
- Bloodstream infection
- Central nervous system infection
- Osteomyelitis
- Pneumonia
- Urinary tract infection
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3. Which of the following conditions is most likely to predispose a child to lung abscess?
- Necrotizing community-acquired bacterial pneumonia
- Foreign body aspiration
- Underlying immunodeficiency
- Recurrent aspiration of oral secretions
- Gastroesophageal reflux disease
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4. Which of the following is the LEAST common sign or symptom of lung abscess in children?
- Chest pain
- Cough
- Fever
- Hemoptysis
- Tachypnea
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5. Appropriate initial therapy for a child with complicated pneumonia might include which of the following?
- Ampicillin/sulbactam and clindamycin
- Ceftriaxone
- Ciprofloxacin
- Doxycycline
- Piperacillin/tazobactam
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Updated 8/25/08 nvf
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