Try it
Pediatrics · Infectious diseases
Sample itemWhich rash feature makes meningococcal disease an emergency consideration?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Non-blanching purpura with fever
Fever with a non-blanching petechial or purpuric rash can indicate meningococcal sepsis and needs immediate emergency assessment and treatment.
Option by option
A. Dry scaly flexural rash
Flexural scale suggests eczema.
B. Itchy wheals that blanch
Blanching wheals are typical urticaria.
C. Localized impetigo crust
Impetigo is superficial local bacterial infection.
D. Non-blanching purpura with fever (correct)
Correct: non-blanching purpura is a major sepsis warning sign.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More Pediatrics questions
- Infectious diseasesWhich symptom cluster should prompt concern for meningitis in a child?
- Infectious diseasesWhat is a typical feature of measles?
- Congenital heart diseaseWhich is the most common cyanotic congenital heart disease presenting beyond the neonata…
- NutritionWhich feature most clearly distinguishes kwashiorkor from marasmus?