NR 602 Midterm Verified Multiple Choice and
Conceptual Actual Emended Exam Questions With
Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. What is the best first-line antibiotic therapy for a human bite wound?
a) Cephalexin
b) Amoxicillin-clavulanate
c) Azithromycin
d) Ciprofloxacin
Answer: b) Amoxicillin-clavulanate
Rationale: Human bites are often polymicrobial; Augmentin covers both aerobic
and anaerobic organisms. Cephalexin and azithromycin don’t cover anaerobes;
ciprofloxacin alone lacks anaerobic coverage.
2. What is the most appropriate antibiotic for an infected plantar puncture
wound?
a) Amoxicillin
b) Azithromycin
c) Ciprofloxacin
d) Amoxicillin-clavulanate
Answer: c) Ciprofloxacin
Rationale: Plantar puncture wounds risk Pseudomonas infection, which is best
covered with ciprofloxacin.
3. Which pathogen is the most common cause of severe diarrhea worldwide in
children?
a) Salmonella
,b) Rotavirus
c) Giardia lamblia
d) E. coli
Answer: b) Rotavirus
Rationale: Rotavirus is the leading cause of pediatric diarrhea worldwide,
especially in children under age 5.
4. Which two bacteria most commonly cause peritonsillar abscesses?
a) H. influenzae and Moraxella
b) Streptococcus pyogenes and Fusobacterium
c) Staphylococcus aureus and Pseudomonas
d) Candida albicans and Klebsiella
Answer: b) Streptococcus pyogenes and Fusobacterium
Rationale: Peritonsillar abscesses are usually polymicrobial, with Group A strep
and Fusobacterium predominant.
5. What is the treatment of choice for peritonsillar abscesses?
a) Azithromycin
b) Doxycycline
c) Penicillin and clindamycin
d) Amoxicillin only
Answer: c) Penicillin and clindamycin
Rationale: These provide broad coverage for Group A strep and anaerobes.
6. A child presents with a sore throat, fever 104°F, vomiting, and a sandpaper-
like rash. The tongue is red with a strawberry appearance. What is the most
likely diagnosis?
a) Kawasaki disease
,b) Scarlet fever
c) Measles
d) Infectious mononucleosis
Answer: b) Scarlet fever
Rationale: Scarlet fever presents with high fever, pharyngitis, strawberry tongue,
and a diffuse erythematous rash with a sandpaper feel.
7. What is the first-line treatment for scarlet fever?
a) Azithromycin
b) Penicillin
c) Clindamycin
d) Doxycycline
Answer: b) Penicillin
Rationale: Penicillin remains the treatment of choice for Group A strep infections.
8. What is the step 1 treatment in asthma management for a child with
intermittent symptoms?
a) Daily low-dose ICS
b) SABA PRN
c) LABA + ICS
d) Leukotriene receptor antagonist
Answer: b) SABA PRN
Rationale: Step 1 therapy is as-needed short-acting beta agonist for intermittent
asthma.
9. A 9-year-old with mild persistent asthma should begin which therapy?
a) LABA only
b) Low-dose ICS
, c) SABA only
d) Oral corticosteroids
Answer: b) Low-dose ICS
Rationale: Step 2 asthma therapy is daily low-dose inhaled corticosteroids.
10. Which clinical feature distinguishes candida diaper dermatitis from irritant
diaper dermatitis?
a) Satellite lesions beyond main rash
b) Blanchable erythema only
c) Rash confined to convex skin surfaces
d) Rash improves with zinc oxide cream
Answer: a) Satellite lesions beyond main rash
Rationale: Candida rash is bright red with satellite papules; irritant rash spares
skin folds.
11. What is the first-line treatment for Candida skin infection in an infant neck
fold?
a) Topical hydrocortisone 1%
b) Oral fluconazole
c) Topical nystatin cream
d) Topical erythromycin
Answer: c) Topical nystatin cream
Rationale: Topical antifungals such as nystatin are first-line for superficial
candidiasis.
12. A 15-year-old presents with acne limited to the forehead and chin, with
papules and pustules. What is the best treatment?
a) Topical erythromycin with benzoyl peroxide
Conceptual Actual Emended Exam Questions With
Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. What is the best first-line antibiotic therapy for a human bite wound?
a) Cephalexin
b) Amoxicillin-clavulanate
c) Azithromycin
d) Ciprofloxacin
Answer: b) Amoxicillin-clavulanate
Rationale: Human bites are often polymicrobial; Augmentin covers both aerobic
and anaerobic organisms. Cephalexin and azithromycin don’t cover anaerobes;
ciprofloxacin alone lacks anaerobic coverage.
2. What is the most appropriate antibiotic for an infected plantar puncture
wound?
a) Amoxicillin
b) Azithromycin
c) Ciprofloxacin
d) Amoxicillin-clavulanate
Answer: c) Ciprofloxacin
Rationale: Plantar puncture wounds risk Pseudomonas infection, which is best
covered with ciprofloxacin.
3. Which pathogen is the most common cause of severe diarrhea worldwide in
children?
a) Salmonella
,b) Rotavirus
c) Giardia lamblia
d) E. coli
Answer: b) Rotavirus
Rationale: Rotavirus is the leading cause of pediatric diarrhea worldwide,
especially in children under age 5.
4. Which two bacteria most commonly cause peritonsillar abscesses?
a) H. influenzae and Moraxella
b) Streptococcus pyogenes and Fusobacterium
c) Staphylococcus aureus and Pseudomonas
d) Candida albicans and Klebsiella
Answer: b) Streptococcus pyogenes and Fusobacterium
Rationale: Peritonsillar abscesses are usually polymicrobial, with Group A strep
and Fusobacterium predominant.
5. What is the treatment of choice for peritonsillar abscesses?
a) Azithromycin
b) Doxycycline
c) Penicillin and clindamycin
d) Amoxicillin only
Answer: c) Penicillin and clindamycin
Rationale: These provide broad coverage for Group A strep and anaerobes.
6. A child presents with a sore throat, fever 104°F, vomiting, and a sandpaper-
like rash. The tongue is red with a strawberry appearance. What is the most
likely diagnosis?
a) Kawasaki disease
,b) Scarlet fever
c) Measles
d) Infectious mononucleosis
Answer: b) Scarlet fever
Rationale: Scarlet fever presents with high fever, pharyngitis, strawberry tongue,
and a diffuse erythematous rash with a sandpaper feel.
7. What is the first-line treatment for scarlet fever?
a) Azithromycin
b) Penicillin
c) Clindamycin
d) Doxycycline
Answer: b) Penicillin
Rationale: Penicillin remains the treatment of choice for Group A strep infections.
8. What is the step 1 treatment in asthma management for a child with
intermittent symptoms?
a) Daily low-dose ICS
b) SABA PRN
c) LABA + ICS
d) Leukotriene receptor antagonist
Answer: b) SABA PRN
Rationale: Step 1 therapy is as-needed short-acting beta agonist for intermittent
asthma.
9. A 9-year-old with mild persistent asthma should begin which therapy?
a) LABA only
b) Low-dose ICS
, c) SABA only
d) Oral corticosteroids
Answer: b) Low-dose ICS
Rationale: Step 2 asthma therapy is daily low-dose inhaled corticosteroids.
10. Which clinical feature distinguishes candida diaper dermatitis from irritant
diaper dermatitis?
a) Satellite lesions beyond main rash
b) Blanchable erythema only
c) Rash confined to convex skin surfaces
d) Rash improves with zinc oxide cream
Answer: a) Satellite lesions beyond main rash
Rationale: Candida rash is bright red with satellite papules; irritant rash spares
skin folds.
11. What is the first-line treatment for Candida skin infection in an infant neck
fold?
a) Topical hydrocortisone 1%
b) Oral fluconazole
c) Topical nystatin cream
d) Topical erythromycin
Answer: c) Topical nystatin cream
Rationale: Topical antifungals such as nystatin are first-line for superficial
candidiasis.
12. A 15-year-old presents with acne limited to the forehead and chin, with
papules and pustules. What is the best treatment?
a) Topical erythromycin with benzoyl peroxide
