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Pediatrics · Infectious disease
Sample itemWhat does a nonblanching rash with fever raise concern for?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Meningococcal disease
Fever with a nonblanching petechial or purpuric rash can indicate invasive meningococcal infection and requires urgent emergency assessment and treatment.
Option by option
A. Dental caries
Dental caries does not cause a febrile purpuric rash.
B. Meningococcal disease (correct)
Correct: fever with nonblanching rash is a meningococcal red flag.
C. Otitis externa
Otitis externa is localized ear-canal inflammation.
D. Simple eczema
Eczema is usually itchy and blanching rather than purpuric.
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.