Infections: congenital rubella: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Pediatrics · Infections: congenital rubella

Sample item

A newborn has cataract, patent ductus arteriosus and sensorineural deafness. The mother had a rash in the first trimester. What is the most likely diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Congenital rubella syndrome

Congenital rubella syndrome classically has cataract, heart disease (PDA, pulmonary artery stenosis) and sensorineural deafness. Blueberry muffin rash and microcephaly can also occur. Infection in the first trimester carries the greatest risk.

Option by option

  • A. Congenital syphilis

    Syphilis gives snuffles, rash and bone changes.

  • B. Congenital rubella syndrome (correct)

    Correct. This triad is typical of CRS.

  • C. Congenital toxoplasmosis

    Toxoplasmosis gives chorioretinitis and hydrocephalus.

  • D. Congenital CMV

    CMV gives periventricular calcification and deafness.

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

Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is B, Congenital rubella syndrome. Congenital rubella syndrome classically has cataract, heart disease (PDA, pulmonary artery stenosis) and sensorineural deafness.

Why is "Congenital syphilis" not the answer?

Syphilis gives snuffles, rash and bone changes.

Why is "Congenital toxoplasmosis" not the answer?

Toxoplasmosis gives chorioretinitis and hydrocephalus.

Why is "Congenital CMV" not the answer?

CMV gives periventricular calcification and deafness.

What concept does this question test?

It tests Infections: congenital rubella in Pediatrics. Blueberry muffin rash and microcephaly can also occur. Infection in the first trimester carries the greatest risk.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Infections: congenital rubella?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.