Miscarriage Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 1-week-old boy is admitted to the neonatal intensive care unit due to fever, poor feeding, and irritability. The neonate was born at 37-weeks gestational age. During the third trimester of pregnancy, the patient’s mother had a self-limiting episode of gastroenteritis. Group B streptococcus screening at 36-weeks of gestation was negative. The family owns two cats. The patient’s weight is at the 20^th percentile, and head circumference is at the 50^th percentile. Temperature is 39.1°C (102°F), blood pressure is 70/50 mmHg, pulse is 140/min, and respiratory rate is 70/min. Physical examination reveals an irritable patient with bulging fontanelles. Scleral icterus is present, and jaundice is observed over the chest. The remainder of the examination is unremarkable. A lumbar puncture is performed, and cerebrospinal fluid analysis is shown below. Which of the following best describes the pathogen likely responsible for this patient’s symptoms?

CSF Laboratory Value	Result
Cell count	600/mm³ (80% neutrophils)
Glucose	25 mg/dL
Protein	110 mg/dL

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Facultative intracellular, Gram-positive rod

Gram-negative diplococci

Intracellular parasite

Gram-positive cocci in clusters

Enveloped, DNA virus