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Febrile neonate — RCPSC EM MCQ

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ModeratePaediatric emergenciesFebrile neonateRCPSC EM

A 20-day-old infant has rectal temperature 38.4°C measured in triage. He appears well, feeds slightly less than usual, and has normal perfusion. There is no clear viral focus. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Febrile neonate at risk of serious bacterial infection

Febrile neonate at risk of serious bacterial infection is correct: the clues indicate Febrile neonate and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian Paediatric Society febrile infant guidance