3 Days Of High in Pediatrics — 6yo Child | Pediatric Infectious | SMLE Q#16684

SMLE Question #16684

Pediatrics Pediatric Infectious

Objective: OBJ-113

Last updated: February 2026
A 6-year-old boy presents in winter with 3 days of high fever, cough, coryza, and conjunctival redness. He has not received vaccinations since age 1 year. He looks tired and febrile. Oral exam shows several small bluish-white lesions on an erythematous base on the buccal mucosa opposite the molars. A faint maculopapular rash is starting on the face. What is the most likely diagnosis?

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