6-year-old Boy in Pediatrics — 6yo Child | Pediatric Infectious | SMLE Q#17604

SMLE Question #17604

Pediatrics Pediatric Infectious

Objective: OBJ-113

Last updated: February 2026
A 6-year-old boy has 3 days of fever and malaise followed by cough, coryza, and conjunctivitis. He is not up to date on immunizations. Oral examination shows small bluish-white lesions on an erythematous base on the buccal mucosa opposite the molars. The next day, a maculopapular rash begins on the face and spreads to the trunk and extremities. What is the primary mode of transmission of the causative organism?

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