Answer 35

35.  Choice B is the correct answer.  Roseola is a viral syndrome characterized by 3-5 days of a high fever, that resolves abruptly and the child breaks out into a rash.  Acetaminophen toxicity dose not present with a rash.  Rubella does not typically give a high fever it is more low grade and rash may appear early in the illness.

Question 35

35.  Your patient is a 2 year old that presents with runny nose, cough and fever of 40 degrees C that mother has been treating with tylenol the last 3 days.  The mother is concerned her child may be allergic to the tylenol because the fever stopped but the child suddenly broke out into a diffuse rash.  Which of the following is the most likely diagnosis?

A.  Serum Sickness

B.  Roseola

C.  Acetaminophen toxicity

D.  Rubella

Answer 34

34.  Choice D is the incorrect answer.  The 4 major reservoirs of rabies in the United States are bats, raccoons, skunks, and foxes.  Small rodents such as mice, rats, squirrels, gerbils and chipmunks are susceptible but it is not as common.  In developed countries dogs accounted for 90 percent of the cases but was essentially eliminated as source in the 1970's.

Question 34

34.  All of the following are common reservoirs for the rabies virus in the United States except:

A.  Bats
B.  Raccoons
C.  Skunks
D.  Dogs

Answer 33

33.   Choice C is the correct answer.  Complications of mumps can include but are not limited to orchitis, meningitis, pancreatitis, myocarditis, arthritis, and encephalitis.

Question 33

33.  All of the following can be complications of mumps except:

A.  Orchitis
B.  Meningitis
C.  Hepatitis
D.  Myocarditis

Answer 32

32.  Choice C is the correct answer.  Koplik spots are associated with measles (Rubeola).  Rheumatic fever can have the rash erythema marginatum.  Erythema infectiosum has the slapped cheek rash. 

Question 32

32.  Koplik spots are associated with which of the following disorder:

A.  Mumps

B.  Rheumatic Fever

C.  Measles

D.  Erythema Infectiosum

 

Answer 31

31.  Choice A is the correct answer.  Amantadine is only effective against influenza type A.  Tamiflu is effective against influenza type A and B.  Motrin and sudafed are appropriate for symptomatic relief.  Salicylate containing products should be avoided especially in children.  

Question 31

31.  Your patient is 54 year old male that presents with 24 hours of rhinorrhea, fever, headaches, and myalgias.  His influenza swab was positive for influenza type B.  All of the following are acceptable in his treatment regimen except?

A.  Amantadine

B.  Tamiflu

C.  Motrin

D.  Sudafed