02-03-2006, 04:32 AM
1) A 4-year-old girl has a 5-day history of yellow, crusted erosions beneath the nares and on the cheek, chin, and upper extremities. The child is otherwise well and has no known allergies to medications.
What is the diagnosis? What are the bugs? Of the following, the MOST appropriate treatment is
A. acyclovir topically
B. cephalexin orally
C. hydrocortisone 1% topically
D. mupirocin topically
E. penicillin orally
2) A 7-year-old girl presents for evaluation of fever and rapidly spreading rash on the leg. Physical exam reveals an ill appearing child who has a temperature of 102.2. On the right thigh is a well demarcated 8x10 cm slightly elevated area of erythema and induration within which are several bullae. The area is tender to palpation.
What is the diagnosis? What is the bug? Of the following the MOST appropriate initial therapy is,
A. Cefadroxyl PO
B. Cefazolin IV
C. Ceftazidime IV
D, Clindamycine PO
E. Cefalexin PO
3) A 9-year-old boy has a non productive cough for the past three weeks. He has been afebrile and otherwise feeling well. On physical exam you note wide spread rales, and an erythamatous maculopapular rash on the trunk that is discrete and confluent. Chest x-ray reveals bilateral diffuse infiltrates.
What is the diagnosis? What is the bug? Of the following, the test that would BEST confirm the diagnosis is,
A. Bacterial culture
B. blood culture
C. gram stain of the sputum
D. Mycoplasma-specific immunoglobulin M
E. Serum cold agglutinins
4) Five days after the onset of an upper respiratory tract infection, a 4-year-old developed sore throat, fever, headache and malaise followed by an erythematous fine maculopapular blanching rash that involved the face, chest, and upper extremities. The rash has a rough sandpaper-like texture. The tongue has a thick white coat with swollen papillae. Vital signs are normal except for a temperature of 103.3°F.
What is the bug? Of the following, the MOST likely diagnosis is
A. infectious mononucleosis
B. scalded skin syndrome
C. scarlet fever
D. toxic epidermal necrolysis
E. toxic shock syndrome
5)A 9-year-old boy from the southern United States presents in June with rash and fever. He has a 2 day history of headache, myalgias, and vomiting and is being treated with amoxicillin for otitis media. There is no history of a tick bite. Findings include: an ill but alert child; temperature, 39.5°C (103.1°F); injected conjunctivae; a red, nonpetechial, maculopapular rash on his hands, wrists, and ankles; hypo-natremia; and mild thrombocytopenia.
What is the diagnosis? What is the bug? Of the following, the MOST appropriate treatment is
A. ceftriaxone intravenously
B. continuation of amoxicillin orally
C. doxycycline intravenously
D. immune globulin intravenously
E. trimethoprim-sulfamethoxazole orally
6)A 3-year-old boy has a 2-day history of fever, irritability, decreased appetite, and a rash. Findings on physical examination include several 3 to 4 mm ulcers on the tongue and buccal mucosa, but the gums are spared. There are elliptical vesicles with surrounding erythema on the hand and feet.
Of the following, the MOST likely explanation for these findings is
A. aphthae
B. hand, foot, and mouth disease
C. herpangina
D. herpetic gingivostomatitis
E. thrush
7) An 11-year-old girl has had a rash for four days without other symptoms. Physical exam reveals erythematous cheeks and a lacy reticulated erythema involving the extremities.
Of the following, the MOST likely diagnosis is
A. erythema infectiosum(fifth disease)
B. hand foot and mouth disease
C. measles
D. rubella
E. scarlet fever
8) You are evaluating an ill-appearing 9-month-old child whose father is a migrant farm worker. Findings on physical examination include a brassy cough, conjunctivitis, and coryza. The child has a temperature of 102.2°F and a red, maculopapular rash on the head, trunk, and proximal extremities.
Of the following, the complication that is MOST responsible for mortality in young children who have this condition is
A. encephalitis
B. hemorrhagic shock
C. hepatitis
D. myocarditis
E. pneumonia
9) A 17-year-old boy who had a two day history of fever, soar throat, headache, and malaise was treated with amoxicillin for streptococcal pharyngitis. Six days following the initiation of therapy, he returns because of persistent symptoms and a generalized eruption composed of small erythematous macules.
Of the following, the eruption is MOST likely due to
A. erythema infectiosum
B. Infectious mononucleosis
C. Measles
D. Penicillin allergy
E. Scarlet fever
10) A previously healthy 7-year-old girl is brought in by her mother for evaluation of a rash for 1 day. The rash appeared after 3 days of headache, low grade fever, and soar throat, all of which resolved. The rash began on the face and spread to her neck, trunk, and arms. She is afebrile and does not appear ill, but had a pale, pink maculopapular rash consisting of small discrete lesions on the extremities and a coalescent blush on her face, neck and trunk along with suboccipital and postauricular adenopathy.
What is the most likely diagnosis?
A. erythema infectiosum
B. roseola infantum
C. rubella
D. rubeola
E. scarlet fever
What is the diagnosis? What are the bugs? Of the following, the MOST appropriate treatment is
A. acyclovir topically
B. cephalexin orally
C. hydrocortisone 1% topically
D. mupirocin topically
E. penicillin orally
2) A 7-year-old girl presents for evaluation of fever and rapidly spreading rash on the leg. Physical exam reveals an ill appearing child who has a temperature of 102.2. On the right thigh is a well demarcated 8x10 cm slightly elevated area of erythema and induration within which are several bullae. The area is tender to palpation.
What is the diagnosis? What is the bug? Of the following the MOST appropriate initial therapy is,
A. Cefadroxyl PO
B. Cefazolin IV
C. Ceftazidime IV
D, Clindamycine PO
E. Cefalexin PO
3) A 9-year-old boy has a non productive cough for the past three weeks. He has been afebrile and otherwise feeling well. On physical exam you note wide spread rales, and an erythamatous maculopapular rash on the trunk that is discrete and confluent. Chest x-ray reveals bilateral diffuse infiltrates.
What is the diagnosis? What is the bug? Of the following, the test that would BEST confirm the diagnosis is,
A. Bacterial culture
B. blood culture
C. gram stain of the sputum
D. Mycoplasma-specific immunoglobulin M
E. Serum cold agglutinins
4) Five days after the onset of an upper respiratory tract infection, a 4-year-old developed sore throat, fever, headache and malaise followed by an erythematous fine maculopapular blanching rash that involved the face, chest, and upper extremities. The rash has a rough sandpaper-like texture. The tongue has a thick white coat with swollen papillae. Vital signs are normal except for a temperature of 103.3°F.
What is the bug? Of the following, the MOST likely diagnosis is
A. infectious mononucleosis
B. scalded skin syndrome
C. scarlet fever
D. toxic epidermal necrolysis
E. toxic shock syndrome
5)A 9-year-old boy from the southern United States presents in June with rash and fever. He has a 2 day history of headache, myalgias, and vomiting and is being treated with amoxicillin for otitis media. There is no history of a tick bite. Findings include: an ill but alert child; temperature, 39.5°C (103.1°F); injected conjunctivae; a red, nonpetechial, maculopapular rash on his hands, wrists, and ankles; hypo-natremia; and mild thrombocytopenia.
What is the diagnosis? What is the bug? Of the following, the MOST appropriate treatment is
A. ceftriaxone intravenously
B. continuation of amoxicillin orally
C. doxycycline intravenously
D. immune globulin intravenously
E. trimethoprim-sulfamethoxazole orally
6)A 3-year-old boy has a 2-day history of fever, irritability, decreased appetite, and a rash. Findings on physical examination include several 3 to 4 mm ulcers on the tongue and buccal mucosa, but the gums are spared. There are elliptical vesicles with surrounding erythema on the hand and feet.
Of the following, the MOST likely explanation for these findings is
A. aphthae
B. hand, foot, and mouth disease
C. herpangina
D. herpetic gingivostomatitis
E. thrush
7) An 11-year-old girl has had a rash for four days without other symptoms. Physical exam reveals erythematous cheeks and a lacy reticulated erythema involving the extremities.
Of the following, the MOST likely diagnosis is
A. erythema infectiosum(fifth disease)
B. hand foot and mouth disease
C. measles
D. rubella
E. scarlet fever
8) You are evaluating an ill-appearing 9-month-old child whose father is a migrant farm worker. Findings on physical examination include a brassy cough, conjunctivitis, and coryza. The child has a temperature of 102.2°F and a red, maculopapular rash on the head, trunk, and proximal extremities.
Of the following, the complication that is MOST responsible for mortality in young children who have this condition is
A. encephalitis
B. hemorrhagic shock
C. hepatitis
D. myocarditis
E. pneumonia
9) A 17-year-old boy who had a two day history of fever, soar throat, headache, and malaise was treated with amoxicillin for streptococcal pharyngitis. Six days following the initiation of therapy, he returns because of persistent symptoms and a generalized eruption composed of small erythematous macules.
Of the following, the eruption is MOST likely due to
A. erythema infectiosum
B. Infectious mononucleosis
C. Measles
D. Penicillin allergy
E. Scarlet fever
10) A previously healthy 7-year-old girl is brought in by her mother for evaluation of a rash for 1 day. The rash appeared after 3 days of headache, low grade fever, and soar throat, all of which resolved. The rash began on the face and spread to her neck, trunk, and arms. She is afebrile and does not appear ill, but had a pale, pink maculopapular rash consisting of small discrete lesions on the extremities and a coalescent blush on her face, neck and trunk along with suboccipital and postauricular adenopathy.
What is the most likely diagnosis?
A. erythema infectiosum
B. roseola infantum
C. rubella
D. rubeola
E. scarlet fever