WBR0009: Difference between revisions
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{{WBRQuestion | {{WBRQuestion | ||
|MainCategory= | |ExamType=USMLE Step 2 CK | ||
|SubCategory= | |MainCategory=Pediatrics | ||
|Prompt=A 7-year-old | |SubCategory=Pediatrics | ||
|MainCategory=Pediatrics | |||
|SubCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Pediatrics | |||
|Prompt=A 7-year-old girl child presents with her mother who states that she had a fever of 104.3°F (40.2°C) overnight. Her mother states that she has complained of myalgias and sweating for the past 24 hours. You carefully examine the patient and settle on a diagnosis. After appropriate treatment, you have the patient return for follow-up in 2 days. She now presents with a diffuse macular papular rash on her trunk, arms, and neck. She states that it is nonpruritic and nonpainful. What is the most appropriate next step in management? | |||
|Explanation=This patient likely has Roseola, a self-limited viral infection commonly caused by HHV-6 or HHV-7. High fever followed later by rash is pathonumonic. | |||
|AnswerA=Start penicillin VK. | |AnswerA=Start penicillin VK. | ||
|AnswerB=Start azithromycin. | |AnswerB=Start azithromycin. | ||
|AnswerC=Supportive care with tylenol or motrin. | |AnswerC=Supportive care with tylenol or motrin. | ||
|AnswerD=Diphenhydramine. | |AnswerD=Diphenhydramine. | ||
|AnswerE=Prednisolone (Prelone). | |AnswerE=Prednisolone (Prelone). | ||
|RightAnswer=C | |RightAnswer=C | ||
| | |Approved=No | ||
|Answer=Start penicillin VK.,Start azithromycin.,Diphenhydramine.,Prednisolone (Prelone). | |Answer=Start penicillin VK.,Start azithromycin.,Diphenhydramine.,Prednisolone (Prelone). | ||
}} | }} | ||
Revision as of 17:19, 7 February 2013
| Author | PageAuthor:: |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Pediatrics |
| Sub Category | SubCategory::Pediatrics |
| Prompt | [[Prompt::A 7-year-old girl child presents with her mother who states that she had a fever of 104.3°F (40.2°C) overnight. Her mother states that she has complained of myalgias and sweating for the past 24 hours. You carefully examine the patient and settle on a diagnosis. After appropriate treatment, you have the patient return for follow-up in 2 days. She now presents with a diffuse macular papular rash on her trunk, arms, and neck. She states that it is nonpruritic and nonpainful. What is the most appropriate next step in management?]] |
| Answer A | AnswerA::Start penicillin VK. |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Start azithromycin. |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Supportive care with tylenol or motrin. |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Diphenhydramine. |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Prednisolone (Prelone). |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::This patient likely has Roseola, a self-limited viral infection commonly caused by HHV-6 or HHV-7. High fever followed later by rash is pathonumonic. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |