WBR0009

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Author PageAuthor::
Exam Type ExamType::
Main Category MainCategory::Neurology
Sub Category SubCategory::Pharmacology
Prompt [[Prompt::A 7-year-old female 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.

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