WBR0009

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: References: ]]
Approved	Approved::No
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