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{{WBRQuestion
{{WBRQuestion
|QuestionAuthor={{MM}}
|QuestionAuthor= {{MM}}
|ExamType=USMLE Step 3
|ExamType=USMLE Step 3
|MainCategory=Primary Care Office
|MainCategory=Primary Care Office
|SubCategory=Infectious Disease
|SubCategory=Infectious Disease, Infectious Disease
|MainCategory=Primary Care Office
|Prompt=A 26 year- old male comes to your office in January complaining of dry cough, headache, sore throat, and feeling of tiredness started yesterday.  He mentions a pain all over his body.  On examination, the patient is feverish with temperature 39 C (102 F), heart rate 100/min, blood pressure 140/80 mmHg, and respiratory rate of 22/min.  Which of the following will confirm your diagnosis?
|SubCategory=Infectious Disease
|Explanation=It is very difficult to distinguish the flu from other viral or bacterial causes of respiratory illnesses on the basis of symptoms alone.  Influenza viral infection usually present with fever, headache, cough, sore throat, arthralgia, and myalgia.  The best diagnostic test for influenza is viral antigen detection testing of the nasopharyngeal swab.
|MainCategory=Primary Care Office
|SubCategory=Infectious Disease
|MainCategory=Primary Care Office
|MainCategory=Primary Care Office
|SubCategory=Infectious Disease
|MainCategory=Primary Care Office
|SubCategory=Infectious Disease
|MainCategory=Primary Care Office
|SubCategory=Infectious Disease
|MainCategory=Primary Care Office
|SubCategory=Infectious Disease
|MainCategory=Primary Care Office
|MainCategory=Primary Care Office
|SubCategory=Infectious Disease
|Prompt=A 26 year- old male comes to your office complaining of dry cough, headache, sore throat, and feeling of tiredness started yesterday.  He mentions a pain all over his body.  On Examination, the patient is feverish with temperature 39 C (102 F), heart rate 100/min, blood pressure 140/80 mmHg, and respiratory rate of 22/min.  Which of the following will confirm your diagnosis?
|Explanation=It is very difficult to distinguish the flu from other viral or bacterial causes of respiratory illnesses on the basis of symptoms alone.  Influenza viral infection usually present with fever, headache, cough, sore throat, arthralgia, and myalgia.  The best diagnostic test for influenza is viral antigen detection testing of the nasopharyngeal swap.
|AnswerA=Blood culture
|AnswerA=Blood culture
|AnswerAExp=Incorrect
|AnswerAExp=Incorrect
Influenza virus best diagnosed with viral antigen detection using nasopharyngeal swap
Influenza virus best diagnosed with viral antigen detection using nasopharyngeal swab
 
|AnswerB=Sputum culture
|AnswerB=Sputum culture
|AnswerBExp=Incorrect
|AnswerBExp=Incorrect
The patient has a dry cough, beside the influenza virus best diagnosed with viral antigen detection using nasopharyngeal swap
The patient has a dry cough, beside the influenza virus best diagnosed with viral antigen detection using nasopharyngeal swab
 
|AnswerC=Nasopharyngeal Swab
|AnswerC=Nasopharyngeal swap
|AnswerCExp=Correct
|AnswerCExp=Correct
Influenza virus best diagnosed with viral antigen detection using nasopharyngeal swap
Influenza virus best diagnosed with viral antigen detection using nasopharyngeal swab
 
|AnswerD=Urine culture
|AnswerD=Urine culture
|AnswerDExp=Incorrect
|AnswerDExp=Incorrect
Urine culture is not useful confirming the influenza diagnosis
Urine culture is not useful confirming the influenza diagnosis
|AnswerE=Family history
|AnswerE=Family history
|AnswerEExp=Incorrect
|AnswerEExp=Incorrect
People with flu can spread it to others up to about 6 feet away.  Most experts think that flu viruses are spread mainly by droplets made when people with flu cough, sneeze or talk, so it can be obtained from any one not only from the family members.
People with flu can spread it to others up to about 6 feet away.  Most experts think that flu viruses are spread mainly by droplets made when people with flu cough, sneeze or talk, so it can be obtained from any one not only from the family members.
|RightAnswer=C
|RightAnswer=C
|WBRKeyword=Influenza
|EducationalObjectives=The best diagnostic test for influenza is viral antigen detection testing of the nasopharyngeal swab.
|References=None.
|Approved=No
|Approved=No
}}
}}

Latest revision as of 01:53, 28 October 2020

 
Author [[PageAuthor::Mohamed Moubarak, M.D. [1]]]
Exam Type ExamType::USMLE Step 3
Main Category MainCategory::Primary Care Office
Sub Category SubCategory::Infectious Disease, SubCategory::Infectious Disease
Prompt [[Prompt::A 26 year- old male comes to your office in January complaining of dry cough, headache, sore throat, and feeling of tiredness started yesterday. He mentions a pain all over his body. On examination, the patient is feverish with temperature 39 C (102 F), heart rate 100/min, blood pressure 140/80 mmHg, and respiratory rate of 22/min. Which of the following will confirm your diagnosis?]]
Answer A AnswerA::Blood culture
Answer A Explanation [[AnswerAExp::Incorrect

Influenza virus best diagnosed with viral antigen detection using nasopharyngeal swab]]

Answer B AnswerB::Sputum culture
Answer B Explanation [[AnswerBExp::Incorrect

The patient has a dry cough, beside the influenza virus best diagnosed with viral antigen detection using nasopharyngeal swab]]

Answer C AnswerC::Nasopharyngeal Swab
Answer C Explanation [[AnswerCExp::Correct

Influenza virus best diagnosed with viral antigen detection using nasopharyngeal swab]]

Answer D AnswerD::Urine culture
Answer D Explanation [[AnswerDExp::Incorrect

Urine culture is not useful confirming the influenza diagnosis]]

Answer E AnswerE::Family history
Answer E Explanation [[AnswerEExp::Incorrect

People with flu can spread it to others up to about 6 feet away. Most experts think that flu viruses are spread mainly by droplets made when people with flu cough, sneeze or talk, so it can be obtained from any one not only from the family members.]]

Right Answer RightAnswer::C
Explanation [[Explanation::It is very difficult to distinguish the flu from other viral or bacterial causes of respiratory illnesses on the basis of symptoms alone. Influenza viral infection usually present with fever, headache, cough, sore throat, arthralgia, and myalgia. The best diagnostic test for influenza is viral antigen detection testing of the nasopharyngeal swab.

Educational Objective: The best diagnostic test for influenza is viral antigen detection testing of the nasopharyngeal swab.
References: None.]]

Approved Approved::No
Keyword WBRKeyword::Influenza
Linked Question Linked::
Order in Linked Questions LinkedOrder::