WBR0704: Difference between revisions
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(Created page with "{{WBRQuestion |QuestionAuthor={{MM}} |ExamType=USMLE Step 3 |MainCategory=Emergency Room |SubCategory=Infectious Disease |MainCategory=Emergency Room |SubCategory=Infectious D...") |
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| Line 2: | Line 2: | ||
|QuestionAuthor={{MM}} | |QuestionAuthor={{MM}} | ||
|ExamType=USMLE Step 3 | |ExamType=USMLE Step 3 | ||
|SubCategory=Infectious Disease | |SubCategory=Infectious Disease | ||
|SubCategory=Infectious Disease | |SubCategory=Infectious Disease | ||
|SubCategory=Infectious Disease | |SubCategory=Infectious Disease | ||
|SubCategory=Infectious Disease | |SubCategory=Infectious Disease | ||
|SubCategory=Infectious Disease | |SubCategory=Infectious Disease | ||
|SubCategory=Infectious Disease | |SubCategory=Infectious Disease | ||
|SubCategory=Infectious Disease | |SubCategory=Infectious Disease | ||
|SubCategory=Infectious Disease | |SubCategory=Infectious Disease | ||
|Prompt= | |Prompt=19 year old boy present to the ER with generalized rash, he had fever and sore throat one week ago and got antibiotic prescription from his PCP 4 days ago. His past medical history is insignificant. He doesn’t smoke or consume recreational drugs or alcohol. He is sexually active with one partner and uses condoms regularly. Vital signs are normal except for temperature of 37.8 C(100 F). His physical examination reveals generalized maculopapular rash and posterior cervical lymphadenopathy. What is the best treatment for this patient? | ||
|Explanation=Supportive treatment and observation are the main lines of management for patients with [[infectious mononucleosis]]. Treatment should include nutrition, fluids, [[NSAIDS]] and [[acetaminophen]] for fever, malaise, and sore throat. | |Explanation=Supportive treatment and observation are the main lines of management for patients with [[infectious mononucleosis]]. Treatment should include nutrition, fluids, [[NSAIDS]] and [[acetaminophen]] for fever, malaise, and sore throat. | ||
|AnswerA=Discontinue the antibiotic | |AnswerA=Discontinue the antibiotic | ||
|AnswerAExp=Correct | |AnswerAExp=Correct | ||
The best management for this case is to stop the antibiotic with supportive treatment and observation | The best management for this case is to stop the antibiotic with supportive treatment and observation | ||
|AnswerB=Discontinue the antibiotic and prescribe anti inflammatory | |AnswerB=Discontinue the antibiotic and prescribe anti inflammatory | ||
|AnswerBExp=Incorrect | |AnswerBExp=Incorrect | ||
Anti inflammatory drugs are preserved for patients with severe complication such as liver failure, sever airway obstruction, or aplastic anemia | Anti inflammatory drugs are preserved for patients with severe complication such as liver failure, sever airway obstruction, or aplastic anemia | ||
|AnswerC=Discontinue the antibiotic and prescribe antiviral drug | |AnswerC=Discontinue the antibiotic and prescribe antiviral drug | ||
|AnswerCExp=Incorrect | |AnswerCExp=Incorrect | ||
Antiretroviral drugs (e.g. [[acyclovir]]) doesn’t have clinical benefits in patients with infectious mononucleosis | Antiretroviral drugs (e.g. [[acyclovir]]) doesn’t have clinical benefits in patients with infectious mononucleosis | ||
|AnswerD=Prescribe another antibiotic | |AnswerD=Prescribe another antibiotic | ||
|AnswerDExp=Incorrect | |AnswerDExp=Incorrect | ||
The cause of the rash is immune complexes, and there is no need to prescribe another antibiotic | The cause of the rash is immune complexes, and there is no need to prescribe another antibiotic | ||
|AnswerE=Continue the current antibiotic with reassurance | |AnswerE=Continue the current antibiotic with reassurance | ||
|AnswerEExp=Incorrect | |AnswerEExp=Incorrect | ||
The antibiotic treatment should be stopped | The antibiotic treatment should be stopped | ||
|RightAnswer=A | |RightAnswer=A | ||
|Approved=No | |Approved=No | ||
}} | }} | ||
Revision as of 13:35, 30 September 2013
| Author | [[PageAuthor::Mohamed Moubarak, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | |
| Sub Category | SubCategory::Infectious Disease |
| Prompt | [[Prompt::19 year old boy present to the ER with generalized rash, he had fever and sore throat one week ago and got antibiotic prescription from his PCP 4 days ago. His past medical history is insignificant. He doesn’t smoke or consume recreational drugs or alcohol. He is sexually active with one partner and uses condoms regularly. Vital signs are normal except for temperature of 37.8 C(100 F). His physical examination reveals generalized maculopapular rash and posterior cervical lymphadenopathy. What is the best treatment for this patient?]] |
| Answer A | AnswerA::Discontinue the antibiotic |
| Answer A Explanation | [[AnswerAExp::Correct
The best management for this case is to stop the antibiotic with supportive treatment and observation]] |
| Answer B | AnswerB::Discontinue the antibiotic and prescribe anti inflammatory |
| Answer B Explanation | [[AnswerBExp::Incorrect
Anti inflammatory drugs are preserved for patients with severe complication such as liver failure, sever airway obstruction, or aplastic anemia]] |
| Answer C | AnswerC::Discontinue the antibiotic and prescribe antiviral drug |
| Answer C Explanation | [[AnswerCExp::Incorrect
Antiretroviral drugs (e.g. acyclovir) doesn’t have clinical benefits in patients with infectious mononucleosis]] |
| Answer D | AnswerD::Prescribe another antibiotic |
| Answer D Explanation | [[AnswerDExp::Incorrect
The cause of the rash is immune complexes, and there is no need to prescribe another antibiotic]] |
| Answer E | AnswerE::Continue the current antibiotic with reassurance |
| Answer E Explanation | [[AnswerEExp::Incorrect
The antibiotic treatment should be stopped]] |
| Right Answer | RightAnswer::A |
| Explanation | [[Explanation::Supportive treatment and observation are the main lines of management for patients with infectious mononucleosis. Treatment should include nutrition, fluids, NSAIDS and acetaminophen for fever, malaise, and sore throat. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |