WBR0854
| Author | [[PageAuthor::Mohamed Moubarak, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | MainCategory::Primary Care Office |
| Sub Category | SubCategory::Infectious Disease |
| Prompt | [[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?]] |
| Answer A | AnswerA::Blood culture |
| Answer A Explanation | [[AnswerAExp::Incorrect
Influenza virus best diagnosed with viral antigen detection using nasopharyngeal swap]] |
| 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 swap]] |
| Answer C | AnswerC::Nasopharyngeal swap |
| Answer C Explanation | [[AnswerCExp::Correct
Influenza virus best diagnosed with viral antigen detection using nasopharyngeal swap]] |
| 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 swap. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |