23 - 5 yo F with sore throat

Question 1

between ages 4-6 a child needs boosters for what vaccines?

Answer 1

• DTaP
• IPV
• MMR
• varicella

Question 2

what vaccinations are required by most states prior to school entrance?

Answer 2

• Hep B (x3)
• DTaP (x5)
• polio (x4)
• MMR (x2)
• varicella (x2)

Question 3

which conditions can present with a “hot potato” muffled voice?

Answer 3

• epiglottitis

- retropharyngeal abscess

Question 4

what physical exam finding is common and specific for mononucleosis?

Answer 4

posterior cervical lymphadenopathy

Question 5

what physical exam finding distinguishes infectious mononucleosis from other causes of viral pharyngitis?

Answer 5

palatal petechiae on posterior oropharynx

Question 6

what are the drug treatment options for strep throat?

Answer 6

• penicillin V
• penicillin G IM
• amoxicillin
• 1st gen ceph (for PCN allergy)
• macrolide (for PCN allergy)

Question 7

how is the scarlet fever rash associated with strep throat described?

Answer 7

diffuse, erythematous, finely papular sandpaper rash beginning around neck / axilla / groin and spreading over trunk and extremities