ID

Question 1

Infectious mononucleosis

1) SSx
2) Lab findings

Answer 1

1) 1-week of malaise, mild jaundice, tender liver

2) Mild inflammation of liver, relative lymphocytosis (normal WBC count)

Question 2

Hep B

1) SSx

Answer 2

1) Abrupt, acute onset of n/v, fever, and anorexia.

2) Very elevated liver enzymes & bilirubin.

Question 3

TB in Adrenal gland

1) Complication?
2) Ix for Dx

Answer 3

1) Adrenal insufficiency: Hypotension, hypoNa, hyperK with normal sCr.
2) ACTH stimulation test

Question 4

Scarlet fever

1) Def
2) Chracteristic of skin lesions

Answer 4

1) Rash secondary to strep tonsillopharyngitis
2) Typical rash is generalized erythema that blances and has papules. It spares perioral region and is accentuated in the axilla.

Question 5

Acute pulmonary TB: Mgmt

Answer 5

• Hospitalization with respiratory isolation
• Isonazid, rifampin, and pyrazinamide PO
• Notify public health

Question 6

Prophylaxis for N. meningitidis & H. influenzae Meningitis.

Answer 6

Rifampin 10 mg/kg BID for 2 & 4 days respectively.