PANCE_infectious disease 6%

Question 1

(CME)
“a patient with a sore throat has an obstructive grayish membrane in his posterior pharynx. What is the most appropriate treatment?
a) macrolide antibiotic
b) antiviral
c) oral steroids
d) I & D
e) streptomycin antibiotic”

Answer 1

A) MACROLIDE ANTIBIOTIC

(this is diphtheria)

Question 2

(CME)
“Which disease is caused by a paramyxovirus and causes s/s of fever, cough, coryza and conjunctivitis?
a) measles
b) mumps
c) rubella
d) polio
e) Fifth’s disease”

Answer 2

A) MEASLES
(aka rubeola)

Question 3

(CME)
“Which antiviral is most effective in the treatment of CMV?
f) acyclovir
g) valacyclovir
h) zanamivir
i) ganciclovir
j) amantadine”

Answer 3

I) GANCICYLOVIR

Question 4

(CME)
“Which disease is associated with unpasteurized milk and soft cheeses from goats?
a) tularemia
b) brucellosis
c) anaplasmosis
d) Chagas disease
e) Ehrlichiosis”

Answer 4

BRUCELLOSIS

Question 5

(CME)
“Which helminthic infection is associted with infected snails?
a) schistosomiasis
b) ascariasis
c) necator
d) ancylostoma
e) trichinella

Answer 5

SCHISTOSOMIASIS

Question 6

(CME)
“Which parasite can cause rectal prolapse in children?
a) ascaris lumbricoides
b) trichuris trichiura
c) enterobius vermicularis
d) taenia solium”

Answer 6

B) TRICHURIS TRICHIURA

Question 7

(CME)
“Which one of the following clinical features is most associated with roseola infantum?
a) febrile seizures
b) conjunctivitis
c) age less than 6 months
d) maculopapular rash precedes a high fever”

Answer 7

A) FEBRILE SEIZURES

Question 8

(NCCPA practice exam)
20 y/o M w/ HA, malaise, diffuse myalgia for past week w/ weakness, drooping of L side of his face since awakening 4 hrs ago. Hx of recent camping trip. Has round, bruise-like lesion on R thigh which has resolved.

Infection w/ which is most likely cause of pt’s condition?
a) Borrelia burgdorferi
b) Epstein-Barr virus
c) Herpes simplex virus
d) Rickettsia rickettsii
e) Treponema pallidum

Answer 8

a) Borrelia burgdorferi

(I think this is Lyme)

Question 9

(CME/SmartyPance)
derm presentation difference b/w Lyme and RMSF

Answer 9

RMSF presents with rash of faint macules to petechiae, first on wrist and ankles which spreads to arms/legs & trunk w involvement on palms and soles

Lyme presents with erythema migrans, a flat or slightly raised red lesion at site of bite

Question 10

(CME)
three presentations of the disseminated stage of Lyme disease

Answer 10

CARDIAC: heart block, arrhythmias, myocarditis, pericarditis

RHEUM: migratory arthritis, m. pain

NEUROLOGIC: Bell’s palsy (give doxy), meningitis, encephalopathy