Quiz 27

Question 1

The preferred method for diagnosing psychogenic nonepileptic seizures is: (check one)

A. inducing seizures by suggestion
B. postictal prolactin levels
C. EEG monitoring
D. video-electroencephalography (vEEG) monitoring
E. brain MRI

Answer 1

Inpatient video-electroencephalography (vEEG) monitoring is the preferred test for the diagnosis of psychogenic nonepileptic seizures (PNES), and is considered the gold standard (SOR B). Video-EEG monitoring combines extended EEG monitoring with time-locked video acquisition that allows for analysis of clinical and electrographic features during a captured event.

Question 2

Herpes

Answer 2

causes a gingivostomatitis that involves the anterior mouth

Question 3

Herpangina

Answer 3

febrile disease caused by coxsackieviruses and echoviruses. Vesicles and subsequent ulcers develop in the posterior pharyngeal area (SOR C)

Question 4

Mononucleosis

Answer 4

may be associated with petechiae of the soft palate, but does not usually cause pharyngeal lesions.

Question 5

he is 117 cm (46 in) tall and weighs 19 kg (42 lb). The patient has grown out of his car seat

Answer 5

He should be using a belt-positioning booster seat in the back seat of the car

Children who reach the weight or height limit of their forward-facing child safety seat should use a
belt-positioning booster seat until the seat belt fits properly, typically when the child is 145 cm (57 in) tall
and between 8 and 12 years of age (SOR C). All children younger than 13 years should ride in the rear
seats of vehicles for optimal protection (SOR C). All infants and toddlers should ride in a rear-facing child
safety seat until they are 2 years of age or until they reach the weight or height limit recommended by the
seat’s manufacturer (SOR C)

Question 6

The most common pathogens in previously untreated acute superficial foot infections in diabetic patients are

Answer 6

aerobic gram-positiveStaphylococcus aureusand β-hemolytic streptococci

Question 7

Drugs that cause Stevens-Johnson syndrome

Answer 7

Allopurinol is
the only drug listed that is a potential causative agent. Other drugs commonly cited as causes include
antibiotics, antiepileptics, and NSAIDs. Of these, antibiotics are the most common alleged cause of
Stevens-Johnson syndrome.