So here we go with the third child fever quiz. There are so many causes of this presentation that, truthfully, it would be a bit risky to not know the differential cold for your finals. Have a go at another set of 11 questions – good luck as ever!
Reviewed by: awaiting review
Child fever 3
Stem 1 of 7
A 15 year-old female presents to her GP with a sore throat and persistent, dry cough. She complains of feeling “hot and sweaty”, with objective fever of 39ºC. On examination she has cervical lymphadenopathy and is clearly fatigued. Her throat is inflamed with petechiae on the soft palate. She has a painful LUQ (immediately inferior to the subcostal margin) on palpation.
Which organ is most likely enlarged?
Stem 2 of 7Based on this latter finding, what is the most likely causative organism?
Hepatitis A virus (HAV)
Stem 3 of 7The physician undertakes the Centor criteria. For which reason was this performed?
To assess hospital risk of DVT
To rule out a bacterial infection
To rule out a fungal infection
To rule out a protozoan infection
To rule out a viral infection
Stem 4 of 7Calculate the Centor criteria using the information below. Based on your result, what is the next best step for this patient?
Stem 5 of 7Which of the following is the best-matched management?
Fluids, simple analgesia
Oral rehydration therapy
Stem 6 of 7In antibody testing for viral capsid antigens (VCAs), which of the following findings indicate an acute viral infection?
Stem 7 of 7Previously the patient was prescribed an “antibiotic” to manage a similar complaint of a sore throat. After this prescription, she developed a drug reaction of urticaria. Which medication was most likely prescribed?
Stem 1 of 4
A 1 year-old female infant presents to ED with persistent cough for two days. This cough is sometimes “wet”. She has an elevated respiratory rate, and an audible wheeze. She has peripheral cyanosis, with nasal flaring and scalene recruitment.
What is the current best-matched differential?
Community acquired pneumonia
Stem 2 of 4What are the mechanisms of palivizumab?
Binds to C protein of RSV
Binds to D protein of EBV
Binds to D protein of HAV
Binds to F protein of EBV
Binds to F protein of RSV
Stem 3 of 4Which of the following is a first line investigation in this patient?
ELISA rapid antigen testing
Pulmonary function test
Arterial blood gas
Stem 4 of 4Although not first line therapy, which of the following steroids could be offered as adjunct to support care?