VERIFIED GUARANTEED SUCCESS 2025 RELEASE.
✅Rubella (German measles, rubella virus). Answer: Mild sx, posterior and postauricular
cervical lymphadenopathy, arthralgia 5-10 days before rash, teratogenic, contagious 1 week
before and 2 weeks after rash
✅Measles (rubeola). Answer: Acute presentation, generalized lymphadenopathy,
photophobia, koplik spots, pharyngitis mild w/o exudate, rash 3-4 days after sx, contagious 1
wk before and 2-3 weeks after rash, permanent neuro impairment and/or death possible, tx
supportive
✅Hand foot mouth dz (coxsackievirus a16). Answer: Fever, malaise, sore mouth, anorexia,
lesions, fecal-oral or droplet, highly contagious 2-6 wks, tx supportive
✅Fifth disease (human parvovirus b19). Answer: Rash starts on face (slapped cheek) spreads
to trunk, extremities, contagious before rash but not during or after. Droplet. Leukopenia.
Hydrops fetalis in pregnant. Tx supportive.
✅Infectious mononucleosis (Epstein-Barr). Answer: Diffuse lymphadenopathy, hepatic and
splenic tenderness/ enlargement, incubation 20-50 days, systemic corticosteroids if resp
distress from swollen airway, monospot/leukopenia w/ atypical lymphocytes diagnostic.
Avoid contact sports at least one month.
✅Kawasaki disease. Answer: Acute phase: fever >= 104 >= 5 days, polymorphous exanthem
on trunk/flexor region/perineum, erythema of oral cavity (strawberry tongue), chapped lips,
bilateral conjunctivitis w/o discharge, edema/erythema of hands and feet w peeling skin.
Children 1-8yr. Tx IV immunoglobulin, pop aspirin, consult
✅Lyme stage 1 (early localized disease). Answer: Mild flu-like illness, singular annular lesion
(erythema migrans), sx resolve 3-4 wks w/o tx
, ✅Lyme stage 2 (early disseminated). Answer: Months after initial infx, classic rash may
reappear w/ multiple lesions. Arthralgias, myalgia, HA, fatigue. Less common: heart block,
neuro findings (Bell's palsy)
✅Lyme stage 3 (late persistent). Answer: 1 year after initial infection, msk s/s persist w/ joint
pain, frank arthritis, joint damage. Neuropsychiatric findings - memory problems, depression,
neuropathy.
✅Lyme organism. Answer: B. burgdorferri (tick-transmitted spirochete)
✅Lyme testing. Answer: ELISA confirmed with western blot
✅Lyme tx. Answer: Doxycycline (children >8yo), amoxicillin, cefuroxime - adults and
children
✅Chancroid tx. Answer: Azithromycin or ceftriaxone, alt. ciprofloxacin or erythromycin
✅Genital herpes (HSV 2) tx. Answer: Acyclovir
✅Lymphogranuloma vereneum (c. trachomatis) tx. Answer: Doxycycline, or erythromycin
✅Nongonococcal urethritis/cervicitis (c. Trachomatis) tx. Answer: Azithromycin or
doxycycline
✅Gonococcal urethritis/cervicitis tx. Answer: Cefixime or ceftriaxone, add azithromycin or
doxy if chlamydia not ruled out
✅Bacterial vaginosis tx. Answer: Metronidazole
✅Pelvic inflammatory disease tx. Answer: Ceftriaxone+doxycycline +/- metronidazole