PNCB ACUTE CARE QUESTIONS & ANSWERS, GRADED A+/ VERIFIED.[LATEST EXAM UPDATES]

PNCB ACUTE CARE QUESTIONS & ANSWERS, GRADED A+/ VERIFIED. A 10 month old is evaluated for a cough, conjunctivitis, and a rash. Physical examination reveals coryza, greyish-white spots on the posterior buccal mucosa, a generalized, macular, erythematous rash, and no cervical lymphadenopathy or changes to the peripheral extremities are noted. The MOST LIKELY etiology is: A. Kawasaki disease B. Measles C. Parvovirus B19 D. Roseola - -B. Measles Measles is a highly contagious viral illness which presents with cough, coryza, conjunctivitis, and greyish-white spots on the posterior buccal mucosa, known as Koplik spots. Kawasaki diseasepresents with 4-5 days of fever and at least 4 of the following 5 signs or symptoms: nonsuppurative conjunctivitis, mucous membrane changes, peripheral extremity changes, polymorphous rash, or cervical lymphadenopathy. The human parvovirus B19 frequently manifests with a distinct facial rash that appears as a "slapped cheek", contrasted by a paler area around the mouth. Also known as erythema infectiosum (EI) or fifth disease, it typically includes a pruritic rash that extends from the trunk, buttocks, and extremities with a lace-like appearance, which can fluctuate in intensity responding to environmental changes such as temperature. Roseola, caused by human herpesvirus-6 (HHV-6), includes clinical manifestations of an erythematous maculopapular rash that typically appears once the fever resolves. Occipital and cervical lymphadenopathy is characteristic with acute infection, which may also include high fevers, and respiratory and gastrointestinal symptoms. Due to decreasing maternal antibodies, infections with HHV-6 are prevalent in children between 6 and 24 months of age. A 13-month-old female with a history of developmental delay and hypotonia presents with new onset seizures, with the following measurements obtained during assessment: weight 18.7 lb (8.5 kg), length 28.3 inches (72 cm) - both in 25 %ile for age , head circumference 14.75 inches (40 cm). Her head circumference is below the 2 %ile After achieving control of seizures, which diagnostic testing should be performed FIRST? A. Brain MRI B. Head CT C. Skeletal survey D. Skull series - -A. Brain MRI Imaging by MRI for microcephaly provides more structural information than CT without the radiation exposure, and identifies abnormali