CASE STUDIES QUESTIONS WITH CORRECT ANSWERS 2025.

CASE STUDIES QUESTIONS WITH
CORRECT ANSWERS 2025-2026
G.P.,AaA3AyearAoldAgirl,AcomesAtoAtheAfreeAclinic.AAccordingAtoAherAmother,AsheAhasAsomeAbrightA
redAmarksAonAherAstomachAandAtrunkAthatAareApeelingAandAalmostAlookAlikeAburns.AG.P.AjustAret
urnedAfromAaAtwoAweekAvisitAwithAherAfatherAandAG.P.'sAmotherAisAconcernedAaboutAabuseA(th
eyAareAdivorced).AYouAalsoAlearnAthatAG.P.'sAfatherAjustAboughtAherAaApetAguineaApigAforAherAbirt
hday.A-AcorrectAanswersA-ProbablyAringAworm-fromApet

-useAClotrimazole-topicalAlamosil

AA66AyearAoldAmanApresentsAtoAclinicAforAaApainfulArash.AStatesAheAstartedAtoAhaveAleftAsidedArib
/chestApainAthatAwasAaAburningAsensationAforAtwoAdays,AthenAaApainfulArashAappearedAonAtheAr
ightAlateralAsideAofAthisAchest.ATheAareaAisAveryAtenderAwhenAheAtouchesAitAandAheAisAreluctantA
toAwearAclothing.




PhysicalAExam:AleftAsideAofAchestAthereAareAerythematousApopularAandAvesicularArashAinAaAder
matomalAdistributionAthatAdoesAnotAcrossAmidline.A-
AcorrectAanswersAWhatAisAtheAvirusAmostAlikelyAcausingAthisAinfection?AVaricellaAZoster




WhatAisAtheAmostAlikelyAdiagnosis?AShingles



WhatAisAtheArecommendedAtreatmentAplan?AsupportiveAcareAandApainAmanagement,AmaybeAa
ntivirals,A



HowAcanAthisAbeAprevented?AVaccine

AA27AyearAoldAmanAcomesAinAtoAclinicAwithAcomplaintsAofAsoreAthroat,Afever,AandAfatigue.AHeAst
atesAsoreAthroatAhasApresentAforA4Adays,AandAtheApainAmakesAitAdifficultAtoAeat.AHisAfatigueAisAe
xtremelyAprofound.AHeAalsoAhasAnoticedAswollenAlymphAnodesAinAhisAneck.AHeAhasAassociatedA
generalizedAachiness.ANoArespiratoryAsymptoms.A



Exam:APosteriorApharyngealAerythemaAwithAbilateralAtonsillarAenlargementAwithAexudate.APos
teriorAcervicalAlymphadenopathyApresent.A-
AcorrectAanswersAWhatAisAtheAvirusAmostAlikelyAcausingAthisAinfection?AEBV-AmaybeACMV

,WhatAisAtheAmostAlikelyAdiagnosis?AMononucleosus



WhatAisAtheArecommendedAtreatmentAplan?ASupportiveACare,AnoAcontactAsports



HowAcanAthisAbeAprevented?AGoodAHygiene

AA4AyearAoldAboyApresentsAtoAclinicAwithAmotherAaA1AdayAhistoryAofAaArash.AMotherAstatesA4Ada
ysAtheAchildAstartedAtoAhaveAaAlowAgradeAfeverAandAwasAactingA"notAlikeAhisAnormalAself,AmoreAt
ired"AandAaArunnyAnose.AThenAyesterdayAaAdiffuseArashAofAhisAback,AchestAandAfaceAthatAisAitchy
.AMotherAreportsAchildAisAnotAupAdateAonAhisAchildhoodAvaccinesAandAhasAskippedAvaccinesAsin
ceAhisA6AmonthAvaccines.A



Exam:A*DiffuseAerythematousAvesicularArash*AofAtheAchestAandAbackA-
AcorrectAanswersAVaricellaAZoster




ChickenAPox



SupportiveAcare,AwatchAforAcomplicationsAsuchAasAPNA,AOM



Vaccine

AA22AyearAoldAmanApresentsAtoAclinicAwithAhistoryAofApainfulAlesionsAonAhisA"groin."AHeAreports
AheAhasAskinAburningAforAoneAdayAandAgeneralizedAbodyAachinessAandAfeelingsAofAfever.AThenAt


heAburningAskinAeruptedAintoAaApainfulArashAonAhisApenileAshaftAandAlowerApubicAarea.AHeAhasA
neverAhadAtheseAsymptomsAbefore.AHeAisAsexuallyAactiveAwithAmultipleApartners,AandAwearsAc
ondomsAforAcontraception.A



Exam:AthereAareAscatteredAerythematousAvesicularAlesionsAinAclustersAatAtheAbaseAofAtheApubis
AandApenileAshaftAthatAareAtenderA-AcorrectAanswersAHerpesASimplexAVirusA2




GenitalAHerpes

, SupportiveAcare,Aantivirals-acyclovir,AValacyclovir.ApotentiallyAsuppressiveAtherapy



PtAeducation,AspreadAriskAmanagement

AA31AyearAoldAwomanAcomesAinAtoAclinicAdueAtoAlipAsores.ASheAstatesAsheAremembersAhavingAth
eseAsoresAasAaAchild,AbutAresolvedAinAadolescence.ASheAstatesAforAtheApastA2AmonthsAsheAhasAh
adAaboutA7Aoutbreaks.ASheAfeelsAaAtinglingAsensationAinAherAlipAforAoneAdayAandAthenAanA"uglyA
sore"Aappears.ASheAreportsAnoAotherAskinArashesAorAlesions.A



Exam:AThereAisAaAclusterAerythematousAbaseAvesicularAlesionsAofAtheAupperAlip.A-
AcorrectAanswersA...ColdAsoreAcausedAbyAHSV-


1,AherpesAlabialis,AsupportiveAcare,Aantiviral,AsuprressiveAtherapy,AgoodAhygene

AA29-year-
oldAwomanAwithAnoAsignificantApastAmedicalAhistoryAcomesAintoAclinicAforA3AdaysAofAcoughAand
AnasalAcongestion.ASheAreportsAsymptomsAstartedAwithAaAmildAsoreAthroat,AandAprogressedAtoA


significantAnasalAcongestion,AandAaAnon-
productiveAcough.ASheAhasAhadAassociatedAheadacheAandAfatigue.ASheAreportsAsymptomArelief
AwithAibuprofenAandA"AlkaASeltzer"AcoldAmedicine.ASheAdeniesAfevers,Achills.ASheAhasAnoAwheez


ing,AproductiveAsputum,AorAchestApain.



VitalAsigns:ABP:A120/80AP:A72AT:A98.6FAO2%:A99%



HEENT:ATMsApearlyAgreyAwithoutAsignsAofAerythemaAorAbulging.ASwollenAandAerythematousAna
salAturbinatesAwithArhinorrheaApresent.APharynxAwithAmildAposteriorAerythema.ATonsilsAareAno
n-erythematousAandAwithoutAexudate.



Cariopulm:ALungsAclearAtoAauscultationAbilaterally.AHeartAwithAregularArate,Arhythm,AandAcrispA
S1AandAS2.A-AcorrectAanswersARhinovirusAdifferential-coronovirus,AparainfluenzaA,RSV



ViralAURI



SupportiveAcare,Afluids,Aantipyoritic