TEXAS AT ARLINGTON UTA FAMILLY II
2026/2027 WITH ACTUAL CORRECT
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What is the first step in removing a tick?
Grasp the tick as close to the skin's surface as possible using clean fine-tipped tweezers.
What should you avoid doing when pulling a tick off?
Do not twist or jerk the tick, as this can cause the mouthparts to break off and remain in the
skin.
How should you dispose of a live tick?
Place it in a sealed container, wrap it tightly in tape, flush it down the toilet, or put it in alcohol.
What should you do after removing a tick?
Thoroughly clean the bite area and your hands with soap and water, rubbing alcohol, or hand
sanitizer.
What is the first-line antibiotic for treating Lyme disease in adults?
Doxycycline, 100 mg PO BID for 14-21 days.
What is the recommended treatment for children with Lyme disease?
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,Doxycycline, 4 mg/kg/day divided into BID dosing, with a maximum of 200 mg/day.
What should be given to pregnant females with Lyme disease?
Amoxicillin, 500 mg TID for 14-21 days, with a maximum of 1.5 g/day.
What is the recommended treatment for late-stage Lyme disease?
Ceftriaxone (Rocephin), 2 g daily or 1 g BID for 14-28 days.
What are the differential diagnoses for Lyme disease?
Reiter's syndrome, RMSF, acute rheumatic fever, tularemia, viral syndrome, cellulitis,
meningitis/encephalitis, rheumatoid arthritis, systemic lupus erythematosus, human
granulocytic anaplasmosis, babesiosis.
What are the symptoms of mononucleosis?
Fever, exudative pharyngitis, posterior and cervical adenopathy, fatigue, eyelid edema,
headache, pain behind the eyes, palatal petechia, and lymphocytosis.
How can you differentiate between mononucleosis and group A strep?
Perform a strep swab to rule out strep; mononucleosis is caused by Epstein-Barr virus (EBV).
What is the primary screening test for mononucleosis?
Monospot test, which may not be positive for about 2 weeks after exposure.
What medication should be used if mononucleosis occurs with strep?
A macrolide such as erythromycin, azithromycin, or clarithromycin, as penicillin can cause a
rash.
When should a patient refrain from sports after mononucleosis?
Until hepatosplenomegaly resolves to avoid spleen rupture.
How is measles transmitted?
Through droplets or airborne.
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,What are the '3 C's' of measles?
Cough, coryza, conjunctivitis.
What is a key feature of the measles rash?
A deep maculopapular rash that starts on the face and neck and spreads to the trunk and
extremities.
What are Koplik's spots?
Tiny bluish white spots on an erythematous base, clustered adjacent to molars on the buccal
mucosa.
What is the best prevention method for measles?
Vaccination, which can be given within 72 hours of exposure.
What is the causative agent of roseola?
Herpes virus-6 (HHV-6).
What age group is primarily affected by roseola?
Children under 3 years of age, with the highest incidence in those 6-24 months.
What is a distinguishing feature of roseola's presentation?
Abrupt onset of fever followed by a rash that begins on the trunk and spreads to the face and
extremities.
What is the management for roseola?
Symptomatic treatment with acetaminophen for fever and increased fluids.
What are the complications associated with congenital rubella?
Cataracts, glaucoma, patent ductus arteriosus, sensorineural deafness, and neurologic
disorders.
What diagnostic tests are needed for rubella?
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, Nasal specimens, throat swabs, blood, urine, and CSF; detection of rubella IgM antibodies
indicates a recent infection.
What are the recommended symptomatic treatments for fever?
Rest, increased fluids, and acetaminophen.
What should pregnant women be tested for regarding rubella?
Rubella antibody.
What is the protocol for administering the live rubella vaccine?
It should be given within three days after exposure to non-pregnant persons.
How long are patients contagious after a rubella infection?
Patients are contagious up to a year, and infants may shed the virus for months.
What is the incubation period for Chicken Pox (Varicella)?
10-21 days.
What is the typical presentation of Chicken Pox?
Pruritic rash on scalp, neck, and upper trunk, starting as macules, then papules, and vesicles.
What is the first-line pharmacologic treatment for Chicken Pox in adolescents and adults?
Famciclovir 500 mg TID for 5 days.
What is the maximum dose of Acyclovir for Chicken Pox?
3200 mg per day.
What should never be given to children or young adults with Chicken Pox?
Aspirin (ASA) due to the risk of Reye's Syndrome.
What are the primary causative agents of cellulitis?
Staphylococcus aureus and Streptococcus pyogenes.
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