Answer 45

45.  Choice A is the correct answer.  The bicuspid or mitral valve is the most common valve affected with acute rheumatic fever.  The aortic valve is the second most common valve affected.  

Question 45

45.  Which of the following valves are most commonly affected with acute rheumatic fever?

A.  Bicuspid Valve

B.  Aortic Valve

C.  Tricuspid Valve

D.  Pulmonic Valve

Answer 44

44.  Choice C is the correct answer.  Diphtheria means leather like.  A tough leather like pharyngeal membrane is the hallmark of the disease.  Treatment includes the diphtheria anti-toxin and erythromycin or penicillin G.

Question 44

44.  Your patient is a 34 year old male that presents with a low grade fever, and a tough "leather like" pharyngeal membranes.  He is not immunized.  Which of the following is the most likely diagnosis?

A.  Mononucleosis
B.  Adenovirus
C.  Diphtheria
D.  Gonococcal pharyngitis

Answer 43

43.  Choice A is the correct answer.  Profound liquid and electrolyte losses is the predominate symptoms in Cholera.  Cholera is a secretory diarrhea illness that is caused by toxin strains from gram negative vibrio cholera bacteria.  It presents classically with rice water stool.

Question 43

43.  Which of the following is the predominate symptom with Cholera?

A.  Profound liquid and electrolyte losses

B.  Bloody diarrhea

C.  Fever

D.  Abdominal pain

Answer 42

42.  Choice B is the correct answer.  Malaria is best treated with quinine in combination with doxycycline and clindamycin.  These medications all can be given parenterally.