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.

Question 42

42.  Your patient is a 64 year old female that has been diagnosed with malaria.  Which of the following is the best treatment regimen?

A.  Chloramphenicol
B.  Quinine in combination with doxycycline or clindamycin
C.  Flagyl
D.  Doxycyline

Answer 41

41.  Choice C is the correct answer.  Clindamycin or Pyrimethamine plus sulfadiazine can be given for the treatment of toxoplasmosis.  Leucovorin should be given with pyrimethamine plus sulfadiazine regimen because of the folic acid.  These medications work by inhibiting folic acid synthesis in the bacteria.   

Question 41

41.  Your patient is a 45 year old male that presents with symptomatic Toxoplasmosis.  All of the following is acceptable parts of the treatment plan except:

A.  Leucovorin

B.  Pyrimethamine plus sulfadiazine

C.  Doxycycline

D.  Clindamycin