USMLE Forum Archives - USMLE Step 2 CK - IM 57
IM 57
TheOne - 09-04-07 19:16
A 5 years old boy has a 7 days history of fever and increased irritability. His temperature is 40 C (104. 3 F), blood pressure is 98/68 mm Hg, pulse is 115/min, and respirations are 23/min. On physical examination, he is noted to have bilateral cervical lymphadenopathy, cracked lips, and bilateral conjunctival injection. Examination of his tongue reveals hypertrophy of the papillae in a bright red background. His palms and soles are erythematous. There is a polymorphous macular rash generalized on his body. Which of the following is the most appropriate pharmacotherapy?
A. Amoxicillin
B. Aspirin and corticosteroid
C. Aspirin and IV immune globulin
D. Corticosteroid
E. IV immune globulin
TheOne - 09-04-07 19:16
A 5 years old boy has a 7 days history of fever and increased irritability. His temperature is 40 C (104. 3 F), blood pressure is 98/68 mm Hg, pulse is 115/min, and respirations are 23/min. On physical examination, he is noted to have bilateral cervical lymphadenopathy, cracked lips, and bilateral conjunctival injection. Examination of his tongue reveals hypertrophy of the papillae in a bright red background. His palms and soles are erythematous. There is a polymorphous macular rash generalized on his body. Which of the following is the most appropriate pharmacotherapy?
A. Amoxicillin
B. Aspirin and corticosteroid
C. Aspirin and IV immune globulin
D. Corticosteroid
E. IV immune globulin
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#4
Re: IM 57 babbu5508 - 07-07-10 00:34 Kawasaki disease (KD) as a unique illness characterized by fever, rash, conjunctival injection, cervical lymphadenitis, inflammation of the lips and oral cavity, and erythema and edema of the hands and feet. Full doses of intravenous gamma globulin (IVIG) at 2 g/kg comprise the mainstay of treatment.
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