WBR0854

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Author [[PageAuthor::Mohamed Moubarak, M.D. [1]]]
Exam Type ExamType::USMLE Step 3
Main Category MainCategory::Primary Care Office
Sub Category SubCategory::Infectious Disease
Prompt [[Prompt::A 26 year- old male comes to your office complaining of dry cough, headache, sore throat, and feeling of tiredness started yesterday. He mentions a pain all over his body. On Examination, the patient is feverish with temperature 39 C (102 F), heart rate 100/min, blood pressure 140/80 mmHg, and respiratory rate of 22/min. Which of the following will confirm your diagnosis?]]
Answer A AnswerA::Blood culture
Answer A Explanation [[AnswerAExp::Incorrect

Influenza virus best diagnosed with viral antigen detection using nasopharyngeal swap]]

Answer B AnswerB::Sputum culture
Answer B Explanation [[AnswerBExp::Incorrect

The patient has a dry cough, beside the influenza virus best diagnosed with viral antigen detection using nasopharyngeal swap]]

Answer C AnswerC::Nasopharyngeal swap
Answer C Explanation [[AnswerCExp::Correct

Influenza virus best diagnosed with viral antigen detection using nasopharyngeal swap]]

Answer D AnswerD::Urine culture
Answer D Explanation [[AnswerDExp::Incorrect

Urine culture is not useful confirming the influenza diagnosis]]

Answer E AnswerE::Family history
Answer E Explanation [[AnswerEExp::Incorrect

People with flu can spread it to others up to about 6 feet away. Most experts think that flu viruses are spread mainly by droplets made when people with flu cough, sneeze or talk, so it can be obtained from any one not only from the family members.]]

Right Answer RightAnswer::C
Explanation [[Explanation::It is very difficult to distinguish the flu from other viral or bacterial causes of respiratory illnesses on the basis of symptoms alone. Influenza viral infection usually present with fever, headache, cough, sore throat, arthralgia, and myalgia. The best diagnostic test for influenza is viral antigen detection testing of the nasopharyngeal swap.

Educational Objective:
References: ]]

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