ENT - PAEA Emergency Medicine EOR Topics Questions with Complete Solutions Rated A+

ENT - PAEA Emergency Medicine EOR Topics Questions with Complete Solutions Rated A+ Dx? *fever*, *sore throat* +/- exudates, *posterior* cervical LAD, malaise, myalgias, general LAD, *splenomegaly*, hepatomegaly, petechial rash in 5% (especially if given ampicillin), sx's lasting for mos, transmission by saliva, seen in young adults; tx? supporting labs? dx: epstein-barr virus (infectious mononucleosis) aka HHV-4 tx: supportive (rest, analgesics, antipyretics), corticosteroids (only if airway obstruction from LAD, hemolytic anemia, or severe thrombocytopenia, avoid trauma/contact sports if splenomegaly is present to prevent splenic rupture labs: heterophile (monospot) Ab test, rapid viral capsid antigen test, peripheral smear 50% lymphocytes w/ 10% atypical lymphocytes, inc LFTs what viral infection has an association w/ Hodgkin's lymphoma due to the virus infecting B cells? It can also cause Burkitt's lymphoma or CNS lymphoma in patients with AIDS Epstein- Barr Virus (infectious mononucleosis) aka HHV-4 is influenza A or B associated with more severe, extensive outbreaks? A Dx? abrupt onset of: HA, fever, chills, malaise, URI sx, pharyngitis, pneumonia, myalgias (MC in legs & lumbosacral area); tx? dx: influenza - can do a rapid influenza nasal swab test or viral Cx to confirm tx: supportive (fever control, hydration, bed rest), antivirals (neuraminidase inhibitors) in high risk pts (only if caught w/i first 48 hrs of sx) oseltamivir/Tamiflu, zanamivir/Relenza, ribavirin patients with egg, gelatin or thimerosal allergies should not be given what vaccine? influenza vaccine acute pharyngitis/tonsillitis is MC caused by? other causes? -viral is MC: *adenovirus*, rhinovirus, enterovirus, EBV, RSV, influenza A/B, herpes zoster