A mother brings a very listless three-year-old to see you. The child has tempera

Question

A mother brings a very listless three-year-old to see you. The child has temperature of 102.6, has no appetite, and just lies on the examination table and whines softly. He says his head and neck hurt "real bad"
A. The thing you are most concerned about would suggest that you
1. give him something immediately to lower his temperature
2. do a spinal tap
3. check his ears
4. look at his throat
5. look for a rash
B. after taking the appropriate step you immediately
1. give him a shot of penicillin
2. prescribed supportive care, this is likely a virus
3. give him a shot of Rocephin (ceftriaxone) and admit him to the hospital
4. prescribed amoxicillin for him
5. give him some samples of Keflex (cephalexin) to take at home
C. This horrible affliction could be caused by any of the following except
1. Klebsiella pneumoniae
2. streptococcus pneumoniae
3. haemophilus influenza
4. neisseria meningitides
5. all of the above can cause affliction
D. true or false you are required by law to report this illness

THIS IS MICROBIOLOGY!

Explanation / Answer

A. Since as per the child personal history that his head and neck hurts a lot. I suggest to look at it's throat for any infection, tonsils, any foreign bodies, or any other things to support this fever, followed by steps to reduce fever.

B. Since the infection is mostly caused by bacteria, a shot of pencillin is more appropriate in defence against it followed by other necessary steps.

C.Based on the above illness, it is not caused by klebsiella pneumonia because all others affect the meninges but it affects the blood.

D. It is required by the law to report this illness.- so True

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