Jason Hornbuckle is not a happy little boy. For the past 12 hours he has complai

Question

Jason Hornbuckle is not a happy little boy. For the past 12 hours he has complained of pain when he swallows, has a headache, and has vomited twice. His mother decides to take the seven-year-old to his pediatrician. Upon examining Jason, the doctor finds that Jason’s pharynx, tonsils, and uvula are swollen and erythematous (red) and his tonsils are studded with white areas of exudate (pus). He is febrile (temperature 104.5 degrees) with tender, bilateral, cervical lymphadenopathy (enlarged lymph nodes).

A Complete Blood Count (CBC) performed on a sample of Jason’s blood reveals that he has leukocytosis (increased number of WBCs) due to a neutrophila (increased number of neutrophils).

Jason is diagnosed as having acute bacterial pharyngitis and treated with phenoxymethyl penicillin (an antibiotic medication) for five days. After three days of treatment, Jason’s temperature has returned to normal and he has made an uneventful recovery.

In this case presentation, several of Jason's organs are discussed. Which answer below most accurately lists the lymphatic organs that are mentioned?

lymph nodes, neutrophils, and tonsils

lymph nodes and tonsils

pharynx and tonsils

pharynx and neutrophils

Which answer below lists all of the initial signs of inflammation that could be observed from the pediatrician's visual examination of Jason?

leukocytosis and fever

        redness and swelling of organs

        white exudate, redness, and swelling of organs

        white exudate, leukocytosis, fever

Jason's diagnosis was "acute bacterial pharyngitis". Which answer below gives the most thorough reasoning for this diagnosis?

The illness came on suddenly; elevated leukocyte count

        The illness came on suddenly; lowered leukocyte count.

        The illness progressed slowly; enlarged lymph nodes

        The illness came on suddenly; elevated neutrophil count.

Jason's immune system was actively fighting his disease through both innate (nonspecific) and adaptive (specific) defense mechanisms. Which answer below lists the observable symptoms which resulted from his innate defense mechanisms?

fever and inflammation

        fever only

        enlarged lymph nodes and fever

        enlarged lymph nodes only

Explanation / Answer

1) lymph nodes and tonsils

2) white exudate , redness and swelling of organs

3) illness comes on suddenly, elevated neutrophil count

4) fever and inflammation

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