california
Forum Senior
Topics: 56
Posts: 77
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A 20 year old woman visits your office because of headache, anorexia, chilly sensations, pain, and drawing sensations in both sides of her jaw, and pain in both lower abdominal quadrants. Physical examination reveals bilateral , enlarged parotid glands that are doughy, elastic and slightly tender, reddened orifice of stensen's duct. bilateral lower quadrant abdominal tenderness, a temperature of 102 F and a pulse rate of 92/min. Laboratory data show hemoglobin, 13% g, hemagalndtocrit, 40%, WBC, 9000, with 35% segmented neutrophils, 7% monocytes, and 58% lymphocytes.
1, The most likely diagnosis is
a. cervical lymphadenitis
b. mikulicz syndrome
c. parotid gland tumor
d. uveoparotidf fever
e. mumps
2. The patients abdominal pain and tenderness is nost likely due to
a. mesenteric lymphadenitis
b. oophoritis
c. gonorrhea
d. peitoneal metastases
e. intestinal hyperperistalsis
3. which of the following laboratory tests help confirm the diagnosis of epidemic parotitis>
a single blood samole for a specific immunoglobulin G (IgG)
b. blood cell count
c. blood culture
d. single blood test for a specific IgM
e. serum amylase
4. The best treatment for this disease is
a. symptomatic
b. convalescent serum
c, broad spectrum antibiotics
d. sulfonamides
e. steroids
5. which of the following statements concerning this disease is true?
a. the disease is caused by a herpesvirus
b. the incubation period is 3 to 5 days
c. the most common complication of this disease in postpubertal boys and men is orchitis
d. recurrent infections may occur
e. an increased serum amylase is proof of the existence of pancreatitis as a complication
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| frontal
Forum Guru
Topics: 53
Posts: 421
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Mumps (paramyxovirus), oophoritis, blood test for specific IgM, treatment is symptomatic, orchitis.
I think it's a good idea to give a name to the topic- any kind of descriptive name- vague or when possible, specific (eg. infectious disease, CVS). That would make it easier to locate the question and also to run searches when you happen to be looking for questions on specific topics.
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| mani
Forum Guru
Topics: 104
Posts: 1,403
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i agree both with answers by frontal and the suggestion 
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| frontal
Forum Guru
Topics: 53
Posts: 421
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Thank you mani. You could name the topic if you like and still put a number on the question, california, eg. Q18-parotitis.
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| msyamp
Forum Fanatic
Topics: 60
Posts: 1,462
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good one
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