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Kaplan Qbank USMLE



Author3 Posts
  #1

A 4 yr old girl presents with a maculopapular rash on her hands and feet and painful ulcers distributed anteriorly on lips lips, palate, tongue, and buccal mucosa. systemic features and lymphadenopathy are absent. which of the folllowing viruses is most likely to have caused this disorder???

coronavirus
coxsakievirus type A 16
herpes simplex virus type 1
parainfluenza type 3
rhinovirus

  #2

Coxackievirus
Hand, foot, and mouth disease is usually characterized by tiny blisters on the inside of the mouth and the palms of the hands, fingers, and soles of the feet. It is commonly caused by coxsackievirus A16 (an enterovirus), and less often by other types of viruses.
Coxsackievirus syndrome, causes painful red blisters in the throat and on the tongue, gums, hard palate, inside of the cheeks, and the palms of hands and soles of the feet. Herpangina, an infection of the throat which causes red-ringed blisters and ulcers on the tonsils and soft palate, the fleshy back portion of the roof of the mouth.


  #3

coronavirus ...usually respiratory features
coxsakievirus type A 16 ...hand foot and mouth disease ...vesicular lesions of hand n feet starts with maculopapular rash and ulcerations of mouth... 24 serotypes...specific for coxsackie A
herpes simplex virus type 1 ....vesicular lesions of usually face, conjunctiva, mouth, encephalitis, keratoconjunctivitis, herpes labialis (cold sores of anterior part of mouth) gingivostomatitis, herpetic whitlow (pustular lesions of fingers n hand)
parainfluenza type 3 .... most common cause of croup in US <5 yrs of age... most commonly isolated from children with LRTI
rhinovirus....most common cause of common cold....characterized by sneezing, nasal discharge, headache, sore throat...other common cold causing viruses are a
deno, influenza type C , corona, coxsackie A







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