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Kaplan Qbank USMLE



Author9 Posts
  #1

Virus question
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A 5 y/o male is brought to ER by his mother complainig of headache and fever.His parent were concern with the child's frequent diarrhea and elevated body temperature.Symptoms began approx 2 days previous. the Parent report that children at a daycare center where the child attends were similsrly ill.
stool was collected for culture; examined for WBC; had a rapid virus antigen test performed on it, and an ova and parasite examination. A CBC count was within normal limits. The patien was not acutly ill and was discharged with supportive care instruction provided to the parents.The stool culture was subsequently reported out as negative for bacterial enteric pathogens.The stool was negative for WBC.The ova and parasite examination was negative.The rapid virus antigen test was however positive. The causative agent of this patient's gastroenteritis is a DNA virus that is 70 nm in diameter. The most probable cause of this patient's gastroenteritis is


(A) Adenovirus
(B) Rotavirus
(C) Parvovirus
(D) Norwalk virus
(E) Hepatitis A

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Ruben sssss

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Ruben sssss

  #2

though the cl picture resembles inf with hepatitis A/ norwalk but DNA viruses r adeno and parvo
70 nm DNA virus --- adenovirus(40 /41 cause INFANTILE diarrhoea)
so, i ll go with adenovirus

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I hear and I forget. I see and I remember. I do and I understand.
--Confucius

  #3

true...adenovirus is a major cause of gastroenteritis, as well as conjunctivitis. and it and parvo are the only DNA viri on here.

  #4

true...adenovirus is a major cause of gastroenteritis, as well as conjunctivitis. and it and parvo are the only DNA viri on here. plus, parvo is the smallest DNA virus, smaller than 70nm, i believe.

  #5

I have to said ROTAVIRUS, since it's the MCC of diarrhea in children especially in daycare center

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Please call me by my first name on March 17 - Dr.

  #6

yes picture is classic for rotaviruses, but they are dsRNA, so only that's why i have to go with adeno.

  #7

Guys pls, is there an easy way to remember DNA vs RNA viruses ??I always stumble in memory stuff

  #8

DNA are HHAPPP! (Happy)

Hep B
Herpes
Adeno
Papova
Papilloma
Pox

Of these, you have to be naked to a PAP smear
naked DNA viruses = PApova, Adeno, PApilloma

I think this is right, yes? There is no easy way that I know of to remember the distinct RNA virus differences.

  #9

Thanks idio, i rem now, I read it in FA may be two weeks back (It just slipped off through my foramen mag into my spinal cord!)







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