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Question 1: Which of the following regimens is most recommended for treatment of varicella-zoster virus in a 12-year old pediatric patient who is immunocompromised and has had a vesicular rash for the past 2 days?

 

  1. Intravenous acyclovir

  2. Varicella zoster immunoglobulin

  3. Intravenous valacyclovir

  4. Acyclovir and varicella zoster immune globulin

 

Reference: 1.Ready T. Varicella-Zoster Virus Globulin: New CDC Recommendations. Medscape Medical News. Available at http://www.medscape.com/viewarticle/808220. Accessed July 30, 2013.

Question 2: A 14 year old girl presents to your ER with fever since yesterday to 39.1, headache, and complaints that her neck is stiff. She has gotten her meningococcal vaccine, and otherwise her vaccinations are up to date. On physical exam her neurological exam is significant for slight nuchal rigidity, and her eye exam shows normal discs, and she has a normal CT. You feel that she has meningitis and decide to tap. Which of the following would you expect with an aseptic meningitis?

 

  1. Decreased glucose (<40), increased WBCs in fluid

  2. CSF protein >150

  3. CSF WBC count of >1200

  4. RBCs of at least 1000/hpf

  5. Increased lymphocytes in CSF sample

 

Reference: Cross JT and Hannaman RA. “Infectious Disease”. Pediatrics Board Review Core Curriculum. 4th ed, MedStudy, Colorado Springs, CO. (2010).

Pediatric MOC Question Bank

 

BoardVitals has over 1400 Pediatric MOC Recertification questions targeted to Part 3 (Cognitive Expertise - Secure Exam) of the American Board of Pediatrics (ABP) MOC Four-Part Structure. Each question is accompanied by an answer and detailed explanation, as well as an indicator of the percentage of Pediatricians who answered the question correctly. Like the Pediatric MOC exam itself, the BoardVitals question bank is focused on clinical knowledge.

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