Fever with CNS involvement - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 01-25-2012
USMLE Forums Addict
 
Steps History: Not yet
Posts: 191
Threads: 96
Thanked 271 Times in 97 Posts
Reputation: 281
Thermometer Fever with CNS involvement

A 62-year-old Florida fisherman forgot his insect repellent on a recent sporting trip. A week later, he presented to his physician with fever, chills, headache, and flu-like symptoms that progressed to possible CNS involvement. Control of the etiologic agent, associated with a high (50–70%) fatality rate, could be possible by eradication of which of the following?

A. Birds
B. Fleas
C. Horses
D. Mosquitoes
E. Ticks
Reply With Quote Quick reply to this message
The above post was thanked by:
Hitman (01-25-2012)



  #2  
Old 01-25-2012
Hitman's Avatar
USMLE Forums Master
 
Steps History: Not yet
Posts: 928
Threads: 17
Thanked 539 Times in 375 Posts
Reputation: 549
Default

ans E .......... ?????????
Reply With Quote Quick reply to this message
  #3  
Old 01-25-2012
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 270
Threads: 34
Thanked 224 Times in 119 Posts
Reputation: 234
Default

D....cerebral malaria????
Reply With Quote Quick reply to this message
 
  #4  
Old 01-25-2012
USMLE Forums Addict
 
Steps History: Not yet
Posts: 191
Threads: 8
Thanked 121 Times in 76 Posts
Reputation: 131
Default

I will go with E. i think its rickttsiae which is an EAST COAST infection also it can result to an meningitis which can be fatal if untreated
Reply With Quote Quick reply to this message
  #5  
Old 01-25-2012
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 270
Threads: 34
Thanked 224 Times in 119 Posts
Reputation: 234
Default

Rickettsiae would have an associated rash. No mention of rash unless its a trick question and they're asking about Q fever and Ehrilichiosis (don't have rash), which you can also get via tick bite.

I sill think it's D.
Reply With Quote Quick reply to this message
  #6  
Old 01-25-2012
Hitman's Avatar
USMLE Forums Master
 
Steps History: Not yet
Posts: 928
Threads: 17
Thanked 539 Times in 375 Posts
Reputation: 549
Default

Quote:
Originally Posted by haga View Post
Rickettsiae would have an associated rash. No mention of rash unless its a trick question and they're asking about Q fever and Ehrilichiosis (don't have rash), which you can also get via tick bite.

I sill think it's D.
yes , i also think D would be a more better ans ..... cerebral malaria, as only 1% of q fever pts develop cns symptoms and malaria has a higher mortality rate .........
Reply With Quote Quick reply to this message
  #7  
Old 01-26-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 646
Threads: 52
Thanked 762 Times in 256 Posts
Reputation: 773
Default

D .. cerebral malaria
Reply With Quote Quick reply to this message
  #8  
Old 01-26-2012
USMLE Forums Scout
 
Steps History: Not yet
Posts: 28
Threads: 1
Thanked 10 Times in 8 Posts
Reputation: 20
Default

I think the main clue here is that he went fishing- he was with a body of water. So, I'd go with Malaria as well
Reply With Quote Quick reply to this message



Reply

Tags
Microbiology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Rashes and fever dr z USMLE Step 1 Mnemonics 10 06-03-2016 07:45 AM
About Q Fever m82_ghasemi USMLE Step 1 Forum 7 10-18-2011 01:30 PM
recurrent fever versus undulent fever chienpolska USMLE Step 1 Forum 0 09-05-2011 06:33 AM
Spine involvement in rheumatology aasiaafzal USMLE Step 2 CK Forum 0 08-19-2011 03:29 AM
ulcerative colitis and rectal involvement kemoo USMLE Step 1 Forum 1 04-05-2011 04:21 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)