Q24: October 2020 PLAB 1 Recall

 
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A. Scarlet Fever

B. Parvovirus B19

C. Measles

D. Kawasaki’s disease

E. Hand, foot and mouth disease

This Topic was tested in the October 2020 exam . Try to answer this question in 50 seconds. Comment your answer below . The answer to this question is given below

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The correct answer is D. Kawasaki's disease

  • This presentation is typical of Kawasaki's disease. It presents with a high fever that is not very responsive to paracetamol or ibuprofen. The patient then develops a 'strawberry tongue,' dry cracked lips and inflamed mucosa. Erythema and oedema are followed by desquamation of the extremities.

Why not Scarlet fever?

  • Scarlet fever presents with an inflamed tongue also, but, would not explain the red and puffy feet which later desquamate. The primary complaint of scarlet fever is usually sore throat. follow our instagram @medrevisions for PLAB clinchers in this topic

Why not Measles?

  • Measles presents with a fever and coryzal symptoms. Koplick's spots can develop on the oral mucosa however these are bright red with a bluish-white speck at the centre. A maculopapular rash arrives 3-5 days later.

Why not Hand, foot and mouth disease?

  • Hand, foot and mouth disease starts with general malaise and pyrexia, but, skin lesions in the form of vesicles appear in the mouth. 75% develop an eruption on the hands and feet with tender papule and vesicles.

All the answer options are high yield topics for PLAB 1, we have covered it extensively throughout our platform with different style of questions to ensure you understand these topics clearly for your PLAB 1 exam.

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Q25: June 2020 PLAB 1 Recall

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Q23: June 2019 PLAB Recall