A 48- years old woman is admitted to the hospital for evaluation of a febrile illness. She has daily fever for 3 weeks, associated with poor appetite, back pain, and fatigue. She works in a dairy farm in since 10 years. She does not have any medical diseases in the past. On examination: she has mild pallor and tinge of jaundice, her temperature is 38 C. Pulse is 68 bpm, regular. B.P is 128/85 mmHg. What is the most likely infection this patient could have?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Brucellosis
A dairy-farm worker with weeks of fever, malaise and back pain fits brucellosis. It is a zoonosis spread by contact with cattle, sheep or goats or by raw dairy products, and it often causes osteoarticular disease (spondylitis, low back pain). Mild anaemia and raised liver enzymes explain the pallor and slight jaundice.
- Malaria needs travel to an endemic area.
- TB and acute hepatitis don't explain the occupational exposure.
ليش كل خيار صح أو غلط
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B
ليش غلط
Malaria needs a history of travel to an endemic region. This patient has worked on a dairy farm for 10 years, with no travel mentioned.
✓ Inefctious Diseases 🦠.pdf · p. 8 -
C
ليش صح
Brucellosis (fever, sweats, headache, back pain, weakness) follows eating fresh dairy products, which fits a dairy-farm worker.
✓ Inefctious Diseases 🦠.pdf · p. 3
- المصدر
- Inefctious Diseases 🦠.pdf · p. 7
- المحاضرة
- Endemic Infections (Malaria, Brucellosis) · Infectious Diseases · Module B
- ظهر في
- ID bank · MED41 ♂ EOM B