A 4-Year-Old Boy Is Brought to the Office Due to High

question 250

Multiple Choice

A 4-year-old boy is brought to the office due to high fever, nasal discharge, and cough for 3 days.  His family recently returned from a vacation in Mexico.  Physical examination shows an ill-appearing, febrile child.  The patient has bilateral conjunctival injection and several small white spots with an erythematous base on his buccal mucosa.  A review of the medical record shows parental refusal of preventive health services in favor of a "natural" approach to the child's health.  Over the next several days, which of the following is most likely to develop?

• A)Jaundice
• B)Maculopapular rash
• C)Parotid swelling
• D)Paroxysmal cough
• E)Upper airway obstruction
• F)Vesicular rash
• G)Watery diarrhea

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