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A 3-Year-Old Boy Is Brought to the Clinic by His

question 302

Multiple Choice

A 3-year-old boy is brought to the clinic by his parents for fever and rash. Two days ago, the patient developed fever and decreased appetite. Yesterday, a maculopapular rash appeared on his trunk and face and became vesicular. This morning, another small group of vesicles appeared on his arms and legs. The rash is intensely pruritic. The child is playful and has been drinking normally. He is up to date on immunizations and has no medical issues. The patient attends day care. The family travels extensively for the mother's job, and they recently returned from a 2-week trip to South Africa. Temperature is 38.2 C (100.8 F) , and pulse is 100/min. Physical examination shows a mild, diffuse maculopapular rash with some scattered vesicular lesions. The mucous membranes are normal. Which of the following is the most likely explanation for this rash?

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Definitions:

Hypnotized

A state of altered consciousness characterized by increased suggestibility, relaxation, and focused attention.

Diathesis-Stress Model

A psychological theory that explains behavior as both a result of biological and genetic factors ("diathesis") and life experiences ("stress").

Conversion Disorder

A mental condition in which a person shows psychological stress in physical ways without a medical cause, previously known as hysteria.

Medical Reason

Justifiable cause based on health or physical condition that explains a particular decision, action, or outcome in a medical context.