Infectious Disease Board Exam Started: Jul 12, 2026 22:43 Page 6 of 57 Attempt #1213 Overall: 0 / 282 questions answered Question 26 / 282 Not answered In a rural clinic with limited resources: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 1046) A. Inactivated influenza vaccine B. Live intranasal influenza vaccine C. BCG vaccine D. Varicella vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: A Explanation: [Infectious Disease] Inactivated influenza vaccine is recommended in pregnancy; live attenuated intranasal vaccine is avoided. Reference: CDC/ACIP Immunization in Pregnancy Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 27 / 282 Not answered In a rural clinic with limited resources: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1047) A. IM epinephrine for every isolated wheal B. Second-generation H1 antihistamine C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: B Explanation: [Infectious Disease] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 28 / 282 Not answered During morning rounds: A 30-year-old has urethral discharge and NAAT positive for gonorrhea. What treatment principle is correct? A. Use acyclovir only B. No partner management is needed C. Treat gonorrhea with recommended ceftriaxone regimen and cover chlamydia if not excluded D. Treat with metronidazole only E. Give BCG vaccine Show Answer & Explanation Correct Answer: C Explanation: [Infectious Disease] Gonorrhea requires ceftriaxone-based therapy, with chlamydia treatment if coinfection is not excluded and partner management. Reference: CDC Sexually Transmitted Infections Treatment Guidelines. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 29 / 282 Not answered During morning rounds: A patient has fever, neck stiffness, confusion, and nonblanching rash. What is the immediate management? A. Wait 24 hours for viral PCR B. Oral penicillin only C. Discharge with analgesia D. Blood cultures and urgent empiric IV antibiotics without delaying for LP if unsafe E. Steroid cream Show Answer & Explanation Correct Answer: D Explanation: [Infectious Disease] Suspected bacterial meningitis requires urgent empiric antibiotics after cultures; LP should not delay treatment if contraindicated or delayed. Reference: IDSA Bacterial Meningitis Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 30 / 282 Not answered In a rural clinic with limited resources: A traveler returns with fever, thrombocytopenia, and positive malaria smear for P. falciparum. What is the key management principle? A. Assess severity urgently and treat with effective antimalarial therapy; severe disease needs IV artesunate B. Treat with amoxicillin only C. Delay treatment until repeat smear in a month D. Use topical permethrin E. Give influenza vaccine as treatment Show Answer & Explanation Correct Answer: A Explanation: [Infectious Disease] Falciparum malaria can deteriorate rapidly; severity assessment determines oral ACT versus IV artesunate. Reference: WHO Guidelines for Malaria. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 6 of 57 Next → »