Infectious Disease Board Exam Started: Jul 13, 2026 09:09 Page 15 of 57 Attempt #2507 Overall: 0 / 282 questions answered Question 71 / 282 Not answered At a primary-care follow-up visit: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 999) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Use antihistamine as antiplatelet D. Aspirin desensitization if benefits outweigh risks E. Give only paracetamol Show Answer & Explanation Correct Answer: D Explanation: [Infectious Disease] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. 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 72 / 282 Not answered In a ward handover scenario: A traveler returns with fever, thrombocytopenia, and positive malaria smear for P. falciparum. What is the key management principle? A. Treat with amoxicillin only B. Delay treatment until repeat smear in a month C. Assess severity urgently and treat with effective antimalarial therapy; severe disease needs IV artesunate D. Use topical permethrin E. Give influenza vaccine as treatment Show Answer & Explanation Correct Answer: C 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 Question 73 / 282 Not answered During an emergency department assessment: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 991) 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 74 / 282 Not answered During an emergency department assessment: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 992) 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 75 / 282 Not answered At a primary-care follow-up visit: 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 Cancel « ← Previous Page 15 of 57 Next → »