Infectious Disease Board Exam Started: Jul 12, 2026 23:43 Page 5 of 57 Attempt #1385 Overall: 0 / 282 questions answered Question 21 / 282 Not answered At a preventive-care consultation: 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. Use topical permethrin D. Give influenza vaccine as treatment E. Assess severity urgently and treat with effective antimalarial therapy; severe disease needs IV artesunate Show Answer & Explanation Correct Answer: E 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 22 / 282 Not answered In a rural clinic with limited resources: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1042) A. Subcutaneous injection into forearm B. Intramuscular injection into the mid-anterolateral thigh C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: B Explanation: [Infectious Disease] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis 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 23 / 282 Not answered In a rural clinic with limited resources: 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 1043) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Aspirin desensitization if benefits outweigh risks D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: C 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 24 / 282 Not answered In a rural clinic with limited resources: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1044) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. Life-threatening asthma requiring urgent escalation E. No oxygen required Show Answer & Explanation Correct Answer: D Explanation: [Infectious Disease] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. 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 25 / 282 Not answered In a rural clinic with limited resources: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 1045) A. Give thrombolysis without glucose correction B. Start warfarin C. Discharge without treatment D. Delay glucose correction until CT E. Treat hypoglycemia immediately and reassess neurologic deficit Show Answer & Explanation Correct Answer: E Explanation: [Infectious Disease] Hypoglycemia can mimic stroke and should be corrected immediately while continuing appropriate assessment. Reference: AHA/ASA Stroke 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 Cancel « ← Previous Page 5 of 57 Next → »