Infectious Disease Board Exam Started: Jul 13, 2026 02:31 Page 8 of 57 Attempt #1690 Overall: 0 / 282 questions answered Question 36 / 282 Not answered At a preventive-care consultation: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 1035) A. Live intranasal influenza vaccine B. BCG vaccine C. Varicella vaccine D. No vaccine in pregnancy ever E. Inactivated influenza vaccine Show Answer & Explanation Correct Answer: E 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 37 / 282 Not answered At a preventive-care consultation: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1036) A. Second-generation H1 antihistamine B. IM epinephrine for every isolated wheal C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: A 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 38 / 282 Not answered In a rural clinic with limited resources: A 30-year-old has urethral discharge and NAAT positive for gonorrhea. What treatment principle is correct? A. Use acyclovir only B. Treat gonorrhea with recommended ceftriaxone regimen and cover chlamydia if not excluded C. No partner management is needed D. Treat with metronidazole only E. Give BCG vaccine Show Answer & Explanation Correct Answer: B 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 39 / 282 Not answered In a rural clinic with limited resources: 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. Blood cultures and urgent empiric IV antibiotics without delaying for LP if unsafe D. Discharge with analgesia E. Steroid cream Show Answer & Explanation Correct Answer: C 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 40 / 282 Not answered In a ward handover scenario: 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 1010) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Use antihistamine as antiplatelet D. Give only paracetamol E. Aspirin desensitization if benefits outweigh risks Show Answer & Explanation Correct Answer: E 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 Cancel « ← Previous Page 8 of 57 Next → »