NMS Q&A Family Medicine

Other Infectious Diseases in Primary Care 19113 Regarding the reemergence of pertussis, each of thefollowing is true, except which one?(A) The age group of victims is distributed frominfancy throughout youth and into youngadulthood.(B) The organism can be cultured from thenasopharynx using a Dacron swab.(C) Diagnosis can be made within 48 hours of theculture inoculation.(D) Timely treatment with macrolide antibioticsreduces the severity and length of the period ofsymptoms.(E) Pertussis should be considered in any patientwhose cough lasts 2 weeks or more.14 Each of the following is true regarding genital herpessimplex virus (HSV), except for which statement?(A) Polymerase chain reaction testing is moresensitive than viral culture.(B) Viral culture is useful in differentiating HSV-1from HSV-2 infection.(C) Early therapy with recently developed antiviralagents can cure the disease.(D) Suppressant therapy can reduce the recurrencerate by 70% to 80%.(E) Suppressive therapy reduces significantly therisk of heterosexual transmission in HSV-2discordant couples.15 A 57-year-old woman with diagnosed chronic obstructivepulmonary disease (COPD) who has smoked 2packs per day for 40 years has developed fever, headache,purulent cough, and anorexia. She was recentlydischarged from a hospital, with likely diagnosis ofLegionnaires disease in the patient. Which of the followingwould support the diagnosis of Legionnairesdisease in this patient?(A) A Gram stain of the sputum that reveals morebacteria than neutrophils(B) Serum creatine kinase test(C) Ear pain(D) Constipation(E) An incubation period of 2 to 4 weeks