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More Questions; Case 3, 4, and 5

1. Which of the following is the most common cause of pharyngitis in children?
   1. Prions
   2. Viruses
   3. Bacteria
   4. Fungi
   5. Parasites
2. Which of the following is the most common cause of pharyngitis in adults?
   1. Prions
   2. Viruses
   3. Bacteria
   4. Fungi
   5. Parasites
3. The most common bacterial cause of pharyngitis in adults and children is:
   1. Streptococcus pneumonia
   2. Streptococcus pyogenes
   3. Neisseria gonorrhoeae
   4. Chlamydophila pneumoniae
   5. Corynebacterium diphtheria
4. Treatment of the most common bacterial cause of pharyngitis is important because it will prevent:
   1. Glomerulonephritis
   2. Bell’s palsy
   3. Stevens-Johnson syndrome
   4. Acute rheumatic fever
   5. Guillain-Barré syndrome
5. Which of the following prevents phagocytosis and is important in eliciting the nonsuppurative complications associated with strep throat?
   1. Hyaluronic acid capsule
   2. Streptokinase
   3. M Protein
   4. Pyrogenic exotoxin
   5. DNase
6. Which of the following are antibodies produced to following pharyngitis but NOT following a skin infection with Streptococcus pyogenes?
   1. Hyaluronic acid capsule
   2. Streptolysin S
   3. Streptolysin O
   4. M Protein
   5. DNase
7. Which of the following produces the rash seen in scarlet fever?
   1. Hyaluronic acid capsule
   2. Streptokinase
   3. M Protein
   4. Pyrogenic exotoxin
   5. DNase
8. In diagnosis of acute rheumatic fever the Jones criteria can be helpful. Which of the following is NOT are considered a major criteria?
   1. Chorea
   2. Erythema marginatum
   3. Carditis
   4. Polyarthritis
   5. Subcutaneous nodules
   6. Fever
9. Which of the following are more likely to get strep throat?
   1. Children
   2. Adults
10. Which of the following if they get strep throat are more likely to present with acute rheumatic fever?
    1. Children
    2. Adults
11. Which of the following, if present, is more likely to be present in a patient with viral pharyngitis?
    1. Cough
    2. High fever
    3. Vomiting
    4. Rigors
    5. Rapid onset of illness

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Neal Chamberlain, PhD. A. T. Still University of Health Sciences/Kirksville College of Osteopathic Medicine.

Take Care and Think Microbiologically!