The Daily PANCE and PANRE Question 29

A 14-month-old female is brought to your office with a 3-day history of a fever of 104 degrees rectally. Suddenly, today, the fever stopped and a rash developed. Examination reveals a diffuse, fine, maculopapular rash. Presently, the child does not appear ill. The most likely diagnosis is:

  1. Rubella
  2. Rubeola (measles)
  3. erythema infectiosum (Fifth disease)
  4. Roseola
  5. Chickenpox

Answer: D

Roseola

This is typical for Roseola. Rubella has a mild illness with a fine macular rash. Rubeola (measles) is an acute illness, the child is toxic, has conjunctivitis and Koplik spots. Fifth's disease has mild illness with a "lacy" rash on the extremities. Chickenpox has vesicles.

Know Your Content Blueprint

Roseola is covered in the NCCPA™ Content Infectious Disease (3%). Review Topic: Roseola (HHV 6)

Roseola appears as pale pink macules which may appear first first on the neck

Roseola appears as pale pink macules which may appear first on the neck

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