Page 1 of 1: Q about MVP

guest 33 · Credits: 78425 My Scrapbook My Reading List 262569 Books

29 year old woman with a history of mitral valve prolapse presents to A&E with a four days of fevers, myalgia and a sore throat. She has tender cervical lymphadenopathy and a short mid systolic murmur. Examination is otherwise normal.
Which is the most appropriate test to arrange :-
Options
A. Trans-thoracic echocardiogram
B. Trans-oesophageal echocardiogram
C. Blood cultures
D. Throat swab for Epstein Barr Virus
E. C-reactive protein

Guest · Credits: 78425 My Scrapbook My Reading List 262569 Books

Another Question

Two weeks after returning from Safari with his family, a 16 year old boy develops a fever, headache and arthralgia. He has a small ulcer on the inner arm. The following morning he develops a widespread purpuric rash.
Hb 107 g/l
Bilirubin 13 µmol/l
WBC 6.2 x 109/l
LDH 672 iu/l
Plts 122 x 109/l
Fibrinogen 1.2 g/l

Which test would you arrange :-
Options
A. Rash biopsy and immunofluorescent staining
B. Thick and thin blood film
C. Weil-Felix heterophil antibody test
D. Ulcer biopsy and culture
E. Blood culture

Rabbit · Credits: 78425 My Scrapbook My Reading List 262569 Books

I think the woman in Q1 is suffering from glandular fever, but I'm not sure whether throat swab could yield EBV.

Q2: E. Blood C/ST is always important in sepsis!

Am I correct?

Nesreen · Credits: 78425 My Scrapbook My Reading List 262569 Books

Are these questions from previous MRCP exam questions or what?

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