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Pediatrics · Infectious diseases: measles
Sample itemAn unvaccinated child has fever, cough, coryza, conjunctivitis, Koplik spots, and then a descending maculopapular rash. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Measles
Measles classically causes fever with cough, coryza, conjunctivitis, Koplik spots, and a rash spreading from face downward. It is highly contagious and requires public-health action.
Option by option
A. Rubella
Rubella usually has milder illness and posterior auricular lymphadenopathy.
B. Scarlet fever
Scarlet fever causes a sandpaper rash with streptococcal pharyngitis.
C. Measles (correct)
Correct. The prodrome and Koplik spots are classic measles clues.
D. Varicella
Varicella causes crops of vesicles at different stages.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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