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Ophthalmology · Conjunctiva: adenoviral
Sample itemA child has fever, sore throat, follicular conjunctivitis and a tender preauricular node. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Pharyngoconjunctival fever
Pharyngoconjunctival fever is caused by adenovirus types 3 and 7 and is typically seen in children and swimming outbreaks. It is self-limiting and treated supportively.
Option by option
A. Ophthalmia neonatorum
This occurs in the first month of life.
B. Acute bacterial conjunctivitis
Bacterial disease gives mucopurulent discharge without pharyngitis.
C. Inclusion conjunctivitis
Inclusion conjunctivitis is chlamydial and not associated with pharyngitis and fever.
D. Pharyngoconjunctival fever (correct)
Correct. Fever, pharyngitis and follicular conjunctivitis define this syndrome.
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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