KROK 1 2015 – Question 57 · KROK (Medicine) · Pathomorphology

A child is 10 years old. The following presentations have developed: sharp pain during swallowing, swollen neck, body temperature rise up to 39.0 °C, bright-red finely papular rash all over the body. Pharynx and tonsils are sharply hyperemic ("flaming pharynx"), "crimson tongue". On the tonsils surface there are isolated greyish necrosis focuses. What disease it might be?

  1. A. Measles
  2. B. Diphtheria
  3. C. Meningococcal nasopharyngitis
  4. D. Scarlet fever
  5. E. Influenza
Hint

Put together the type of rash, the appearance of the pharynx and tongue, and the child’s age, and ask which infection shows this exact combination rather than any single sign.

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