KROK 1 2019 – Question 145 · KROK (Medicine) · Pathomorphology

A 6-year-old girl presents with acute onset of a disease. She developed sore throat and high temperature that were later accompanied by a punctate skin rash. Oral examination reveals acute pharyngeal hyperemia, raspberry tongue, and enlarged bright red tonsils with dull gray and yellow foci that spread to the peritonsillar tissues. The submandibular lymph nodes are enlarged. What disease are these changes characteristic of?

  1. A. Meningococcal nasopharyngitis
  2. B. Laryngeal diphtheria
  3. C. Pharyngeal diphtheria
  4. D. Measles
  5. E. Scarlet fever
Hint

Put the rash, the appearance of the tongue and the character of the tonsillar exudate together and ask which childhood infection causes all three.

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