The physical examination of a neonate with RSV will often reveal ...

[ishan]

The physical examination of a neonate with RSV will often reveal all of the following EXCEPT:
 
  a. change in point of maximum impulse (PMI).
  b. excessive secretions.
  c. expiratory grunting.
  d. cyanosis.

Question 2

What is considered to be the gold standard for the diagnosis of histoplasmosis?
 
  a. Fungal stain
  b. Blood serum antigen levels
  c. Chest x-ray
  d. Fungal culture
  e. Skin test

[miss_1456@hotmail.com]

Answer to Question 1

A
The PMI would only change if the heart's position changed. This is not likely to happen in an infant with RSV. The neonate with RSV will often have many secretions and will show cyanosis and expiratory grunting because of hypoxemia.

Answer to Question 2

D
The fungal culture test is considered the gold standard for detecting histoplasmosis. Although fungal stains and blood serology may be used, they are not considered to be the gold standard for diagnosis. Skin testing only confirms exposure, not necessarily infection. Chest x-rays are helpful, but not diagnostic.

[ishan]

Great answer, keep it coming

[amandanbreshears]

Excellent