A 4-year-old boy is brought to the office due to 3-day history of fever, cough, and a runny nose. The patient emigrated from Syria 2 weeks ago. He has not yet received any routine childhood vaccinations. Physical examination shows an ill-appearing, febrile child. Examination shows conjunctivitis of both eyes. There are multiple, 2-mm-sized, bluish-gray papules with an erythematous rim on the buccal mucosa and the soft palate Over the next several days, which of the following is most likely to develop?

Question

A 4-year-old boy is brought to the office due to 3-day history of fever, cough, and a runny nose.  The patient emigrated from Syria 2 weeks ago.  He has not yet received any routine childhood vaccinations. Physical examination shows an ill-appearing, febrile child.  Examination shows conjunctivitis of both eyes. There are multiple, 2-mm-sized, bluish-gray papules with an erythematous rim on the buccal mucosa and the soft palate Over the next several days, which of the following is most likely to develop?

Quizplus · Accepted Answer

Eductional Objective: Measles presents with fever, cough, rhinorrhea, and conjunctivitis followed by a maculopapular rash that starts on the face and spreads downwards.  Koplik spots are pathognomonic for measles and characterized by tiny white or blue-gray lesions on the buccal mucosa.

A 4-Year-Old Boy Is Brought to the Office Due to 3-Day