Question

A couple in their early forties have twin two-year-old girls, Elisa and Elizabeth, as well as a five-year-old daughter, Eowin. The twins attended daycare, and all children were current in their vaccinations. Both parents had standard vaccinations as children. One day, Elizabeth seemed a little bit under the weather. By the next day, she was complaining that the inside of her mouth hurt. Elisa had a bit of a fever and was crabby. It was the weekend, so the girls were not in daycare for a few days. No one was ill enough to take to the pediatrician, and the girls seemed fine a few days later. Over the weekend, their mother noticed a maculopapular rash on her hands. She was prone to sensitive-skin conditions, and she was extremely sensitive to poison ivy. When the twins were born, she had experienced severely itchy feet and had to seek help from a dermatologist to resolve the problem (dyshidrosis). The oldest daughter did not appear to exhibit any symptoms and neither did the father. By early the following week, a health notice was posted at the daycare to report that cases that sounded similar to what the family was experiencing were documented in some of the other children attending the daycare. Part A Which of the following should be excluded from the differential diagnosis (DDx)? Please select all applicable answer choices. There may be more than one correct answer. View Available Hint(s) Hint 1. Description of the MMR vaccine The MMR vaccine stimulates active, artificial immunity to measles, mumps, and rubella. Enterovirus infection Chickenpox 0 Measles Smallpox Hand, foot, and mouth disease Rubella

Answer 1

Enterovirus infection can cause fever,rash but non itchy, flu like symptoms, sore throat ,headache .This infection can spread easily and is contagious .Childrens are prone for this type of infection

Chickenpox is a viral infection causing fever,blisters,weakness.It is not highly contagious when proper precautions and handling are done

Measles can cause fever,skin rash, runny nose,cough ,koplik spots,inflammation of the conjunctiva, sore throat, white patches in the oral cavity

Hand foot and mouth disease generally affect the particular part causing sores inside the mouth,rash in the hands and foot .Children under five years can get this disease

Rubella also has symptoms of red rash which can spread to the entire body parts

In simple maculopapular rashes are seen in the infection of Hepatitis B and CmHIV,measles,scarlet fever ,herpes infection,zika virus, rubella, syphilis retrovirus,zika virus,Ebola, filovirus

Ans:Hand,foot and mouth disease

Measles

Rubella