SARAH MICHELLE BOARD REVIEW
2026 ACTUAL EXAM SCRIPT
COMPLETE QUESTIONS AND
VERIFIED ANSWERS GRADE A+
◉ Rocky Mountain Spotted Fever treatment. Answer: Doxycycline
ALWAYS
◉ Lyme Disease. Answer: Called Erythema Migrans (rash at site of tick
bit, legs, arms, groin, trunk)
Tick bite & infection by Borrelia burgdorferi
Bull Eye's: erythematous spot with central clearing, expanding
Can have fever, h/a, fatigue, joint pain
◉ Lyme Disease treatment. Answer: Doxycycline
Amoxicillin in pregnancy
◉ Measles. Answer: MeasLes = RubeoLa = KopLik spots
3 C's: cough, congestion (coryza), conjunctivitis
Fever 1st, then 3 C's, rash 3-5 days later
Appearance of Koplik spots: tiny grains of white sand surrounded by
erythematous hallow/base on buccal mucosa
Can lead to pneumonia or encephalitis
Contagious 1 wk before symptoms, resolves in aprox. 1 month
,◉ Measles treatment. Answer: Symptomatic treatment
Prevent w/ MMR vaccine (can only give after 12 months old- live
vaccine)
◉ Mumps. Answer: Parotid gland swelling (salivary gland in front of
ears- may mention cheek swelling and pain down to jaw bone, difficulty
chewing/swallowing)
Can be be unilateral or bilateral
Resolves on its own, contagious via droplet
MMR vaccine (2 doses)
◉ Rubella. Answer: German Measles (3-day measles)
Rash that started on face and spread across body
Mild fever, cervical lymphadenopathy
Distinguishing factors: milder symptoms, pink rash, swollen lymph
nodes
Symptomatic treatment
Highly contagious
DO NOT want pregnant women to get this
◉ Roseola. Answer: High fever, rash developed after fever broke
Rose pink rash that started on trunk, blanches w/ palpation, spreading to
neck, arms, and face
, Cervical lymphadenopathy
No longer contagious after rash appears
◉ Fifth Disease. Answer: Erythema Infectiosum (parvovirus b19)
Starts w/ fever and leads to slapped cheek rash and lacy net-like rash
across body, mildly itchy
Viral infection, rash appears after virus is gone so no longer contagious
Self-limiting
Avoid pregnant women can cause miscarriage if they are not immune
◉ Hand Foot & Mouth Disease. Answer: Coxsackie virus
Fever, sore throat, painful sores in mouth, now rash of hands and feet
Rash has little vesicles, skin around toes are starting to peel
◉ Enterobiasis. Answer: Pinworms
Anal/genital itching
Scotch-tape test early in morning
Treat w/ Medendazole or albendazole
◉ Anthrax. Answer: Black, painless ulceration
Cattle farmers
Treat w/ Fluoroquinolones (ciprofloxacin)
2026 ACTUAL EXAM SCRIPT
COMPLETE QUESTIONS AND
VERIFIED ANSWERS GRADE A+
◉ Rocky Mountain Spotted Fever treatment. Answer: Doxycycline
ALWAYS
◉ Lyme Disease. Answer: Called Erythema Migrans (rash at site of tick
bit, legs, arms, groin, trunk)
Tick bite & infection by Borrelia burgdorferi
Bull Eye's: erythematous spot with central clearing, expanding
Can have fever, h/a, fatigue, joint pain
◉ Lyme Disease treatment. Answer: Doxycycline
Amoxicillin in pregnancy
◉ Measles. Answer: MeasLes = RubeoLa = KopLik spots
3 C's: cough, congestion (coryza), conjunctivitis
Fever 1st, then 3 C's, rash 3-5 days later
Appearance of Koplik spots: tiny grains of white sand surrounded by
erythematous hallow/base on buccal mucosa
Can lead to pneumonia or encephalitis
Contagious 1 wk before symptoms, resolves in aprox. 1 month
,◉ Measles treatment. Answer: Symptomatic treatment
Prevent w/ MMR vaccine (can only give after 12 months old- live
vaccine)
◉ Mumps. Answer: Parotid gland swelling (salivary gland in front of
ears- may mention cheek swelling and pain down to jaw bone, difficulty
chewing/swallowing)
Can be be unilateral or bilateral
Resolves on its own, contagious via droplet
MMR vaccine (2 doses)
◉ Rubella. Answer: German Measles (3-day measles)
Rash that started on face and spread across body
Mild fever, cervical lymphadenopathy
Distinguishing factors: milder symptoms, pink rash, swollen lymph
nodes
Symptomatic treatment
Highly contagious
DO NOT want pregnant women to get this
◉ Roseola. Answer: High fever, rash developed after fever broke
Rose pink rash that started on trunk, blanches w/ palpation, spreading to
neck, arms, and face
, Cervical lymphadenopathy
No longer contagious after rash appears
◉ Fifth Disease. Answer: Erythema Infectiosum (parvovirus b19)
Starts w/ fever and leads to slapped cheek rash and lacy net-like rash
across body, mildly itchy
Viral infection, rash appears after virus is gone so no longer contagious
Self-limiting
Avoid pregnant women can cause miscarriage if they are not immune
◉ Hand Foot & Mouth Disease. Answer: Coxsackie virus
Fever, sore throat, painful sores in mouth, now rash of hands and feet
Rash has little vesicles, skin around toes are starting to peel
◉ Enterobiasis. Answer: Pinworms
Anal/genital itching
Scotch-tape test early in morning
Treat w/ Medendazole or albendazole
◉ Anthrax. Answer: Black, painless ulceration
Cattle farmers
Treat w/ Fluoroquinolones (ciprofloxacin)
