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Pertussis — ABFM Board MCQ

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ModerateRespiratoryPertussisABFM Board

A 16-year-old girl has 2 weeks of paroxysmal cough with post-tussive emesis. She is afebrile and her lungs are clear. Her younger sibling is 2 months old. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Obtain pertussis testing and start a macrolide while addressing close contacts

Suspected pertussis should be tested and treated promptly, with attention to prophylaxis and protection of vulnerable contacts.

Reference: CDC clinical guidance: https://www.cdc.gov/