[
{
"ID": "50e51efe6ebef7134c0fb581",
"Text": "A patient asks to be tested for Lyme disease. She had been bitten by a tick and removed it herself this morning. What is be most appropriate action?",
"Correct": 0,
"Answers": [
"Disinfect the skin around the bite area and instruct the patient to return if arthralgia other concerning symptoms develop.",
"Advise the patient to return in 4-6 weeks, when testing will yield reliable results",
"Refer the patient to a physician for a precautionary administration of antibiotics",
"Obtain a blood sample for immediate testing"
],
"Media": "",
"Explanation": "Lyme disease is difficult to detect, especially so soon after a tick bite and in the absense of symptoms. The patient should return after some time if arthralgia or other symptoms develop. "
},
{
"ID": "50e51efe6ebef7134c0fb582",
"Text": "Which of the following is part of a standard treatment plan for a diagnosis of stage I Lyme disease?",
"Correct": 0,
"Answers": [
"A topical antihistamine to reduce symptoms",
"No treatment unless the disease progresses to stage II or stage III",
"Administration of oral antibiotics",
"Administration of intravenous antibiotics"
],
"Media": "",
"Explanation": "Stage I is called Early Localized Lyme Disease. The infection is not yet widespread throughout the body. This is treated with a topical antihistamine to reduce itching and swelling."
}
]