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Topic: Bacterial Infection 2016-05-11
Difficulty: Easy
Author:  Marc Couturier, Medical Director of Parasitology/Fecal Testing, Infectious Disease Rapid Testing, and Microbial Immunology, Assistant Professor of Pathology, University of Utah Department of Pathology
Question Type: Single Best Answer
Please select the single BEST answer choice.

A 15 year old female patient was presented to her pediatrician with a 2.5 week history of paroxysms of cough.  The paroxysms were worse in the evening and seemed to be getting progressively more severe.  The patient was compliant with recommended vaccinations; however the physician was concerned for whooping cough due to index cases reported in the community in recent weeks (despite the absence of a tell-tale “whoop”-like presentation).  The physician contacted the resident on-call covering the laboratory to ask what Pertussis testing would be most reliable at 2.5 weeks of clinical symptoms.

What should the resident recommend?
A. DFA from nasopharygeal swab
B. Molecular testing from nasopharyngeal swab
C. Culture from nasopharygeal swab
D. Serological testing

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