Pathology · single question

Which pathognomonic finding is associated with measles (rubeola)?

  1. Strawberry tongue
  2. Nikolsky sign
  3. Koplik spots
  4. Rose spots
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Correct answer: C. Koplik spots

Koplik spots — small white/bluish spots on buccal mucosa — are pathognomonic for measles, appearing 2–3 days before the skin rash.
  • A. ❌ Strawberry tongue is associated with scarlet fever and Kawasaki disease.
  • B. ❌ Nikolsky sign is associated with pemphigus vulgaris.
  • C. ✅ CORRECT – Koplik spots on buccal mucosa are pathognomonic for measles.
  • D. ❌ Rose spots are associated with typhoid fever.

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