North American Registry of Midwives (NARM) Practice Exam

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Which symptom is NOT commonly associated with Toxic Shock Syndrome?

Severe fever of 102 degrees or higher
COPIOUS watery diarrhea
Rash and skin desquamation
Frequent urination

The correct answer is: Frequent urination

Toxic Shock Syndrome (TSS) is a severe and potentially life-threatening condition typically associated with certain bacterial infections, most notably Staphylococcus aureus and Streptococcus pyogenes. The hallmark symptoms of TSS include a sudden onset of high fever, a rash that can lead to peeling of the skin (desquamation), and other systemic manifestations. Frequent urination is not a commonly recognized symptom of TSS. While it can occur in various conditions, it does not align with the main features associated with this syndrome. The other symptoms listed, such as a severe fever, copious watery diarrhea, and skin desquamation, are indeed typical of TSS and reflect the systemic response of the body to the toxins produced by the bacteria. Thus, recognizing the established symptoms of TSS helps to differentiate between it and other medical conditions, underscoring the importance of identifying the unusual or less common presentations, such as frequent urination, which diverge from the typical symptomatology of this syndrome.