Test 2: Communicable Diseases

Question 1

What are the symptoms of Colic?

Answer 1

• Paroxysmal abdominal pain
• Drawing up of legs
• Excessive crying at same time each day
• Recedes by 12 weeks

Question 2

What is the treatment of colic?

Answer 2

???

Question 3

What is a type of eczema that is characterized by pruritus and associated with a history of allergies that are of an inherited tendency?

Answer 3

Atopic dermatitis

Question 4

Can atopic dermatitis be cured?

Answer 4

No, but it can be controlled

Question 5

Is impetigo bacterial, viral, or fungal in nature?

Answer 5

bacterial

Question 6

What are symptoms of impetigo?

Answer 6

Reddish vesicular macule
Moist erosion on the skin
Crusty secretions
Pruritus

Question 7

How do you treat impetigo?

Answer 7

• Compresses of 1:2 aluminum acetate in water to remove crusted exudate
• Topical antibacterial ointment
• Oral/parenteral antibiotics if severe

Question 8

Symptoms of scarlet fever:

Answer 8

???

Question 9

Treatment for scarlet fever:

Answer 9

???

Question 10

What are pinworms?

Answer 10

Inhaled airborne eggs

Question 11

How do you diagnose pinworms?

Answer 11

Tape Test: place tape on rectum to catch worms

Question 12

What is the cardinal symptom of pinworms?

Answer 12

Intense perianal itching

Question 13

How do you treat pinworms?

Answer 13

• Wash hands
• Treat all in the household
• Med: albendazole - retreat in 2 weeks

Question 14

Symptoms of roundworm?

Answer 14

???

Question 15

Treatment of roundworm?

Answer 15

???

Question 16

How is head lice spread?

Answer 16

Spread by direct contact with infected person, bedding, clothing. Female lays eggs at night.

Question 17

How do you treat lice?

Answer 17

Permethrin shampoo (1%)
Remove nits with comb
Repeat 7 days later
Wash clothing, toys, linens or place in plastic bags to suffocate

Question 18

How is scabies spread?

Answer 18

by direct contact with infected persons

mite burrows into skin and lays eggs

Question 19

How are scabies diagnosed?

Answer 19

Examination under microscope or skin biopsy;

pen-like mark on skin

Question 20

How are scabies treated?

Answer 20

• Permethrin cream (5%) over entire body
• Wash clothes and linens in hot water
• Vaccum carpets and furniture
• Calamine lotion or cool compress for itching

Question 21

What type of lesion is solid, elevated, circumscribed, and less than 1 cm caused by superficial thickening of epidermis?

Answer 21

Papule

elevated mole/wart

Question 22

What type of lesion is different in color change, flat and circumscribed, less than 1 cm?

Answer 22

Macule

freckles, flat mole, petechiae

Question 23

What type of lesion contains turbid fluid (pus) in the cavity, is circumscribed and elevated?

Answer 23

Pustule

impetigo, acne

Question 24

What type of lesion is an elevated cavity containing free fluid, up to 1 cm; a “blister”? Clear serum flows if ruptured.

Answer 24

Vesicle

herpes simplex/zoster, early chickenpox, contact dermatitis

Question 25

What is the progression of chickenpox lesions?

Answer 25

Remember MPV

macule –> papule –> vesicle

Question 26

What are some other symptoms of chickenpox besides the lesions?

Answer 26

Slight fever
malaise
anorexia for first 24 hrs.

Question 27

How long is the individual contagious with chickenpox.

Answer 27

Probably 1 day before eruption of lesions (prodromal period) to 6 days after first crop of vesicles when crust has formed