Lecture 20 Strep Throat

Question 1

Strep throat is caused by Group ____ streptococcus _____

Answer 1

A, pyogenes

Question 2

Symptoms of scarlet fever/pharyngitis:

_____ rash with sand-paper like texture, _____ tongue, ____ pallor, and _____ tonsilitis

Answer 2

scarltiniform, strawberry, circumoral, exudative

Question 3

2 other symptoms:

petechiae on ____; _____ adenopathy

Answer 3

palate, cervical

Question 4

2 forms of laboratory diagnosis:

Answer 4

rapid culture, routine culture

Question 5

the rapid test is based off of the _____ acid extraction of the group A _____ antigen from bacteria obtained from the throat

Answer 5

nitrous, carbohydrate

Question 6

typical treatment of step:

Answer 6

penicillin

Question 7

what causes scarlet fever?

Answer 7

erythrogenic toxin

Question 8

scarlet fever rash first appears in the ___, ___, and neck. becomes generalized, then after 1 week it ____

Answer 8

axillae, groin;

desquamates (face, then trunk, then extremities)

Question 9

Rheumatic fever is due to the ____ protein that is antigenic, antiphagocytic, and causes disease due to ____ ____

Answer 9

M, molecular mimicry

Question 10

rheumatic fever major criteria (need 2):

Answer 10

Joints-migratory polyarthritis
O-pancarditis
N- subcutaneous nodules
E-Erythema marginatum
S-Syndeham Chorea

Question 11

other post strep condition:

Answer 11

glomerulonephritis

Question 12

post strep glomeurlonephritis symptoms:

____uria, peripheral and periorbital ____, ___ colored urine, ____tension

Answer 12

hema, edema, cola, hyper

also flank pain, fatigue, CHF

Question 13

post-strep glomerulonephritis is due to a type ____ HSR. ____ levels are decreased on lab

Answer 13

3;

complement

Question 14

other complications of strep throat:
peritonsilar _____ (“hot potato voice”);
rare toxic shock syndrome

Answer 14

abscess