Infectious disease

Question 1

Chicken pox presentation

Answer 1

Initially a fever
Itchy rash starting on head/ trunk then spreads
Macular - Papular - Vesicular
Mild systemic upset

Question 2

Measles prodrome presentation

Answer 2

Irritable
Conjunctivitis
Fever

Question 3

Measles presentation

Answer 3

Koplik spots - white spots on buccal mucosa

Rash - starts behind the ear and spread to the whole body. Muculopapular becoming blotchy and confluent

Question 4

Mumps presentation

Answer 4

Fever
Malaise
Muscular pain
Parotitis - earache / pain on eating

Question 5

Rubella presentation

Answer 5

Pink maculopapular rash on face spreading to whole body
Fades by day 3/5
Lymphadenopathy - particularly posterior auricular and suboccipital lymph nodes

Question 6

Scarlet fever presentation

Answer 6

Fever
Malaise 
Tonsilitis 
Strawberry tongue 
Fine punctuate erythema sparing the face

Question 7

Hand foot and mouth disease

Answer 7

Mild systemic upset

Vesicles in the mouth and on the palms and soles of feet

Question 8

Meningitis in those under 3m treatment

Answer 8

Cefotaxime

Question 9

Meningitis in those over 3m treatment

Answer 9

Ceftriaxone

Question 10

Blood tests in those with suspected meningococcal disease

Answer 10

RBC 
CRP 
Coag 
Blood culture 
PCR for N meningitidis 
BM 
Blood gas

Question 11

How regular should monitoring be in those with suspected meningococcal disease?

Answer 11

hourly