Common Virals

Question 1

Confirmation lab for Rubella in Adult?

Answer 1

IgM ELISA - x4 rise acute-convalescent serum

Question 2

How is measles transmit?

Answer 2

Droplets

Question 3

DDX for non-paralytic polio

Answer 3

meningeal inflammation conditions

Question 4

How is polio spread?

Answer 4

P2P A2M & Pharyngeal where it infects the GI tract

Question 5

flaccid paralysis is ass/w what type of viral infection?

Answer 5

Acute Poliomyelitis

Question 6

Does mumps pose a risk to pregnant moms and/or their baby?

Answer 6

Abort, 1st trimester (otherwise no malforms)

Question 7

Confirmation lab for Rubella in newborn?

Answer 7

CSF - IgM

Question 8

HHV3 virus is essentially what?

Answer 8

Varicella (Chicken pox in PEDS)
Herpes Zoster (Shingles in adults)

Question 9

How is Rubella Transmit?

Answer 9

Nasopharyngeal secretions (adult)
Secretions and Urine (infant)

Question 10

Red botchy rash that spreads from face to trunk to extremities w/in 3-7D indicates?

Answer 10

Measles

Question 11

Clinical picture of - sore throat w/ exudates, cervical LAD, fever, and Spleen/liver involvement indicates?

Answer 11

Mono

Question 12

Koplik spots pathognomonic for

Answer 12

Measles

Question 13

3 categories of polio

Answer 13

1. Abortive ( mild)
2. Non-Paralytic (Meningeal irritation and muscle spasm)
3. Paralytic

Question 14

How to TXT CMV?

Answer 14

Hygiene/sanitation
Antivirals -ciclovir
V-Valgan-
G-Gan-
F-Focarnet

Question 15

What is a person most likely to die from if contracted the measles?

Answer 15

Pneumonia or encephalitis

Question 16

What are the complications of Mild CRS?

Answer 16

Late manifestation is DM1 (unrecognizable otherwise)

Question 17

PVT and TXT of measles?

Answer 17

Vaccine
Immunoglobulin (72h-6D post exposure)
Vitamin A

Question 18

What is the infectious agent?

Answer 18

EBV, (aka- Human herpes virus 4)

Question 19

Maximum infectiousness of mumps?

Answer 19

48hrs (7D prior parotits to 5d post onset)

Question 20

Common s/s of minor polio illness?

Answer 20

Fever, N/V, HA (Absent in GBS (also symmetric paralysis)

Question 21

How is CMV dx with infants?

Answer 21

Urine viral cx

Question 22

What time frame is Congenital Rubella Syndrome at the highest risk for CRS?

Answer 22

First 16wks

Question 23

DDX for paralytic polio includes

Answer 23

GBS - no fever, N/v, HA (paralysis symmetric

Question 24

Transmit modes of mumps

Answer 24

Droplets, Saliva

Question 25

Mono ABNL labs include?

Answer 25

Lymphocytosis and ABNL LFTs (AST esp)

Question 26

Measles AKA as

Answer 26

Rubeola

Question 27

CMV transmitted how?

Answer 27

Secretions

Question 28

Common s/s of major polio illness?

Answer 28

Severe back muscle pain, Neck/back stiffness

Question 29

Severe form of CMV most often presents as?

Answer 29

Infection of an infant thru birthing, intrauterine, blood trfn

Question 30

TXT of mono includes

Answer 30

hygeine, rest, symptomatic txt (no Rx - high resistance)

Question 31

Vit A deficiency puts you at higher risk for what infection?

Answer 31

Measles

Question 32

Types of vaccines available for polio?

Answer 32

``` OPV = live IPV = Dead ```

Question 33

When is measles immunized?

Answer 33

15 months. (Maternal AB interferes with vaccine otherwise)

Question 34

Forscheimer spots is found with what infection?

Answer 34

Rubella

Question 35

Mono AKA

Answer 35

Kissing disease

Question 36

Is infection immunity permanent with measles?

Answer 36

Yes

Question 37

Diffuse punctate, maculopapular rash that is not always present indicates?

Answer 37

Rubella (German Measles)

Question 38

Types of paralytic polio?

Answer 38

1. Spinal - affecting spinal nerve roots | 2. Bulbar - affecting CN-Respiratory and vasomotor

Question 39

How is polio spread in developed countries?

Answer 39

Vaccine (Live Viral strains)

Question 40

What is the most concerning aspect about rubella and why identification is imperative?

Answer 40

Congenital Rubella syndrome

Question 41

Confirmation test for Measles identification?

Answer 41

IgM serology

Question 42

(Most specific) LAD found post-auricular, occipital, post cervical suggests? When does it occur in relation to rash?

Answer 42

Rubella, 5-10D before rash.

Question 43

How long can the virus shed with Mono infection?

Answer 43

Years

Question 44

What makes paralysis life threatening?

Answer 44

If it affects respiratory/swallowing muscles

Question 45

What are the complications of Mod-Sev CRS?

Answer 45

Spon death, malformations (recognizable)

Question 46

Adult CMV affects whom (MC)?

Answer 46

HIV, X-imm, Transplant pts

Question 47

What are some S/S of mumps?

Answer 47

Unilateral deafness, neuro involvement | -itis - Nerves, joints, Mastoid, Kidneys, Thyroid, heart

Question 48

Communicable Just before prodromal rash and 4 days after indicates what infection?

Answer 48

Measles

Question 49

How long is the recover from Mono infection?

Answer 49

Weeks to months

Question 50

Flaccid paralysis from polio characterisitcs?

Answer 50

Asymmetric, Fever at onset, NO sensory loss.

Question 51

Rubella communicable when?

Answer 51

1 Week before onset - 4D after rash onset

Question 52

HHV4 virus is essentially what?

Answer 52

EBV

Question 53

Complications of CMV infection in an infant generally target?

Answer 53

CNS and Liver (clotting issues and fx)

Question 54

Dx of mumps include

Answer 54

Viral cx or IgM ELISA

Question 55

T/F - vaccine is lifelong for mumps?

Answer 55

T

Question 56

Mono is associated with what other medical conditions?

Answer 56

Burkitt lymphoma and Nasopharyngeal cancer

Question 57

What infection involves TTP to salivary glands?

Answer 57

Mumps