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Communicable diseases II Flashcards

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1
Q

CAUSATIVE AGENT of Hib

A

Haemophilus Influenza Type B virus

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2
Q

Haemophilus Influenza Type B is a

A

gram-negative bacteria
thin peptidoglycan
red/ pink under microscope

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3
Q

classification of Haemophilus Influenza Type B

A

bacterial

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4
Q

mode of transmission of Hib

A

Droplet
Contact with soil secretions

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5
Q

incubation period of Hib

A

2-10 days

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6
Q

SIGNS AND SYMPTOMS of Hib

A

Severe Headache
Severe Nausea
Difficulty waking up the patient
Severe Drowsiness
Increase ICP
Difficulty of Breathing
Decrease level of consciousness

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7
Q

DOC for Hib

A

Cefuroxime
Ceftriaxone

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8
Q

Cefuroxime DO for Hib

A

Cefuroxime 250 MG PO every 12 H
FOR 7-10 DAYS

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9
Q

Ceftriaxone DO for HIb

A

Ceftriaxone 2 grams IV OD

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10
Q

PREVENTION/VACCINATION for Hib

A

NAME OF VACCINE: Pentavalent Vaccine
DOSAGE: 0.5mL
NUMBER OF DOSES: 3
ROUTE: IM
NEW SCHEDULE: 6, 10, 14 wks
SIDE EFFECTS:
Fever, local soreness
N/V, Diarrhea, Headache (within 72 hrs)

ABSOLUTE CONTRAINDICATIONS
Penta 1: neurologic d/o
Penta 2: Seizure/ convulsion within 72 hrs of adm. of the first dose
CONTRAINDICATIONS TO ANY VACCINES: CCF

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11
Q

Possible complications of Hib because of its capability to invade the brain

A

Meningitis

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12
Q

*WHICH OF THESE STATEMENTS ABOUT HiB
infection is incorrect?

A.IT CAN BE TRANSMITTED THROUGH
DROPLET

B.IT IS BACTERIAL

C. THE PATIENT EXPERIENCES SEVERE
DROWSINESS

D.AIRBORNE TRASNMISSION IS POSSIBLE

A

D.AIRBORNE TRASNMISSION IS POSSIBLE

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13
Q

An acute highly communicable infection

A

MEASLES

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14
Q

Other Name of measles

A

Rubeolla
Red Measles
English Measles
7-day measles
(because the rash is present for 7 days)

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15
Q

causative agent of measles

A

Rubeolla virus or aka Morbilli Paramyxovirus

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16
Q

CLASSIFICATION of the causative agent of measles

A

Viral

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17
Q

Considerations when the infection is viral especially if the child is taking acetaminophen due to high fever 40 degrees celsius

A

Do not give aspirin because it can cause Reye’s syndrome which can damage the liver and brain

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18
Q

mode of transmission of measles

A

Droplet
Contact w/ respiratory secretions
Probably Airborne

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19
Q

Incubation Period of measles

A

10-14 days

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20
Q

period of communicability of measles

A

9 days / 4 days before 5 days after rash appearance

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21
Q

Susceptibility:
after attack of measles

A

Natural active immunity and life- long immunity

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22
Q

MEASLES

Signs and Symptoms

A

Coryza
Morbilliform Rash
Stimson’s Line
Koplik’s Spots
Branny Desquamation
Fever

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23
Q

how many does coryza lasts in measles

A

2-3 days

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24
Q

Transverse line of inflammation
along the eyelid margin in measles

A

Stimson’s Line

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25
Whitish or grayish pecks- inner surface of the cheeks in measles
Koplik's spots
26
Peeling of the skin in measles
Branny Desquamation
27
maculopapular rash in measles
Morbilliform Rash
28
Complications OF MEASLES
Diarrhea Otitis media Pneumonia Encephalitis
29
measles management
❑TSB, Antipyretics ❑Airborne precautions- N95 mask ❑Isolation until about 5 to 7 days after onset of rash
30
PREVENTION/VACCINATION for Measles:
VACCINE: AMV1 CONTENT: Live attenuated virus DOSAGE: 0.5 mL NUMBER OF DOSES: 1 ROUTE: SQ OLD SCHEDULE: 9 months NEW SCHEDULE: 9 months SIDE EFFECTS: Local soreness, Fever, Rash ABSOLUTE CONTRAINDICATIONS: Immunocompromised/ Immunosuppressed CONTRAINIDCATIONS WITH ANY VACCINES: CCF
31
Vaccine Reconstitution *Measles/MMR: DILUENT, SYRINGE, DISCHARGE
5-6hrs, 10cc, 6hrs
32
Vaccine Storage for AMV1
most sensitive to heat: -15 to -25 degrees celsius
33
GERMAN MEASLES mode of transmission
Droplet
34
INCUBATION PERIOD of German measles
2-3 weeks
35
PERIOD OF COMMUNICABILITY of German measles
12 days there is increase on IGM
36
pathognomonic s/sx of German measles
1.RED SPOTS on the soft palate or Forccherimer's spots 2. Confluent RASHES
36
s/ sx of German measles
❑Fever (Mild) ❑Lymphadenopathy ❑Coryza ❑Cough ❑Headache ❑Malaise ❑RED SPOTS on the soft palate or Forccherimer's spots ❑Confluent RASHES Myalgia
37
SUPPORTIVE MANAGEMENT for German measles
acetaminophen and ibuprofen for fever and aches
38
preventive measure for German measles
MMR vaccine
39
COMPLICATIONS: FOR PREGNANT WOMAN
❑Congenital cataract ❑Deafness ❑Muteness ❑Mental retardation
40
Vaccine Reconstitution *Measles/MMR: DILUENT, SYRINGE, DISCHARGE
5-6 cc, 10cc, 6 hrs
40
PREVENTION/VACCINATION for German measles
MMR vax CONTENT: Live attenuated virus DOSAGE: 0.5 mL NUMBER OF DOSES: 1 ROUTE: SQ NEW SCHEDULE: 12-15 months SIDE EFFECTS: Fever, local soreness, rashes ABSOLUTE CONTRAINDICATIONS: immunocompromised Decrease neutrophils glucocorticoid/ corticosteroid therapy CONTRAINDICATIONS WITH ANY VACCINES: ccf
40
Vaccine Storage for German measles
MMR vaccine ✓ : most sensitive to heat -15 to -25 degrees celsius
41
MEASLES OR GERMAN MEASLES *RUBI TOGAVIRIDAE *3-DAY MEASLES *MORBILLI PARAMYXOVIRIDAE *RUBEOLA *RUBELLA *7-DAY MEASLES *KOPLIK’S *FORCHHEIMER’S *MORBILLIFORM RASH *CONFLUENT RASH *STIMSON’S LINE *DESQUAMATION
*RUBI TOGAVIRIDAE- GM *3-DAY MEASLES- GM *MORBILLI PARAMYXOVIRIDAE- M *RUBEOLA- M *RUBELLA- GM *7-DAY MEASLES- M *KOPLIK’S- M *FORCHHEIMER’S- GM *MORBILLIFORM RASH- M *CONFLUENT RASH- GM *STIMSON’S LINE- M *DESQUAMATION- M
42
The causative agent of measles is? A.Paramixoviridae. B.Rubeola. C.Morbillivirus. D.All of the above.
D.All of the above.
43
The mode of transmission of measles is? A.Droplet. B.Direct contact. C.Airborne. D.All of the above.
D.All of the above.
44
The mode of transmission of GERMAN measles is? A.Droplet. B.Vehicle. C.Vectorborne. D.All of the above.
A.Droplet.
45
The incubation period of GERMAN measles is? A. 1 week B.2- 3 weeks C. 4-5 weeks D. 1 month
B.2- 3 weeks
46
❑an acute contagious disease with swelling of one or both parotid glands
MUMPS
47
❑OTHER TERM of mumps
epidemic parotitis
48
❑Etiologic Agent of mumps
paramyxovirus
49
what is the family of the etiologic agent of mumps
paramyxoviridae
50
classification o the etiologic agent of mumps
viral
51
incubation period of mumps
12-26 days
52
mode of transmission of mumps
droplet contact
53
The incubation period of MUMPS is?
12 TO 26 DAYS
54
SIGNS AND SYMPTOMS of mumps
❑Parotitis or the painful swelling in front of ear, angle of jaws and down the neck ❑Fever ❑Malaise ❑Loss of appetite/ anorexia
55
Complications of mumps
orchitis encephalitis oophoritis pancreatitis
56
the painful swelling in front of ear, angle of jaws and down the neck
parotitis
57
management of mumps
✓Cleaning and airing of room ✓TSB or alcohol rub ✓Hot and cold application ✓Antiseptic mouthwash ✓Suspensory pillow
57
✓Diet of mumps
soft diet, small
58
DOC fo rmumps
cortisone non-aspirin pain relievers
59
DO for cortisone for mumps
300 to 400 mg cortisone then 100 mg every 6 hours
60
non-aspirin pain relievers for mumps
acetaminophen and ibuprofen
61
Vaccine Storage for mmr for mumps
-15 to - 25 : most sensitive to heat
61
PREVENTION/VACCINATION: MMR for mumps CONTENT: DOSAGE: NUMBER OF DOSES: ROUTE: NEW SCHEDULE: SIDE EFFECTS: ABSOLUTE CONTRAINDICATIONS
CONTENT: Live attenuated virus DOSAGE: 0.5 mL NUMBER OF DOSES: 1 ROUTE: SQ NEW SCHEDULE: 12-15 months SIDE EFFECTS: Fever, local soreness, rashes ABSOLUTE CONTRAINDICATIONS: immunocompromised Decrease neutrophils glucocorticoid/ corticosteroid therapy CONTRAINDICATION
62
The causative agent for mumps is?
A.Paramyxovirus.
63
The mode of transmission of mumps is?-- A.Droplet. B.Contact. C.Airborne.
no answer pa
64
The incubation period of mumps is?
12 to 26 days.
65
The most common complication of mumps is?
Orchitis
66
❑Contagious gastrointestinal (GI) infection
ROTAVIRIUS INFECTION
67
CAUSATIVE AGENT of rotavirus
rotavirus from reoviridae family
68
classification of rotavirus
viral
69
INCUBATION PERIOD of rotavirus
2 days
70
MODE OF TRANSMISSION of rotavirus
oral-fecal
70
The incubation period of ROTAVIRUS is?
2 days.
71
ROTAVIRIUS INFECTION- SIGNS AND SYMPTOMS
severe watery diarrhea: 3-5 days vomiting fever dehydration abdominal pain
72
PREVENTION/VACCINATION for rotavirus DOSAGE: NUMBER OF DOSES: ROUTE: NEW SCHEDULE: SIDE EFFECTS: D and V ABSOLUTE CONTRAINDICATIONS: CONTRAINDICATIONS FOR ANY VACCINES
DOSAGE: 1.5 mL NUMBER OF DOSES: 2 ROUTE: per orem NEW SCHEDULE: 6 weeks and before 8 months SIDE EFFECTS: Diarrhea and Vomiting ABSOLUTE CONTRAINDICATIONS: acute gastroenteritis intestinal malformation/ malrotation intussusception CONTRAINDICATIONS FOR ANY VACCINES: ccf
72
MANAGEMENT for rotavirus infection
❑CONTINUE BREASTFEEDING ❑IF FORMULA FED, OFFER SMALL AMOUNT OF ORAL REHYDRATION FLUID(PEDIALYTE) ❑FOR SEVERE DHN, IVF ❑NO ANDTIDIARRHEALS AND ANTIBOTIOCS GIVEN ❑FOR CHILDREN: BLAND FOODS LIKE WHOLE GRAIN BREADS, CRACKERS, LEAN MEAT, FRUITS AND VEGETABLES ❑FOR CHILDREN, AVOID SODA, APPLE JUICE AND DAIRY PRODUCTS (EXCEPT YOGURT )
73
WHAT IS THE MODE OF TRANSMISSION OF ROTAVIRUS
A. ORAL-FECAL

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