Infections

Question 1

coxsackie

Answer 1

hand foot mouth

Question 2

hand foot mouth

Answer 2

Sudden onset fever/irritability, followed by rash, vesicles or red paps on oral mucosa, hands feet

Question 3

rubeola

Answer 3

measles

Question 4

measles

Answer 4

Cough, coryza and conjunctivitis, koplik spots, maculopapular rash

Question 5

paramyoxovirus

Answer 5

mumps

Question 6

mumps

Answer 6

Low grade fever, parotitis 48 hours later,

Comp: orchitis, meningitis, encephalitis

Question 7

rubella

Answer 7

german measles

Question 8

german measles

Answer 8

Focheimers spot, acute onset rash of face, spreads rapidly down body

Question 9

human herpes 6

Answer 9

infantum roseola

Question 10

infantum roseola

Answer 10

3-5 days high fever followed macpap rash trunk → extremities, neck and facs, can have febrile seizures

Comp: encephalitis, encephalopathy

Question 11

rotavirus

Answer 11

Fecal oral route
Peaks winter months

Question 12

rotavirus presents

Answer 12

Vomiting followed by diarrhea (4-8 days)

Question 13

rotavirus tx

Answer 13

fluid replacement, antidiarrheals meds

Question 14

norwalk/adenovirus

Answer 14

viral gastroenteritis

Question 15

norwalk/adenovirus present

Answer 15

Hyperactivity but no tenderness, more vomit than diarrhea

Question 16

norwalk.adenovirus tx

Answer 16

supportive, fluids

Question 17

hep A transmit

Answer 17

Fecal oral contaminated food and water

Question 18

hep a present

Answer 18

GI upset, jaundice, liver tenderness and enlargement, incubation period 15-40 days

Question 19

hep a tx

Answer 19

Supportive
Vaccine
Immune globulin of within 1-2 weeks exposure

Question 20

enterobius vermicularis

Answer 20

pinworms

Question 21

pinworms present

Answer 21

Intense perianal itching overnight - can cause bedwetting or ab pain

Question 22

pinworm tx

Answer 22

mebendazole - wash all linens - repeat 2 weeks

Question 23

kawasaki present

Answer 23

high fever, conjunctivitis, mucositis, rash, extremities changes, lymphadenopathy

late stage: vasculitis

Question 24

kawasaki tx

Answer 24

IV IG and aspirin
echo baseline and 6-8 weeks later

Question 25

rabies

Answer 25

drooling , seizures, signs of cns dysfunction

Question 26

rabies tx

Answer 26

one does of immune globulin, series of rabies vaccine over a 2 week period

Question 27

varicella

Answer 27

chicken pox

Question 28

varicella tx

Answer 28

supportive, PCN for bacterial superinfection, VZ IG if immunocomp live vaccine

Question 29

parvovirus B19

Answer 29

slapped cheek, erythema infectiosum

Question 30

slapped cheek present

Answer 30

Mild flu like followed by rash 10 days later, fiery red macpac, lacey pattern on body

Question 31

tx for slapped cheek

Answer 31

supportive

Question 32

poxvirus

Answer 32

molloscum

Question 33

molloscum present

Answer 33

umbilicated, white or whitish yellowish paps in groups

Question 34

molloscum tx

Answer 34

imiquimod, cantharidin, liquid nitrogen