INFECTIOUS DISEASE

Question 1

Cause of Varicella (chknpox)?

Answer 1

Varicella zoster virus

Question 2

isolation precautions for Varicella?

Answer 2

contact/airborne

Question 3

Varicella manifestations?

Answer 3

Rash on trunk, macule to crusty vesicles & pruritic

Question 4

Varicella treatment?

Answer 4

PO Acyclovir (shorten duration), Supportive (baths, antihistamines)

Question 5

Can you take Aspirin w/ Varicella?

Answer 5

NO
Reyes

Question 6

What causes Rubella (german/3-day)

Answer 6

Rubeola (virus)

Question 7

Manifestations of Rubella?

Answer 7

Sore throat, swollen lympth nodes
Fine light pink maculopapular rash face to chest (!!)

Question 8

isolation precautions for Rubella?

Answer 8

Droplet & contact

Question 9

Treatment/care for Rubella?

Answer 9

Supportive care (antipyretics)
Education on isolation while active

Question 10

whats the active period for rubella?

Answer 10

1 week after the rash starts

Question 11

most common diagnosed age for rubella & why?

Answer 11

@ 6 months bc unvaccinated

Question 12

Cause of Rubeola (Measles)?

Answer 12

Morbillivirus (virus)

Question 13

S/sx of Rubeola??

Answer 13

conjunctivitis
high fever (105)
Koplik spots
facial rash

Question 14

when do Koplik spots appear?

Answer 14

24-48hr before face rash

Question 15

which measles if worse?

Answer 15

German/3day (pink rash on trunk)

Question 16

what do Koplik spots look like?

Answer 16

blue-ish white dots on red mucousa often in mouth

Question 17

what type of patients can’t recieve the varicella vaccine?

Answer 17

chemotherapy & known allergy
bc varicella is live

Question 18

which vaccines contain live virus?

Answer 18

MMR, Rotavirus & Varicella

Question 19

common side effect of immunizations?

Answer 19

injection site redness, tenderness
low grade fever
drowsiness
increased fusiness

Question 20

what would NOT be an expected side effect of immunizations?

Answer 20

wheezing (anaphylaxis)

Question 21

what infection doesnt require droplet/contact isolations?

Answer 21

Varicella (airborne)

Question 22

which infections require droplet/contact isolations?

Answer 22

S: scarlett fever
H: HiB
R: Rubella (g)
I: Influenza
M: Mumps
P: Pertussis
P: Pneumococcal

Question 23

for which diseases can’t you give aspirin?

Answer 23

Varicella
Influenza

Question 24

which 2 conditions are caused by a virus?

Answer 24

Polio & varicella

Question 25

Cause of Haemophilus influenza B? (HiB)

Answer 25

type B bacteria

Question 26

s/sx of Hib?

Answer 26

upper respiratory infection otitis media sinusitis

Question 27

how do you treat HiB

Answer 27

Abx (cepholosporins) cefotaxime/ceftriaxone

Question 28

s/sx of influenza?

Answer 28

high fever myalgia HA sore throat

Question 29

treatment for flu?

Answer 29

antipyretics NO aspirin

Question 30

cause of Mumps?

Answer 30

Paramyxovirus

Question 31

s/sx of mumps?

Answer 31

MILD fever malaise anorexia ear pain enlarged parotid glands

Question 32

cause of pertussis?

Answer 32

Bordetella pertussis bacteria

Question 33

s/sx of pertussis?

Answer 33

Whooping cough (DRY) can cause apnea in infants

Question 34

monitor what w/ pertussis?

Answer 34

airway & O2

Question 35

treatment for pertussis?

Answer 35

Abx

Question 36

cause of tetanus?

Answer 36

Clostridium tetani in cut/wound

Question 37

s/sx of tetanus?

Answer 37

HA stiff neck Jaw muscle spasms Can lead to seizures

Question 38

treatment for tetanus?

Answer 38

Abx surgical debridement tetanus Ig

Question 39

cause of scarlet fever?

Answer 39

group A beta hemolytic streptococci

Question 40

when does scarlet fever often occur?

Answer 40

following pharyngeal infection w/ GAS (group A strep)

Question 41

s/sx scarlet fever?

Answer 41

acute fever sore throat sandpaper like rash (12-48 hr after onset) red strawberry tongue fingertips peel

Question 42

treatment for scarlet fever?

Answer 42

Abx

Question 43

cause of pneumococcal?

Answer 43

streptococcus pneumonia bacteria

Question 44

s/sx of pneumococcal?

Answer 44

upper resp infection high fever pleuritic chest pain (stabbing pain worse on inhale) cough/chills (cough up blood)

Question 45

treatment for pneumococcal?

Answer 45

Abx (penicillin) supportive care

Question 46

what causes mononucleosis?

Answer 46

epstein barr virus

Question 47

s/sx of mononucleosis?

Answer 47

fever lymphadenopathy fatigue anemia pharyngitis

Question 48

long term sequelae of mono?

Answer 48

Hepatosplenomegaly

Question 49

edu w/ mono?

Answer 49

No contact sports for 2 years - spleen rupture risk

Question 50

treatment for mono?

Answer 50

bedrest may give steroids if resp issues