Lec 12 Fever with Rash

Question 1

ID: Small collection of clear fluid measuring

Answer 1

vesicle

Question 2

ID: Papular or macular nonblanching lesions due to extravasation of RBCs.

Answer 2

purpura

Question 3

Other name of German measles.

A. rubella
B. rubeola
C. roseola
D. rosella
E. varicella

Answer 3

A. rubella

rubeola = measles
roseola = sixth disease / exanthum subitum
rosella = a genus of parrots
varicella = chickenpox

Question 4

ID: Viremia in rubella occurs after how many days?

Answer 4

5-7 days

Question 5

Which is/are transmitted via respiratory droplets?

A. rubella
B. rubeola
C. varicella
D. A&B only
E. AOTA

Answer 5

E. AOTA

Question 6

How long is the incubation period of rubella?

Answer 6

14 days (12-23 days)

Question 7

True of the clinical features of rubella EXCEPT

A. low grade fever
B. rash lasts for 5 days
C. older people develop sandy rash
D. lymphadenopathy occurs after the rash

Answer 7

A

Rash lasts only for 3 days.

Question 8

ID: Tiny rose-colored lesions in the oropharynx of rubella patients.

Answer 8

Forchheimer spots

Question 9

The most common complication in adults and adolescents is

A. arthralgia
B. purpura
C. encephalitis
D. orchitis

Answer 9

A. arthralgia

Question 10

Enumerate 3 diagnostic procedures for rubella.

Answer 10

viral isolation
rubella IgM
SIGNIFICANT RISE in rubella IgG

Question 11

True of rubella

A. peaks during summer in the Philippines
B. communicable 7 days before to 7 days after rash disappearance
C. infants with congenital rubella syndrome may be infectious for a year
D. A&B only
E. AOTA

Answer 11

AOTA

Question 12

ID: common and often fatal complication of measles (rubeola)

Answer 12

measles pneumonia

Question 13

Enumerate the 3Cs of measles.

Answer 13

cough, coryza, conjunctivitis

Question 14

T/F: The fever of measles is stepwise and higher than rubella.

Answer 14

T

low-grade to high-grade

Question 15

True of the measles rash EXCEPT

A. maculopapular rash becomes confluent
B. rash persists for 5-6 days
C. rash begins on the chest going to extremeties
D. rash desquamates
E. NOTA

Answer 15

C

Rash begins on the FACE

It is the only rash that desquamates.

Question 16

ID: Prodromic viral enanthem appearing two to three days before the measles rash. Found in the posterior of the third molar.

Answer 16

Koplik spots

Question 17

Are Koplik spots pathognomonic of measles?

Answer 17

Yes

Question 18

ID: Period of communicability of measles.

Answer 18

4 days before to 4 days after the rash

Question 19

Where is the prediliction of the varicella rash in adults?

Answer 19

face

children - body / generalized

Question 20

True of varicella EXCEPT

A. erupt in crops
B. incubation period 14-16 days
C. becomes latent in the sensory ganglia
D. single episode of viremia
E. NOTA

Answer 20

D. MULTIPLE episodes of viremia

that’s why it erupts in crops

Question 21

True of varicella rash

A. more vesicular
B. may be hemorrhagic
C. mild prodrome
D. A&B only
E. AOTA

Answer 21

AOTA

Question 22

T/F: Herpes zoster (shingles) is less communicable than varicella (chickenpox).

Answer 22

T

Question 23

ID: Most common complication of herpes zoster.

Answer 23

post-herpetic neuralgia

Question 24

ID: Results from maternal infection of varicella-zoster virus during the first trimester of pregnancy.

Answer 24

congenital varicella syndrome

Question 25

Enumerate features of congenital varicella syndrome.

Answer 25

low birth weight atrophy of extremity skin scarring neurological abnormalities

Question 26

Involved in the face and skin above the waist. A. HSV-1 B. HSV-2

Answer 26

A. HSV-1 HSV-2 more on genitals

Question 27

Transmitted mainly through genital secretions. A. HSV-1 B. HSV-2

Answer 27

B. HSV-2 HSV-1 more on kissing.

Question 28

More common HSV in neonates. A. HSV-1 B. HSV-2

Answer 28

B. HSV-2 Acquired during delivery (vaginal secretions).

Question 29

T/F: HSV lesions are painful.

Answer 29

F Zoster lesions are painful, not HSV.

Question 30

Herpes labialis stays latent where? A. trigeminal ganglion B. sacral ganglion

Answer 30

A. trigeminal ganglion

Question 31

ID: Form of HSV infection associated with high mortality. Often presents with CNS findings and seizures as well as dissemination.

Answer 31

neonatal herpes simplex

Question 32

ID: vesicular lesions concentrated in the areas of eczematous involvement.

Answer 32

eczema herpeticum

Question 33

ID: Antivirals are usually reserved for what HSV form of infection?

Answer 33

neonatal herpes

Question 34

Enumerate antivirals used for HSV.

Answer 34

acyclovir valacyclovir famciclovir penciclovir

Question 35

T/F: HSV persists for life.

Answer 35

T

Question 36

ID: Etiologic organism of roseola infantum?

Answer 36

human herpesvirus sixth = sixth disease / exanthum subitum

Question 37

Features of roseola infantum EXCEPT ``` A. high-grade fever B. prolonged maculopapular rash C. benign disease D. no desquamation E. NOTA ```

Answer 37

B. The rash is TRANSIENT (hours to 2 days only).

Question 38

True of fifth disease EXCEPT ``` A. caused by parvovirus B19 B. caused by human herpesvirus 5 C. common in dogs D. called erythema infectiosum E. NOTA ```

Answer 38

B.

Question 39

ID: distinctive rash of erythema infectiosum / fifth disease.

Answer 39

slapped cheek rash with circumoral pallor parang sinampal sa magkabilang cheeks

Question 40

Which is NOT caused by / related to Epstein-Barr virus. ``` A. infectious mononucleosis B. Burkitt lymphoma C. Hodgkin lymphoma D. nasopharyngeal carcinoma E. NOTA ```

Answer 40

E. NOTA

Question 41

Enumerate features of infectious mononucleosis.

Answer 41

``` exudative pharyngitis atypical lymphocytosis lymphadenopathy fever HEPATOSPLENOMEGALY ```

Question 42

Incubation period of infectious mononucleosis.

Answer 42

30-50 days (2 months)

Question 43

Most common mode of transmission of EBV.

Answer 43

kissing EBV = kissing virus

Question 44

ID: Occurs after treatment of EBV with a certain class of antibiotic.

Answer 44

ampicillin rash

Question 45

Most common DDx of infectious mononucleosis

Answer 45

Streptococcus pharyngitis They mistook it for strep pharyngitis, that's why they give commonly give penicillins.

Question 46

ID: Most common etiologic agent of hand, foot, and mouth disease.

Answer 46

Coxsackie virus A16

Question 47

T/F: HFM disease is highly contagious.

Answer 47

T

Question 48

ID: Characteristic skin lesion of hand, foot, and mouth disease.

Answer 48

elliptical vesicles with erythematous halo

Question 49

Enumerate 4 fever+rash emergencies.

Answer 49

staph scalded skin syndrome kawasaki disease meningococcemia toxic epidermal necrolysis

Question 50

(+) strawberry tongue and bilateral dry conjunctivitis A. staph scalded skin syndrome B. kawasaki disease C. meningococcemia D. toxic epidermal necrolysis

Answer 50

B. kawasaki disease