Flashcards in Lec 12 Fever with Rash Deck (50)
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1
ID: Small collection of clear fluid measuring
vesicle
2
ID: Papular or macular nonblanching lesions due to extravasation of RBCs.
purpura
3
Other name of German measles.
A. rubella
B. rubeola
C. roseola
D. rosella
E. varicella
A. rubella
rubeola = measles
roseola = sixth disease / exanthum subitum
rosella = a genus of parrots
varicella = chickenpox
4
ID: Viremia in rubella occurs after how many days?
5-7 days
5
Which is/are transmitted via respiratory droplets?
A. rubella
B. rubeola
C. varicella
D. A&B only
E. AOTA
E. AOTA
6
How long is the incubation period of rubella?
14 days (12-23 days)
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
A
Rash lasts only for 3 days.
8
ID: Tiny rose-colored lesions in the oropharynx of rubella patients.
Forchheimer spots
9
The most common complication in adults and adolescents is
A. arthralgia
B. purpura
C. encephalitis
D. orchitis
A. arthralgia
10
Enumerate 3 diagnostic procedures for rubella.
viral isolation
rubella IgM
SIGNIFICANT RISE in rubella IgG
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
AOTA
12
ID: common and often fatal complication of measles (rubeola)
measles pneumonia
13
Enumerate the 3Cs of measles.
cough, coryza, conjunctivitis
14
T/F: The fever of measles is stepwise and higher than rubella.
T
low-grade to high-grade
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
C
Rash begins on the FACE
It is the only rash that desquamates.
16
ID: Prodromic viral enanthem appearing two to three days before the measles rash. Found in the posterior of the third molar.
Koplik spots
17
Are Koplik spots pathognomonic of measles?
Yes
18
ID: Period of communicability of measles.
4 days before to 4 days after the rash
19
Where is the prediliction of the varicella rash in adults?
face
children - body / generalized
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
D. MULTIPLE episodes of viremia
that's why it erupts in crops
21
True of varicella rash
A. more vesicular
B. may be hemorrhagic
C. mild prodrome
D. A&B only
E. AOTA
AOTA
22
T/F: Herpes zoster (shingles) is less communicable than varicella (chickenpox).
T
23
ID: Most common complication of herpes zoster.
post-herpetic neuralgia
24
ID: Results from maternal infection of varicella-zoster virus during the first trimester of pregnancy.
congenital varicella syndrome
25
Enumerate features of congenital varicella syndrome.
low birth weight
atrophy of extremity
skin scarring
neurological abnormalities
26
Involved in the face and skin above the waist.
A. HSV-1
B. HSV-2
A. HSV-1
HSV-2 more on genitals
27
Transmitted mainly through genital secretions.
A. HSV-1
B. HSV-2
B. HSV-2
HSV-1 more on kissing.
28
More common HSV in neonates.
A. HSV-1
B. HSV-2
B. HSV-2
Acquired during delivery (vaginal secretions).
29
T/F: HSV lesions are painful.
F
Zoster lesions are painful, not HSV.
30
Herpes labialis stays latent where?
A. trigeminal ganglion
B. sacral ganglion
A. trigeminal ganglion
31
ID: Form of HSV infection associated with high mortality. Often presents with CNS findings and seizures as well as dissemination.
neonatal herpes simplex
32
ID: vesicular lesions concentrated in the areas of eczematous involvement.
eczema herpeticum
33
ID: Antivirals are usually reserved for what HSV form of infection?
neonatal herpes
34
Enumerate antivirals used for HSV.
acyclovir
valacyclovir
famciclovir
penciclovir
35
T/F: HSV persists for life.
T
36
ID: Etiologic organism of roseola infantum?
human herpesvirus sixth = sixth disease / exanthum subitum
37
Features of roseola infantum EXCEPT
A. high-grade fever
B. prolonged maculopapular rash
C. benign disease
D. no desquamation
E. NOTA
B.
The rash is TRANSIENT (hours to 2 days only).
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
B.
39
ID: distinctive rash of erythema infectiosum / fifth disease.
slapped cheek rash with circumoral pallor
parang sinampal sa magkabilang cheeks
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
E. NOTA
41
Enumerate features of infectious mononucleosis.
exudative pharyngitis
atypical lymphocytosis
lymphadenopathy
fever
HEPATOSPLENOMEGALY
42
Incubation period of infectious mononucleosis.
30-50 days (2 months)
43
Most common mode of transmission of EBV.
kissing
EBV = kissing virus
44
ID: Occurs after treatment of EBV with a certain class of antibiotic.
ampicillin rash
45
Most common DDx of infectious mononucleosis
Streptococcus pharyngitis
They mistook it for strep pharyngitis, that's why they give commonly give penicillins.
46
ID: Most common etiologic agent of hand, foot, and mouth disease.
Coxsackie virus A16
47
T/F: HFM disease is highly contagious.
T
48
ID: Characteristic skin lesion of hand, foot, and mouth disease.
elliptical vesicles with erythematous halo
49
Enumerate 4 fever+rash emergencies.
staph scalded skin syndrome
kawasaki disease
meningococcemia
toxic epidermal necrolysis
50
