Vir Exanthems

Question 0

POXvirus

Answer 0

Molluscum Contangiosum

Question 1

B19

Parvovirus B19

Answer 1

Erythema Infectiosum

Question 2

HPV

Answer 2

Verruca Vulgaris (warts)

Question 3

Varicella zoster virus VZV

Answer 3

Varicella (Ckn pox)

Question 4

Herper 6 and 7

Answer 4

Roseola Infantum

Question 5

A16

Coxsackie A16

Answer 5

Hand Foot Mouth

Question 6

PARAmyxovirus

Answer 6

Measles (Rubeola)

Question 7

Rubella

Answer 7

Rubella (german measles)

Question 8

Vericella zoster virus

Answer 8

Herpes zoster (shingles)

Question 9

prodrome and 3 c’s (cough, conjestion, conjunctiva)

Answer 9

Meales (rubeola)

Question 10

What spreads head to toe?

Answer 10

Measles or rubella

Rubella doesn’t have 3 C’s and is not as red

Question 11

Koplik spots

Answer 11

in Measles

tiny white papules on buccal mucosa

Question 12

encephilitis is complication of what?

Answer 12

Measles

Question 13

Slapped cheek in school kids

Answer 13

Erythema Infectiosum

Question 14

Prodrome of mild fever and rash on trunk/extremeties happen at the SAME time but AFTER face rash

Answer 14

Erythema Infectiosum

Question 15

PolyAthropathy is a complication of

Answer 15

Erythema Infectiosum

Question 16

lacy reticular pattern on trunk/extremeties

Answer 16

Erythema Infectiosum

Question 17

Looks like Measles but how to differentiate?

Answer 17

Rubella (German measles):

• less red
• no 3 Cs
• no Koplic spots

Question 18

prodrome (rare) and rash at same time

Answer 18

Rubella

Question 19

• Head to toe

- prodrome (rare) and rash at the same time

Answer 19

Rubella

Question 20

Complications:
Arthralgias/arthritis
ecephalitis, death
congenital …

Answer 20

Rubella

Question 21

Infant and kids 6-24 mos

Answer 21

Roseola Infantum

Question 22

When high fever abates, rash appears

Blanching (maculopapular)

Answer 22

Roseola Infantum

Question 23

Sore throat, vesicles on buccal mucosa, hands, feet, butt

Answer 23

Hand Foot Mouth

Question 24

No prodrome Hand and feet Self-limiting (1-2 yrs)

Answer 24

Verruca Vulgaris (warts)

Question 25

``` No prodrome Flesh colored Umbilicated Very contagious Self-limiting (6-12 mos) ```

Answer 25

Molluscum Contagiousum

Question 26

Prodrome Rash: all varied types appear at once (Macules, papules, vesicles, pustules) Rash in crops

Answer 26

Varicella (Ckn Pox)

Question 27

Tzanck smear

Answer 27

``` for Varicella (Ckn Pox) Multinuclear giant cells appear ```

Question 28

Dormant in sensory ganglia

Answer 28

Herpes zoster (shingles)

Question 29

3 stages

Answer 29

herpes zoster shingles

Question 30

Prodrome: pain + itch, burning, fever, HA | 3-5 days BF rash appears

Answer 30

Herpes Zoster

Question 31

What stage is grouped vesicles, unilateral, follow dermatome?

Answer 31

Active stage of Herpes Zoster Shingles

Question 32

Severe pain that lasts months to years after rash is gone

Answer 32

Post Herpetic Neuralgia (PHN) | Chronic stage of Herpes Zoster Shingles

Question 33

comorbid depression is common with

Answer 33

Herpes Zoster Shingles | Chronic Stage: Post Herpatic Neuralgia (PHN)

Question 34

Treat early within 72 hrs !! Valtrex 1 g TID x 7 !! Famvir 500 mg TID x 7 Acyclovir 800 mg QID x 7-10

Answer 34

Tx for Herpes Zoster Shingles

Question 35

oral

Answer 35

HSV 1 herpes simpex1 = herpes labialis | via viral shedding

Question 36

genital

Answer 36

HSV 2 but cross | via sexual

Question 37

Uninfected female pt are at greater risk for

Answer 37

HSV 2, genital

Question 38

40% of newly acquired genital herpes is due to

Answer 38

HSV 1 - oral

Question 39

grouped vesicles erythema some crusting at later stages lymphadenopathy

Answer 39

HSV herpes simplex

Question 40

Tzanck smear is for

Answer 40

HSV herpes simplex (won't tell you which type) | and Varicalle Ckn Pox

Question 41

Labs for Herpes Simplex HSV

Answer 41

Viral culture, Tzanck (won't tell which type) and *Serology: ABs to HSV1 and HSV2 via western blot

Question 42

Measles Tx and Rubella

Answer 42

Sx VitA (for Measles) MMM: at 12 mo and 4-6 yrs

Question 43

Erythema Infectiosum Tx

Answer 43

Sx Anemia - blood transfusion no vaccine

Question 44

Roseola Infantum rash starts on

Answer 44

neck/trunk then to face extremeties

Question 45

lymphadenopathy and arthralgias are complications of

Answer 45

Rubella