Viral Hemorrhagic Fevers Quickie

Question 1

What causes lassa?

Answer 1

Rodent to human (multi a.m. mate rat

Question 3

What are the phases of hantavirus?

Answer 3

Febrile, hypotensive, oliguric, diuretic, convalescent

Question 4

What phase of hantavirus has, bleeding tendency caused by uremia w/ thrombocytopenia? Palatal petechiae?

Answer 4

Oliguric

Question 5

Very high fever (105.8), HA, retro-orbital pain, N/V, truncal scarlatina rash, myalgia, arthralgias, bleeding nose and gums, and abdominal pain?

Answer 5

Dengue fever

Question 8

Phases of yellow fever and their characteristics?

Answer 8

Acute: fever, HA/bilious vomiting, conjuntival injection for 3 days

24 hr remission, saddle back

Toxic phase: tons of shit, Brady Cardin, arrhythmia, swelling, petechiae, hematemeiss, epistaxis, jaundice, dark urine, stool changes

Question 10

Black water vomit?

Answer 10

Yellow fever

Question 11

What phase of hanta virus has absolute bradycardia?

Answer 11

Febrile phase

Question 12

What is the treatment for Lassa?

Answer 12

Ribavirin

Question 13

Ghost like facies late in disease, bleeding fro puncture site, bleeding from GI tract, tachypnea

Answer 13

Ebola

Question 15

AST levels are much higher than ALT levels

Answer 15

Lassa

Question 17

Where is dengue?

Answer 17

Tropics

Question 20

What is the treatment for Crimean Congo?

Answer 20

Ribavirin, supportive care

Question 21

Where is lassa?

Answer 21

West Africa Nigeria, Sierra Leone, Guinea, and Liberia

Question 22

Where is Ebola and marburg?

Answer 22

Uganda

Question 23

Insidious onset 1-3 weeks, fever, joint/lumbar pain, prostration, deafness?

Answer 23

Lassa

Question 25

Hemorrhagic fever w/ renal failure syndrome?

Answer 25

Hantavirus

Question 26

Virus replicates in the reticuloendothelial system. Viremia occurs and the immune system is over whelmed leading to jaundice?

Answer 26

Yellow fever

Question 28

Where is crimea-Congo hemorrhagic fever?

Answer 28

Africa, Asia, Middle East, Eastern Europe

Question 29

Fever, hemorrhage, renal insufficency in child under 15

Answer 29

Hanta virus

Question 32

Wha phase of hantavirus has tachcardia signaling impending shock, paralytic ileus, and purposeless mvmts?

Answer 32

Hypotensive

Question 33

What is the treatment for Hantavirus?

Answer 33

Maintain fluid and electrolyte, ribavirin

Question 35

What are the two types of mosquitoes that cause yellow fever?

Answer 35

Epidemic/urban (aedes aegypti), sylvatic/jungle (various mosquitoes)

Question 36

What is the mosquito for dengue fever?

Answer 36

Aedes aegypti (or albopictus), domestic, day biter

Question 37

Hiccups and tachypnea are noted in these terminally ill patients?

Answer 37

Ebola and marburg

Question 38

Where is Ebola?

Answer 38

Uganda, and DRC

Question 40

What causes Crimean Congo?

Answer 40

Ticks, viremic livestock, infected patients body fluids

Question 41

Flu like symptoms, 3-5 days hemorrhage, MASSIVE ECCHYMOSIS, hepatomegaly, ERYTHEMA (pharynx, face, conjunctiva, neck)

Answer 41

Crimean Congo

Question 42

Where does hantavirus virus occur?

Answer 42

Far East

Question 43

Dengue fever MC metabolic change?

Answer 43

Hyponatremia

Question 45

Severe HA, pharyngitis, arthralgias and myalgia, fever, Asthenia, maculopapular rash, followed by GI symptoms

Answer 45

Ebola

Question 46

Rash, petechiae/ purpura, conjunctival injection, pharyngeal injection, generalized lymphadenopathy, hepatomegaly?

Answer 46

Dengue fever

Question 47

Virus usually spread in health care/ lab setting, and human to human in acute stage only?

Answer 47

Ebola and Marburg

Question 50

What is the treatment for Ebola and marburg?

Answer 50

Isolation, fluids, human convalescent plasma, ZMAPP

Question 51

When is lassa very bad?

Answer 51

Third trimester

Question 55

Causes swollen baby syndrome

Answer 55

Lassa

Question 56

What is the treatment for yellow fever?

Answer 56

Supportive, immunization, isolation of patients, FFP FOR BLEEDING

Question 61

Fillvirus is what?

Answer 61

Ebola

Question 63

What is the treatment for dengue?

Answer 63

DF: self limited (acetaminophen) | DHF/ DSS: (admission for IV fluid administration, WHOLE BLOOD TRANSFUSION, drop in HCT of 10%=significant hemorrhage)

Question 65

Hemorrhagic rash appears over entire body?

Answer 65

Ebola

Question 66

What is the natural reservoir of Ebola and marburg?

Answer 66

Bats

Question 71

Fever abates for a day then returns, “saddle back fever”

Answer 71

Dengue

Question 73

What effects humans and non human primates?

Answer 73

Ebola and Marburg

Question 74

Petechiae and bleeding at venipuncture?

Answer 74

Dengue fever

Question 80

Tourniquet test/ what virus?

Answer 80

Dengue/ 20 per sq. Inch