Virology

Question 1

chickenpox and shingles are both due to what?

Answer 1

varicella zoster virus

Question 2

chickenpox is ________ whereas shingles is ______ or ______ ______

Answer 2

chickenpox is VARICELLA whereas shingles is ZOSTER or HERPES ZOSTER

Question 3

chickenpox:

macules to _______ to ________ to _____ to ________

Answer 3

chickenpox:

macules to PAPULES to VESICLES to SCABS to RECOVERY

Question 4

chickenpox is severe in the extremes of ___ or if ________________

Answer 4

chickenpox is severe in the extremes of AGE or if IMMUNOCOMPROMISED

Question 5

name a complication of chickenpox affecting the lungs

Answer 5

pneumonitis/varicella pneumonia

Question 6

secondary to chickenpox in mother in late pregnancy is known as what?

Answer 6

neonatal VZV

Question 7

how do you prevent neonatal VZV?

Answer 7

inject pregnant woman with immune globulin

Question 8

shingles is seen in what distribution?

Answer 8

dermatomal distribution

Question 9

shingles is due to ____________ of varicella zoster virus

Answer 9

shingles is due to REACTIVATION of varicella zoster virus

Question 10

shingles is seen in which two types of people?

Answer 10

elderly and immunocompromised

Question 11

shingles presents with ________/____ to ________ to ________ to ______

Answer 11

shingles presents with TINGLING/PAIN to ERYTHEMA to VESICLES to CRUSTS

Question 12

shingles pain is __________ in character

Answer 12

shingles pain is NEURALGIC in character

Question 13

shingles in the ULQ of the face is affecting which nerve?

Answer 13

ophthalmic division of the trigeminal nerve

Question 14

shingles in the LLQ (nasal area) of the face is affecting which nerve?

Answer 14

maxillary division of the trigeminal nerve

Question 15

shingles in the jaw of the face is affecting which nerve?

Answer 15

mandibular division of the trigeminal nerve

Question 16

vesicles and pain in the auditory canal and throat, facial palsy and irritation of the 8th cranial nerve is known as what?

Answer 16

Ramsay-Hunt Syndrome

aka Geniculate or otic herpes zoster

Question 17

vaccination for chickenpox is not routine in the UK for children but is in the elderly to reduce the impact of shingles.

true or false?

Answer 17

true

Question 18

what virus is described in the following:

gingivostomatitis
pre school children
ulceration in and around mouth
lasts a week

Answer 18

herpes simplex virus

Question 19

herpes simplex spread to eczema is known as what?

Answer 19

eczema herpeticum

Question 20

there are 2 types of HSV: type 1 and type 2.

which is most common?

Answer 20

HVS type 1

HVS type 2 is rare

Question 21

what is the VSV and HSV therapy?

Answer 21

aciclovir

Question 22

what is the lab confirmation of VSV or HSV?

Answer 22

viral swab

Question 23

name the condition:

fleshy, firm, umbilicated, pearlescent nodules
self limiting
common in children but can be sexually transmitted

Answer 23

molluscum contagiosum

Question 24

molluscum contagiosum treatment?

Answer 24

liquid nitrogen

Question 25

what are warts caused by?

Answer 25

HPV

Question 26

what is the treatment for warts?

Answer 26

topical salicylic acid

Question 27

warts on your feet are called what?

Answer 27

verrucas

Question 28

name the types of HPV virus in the following: warts/verrucas - genital warts - cervical cancer -

Answer 28

warts/verrucas - 1 to 4 genital warts - 6 and 11 cervical cancer - 16 and 18

Question 29

vaccine used in the UK for protection against HPV cover which types of HPV?

Answer 29

6, 11, 16 and 18

Question 30

what is herpangina and what is it caused by?

Answer 30

blistering rash of back of mouth enterovirus - not herpes virus i.e. coxsackie

Question 31

what virus is hand, foot and mouth disease caused by?

Answer 31

coxsackie virus

Question 32

erythema infectiosum is also known as _______ _____ disease and is caused by __________ ___

Answer 32

erythema infectiosum is also known as SLAPPED CHEEK disease and is caused by PAROVIRUS B19

Question 33

how do the lab confirm the presence of parvovirus B19?

Answer 33

antibody testing - parvovirus B19 IgM test

Question 34

virus of sheep 'scabby mouth' firm, fleshy nodule on the hands of farmers diagnosis?

Answer 34

Orf

Question 35

name the 3 phases of Syphilis infection

Answer 35

primary secondary tertiary

Question 36

what is seen at each phase of syphilis?

Answer 36

primary - 'chancre' painless ulcers secondary - red rash, 'snail track' on mucous membrane tertiary - CNS

Question 37

what bacterium causes syphilis?

Answer 37

Treponema pallidum

Question 38

syphilis treatment?

Answer 38

penicillin

Question 39

name the vector in Lyme disease

Answer 39

tick

Question 40

is the cause of Lyme disease bacterial or viral?

Answer 40

bacterial

Question 41

name the early and late presentations of Lyme disease

Answer 41

early - erythema migrans | late - heart block, nerve palsies and arthritis

Question 42

Lyme disease therapy?

Answer 42

doxycycline or amoxicillin

Question 43

1 in _ people infected with Zika virus become ill

Answer 43

1 in 5 people infected with Zika virus become ill

Question 44

timescales for symptom onset and resolution of Zika virus? onset - resolution -

Answer 44

timescales for symptom onset and resolution of Zika virus? onset - 3-12 days resolution - 2-7 days

Question 45

symptoms of Zika virus (3)

Answer 45

mild fever rash headaches

Question 46

presentation of Zika virus is similar to ______ and ____________

Answer 46

presentation of Zika virus is similar to DENGUE and CHIKUNGUNYA

Question 47

Zika virus is spread by what?

Answer 47

mosquito Aedes Aegypti

Question 48

Zika virus is a ______ disease requiring ________________

Answer 48

Zika virus is a SEVERE disease requiring HOSPITILIZATION -

Question 49

____________ and ________ _____ syndrome are complications of zika virus

Answer 49

MICROCEPHALY and GUILLAIN BARRE syndrome are complications of zika virus

Question 50

monkeypox is very ____

Answer 50

monkeypox is very RARE