Virology

Question 1

How are measles, rubella and mumps spread

Answer 1

Droplets (airborne)

Question 2

Most common presentation of mumps

Answer 2

Parotitis (swelling of cheek due to parotid gland swelling)

Question 3

The characteristic feature of Rubella

Answer 3

Koplic spots (sugar grains found in inner cheek)

Question 4

Out of measles, rubella and mumps which is most servere in terms of complications and symptoms

Answer 4

Rubella

• generally unwell with cough, conjunctivitis, koplic spots
• complication: sensorineural hearing loss, meningitis, encephalitis

Question 5

x is important in pregnant women especially if dont have natural immunity or vaccinated

Answer 5

Rubella

* if transferred to foetus > leads to congenital rubella syndrome (58% get deafness & 50% congenital heart disease)

Question 6

Management of rubella infection in a pregnant woman with no natural immunity or vaccine

Answer 6

Abortion

Question 7

Virus causing measles and mumps

Answer 7

Paramyxovirus

Question 8

Virus causing rubella

Answer 8

Togavirus

Question 9

Slapped cheek disease/5th disease is caused by

Answer 9

Parovirus

Presents with lace- like rash on extremities with characteristic redness on cheek

Question 10

MMR is given at

Answer 10

~1 year and 3 yrs &4 month

Question 11

Incubation period for MR (mumps and rubella)

Answer 11

14- 21 days

& measles 7-18 days

Question 12

Infectious period for measles

Answer 12

4 days before and 4 days after rash onset

Question 13

Infectious period for mumps

Answer 13

7 days before and after rash

Question 14

Infectious period for rubella

Answer 14

7 days before and 4 days after

Question 15

meaning of incubation period

Answer 15

Period between exposure and onset of clinical symptoms

Question 16

infectious period

Answer 16

Time during which someone with an infection can transmit the infection to someone else.

Question 17

transmission of chicken pox

Answer 17

Droplets or direct contact with lesion

Question 18

infectious period of chicken pox

Answer 18

2 days before vesicles appear and ends when last vesicle crust over

Incubation period = 10-21 days

Question 19

Chickenpox usually occurs between ages

Answer 19

1 - 6 years

Question 20

Treatment of chickenpox for children

Answer 20

1. self limiting - can give something for fever (paracetamol -avoid NSAID / itchiness - topical calamine lotion or chlorpheniramine if >1
2. Consider antivirals if immunocompromised, neonate or at risk of complication (usually send to A&E)