A1 Viral Hallmark/Keys

Question 1

MOA: mosquito
Sx: Flu like, rigidity in neck, neurological defecits
Test: lumbar puncture
Vaccine available, 25% die, 50% neuro affects

Answer 1

Arboviral Encephalitis-Japenese Encephalitis

Question 2

MOA: mosquito
Sx: Flu like, rigidity in neck, neurological defecits
1 out of 100 asymptomatic to actual care

Answer 2

Arboviral Encephalitis-West Nile

Question 3

MOA: bite, scratch, lick
Onset: 3 months
Test: lab work
Vaccine available
*If confirmed, 5 shots (no vaccine) or 2 shots (vaccine)
Sx: fever/malaise 2-7 days, then bizarre, aggressive, excess mucous

Answer 3

Rabies

Question 4

MOA: person-person
Sx: malaise, headache
Test: Normal WBC, lymphocytosis
typically asymptomatic-recover in several days
inactivated vaccine for US, live vaccine reserved for outbreaks in Africa

Answer 4

Poliomyelitis-abortive polio

Question 5

MOA: person-person
Sx: severe muscle spasms, neck/back stiffness
Test: Normal WBC, lymphocytosis
inactivated vaccine for US, live vaccine reserved for outbreaks in Africa

Answer 5

Poliomyelitis-nonparalytic polio

Question 6

MOA: person-person
Sx: asymmetric weakness or paralysis
Test: Normal WBC or lyphocytosis
inactivated vaccine for US, live vaccine reserved for outbreaks in Africa

Answer 6

Poliomyelitis- paralytic polio

Question 7

MOA: salivary secretions
Epstein Barr virus, “kissing disease”, splenic rupture
Onset 4-6 weeks
Sx: fever, pharyngitis, lymphadenopathy, splenomegaly
Test: Mono spot

Answer 7

Infectious Mononucleosis

Question 8

MOA: sexual contact, blood, body fluid, breastfeeding
Test: ELISA x2, Western Blot test to confirm
Tx: HAART, No cure
CT4 helper cells targeted
Lowered immune system=fatal diseases

Answer 8

HIV/AIDS

Question 9

MOA: fecal/oral
most common form hep

Phases of signs: Prodromal- anorexia, fever, clay stool
Icteric: urine darkens, jaundice
Recovery: variable jaundice, hepatomegaly

Answer 9

Hepatits Viral A/E

Question 10

MOA: Blood/Body secretions (D always with B)
Phases of signs: Prodromal- anorexia, fever, clay stool
Icteric: urine darkens, jaundice
Recovery: variable jaundice, hepatomegaly

Answer 10

Hepatitis Viral B/C/D

Question 11

MOA: Respiratory
Vaccine available
More severe symptoms of common cold (fever, malaise)
Two types-A&B (A responsible for pandemics, can mutate)

Answer 11

Influenza

Question 12

MOA: Mosquito (Aedes aegypti)
Triad: jaundice, hematemisis, albuminuria
Abrupt onset, “coffee ground” vommit
Vaccine q10yrs
Test: WBC, neutropenia, thrombocytopenia, proteinurea
blood smear to rule out malaria

Answer 12

Yellow Fever

Question 13

MOA: Mosquito (Aedes aegypti)
Sx: Saddle back fever Retro orbital pain, headache, severe pain in back, muscles and joints
Test: WBC leukopenia, blood smear rule out malaria
Tourniquet test Break bone fever no vaccine
4 types of Dengue, get 1 second time is much worse

Answer 13

Dengue

Question 14

MOA: Mosquito (Aedes aegypti)
Similar to Dengue, without fever
Test: blood smear rule out malaria

Answer 14

Chikungunya Disease

Question 15

MOA: rodent vector, aerosol or feces
Sx: Early phase- flu like, gastroenteritis, hepatitis
Late phase-organ failure, leuokopenia, hemorrhage

Answer 15

Viral Hemorrhagic Fever-Lassa Fever

Question 16

MOA: rodent vector
Area: South America, Bolivia
Sx: Early phase- flu like, gastroenteritis, hepatitis
Late phase-organ failure, leuokopenia, hemorrhage

Answer 16

Viral Hemorrhagic Fever-Bolivian hemorrhagic fever

Question 17

MOA: ticks, dead cattle
Sx: Early phase- flu like, gastroenteritis, hepatitis
Late phase-organ failure, leuokopenia, hemorrhage

Answer 17

Viral Hemorrhagic Fever-Crimean Congo hem fev

Question 18

MOA: uncertain, primate then person-person
Area: Uganda, Kenya, Zimbabwe
Sx: Early phase- flu like, gastroenteritis, hepatitis
Late phase-organ failure, leuokopenia, hemorrhage

Answer 18

Viral Hemorrhagic Fever-Marburg

Question 19

MOA: fruit bat, primate
Area: parts of Africa
Sx: Early phase- flu like, gastroenteritis, hepatitis
Late phase-organ failure, leuokopenia, hemorrhage

Answer 19

Viral Hemorrhagic Fever- Ebola

Question 20

MOA: Rodent vector, aerosol, urine/feces NOT person-person
Area: Old world
Sx: abd pain, petechiae, low BP, low urine
Tx: ribavirin IV, Trendelenburg position for shock

Answer 20

Hanta Virus-Hem fev with renal syndrome (HFRS)

Question 21

MOA: Rodent vector, aerosol, urine/feces NOT person-person
Area: new world
Sx: abd pain, diarrhea, dyspnea, shock
*high mortality rate (most in first 48 hours)

Answer 21

Hanta Virus-Hantavirus pulmonary syndrome (HPS)