Chapter 163- Exanthematous viral diseases Part 2 Flashcards

1
Q

Common, self-limiting exanthem, with peak age of onset at ___, often due to viral infections

A

Gianotti-Crosti syndrome

1-6 years old

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2
Q

Adult cases almost exclusively occur in women.

True or False

A

True

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3
Q

Host risk factors associated with Gianotti Crosti syndrome (2)

A

Young age

History of atopic dermatitis

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4
Q

Most common cause of GCS (2)

A

EBV

Hep B

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5
Q

Bacterial pathogens associated with GCS (4)

A

M. Pneumoniae
Borrelia burgdorferi
Bartonella henselae
Group A beta hemolytic Streptococcus

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6
Q

Most common accompanying symptom of GCS

A

Pruritus

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7
Q

Cytomegalovirus is also known as

A

HHV5

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8
Q

Major cause of hearing loss

A

Congenital infection

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9
Q

Most common congenital viral infection in humans

A

Human cytomegalovirus

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10
Q

Nearly all HIV-infected patients are infected with HCMV.

True or False

A

True

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11
Q

Significant cause of morbidity in bone marrow transplant and solid organ transplant recipients

A

Human cytomegalovirus infection

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12
Q

55% of maternal secondary HCMV infection of HCMV immune woman during pregnancy results in intrauterine infection of fetus.
True or False

A

False, maternal primary infection

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13
Q

After congenital HCMV infection, approximately ___% of symptomatic and ___% of asymptomatic children have hearing loss

A

50%

10%

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14
Q

Perinatal human CMV transmission occurs via (3)

A

Cervical secretions
Breastmilk
Blood transfusion

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15
Q

Unlike EBV mononucleosis, HCMV mononucleosis do not have (3)

A

Pharyngitis
Lymphadenopathy
Heterophile antibodies

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16
Q

Gold standard for diagnosis of HCMV

A

Viral culture from blood using human fibroblasts

17
Q

Identify primary infection in children younger than ___ months of age as they shed virus for long periods of time

18
Q

Most reliable method to determine past infection and is part of posttransplantation screening

A

HCMV IgG serology

19
Q

Most widely used test for diagnosis of CMV in immunocompromised patients

A

Quantitative nucleic acid amplification test

20
Q

Monitors response to trwatment for CMV

A

Quantitative nucleic acid amplification test

21
Q

Characteristic histologic feature of CMV

A

Owl’s eye cels (cytomegalic cells with nuclear inclusions)

22
Q

Uced for HCMV prophylaxis

A

Ganciclovir

Valacyclovir

23
Q

Causative agent of roseola infantum or sixth disease

24
Q

HHV6 is common viral infection with up to ___% of population acquiring infection by 2 years old

25
Cellular receptor for HHV 6 infection
CD46
26
HHV6 reactivation is more common in solid organ transplantation than stem cell transplantation. True or False
False, stem cell more than solid organ
27
Hallmark of exanthem subitum
Rose-colored macules and ppules surrounded by white halo
28
Palpebral edema resulting in sleepy appearance and erythematous papules on soft palate
Nagayana spots
29
Unique feature of roseola
Occurs 1 day before to 1-2 days after fever resolves
30
Quantitative PCR does not distinguish laten from active infection of HhV6 True or False
Qualitative
31
Most common complication of exanthem subitum
Febrile seizure without a rash
32
In bone marrow transplant recipients, complications include (4)
Subacute encehalitis Bone marrow suppression Pneumonitis Thrombotic microangiopathy
33
Prophylaxis treatment of HHV 6 infection with ganciclovir facilitates development of resistance. True or False
True
34
MOT of HHV 7
Salivary
35
Reactivation of HHV7 is more common than HHV6z. | True or False
True