Chapter 187 : Pediatric Infectious Disease Flashcards

1
Q

Most common virus associated with Hand-foot-mouth disease

A

Coxsackie A16

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2
Q

Infectious mononucleosis is caused by whch virus

A

Epstein-Barr virus

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3
Q

Most common route of transmission by EBV

A

Oral contact

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4
Q

Most common diagnostic assay used for EBV

A

Heterophile agglutination test

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5
Q

Antibiotics contraindicated in EBV infection

A

β-lactams

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6
Q

Most common cause of bacterial pharyngitis

A

GABHS

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7
Q

Findings associated with scarlet fever

A

descending rash + strawberry tongue

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8
Q

Diagnostic of choice in GABHS pharyngitis

A

Throat culture

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9
Q

Indications for prophylaxis in asymptomatic carriers of GABHS:

A
  1. RF History, 2. community outbreak of RF, PSGN, invasive GABHS, 3. possible tonsillectomy, 4. symptomatic GABHS in the family
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10
Q

Second-line antibiotics in GABHS

A

1st gen cephalosporin, clindamycin, clarithromycin, azithromycin

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11
Q

Light’s criteria for tonsillectomy

A

≥ 7 episodes in 1 year, ≥ 5 episodes/year in 2 years, ≥ 3 episodes/year in 3 years

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12
Q

Bacteria with a Chinese character appearance on GS

A

C diphtheriae

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13
Q

APSGN follows ___ weeks after a GABHS pharyngitis

A

1 to 2

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14
Q

Diagnostic criteria for PANDAS

A

OCD/tic disorder onset between 3 yeas of age and puberty; episode, abrupt psychiatric symptoms or exacerbtions; culture-confirmed GABHS infection;abnormal NE: motor hyperactivity, ⊖ chorea

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15
Q

Most common virus associated with croup

A

Parainfluenza virus types 1, 2, 3

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16
Q

Triad of croup

A

hoarseness + expiratory stridor + upper airway obstructioin

17
Q

Important clinical findings in croup:

A
  1. type of stridor, 2. RR, 3. retractions, 4. air entry, 5. anxiety/restlessness, 6. color, 7. desaturations, 8. level of conscousness
18
Q

Intubation rate of croup patients

A

5%

19
Q

Pathology causing obstruction in croup and sign in x-ray

A

subglottic swelling, steeply sign

20
Q

Pathogen most commonly implicated in epiglottitis

A

HiB

21
Q

X-ray finding in epglottitis

A

Thumb sign

22
Q

Airway management of epiglottitis is best done in?

A

OR