Childhood Conditions: Measles, Mumps and Rubella

Question 1

Characteristics of Measles

Answer 1

• Rash (red/brown)
  (confluent)
• starts behind ears, then to face, trunks and limbs

Question 2

Characteristics of Mumps

Answer 2

• Swelling on both sides of face
  (inflammation of parotid glands)

Question 3

Characteristics of Rubella

Answer 3

• Rash (pink/red)
  (non-confluent)
• starting on face and then to trunk and limbs

Question 4

Parodromal Symptoms of Measles

Answer 4

• Koplik spots (white spots on inside of cheek)
• Conjunctivitis
• Cold like symptoms
• Fever

Question 5

Parodromal Symptoms of Mumps

Answer 5

• Fever
• Headache
• Malaise

Question 6

Parodromal Symptoms of Rubella

Answer 6

• Lymphadenopathy
  (lymph node swelling)

Question 7

When to refer MMR

Answer 7

All suspected cases

Question 8

OTC treatment

Answer 8

Symptomatic relief:
- Paracetamol
- Ibuprofen

Question 9

MMR Advice to give

Answer 9

• plenty of rest
• keep hydrated
• keep children off school for contagious period
• avoid acidic drinks in Mumps
• Rubella children keep away form pregnant women

Question 10

How long to keep children off work for in Measles

Answer 10

For 4 days after rash appears

Question 11

How long to keep children off work for in Mumps

Answer 11

For 5 days after rash appears

Question 12

How long to keep children off work for in Rubella

Answer 12

For 6 days after rash appears

Question 13

Important information for Measles

Answer 13

• Most dangerous childhood illness
• Complications include:
  – Otitis media
  – Pneumonia
  – Encephalitis

Question 14

Important information for Mumps

Answer 14

In adults: in risk of sterility

Question 15

Important information for Rubella

Answer 15

• Stay away from pregnant women
  (can cause foetal damage)