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Inf Dz > Common Virals > Flashcards

Common Virals Flashcards

1
Q

Confirmation lab for Rubella in Adult?

A

IgM ELISA - x4 rise acute-convalescent serum

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2
Q

How is measles transmit?

A

Droplets

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3
Q

DDX for non-paralytic polio

A

meningeal inflammation conditions

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4
Q

How is polio spread?

A

P2P A2M & Pharyngeal where it infects the GI tract

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5
Q

flaccid paralysis is ass/w what type of viral infection?

A

Acute Poliomyelitis

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6
Q

Does mumps pose a risk to pregnant moms and/or their baby?

A

Abort, 1st trimester (otherwise no malforms)

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7
Q

Confirmation lab for Rubella in newborn?

A

CSF - IgM

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8
Q

HHV3 virus is essentially what?

A 
Varicella (Chicken pox in PEDS)
Herpes Zoster (Shingles in adults)
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9
Q

How is Rubella Transmit?

A 
Nasopharyngeal secretions (adult)
Secretions and Urine (infant)
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10
Q

Red botchy rash that spreads from face to trunk to extremities w/in 3-7D indicates?

A

Measles

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11
Q

Clinical picture of - sore throat w/ exudates, cervical LAD, fever, and Spleen/liver involvement indicates?

A

Mono

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12
Q

Koplik spots pathognomonic for

A

Measles

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13
Q

3 categories of polio

A
  1. Abortive ( mild)
  2. Non-Paralytic (Meningeal irritation and muscle spasm)
  3. Paralytic
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14
Q

How to TXT CMV?

A 
Hygiene/sanitation
Antivirals -ciclovir
V-Valgan-
G-Gan-
F-Focarnet
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15
Q

What is a person most likely to die from if contracted the measles?

A

Pneumonia or encephalitis

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16
Q

What are the complications of Mild CRS?

A

Late manifestation is DM1 (unrecognizable otherwise)

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17
Q

PVT and TXT of measles?

A

Vaccine
Immunoglobulin (72h-6D post exposure)
Vitamin A

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18
Q

What is the infectious agent?

A

EBV, (aka- Human herpes virus 4)

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19
Q

Maximum infectiousness of mumps?

A

48hrs (7D prior parotits to 5d post onset)

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20
Q

Common s/s of minor polio illness?

A

Fever, N/V, HA (Absent in GBS (also symmetric paralysis)

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21
Q

How is CMV dx with infants?

A

Urine viral cx

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22
Q

What time frame is Congenital Rubella Syndrome at the highest risk for CRS?

A

First 16wks

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23
Q

DDX for paralytic polio includes

A

GBS - no fever, N/v, HA (paralysis symmetric

24
Q

Transmit modes of mumps

A

Droplets, Saliva

25
Q

Mono ABNL labs include?

A

Lymphocytosis and ABNL LFTs (AST esp)

26
Q

Measles AKA as

A

Rubeola

27
Q

CMV transmitted how?

A

Secretions

28
Q

Common s/s of major polio illness?

A

Severe back muscle pain, Neck/back stiffness

29
Q

Severe form of CMV most often presents as?

A

Infection of an infant thru birthing, intrauterine, blood trfn

30
Q

TXT of mono includes

A

hygeine, rest, symptomatic txt (no Rx - high resistance)

31
Q

Vit A deficiency puts you at higher risk for what infection?

A

Measles

32
Q

Types of vaccines available for polio?

A 
OPV = live
IPV = Dead
33
Q

When is measles immunized?

A

15 months. (Maternal AB interferes with vaccine otherwise)

34
Q

Forscheimer spots is found with what infection?

A

Rubella

35
Q

Mono AKA

A

Kissing disease

36
Q

Is infection immunity permanent with measles?

A

Yes

37
Q

Diffuse punctate, maculopapular rash that is not always present indicates?

A

Rubella (German Measles)

38
Q

Types of paralytic polio?

A
  1. Spinal - affecting spinal nerve roots

2. Bulbar - affecting CN-Respiratory and vasomotor

39
Q

How is polio spread in developed countries?

A

Vaccine (Live Viral strains)

40
Q

What is the most concerning aspect about rubella and why identification is imperative?

A

Congenital Rubella syndrome

41
Q

Confirmation test for Measles identification?

A

IgM serology

42
Q

(Most specific) LAD found post-auricular, occipital, post cervical suggests? When does it occur in relation to rash?

A

Rubella, 5-10D before rash.

43
Q

How long can the virus shed with Mono infection?

A

Years

44
Q

What makes paralysis life threatening?

A

If it affects respiratory/swallowing muscles

45
Q

What are the complications of Mod-Sev CRS?

A

Spon death, malformations (recognizable)

46
Q

Adult CMV affects whom (MC)?

A

HIV, X-imm, Transplant pts

47
Q

What are some S/S of mumps?

A

Unilateral deafness, neuro involvement

-itis - Nerves, joints, Mastoid, Kidneys, Thyroid, heart

48
Q

Communicable Just before prodromal rash and 4 days after indicates what infection?

A

Measles

49
Q

How long is the recover from Mono infection?

A

Weeks to months

50
Q

Flaccid paralysis from polio characterisitcs?

A

Asymmetric, Fever at onset, NO sensory loss.

51
Q

Rubella communicable when?

A

1 Week before onset - 4D after rash onset

52
Q

HHV4 virus is essentially what?

A

EBV

53
Q

Complications of CMV infection in an infant generally target?

A

CNS and Liver (clotting issues and fx)

54
Q

Dx of mumps include

A

Viral cx or IgM ELISA

55
Q

T/F - vaccine is lifelong for mumps?

A

T

56
Q

Mono is associated with what other medical conditions?

A

Burkitt lymphoma and Nasopharyngeal cancer

57
Q

What infection involves TTP to salivary glands?

A

Mumps

Inf Dz (2 decks)

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