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Communicable diseases II Flashcards

1
Q

CAUSATIVE AGENT of Hib

A

Haemophilus Influenza Type B virus

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2
Q

Haemophilus Influenza Type B is a

A

gram-negative bacteria
thin peptidoglycan
red/ pink under microscope

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3
Q

classification of Haemophilus Influenza Type B

A

bacterial

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4
Q

mode of transmission of Hib

A

Droplet
Contact with soil secretions

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5
Q

incubation period of Hib

A

2-10 days

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6
Q

SIGNS AND SYMPTOMS of Hib

A

Severe Headache
Severe Nausea
Difficulty waking up the patient
Severe Drowsiness
Increase ICP
Difficulty of Breathing
Decrease level of consciousness

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7
Q

DOC for Hib

A

Cefuroxime
Ceftriaxone

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8
Q

Cefuroxime DO for Hib

A

Cefuroxime 250 MG PO every 12 H
FOR 7-10 DAYS

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9
Q

Ceftriaxone DO for HIb

A

Ceftriaxone 2 grams IV OD

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10
Q

PREVENTION/VACCINATION for Hib

A

NAME OF VACCINE: Pentavalent Vaccine
DOSAGE: 0.5mL
NUMBER OF DOSES: 3
ROUTE: IM
NEW SCHEDULE: 6, 10, 14 wks
SIDE EFFECTS:
Fever, local soreness
N/V, Diarrhea, Headache (within 72 hrs)

ABSOLUTE CONTRAINDICATIONS
Penta 1: neurologic d/o
Penta 2: Seizure/ convulsion within 72 hrs of adm. of the first dose
CONTRAINDICATIONS TO ANY VACCINES: CCF

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11
Q

Possible complications of Hib because of its capability to invade the brain

A

Meningitis

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12
Q

*WHICH OF THESE STATEMENTS ABOUT HiB
infection is incorrect?

A.IT CAN BE TRANSMITTED THROUGH
DROPLET

B.IT IS BACTERIAL

C. THE PATIENT EXPERIENCES SEVERE
DROWSINESS

D.AIRBORNE TRASNMISSION IS POSSIBLE

A

D.AIRBORNE TRASNMISSION IS POSSIBLE

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13
Q

An acute highly communicable infection

A

MEASLES

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14
Q

Other Name of measles

A

Rubeolla
Red Measles
English Measles
7-day measles
(because the rash is present for 7 days)

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15
Q

causative agent of measles

A

Rubeolla virus or aka Morbilli Paramyxovirus

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16
Q

CLASSIFICATION of the causative agent of measles

A

Viral

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17
Q

Considerations when the infection is viral especially if the child is taking acetaminophen due to high fever 40 degrees celsius

A

Do not give aspirin because it can cause Reye’s syndrome which can damage the liver and brain

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18
Q

mode of transmission of measles

A

Droplet
Contact w/ respiratory secretions
Probably Airborne

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19
Q

Incubation Period of measles

A

10-14 days

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20
Q

period of communicability of measles

A

9 days / 4 days before 5 days after rash appearance

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21
Q

Susceptibility:
after attack of measles

A

Natural active immunity and life- long immunity

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22
Q

MEASLES

Signs and Symptoms

A

Coryza
Morbilliform Rash
Stimson’s Line
Koplik’s Spots
Branny Desquamation
Fever

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23
Q

how many does coryza lasts in measles

A

2-3 days

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24
Q

Transverse line of inflammation
along the eyelid margin in measles

A

Stimson’s Line

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25
Q

Whitish or grayish pecks-
inner surface of the cheeks in measles

A

Koplik’s spots

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26
Q

Peeling of the skin in measles

A

Branny Desquamation

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27
Q

maculopapular rash in measles

A

Morbilliform Rash

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28
Q

Complications OF MEASLES

A

Diarrhea
Otitis media
Pneumonia
Encephalitis

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29
Q

measles management

A

❑TSB, Antipyretics
❑Airborne precautions- N95 mask
❑Isolation until about 5 to 7 days after onset of rash

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30
Q

PREVENTION/VACCINATION for Measles:

A

VACCINE: AMV1
CONTENT: Live attenuated virus
DOSAGE: 0.5 mL
NUMBER OF DOSES: 1
ROUTE: SQ
OLD SCHEDULE: 9 months
NEW SCHEDULE: 9 months
SIDE EFFECTS: Local soreness, Fever, Rash
ABSOLUTE CONTRAINDICATIONS: Immunocompromised/ Immunosuppressed

CONTRAINIDCATIONS WITH ANY VACCINES: CCF

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31
Q

Vaccine Reconstitution

*Measles/MMR:
DILUENT, SYRINGE,
DISCHARGE

A

5-6hrs, 10cc, 6hrs

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32
Q

Vaccine Storage for AMV1

A

most sensitive to heat: -15 to -25 degrees celsius

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33
Q

GERMAN MEASLES mode of transmission

34
Q

INCUBATION PERIOD of German measles

35
Q

PERIOD OF COMMUNICABILITY of German measles

A

12 days there is increase on IGM

36
Q

pathognomonic s/sx of German measles

A

1.RED SPOTS on the soft palate or Forccherimer’s spots

  1. Confluent RASHES
36
Q

s/ sx of German measles

A

❑Fever (Mild)
❑Lymphadenopathy
❑Coryza
❑Cough
❑Headache
❑Malaise
❑RED SPOTS on the soft palate or Forccherimer’s spots
❑Confluent RASHES
Myalgia

37
Q

SUPPORTIVE MANAGEMENT for German measles

A

acetaminophen and ibuprofen for fever and aches

38
Q

preventive measure for German measles

A

MMR vaccine

39
Q

COMPLICATIONS: FOR
PREGNANT WOMAN

A

❑Congenital cataract
❑Deafness
❑Muteness
❑Mental retardation

40
Q

Vaccine Reconstitution

*Measles/MMR: DILUENT, SYRINGE,
DISCHARGE

A

5-6 cc, 10cc, 6 hrs

40
Q

PREVENTION/VACCINATION for German measles

A

MMR vax
CONTENT: Live attenuated virus
DOSAGE: 0.5 mL
NUMBER OF DOSES: 1
ROUTE: SQ
NEW SCHEDULE: 12-15 months
SIDE EFFECTS: Fever, local soreness, rashes
ABSOLUTE CONTRAINDICATIONS: immunocompromised
Decrease neutrophils
glucocorticoid/ corticosteroid therapy

CONTRAINDICATIONS WITH ANY VACCINES: ccf

40
Q

Vaccine Storage for German measles

A

MMR vaccine
✓ : most sensitive to heat
-15 to -25 degrees celsius

41
Q

MEASLES OR GERMAN MEASLES

*RUBI TOGAVIRIDAE

*3-DAY MEASLES

*MORBILLI PARAMYXOVIRIDAE

*RUBEOLA

*RUBELLA

*7-DAY MEASLES
*KOPLIK’S

*FORCHHEIMER’S

*MORBILLIFORM RASH

*CONFLUENT RASH

*STIMSON’S LINE

*DESQUAMATION

A

*RUBI TOGAVIRIDAE- GM

*3-DAY MEASLES- GM

*MORBILLI PARAMYXOVIRIDAE- M

*RUBEOLA- M

*RUBELLA- GM

*7-DAY MEASLES- M

*KOPLIK’S- M

*FORCHHEIMER’S- GM

*MORBILLIFORM RASH- M

*CONFLUENT RASH- GM

*STIMSON’S LINE- M

*DESQUAMATION- M

42
Q

The causative agent of measles is?
A.Paramixoviridae.

B.Rubeola.

C.Morbillivirus.

D.All of the above.

A

D.All of the above.

43
Q

The mode of transmission of
measles is?
A.Droplet.
B.Direct contact.

C.Airborne.

D.All of the above.

A

D.All of the above.

44
Q

The mode of transmission of
GERMAN measles is?

A.Droplet.
B.Vehicle.

C.Vectorborne.

D.All of the above.

A

A.Droplet.

45
Q

The incubation period of
GERMAN measles is?

A. 1 week

B.2- 3 weeks

C. 4-5 weeks

D. 1 month

A

B.2- 3 weeks

46
Q

❑an acute contagious disease with
swelling of one or both parotid glands

47
Q

❑OTHER TERM of mumps

A

epidemic parotitis

48
Q

❑Etiologic Agent of mumps

A

paramyxovirus

49
Q

what is the family of the etiologic agent of mumps

A

paramyxoviridae

50
Q

classification o the etiologic agent of mumps

51
Q

incubation period of mumps

A

12-26 days

52
Q

mode of transmission of mumps

A

droplet
contact

53
Q

The incubation period of MUMPS is?

A

12 TO 26 DAYS

54
Q

SIGNS AND SYMPTOMS of mumps

A

❑Parotitis or the painful swelling in front
of ear, angle of jaws and down the neck
❑Fever
❑Malaise
❑Loss of appetite/ anorexia

55
Q

Complications of mumps

A

orchitis
encephalitis
oophoritis
pancreatitis

56
Q

the painful swelling in front
of ear, angle of jaws and down the neck

57
Q

management of mumps

A

✓Cleaning and airing of room
✓TSB or alcohol rub
✓Hot and cold application
✓Antiseptic mouthwash
✓Suspensory pillow

57
Q

✓Diet of mumps

A

soft diet, small

58
Q

DOC fo rmumps

A

cortisone
non-aspirin pain relievers

59
Q

DO for cortisone for mumps

A

300 to 400 mg cortisone then 100
mg every 6 hours

60
Q

non-aspirin pain relievers for mumps

A

acetaminophen and ibuprofen

61
Q

Vaccine Storage for mmr for mumps

A

-15 to - 25 : most sensitive to heat

61
Q

PREVENTION/VACCINATION: MMR for mumps
CONTENT:
DOSAGE:

NUMBER OF DOSES:
ROUTE:
NEW SCHEDULE:

SIDE EFFECTS:
ABSOLUTE CONTRAINDICATIONS

A

CONTENT: Live attenuated virus
DOSAGE: 0.5 mL
NUMBER OF DOSES: 1
ROUTE: SQ
NEW SCHEDULE: 12-15 months
SIDE EFFECTS: Fever, local soreness, rashes
ABSOLUTE CONTRAINDICATIONS: immunocompromised
Decrease neutrophils
glucocorticoid/ corticosteroid therapy

CONTRAINDICATION

62
Q

The causative agent for mumps is?

A

A.Paramyxovirus.

63
Q

The mode of transmission of mumps
is?–
A.Droplet.
B.Contact.

C.Airborne.

A

no answer pa

64
Q

The incubation period of mumps is?

A

12 to 26 days.

65
Q

The most common complication of
mumps is?

66
Q

❑Contagious gastrointestinal
(GI) infection

A

ROTAVIRIUS INFECTION

67
Q

CAUSATIVE AGENT of rotavirus

A

rotavirus from reoviridae family

68
Q

classification of rotavirus

69
Q

INCUBATION PERIOD of rotavirus

70
Q

MODE OF TRANSMISSION of rotavirus

A

oral-fecal

70
Q

The incubation period of ROTAVIRUS
is?

71
Q

ROTAVIRIUS INFECTION-
SIGNS AND SYMPTOMS

A

severe watery diarrhea: 3-5 days
vomiting
fever
dehydration
abdominal pain

72
Q

PREVENTION/VACCINATION for rotavirus
DOSAGE:
NUMBER OF DOSES:

ROUTE:
NEW SCHEDULE:
SIDE EFFECTS: D and V

ABSOLUTE CONTRAINDICATIONS:
CONTRAINDICATIONS FOR ANY VACCINES

A

DOSAGE: 1.5 mL
NUMBER OF DOSES: 2

ROUTE: per orem
NEW SCHEDULE: 6 weeks and before 8 months
SIDE EFFECTS: Diarrhea and Vomiting

ABSOLUTE CONTRAINDICATIONS:
acute gastroenteritis
intestinal malformation/ malrotation
intussusception

CONTRAINDICATIONS FOR ANY VACCINES:
ccf

72
Q

MANAGEMENT for rotavirus infection

A

❑CONTINUE BREASTFEEDING
❑IF FORMULA FED, OFFER SMALL AMOUNT OF ORAL
REHYDRATION FLUID(PEDIALYTE)
❑FOR SEVERE DHN, IVF
❑NO ANDTIDIARRHEALS AND ANTIBOTIOCS GIVEN
❑FOR CHILDREN: BLAND FOODS LIKE WHOLE GRAIN
BREADS, CRACKERS, LEAN MEAT, FRUITS AND
VEGETABLES
❑FOR CHILDREN, AVOID SODA, APPLE JUICE AND DAIRY
PRODUCTS (EXCEPT YOGURT )

73
Q

WHAT IS THE MODE OF TRANSMISSION OF
ROTAVIRUS

A

A. ORAL-FECAL

INCO (6 decks)

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