CPN Exam Infectious Disease

Question 1

Pertussis

Answer 1

Bacterial Illness in respiratory tract

Question 2

Pertussis Assessment

Answer 2

Paroxysmal or spasmodic cough
Respiratory distress and anoxia with cyanosis

Question 3

Pertussis Precautions

Answer 3

Droplet and Contact for 5 days after start of antibiotics

Question 4

Pertussis Treatment

Answer 4

Erythromycin
Azithromycin
Clarithromycin

Question 5

Varicella

Answer 5

Caused by Varicella-zoster virus

Question 6

Varicella Precautions

Answer 6

Airborne and Contact

Question 7

Varicella Course

Answer 7

Communicable phase: 4-6 days
Incubation Period: 10-21 days

Question 8

Varicella Assessment

Answer 8

Prodromal Signs: URI, Fever, Malaise
Pruritic rash (all different stages)

Question 9

Varicella Complications

Answer 9

Secondary infections
Shingles

Question 10

Mononucleosis

Answer 10

Acute, self-limiting viral infection

Question 11

Mono Etiology

Answer 11

Epstein-Barr Virus
Cytomegalovirus (less common)

Question 12

Mono Precautions

Answer 12

Contact with oropharyngeal secretions

Question 13

Mono Assessment

Answer 13

Lethargy (Hallmark)
Malaise
Sore Throat
Fever
Increased atypical lymphocytes
lymphadenopathy
Splenomegaly
Hepatomegaly

Question 14

Tuberculosis Assessment

Answer 14

Children are typically asymptomatic

Question 15

Fifth Disease

Answer 15

Human Parovirus B19

Question 16

Fifth Disease Assessment

Answer 16

Intense facial rash (slapped face)
Extremity rash 1 day after facial rash

Question 17

Hand Foot and Mouth Disease

Answer 17

Viral Illness caused by enterovirus
-Coxsackievirus A16
-Enterovirus 71

Question 18

Hand Foot and Mouth Assessment

Answer 18

Fever, Poor appetite, malaise
mouth Ulcers
Skin rash - flat/raised red spots

Question 19

Lyme Disease

Answer 19

Bacterial illness spread by tick bites
Can affect skin, joints, heart, nervous system

Question 20

Lyme disease Phases

Answer 20

Localized Disease - bullseye rash
Disseminated disease - heart and nervous system
Late Disease - motor/nerve damage, brain inflammation

Question 21

Lyme disease treatment

Answer 21

Oral Antibiotics, doxy, amoxicillin, cefuroxime

Question 22

Juvenile Idiopathic Arthritis

Answer 22

Autoimmune inflammatory disorder

Question 23

JIA Eye Complications

Answer 23

Uveitis - can cause cataracts and loss of vision
Slit-Lamp exam to eye

Question 24

HIV testing for babies of +HIV mothers

Answer 24

14-21 days
1-2 months
4-6 months
Negative = 2 or more negative tests

Question 25

HIV Treatment

Answer 25

ARV Prophylactic Therapy - within 6 hours of birth

Question 26

HIV Anticipatory Guidance

Answer 26

Standard Precautions
Clean up spill using 10% Bleach in water over 1 minute
Avoid live vaccines (MMR and Varicella ok unless severe)