DIPTHERIA

Question 1

Acute febrile infection of the tonsil, throat, nose, larynx that usually affects the mucous membranes of the nose and throat.

Answer 1

DIPHTHERIA

Question 2

Diphtheria is also known as

Answer 2

Pseudomembrane or toxemia

Question 3

Diphtheria Causative agent

Answer 3

• Corynebacterium diphtheriae
• Kleb’s-loffler bacillus

Question 4

Diphtheria Classification

Answer 4

Bacterial

Question 5

Diphtheria Source of infection:

Answer 5

discharges and Secretions from nose, nasopharynx From skin and other lesions

Question 6

Diphtheria Incubation period

Answer 6

2 to 5 days

Question 7

Diphtheria Period of communicability

Answer 7

2-4 weeks

Question 8

Diphtheria Mode of transmission

Answer 8

Droplet
Direct contact
Ingestion of unpasteurized milk

Question 9

Diphtheria Susceptibility

Answer 9

• Infants born of mothers who had diphtheria —immune but disappears before the FIRST 5 months after birth (NATURAL PASSIVE IMMUNITY)
• Recovery from an attack of diphtheria does not confer persistent immunity (NEED DPT/PENTA VAC)

Question 10

Diphtheria PATHOGNOMONIC SIGN:

A thick, gray membrane covering your throat and tonsils

Answer 10

PSEUDOMEMBRANE

Question 11

Diphtheria Types
N, P, L

Answer 11

1. Nasal diphtheria
2. Pharyngeal diphtheria
3. Laryngeal diphtheria

Question 12

Nasal diphtheria
(C, E, A/L)

Answer 12

Coryza
Epistaxis
Adenitis/lymphadenopathy

Question 13

Pharyngeal diphtheria
(ST, T, BN)

Answer 13

Sore throat
Tonsillitis
Bull neck (pathognomonic sign)

Question 14

Laryngeal diphtheria

Answer 14

Hoarseness of voice

Question 15

Dx tests

Answer 15

1. Schick’s test
2. Moloney’s test

Question 16

determines SUSCEPTIBILITY and IMMUNITY to diphtheria; A minute amount of diphtheria toxin is injected into the skin of the forearm.

Answer 16

Schick’s test

INDURATION: 10mm (wheal formation)
Route: ID
Result Reading: after 2-3 DAYS/ 48-72 HRS

Question 17

determines HYPERSENSITIVITY to the diphtheria toxoid

Answer 17

Moloney’s test

Question 18

DPT Management

Answer 18

• Proper disposal of secretions (DIRECT/INDIRECT CONTACT)
• Coughing etiquette (DROPLET PRECAUTION)
• Avoid use of common towels, glasses and eating utensils
• Strict isolation (ABOUT 5-7 DAYS)
• Rest (DEC. CELLULAR O2 DEMAND)
• Soft diet (PHARYNGEAL DIPHTHERIA)

Question 19

PASTEURIZATION OF MILK

Answer 19

71.6-71.7 (5-15 SECS)

Question 20

DPT PREVENTION

Answer 20

DPT/ PENTA VACCINE