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MVU OB/PEDs - 2023 > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

What history would you ask about for infectious disease?

A

Presenting symptoms, associated symptoms, recent family illness, hx of symptoms, medical hx, social hx, diet, ROS

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2
Q

What physical exam would you perform for infectious disease?

A

VS, irritability, nek pain or stiffness?, Murmur?, Skin changes?, ability to walk?

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3
Q

What labs or diagnostic tests might be ordered for infectious diseases?

A

CBC, CRP, ESR, Procalcitonin, CMP, cultures, XR, MRI, ECHO, US

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4
Q

What is coxsakies disease?

A

Hand, foot, and mouth and is a rash with ulcers that progress from red and flat to white with a halo.

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5
Q

Where is coxsackie disease seen on the body?

A

Usually in the oral cavity, hands and feet.

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6
Q

Symptoms of Coxsakie?

A

Low-grade fever, sore throat, malaise, lymphadenopathy, and rash. (Rash is usually last to be seen)

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7
Q

Treatment for Coxsakie?

A

Usually supportive with Tylenol, warm baths, and magic mouthwash.

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8
Q

Education for Coxsakie?

A

Should resolve in 7 days, avoid spread to others. Most contagious 2 days before rash and 2 days after eruption.

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9
Q

What is Roseola?

A

Viral infection caused by the Herpes virus 6 and 7.

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10
Q

When do Roseola symptoms start?

A

Within 2 weeks of exposure.

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11
Q

What are the symptoms of Roseola?

A

Fever, Rash starting on trunk then spreading to neck and arms, Rash has small pink spots with ring around the spots

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12
Q

Treatment for Roseola?

A

Rest, fluids, Tylenol, and Ibuprofen

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13
Q

What virus causes chicken pox?

A

Varicella zoster and is highly contagious

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14
Q

Is there a vaccine for Chicken pox?

A

Yes, the Varicella vaccine.

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15
Q

What are the symptoms of varicella?

A

HA, listlessness, itching rash that spreads peripherally, Lesions usually last 4 days.

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16
Q

What physical exam findings are seen with varicella?

A

2-4 mm papule or vesicle, that crust over

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17
Q

Treatment for varicella?

A

Avoid scratching, cool compresses, Caladryl/Benadryl, IV acyclovir if severe

18
Q

Complications of influenza?

A

CHF, Myocarditis, Pneumonia, and Atelectasis

19
Q

Symptoms of influenza?

A

Cough, fever (102-106*), body aches, vertigo, N/V/D, croup

20
Q

How is measles spread?

A

Droplet, contact, and airborne; remains infectious in air for 2 hours

21
Q

How long is one contagious with measles?

A

4 days before and 4 days after rash appears

22
Q

What are the symptoms of Measles?

A

Fevere, malaise, cough, choryza, conjunctivitis, koplik spots

23
Q

What is the treatment for Measles?

A

Vitamin A and supportive

24
Q

What is the dose of Vitamin A for measles?

A

infant <6 mo 50,000 IU
6-11 mo 100,000 IU
>12 mo 200,000 IU

25
Q

How is Mumps spread?

A

Saliva or respiratory secretions

26
Q

When is Mumps transmitted?

A

2 days before swelling and 5 days after

27
Q

What are the prodromal symptoms of Mumps?

A

Fever, HA, anorexia, neck/msk pain, malaise

28
Q

What are the swelling stage symptoms of Mumps?

A

Painful swelling, rash, pickle sign, fever

29
Q

What is Fifth Disease?

A

Human parvovirus B19

30
Q

What are the symptoms of Fifth Disease?

A

Low fever, malaise, sore throat, rash

31
Q

What are the 3 phases of Fifth Disease?

A
  1. facial redness
  2. lacey rash
  3. fever itching and petechia
32
Q

What is the treatment for Fifth Disease?

A

Prevent spread and symptomatic

33
Q

Education for Fifth Disease?

A

Good hand hygiene
Avoid in pregnancy and immunocompromised

34
Q

What does the rash look like on face with Fifth Disease?

A

Slapped face

35
Q

What causes Lyme disease?

A

Usually a tick bite

36
Q

How many stages of Lyme disease are there?

A

3

37
Q

What are the signs of stage 1 of Lyme disease?

A
  1. Erythema migrans rash at site 24-48 hours after, bull’s eye forms, warm and itchy, but not painful, may have flu-like symptoms, rash can last weeks to months
38
Q

What are the signs of stage 2 of Lyme disease?

A

Secondary lesions form, neuro/cardio symptoms, generalized illness, may last 2 years w/o treatment

39
Q

What are the signs of stage 3 of Lyme disease?

A

periarticular or monoarticular arthritis, weeks to months after initial bite, chronic neuro symptoms

40
Q

Treatment for Lyme disease?

A

<8 yo Amoxicillin 50/mg/kg/day TID x14 days
>8 yo Doxycycline 200 mg daily or 4 mg/kg BID 14 days
If allergy to doxy or PCN Cefuroxime 30 mg/kg BID x14 days

MVU OB/PEDs - 2023 (1 decks)

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