Exam 3

Question 1

What history would you ask about for infectious disease?

Answer 1

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

Question 2

What physical exam would you perform for infectious disease?

Answer 2

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

Question 3

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

Answer 3

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

Question 4

What is coxsakies disease?

Answer 4

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

Question 5

Where is coxsackie disease seen on the body?

Answer 5

Usually in the oral cavity, hands and feet.

Question 6

Symptoms of Coxsakie?

Answer 6

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

Question 7

Treatment for Coxsakie?

Answer 7

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

Question 8

Education for Coxsakie?

Answer 8

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

Question 9

What is Roseola?

Answer 9

Viral infection caused by the Herpes virus 6 and 7.

Question 10

When do Roseola symptoms start?

Answer 10

Within 2 weeks of exposure.

Question 11

What are the symptoms of Roseola?

Answer 11

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

Question 12

Treatment for Roseola?

Answer 12

Rest, fluids, Tylenol, and Ibuprofen

Question 13

What virus causes chicken pox?

Answer 13

Varicella zoster and is highly contagious

Question 14

Is there a vaccine for Chicken pox?

Answer 14

Yes, the Varicella vaccine.

Question 15

What are the symptoms of varicella?

Answer 15

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

Question 16

What physical exam findings are seen with varicella?

Answer 16

2-4 mm papule or vesicle, that crust over

Question 17

Treatment for varicella?

Answer 17

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

Question 18

Complications of influenza?

Answer 18

CHF, Myocarditis, Pneumonia, and Atelectasis

Question 19

Symptoms of influenza?

Answer 19

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

Question 20

How is measles spread?

Answer 20

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

Question 21

How long is one contagious with measles?

Answer 21

4 days before and 4 days after rash appears

Question 22

What are the symptoms of Measles?

Answer 22

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

Question 23

What is the treatment for Measles?

Answer 23

Vitamin A and supportive

Question 24

What is the dose of Vitamin A for measles?

Answer 24

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

Question 25

How is Mumps spread?

Answer 25

Saliva or respiratory secretions

Question 26

When is Mumps transmitted?

Answer 26

2 days before swelling and 5 days after

Question 27

What are the prodromal symptoms of Mumps?

Answer 27

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

Question 28

What are the swelling stage symptoms of Mumps?

Answer 28

Painful swelling, rash, pickle sign, fever

Question 29

What is Fifth Disease?

Answer 29

Human parvovirus B19

Question 30

What are the symptoms of Fifth Disease?

Answer 30

Low fever, malaise, sore throat, rash

Question 31

What are the 3 phases of Fifth Disease?

Answer 31

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

Question 32

What is the treatment for Fifth Disease?

Answer 32

Prevent spread and symptomatic

Question 33

Education for Fifth Disease?

Answer 33

Good hand hygiene Avoid in pregnancy and immunocompromised

Question 34

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

Answer 34

Slapped face

Question 35

What causes Lyme disease?

Answer 35

Usually a tick bite

Question 36

How many stages of Lyme disease are there?

Answer 36

3

Question 37

What are the signs of stage 1 of Lyme disease?

Answer 37

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

Question 38

What are the signs of stage 2 of Lyme disease?

Answer 38

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

Question 39

What are the signs of stage 3 of Lyme disease?

Answer 39

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

Question 40

Treatment for Lyme disease?

Answer 40

<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