Exanthems

Question 1

10-day measles

Answer 1

Rubeola

Question 2

RNA paramyxovirus - humans only host

Answer 2

Rubeola

Question 3

The “3 C’s”

Answer 3

Cough, coryza, conjunctivitis - Rubeola prodrome

Question 4

Koplik’s spots

Answer 4

Gray, pin-head sized spots on buccal mucosa, appear for 12 hours. Precede the rash. - Rubeola prodrome after 3C’s

Question 5

Erythematous maculopapular rash often with 104+ fever, starts at head –> torso,legs –> feet.

Answer 5

Rubeola

Question 6

Otitis media is a common complication

Answer 6

Rubeola

Question 7

High levels of measles antibody in serum & CSF

Answer 7

Subacute sclerosing panencephalopathy (rare complication of Rubeola)

Question 8

Sandpaper feeling rash

Answer 8

Scarlet fever

Question 9

Streptococcus pyogenes - fever, chills, rash, HA, vomiting

Answer 9

Scarlet fever

Question 10

Circumoral pallor

Answer 10

Scarlet fever

Question 11

Rash begins in axilla, trunk & groin - generalizes in 24 hr - face sparing

Answer 11

Scarlet fever

Question 12

Pastia lines that do not blanche

Answer 12

Scarlet fever

Question 13

Treatment for GAS

Answer 13

PEN VK - adults, amoxicillin - Peds

Question 14

Severe congenital anomolies

Answer 14

Rubella

Question 15

Postauricular, posterior cervical, postoccipital lymphadenopathy

Answer 15

Rubella

Question 16

ssRNA Rubivirus

Answer 16

rubella

Question 17

low grade fever, ocular pain, sore throat, myalgias

Answer 17

Rubella

Question 18

associated ssx: polyarthritis in women

Answer 18

Rubella

Question 19

Froschheimer spots

Answer 19

Petechial spots on soft palate before rash appears - Rubella

Question 20

Fever & rash presentation in children should be assumed…

Answer 20

Serious until proven otherwise (we’re worried about meningitis)