Infections Flashcards

1
Q

WHAT IS KAWASAKI

A

A SYSTEMIC VASCULITIS

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2
Q

WHO IS COMMONLY AFFECTED BY KAWASAKI

A

CHILDREN AGED 4M-6Y

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3
Q

WHAT IS THE PRESENTATION OF KAWASAKI

A

WEEK ONE

  • FEVER LASTING 5 DAYS
  • CONJUNCTIVITIS
  • STRAWBERRY TONGUE AND CRACKED LIPS
  • CERVIACLE LYMPHADENOPATHY
  • POLYMORPHUS RASH

WEEK 2-4

  • RED OEDEMATUS PALMS AND SOLES THAN THEN CAUSES PEELING OF SKIN ON DIGITS

WEEK 3-8

  • CARDIOVASULAR SIGNS
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4
Q

HOW DO YOU DIAGNOSE KAWASAKI

A

FEVER LASTING 5 DAYS PLUS 4 OTHER SYMPTOMS

BLOODS:

RAISED ESR, CRP, PLATELETS

ECHO AT WEEKS 6+8 TO ASSESS CARDIAC INVOLVEMENT

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5
Q

WHAT IS THE CARDIOVASCULAR RISK ASSOCIATED WITH KAWASAKI

A

CORONARY ANEURISM

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6
Q

HOW DO YOU TREAT KAWASAKI

A

IvIg x10D

ASPRIN

CLOPIDROGEL (ANTIPLATELET)

INFLIXIMAB IF THERES PERSISTENT FEVER

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7
Q

WHAT WOULD THE CARDIAC SIGNS OF KAWASAKI BE

A

GALLOP RYTHUMN

MYOCARDITIS

PERICARDITIS

CORONARY AND PERIFERAL ANEURISMS

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8
Q

HOW DO YOU MANAGE A GIANT CELL ANURISM

A

WARFRIN AND FOLLOW UP

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9
Q

WHAT CELLS DOES HIV AFFECT

A

MACROPHAGES

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10
Q

DESRIBE HOW MOTHER CHILD HIV TRANSMISSION OCCURS

A

AT BIRTH

BREAST FEEDING

EN UTERO

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11
Q

HOW DO YOU DIAGNOSE HIV IN A CHILD

A

DNA PCR IN A CHILD OVER 18M

BEFORE 18 MONTHS THEN YOU CAN ONLY ASSESS FOR NEGATIVE DIAGNOSIS

  • COMPLETION OF ANTENATAL ANTIVIRALS
  • X2 NEGATIVE PCR
  • X1 PCR AFTER 18 MONTHS
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12
Q

WHY CANT YOU REALLY DIAGNOSE A CHILD WITH HIV BEFORE 18M

A

MATERNAL ANTIBODIES STILL ARE PRESENT

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13
Q

IF UNTREATED WHEN DOES CHILD HIV TURN TO AIDS

A

VARYING FROM 1Y +

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14
Q

WHAT ARE MILD PRESENTATIONS OF HIV

A

LYMPHADENOPATHY

PAROTITIS

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15
Q

WHAT ARE MODERATE PRESENTATIONS OF HIV

A

RECURRENT BACTERIAL INFECTIONS

CANDIDIASIS

CHRONIC DIARRHOEA

LYMPHOCYTIC INTERSTITIAL PNEUMONITIS

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16
Q

WHAT ARE SEVERE PRESENTATIONS OF HIV

A

OPPORTUNISTIC INFECTIONS

SEVERE FAILURE TO THRIVE

ENCEPHALOPATHY

MALIGNANY

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17
Q

WHAT IS THE TREATEMENT FOR HIV AIDS IF CD4 IS 200-350

A

2 NEUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITORS

1 NON NEUCLOSIDE REVERSE TRANSCRIPTASE INHIBITORS

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18
Q

WHAT IS THE TREAMENT FOR HIV AIDS OF CD4 >350

A

2 NEUCLOSIDE REVERSE TRANSCRIPTASE INHIBITORS

1 PROTEASE INHIBITORS

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19
Q

WHAT IS ALWAYS GIVEN TO HIV PATIENTS

A

PCP (CO-TRIMOXAZOLE) IF OVER AGE OF 4

ALL VACCIENES BUT NOT BCG

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20
Q

WHAT ARE GENERAL SIGNS OF A HIV CHILD ON PRESENTATION

A

PERSISTENT LYMPHADENOPATHY

HEPATOSPLENOMEGALY

RECURRANT FEVER

THROMBOCYTOPENIA

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21
Q

HOW DO YOU REDUCE THE RISK OF VERTICAL TRANSMISSION IN HIV

A

ANTIRETROVIRAL DRUGS IN PREGNANCY // BEFORE

NOT BREAST FEEDING

AVOIDING PROLONGED ROM

NO INSTRUMENTAL DELIVARIES

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22
Q

WHAT IS ENCEPHALITIS

A

INFLAMMATION OF THE BRAIN

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23
Q

WHAT ARE CAUSES OF ENCEPHALITIS

A

MAINLY VIRAL

  • HSV
  • ENTEROVIRUS (MOST COMMON)
  • POST INFECTIOS TO CHICKEN POX AND MEASLES
  • HIV
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24
Q

WHAT IS THE PRESENTATION OF ENCEPHALITIS

A

FEAVER

HEADACHE

DECREASED CONCIOUSNESS

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25
Q

HOW DO YOU DIAGNOSE ENCEPHALITIS

A

BLOOD CULTURES

SWABS (SKIN AND THROAT)

LP

IMAGING

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26
Q

WHAT IS THE COMMON ISSUE FACED WHEN DIAGNOSING ENCEPHALITIS

A

ORGANSIM CAN ONLY BE FOUND IN 50% OF CASES

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27
Q

WHAT IS THE MANAGEMENT OF ENCEPHALITIS

A

TREAT AS MENINGITIS/HSV ENCEPHALITIS UNTIL PROVEN OTHERWISE THEN

SUPPORTIVE UNLESS HSV ENCEPHALITIS

THEN USE ACYCLOVIR

+- PHENYTOIN (ANTICONVUSLANT)

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28
Q

WHAT IS MENINGITIS

A

INFLAMMATION OF THE MENINGES

USUALLY DUE TO BACTERIA:

PRECEEDED BY BACTEREMIA CAUSING A SEVERE IMMUNE RESPONSE

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29
Q

WHAT PATHOGENS USUALLY CAUSE MENINGITIS AT 0-3M

A

GBS

E COLI

LISTERIA

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30
Q

WHAT PATHOGENS USUALLY CAUSE MENINGITIS AFETR 3M

A

NISSERIA MENINGITIDES

STREP. PNEUMONIA

H. INFUENZA

MININGOCOCCUS (V BAD)

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31
Q

WHAT IS THE PRESENTATION OF MENINGITIS IN AN ONLDER CHILD

A

FEVER

PHOTOPHOBIA

HYPOTONIA

DROWSINESS

NECK STIFFNESS

SHOCK

SEIZURES

PURPURIC NON BLANCHING RASH

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32
Q

HOW DO YOU INVESTIGATE MENINGITIS

A

BLOOD CULTURES

BLOOD GLUCOSE

GASSES

COAG SCREEN + LACTATE

MSU

THROAT SWAB

LP

PCR

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33
Q

YOU DO AN LP IN A ?MENINGITIS CHILD THE CSF IS:

  • TURBID
  • POLYMORPHS
  • HIGH PROTEIN
  • V. LOW GLUCOSE

WHAT IS THE PATHOGEN TYPE

A

BACTERIAL

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34
Q

YOU DO AN LP IN A ?MENINGITIS CHILD THE CSF IS:

  • CLEAR
  • LYMPHOCTURES
  • NORMAL PROTEIN
  • LOW GLUCOSE

WHAT IS THE PATHOGEN TYPE

A

VIRAL

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35
Q

YOU DO AN LP IN A ?MENINGITIS CHILD THE CSF IS:

NORMAL (BUT CAN BE TURBID)

  • LYMPHOCYTES
  • VERY HIGH PROTEIN
  • VERY LOW GLUCOSE

WHAT IS THE PATHOGEN TYPE

A

TB

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36
Q

WHAT IS THE MANAGEMENT OF MENINGITIS

A

SUPPORTIVE

ABX

DEXAMETHOSONE BUT NOT IN INFANTS

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37
Q

WHAT ARE THE ABX TO TREAT MENINGITIS

A

CEFPTAXIME FOR 21DAYS

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38
Q

WHAT IS THE TREATEMENT FOR CHILDREN UNDER 3M WITH MENINGITIS

A

CEFOTAMINE + AMOXICILLIN FOR 14D

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39
Q

WHEN IS PROFYLAXIS GIVEN TO CLOSE CONTACTS AND WHAT IS THE ABX USED

A

WHEN THE MENINGITIS IS CAUSED BY NISSERIA MENINGITIDIS OR H INFLUENA

RIFAMPACIN

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40
Q

WHAT ARE THE COMPLICATIONS OF MENINGITIS

A

DEATH

CEREBRAL INFARCTION

SUBDURAL EFFUSION - H INFLUENZA

HYDROCEPHALUS

CEREBRAL ABCESS

LOCAL VASCULITIS

HEARNING LOSS

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41
Q

WHAT ARE VIRAL CAUSESOF MENINGITIS

A

ENTEROVIRUS

EBV

ADENOVIRUS

MUMPS

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42
Q

WHAT IS HSV

A

A COMMON VIRAL INFECTION THAT GOES THROUGH PERIODS OF LATENCY AND LONG TERM PERSISTANCE

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43
Q

WHAT ARE THE TYPES OF HSV

A

HSV 1 - LIP AND SKIN LESIONS

HSV 2 - GENITAL LESIONS

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44
Q

WHAT IS THE PRESENTATION OF HSV

A

PAINFUL VISICULAR LESIONS ON GUMS AND LIPS

  • GINGIVOSTOMATITIS AT MUCOCUTANEOUS JUNCTIONS

HIGH FEVER AND IRRITABLE CHILD

BLEPHERITIS AND CONJUNCTIVITIS

ENCEPHALITIS/ESEPTIC MENINGITIS

ECZEMA HERPETICUM

HERPETIC WHITLOWS

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45
Q

WHAT COMPLICATIONS OF HSV THAT CAN MANIFEST DURING A PRIMARY/ACUTE ATTACK

A

ECZEMA HERPATICUM LEADING TO SERIOUS SECONDARY INFECTIONS

CONREAL SCARRING FROM BLEPHERITIS AND CONJUNCTIVITIS

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46
Q

WHAT IS THE TREATEMENT FOR HSV

A

TOPICAL ACYCLOVIS

IV ACYCLOVIR IN ENCEPHALIIS OR IN IMMUNOCOMPRIMESED

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47
Q

WHAT IS SCOLDED SKIN SYNDROME

A

A SKIN INFECTION BY STAPHYLOCOCCUS OR GROUP A STREP

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48
Q

WHAT IS THE PATHOPHYSIOLOGY OF SCALDED SKIN SYNDROME

A

BACTERIA RELEASESUPERTOXINS WHICH CAUSE THE SEPARATION OF EPITHELIAL SKIN THROUGH TO THE GRANSULAR LAYER

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49
Q

WHAT IS THE PRESENTATION OF SCALDED SKIN SYNDROME

A

FEVER

REDNESS

PEELING SKIN

LESIONS

RAW SKIN

50
Q

WHAT IS THE TREATEMENT OF SCALDED SKIN SYNDROME

A

IV ABX

ANALGESIA

FLUID BALANCE

51
Q

WHAT ABX WOULD YOU USE FOR SCALDED SKIN SYNDROME

A

FLUCLOXACILLLIN

CEFALEXIN

CLINAMYCIN

52
Q

WHAT IS THE PRESENTATION OF PRIMARY TB

A

90% ASYMPTOMATIC

IF HOST CANNOT CONTAIN THE TB

  • FEVER
  • ANOREXIA
  • WEIGHT LOSS
  • COUGH
  • CHEST X RAY
  • LYMPHADENOPATHY
  • SOB
  • GHON PRIMARY COMPLEX
53
Q

WHAT IS THE PRESENTATION OF POST PRIMRY TB

A

COUGH

FEVER

NIGHT SWEATS

WEIGHT LOSS

CHEST PAIN

MENINGITIS Sx

BONE AND JOINT PAIN

POTTS DISEASE

54
Q

WHAT WOULD TUBERCULUS PLEURITIS CAUSE AS A CARDINAL Sx

A

CHEST PAIN

55
Q

WHAT WOULD TUBERCULUS CNS INVOLVEMENT CAUSE AS A CARDINAL Sx

A

MENINGITIS Sx

56
Q

WHAT WOULD MILLARY TUBERCULUS CAUSE AS A CARDINAL Sx

A

BONE AND JOINT PAIN

57
Q

HOW WOULD YOU DIAGNOSE ACTIVE TB

A

SPUTUM SAMPLE

GASTRIC WASHING W THREE DAYS NG TUBE

URINALYSIS

IF SUGGESTIVE:

LYMPH NODE EXTUSION

CSF

C XRAY

58
Q

HOW WOULD YOU DIAGNOSE EXPOSURE TO TB

A

MANTOUX TEST

IGRA

59
Q

WHAT IS THE MANTOUX TEST

A

A PUREFIED PROTEIN DERIVATIVE TEST TO CHECK SENSITIVITY OF THE IMMUNE SYSTEM TO TB

60
Q

A CHILD HAS HAD THEIR BCG VACCIENE AND THEIR MANTOUX COMES BACK WITH A SWELL OF >15MM

IS THIS RESULT POSITIVE OR NEGATIVE FOR TB

A

POSITIVE

61
Q

A CHILD HASNT HAD THEIR BCG VACCIENE AND THEIR MANTOUX COMES BACK WITH A SWELL OF >10MM

IS THIS RESULT POSITIVE OR NEGATIVE FOR TB

A

POSITIVE

62
Q

WHAT IS IGRA

A

INTERFERON GAMMA RELEASE ASSEYIS A BLOOD TEST ASSESSING T CELL STIMULATION TO ANTIGENS

63
Q

WHAT HAPPENS TO MANTOUX AND IGRA IF PATIENT IS HIV POSITIVE AND HAS HAD TB

A

BOTH ARE NEGATIVE

64
Q

HOW DO YOU TREAT TB

A

RIFAMPACIN - 6M

ISONIAZID-6M

PYRAZINAMIDE-2M

ETHAMBUTOL - 2M

65
Q

WHAT ARE THE SIDE EFFECTS OF THE TB DRUGS

A

RIFAMPACIN - RED/ORANGE URINE

ISONIAZID-PERIFERAL NEURITIS

PYRAZINAMIDE-DECREASED VISUAL ACUITY

ETHAMBUTOL - INCREASED URIC ACID CAUSING GOUT

66
Q

WHEN WOULD YOU GIVE PYRIDOXINE WITH ISONIAZID

A

POST PUBERTY TO DECREASE CHANCES OF PERIFERAL NEURITIS

67
Q

WHAT IS POLIO

A

A SERIOUS VIRAL INFECTION

68
Q

WHAT IS THE PRESENTATION OF POLIO

A

ASYMTOMATIC MAINLY

CAN HAVE

  • HIGH FEVER
  • SORE THROAT
  • HEADACHE
  • ABDO PAIN
  • N+V
  • PARALYSIS- CAN BE TEMOPRARY OR PERMANENT BUT CAN ALSO BE LIFE THREATNING
69
Q

WHAT IS THE MANAGEMENT FOR POLIO

A

SUPPORTIVE CARE =/- VENTILATION

PHYSIO IF AFFECTED BY PARALYSIS

70
Q

WHAT CAN BE LONG TERM PROBLEMS OF POLIO

A

DEGREES OF PARALYSIS

MUSCLE WEAKNESS

MUSCLE ATROPHY

TIGHT JOINTS

DEFORMITIED IE TWISTED FEET

POST POLIO SYNDROME

71
Q

WHAT IS POST POLIO SYNDROME

A

LATE ONSET (15+YRS AFTER POLIO)

CNS SYMPTOMS

  • DECREASED MUSCULAR FUNCTION
  • ACUTE WEAKNESS
  • PAIN
  • FATIGUE
72
Q

WHAT IS THE VACCIENE SCHEDULE FOR POLIO

A

THE 6-IN-1 AT:

  • 8W
  • 12W
  • 16W

THE 4-IN-1 AT

  • 3 1/2 Y

TEENAGE BOOSTER

  • AT 14Y
73
Q

WHAT PATHOGEN CAUSES WHOOPING COUGH

A

BORDATELLA PERTUSIS

74
Q

HOW DOES WHOOPING COUGH PRESENT IN OLDER CHILDREN

A

WEEK 1

  • CORYZAL SYMPTOMS
  • PROXYMAL SPASMODIC COUGH
  • VOMITING
  • TURNING BLUE DURING COUGH
  • COUGH WORSE AT NIGHT

WEEK 7 - END OF COUGH

75
Q

WHAT IS THE PRESENTATION OF WHOOPING COUGH IN INFANTS

A

APNAOE

WHOOP IN COUGH

SUNJUNCTIVAL HAEMORROIDS

76
Q

WHAT ARE COMPLICATIONS OF WHOOPING COUGH

A

PNEUMONIA

CONVULSIONS

BRONCHIECTASIS

77
Q

WHAT INVESTIGATIONS ARE REQUIRED FOR WHOOPING COUGH

A

PERI NASAL SWABS AND CULTURES

BLOODS: V RAISED LYMPHOCYTES

78
Q

WHAT IS THE MANAGEMENT OF WHOOPING COUGH

A

INFANTS AND YOUNG CHILDREN ISOLATED

ERYTHOMYCIN (ONLY WITHIN THE FIRST THREE WEEKS)

GIVE ERYTHROMYCIN PROFYLAXIS TO CLOSE CONTACTS

79
Q

DESCRIBE THE VACCIENE SCHEDULE FOR WHOOPING COUGH

A

PREGNANCY

VACCIENE AT 2, 3, 4 MONTHS

AND AGAIN AT 3.5Y AS THE 4-IN-1

80
Q

WHAT IS THE PATHOGEN THAT CAUSES DIPTHERIA

A

CORYNEA-BACTERIUM DIPTHERIAE

81
Q

WHAT IS THE PRESENTATION OF DIPTHERIA

A

HIGH FEVER

CYANOSIS

BRASSY BARKING COUGH (DIPTHERIC CROUP)

BULL NECK LYMPHADENOPATHY

GREY PSEUDOMEMBRANES

FOUL SMELLING BLOODY NASAL DISCHARGE

82
Q

WHAT COMPLICATIONS CAN ARISE DUE TO DIPTHERIA

A

ARRYTHMIAS

SKIN LESIONS\MOCARDITIS

NERVE PALSEYS

83
Q

WHAT ARE THE INVESTIGATIONS FOR DIPTHERIA

A

THROAT SWAB + CULTURES

OR CLINICALLY:

URTI + GREY PSUDOMEMBRANES

84
Q

HOW WOULD YOU TREAT DIPTHERIA

A

METRONIDAZOLE

ERYTHROMYCIN

FOR 14 DAYS

DIPTHERIA ANTITOXIN

85
Q

WHAT IS QUINAVAXEM

A

THE VACCIENE FOR DIPTHERIA

86
Q

WHAT IS THE VACCIENE SCHEDULE FOR DIPTHERIA

A

6

10

14 WEEKS

87
Q

WHAT IS RUBELLA

A

A RARE VIRAL DISEASE WHICH IS ACQUIRED CONGENITALLY CAN HAVE VERY SERIOUS COMPLICATIONS

88
Q

WHAT IS THE PRESENTATION OF RUBELLAIF ACQUIRED IN CHILDHOOD

A

MILD FEVER

MACHULOPAPULAR RASH - NON ITCHY

LYMPHADENOPATHY - SUBOCCIPITAL AND POST AURICULAR

89
Q

WHAT ARE THE CHARACTERISTIC FEATURES OF A RUBELLA RASH

A

STARTED AT FACE/BEHIND EARS

SPREADS CENTRIFUGALLY AROUND THE BODY

FADES AFTER 3-5 DAYS

90
Q

WHEN ARE COMPLICATIONS MORE LIKELY TO HAPPEN WITH RUBELLA

A

IF ACQUIRED BY ADULT

OR

EN UTERO

91
Q

WHAT ARE COMPLICATIONS (NOT EN UTERO) OF RUBELLA

A

ARTHERITIS

ENCEPHALITIS

THROMBOCYTOPENIA

MYOCARDITIS

92
Q

WHEN IS IT NECESSARY TO TEST SERIGICALLY FOR RUBELLA

A

IN PREGNANCY

93
Q

WHAT ARE COMMON COMPLICATIONS OF CONGENITALLY ACQUIRED RUBLELLA

A

ACQUIRED UNDER 8W

DEAFNESS

CHD

CATARACTS

ACQUIRED AT 13-16W

IMPAIED HEARING

AFTTER 18 W MINIMAL DAMAGE

94
Q

WHAT ARE LESS COMMON COMPLICATIONS OF CONGENITAL RUBELLA

A

PDA

RETINOPATHY

INTREACEREBRAL CALCIFICATION

IUGR

NEUROLOGICAL DISABILITY

95
Q

WHAT IS CHORIORETINITIS

A

A COMPLICATION OF CONGENITALLY ACQUIRED RUBELLA WHICH DEVELOPS IN ADULHOOD

96
Q

WHAT IS THE MANAGEMENT OF CONGENITALLY ACQUIRED RUBELLA

A

PYRIMETHAMINE

SULFADIAZINE

FOR 1 YEAR

97
Q
A
98
Q

WHAT IS THE PATHOGEN THAT CAUSES CHICKEN POX

A

VARICELLA ZOSTER

99
Q

DESCRIBE THE PRESENTATION OF VARICELLA ZOSTER

A

FEVER - 4 D

RASH

FROM A FEW - 500 LESIONS STARTING AT THE TRUNK AND MOVING TO THE PERIFERIES

100
Q

DESCRIBE THE COURSE OF THE VARICELLA ZOSTER RASH

A

PAPULES

PAPULES + VESICLES

VESICLES + PUSTULES

CRUSTS

101
Q

IF THE LESIONS OF VARICELLA ZOSTER ARE LASTING MORE THAN 10 D WHAT CAN THIS MEAN

A

DEFECTIVE CELLULAR IMMUNITY

102
Q

WHAT COMPLICATIONS CAN OCCUR WITH VARICELLA ZOSTER

A

SECONDARY BACTERIAL INFECTIONS

ENCEPHALITIS

PURPURA FULMINANS

103
Q

AN IMMUNOCOMPRIMISED PATIENT WITH CHICKEN POX (VZ) HASNT BEEN TREATED, WHAT ARE THEY AT RISK OF

A

VESICLE RUPTURE CAUSING HAEMORRAGE AND DEATH

104
Q

WHAT ARE THE SIGNS OF ENCEPHALITIS

A

ATAXIA

OTHER CEREBELLAR SIGNS

105
Q

IN VARICELLA OSTER ENCEPHALITIS WHAT IS THE RECOVERY PERIOD

A

SOLF RESOLVES WITHIN 1 MONTH

106
Q

WHAT IS PURPURA FULMINANS

A

A RARE COMPLICATION OF CHICKEN POX CAUSING VASCULITIS IN SKIN AND SUB CUTANEOUS TISSUE LEADING TO NECROSIS

107
Q

HOW DO YOU TREAT VARICELLA ZOSTER

A

SUPPORTIVE UNLESS:

IMMUOCOMPRISED (IV ACYCLOVIR OR IvIg in t cell immunity- HIV)

TEENAGERS+ADULTS (PO ACYCLOVIR)

108
Q

WHAT IS SHINGLES

A

LATENT VARICELLA ZOSTER

109
Q

WHAT IS THE PRESENTATION OF SHINGLES

A

VESICULAR ERUPTION IN DEROTOMAL DISTRIBUTION

NEUROPATHIC PAIN

110
Q

WHAT IS MEASLES

A

AN UNCOMMON VIRAL DISEASE, LESS SEVERE IN YOUNG AGE

111
Q

A CHILD PRESENTS WITH A HISTORY OF

  • HUGH FEVER PEAKING AT DAY 5
  • DISCRETE MACULOPAPULAR RASH STARTING BEHIND EARS AND MOING DOWN THE BODY
  • WHICH BEGAN DESQUAMATING AT THE SECOND WEEK
  • COUGH, CORYZA, CONJUNCTIVITIS
  • KOPLIK SPOTS

WHAT IS THE DIAGNOSIS

A

MEASLES

112
Q

WHAT ARE KOPLICK SPORTS

A

WHITE SPOTS ON BUCCAL MUCOSA AGAINST A BRIGHT RED BACKGROUND

113
Q

WHAT ARE COMPLICATIONS OF MEASLES

A

ENCEPHALITIS

SUBACUTE SCLEROSING PANCEPHALITIS

114
Q

WHAT IS THE PRESENTATION OF MEASLES ENCEPHALITIS AND POSSIBLE COMPLICATIONS

A

LETHARGY

HEADACHES

IRRITABILITY

SEIZURES

COMA

CAN LEAD TO LEARNING DISABILITIES AND DEAFNESS

115
Q

WHAT IS SUBACUTE SCLEROSING PANCEPHALITIS

A

MANIFESTS 7Y AFTER INFECTION

COMMIN IN THOSE WHO GOT MEASLES BEFORE AGEOF 2

CAUSED BY VIRUS VARIENT REMAINING IN CNS

DEMENTIA LEADING TO DEATH

116
Q

WHAT ARE TREATEMENTS FOR MEASLES

A

ISOLATION

SUPPORTIVE SYMPTOMATIC Tx

IN IMMUNOCOMPRIMISED: VIRAL ANTIBODIES AND ANTIVIRAL RIBARININ

117
Q

WHAT IS IMPETIGO

A

LOCALISED AND HIGHLY INFECTION SKIN INFECTION CAUSED BY STAPHYLOCOCCUS

118
Q

WHAT IS THE PRESENTATION OF IMPETIGO

A

ERYTHEMATOUS MACULES TURNING TO VESICLES AND POSTULES

THESE RUPTURE TURNING INTO HONEY COLOURED CRUSTED LESIONS

119
Q

WHAT ARE TREATEMENTS FOR IMPETIGO

A

TOPICAL MUPIROCIN

PO FLUCLOXACILLIN/CO-AMOXICLAV

KEEP OUT OF SCHOOL UNTILLESIONS DRY

120
Q

WHAT ARE BOILS

A

INFECTIONS OF HAIR FOLLICLES / SWEAT GLANDS

DUE TO STAPH. A

121
Q

WHAT IS THE TREATEMENT FOR BOILS

A

FLUCLOXACILLIN

122
Q

WHAT DO PERSISTENT BOILS SUGGEST

A

PATIENT OR CLOSE CONTACTS ARE NASAL CARRIERS