Infectious Disease

Question 1

Treatment pinworms

Answer 1

Albendazole 400mg once, repeat in 2 wks

OTC option: Pyrantel pamoate

Question 2

Diagnosis of Mono

Answer 2

Clinical dx (posterior LAD, fever, pharyngitis, erythema, exudates, petechiae, splenomegaly)

Or Heterophile Ab monospot that uses horse RBC agglutination (high false negative rate…)

CBC: Atypical lymphs > 10%

Question 3

Erythema Infectiosum AKA ___

Etiology

Answer 3

Fifth’s disease

Parvovirus B19

Question 4

CP Erythema Infectiosum

Answer 4

Day 1-2: Fever, HA, N/D
Day 2-5: Slapped cheeks, reticular lacey rash on trunk & extremities - worse w/ sunlight & heat

Dx: Clinical
Tx: Supportive

Note: KEEP PREGGERS AWAY FROM FIFTH’S DISEASE PARVOVIRUS B19

Question 5

How is HFM dz spread?

Answer 5

Fecal-oral and oral-oral

Question 6

Etiology Mumps

Answer 6

ParaMyxovirus

Question 7

CP Mumps

Answer 7

Low fever, myalgias, headache

PAROTID GLAND PAIN & SWELLING

Question 8

Complications of mumps in kids

Answer 8

Mumps = MCC acute pancreatitis in children

Question 9

Rubeola CP

Answer 9

3 C’s: Cough, coryza, conjunctivitis & koplick spots = 4 things, rubeola = 4 syllables

Tx: Supportive & Vitamin A reduces mortality

Question 10

Etiology Rubeola (measles)

Answer 10

Paramyxovirus (same as mumps)

Question 11

Etiology rubella (german measles)

Answer 11

Rubella virus (togavirus family)

Question 12

CP Rubella (german measles)

Answer 12

Rubella = 3 sylb = “3 day rash)

Posterior/post-auricular LAD
Rash: Pink, light-red spotted maculopapular rash on face –> Extremities

+/- transient photosensitivity & joint pain

Question 13

Viruses that normally have benign course but deadly to fetus if mother catches during pregnancy

Answer 13

Parvovirus B19 (Fifth’s Disease) - fetal hydrops/loss

Rubella (“3 day measles”) - teratogenic in first trimester