Infectious Dz

Question 1

measles (rubeola)

• DOA?
• exanthem p/w?
• criteria?
• if exposed?

Answer 1

• 9-11d
• starts at neck and hairline behind ears & travels down
• labs OR temp>101/3C’s/sickcontact
• Ig w/in 6 days

Question 2

mumps

• DOA?
• complications?

Answer 2

• 3-10d

- encephalitis-normal neuro, (M+R too), infertility, pancreatitis

Question 3

German measles (Rubella)

• DOA?
• enanthem?
• best to Dx?
• female complications?
• Dx? also for Rubeola

Answer 3

• 3-6d
• Forschheimer sign
• post occipital and post auricular lymph
• arthalgia, arthritis
• IgM & IgG

Question 4

VZV

• 25% of congenital during? features?
• MC during ?
• contagious?

Answer 4

8-20 weeks; MR, shortened limbs, cataracts, seizure d/o, zigzag scar
winter, spring
24-48 hrs before rash & until last vesicle falls off

Question 5

poliomyelitis

• transmission?
• worst subtype/type combo?

Answer 5

fecal-oral

bulbospinal paralytic

Question 6

clinical Dx of pharyngoconj (adenovirus)?

Answer 6

high fever, lymphaden.

Question 7

RSV

• peaks?
• virus sheds up to?
• CXR?
• severe will have?

Answer 7

jan/feb/march
3 weeks
hyperexpansion
peribronchial thickening
hyperexpansion/resp distress/air hunger

Question 8

erythema infectious (5th Dz)

• DOA?
• prodrome? (1-4d)
• stages?
• comes and goes for?
• complication?
• contagious?

Answer 8

• 1-2 weeks
• mild URI & fever
• 1-slapped cheek/2-erythmacular rash on extensors/3- lacy
• 3 weeks
• arthritis
• ONLY before rash appears!

Question 9

scarlet fever

• lesions w/ ? texture
• punctate exanthem ? after Sx
• ? pallor
• rash spares ?
• ? lines
• cervical lymph lasts?
• tx?

Answer 9

• sandpaper
• 12-48h
• circumoral
• face
• pastia’s
• up to 6w
• amox, macrolide if pcn allergy