Infectious Rashes

Question 1

erythema infectiousum caused by __

Answer 1

parvovirus B19

Question 2

slapped check

Answer 2

erythema infectiosum

Question 3

t/f erythema infectiousum has fever

Answer 3

true

FEVER + rash

Question 4

erythema infectiousum dx

Answer 4

clinical

Question 5

TX erythema infectiousum

Answer 5

supportive

Question 6

erythema infectiousum f/u

Answer 6

if pt has hgb problem (sickle cell etc) can lead to aplastic crisis

also if sick baby around preggo mom can cause hydrops of fetus and fetal death

Question 7

german measles aka

Answer 7

rubella

Question 8

measles caused by

Answer 8

parvomyxovirus

Question 9

measles sx

Answer 9

Prodrome: cough, coryza, conjunctivitis, koplick spots

• fever and rash same time
• rash face spreads down
• clears face down as well

Question 10

treatment measles

Answer 10

supportive

preventative MMRV

Question 11

measles f/u

Answer 11

can lead to subacute sclerosing panencephalitis

- SSPE sxs occur 6-8 years post initial infxn

Question 12

rubella caused by

Answer 12

rubella virus

Question 13

rubella sx

Answer 13

rash face down (like measles)

• fever and rash
• prodrome different:
• generalized, tender lymphadenopathy

Question 14

rubella tx

Answer 14

supportive, dx clinical

ppx mmrv

Question 15

mom infected rubella

Answer 15

torch, congenital defects

Question 16

roseola caused by

Answer 16

HHV 6 virus

Question 17

roseola prodrome

Answer 17

high spike fever
over 104 degrees
rash occurs after fever breaks

Question 18

roseola rash

Answer 18

starts on trunk then spreads outward

Question 19

roseola tx

Answer 19

supportive 
treat fever (caution febrile sz) treat with APAP not ASA!

Question 20

roseola tx

Answer 20

supportive 
treat fever (caution febrile sz) treat with APAP not ASA!

Question 21

varicella zoster caused by

Answer 21

varicella (adult shingles)

kids chicken pox

Question 22

varicella sx

Answer 22

rash NO fever

“diffuse rash, vesicles on erythematous base” different stages

Question 23

varicella tx

Answer 23

supportive

Question 24

varicella dx

Answer 24

clinical for chicken pox

Question 25

why no longer recommend pox parties?

Answer 25

if you get it as a kid it is elss sever than as an adult however have virus and so can get shingles when older and shingles so NOWWWW MMRV* vax

Question 26

shingles sx

Answer 26

burn/ pain predrome prior rash

vesicular rash dermatome rash does not pass midline

Question 27

how get shingles?

Answer 27

immunocompromised

Question 28

shingles tx

Answer 28

acyclovir can decrease duration (will not cure)

Question 29

tx postherpetic neuralgia pain?

Answer 29

• gabapentin
• pregabalin
• TCAs

Question 30

shingles vax for?

Answer 30

adults with h/o chix pox and over 60 yrs

Question 31

mumps caused by:

Answer 31

mumps virus

Question 32

typical pt with mumps

Answer 32

pubertal males with parotiditis and orchitis

Question 33

mumps dx

Answer 33

clinical

Question 34

mumps tx

Answer 34

supportive

Question 35

mumps ppx

Answer 35

MMRV

Question 36

problem with mumps

Answer 36

orchitis can lead to infertility

Question 37

HFMD caused by

Answer 37

coxsackie a virus

Question 38

HFMD sx

Answer 38

looks like pox but only on HFM

Question 39

HFMD dx

Answer 39

clinical

Question 40

HFMD tx

Answer 40

supportive