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OS 217 Infectious Diseases > Lec 12 Fever with Rash > Flashcards

Lec 12 Fever with Rash Flashcards

1
Q

ID: Small collection of clear fluid measuring

A

vesicle

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2
Q

ID: Papular or macular nonblanching lesions due to extravasation of RBCs.

A

purpura

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3
Q

Other name of German measles.

A. rubella
B. rubeola
C. roseola
D. rosella
E. varicella
A

A. rubella

rubeola = measles
roseola = sixth disease / exanthum subitum
rosella = a genus of parrots
varicella = chickenpox
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4
Q

ID: Viremia in rubella occurs after how many days?

A

5-7 days

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5
Q

Which is/are transmitted via respiratory droplets?

A. rubella
B. rubeola
C. varicella
D. A&B only
E. AOTA
A

E. AOTA

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6
Q

How long is the incubation period of rubella?

A

14 days (12-23 days)

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7
Q

True of the clinical features of rubella EXCEPT

A. low grade fever
B. rash lasts for 5 days
C. older people develop sandy rash
D. lymphadenopathy occurs after the rash

A

A

Rash lasts only for 3 days.

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8
Q

ID: Tiny rose-colored lesions in the oropharynx of rubella patients.

A

Forchheimer spots

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9
Q

The most common complication in adults and adolescents is

A. arthralgia
B. purpura
C. encephalitis
D. orchitis

A

A. arthralgia

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10
Q

Enumerate 3 diagnostic procedures for rubella.

A

viral isolation
rubella IgM
SIGNIFICANT RISE in rubella IgG

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11
Q

True of rubella

A. peaks during summer in the Philippines
B. communicable 7 days before to 7 days after rash disappearance
C. infants with congenital rubella syndrome may be infectious for a year
D. A&B only
E. AOTA

A

AOTA

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12
Q

ID: common and often fatal complication of measles (rubeola)

A

measles pneumonia

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13
Q

Enumerate the 3Cs of measles.

A

cough, coryza, conjunctivitis

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14
Q

T/F: The fever of measles is stepwise and higher than rubella.

A

T

low-grade to high-grade

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15
Q

True of the measles rash EXCEPT

A. maculopapular rash becomes confluent
B. rash persists for 5-6 days
C. rash begins on the chest going to extremeties
D. rash desquamates
E. NOTA
A

C

Rash begins on the FACE

It is the only rash that desquamates.

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16
Q

ID: Prodromic viral enanthem appearing two to three days before the measles rash. Found in the posterior of the third molar.

A

Koplik spots

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17
Q

Are Koplik spots pathognomonic of measles?

A

Yes

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18
Q

ID: Period of communicability of measles.

A

4 days before to 4 days after the rash

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19
Q

Where is the prediliction of the varicella rash in adults?

A

face

children - body / generalized

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20
Q

True of varicella EXCEPT

A. erupt in crops
B. incubation period 14-16 days
C. becomes latent in the sensory ganglia
D. single episode of viremia
E. NOTA
A

D. MULTIPLE episodes of viremia

that’s why it erupts in crops

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21
Q

True of varicella rash

A. more vesicular
B. may be hemorrhagic
C. mild prodrome
D. A&B only
E. AOTA
A

AOTA

22
Q

T/F: Herpes zoster (shingles) is less communicable than varicella (chickenpox).

A

T

23
Q

ID: Most common complication of herpes zoster.

A

post-herpetic neuralgia

24
Q

ID: Results from maternal infection of varicella-zoster virus during the first trimester of pregnancy.

A

congenital varicella syndrome

25
Q

Enumerate features of congenital varicella syndrome.

A

low birth weight
atrophy of extremity
skin scarring
neurological abnormalities

26
Q

Involved in the face and skin above the waist.

A. HSV-1
B. HSV-2

A

A. HSV-1

HSV-2 more on genitals

27
Q

Transmitted mainly through genital secretions.

A. HSV-1
B. HSV-2

A

B. HSV-2

HSV-1 more on kissing.

28
Q

More common HSV in neonates.

A. HSV-1
B. HSV-2

A

B. HSV-2

Acquired during delivery (vaginal secretions).

29
Q

T/F: HSV lesions are painful.

A

F

Zoster lesions are painful, not HSV.

30
Q

Herpes labialis stays latent where?

A. trigeminal ganglion
B. sacral ganglion

A

A. trigeminal ganglion

31
Q

ID: Form of HSV infection associated with high mortality. Often presents with CNS findings and seizures as well as dissemination.

A

neonatal herpes simplex

32
Q

ID: vesicular lesions concentrated in the areas of eczematous involvement.

A

eczema herpeticum

33
Q

ID: Antivirals are usually reserved for what HSV form of infection?

A

neonatal herpes

34
Q

Enumerate antivirals used for HSV.

A

acyclovir
valacyclovir
famciclovir
penciclovir

35
Q

T/F: HSV persists for life.

A

T

36
Q

ID: Etiologic organism of roseola infantum?

A

human herpesvirus sixth = sixth disease / exanthum subitum

37
Q

Features of roseola infantum EXCEPT

A. high-grade fever
B. prolonged maculopapular rash
C. benign disease
D. no desquamation
E. NOTA
A

B.

The rash is TRANSIENT (hours to 2 days only).

38
Q

True of fifth disease EXCEPT

A. caused by parvovirus B19
B. caused by human herpesvirus 5
C. common in dogs
D. called erythema infectiosum
E. NOTA
A

B.

39
Q

ID: distinctive rash of erythema infectiosum / fifth disease.

A

slapped cheek rash with circumoral pallor

parang sinampal sa magkabilang cheeks

40
Q

Which is NOT caused by / related to Epstein-Barr virus.

A. infectious mononucleosis
B. Burkitt lymphoma
C. Hodgkin lymphoma
D. nasopharyngeal carcinoma
E. NOTA
A

E. NOTA

41
Q

Enumerate features of infectious mononucleosis.

A 
exudative pharyngitis
atypical lymphocytosis
lymphadenopathy
fever
HEPATOSPLENOMEGALY
42
Q

Incubation period of infectious mononucleosis.

A

30-50 days (2 months)

43
Q

Most common mode of transmission of EBV.

A

kissing

EBV = kissing virus

44
Q

ID: Occurs after treatment of EBV with a certain class of antibiotic.

A

ampicillin rash

45
Q

Most common DDx of infectious mononucleosis

A

Streptococcus pharyngitis

They mistook it for strep pharyngitis, that’s why they give commonly give penicillins.

46
Q

ID: Most common etiologic agent of hand, foot, and mouth disease.

A

Coxsackie virus A16

47
Q

T/F: HFM disease is highly contagious.

A

T

48
Q

ID: Characteristic skin lesion of hand, foot, and mouth disease.

A

elliptical vesicles with erythematous halo

49
Q

Enumerate 4 fever+rash emergencies.

A

staph scalded skin syndrome
kawasaki disease
meningococcemia
toxic epidermal necrolysis

50
Q

(+) strawberry tongue and bilateral dry conjunctivitis

A. staph scalded skin syndrome
B. kawasaki disease
C. meningococcemia
D. toxic epidermal necrolysis

A

B. kawasaki disease

OS 217 Infectious Diseases (22 decks)

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