Measles, mumps, rubella

Question 1

Measles symptoms

Answer 1

MEASLES
- Red and sore eyes
- Fever
- Blotchy red-brown rash that starts behind the ears and spreads to the face, trunk and limbs
- greywish-white spots in the child’s mouth

Question 2

Mump symptoms

Answer 2

Fever
Headache
Malaise
Swelling on both sides of the face

Question 3

Rubella

Answer 3

Rash that starts on the face and spreads to trucks and limbs

Pink-red rash

Question 4

Management of MMR

Answer 4

All caps of measles, mumps and rubella must be referred

Also notifiable diseases

Question 5

MMR vaccine

Answer 5

First dose:
When the child is 1 year

Second dose:
When the child is 3 years and 4 months

Question 6

MMR symptomatic relief

Answer 6

After seeing the doctor, patient can be offered paracetamol or ibuprofen

Question 7

Advice

Answer 7

Children with rubella should be kept away from pregnant women

Avoid acidic drinks in mumps - irritates already swollen parotid glands

Keep hydrated

Question 8

MMR and school off days

Answer 8

Measles (most dangerous)
Contagious for 4 days after rash appears

Mumps
contagious 5 days after swelling appears

Rubella
contagious 6 days after rash appears