Minor Illness

Question 1

chicken pox pathogen

Answer 1

varicella zoster virus

Question 2

chicken pox incubation period

Answer 2

14 days

Question 3

chicken pox exposure

Answer 3

direct contact

respiratory droplets

Question 4

chicken pox management

Answer 4

self limiting
symptomatic treatment: paracetamol, emollients, antihistamines = chlorphenamine
antiviral treatment (mod/sev) = aciclovir

Question 5

chicken pox complications

Answer 5

immunocompromised individuals
- pneumonia, neuro sepsis, hepatitis, secondary bac infection
shingles

Question 6

fifth disease alternate names

Answer 6

slapped cheek disease

erythema infectiosum

Question 7

fifth disease pathogen

Answer 7

parvovirus B19

Question 8

fifth disease presentation

Answer 8

reticular 
erythematous 
eruption
starts on face (+/- extremities)
(Adults - arthritis / arthralgia)

Question 9

fifth disease management

Answer 9

symptomatic treatment

Question 10

conjunctivitis management

Answer 10

allergic: topical mast cell stabilisers + antihistamine = topical emedastine
bacterial: topical Abs = chloramphenicol
viral: symptomatic tx

Question 11

conjunctivitis complications

Answer 11

corneal abrasion

Question 12

stye pathophysiology

Answer 12

acute inflammation of oil glands of upper / lower lids

Question 13

stye management

Answer 13

self limiting
- warm compress
- massage
(topical Abx)

Question 14

orbital cellulitis pathophysiology

Answer 14

infection of musculature / fat orbit

URTI complications eg bacterial rhinosinusitis

Question 15

orbital cellulitis presentation

Answer 15

proptosis
ophthalmoplegia
fever / malaise
visual disturbances

Question 16

orbital cellulitis management

Answer 16

urgent emperical Abx

Question 17

orbital cellulitis complications

Answer 17

short route from orbit to meninges / brain > meningitis / encephalitis

Question 18

otitis externa management

Answer 18

topical Abx + anti-viral + steroid

= neomycin / clioquinol

Question 19

otitis media management

Answer 19

nasal decongestants

Question 20

otitis media + perf management

Answer 20

topical Abx + anti-viral + steroid

Question 21

aphthous ulcer treatment

Answer 21

self limiting 
- corticosteroids 
- anaesthesia
- chlorohexadine mouthwash 
Nb. blood testing: B12 / folate, Gluten Abs, faecal calprotein

Question 22

scabies pathophysiology and presentation

Answer 22

burrowing mites in clothing / bedding (! history)
common in finger webbing
> itchy rash

Question 23

scabies management

Answer 23

hygiene and disinfection

permethrin cream

Question 24

nappy rash management

Answer 24

prevent ‘wetness’
fragrance-free washing
daily bathing
sudocrem / bepanthen

Question 25

plantar fasciitis pathophysiology

Answer 25

repetitive stress / ^ weight bearing > ligament inflammation RF = obesity, poor footwear, stretching, occupational cause

Question 26

plantar fasciitis management

Answer 26

corticosteroid injection PT lifestyle mod

Question 27

impetigo presentation

Answer 27

honey 'cornflake' like crusts | nb. larger on trunk

Question 28

impetigo pathogen

Answer 28

staph a / group a strep

Question 29

impetigo management

Answer 29

``` antibacterial ointment (not Abx) = ie. hydrogen peroxide Abx PO if multiple sores = flucloxacillin / clarithromycin adv: keep child at home + hygiene adv + bandage sores ```