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