MUMPS

Question 1

Mode of transmission (MUMPS)

Answer 1

direct contact with articles soiled with secretion from nasopharynx. (DIRECT CONTACT/DROPLET)

Question 2

MUMPS caustaive agent

Answer 2

Paramyxoviridae

Question 3

MUMPS Incubation period

Answer 3

18 days; avg. of 12-26 days

Question 4

MUMPS Period of communicability

Answer 4

before the glands are swollen and lasts as long as swelling remains. (Highly communicable)

Question 5

MUMPS S/sx

Answer 5

PAROTITIS: Painful swelling in front of ear, angle of jaws and down the neck (pathognomonic sign)

F- fever too high
M- malaise
L/A- loss of appetite/anorexia

Question 6

MUMPS Complications

Answer 6

O- orchitis (inflammation of testis that can cause permanent sterility, DOC: cortisone which is anti inflammatory)

E- encephalitis (it could invade the meninges of the brain)

Question 7

MUMPS Management

Answer 7

• Care of contaminated articles (boil first, especially the clothes for 30 mins. Before washing and dispose properly)
• Cleaning and airing of room for 5 to 7 hours (keep a well ventilated room)
• Bed rest (due to malaise)
• TSB or alcohol rub for fever (fever up to 38-40 degree Celsius, to promote heat loss)
• Hot and cold application on swollen jaws
• Frequent antiseptic mouth washes and regular oral hygiene (for comfort and soothe throat)
• Scrotum may be supported with a properly fitted suspensory pillow or a sling between thighs (orchitis)

Question 8

MUMPS Diet

Answer 8

• could not tolerate acidic, sweet, and very hot and cold beverages
• increased protein and vit. C (immune system)

Question 9

MUMPS DOC

Answer 9

Adults: 300 to 400 mg CORTISONE then 100 mg every 6 hours

Question 10

MUMPS IMMUNIZATION/PREVENTION

Answer 10

MMR @ 12-15 mos.

Question 11

MUMPS PATHOGENESIS

Answer 11

1. Virus enters the body thru nasopharynx
2. Virus replicates (make copies of itself) in the
   nasopharynx
3. Virus will multiply
4. Invade regional lymph nodes and tissues
5. Invades blood
   stream
6. Viremia
7. Spreads in the tissues of the testes
8. Virus infiltrates the lymphocytes
9. Could readily cross the blood testes barrier
10. Edema; increased intratesticular pressure; pancreas; meninges; salivary glands
11. Orchitis (inflammation of the testes); parotitis; encephalitis
12. Fever, malaise, loss of appetite, anorexia