non-derm infections

Question 1

features congenital rubella

Answer 1

deaf, catarcats, heart disease, low BW, petechial rash, microcephaly, seizures

Question 2

features congenital toxoplasmosis

Answer 2

cerebral calcification, chorioretinitis, hydrocephalus // anaemia, cerebral palsy, hepatosplenomegaly

Question 3

features congenital CMV

Answer 3

low BW, itchy skin, deaf, microcephaly, seizure, petechial rash

Question 4

what causes mupms

Answer 4

RNA paramyxovirus

Question 5

infectivity mumps

Answer 5

resp droplets // infective 7 days before and 9 days after parotid swelling

Question 6

features mumps

Answer 6

fever, malaise, parotits (earache, pain, unilat –> bilateral)

Question 7

mx mumps

Answer 7

NOTIFY // paracetamol, rest

Question 8

complications mumps

Answer 8

orchitis, hearling loss, meningitis, pancreatitis

Question 9

what is Roseola infantum

Answer 9

infection by HHV6

Question 10

presentaiton Roseola infantum

Answer 10

age 6mnths - 2 years // high fever first // maculopapular rash // spots on uvula + soft palate // febrile convulsions // diarrhoea

Question 11

complications Roseola infantum

Answer 11

meningitis, hepatitis

Question 12

what causes threadworm

Answer 12

Enterobius vermicularis

Question 13

symptoms threadworm

Answer 13

peianal itching, vulval symptoms

Question 14

invx threadworm

Answer 14

apply sellotape –> send for microscopy for eggs

Question 15

mx threadworm

Answer 15

single dose mebendazole + hygiene for all households

Question 16

what needs to be assessed in febrile kids

Answer 16

temp, HR, RR, cap refil

Question 17

green risk febrile child

Answer 17

normal colour // content // normal skin, moist mucous

Question 18

amber risk febrile child

Answer 18

pallor // not responding well // nasal flaring, tachypnoea, crackles, O2 <95% // tachycardia, cap refil >3, poor feeding, pure UO // fever >39, fever 5 days, swelling, rigors

Question 19

red risk febrile child

Answer 19

appears ill to healthcare worker // grunting // RR >60, severe chest indrawing // reduced skin tugor // <3 months + fever >38

Question 20

school exclusion whooping cough

Answer 20

2 days of anx

Question 21

exclusion school D+V

Answer 21

symptom free 48 hours

Question 22

school exclusion impetigo

Answer 22

lesions crusted OR 48 hours of abx

Question 23

exclusion chickenpox

Answer 23

all lesions crusted // day 5 of rash

Question 24

vaccines given between 2-4 months

Answer 24

6 in 1 (diptheria, tetanus, whooping cough, polio, Hib, hepB) // oral rotavirus, Men B

Question 25

when is MMR given

Answer 25

12-13 months and 3-4 years

Question 26

when is HPV vaccine

Answer 26

12-13

Question 27

what booster is given to teenagers

Answer 27

tetanus, diptheria, polio // men ACWY

Question 28

when is men B given

Answer 28

2m, 4m, 12m

Question 29

contraindications MMR

Answer 29

immunosuppresed // allergy to neomycin // another live vaccine on 4 weeks // pregnancy // Ig in last 3 months

Question 30

what tpe of vaccine is rotavirus

Answer 30

live oral dose

Question 31

when is rotavirus given

Answer 31

2m + 3m (cannot be given later due to intussusception)