OTC - MMR

Question 1

Symptoms of measles ?

Answer 1

(paramyxo virus - rubeola)

• koplik spots (white spots in mouth/cheek)
• rash starts behind the ears and then spreads to the face. trunk and limb
• red brown confluent (merging or running together) and blotchy rash
• conjunctivitis
• cold-like symptoms
• fever

Question 2

Symptoms of mumps?

Answer 2

(epidermic parotitis - paramyxo virus)

• fever
• headache
• malaise
• swelling on one or both sides of the face (inflammation of the parotid glands)

Question 3

Symptoms of rubella?

Answer 3

(rna virus - german measles)

• lymphadenopathy (swelling of lymph nodes)
• rash starts on the face then spreads to trunks and limbs
• pink-red macular non-confluent rash

Question 4

Action in all?

Answer 4

• all cases of measles, mumps or rubella need referral
• mmr are notifiable diseases
• can provide symptomatic relief: para/ibup

Question 5

Advice?

Answer 5

• plenty of bed rest
• keep hydrated
• keep children off school during contagious period
• avoid acidic drinks in mumps (irritates parotid glands)
• children with rubella should keep away from pregnant women

Question 6

Measles contagious period?

Answer 6

• contagious for 4 days after rash appears

Question 7

Measles complications?

Answer 7

• most dangerous childhood illness

- complications: otitis media, pneumonia, encephalitis

Question 8

Mumps contagious period?

Answer 8

• contagious for 5 days after swelling appears

Question 9

Mumps complications?

Answer 9

• in adults - risk of meningitis and sterility

Question 10

Rubella contagious period?

Answer 10

• contagious for 6 days after rash appears

Question 11

Rubella complications?

Answer 11

stay away from pregnant women - foetal damage