Part 4 Gyn. Infections

Question 1

What are the TORCH infections?

Answer 1

Toxoplasmosis
Other (syphilis, VZV, parvovirus B19)
Rubella
CMV
HSV

Question 2

What is the host for Toxoplasmosis?

Answer 2

Cat feces or raw meat

Question 3

If an infant is infected with a Protozoan Parasite, what is the likely organsim?

Answer 3

Toxoplasmosis

Question 4

What will be the symptoms of the fetus if they do not expire before birth with Toxoplasmosis?

Answer 4

CNS calcifications

Chorioretinitis

Question 5

What screen is done for detecting Toxoplasmosis?

Answer 5

serology with:
IgG
IgM

Question 6

Early Congenital Syphilis occurs before the child is 2. What are the signs?

Answer 6

SNUFFLES - mucus membrane involvement

Rash on palms/soles/genitals

Question 7

Late Congenital Syphilis occurs after > 2 years old. What are the bone manifestations?

Answer 7

Saber shins - bowing tibia
Central tooth notching
Frontal bossing of the forehead

Question 8

Which child is more likely to have signs of neurosyphilis with hearing loss
– 1 year old or 5 years old?

Answer 8

5 – late congenital syphilis = hearing loss and neurosyphilis

neurosyphillis: sensorineural hearing loss (8th nerve), gumma formation

Question 9

If the child is infected with Varicella Zoster in utero, what are the signs? Congenital varicella syndrome

Answer 9

Limb hypoplasia

cicatrical Skin lesions

Question 10

how do you treat an infant who has contracted varicella from a maternal peripartum infection either with varicella or with herpes zoster?

Answer 10

acyclovir

Question 11

If a child is infected with Parvovirus B19 as a child, what is the sign?

Answer 11

Slapped cheeks

Question 12

If a fetus is infected with Parvovirus B19 IN UTERO, what may occur?

Answer 12

The virus attacks RBCs —> anemia —> HYDROPS FETALIS

Question 13

What are the 3 signs of Congenital Rubella?

Answer 13

sensorineural Hearing loss
Cataracts
Heart disease

Question 14

What are the signs that a child has Rubella?

Answer 14

URI, head to toe rash, fever, LAD

Question 15

What precedes the head to toe rash with Rubella?

Answer 15

Soft palate petechiae

Question 16

what is the most common congenital viral infection?

Answer 16

CMV

Question 17

CMV infection can often be ______

Answer 17

Asymptomatic

Question 18

“owl’s eye inclusion”

Answer 18

CMV

Question 19

CMV causes?

Answer 19

Sensorineural hearing loss

Question 20

If a child has Sensorineural hearing loss, what likely infection did they get?

Answer 20

CMV

Question 21

How is an infant infected with HSV?

Answer 21

DURING BIRTH - contact

Question 22

Group B Strep. Agalactiae can cause what 3 things to the infant?

Answer 22

Sepsis
Meningitis
Pneumonia

Question 23

Attributes of Group B strep. Agalactiae?

Answer 23

Gram (+) cocci in chains
BETA - HEMOLYTIC
lancefiled group B

Question 24

What is the virulence factor for Group B strep. Agalactiae?

Answer 24

Capsule prevents phagocytosis

Question 25

What is the treatment for Group B strep during labor?

Answer 25

DURING LABOR = Penicillin G or Ampicillin

Question 26

How does post partum endometritis present?

Answer 26

fever, uterine tenderness, tachycardia, midline lower abdominal pain

Question 27

what are the risk factors of post partum endometritis?

Answer 27

colonization with GBS, c-section

Question 28

how do you treat post partum endometritis?

Answer 28

treat empirically for target organisms (polymicrobial)

gentamicin PLUS clindamycin

or

ampicillin/ sulbactam

Question 29

how do you treat mastitis?

Answer 29

MSSA: amoxicillin/clavulanate

MRSE: TMPSMX