Pediatric Infectous Disease

Question 1

Where does a latent infection of varicella zoster rest

Answer 1

Dorsal root ganglia

Question 2

How is varicella transmitted

Answer 2

Respiratory droplets and direct contacts

Question 3

When is varicella highly contagious

Answer 3

2 days before onset of rash until all lesions crusted over

Question 4

Teardrops on an erythemtous base

Answer 4

Varicella zoster

Question 5

How does the rash with varicella spread

Answer 5

Trunk to head to extremities

Question 6

How do you test for varicella

Answer 6

PCR of fluid

Question 7

What is the treatment of varicella zoster

Answer 7

Antivirals if high risk pt

Question 8

What is the prevention of varicella

Answer 8

Live atttenuated vaccine

2 doses 12-15 months and 4-6 years

Question 9

What is the most common complication of varicella

Answer 9

Staph or strep

Question 10

What is Ryes syndrome associated with

Answer 10

Use of aspirin

Question 11

What is caused by the paramyxovirus

Answer 11

Rubeola : Measles and Mumps

Question 12

What is another name for measles

Answer 12

Rubeola

Question 13

What dx has cough, coryza, conjunctivitis, and koplik spots

Answer 13

Rubeola

Question 14

How does the rash spread in rubeola

Answer 14

Head to feet

Question 15

How do you diagnose rubeola

Answer 15

PCR

Question 16

What is the treatment of Rubeola

Answer 16

Supportive

Question 17

When is the MMR given

Answer 17

2 doses 12-15months and 4-6years

Question 18

What is the most common complication of Rubeola

Answer 18

Otitis media

Question 19

A pt comes to you with pain and swelling of his jaw. He has also had a fever and HA

Answer 19

mumps

Question 20

when is the mumps most contagious

Answer 20

a few days before onset

Question 21

what diagnosises the mumps

Answer 21

PCR

Question 22

what is the treatment of the mumps

Answer 22

supportive and apply warm and cold compresses

Question 23

what is the prevention of the mumps

Answer 23

MMR at 12-15 months and 4-6 years

Question 24

what is the complication of the mumps

Answer 24

orchitis/epididmyitis

Question 25

what is another name for german measles

Answer 25

Rubella

Question 26

what is caused by the togavirus

Answer 26

Rubella: German Measles

Question 27

what are some sx of rubella

Answer 27

post-auricular, posterior cervical and posterior occipital lymphadenopathy. Red rash that last 3 days

Question 28

where are the lymph nodes swollen in rubella

Answer 28

posterior

Question 29

A patient comes to you with swollen lymph nodes, a red rash that is on the body, and forschheimer spots

Answer 29

Rubella: German Measles

Question 30

where would you see forschheimer spots

Answer 30

Rubella: German Measles

Question 31

how does the rash look and spread in german measles

Answer 31

A red maculopapular discrete rash that starts on the face and spreads to the body

Question 32

how long does the rash last in Rubella

Answer 32

3 days

Question 33

what are forschheimer spots

Answer 33

petechiae on soft palete

Question 34

How do you diagnose rubella

Answer 34

IgM serology

Question 35

What is the treatment of rubella

Answer 35

supportive

Question 36

what is a complication of rubella

Answer 36

Congenital rubella syndome

Question 37

what disease is caused by herpesvirus 6

Answer 37

Roseola (6th disease)

Question 38

what is another name for sixths disease

Answer 38

Roseola

Question 39

what is a common cause of fever in infants

Answer 39

Roseola

Question 40

A pt is brought to you with a very high fever, but the pt appears irritable with a rose colored rash, but overall appears well

Answer 40

Roseola

Question 41

How does the sx go in Roseola

Answer 41

high fever (last 3-5days) than the rash

Question 42

How does the rash look in Roseola

Answer 42

Maculopapular rose colored rash that starts on neck and chest and spreads to face and extremities

Question 43

How do you treat Roseola

Answer 43

Supportive

Question 44

what are some complications of Roseola

Answer 44

1/3 have febrile seizures

Question 45

What disease is caused by Parovirus B19

Answer 45

Erythema Infectiosum "Fifth disease"

Question 46

what is another name for Erythema Infectiosum

Answer 46

Fifth disease

Question 47

A patient comes to you with a rash on the cheeks and spread to the trunk

Answer 47

Erythema Infectiosum

Question 48

what are the 3 stages of the rash in Erythema Infectiosum

Answer 48

1. slapped cheek 2. Maculopapular truncal rash 3. Lacy reticulated truncal rash

Question 49

what are some things that may make the rash itchy in Erythema Infectiosum

Answer 49

exercise, bathing, rubbing, stress

Question 50

what is the treatment of Erythema Infectiosum

Answer 50

supportive

Question 51

what is a complication of Erythema Infectiosum

Answer 51

transient aplastic crisis

Question 52

what disease is caused by the coxsackie virus

Answer 52

hand-foot-mouth disease

Question 53

A pt is brought to you with oral lesions on thier mouth and a macular rash on the upper and lower extremities. The rash is not puritic.

Answer 53

hand-foot-mouth

Question 54

where are oral lesions commonly found in hand-foot-mouth dieases

Answer 54

buccal mucosa and tongue

Question 55

what is the treatment of hand-foot-mouth

Answer 55

supportive

Question 56

what is the most common cause of fever in children

Answer 56

UTI cause by E.coli

Question 57

what is the treatment of a fever in a child <3 months

Answer 57

ampcillin + cefotaxime

Question 58

what is the most common cause of seizures in children

Answer 58

febrile seizures

Question 59

what type of febrile seizure is most common

Answer 59

simple

Question 60

what are some signs that a seizure was complex rather than simple

Answer 60

focal features, >15 min, recurs in 24 hours, some type of neuro problems.

Question 61

If a seizure last longer than 5 min what do you need to give the pt

Answer 61

IV Benzo (Diazepam or Lorazepam)