Peds Infectious Diseases

Question 1

What are the 4 types of Immunity and give a type of each?

Answer 1

Natural Active- You get sick, now immune
Natural Passive- Antibodies to baby through placenta
Artificial Active- Vaccine
Artificial Passive- Anti Toxin- Snake antivenom

Question 2

Name the stages of the chain of infection?

Answer 2

Agent, Reservoir, Portal of Exit, Transmission Mode, Portal of Entry, Host Susceptibility

Question 3

Pediatric Considerations for Immunity

Answer 3

Daycare
Incomplete immunizations
Increased activity (playing outside)
Passive antibodies from mother disappears
Immune response is immature
Hygiene- Restroom, Lunch, etc.

Question 4

What disease is characterized as having a Bull-eyes lesion?

Answer 4

Lyme Disease

Question 5

A mother asks if you can mix 2 vaccines together so the baby only gets one shot. What is your reply?

Answer 5

Some vaccines are fine to administer at the same time but they can not be mixed together.

Question 6

Information on Rubeola (Measles)?

Answer 6

Agent: RNA virus
Transmission: direct contact with droplets or airborne particles
Treatment:symptomatic and supportive
* 2 doses of MMR are required for protection
from virus
* 1st dose at 1 year of age
2nd dose at 4-6 years of age
Rash begins behind ears at hairline and
spreads down toward feet
The three C’s: coryza (profuse runny nose,
cough, and conjunctivitis)

Question 7

What is Forschheimer’s sign? What disease is it associated with?

Answer 7

petechiae (red or purple)
that occur on the soft palate
Rubella

Question 8

What is the causative agent for Fifth Dx?

Answer 8

Parvovirus B19

Question 9

The is the common manifestation for Fifth Dx?

Answer 9

“Slapped Cheek” fiery lacy red edematous rash on the cheeks

Question 10

What is the causative agent for Sixth Dx?

Answer 10

Human Herpes Virus (HHV-6)

Question 11

The is the common manifestation for Sixth Dx?

Answer 11

Sudden high fiver (103-106) Last 3-5 days off and on

Question 12

What is the incubation and infection period for Chicken Pox?

Answer 12

Incubation: 10-21 days
Infectious period: 1-2
   days before rash until
   all lesions are crusted 
   over (usually 5-7 days)

Question 13

Why should any form of aspirin be avoided while a kid has Chicken Pox?

Answer 13

Risk for Reye Syndrome

Question 14

Why should a pt with Mononucleosis avoid contact sports?

Answer 14

Risk for Splenic rupture

Question 15

4 common vaccines given at school age?

Answer 15

DTap, IPV, MMR, Varicella