Pertussis and Menigococcal Meningitis

Question 1

what type of organism causes Whooping cough

Answer 1

Bordatella pertussis (GN coccobacilli)

Question 2

pathologic process of Whooping cough

Answer 2

B pertussis makes cytotoxin that keeps respiratory cilia from beating (mucous accumulation)

Question 3

at what age is one most at risk of Whooping cough mortality

Answer 3

2 y/o and younger

Question 4

how long after infection before onset of Pertussis

Answer 4

7-17 days

Question 5

What are the 3 stages of Whooping cough

Answer 5

Catarrhal, Paroxysmal, Convalescent

Question 6

In what Whooping cough stage do mucous secretions increase and anorexia and malaise set in

Answer 6

Catarrhal (1st stage - night cough)

Question 7

At what stage is the stridor and consecutive deep whooping cough most apparent

Answer 7

Paroxysmal (2nd stage)

Question 8

At what stage of whooping cough does the frequency, severity of the cough decrease

Answer 8

Convalescent (3rd stage)

Question 9

What is the 6 m/o - 6y/o vaccine against Pertussis

Answer 9

DPT (5 doses)

Question 10

What is the 11 - 18 y/o vaccine against Pertussis

Answer 10

Tdap

Question 11

How long do Pertussis vaccinations last

Answer 11

not lifelong…

Question 12

Cause of meningococcal meningitis

Answer 12

Neisseria meningitidis

Question 13

how meningococcal meningitis spread

Answer 13

nasopharynx carriers - goes to blood stream and/or CSF

Question 14

3 non-CNS symptoms of meningococcal meningitis

Answer 14

ABD pain, N/V, petechial rash

Question 15

What are Kernig’s and Brudzinski signs

Answer 15

CNS sign of meningitis (meningococcal)

Question 16

Complication of meningococcal septicemia

Answer 16

DIC

Question 17

In what dz would rickettsial dz, EV, or scarlet fever be in your ddx?

Answer 17

meningococcal meningitis

Question 18

what is the vital timeline for meningococcal meningitis tx

Answer 18

must continue until 5 DAYS post-fever