Viral ENT Flashcards

1
Q

In which age group does glandular fever present?

A

young adults (14-25)

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2
Q

What is the symptoms of glandular fever?

A

Constant fever
Enlarged nodes
Pharyngitis, tonsillitis
Malaise

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3
Q

What sign is seen in the mouth in glandular fever?

A

Palatal petechiae

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4
Q

What antibiotic can also cause the rash that may be present in glandular fever?

A

Amoxicillin

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5
Q

In what way may the lymphocytes be irregular in glandular fever?

A

Overly large and irregular shape

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6
Q

Splenomegaly may be present.

What size must the spleen be before it can be felt?

A

Double the normal size

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7
Q

Why might it be necessary to avoid sports for 6 weeks?

A

In case of splenic rupture

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8
Q

Why is the upper airway at risk in glandular fever?

A

Tonsillar enlargement may cause obstruction

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9
Q

What virus might cause glandular fever?

A

Epstein Barr Virus

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10
Q

How is EBV confirmed?

A

IgM for EBV

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11
Q

What treatment can be given in glandular fever?

A

No abx- viral!
Antivirals not effective
Steroids if anaemic

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12
Q

When is cytomegalovirus and toxoplasmosis especially dangerous?

A

During pregnancy

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13
Q

Which serotype of HSV causes coldsores?

A

Type 1

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14
Q

What is a complication of HSV1 in children?

A

Primary gingivostomatitis

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15
Q

Who tends to get ginviostomatitis?

A

Pre-school kids

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16
Q

What are the symptoms of gingivostomatitis?

A

Vescicles and ulcerations on lips, buccal mucosa and hard palate

17
Q

What condition may form if eczema herpeticum is infected with HSV1?

A

Kaposi’s varicelliform

18
Q

What anti-viral can be given for primary gingivostomatitis?

A

Aciclovir

19
Q

What name is given to HSV1 when it affects the nailbed?

A

Herpetic whitlow

20
Q

What colour of bottle is a viral swab put into for PCR?

A

Red topped

21
Q

What name is given when HSV affects the brain?

A

Herpes simplex encephalitis

22
Q

What symptoms are present in HS encephalitis?

A

Sleepy
Change in personality
Seizures
Fever

23
Q

What name is given if there are vesicles on soft palate?

A

Herpangina

24
Q

Which virus causes herpangina?

A

Coxsackie virus

25
Q

What is the name of the ulcer associated with syphilis?

A

Chancre

26
Q

What bacteria causes syphilis?

A

Treponema pallidum

27
Q

How is syphilis treated?

A

IM penicillin

28
Q

What virus causes hand food and mouth disease?

A

Enteroviruses

29
Q

How is hand foot and mouth disease spread?

A

Faeco-orally