Viral Integumentary Infections

Question 1

This condition is severe if the patient is vitamin A deficient or malnourished

Answer 1

Measles

Question 2

FA test on pharynx cells showing multinucleated giant cells is diagnostic of:

Answer 2

Measles

Question 3

PH of the Measles

Answer 3

coryza, cough, conjunctiitis

Koplik spots

AB titers rise

Question 4

Complications of congenital rubella syndrome

Answer 4

Risk to fetus in infected mother.

Cardiac, eye, hearing, CNS problems

Question 5

German measles likely requires

Answer 5

close prolonged contact

Question 6

Mild exanthematous disease similar to measles

Answer 6

German Measles: Rubella

Question 7

Tx of Rubella

Answer 7

symptomatic; avoid infection during pregnancy and do NOT vaccinate pregnant women

Question 8

Retrograde transport of virus into sensory neurons

Answer 8

Herpes simplex virus

Question 9

Reservoir for HSV

Answer 9

humans only

Question 10

Shallow vesicles on an erythematous base- balloons, crusts, PAINFUL!

Answer 10

HSV

Question 11

DX HSV

Answer 11

direct tissue sample: ballooning pathology, Tzanck smear, FA assay for Ag’s, PCR, AB

Question 12

Tx for Herpes

Answer 12

Acyclovir halts replication

Question 13

Neonatal HSV

Answer 13

in utero, disseminates due to lack of immune response

Question 14

The two unique properties of this condition are

1. CNS replication
2. Latent infection

Answer 14

Herpes

Question 15

Pruritic lesions, fever, malaise, HA, neuralgia.

Lesions can be secondarily infected

Answer 15

Chicken Pox

Question 16

If you have have facial lesions with the chicken pox…

Answer 16

LOW IMMUNE RESPONSE = bad

Question 17

Organism that causes the chicken pox is

Answer 17

varicella-zoster virus (VZV)

Question 18

Recurrence of VZV

Answer 18

Shingles

Question 19

Most common complication of Shingles is

Answer 19

postherpetic neuralgia

Question 20

Unilateral dermatomal distribution area of redness; lesions that are painful

Answer 20

Shingles

Question 21

Most common childhood viral infection

Answer 21

Roseola infantum; 6th disease

Question 22

2-5 day sustained fever followed by a rose-colored rash over the body

Answer 22

6th disease; roseola infantum

Question 23

Dx of 6th Disease

Answer 23

ELISA AB detection, PCR

Question 24

This organism causes 5th disease

Answer 24

Parvovirus B19; erythema infectiosum

Question 25

Fifth Dz epidemics are most commonly seen in

Answer 25

late winter/spring

Question 26

Slapped cheek appearance follows prodrome and maculopapular rash may extend to limbs or trunk

Answer 26

Fifth dz

Question 27

Dx Fifth Disease

Answer 27

Clinical = rash

anti-B19 IgM ABs

Question 28

This can cause profound anemia and arthritis in adults without a rash

Answer 28

Fifth disease