Viruses

Question 1

which virus would indicated an aplastic crisis?

Answer 1

parvo

Question 2

puritic rash beginning centrally and moving peripherally

Answer 2

varicella

Question 3

getting herpes without the sore

Answer 3

asymptomatic viral shedding also when first get the disease there is a mild viral illness without the sores

Question 4

mumps common age

Answer 4

college and school aged don’t make you sterile

Question 5

ramsey hunt

Answer 5

facial nerve palsy with lesions over external ear vertigo, tinnitus ZOSTER

Question 6

symptoms that make you think CMV

Answer 6

pizza pie retinopathy IBD

Question 7

how prevalent is EBV?

Answer 7

95% of people in population have it

Question 8

esophagitis proctitis

Answer 8

inflammation associated with herpes CDV <50

Question 9

3 types of flu

Answer 9

A -shift B - drift C

Question 10

bell’s palsy

Answer 10

unilateral paralysis of the face associated with HSV treatment: predisone, valayclovir eye drops)

Question 11

CMV transmission

Answer 11

sexual contact, blood, transplant, person to person (saliva)

Question 12

kolpik spots

Answer 12

measles salt crystals on mucosa

Question 13

HSV and dialysis Valacyclovir

Answer 13

if they are on dialysis DONT need to adjust (it’s like they have working kidneys) if they are not on dialysis they DO need to adjust bc they have abnormal kidneys

Question 14

treatment of flu

Answer 14

oseltamivir (tamiflu)

Question 15

disseminated zoster

Answer 15

breaks dermatome, sign of herpes must be admitted to hospital

Question 16

virus that is a common cause of SJS, erythema multiforme, TEN

Answer 16

HSV (Valacyclovir)

Question 17

measles s/s

Answer 17

kolpik spots blanch able brick red rash, starts at face and goes down and out

Question 18

mc source of myocarditis in children

Answer 18

PARVO

Question 19

CMV Inclusion Disease

Answer 19

Jaundice, hepatosplenomegaly, thrombocytopenia, purpura, microcephaly, mental retardation, motor disability, hearing loss Most common is asymptomatic at birth but then the S/S can appear later

Question 20

flu is most severe to this population

Answer 20

Asthmatics can get secondary bacterial infection due to necrosis of the lung tissue

Question 21

HSV eye complications

Answer 21

heretic dendrieten keratitis require ophthalmology consult

Question 22

how long after infection are you contagious for EBV

Answer 22

6-12 months

Question 23

fifth’s disease or slapped cheek

Answer 23

otherwise asymptomatic PARVO

Question 24

mc adverse varicella rxn

Answer 24

secondary bacterial skin infection groom fingernails to prevent

Question 25

TORCH

Answer 25

toxoplasmosis other - varicella, parvo, syphillis r- rubella c- CMV h- herpes

Question 26

posterior cervical lymphadenopathy (dz+other symptoms)

Answer 26

EBV also, eyelid edema and splenomegaly, rash if given amoxicillin

Question 27

relationship bt herpes and HIV

Answer 27

other replicate in presence of each other control HSV to control HIV (similar to HBV)

Question 28

mumps s/s

Answer 28

parotitis, tendernes pancreatitis oophritis may cause deafness

Question 29

medications you DO NOT USE in EBV

Answer 29

Tylenol (due to increased LFTs) ampicillin or amoxicillin due to rash

Question 30

EBV and new mother

Answer 30

mom can breastfeed but don't kiss

Question 31

post herpetic neuralgia

Answer 31

pain flare on dermatome without the rash can be treated with lidocaine, gabapentin/tca but not opioids

Question 32

herpes treatment

Answer 32

vanvyvlovir (valtrex) acyclovir (zovirax)

Question 33

CMV treatment

Answer 33

ganiciclovir

Question 34

temporal lobe encephalitis

Answer 34

HSV

Question 35

hutchinson's sign

Answer 35

V1 of trigeminal nerve sore on the tip of nose or by eye always an ophthalmic emergency ZOSTER

Question 36

monospot

Answer 36

can have a negative mono spot and still have mono need 4 weeks after s/s occur

Question 37

classic owl's eye in histology

Answer 37

CMV

Question 38

how to prevent spreading of hsv to child

Answer 38

c section instead of vaginal delivery

Question 39

do adults with parvo get the slapped cheek?

Answer 39

no stroke symptoms though

Question 40

complications of congenital rubella

Answer 40

deafness, glaucoma, microphthalmia, psychomotor retardation hepatosplenomegadly, thrombocytopenia

Question 41

highest mortality of transplants are bc of this virus

Answer 41

CMV liver must be CMV - if CMV -

Question 42

blueberry muffin baby

Answer 42

rubella maculopapular rash

Question 43

mc cause of splenic rupture in EBV pts

Answer 43

hospital caused 2nd - contact sports (4 weeks out)