Week 2 Vaccines: Symptoms

Question 1

Diphtheria symptoms (3)

Answer 1

insidious onset of pharyngitis, membrane formation within 2-3 days which can cause respiratory obstruction, patient appears toxic but no fever

Question 2

Hib symptoms (5)

Answer 2

meningitis, epiglottitis, PNA, arthritis, cellulitis

Question 3

Hep A symptoms (7)

Answer 3

abrupt onset of fever, malaise, anorexia, nausea, abdominal discomfort, dark urine and jaundice

Question 4

Hep B symptoms
Pre-icteric (11)
Icteric (5)

Answer 4

Pre icteric: insidious onset of malaise, anorexia, N/V, R upper quadrant abdominal pain, fever, HA, myalgia, skin rashes, arthralgia and arthritis, dark urine

Icteric: 1-3 weeks, jaundice, light or gray stools, hepatic tenderness and hepatomegaly

Question 5

HPV symptoms (2)
What cancers can HPV give rise to?

Answer 5

anogenital warts, respiratory papillomatosis

cervical and vaginal, vulvar or penile cancers

Question 6

Flu symptoms (5)

Answer 6

abrupt onset of fever, myalgia, sore throat, nonproductive cough, HA

Question 7

Measles symptoms (6)

Answer 7

increasing fever, cough, runny nose, conjunctivitis, koplik spots (rash on mucous membranes), maculopapular eruption

Question 8

Meningococcal disease symptoms (6)

Answer 8

sudden onset of fever, HA, stiff neck, N/V, photophobia, altered mental status

Question 9

Mumps symptoms (4)

Answer 9

myalgia, malaise, HA, low-grade fever

Question 10

Pertussis symptoms (4)

Answer 10

runny nose, sneezing, low-grade fever, occasional cough that becomes more severe and long-lasting

Question 11

Pneumococcal disease symptoms (4)

Answer 11

abrupt onset of fever and chills or rigors, single rigor, repeated shaking chills uncommon, pleuritic chest pain

Question 12

Polio - 4 forms of disease process

How many cases result in flaccid paralysis?

Answer 12

1. asymptomatic
2. minor nonspecific illness
3. nonparalytic aseptic meningitis
4. prodrome symptom

less than 1% of all polio cases result in flaccid paralysis

Question 13

Rotavirus symptoms (3)

Answer 13

self-limited watery diarrhea or severe dehydrating diarrhea and vomiting

Question 14

Rubella symptoms (5)

Answer 14

1-5 day prodrome with low-grade fever, malaise, lymphadenopathy, URI; maculopapular rash

Question 15

tetanus symptoms (9)

Answer 15

lockjaw, nuchal rigidity, difficulty swallowing, rigidity of muscles, elevated temp, sweating, elevated BP, rapid HR, spasms

Question 16

Varicella symptoms (1)

Answer 16

vesicular rash on trunk then extremities

Question 17

What are the only permanent contraindications to receiving a vaccine? (3)

Answer 17

1. Severe allergic reaction to a vaccine component or following a prior dose
2. Encephalopathy not due to another identifiable cause occurring within 7 days of pertussis vaccine
3. Severe combined immunodeficiency or history of intussusception for rotavirus vaccine