Term
| A patient presents with a macular rash, papules and fluid filled vesicles, what disease do you suspect? |
|
Definition
| Varicella/chicken pox. It presents all 3 stages in a small patch of skin. |
|
|
Term
| Wat is the period of communicability for Varicella? |
|
Definition
| 1-2 days before the onset of the rash until shortly after. Contagious until all lesions are crusted over. |
|
|
Term
| An immunocompromised child gets varicella. What is the antibiotic that you need to provide? |
|
Definition
|
|
Term
| A patient presents with a grayish pharyngeal membrane. What disease do you suspect? |
|
Definition
|
|
Term
| What medications do you give to a child with Diptheria? |
|
Definition
| IV equine antitoxin and antibiotic therapy for 14 days. |
|
|
Term
| What is the period of communicability for Diptheria? |
|
Definition
| 2-4 weeks, or until 4 days after antibiotics are started. |
|
|
Term
| What is the treatment for Haemophilus Influenza type B infections? |
|
Definition
10 day IV antibiotics for the person infected
Rimfampin to people in the house younger than 4 years old. |
|
|
Term
| A child presents with a history of Koplik spots (light colored spots in their mouth) and now has cough, coryza and conjunctivitis. A pruritic rash that spreads from the top down is present. What disease do you suspect? |
|
Definition
|
|
Term
| A child who has swollen parotid glands, with malaise, fever and pain with chewing likely has what disease? |
|
Definition
|
|
Term
| A child presents with a runny nose, cough that is more severe at night and has a whooping sound. What is the disease you suspect? |
|
Definition
| Pertussis/Whooping cough. |
|
|
Term
| What treatments would you expect to give a child with whooping cough? |
|
Definition
| Antibiotics and steroids. |
|
|
Term
| How long do you expect a child with rubeola to be contagious? |
|
Definition
| 4 days before the rash and 4 days after it goes away. |
|
|
Term
| How long do you expect a child with mumps to be contagious? |
|
Definition
| Several days before and after the parotid swelling onset. |
|
|
Term
| How long do you expect a child with pertussis/whooping cough to be contagious? |
|
Definition
| Prior to the paroxysmal cough and 2 weeks after cough onset (untreated) |
|
|
Term
| A child presents with aseptic meningitis and paresthesias, what do you consider the cause to be? |
|
Definition
|
|
Term
| How long do you consider poliomyelitis to be communicable? |
|
Definition
| Shortly before and with the onset of clinical smptoms. Excreted in feces for 3-6 weeks. |
|
|
Term
| What is the treatment you'd expct for poliomyelitis? |
|
Definition
| Supportive therapy alone. |
|
|
Term
| A child has an acute fever for 3-5 days which goes away and then a pink maculopapular rash develops. What disease do you expect? |
|
Definition
|
|
Term
| A child with a pink, nonconfluent maculopapular rash on the head moving down their body comes in with a low grade fever. What disease do you anticipate is the cause? |
|
Definition
| Rubella/German measles. Similar to Rubeola, but without the 3 C's. (Cough, Coryza and Conjunctivitis.) |
|
|
Term
| What is the period of communicability for Rubella/German measels? |
|
Definition
| A few days before the rash and 7 days after rash onset. |
|
|
Term
| What is the treatment for Rubella/German measeles? |
|
Definition
| None, it's self-limiting. Supportive care alone. |
|
|
Term
| A child arrives and tells you they have lockjaw and facial spasms. They've recently stepped on a nail. What disease do you suspect? |
|
Definition
|
|
Term
| What is the period of communicability for Tetanus? |
|
Definition
| No person to person contact is possible. |
|
|
Term
| What is the treatment for tetanus? |
|
Definition
| Tetanus immune globulin. Wound cleaned and debrided. Antibiotics. Ventilation, nutrition and supportive care provided. |
|
|
Term
| A child with a bulls eye rash, joint aches and mild fever arrives at the clinic. What disease do you expect to be found? |
|
Definition
|
|
Term
| What is the treatment for lyme disease? |
|
Definition
|
|
Term
| What is the diagnostic test for lyme disease? |
|
Definition
| ELISA and western blot test. |
|
|
Term
| What is the characteristic sign for someone showing issues with Rocky Mountain Spotted Fever? |
|
Definition
| Erythematous macula-papular rash that blanches. Begins on wrists and ankles, spreads to the palms and soles, then body. |
|
|
Term
| What is the medical treatment for Rocky Mountain Spotted Fever? |
|
Definition
| Doxycycline for 5-7 days or until child is afebrile for 3 days. |
|
|
