NURS 535 –Week 3- Questions with
Verified Answers
S/sx of Guillain-Barre Syndrome - ✔✔Starts in legs and moves upward; Weakness, abnormal
sensory mechanisms, autonomic dysfunction
Which dz is leading cause of acute flaccid paralysis in developed countries? - ✔✔Guillain Barre
Syndrome
What is etiology behind GBS? - ✔✔unknown, commonly associated with recent GI or
respiratory infections (such as campylobacter jejuni, CMV, EBV)
Immune stimulation plays a role- vaccines activate the immune system- associated with flu
vaccine and MenACWY (Menveo)
4 groups of enteroviruses? - ✔✔- Polioviruses
- Coxsackie A
- Coxsackie B
- Echoviruses
What group of viruses is known to be a major cause of acute febrile illness in young kids? -
✔✔Enterovirus
Examples of enteroviruses - ✔✔HFM, herpangina, myocarditis, pericarditis, viral meningitis
Transmission for enterovirus - ✔✔fecal-oral (primary focus in GI tract)
also respiratory and perinatal route
Definition of incubation - ✔✔time between exposure to an infection and first appearance of sx
,What is incubation period for enterovirus & course of illness? - ✔✔3-6 days, virus sheds from
respiratory tract for up to 3 weeks, fecally 7-11 weeks
Can enterovirus be tested for with PCR? - ✔✔Yes, is available in offices/hospital, but there is
cross-reactivity with entero and rhino virus
What is a more specific way to test for enteroviruses? - ✔✔viral cultures would be more
specific, but take 2-5 days to result
percentage of enteroviral infections that are non-distinctive with generalized sx? - ✔✔90%
Which virus can be a common cause of aseptic and viral meningitis? - ✔✔Enterovirus
When is enterovirus commonly seen? - ✔✔Summer-fall
What are possible complications with enterovirus? - ✔✔Myocarditis, neuro damage (esp in
newborns)
S/sx enterovirus - ✔✔Non specific URI sx
ST/non exudative pharyngitis
Fever
N/V/D
anorexia
coryza (red eyes)
abd pain
Rash (sometimes diffuse maculopapular (some flat + some raised)
HA
, What sx do enterovirus usually start with? - ✔✔sudden onset fever and irritability
Physical exam findings for enteroviruses - ✔✔Fever- may last a few days, up to 104
Rash- could be macular, maculopapular, urticarial, vesicular, petechial
Herpangina
conjunctivitis
cervical lymphadenopathy
HFM
wheezing, rhonchi, cough
What is herpangina? - ✔✔Caused by coxsackie virus
(NOT HERPES VIRUS)!!!!!!
mouth vesicles and ulcerations
Tx/management for enterovirus - ✔✔Supportive care (fluids, rest, BRAT diet)
What is adenovirus? - ✔✔DNA virus in resp tract, 52 serotypes, lives well outside of host
How is adenovirus transmitted? - ✔✔fecal-oral and resp droplets
When does adenovirus commonly occur? - ✔✔commonly in winter/spring, but can occur at any
time during the year
Common cause of childhood diarrhea - ✔✔Enteric adenovirus
Incubation period for adenovirus? - ✔✔2-14 days; 3-21 days for GI stereotypes
Verified Answers
S/sx of Guillain-Barre Syndrome - ✔✔Starts in legs and moves upward; Weakness, abnormal
sensory mechanisms, autonomic dysfunction
Which dz is leading cause of acute flaccid paralysis in developed countries? - ✔✔Guillain Barre
Syndrome
What is etiology behind GBS? - ✔✔unknown, commonly associated with recent GI or
respiratory infections (such as campylobacter jejuni, CMV, EBV)
Immune stimulation plays a role- vaccines activate the immune system- associated with flu
vaccine and MenACWY (Menveo)
4 groups of enteroviruses? - ✔✔- Polioviruses
- Coxsackie A
- Coxsackie B
- Echoviruses
What group of viruses is known to be a major cause of acute febrile illness in young kids? -
✔✔Enterovirus
Examples of enteroviruses - ✔✔HFM, herpangina, myocarditis, pericarditis, viral meningitis
Transmission for enterovirus - ✔✔fecal-oral (primary focus in GI tract)
also respiratory and perinatal route
Definition of incubation - ✔✔time between exposure to an infection and first appearance of sx
,What is incubation period for enterovirus & course of illness? - ✔✔3-6 days, virus sheds from
respiratory tract for up to 3 weeks, fecally 7-11 weeks
Can enterovirus be tested for with PCR? - ✔✔Yes, is available in offices/hospital, but there is
cross-reactivity with entero and rhino virus
What is a more specific way to test for enteroviruses? - ✔✔viral cultures would be more
specific, but take 2-5 days to result
percentage of enteroviral infections that are non-distinctive with generalized sx? - ✔✔90%
Which virus can be a common cause of aseptic and viral meningitis? - ✔✔Enterovirus
When is enterovirus commonly seen? - ✔✔Summer-fall
What are possible complications with enterovirus? - ✔✔Myocarditis, neuro damage (esp in
newborns)
S/sx enterovirus - ✔✔Non specific URI sx
ST/non exudative pharyngitis
Fever
N/V/D
anorexia
coryza (red eyes)
abd pain
Rash (sometimes diffuse maculopapular (some flat + some raised)
HA
, What sx do enterovirus usually start with? - ✔✔sudden onset fever and irritability
Physical exam findings for enteroviruses - ✔✔Fever- may last a few days, up to 104
Rash- could be macular, maculopapular, urticarial, vesicular, petechial
Herpangina
conjunctivitis
cervical lymphadenopathy
HFM
wheezing, rhonchi, cough
What is herpangina? - ✔✔Caused by coxsackie virus
(NOT HERPES VIRUS)!!!!!!
mouth vesicles and ulcerations
Tx/management for enterovirus - ✔✔Supportive care (fluids, rest, BRAT diet)
What is adenovirus? - ✔✔DNA virus in resp tract, 52 serotypes, lives well outside of host
How is adenovirus transmitted? - ✔✔fecal-oral and resp droplets
When does adenovirus commonly occur? - ✔✔commonly in winter/spring, but can occur at any
time during the year
Common cause of childhood diarrhea - ✔✔Enteric adenovirus
Incubation period for adenovirus? - ✔✔2-14 days; 3-21 days for GI stereotypes
