NSGl 554/l NSG554l Examl 1l –l (NEWl
2026/l 2027l Update)l Nursel Practitionersl
inl Primaryl Carel Il Review|l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
Zikal Virusl (Aedesl Mosquito)
Answer:
Flavivirusl transmittedl froml mosquitol orl sexuall transmissionl froml malesl tol femalesl (canl
persistl inl semenl forl months),l verticall transmissionl froml mothersl tol fetus
QUESTION
Zikal Virusl (Aedesl Mosquito):l Sl &l S
Answer:
incubationl periodl isl aboutl 10l days
acutel onsetl fever,l maculopapularl rashl usuallyl pruritic,l nonl purulentl conjunctivitis,l
arthralgial (mimicsl chikungunyal virus);l symptomsl upl tol 7l days
QUESTION
Zikal Virusl (Aedesl Mosquito):l laboratoryl findings
,Answer:
diagnosedl throughl IgMl afterl 4+l daysl ofl symptoml onsetl orl IgGl afterl 7+l days
QUESTION
Zikal Virusl (Aedesl Mosquito):l Complications
Answer:
1.l Congenitall microcephaly:l associatedl withl brainl calcifications,l
2.l Guillian-Barrel syndromel
3.l focall macularl pigmentl mottling,l chorioretinall atrophy,l congenitall glaucoma,
QUESTION
Zikal Virusl (Aedesl Mosquito):l treatment
Answer:
Nol antivirals,l Sofosbuvir?,l nol aspirinl orl NSAIDsl
Nol vaccine,l avoidl duringl pregnancy
QUESTION
Chikungunyal Fever
Answer:
Consideredl al classicl "arthritogenic"l virusl
mayl coinfectl withl zika,l yellowl fever,l plasmodial andl dengue
QUESTION
Chikungunyal Fever:l S&S
, Answer:
Incubationl periodl ofl 1-12l days
Abruptl feverl onset,l headache,l intestinall complaintsl (diarrhea/vomiting/pain),l myalgiasl andl
arthalgias/arthritisl affectingl thel small,l largel andl axiall joints.l
simultaneousl involvementl ofl morel thanl 10l jointsl andl presencel ofl tenosynovitisl (espl inl
thel wrist)l isl characteristicl
jointl symptomsl lastl forl 4l months-yearsl
maculopapularl rash
QUESTION
Chikungunyal Fever:l Laboratoryl findings
Answer:
mildl leukopenia,l thrombocytopenial
radiographsl duringl acutel phasel ofl jointsl arel normal,l bonel lesionsl mayl bel presentl withl
chronicl symptoms
confirmedl withl elevatedl IgMl titersl orl fourfoldl increasel inl convalescencel IgGl levelsl
duringl ELISA
QUESTION
Chikungunyal Fever:l Treatment
Answer:
NSAIDSl andl corticosteroids
Chloroquinel mayl bel usefull inl managingl refractoryl arthritisl
Chronicl disease:l DMARDs
QUESTION
2026/l 2027l Update)l Nursel Practitionersl
inl Primaryl Carel Il Review|l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
Zikal Virusl (Aedesl Mosquito)
Answer:
Flavivirusl transmittedl froml mosquitol orl sexuall transmissionl froml malesl tol femalesl (canl
persistl inl semenl forl months),l verticall transmissionl froml mothersl tol fetus
QUESTION
Zikal Virusl (Aedesl Mosquito):l Sl &l S
Answer:
incubationl periodl isl aboutl 10l days
acutel onsetl fever,l maculopapularl rashl usuallyl pruritic,l nonl purulentl conjunctivitis,l
arthralgial (mimicsl chikungunyal virus);l symptomsl upl tol 7l days
QUESTION
Zikal Virusl (Aedesl Mosquito):l laboratoryl findings
,Answer:
diagnosedl throughl IgMl afterl 4+l daysl ofl symptoml onsetl orl IgGl afterl 7+l days
QUESTION
Zikal Virusl (Aedesl Mosquito):l Complications
Answer:
1.l Congenitall microcephaly:l associatedl withl brainl calcifications,l
2.l Guillian-Barrel syndromel
3.l focall macularl pigmentl mottling,l chorioretinall atrophy,l congenitall glaucoma,
QUESTION
Zikal Virusl (Aedesl Mosquito):l treatment
Answer:
Nol antivirals,l Sofosbuvir?,l nol aspirinl orl NSAIDsl
Nol vaccine,l avoidl duringl pregnancy
QUESTION
Chikungunyal Fever
Answer:
Consideredl al classicl "arthritogenic"l virusl
mayl coinfectl withl zika,l yellowl fever,l plasmodial andl dengue
QUESTION
Chikungunyal Fever:l S&S
, Answer:
Incubationl periodl ofl 1-12l days
Abruptl feverl onset,l headache,l intestinall complaintsl (diarrhea/vomiting/pain),l myalgiasl andl
arthalgias/arthritisl affectingl thel small,l largel andl axiall joints.l
simultaneousl involvementl ofl morel thanl 10l jointsl andl presencel ofl tenosynovitisl (espl inl
thel wrist)l isl characteristicl
jointl symptomsl lastl forl 4l months-yearsl
maculopapularl rash
QUESTION
Chikungunyal Fever:l Laboratoryl findings
Answer:
mildl leukopenia,l thrombocytopenial
radiographsl duringl acutel phasel ofl jointsl arel normal,l bonel lesionsl mayl bel presentl withl
chronicl symptoms
confirmedl withl elevatedl IgMl titersl orl fourfoldl increasel inl convalescencel IgGl levelsl
duringl ELISA
QUESTION
Chikungunyal Fever:l Treatment
Answer:
NSAIDSl andl corticosteroids
Chloroquinel mayl bel usefull inl managingl refractoryl arthritisl
Chronicl disease:l DMARDs
QUESTION
