Module 3 NURS 5433 Exam Questions & Answers
Latest Update 100% Solved.
What is the causative agent for fifth Human Parvovirus B19
disease?
How is fifth disease transmitted respiratory secretions, blood, and from mother to baby in utero
What is the main age group which fifth 15 and under
disease affects?
"Slapped cheek" appearance, then a lace-like maculopapular rash on trunk.
onset of fever, sore throat, corya is about 1 week after exposure, and lasts 2-3
What is the s/s of 5th disease?
days, followed by about 7 days symptom free... then the slapped cheek
appearance with circumoral pallor appears
When you see the slapped cheek rash in No. They are no longer contagious when the rashes appear. Children may attend
5th disease, is the patient contagious? school
What are 5 differential diagnoses for 5th Rubella, Measles, scarlet fever, roseola, kawasaki disease, lyme disease,
disease? mononucleosis, lupus
none are needed aside from clinical exam.
What diagnostics are needed to
You can do a b19 assay to confirm if you like, especially in pregnant females (must
determine 5th disease?
refer to OBGYN if confirmed)
Why is 5th disease dangerous for may cause fetal hydrops and demise
pregnant women?
Arthritis (especially in adult women)
gloves and socks syndrome
What are complications with 5th disease?
chronic anemia
aplastic anemia crisis
What follow ups are needed with 5th none needed unless complications arise
disease?
If a parent asks how long the symptoms 1-2 weeks is how long symptoms typically take to resolve. Most patients make
of 5th disease last, what should you tell complete recovery and complications are rare
them?
What steps need to be done if a patient immediate referral to OBGYN
presents with slapped cheek rash and is
pregnant?
What are the causative agents of Influenza virus types A and B
influenza?
What time of year is most prevalent for an late fall to early spring
influenza infection
abrupt onset of fever, malaise, myalgia, HA, anorexia, rhinitis, sore throat and non-
productive cough.
What are the s/s associated with influenza
Kids can have otitis media and GI issues (n/v/d)
What distinguishes common cold from sore throat, nasal congestion and sneezing are less common in the flu versus the
influenza? common cold
What distinguishes an URI from influenza? myalgia and malaise are not usually present with URI, but they are with the Flu
Page 1 of 7
, What are possible complications of the PNA, sinusitis, AOM, myositis, pericarditis, reye's syndrome, asthma/copd
flu? exacerbations
Can you give aspirin to a child with the No, because of the increased risk of Reye's syndrome. The flu already puts the
flu? children at risk of Reye's syndrome as does Aspirin.
Rapid antigen detection tests
What diagnostics are used for the flu?
can do a CBC, UA, CXR, blood cx if you suspect a complication like PNA
everyone 6m and older should be getting the influenza vaccine. Only
contraindication is anaphylaxis reaction to eggs. Be very cautious giving vaccine
How can you prevent the flu? to someone with history of guillain barre syndrome.
do not give live vaccine to pregnant or immunocompromised patients
When can you give medications for the if symptoms have been present less than 48 hours
flu?
What anti-viral medication should you Zanamivir
NOT give to an asthma/COPD patient and
why? this is given as a powdered inhaler and can cause exacerbations
tamiflu-- to patients 2weeks and older. given BID for 5 days
What anti-virals can be given for flu
Baloxavir-- for patients 12 years and older PO x 1 dose
patients?
Zanamivir--for 7 years and older. inhaled powder (not for asthma/copd)
What is the causative agent for kawasaki it is unknown
disease?
Who is most at risk for developing Children under the age of 5. Asian descent is most affected
kawasaki disease?
What is the main concern with kawasaki Development of cardiac problems such as aneurysm, mitral/aortic regurgitation
disease? and MI
(think "FEBRILE)
F-Fever
E- Exanthema...polymorphous generalized exanthema (rash associated with fever
than can have many forms)
What are the diagnostic criteria for
B-bulbar conjunctivitis without exudate
kawasaki disease?
R-Red tongue/oral cavity (strawberry tongue...cracked lips)
I-Internal organ involvement
L-Lymphadenophay
E-Extremity changes (swollen/red hands or feet, desquamation of fingertips)
what is incomplete kawasaki disease? fever associated with only 2 of the 5 previously listed additional symptoms
Can a patient with incomplete kawasaki yes.
disease develop the cardiac changes?
When should you suspect kawasaki With fever present for more than two weeks and under the age of 5
disease in a child?
male infants less than 12 months old
What patients are at increased risk for children over age 8
developing cardiac problems with pt with fever over 10 days
kawasaki disease? pt with high neutrophil, bands and low hgb
pt with baseline plt less than 350,000
What is the mortality rate for kawasaki 0.2%
disease?
Page 2 of 7
Latest Update 100% Solved.
What is the causative agent for fifth Human Parvovirus B19
disease?
How is fifth disease transmitted respiratory secretions, blood, and from mother to baby in utero
What is the main age group which fifth 15 and under
disease affects?
"Slapped cheek" appearance, then a lace-like maculopapular rash on trunk.
onset of fever, sore throat, corya is about 1 week after exposure, and lasts 2-3
What is the s/s of 5th disease?
days, followed by about 7 days symptom free... then the slapped cheek
appearance with circumoral pallor appears
When you see the slapped cheek rash in No. They are no longer contagious when the rashes appear. Children may attend
5th disease, is the patient contagious? school
What are 5 differential diagnoses for 5th Rubella, Measles, scarlet fever, roseola, kawasaki disease, lyme disease,
disease? mononucleosis, lupus
none are needed aside from clinical exam.
What diagnostics are needed to
You can do a b19 assay to confirm if you like, especially in pregnant females (must
determine 5th disease?
refer to OBGYN if confirmed)
Why is 5th disease dangerous for may cause fetal hydrops and demise
pregnant women?
Arthritis (especially in adult women)
gloves and socks syndrome
What are complications with 5th disease?
chronic anemia
aplastic anemia crisis
What follow ups are needed with 5th none needed unless complications arise
disease?
If a parent asks how long the symptoms 1-2 weeks is how long symptoms typically take to resolve. Most patients make
of 5th disease last, what should you tell complete recovery and complications are rare
them?
What steps need to be done if a patient immediate referral to OBGYN
presents with slapped cheek rash and is
pregnant?
What are the causative agents of Influenza virus types A and B
influenza?
What time of year is most prevalent for an late fall to early spring
influenza infection
abrupt onset of fever, malaise, myalgia, HA, anorexia, rhinitis, sore throat and non-
productive cough.
What are the s/s associated with influenza
Kids can have otitis media and GI issues (n/v/d)
What distinguishes common cold from sore throat, nasal congestion and sneezing are less common in the flu versus the
influenza? common cold
What distinguishes an URI from influenza? myalgia and malaise are not usually present with URI, but they are with the Flu
Page 1 of 7
, What are possible complications of the PNA, sinusitis, AOM, myositis, pericarditis, reye's syndrome, asthma/copd
flu? exacerbations
Can you give aspirin to a child with the No, because of the increased risk of Reye's syndrome. The flu already puts the
flu? children at risk of Reye's syndrome as does Aspirin.
Rapid antigen detection tests
What diagnostics are used for the flu?
can do a CBC, UA, CXR, blood cx if you suspect a complication like PNA
everyone 6m and older should be getting the influenza vaccine. Only
contraindication is anaphylaxis reaction to eggs. Be very cautious giving vaccine
How can you prevent the flu? to someone with history of guillain barre syndrome.
do not give live vaccine to pregnant or immunocompromised patients
When can you give medications for the if symptoms have been present less than 48 hours
flu?
What anti-viral medication should you Zanamivir
NOT give to an asthma/COPD patient and
why? this is given as a powdered inhaler and can cause exacerbations
tamiflu-- to patients 2weeks and older. given BID for 5 days
What anti-virals can be given for flu
Baloxavir-- for patients 12 years and older PO x 1 dose
patients?
Zanamivir--for 7 years and older. inhaled powder (not for asthma/copd)
What is the causative agent for kawasaki it is unknown
disease?
Who is most at risk for developing Children under the age of 5. Asian descent is most affected
kawasaki disease?
What is the main concern with kawasaki Development of cardiac problems such as aneurysm, mitral/aortic regurgitation
disease? and MI
(think "FEBRILE)
F-Fever
E- Exanthema...polymorphous generalized exanthema (rash associated with fever
than can have many forms)
What are the diagnostic criteria for
B-bulbar conjunctivitis without exudate
kawasaki disease?
R-Red tongue/oral cavity (strawberry tongue...cracked lips)
I-Internal organ involvement
L-Lymphadenophay
E-Extremity changes (swollen/red hands or feet, desquamation of fingertips)
what is incomplete kawasaki disease? fever associated with only 2 of the 5 previously listed additional symptoms
Can a patient with incomplete kawasaki yes.
disease develop the cardiac changes?
When should you suspect kawasaki With fever present for more than two weeks and under the age of 5
disease in a child?
male infants less than 12 months old
What patients are at increased risk for children over age 8
developing cardiac problems with pt with fever over 10 days
kawasaki disease? pt with high neutrophil, bands and low hgb
pt with baseline plt less than 350,000
What is the mortality rate for kawasaki 0.2%
disease?
Page 2 of 7
