CMN 572 EXAM QUESTIONS WITH
CORRECT ANSWERS
Scarlet Fever -clinical signs - Correct Answers -Positive rapid strep - group A
Strawberry tongue
Circumoral pallor
sand papery rash
enlarged tonsils
Rash blanches except skin folds (Pastia sign)
scarlet fever - treatment - Correct Answers -penicillin.
If allergic to penicillin erythromycin
Treat for 10-14 days
Scarlet fever - treatment goals - Correct Answers -Prevent acute rheumatic fever
decrease spread of disease
prevent post streptococcal glomerulonephritis
shorten course of illness
Scarlet Fever - differentials - Correct Answers -Pharyngitis: herpangina, herpes simplex,
Mono
Rash: rubella, sunburn, drug reaction, Kawasaki disease, toxic shock syndrome,
staphylococcal scalded skin syndrome
Streptococcal perianal cellulitis - Correct Answers -culture - heavy growth of group A
Afebrile
Perianal erythema, tenderness
scant rectal bleeding with defecation
Enteroviruses - Correct Answers -Major cause of acute febrile illness in young children.
Acute Febrile Pharyngitis
Herpangina
Acute Lymphonodular Pharyngitis
Hand-Foot-Mouth Disease
Coxsackieviruses A5, 10, 16 - Correct Answers -Hand-Foot-Mouth Disease
Rash - macular, maculopapular, urticarial, scarlatinaform, petechia, vesicular
Lesions found on tongue, oral mucosa, hands, and feet
Fever, sore throat, and malaise.
, Mononucleosis - Correct Answers -Exposure to Epstein-Barr Virus
Intimate contact
EPV remains in host for life
Incubation 1-2 months
infectious mononucleosis - Correct Answers -Epstein-Barr virus
Prolonged fever
Exudative pharyngitis
Generalized adenopathy
Hepatosplenomegaly
Atypical lymphocytes
Heterophile antibodies
Heterophile antibodies - Correct Answers -More sensitive in patients over 5 years.
May not be detectable until second week of illness.
Mono spot positive
Mono treatment - Correct Answers -Treat symptoms - suppotive.
Analgesics and anitpyretics.
Avoid contact sports 6 - 8 weeks.
Fluids.
Bed rest.
Follow-up labs and ultrasound if indicated.......
* splenomegaly
* Elevated LFTs
* Abnormal CBC
Erythema Infectiosum (Fifth Disease) - Correct Answers -Fever and rash with slapped
cheek appearance.
Parvovirus B19.
Peaks in late winter early Spring.
Symmetrical, full body reticulated (lacy) rash
Fifth Disease - Correct Answers -Infectious prior to rash
* 4 - 14 days after exposure
40% of adults are seronegative
Rash will fade in several days to weeks but made reappear if local irritation ( sunlight,
heat, stress).
Arthritis is common in oldr patients.
Pregnant women:
* hydrops fetalis
Roseola - Correct Answers -Infants - 36 months
Late fall early spring
Herpes virus 6 or 7
CORRECT ANSWERS
Scarlet Fever -clinical signs - Correct Answers -Positive rapid strep - group A
Strawberry tongue
Circumoral pallor
sand papery rash
enlarged tonsils
Rash blanches except skin folds (Pastia sign)
scarlet fever - treatment - Correct Answers -penicillin.
If allergic to penicillin erythromycin
Treat for 10-14 days
Scarlet fever - treatment goals - Correct Answers -Prevent acute rheumatic fever
decrease spread of disease
prevent post streptococcal glomerulonephritis
shorten course of illness
Scarlet Fever - differentials - Correct Answers -Pharyngitis: herpangina, herpes simplex,
Mono
Rash: rubella, sunburn, drug reaction, Kawasaki disease, toxic shock syndrome,
staphylococcal scalded skin syndrome
Streptococcal perianal cellulitis - Correct Answers -culture - heavy growth of group A
Afebrile
Perianal erythema, tenderness
scant rectal bleeding with defecation
Enteroviruses - Correct Answers -Major cause of acute febrile illness in young children.
Acute Febrile Pharyngitis
Herpangina
Acute Lymphonodular Pharyngitis
Hand-Foot-Mouth Disease
Coxsackieviruses A5, 10, 16 - Correct Answers -Hand-Foot-Mouth Disease
Rash - macular, maculopapular, urticarial, scarlatinaform, petechia, vesicular
Lesions found on tongue, oral mucosa, hands, and feet
Fever, sore throat, and malaise.
, Mononucleosis - Correct Answers -Exposure to Epstein-Barr Virus
Intimate contact
EPV remains in host for life
Incubation 1-2 months
infectious mononucleosis - Correct Answers -Epstein-Barr virus
Prolonged fever
Exudative pharyngitis
Generalized adenopathy
Hepatosplenomegaly
Atypical lymphocytes
Heterophile antibodies
Heterophile antibodies - Correct Answers -More sensitive in patients over 5 years.
May not be detectable until second week of illness.
Mono spot positive
Mono treatment - Correct Answers -Treat symptoms - suppotive.
Analgesics and anitpyretics.
Avoid contact sports 6 - 8 weeks.
Fluids.
Bed rest.
Follow-up labs and ultrasound if indicated.......
* splenomegaly
* Elevated LFTs
* Abnormal CBC
Erythema Infectiosum (Fifth Disease) - Correct Answers -Fever and rash with slapped
cheek appearance.
Parvovirus B19.
Peaks in late winter early Spring.
Symmetrical, full body reticulated (lacy) rash
Fifth Disease - Correct Answers -Infectious prior to rash
* 4 - 14 days after exposure
40% of adults are seronegative
Rash will fade in several days to weeks but made reappear if local irritation ( sunlight,
heat, stress).
Arthritis is common in oldr patients.
Pregnant women:
* hydrops fetalis
Roseola - Correct Answers -Infants - 36 months
Late fall early spring
Herpes virus 6 or 7
