MICI: Childhood Viruses Overview

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Questions and Answers

What is the primary method of transmission for measles?

  • Contaminated surfaces
  • Vertical transmission from mother to child
  • Respiratory droplets (correct)
  • Direct contact with skin lesions

Which of the following is NOT a complication associated with mumps?

  • Encephalitis
  • Meningitis
  • Anemia (correct)
  • Orchitis

What type of vaccine is used to prevent rubella?

  • Subunit vaccine
  • Live attenuated vaccine (correct)
  • Inactivated virus vaccine
  • DNA vaccine

Which symptom is characteristic of erythema infectiosum?

<p>Slapped cheek rash (A)</p> Signup and view all the answers

What is the primary concern regarding rubella immunity?

<p>It poses a significant risk to pregnant women. (D)</p> Signup and view all the answers

What illness is indicated by the presence of Koplik spots?

<p>Measles (C)</p> Signup and view all the answers

Which diagnostic samples are most appropriate for confirming an infection in an unvaccinated child with fever and facial swelling?

<p>Oral swab and urine for PCR (B)</p> Signup and view all the answers

What action should be taken for a 56-year-old man with a positive varicella zoster virus serology result?

<p>He has a risk of developing shingles and may be immunized. (B)</p> Signup and view all the answers

What virus should be detected when involved in an outbreak of hand, foot, and mouth disease?

<p>Coxsackie virus (A)</p> Signup and view all the answers

In which of the following infections does positive serology indicate a higher risk of developing disease rather than immunity?

<p>Varicella zoster (D)</p> Signup and view all the answers

What preventive measure is most recommended for pregnant women to avoid complications related to rubella?

<p>Vaccination before conception (B)</p> Signup and view all the answers

Which is NOT typically a symptom of measles as indicated by clinical findings?

<p>Necrotizing fasciitis (B)</p> Signup and view all the answers

Which group is particularly encouraged to receive varicella vaccination?

<p>Immunocompromised adults (C)</p> Signup and view all the answers

What role does group study play in understanding the symptoms, transmission, and prevention of viral infections?

<p>It enhances knowledge and clarifies doubts through discussion. (D)</p> Signup and view all the answers

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Study Notes

Childhood Viruses Overview

  • Measles: Caused by Morbillivirus, highly contagious via respiratory droplets. Symptoms include fever, cough, runny nose, conjunctivitis, and a characteristic maculopapular rash.
  • Rubella: Caused by Rubella virus, spread through respiratory secretions, can be vertically transmitted to the fetus. Symptoms include a mild rash, swollen lymph nodes, and fever.
  • Erythema Infectiosum (Fifth Disease): Caused by Parvovirus B19, transmitted via respiratory droplets. Symptoms include a "slapped cheek" rash, lacy rash on extremities, and fever.
  • Mumps: Caused by Mumps virus, spread via respiratory droplets. Symptoms include swelling of parotid glands, fever, and orchitis.
  • Varicella (Chickenpox) and Shingles: Caused by Varicella-zoster virus, transmitted via airborne droplets. Chickenpox symptoms include a vesicular rash, fever, and malaise. Shingles is a reactivation of the virus and causes a localized rash.

Key Concepts

  • Positive Serology indicates past infection or immunity. However, in the case of Varicella zoster virus (VZV), a positive IgG result does not guarantee immunity against reactivation as shingles. This is especially important for older adults and immunocompromised individuals.
  • Vaccination Importance: Vaccines are essential for preventing childhood viral infections; despite the effectiveness of vaccines, recent outbreaks highlight their ongoing need.

Quiz Questions and Answers

  • Positive serology indicates a higher risk of developing disease rather than immunity in Varicella zoster.
  • Fever, coughing, red eyes, and Koplik spots are most likely symptoms of Measles.
  • Pregnant women are the population most concerned about immunity to rubella.
  • Oral swab and urine for PCR are the best samples to confirm Mumps infection in an unvaccinated 6-year-old boy.
  • A 56-year-old man with a positive varicella zoster serology has a 10-20% risk of shingles and can be immunized.
  • Coxsackie virus detection reports should be checked in an outbreak of hand, foot, and mouth disease.

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