Clinical Course of Chickenpox and Measles
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Questions and Answers

Match the Clinical Course Happening During Chickenpox with the correct description.

Incubation Period = May take 1 to 3 weeks Prodromal Period = Include symptoms such as N/V, headache, myalgia, loss of appetite, fever, and malaise Infectious Period = 1 to 2 days before the rash appears until all vesicles have dried or crusted over Reactivation Period = May present as shingles

Match the Clinical Course Happening During Measles with the correct description.

Incubation Period = 10 days Prodromal Period = May present as fever, URTI (upper respiratory tract infection - catarrhal phase) symptoms, conjunctivitis, and Koplik's spots Infectious Period = Highest during late prodromal period Complications = May involve pneumonia, encephalitis, and otitis media (infection of middle ear)

Which of the following are characteristics of chickenpox?

  • Disseminated flat erythematous rash
  • Involves Gl and respiratory symptoms
  • Appears mainly on the trunk rather than the face and limbs (correct)
  • Tiny vesicles (small blisters) surrounded by reddened area (correct)
  • Which of the following are characteristics of measles?

    <p>Disseminated flat erythematous rash</p> Signup and view all the answers

    Which of the following are red flags for referral for chickenpox and measles? (Select all that apply)

    <p>Requires immediate referral and notification</p> Signup and view all the answers

    Which of the following is the MOST important lifestyle advice for people who have not yet contracted chickenpox or measles?

    <p>Vaccination</p> Signup and view all the answers

    How would you BEST recommend the uptake of measles vaccine?

    <p>Given at the age of 12 months, then 4 years old, subcutaneously</p> Signup and view all the answers

    Ibuprofen is appropriate for patients with chickenpox.

    <p>False</p> Signup and view all the answers

    Aspirin is appropriate for adults with chickenpox.

    <p>False</p> Signup and view all the answers

    Promethazine 25mg HS is appropriate for a 3-year-old patient with chickenpox complaining of severe itchiness.

    <p>True</p> Signup and view all the answers

    Adding 1% menthol to topical calamine lotion is effective for reducing fever in chickenpox.

    <p>False</p> Signup and view all the answers

    Which of the following are characteristics are used to differentiate impetigo from cold sores?

    <p>Prodrome of itching, burning pain, or tingling symptoms hours to days prior to vesicle eruption</p> Signup and view all the answers

    Which of the following are red flags for referral for impetigo and cold sores? (Select all that apply)

    <p>Patient suffering from atopic eczema who has come into contact with an active cold sore</p> Signup and view all the answers

    Which of the following pharmacy products would you BEST recommend to a patient with a history of cold sores?

    <p>Sunblock</p> Signup and view all the answers

    Which of the following would you BEST recommend to a patient with localized non-bullous impetigo?

    <p>Aciclovir 5% Cream</p> Signup and view all the answers

    How should you counsel on the proper use of aciclovir cream for cold sores?

    <p>Should be used as soon as symptoms exist</p> Signup and view all the answers

    How can threadworm and roundworm be differentiated from each other?

    <p>Patient is a pre-school child</p> Signup and view all the answers

    Strict personal hygiene is complementary to pharmacological treatment of threadworms.

    <p>True</p> Signup and view all the answers

    Mebendazole should only be given to the patient and not the family members.

    <p>False</p> Signup and view all the answers

    The death of worms is expected after 3 hours of using Mebendazole.

    <p>False</p> Signup and view all the answers

    Two tablets of 100mg Mebendazole should be given as the initial dose.

    <p>False</p> Signup and view all the answers

    A repeat dose of Mebendazole 14 days later is often recommended to ensure complete eradication.

    <p>True</p> Signup and view all the answers

    Which of the following is TRUE about acute pain?

    <p>Treatment includes short-term symptomatic relief using NSAIDs and opiates.</p> Signup and view all the answers

    Identify the type of pain for the following situations encountered in the pharmacy: Phantom pain.

    <p>Neuropathic pain</p> Signup and view all the answers

    Identify the type of pain for the following situations encountered in the pharmacy: Postherpetic neuralgia.

    <p>Neuropathic pain</p> Signup and view all the answers

    Identify the type of pain for the following situations encountered in the pharmacy: Acute MI.

    <p>Visceral pain</p> Signup and view all the answers

    Identify the type of pain for the following situations encountered in the pharmacy: Superficial burns.

    <p>Superficial somatic pain</p> Signup and view all the answers

    Identify the type of pain for the following situations encountered in the pharmacy: Arthritis.

    <p>Musculoskeletal pain</p> Signup and view all the answers

    Identify the type of pain for the following situations encountered in the pharmacy: Statin-induced myopathy.

    <p>Musculoskeletal pain</p> Signup and view all the answers

    Identify the type of pain for the following situations encountered in the pharmacy: Post-operative pain.

    <p>Deep somatic pain</p> Signup and view all the answers

    Identify the BEST oral analgesic for Back pain.

    <p>Ibuprofen</p> Signup and view all the answers

    Identify the BEST oral analgesic for Tension headache.

    <p>Ibuprofen</p> Signup and view all the answers

    Identify the BEST oral analgesic for Pain and fever in children.

    <p>Ibuprofen</p> Signup and view all the answers

    Identify the BEST oral analgesic for Dysmenorrhea.

    <p>Ibuprofen</p> Signup and view all the answers

    Identify the BEST oral analgesic for Dental pain.

    <p>Ibuprofen</p> Signup and view all the answers

    Naproxen is more potent than ibuprofen.

    <p>True</p> Signup and view all the answers

    The maximum daily dose of ibuprofen for adults is 4000mg.

    <p>False</p> Signup and view all the answers

    Aspirin has more side effects than ibuprofen.

    <p>True</p> Signup and view all the answers

    Diclofenac can be used for up to 10 days.

    <p>False</p> Signup and view all the answers

    Naproxen has less side effects than ibuprofen.

    <p>False</p> Signup and view all the answers

    Paracetamol is safe to use in pregnant women.

    <p>True</p> Signup and view all the answers

    Which of the following is the MOST common side effect of codeine-containing combination analgesics?

    <p>Constipation</p> Signup and view all the answers

    Which of the following is the BEST option for topical analgesics?

    <p>Ketoprofen</p> Signup and view all the answers

    Which type of headache is likely present in a patient with unilateral pain around the eye with abrupt onset? (Select all that apply)

    <p>Migraine headache</p> Signup and view all the answers

    Who among the following patients presenting with headache is MOST likely showing symptoms of meningitis? (Select all that apply)

    <p>65 y/o elderly with new and severe headache</p> Signup and view all the answers

    Which of the following could BEST be recommended to a patient with newly-diagnosed migraine?

    <p>Sumatriptan</p> Signup and view all the answers

    Arrange the steps when consulting with an active smoker.

    <p>Advise to quit</p> Signup and view all the answers

    Who among the following are candidates for NRT? (Select all that apply).

    <p>Smokeless tobacco user</p> Signup and view all the answers

    Study Notes

    Clinical Course of Chickenpox

    • Incubation Period: 1 to 3 weeks.
    • Prodromal Period: Includes symptoms like nausea/vomiting (N/V), headache, muscle aches (myalgia), loss of appetite, fever, and malaise. Occurs 1 to 3 weeks before the rash appears.
    • Infectious Period: 1 to 2 days before the rash appears until all blisters dry and crust over.
    • Reactivation Period: May present as shingles.

    Clinical Course of Measles

    • Incubation Period: 10 days.
    • Prodromal Period: May present with fever, upper respiratory tract infection (URTI) symptoms, conjunctivitis, and Koplik's spots. Highest during the late prodromal period.
    • Infectious Period: Highest during the late prodromal period.
    • Complications: May involve pneumonia, encephalitis, and otitis media (middle ear infection).

    Chickenpox vs Measles

    • Koplik's spots: Present in measles, absent in chickenpox.
    • Rash distribution: Chickenpox rash typically appears on the trunk before spreading to the face and limbs; measles rash typically appears on the face and spreads to the trunk.
    • Vesicle characteristics: Chickenpox has small blisters surrounded by reddened areas; measles has a disseminated flat rash.
    • Systemic symptoms: Measles commonly involves GI and respiratory symptoms, while chickenpox less often.

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    Description

    This quiz covers the clinical courses of chickenpox and measles, focusing on their incubation periods, prodromal symptoms, infectious periods, and complications. Learn how these two viral infections differ, with special attention to key symptoms like rash distribution and Koplik's spots. Test your knowledge on both diseases and enhance your understanding of their clinical implications.

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