Measles and Skin Conditions Quiz

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Questions and Answers

Which statement regarding the treatment recommendations for measles is accurate?

  • Analgesics are discouraged in treating measles.
  • Vaccination is optional for prevention.
  • Referral is necessary to prevent outbreaks. (correct)
  • Aspirin is recommended for symptomatic relief.

What is the primary difference between impetigo and cold sores?

  • Impetigo is viral while cold sores are bacterial.
  • Cold sores require vaccination for prevention.
  • Impetigo is a bacterial infection without a prodromal stage. (correct)
  • Impetigo has a prodromal stage, whereas cold sores do not.

Which of the following is true about paracetamol and other medications during breastfeeding?

  • Chlorphenamine is acceptable for breastfeeding mothers. (correct)
  • Aspirin should be preferred due to its effectiveness.
  • Paracetamol is known to pass into milk and affect the infant.
  • Both paracetamol and antihistamines are contraindicated.

Why are aspirin and other NSAIDs avoided in managing certain skin conditions?

<p>They can create severe skin complications. (C)</p> Signup and view all the answers

What is the key preventive measure against incidents of measles?

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

Which of the following infections is caused by herpes simplex virus type 1 (HSV1)?

<p>Cold Sores (D)</p> Signup and view all the answers

What is the characteristic difference between impetigo and cold sores?

<p>Impetigo is bacterial; cold sores are viral. (B)</p> Signup and view all the answers

Which of the following best describes the nature of herpes simplex virus (HSV1) after initial infection?

<p>It becomes dormant in the dorsal root ganglia. (D)</p> Signup and view all the answers

What percentage of adults may have been infected with HSV1, regardless of symptoms?

<p>50% (D)</p> Signup and view all the answers

What triggers the reactivation of a cold sore infection?

<p>Environmental factors such as stress. (D)</p> Signup and view all the answers

In adults, which area is most commonly associated with a cold sore outbreak?

<p>Beard area (B)</p> Signup and view all the answers

In what age group is primary infection of HSV1 most commonly observed?

<p>Children aged 2-5 years (D)</p> Signup and view all the answers

What is a common presentation that may indicate an underlying bacterial infection in the beard area?

<p>Papular rash with vesicles (D)</p> Signup and view all the answers

What is the role of Acyclovir in the treatment of cold sores?

<p>It inhibits herpes virus DNA polymerase. (C)</p> Signup and view all the answers

Which measure is NOT recommended for managing impetigo?

<p>Share towels with family members to avoid spread. (C)</p> Signup and view all the answers

What is a key hygiene practice for individuals with cold sores when applying treatment?

<p>Wash hands thoroughly after touching the affected area. (A)</p> Signup and view all the answers

Which statement regarding the treatment of non-bullous impetigo is accurate?

<p>1% Hydrogen Peroxide Cream is suitable for localized non-bullous impetigo. (D)</p> Signup and view all the answers

Why is it important to prevent contact with lesions during the active phase of a cold sore?

<p>To minimize the risk of virus transmission to others. (D)</p> Signup and view all the answers

What is a crucial counseling point for patients using Acyclovir?

<p>Early application reduces healing time. (B)</p> Signup and view all the answers

What is the recommended practice to avoid scarring in individuals with impetigo?

<p>Keeping fingernails short and avoiding scratching. (A)</p> Signup and view all the answers

Which recommendation should be followed to prevent the spread of cold sores in social settings?

<p>Avoid sharing personal items that contact the lesions. (C)</p> Signup and view all the answers

What is a common route of transmission for roundworm infections?

<p>Inhalation of eggs (B)</p> Signup and view all the answers

Upon hatching in the intestines, how do roundworm larvae travel within the body?

<p>They enter the bloodstream and migrate to various organs (B)</p> Signup and view all the answers

What symptom might indicate the presence of roundworms in a patient?

<p>Itching around the anus (C)</p> Signup and view all the answers

What differentiates ascariasis from threadworm infections?

<p>Threadworm can be identified more easily than ascariasis (D)</p> Signup and view all the answers

Why is it important to reassure patients regarding roundworm infections?

<p>It does not reflect their personal hygiene practices (C)</p> Signup and view all the answers

What is chickenpox predominantly caused by?

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

What is one of the primary ways chickenpox spreads?

<p>Direct contact and vesicular exudate (D)</p> Signup and view all the answers

Which age group is most commonly affected by chickenpox?

<p>Children under 12 years (C)</p> Signup and view all the answers

What is a common treatment for symptoms of chickenpox?

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

How does the varicella zoster virus behave during reactivation?

<p>It replicates and leads to lesions (C)</p> Signup and view all the answers

What can be a potential complication of chickenpox?

<p>Severe skin infections (B)</p> Signup and view all the answers

What is a less common symptom associated with chickenpox?

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

Which lifestyle advice is beneficial for managing chickenpox symptoms?

<p>Keeping lesions clean and dry (D)</p> Signup and view all the answers

What is the recommended dosage for Domperidone in tablet form?

<p>1 tablet four times a day (D)</p> Signup and view all the answers

Which mode of travel is suggested for minimizing motion sickness on a plane?

<p>Sit over the wing (A)</p> Signup and view all the answers

What is advised to prevent motion sickness during car travel?

<p>Elevate seating position to see outside (A)</p> Signup and view all the answers

Which advice is accurate regarding alcohol consumption before travel?

<p>It should be avoided before journeys (A)</p> Signup and view all the answers

What alternative remedy has probable antiemetic activity for motion sickness?

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

What is a crucial consideration regarding the safety of Domperidone?

<p>It is associated with an increased risk of arrhythmias (A)</p> Signup and view all the answers

What is recommended to help settle the brain’s processing of conflicting messages during travel?

<p>Focus on stationary objects (C)</p> Signup and view all the answers

What should travelers do to ensure good ventilation during their journey?

<p>Open a window (D)</p> Signup and view all the answers

What is the sequence of lesion development in cold sores?

<p>Small red itchy patch → vesicles that rupture → drying of exudate (D)</p> Signup and view all the answers

How long do the lesions typically last from the recognition of prodromal symptoms to resolution in cold sore cases?

<p>14 days (B)</p> Signup and view all the answers

What does a cold sore typically leave after the lesions have resolved?

<p>A thin brown crust (C)</p> Signup and view all the answers

What is a common prodromal symptom associated with cold sores?

<p>Itching, burning pain, or tingling (D)</p> Signup and view all the answers

Which area is most affected by cold sores?

<p>The face, mainly around the nose and mouth (C)</p> Signup and view all the answers

What is a key feature to differentiate between impetigo and cold sores?

<p>Appearance of the lesion and stage of progression (B)</p> Signup and view all the answers

When is a cold sore considered infectious?

<p>Until the lesions have completely dried up (A)</p> Signup and view all the answers

In which stage do the lesions of bullous impetigo begin to form?

<p>Fluid-filled bullae (C)</p> Signup and view all the answers

What is the most effective time to administer acupressure wristbands?

<p>Prophylactically before travel (A)</p> Signup and view all the answers

Which of the following medications has shown utility for treating motion sickness?

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

What side effect may be experienced when using certain pharmacological treatments for motion sickness?

<p>Dry mouth (A)</p> Signup and view all the answers

Which age group is recommended to receive 12.5mg of Meclizine orally once daily?

<p>Ages 2 to 12 years (B)</p> Signup and view all the answers

What is a notable characteristic of Meclizine in the context of its pharmacological effects?

<p>It has both antihistamine and antimuscarinic activity (D)</p> Signup and view all the answers

In terms of treating motion sickness, which is a limitation of some medications?

<p>Only effective after symptoms appear (D)</p> Signup and view all the answers

What is one probable effect of Meclizine on the body's systems when treating motion sickness?

<p>Decreased input on the vomiting center (D)</p> Signup and view all the answers

Which factor is associated with a higher risk of motion sickness in patients based on age?

<p>Age over 60 (D)</p> Signup and view all the answers

What is the recommended frequency for exercise to improve sleep hygiene?

<p>3 to 4 times weekly (B)</p> Signup and view all the answers

Which of the following substances should be avoided to promote better sleep hygiene?

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

Where is optimal lighting important for enhancing sleep hygiene?

<p>Bedroom conditions (A)</p> Signup and view all the answers

What is the maximum recommended duration for using melatonin supplements?

<p>3 months (D)</p> Signup and view all the answers

What effect does prolonged-release melatonin have on patients over 55 years old?

<p>Improves sleep onset latency and quality (C)</p> Signup and view all the answers

What is the purpose of following a mildly hypocaloric diet when using specific weight-loss medications?

<p>To enhance the medication's effectiveness (B)</p> Signup and view all the answers

What is an effect of avoiding blue spectrum light before bedtime?

<p>Improves sleep quality (D)</p> Signup and view all the answers

Which condition may benefit from exogenous melatonin use?

<p>Delayed sleep phase syndrome (A)</p> Signup and view all the answers

Flashcards

Impetigo Treatment

Treatment for impetigo involves keeping fingernails short, preventing contact with others, and washing affected area with soapy water.

Impetigo Hygiene

Hygiene practices for impetigo include avoiding sharing towels/clothing and thoroughly washing hands after touching affected area.

Cold Sore Treatment

Treatment for cold sores involves avoiding touching the area, and using acyclovir when first presented for reduced healing times, as well as proper hygiene practices.

Cold Sore Hygiene

Hygiene practices for cold sores include not sharing utensils/lipstick/towels and washing hands after touching the affected area.

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Cold Sore Transmission

Transmission risk from cold sores is highest during the first 4 days. Avoid kissing.

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Acyclovir Mechanism

Acyclovir works by inhibiting herpes virus DNA polymerase.

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Acyclovir Use

Use acyclovir as soon as cold sore symptoms appear for fastest healing.

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Sun Exposure and Cold Sores

Sunblock can help prevent cold sores triggered by sun exposure.

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Cold Sores Cause

Viral infection caused by herpes simplex virus (HSV1)

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Cold Sores vs. Impetigo

Cold sores are viral (HSV1), while impetigo is bacterial.

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HSV1 vs. HSV2

HSV1 almost always causes cold sores, HSV2 most commonly causes genital herpes.

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Cold Sore Prevalence

About 50% of adults have been infected with HSV1, possibly without symptoms.

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Cold Sore Reactivation

Cold sores can reactivate due to the virus lying dormant in nerve endings.

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Primary Infection Age

Cold sores are mostly contracted by pre-school children, often without any symptoms.

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Cold Sore Infection Duration

A cold sore infection typically lasts for the infected person's lifetime.

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Cold Sore Infection Location

Herpes simplex virus (HSV1) infects nerve endings, travelling to and lying dormant in the trigeminal nerve's sensory ganglia.

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Impetigo

A highly contagious bacterial infection, commonly found on the face, characterized by sores that crust over.

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Cold Sore

A viral infection caused by herpes simplex virus, commonly appearing as painful blisters on the lips or mouth.

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Impetigo vs. Cold Sore: Difference

Impetigo is bacterial, has no early warning signs, and spreads easily. Cold sores are viral and often have a tingling sensation before they appear.

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Medications for Impetigo and Cold Sores

Antibiotics are used to treat impetigo. Antivirals are used to treat cold sores. Avoiding NSAIDs is crucial for both.

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Pregnancy and Breastfeeding

Both impetigo and cold sores are not recommended to treat during pregnancy due to potential harm to the fetus. Breastfeeding is generally considered safe for both conditions.

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Chickenpox Transmission

Chickenpox spreads through direct contact with an infected person and through the fluid from their blisters.

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Chickenpox Symptoms

Chickenpox is a highly contagious viral illness that causes rash, fever, headache, and tiredness.

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Chickenpox Treatment

There's no cure for Chickenpox, but you can manage the symptoms with antiviral medications like acyclovir.

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Chickenpox Prevention

The best way to prevent Chickenpox is getting the chickenpox vaccine.

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Chickenpox Complications

In rare cases, Chickenpox can cause serious complications like pneumonia, encephalitis, and skin infections.

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Chickenpox Reactivation

The virus that causes Chickenpox can lie dormant in the body and reactivate later in life, causing shingles.

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Chickenpox and Measles

Chickenpox and measles are highly contagious viral illnesses with distinct symptoms and complications.

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Promethazine for Children

Promethazine is a medication that can help alleviate symptoms of chickenpox, but it can make children drowsy.

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What are the early warning signs of bullous impetigo?

Bullous impetigo often starts with itching, burning, and tingling sensations on the skin, hours to days before fluid-filled blisters appear.

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How long does a bullous impetigo lesion last?

A bullous impetigo lesion typically resolves within 7 to 10 days, but the entire process from prodromal symptoms to symptom resolution can take up to 14 days.

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What is the key difference between bullous impetigo and cold sore?

The stage of progression and the appearance of the lesion are the key differences. Cold sores have a prodrome, and the blisters dry up to form yellow crusts, typically on the lips, nose, and around the mouth. Bullous impetigo lesions involve flaccid, fluid-filled bullae that rupture quickly and leave a thin brown crust.

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What does a cold sore look like?

A cold sore starts as a small, red, itchy patch of skin. It then develops into vesicles (fluid-filled blisters) that rupture and weep, eventually drying up to form yellow-brown crusted lesions.

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When is a cold sore infection contagious?

A cold sore infection is contagious until the lesions have dried up.

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Where does bullous impetigo typically occur?

Bullous impetigo often appears on the trunk, but can also affect other areas of the body.

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What is the significance of the prodromal period for cold sores?

The prodromal period, with its itching, burning, and tingling sensations, is an important indicator for cold sores. It helps in early diagnosis and treatment.

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What is the impact of delayed treatment for cold sores?

Delaying treatment for cold sores can increase healing time, making them more uncomfortable and increasing the risk of transmission.

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Roundworm

A type of parasitic worm that can live in the intestines, often migrating to the anus and causing itching. It is transmitted through contaminated food, water, or soil, and can be difficult to identify. It is also known as Ascaris lumbricoides, which causes ascariasis.

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Ascariasis

Infection caused by the roundworm Ascaris lumbricoides, which can lead to various symptoms depending on the stage of infection, especially when the worm migrates through the lungs, liver, and trachea.

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Roundworm Transmission

Roundworms are typically spread through the fecal-oral route, meaning they can be ingested from contaminated food, water, or soil. However, inhalation is also possible.

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Roundworm Symptoms

The most noticeable symptom of a roundworm infection affecting the anus is severe itching. This happens when the female worms migrate there to lay eggs.

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Roundworm Migration

Roundworms have a complex life cycle that involves migration. After hatching in the intestines, larvae travel through the bloodstream to the lungs, liver, trachea, and esophagus, eventually returning to the intestines.

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Motion Sickness: What's the Best Time to Take Meds?

Motion sickness medications are most effective when taken before the onset of symptoms, as a preventative measure.

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Motion Sickness Meds: Primary Use?

Promethazine is the only motion sickness medication proven effective for treating existing symptoms, while others are mainly for prevention.

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Motion Sickness Meds: Common Side Effect?

Dry mouth is a frequent side effect of motion sickness medications due to their antihistamine and anticholinergic properties.

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Motion Sickness Meds: How to Manage Dry Mouth?

Sucking on sweets or hard candies can help stimulate saliva production and alleviate dry mouth caused by motion sickness medication.

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Motion Sickness Meds: Who might benefit?

Drivers and pregnant women are particularly sensitive to motion sickness and may benefit from using motion sickness medications.

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SE-Band AcuP: How does it work?

SE-Bands apply pressure to the P6 acupoint on the wrist, which is believed to help reduce nausea and vomiting associated with motion sickness.

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SE-Band AcuP: Effectiveness?

Studies on the effectiveness of SE-Bands are mixed, with some suggesting their use as a preventative measure.

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Good Sleep Hygiene

Practices that promote healthy sleep patterns, such as exercising regularly during the day, optimizing bedroom conditions, developing a bedtime ritual, and avoiding stimulants like alcohol, caffeine, and nicotine before bed.

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Motion Sickness: Why is promethazine effective for treatment?

Promethazine has antihistamine, anticholinergic, and anti-dopaminergic properties, which help reduce nausea and vomiting by affecting the vomiting center.

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Blue Spectrum Light & Sleep

Blue light emitted from electronic devices like TV, phones, and tablets can interfere with melatonin production, making it harder to fall asleep.

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Melatonin: Sleep Aid

A hormone naturally produced by the body to regulate sleep-wake cycles. Supplemental melatonin can be helpful for sleep onset latency and quality, especially in older adults.

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Melatonin: Limitations

Melatonin supplements should only be used for short periods (up to 3 months) due to potential tolerance issues and limited clinical evidence for chronic insomnia.

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Orlistat: Weight Loss

A medication that helps with weight loss by blocking the absorption of fat. It should be used in combination with a low-fat, calorie-restricted diet.

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Orlistat: Limitations

Orlistat can reduce the absorption of fat-soluble vitamins, so supplementing might be needed.

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Exercise and Sleep

Regular physical activity during the day can promote better sleep quality, but avoid exercising too close to bedtime.

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Stimulants & Sleep

Alcohol, caffeine, and nicotine can interfere with sleep by stimulating the nervous system, making it harder to fall asleep and stay asleep.

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Domperidone for Motion Sickness

Domperidone is a medication sometimes used to treat motion sickness, although its effectiveness is debated. It works by promoting stomach emptying and reducing nausea.

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Motion Sickness Minimization Strategies

Strategies to combat motion sickness include minimizing movement, focusing on stationary objects, and maintaining good ventilation.

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Why Avoid Reading During Travel?

Reading while traveling can worsen motion sickness because it involves visual focus on a close-up stationary object, while the body experiences motion. This creates conflicting sensory signals that can trigger nausea.

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Impact of Alcohol and Overeating on Motion Sickness

Consuming alcohol or large meals before traveling can worsen motion sickness due to their effects on digestion and the nervous system.

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Acupressure for Motion Sickness

Acupressure is an alternative therapy for motion sickness, involving applying pressure to specific points on the body, like the Nei Guan point on the wrist, which may help reduce nausea.

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Ginger for Motion Sickness

Ginger has been traditionally used to combat nausea and may be effective for motion sickness. It is available over-the-counter and offers a potential natural remedy.

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Domperidone Safety Concerns

Domperidone has been linked to an increased risk of serious heart rhythm problems in some cases. This has led to regulatory action in several countries.

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Domperidone FDA Review

The FDA has conducted a review of scientific evidence to assess the safety of Domperidone after other countries raised concerns about its potential cardiac risks.

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Study Notes

Exam 2 Compilation: Lesson 4 - Infections

  • Chickenpox (Varicella): Highly infectious viral disease, can be fatal. Common in children under 10. Spread via direct contact with lesions or airborne droplets. Incubation period: 1-3 weeks (up to 21 days). Symptoms include fever, malaise, rash (vesicles), itching. Infectious period: from 1-2 days before rash to until all vesicles crust over. Reactivation can lead to shingles.

  • Measles (Rubeola): Highly contagious viral disease, can be fatal. Common childhood infection, but incidence decreasing due to vaccination. Spread through respiratory droplets. Symptoms include fever, cough, sore throat, runny nose, red eyes (conjunctivitis), rash (red, blotchy). Incubation period: ~10 days. Infection period: from late prodromal to when all rash is crusted over. Possible complications include pneumonia, encephalitis, and otitis media.

  • Impetigo: Bacterial skin infection, common in children, usually caused by Staphylococcus aureus or Streptococcus pyogenes. Infectious period begins with small red itchy patches that progress to vesicles, then yellow-brown crusted lesions.

  • Cold Sores (Herpes Simplex Virus 1): Viral infection that causes recurrent sores on or around the lips and mouth. Infectious until lesions heal. Incubation period ~10 days. Initial symptoms include tingling, burning, or itching before the sores appear. May be reactivated by various factors.

  • Threadworm (Enterobius vermicularis): Helminth infection causing perianal itching, common in children. Eggs are transmitted via fecal-oral route or inhalation. Symptoms include night-time itching around the anus.

  • Roundworm (Ascaris lumbricoides): Less common than threadworm, typically causing ascariasis. Causes include ingesting food or water contaminated with eggs, followed by larvae migration & re-infection into digestive tract. This potentially leads to serious symptoms (GI issues, respiratory).

Exam 2 Compilation: Lesson 5 - CNS

  • Pain: Acute pain (lasting less than 3 months) is usually caused by tissue damage, inflammation, or disease, Chronic pain (lasting longer than 3 months) may be associated with various conditions, such as cancer pain, neuropathic pain, or musculoskeletal pain. Evaluation via PQRST: Precipitation, Quality, Region, Severity, Timing

  • Headache: Common condition involving various types (e.g., tension-type, migraine). Tension-type headaches are often bilateral, pressing, and moderate in intensity. Migraines are often unilateral, throbbing, and severe; frequently associated with nausea and vomiting.

  • Nausea & Vomiting: Unpleasant sensations (nausea) and forceful ejection of gastric contents (vomiting). Caused by several factors, acute gastroenteritis being amongst the most frequent. Medicine-induced vomiting is also a possibility.

  • Motion Sickness: Discomfort experienced during movement, often involving nausea, vomiting, and dizziness. Due to various causes (such as travel).

Exam 2 Compilation: Other Lessons

  • Insomnia: Inability to initiate or maintain sleep. Common issues. Can stem from a range of issues (e.g., stressors, underlying conditions, or medications). Management includes lifestyle changes and possibly medications (e.g., antihistamines).

  • Obesity: Significant health concern. Often caused by excessive calorie intake and insufficient physical activity. Management includes lifestyle changes, diet plans, exercise regimens, and potentially medications like orlistat.

  • Smoking Cessation: Quitting smoking can lead to various challenges (e.g., nicotine addiction). Nicotine Replacement Therapy (NRT) is a recommended treatment option that can help handle withdrawal symptoms.

  • Eyes, Ears, and Oral Health: Covers various aspects related to eye, ear, and oral anatomy, as well as related issues like conjunctivitis, ear infections, and oral health.

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