Viral Infections in Children Quiz

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Questions and Answers

What is the characteristic progression of the rash described?

  • Papules to macules to scales
  • Macules to blisters to crusts
  • Macules to papules to a raised rash (correct)
  • Macules to vesicles to plaques

What does the rash do when it is pressed?

  • It darkens in color
  • It becomes itchy
  • It blanches (correct)
  • It becomes painful

Which of the following describes parotitis?

  • Inflammation of the parotid gland with fever (correct)
  • Inflammation of the throat with swelling
  • Inflammation of the salivary glands without fever
  • Generalized swelling without gland involvement

How does the rash spread?

<p>It spreads peripherally from the center outward (B)</p> Signup and view all the answers

What is the term used to describe joint pain that affects multiple joints?

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

Flashcards

Polyarthralgia

Pain in multiple joints

Maculopapular rash

A rash that starts as flat spots (macules) and then develops raised bumps (papules).

Parotitis

Inflammation of the parotid gland (a salivary gland).

Rash spreads peripherally

The rash begins in a center point and moves outwards.

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Lace-like rash

The rash appears in a net like pattern/texture.

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Study Notes

Viral Infections in Children

  • Rubella (German Measles): Droplet precautions; maculopapular rash spreads head-to-foot, polyarthralgia (joint pain) common in adolescents.

  • Rubeola (Measles): Airborne precautions; fever, cough, coryza, conjunctivitis, Koplik spots in oral mucosa.

  • Varicella Zoster (Chickenpox): Airborne precautions; fever, malaise, anorexia, H/A, mild abdominal pain followed by rash—pruritic erythematous macules that evolve to papules and then form clear, fluid-filled vesicles.

  • Exanthem Subitum (Roseola Infantum/Sixth Disease): Standard precautions; high fever (101-106°F) for 3-5 days; 12-24 hours after fever resolves, a pinkish red, flat or raised rash that blanches when pressed. Rashes appear and last 1-3 days.

  • Erythema Infectiosum (Fifth Disease): Droplet precautions; slapped-cheek appearance; erythematous rash spreads to trunk; maculopapular rash with lace-like appearance.

  • Hand, Foot, and Mouth Disease: Standard precautions (contact for diagnosed/incontinent children); high fever; vesicles on tongue, oral mucosa, vesicles on hands and feet that are football-shaped.

  • Herpangina: Standard precautions; high fever; vesicles on the tongue and oral mucosa.

  • Mumps: Droplet precautions; parotitis (inflammation of parotid gland) and fever.

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