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Worksheets

Vaccine Preventable Diseases & Viral Exanthems

Total questions: 28

Worksheet time: 21mins

Name
Class
Date
1.

Which treatment should not be given to an uncomplicated dengue fever patient?

a)

Paracetamol

b)

Aspirin

c)

Fluids

d)

NOTA

2.

A 7-year-old, female develops a low-grade fever, throat discomfort, and a maculopapular rash. PE showed prominent suboccipital and postauricular lymph nodes. Immunization was updated with MMR given at 12 months old. The most likely diagnosis is:

a)

Rubeola

b)

Roseola

c)

Nonspecific exanthem

d)

Rubella

3.

A 2-year-old girl had a high fever followed by a triad of coryza, conjunctivitis, and a prominent cough. In what phase of pathogenesis is she currently in? 

a)

Incubation

b)

Prodromal

c)

Exanthematous

d)

Recovery

4.

A 7-year-old boy presented with high-grade fever, retro-orbital pain, vomiting and muscle pains. After 7 days, he presented with a rash characterized as ‘isles of white in the sea of red.” At which phase of the disease is he currently in?

a)

Acute

b)

Febrile

c)

Critical

d)

Recovery

5.

What among the following is TRUE of typhoid?

a)

Chloramphenicol is the drug of choice

b)

Tachycardia associated with high fever

c)

Mode of transmission is through droplet particles

d)

Diagnosis is made by Typhido

6.

A 7-year-old boy presented with low-grade fever, headache and an erythematous malar rash. The mother tells you that the patient complained after playing with a neighbor who presented with the same manifestations. What is the mode of transmission of this disease?

a)

Fecal-Oral

b)

Direct Contact

c)

Droplet

d)

Airborne

7.

A 14-year-old waded into the flood yesterday, waist-deep. He had no known drug allergies. He had no open grazes or wounds and had showered 1 hour after the incident. What is the most appropriate postexposure prophylaxis?

a)

Amoxicillin

b)

Azithromycin

c)

Doxycycline

d)

No prophylaxis required

8.

What is the recommended treatment for an 11 year-old well child who developed uncomplicated chicken pox?

a)

Supportive

b)

Antiviral

c)

Vaccination

d)

IVIG

9.

Which of the following is the most common site based on anatomic location of initial diphtheria infection and membrane?

a)

Nasal

b)

Laryngotracheal

c)

Pharyngeal

d)

Extremities (Cutaneous)

10.

 Which among the following is FALSE about typhoid vaccination?

a)

It is given intramuscularly.

b)

It is recommended for travelers to areas with risk for exposure and for outbreak situations.

c)

Typhoid vaccine and rotavirus vaccine may be administered simultaneously.

d)

Given at a minimum age of 2 years old with revaccination every 5 years.

11.

KT, an 8-year-old boy was diagnosed with dengue. He presented with fever, abdominal pain, vomiting, and mucosal bleeding. How would you classify his dengue?

a)

Dengue without warning signs

b)

Dengue with warning signs

c)

Severe dengue

d)

Very severe dengue

12.

Which of the following is NOT true of pertussis?

a)

Does not survive for prolonged periods in the environment and no chronic carriage

b)

Transmission is via close contact via respiratory tract secretions (aerosol acquisition)

c)

Most contagious during catarrhal stage and the first 2 weeks after onset

d)

Infants less than 3 months old display prominent respiratory manifestations

13.

A 10-year-old girl has a history of measles infection. During the consult, she is conscious with massive spasms and jerks involving both axial and appendicular muscles. What possible complication could have developed?

a)

Acute otitis media

b)

Seizures

c)

SSPE

d)

Pneumonia

14.

A 9-month-old girl develops high-grade fever and irritability. The fever disappears after 3 days and is followed by the appearance of a rose-colored morbilliform non-pruritic rash on the trunk which subsides within the next 2 days. Which among the following is the common etiologic agent in this age group?

a)

HHV-7

b)

HHV-6

c)

Parvovirus 19

d)

EBV

15.

A 24-month-old, female came in due to rashes which started in the area of the forehead, hairline going to the face, neck, and slowly involving the extremities and trunk that resolved within 3 days without desquamation. What rash can be found in the mucous membranes of the patient?

a)

Koplik’s spots

b)

Forchheimer spots

c)

Nagayama spots

d)

Lace-like pattern rash

16.

When educating about polio, which of the following measures of prevention will you mention to the patient?

a)

Attention to hygiene and clean water

b)

Killed vaccine

c)

Live vaccine

d)

AOTA

17.

Which of the following is the most common complication of diphtheria?

a)

Paralysis of the palate

b)

Toxic cardiomyopathy

c)

Neuropathy

d)

Respiratory collapse

18.

A 2-year-old girl with measles had an onset of rashes on the 3rd day of her illness, which then faded on the 6th day followed by branny desquamation. Which of the following areas are spared from desquamation?

a)

Upper neck and forehead

b)

Hands and feet

c)

Torso and upper extremities

d)

None of the above

19.

A 15-month-old Asian baby is infected with 6th disease. Ulcers were noted in which area?

a)

Soft palate

b)

Lower molars

c)

Uvulopalatoglossal junction

d)

Base of the tongue

20.

The mother of your patient asks you how many days should a child with polio be isolated. What will you tell her?

a)

No isolation

b)

1 week after symptoms appear

c)

Immediately before to 1 week after symptoms appear

d)

Immediately before to 2 weeks after symptoms appear

21.

A 10-year-old male was brought into the clinic due to mild fever and cold-like symptoms. He has an erythematous facial flushing or a "slapped cheek" appearance. What is the etiologic agent?

a)

Parvovirus B19

b)

Human bocavirus 1

c)

Coxsackie A16

d)

Corynebacterium

22.

 A pregnant mother developed chickenpox during the first trimester. At birth, her newborn baby was diagnosed with congenital varicella. What is the appropriate treatment?

a)

Antivirals

b)

VZ Ig

c)

Antimicrobials

d)

None

23.

Nicole, a 16-year-old girl, had a history of wading in flood water, and then developed fever, chills, and headache. After 10 days, she is now presenting with decreased urine output. What would be the gold standard to diagnose this disease at this phase?

a)

Clinical

b)

Urinalysis

c)

Blood culture using Fletcher’s medium

d)

Microscopic Agglutination Test

24.

The parents of a 3-year-old child whose playmate was diagnosed with head, foot, and mouth disease a week ago, ask you what prevention methods they can do to protect their child from getting infected. Which among the following is most appropriate?

a)

Minimal contact with the playmate is allowed

b)

Inquire about a related vaccination at the health center

c)

Disinfect toys and surfaces and encourage handwashing

d)

Reassure household that the playmate is not contagious

25.

 A 6-year-old was diagnosed with infectious mononucleosis. Which manifestations comprise the clinical triad for this disease?

a)

Fever, lymphadenopathy, pharyngitis

b)

Malaise, fever, splenomegaly

c)

Pharyngitis, lymphadenopathy, splenomegaly

d)

Palatal petechiae, fever, malaise

26.

 Which statement about pertussis is TRUE?

a)

Vaccination or natural disease provides complete or lifelong immunity to pertussis

b)

Length of communicability depends on the previous episode of pertussis

c)

Coughing marks the onset of the catarrhal stage

d)

Diagnosis is usually clinical and is deemed as the gold standard

27.

Which of the following is NOT a clinical manifestation of neonatal tetanus?

a)

Poor suck

b)

Sudden onset of floppy arms and legs

c)

Excessive crying

d)

Trismus

28.

A 4-year-old boy presented with lesions on the hands, feet, and around the mouth. Which among the following is NOT part of the management for this disease?

a)

Antivirals

b)

Isolation

c)

NSAIDs for pain

d)

Nutrition and water support