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WorksheetsVaccine Preventable Diseases & Viral Exanthems
Total questions: 28
Worksheet time: 21mins
Which treatment should not be given to an uncomplicated dengue fever patient?
Paracetamol
Aspirin
Fluids
NOTA
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:
Rubeola
Roseola
Nonspecific exanthem
Rubella
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?
Incubation
Prodromal
Exanthematous
Recovery
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?
Acute
Febrile
Critical
Recovery
What among the following is TRUE of typhoid?
Chloramphenicol is the drug of choice
Tachycardia associated with high fever
Mode of transmission is through droplet particles
Diagnosis is made by Typhido
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?
Fecal-Oral
Direct Contact
Droplet
Airborne
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?
Amoxicillin
Azithromycin
Doxycycline
No prophylaxis required
What is the recommended treatment for an 11 year-old well child who developed uncomplicated chicken pox?
Supportive
Antiviral
Vaccination
IVIG
Which of the following is the most common site based on anatomic location of initial diphtheria infection and membrane?
Nasal
Laryngotracheal
Pharyngeal
Extremities (Cutaneous)
Which among the following is FALSE about typhoid vaccination?
It is given intramuscularly.
It is recommended for travelers to areas with risk for exposure and for outbreak situations.
Typhoid vaccine and rotavirus vaccine may be administered simultaneously.
Given at a minimum age of 2 years old with revaccination every 5 years.
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?
Dengue without warning signs
Dengue with warning signs
Severe dengue
Very severe dengue
Which of the following is NOT true of pertussis?
Does not survive for prolonged periods in the environment and no chronic carriage
Transmission is via close contact via respiratory tract secretions (aerosol acquisition)
Most contagious during catarrhal stage and the first 2 weeks after onset
Infants less than 3 months old display prominent respiratory manifestations
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?
Acute otitis media
Seizures
SSPE
Pneumonia
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?
HHV-7
HHV-6
Parvovirus 19
EBV
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?
Koplik’s spots
Forchheimer spots
Nagayama spots
Lace-like pattern rash
When educating about polio, which of the following measures of prevention will you mention to the patient?
Attention to hygiene and clean water
Killed vaccine
Live vaccine
AOTA
Which of the following is the most common complication of diphtheria?
Paralysis of the palate
Toxic cardiomyopathy
Neuropathy
Respiratory collapse
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?
Upper neck and forehead
Hands and feet
Torso and upper extremities
None of the above
A 15-month-old Asian baby is infected with 6th disease. Ulcers were noted in which area?
Soft palate
Lower molars
Uvulopalatoglossal junction
Base of the tongue
The mother of your patient asks you how many days should a child with polio be isolated. What will you tell her?
No isolation
1 week after symptoms appear
Immediately before to 1 week after symptoms appear
Immediately before to 2 weeks after symptoms appear
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?
Parvovirus B19
Human bocavirus 1
Coxsackie A16
Corynebacterium
A pregnant mother developed chickenpox during the first trimester. At birth, her newborn baby was diagnosed with congenital varicella. What is the appropriate treatment?
Antivirals
VZ Ig
Antimicrobials
None
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?
Clinical
Urinalysis
Blood culture using Fletcher’s medium
Microscopic Agglutination Test
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?
Minimal contact with the playmate is allowed
Inquire about a related vaccination at the health center
Disinfect toys and surfaces and encourage handwashing
Reassure household that the playmate is not contagious
A 6-year-old was diagnosed with infectious mononucleosis. Which manifestations comprise the clinical triad for this disease?
Fever, lymphadenopathy, pharyngitis
Malaise, fever, splenomegaly
Pharyngitis, lymphadenopathy, splenomegaly
Palatal petechiae, fever, malaise
Which statement about pertussis is TRUE?
Vaccination or natural disease provides complete or lifelong immunity to pertussis
Length of communicability depends on the previous episode of pertussis
Coughing marks the onset of the catarrhal stage
Diagnosis is usually clinical and is deemed as the gold standard
Which of the following is NOT a clinical manifestation of neonatal tetanus?
Poor suck
Sudden onset of floppy arms and legs
Excessive crying
Trismus
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?
Antivirals
Isolation
NSAIDs for pain
Nutrition and water support
