AND ANSWERS 100% RATED CORRECT
WITH 100% SURE PASS|GRADED A+
What is the causative agent for fifth disease? - CORRECT ANSWERS Human Parvovirus B19
How is fifth disease transmitted - CORRECT ANSWERS respiratory secretions, blood, and
from mother to baby in utero
What is the main age group which fifth disease affects? - CORRECT ANSWERS 15 and under
What are the s/s of 5th disease? - CORRECT ANSWERS "slapped cheek" appearance, then a
lace-like maculopapular rash on trunk.
onset of fever, sore throat, corya is about 1 week after exposure, and lasts 2-3 days, followed by about 7
days symptom free... then the slapped cheek appearance with circumoral pallor appears
When you see the slapped cheek rash in 5th disease, is the patient contagious? - CORRECT ANSWERS
No. They are no longer contagious when the rashes appear. Children may attend school
What are 5 differential diagnoses for 5th disease? - CORRECT ANSWERS Rubella, Measles,
scarlet fever, roseola, kawasaki disease, lyme disease, mononucleosis, lupus
What diagnostics are needed to determine 5th diease? - CORRECT ANSWERS none are
needed aside from clinical exam.
You can do a b19 assay to confirm if you like, especially in pregnant females (must refer to OBGYN if
confirmed)
,Why is 5th disease dangerous for pregnant women? - CORRECT ANSWERS may cause fetal
hydrops and demise
What are complications with 5th disease? - CORRECT ANSWERS Arthritis (especially in adult
women)
gloves and socks syndrome
chronic anemia
aplastic anemia crisis
What follow ups are needed with 5th disease? - CORRECT ANSWERS none needed unless
complications arise
If a parent asks how long the symptoms of 5th disease last, what should you tell them? - CORRECT
ANSWERS 1-2 weeks is how long symptoms typically take to resolve. Most patients make
complete recovery and complications are rare
What steps need to be done if a patient presents with slapped cheek rash and is pregnant? - CORRECT
ANSWERS immediate referral to OBGYN
What are the causative agents of influenza? - CORRECT ANSWERS Influenza virus types A
and B
What time of year is most prevalent for an influenza infection - CORRECT ANSWERS late fall
to early spring
What are the s/s associated with influenza - CORRECT ANSWERS abrupt onset of fever,
malaise, myalgia, HA, anorexia, rhinitis, sore throat and non-productive cough.
Kids can have otitis media and GI issues (n/v/d)
, What distinguishes common cold from influenza? - CORRECT ANSWERS sore throat, nasal
congestion and sneezing are less common in the flu versus the common cold
What distinguishes an URI from influenza? - CORRECT ANSWERS myalgia and malaise are
not usually present with URI, but they are with the Flu
What are possible complications of the flu? - CORRECT ANSWERS PNA, sinusitis, AOM,
myositis, pericarditis, reye's syndrome, asthma/copd exacerbations
Can you give aspirin to a child with the flu? - CORRECT ANSWERS No, because of the
increased risk of Reye's syndrome. The flu already puts the children at risk of Reye's syndrome as does
Aspirin.
What diagnostics are used for the flu? - CORRECT ANSWERS Rapid antigen detection tests
can do a CBC, UA, CXR, blood cx if you suspect a complication like PNA
How can you prevent the flu? - CORRECT ANSWERS everyone 6m and older should be
getting the influenza vaccine. Only contraindication is anaphylaxis reaction to eggs. Be very cautious
giving vaccine to someone with history of guillain barre syndrome.
do not give live vaccine to pregnant or immunocompromised patients
When can you give medications for the flu? - CORRECT ANSWERS if symptoms have been
present less than 48 hours
What anti-viral medication should you NOT give to an asthma/COPD patient and why? - CORRECT
ANSWERS Zanamivir