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Infectiousdiseases 130804135335 Phpapp02
Infectiousdiseases 130804135335 Phpapp02
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Station 1
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Station 2
1. Define Contact & give its treatment
2. Define treatment failure as per RNTCP
3. Treatment for BCG adenitis
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Station 3
2. What is premunition
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Station 4
Q2. Name the drugs used (at least 2) for the Tt. of
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Station 8
Japanese Encephalitis
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Station 12
epidemic
fever www.dnbpediatrics.com
Station 16
• How many cases of polio have been
reported till 20th July 2007 as per NPSP
data?
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Station 17
• What does IPV mean?
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Station 18
• How many doses IPV are needed in first 2
years of life as per AAP recommendations?
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Station 19
• What does VVM mean in context to a polio
vaccine vial? Draw a figure.
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Station 20
• The average risk of vaccine induced
poliomyelitis with first dose of OPVs
– 1 in 106 doses
– 1 in 2.5 x 106 doses
– 1 in 600000 doses
– 1 in 105 doses
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Station 21
• What is the exact route with site of
administering of BCG vaccine and what is
the dose of vaccine used?
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Station 22
• Which vaccines should be stored in the
freezer compartment for long term storage
for 6 months or so?
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Station 23
• Draw a figure of a refrigerator (cross
section) to illustrate the placement of
vaccines. Diluent?
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Station 24
• Following x ray pictures of a
child 8 months old are depicted.
His clinical history is fever for
7 days. TLC 17,000/pk, P85,
L10, M05 plt 3.0 lakh
• He has been given DPT, OPV,
BCG
• What is the likely diagnosis?
• What are the likely organisms
involved
• What antibiotics will you
choose for inpatient treatment
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Station 25
• A 8 months old female child presented with H/o fever , intermitant for
last 2 days and one episode of generalized seizures.
• On exam she was febrile, alert, AF bulging, chest clear, abd soft, no
clear rash. She was admitted and investigated
• TLC n , CRP negative , blood c/s sterile
• CSF examination is normal (03 cells lymphosys protein sugar N)
• After 2 day the fever subsided and prior to discharge she developed a
discreet muscular erythematory or conjunctivitis.
• What is your likely diagnosis?
• What are the likely organisms involved?
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Station 26
• A pregnant women 26 weeks
gestation doesn’t have varicella
immunization status. Her 5
years old son has been
diagnosed with varicella a day
prior. What will you advice the
mother.
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Station 27
• Plan antiretroviral therapy regimen for a 3 years
old child who has recently been diagnosed with
HIV infection with c/o failure to thrive,
hepatomegaly, thrombocytopenia, CD4< 25% and
viral load 105 copies/ml.
• Write the drug regimen, dosage.
• What are the tests to be ordered prior to initiation
and after 15-30 days of treatment?
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STATION 28
• List some clinical manifestations of non-
polio enteroviruses.
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Answer 28
• Non-Polio Enteroviruses – -Coxasackie A and B,
Echovirus,Numbered virus Entero 68-71
Clinical manifestations –
• Nonspecific febrile illness
• Hand-foot-mouth disease, herepangina(fever,sorethroat,dysphagia),
• Respiratory (bronciolitis,croup,pleurodynia)
• Acute hemorrhagic conjunctivitis
• Myocarditis and pericarditis
• Diarrhoea
• Meningoencephalitis
• myositis and arthritis
• Pancreatitis and orchitis
• Neonatal infections (rash,jaundice,mennigitis,myocarditis)
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STATION 29
• List the invasive infections caused by
Haemophilus Influenzae type B.
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Answer 29
Invasive infections with H. Influenza B
• Meningitis
• Cellulitis, preseptal cellulitis , orbital cellulitis
• Supraglottitis or acute epiglottitis
• Pneumonia
• Suppurative arthritis
• Pericarditis
• Bacteremia without an associated focus
• Neonatal infection
• Otitis media
• Conjunctivitis
• Sinusitis
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STATION 30
List the clinical scenarios which puts a
child at increased risk for otitis media.
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Answer 30
• Children age between 6-20 months
• Children with immunodeficiences
• Children with cleft palate
• Children with Down’s syndrome
• Children who attend day care
• Higher occurrence in cold weather
season
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STATION 31
• Define Pyrexia of unknown origin
(PUO).
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Answer 31
• PUO is a fever documented by a health care
provider and for which cause could not be
identified after 3 weeks of evaluation as an
outpatient or after 1 week of evaluation in
hospital ( Nelson textbook of pediatrics)
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STATION 32
• List the most common bacterial
pathogens associated with fever in
children between the ages of 3 months
to 2 years.
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Answer 32
• S.Pneumoniae
• H.Influenzae
• N. meningitidis
• Salmonella
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STATION 33
• List the most common organisms
associated with infections in infants less
than 3 months.
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Answer 33
• Group B streptococcus (western world)
• Salmonella
• E Coli
• S.Pneumoniae
• H.Influenzae
• Staph aureus
• Listeria Monocytogenes
• Viral infections – RSV/influenza A/Enterovirus
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STATION 34
• Mark True / False regarding osteomyelitis
statements:
a. Staph aureus is the most common organism
b. The ESR and CRP are usually elevated
c. Blood cultures are positive in over 75% of all
cases of osetomyelitis.
d. Plain films of bone may be normal in the first
1 – 2 weeks of the course
e. Treatment usually requires a total time of
antibiotics (IV and PO) is 4 – 6 weeks.
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Answer 34
a) True
b) True
c) True
d) True
e) True
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