Chicken Pox – Questions

1Q: What organism is responsible for chicken pox?

 

 

 

 

 

 

 

 

 

 

 

 

1A: Varicella zoster virus.

 

2Q: Where may the virus lie dormant?

 

 

 

 

 

 

 

 

 

 

 

 

 

2A: In the dorsal root ganglion.

3Q: If the virus becomes reactivated what is that disease called?

 

 

 

 

 

 

 

 

 

 

 

3A: Reactivation of the virus results in Shingles.

 

4Q: How is chicken pox spread?

 

 

 

 

 

 

 

 

 

 

 

4A: Chicken pox is spread by the respiratory route.

 

5Q: Who could a patient catch chicken pox from?

 

 

 

 

 

 

 

 

 

 

5A: From a patient suffering from either chickenpox or shingles.

 

6Q: When does a patient become infective to someone else?

 

 

 

 

 

 

 

 

 

 

6A: They become infective from 4 days before the rash first appears.

 

7Q: Until when does a patient remain infective?

 

 

 

 

 

 

 

 

 

 

 

7A: They remain infective until 5 days after the rash first appears.

8Q: How long is the incubation period for chickenpox?

 

 

 

 

 

 

 

 

 

 

8A: 10 – 21 days.

 

9Q: What does the clinical syndrome usually start with?

 

 

 

 

 

 

 

 

 

 

9A: Fever

 

10Q: Where does the chicken pox rash start and spread to?

 

 

 

 

 

 

 

 

 

 

10A: The rash usually starts on the head and trunk and spreads all over the body.

 

11Q: How bad is the systemic illness?

 

 

 

 

 

 

 

 

 

 

 

11A: Systemic upset is usually mild.

 

12Q: How do you manage chickenpox? (three things)

 

 

 

 

 

 

 

 

 

 

12A: Keep them cool, trim nails, calamine lotion,

13Q: When do you keep kids off school – how long for?

 

 

 

 

 

 

 

 

 

 

13A: Keep them off school until all the lesions have crusted crusted over.

 

14Q: Who do you need to be really careful for if they’re exposed to chicken pox?

 

 

 

 

 

 

 

 

 

 

14A: immunocompromised and newborns.

 

15Q: If those patients are exposed what should they receive?

 

 

 

 

 

 

 

 

 

 

 

15A: Varocella zoster immunoglobulin (VZIG)

 

16Q: If chickenpox develops in the immunocompromised or in newborns, what should be considered?

 

 

 

 

 

 

 

 

 

 

 

16A: IV aciclovir

 

17Q: What is the most common complication of chickenpox?

 

 

 

 

 

 

 

 

 

 

17A: Secondary infection of the lesion.

 

18Q: What are the rare complications of chickenpox?

 

 

 

 

 

 

 

 

 

 

18A: Pneumonia

Encephalitis (cerebella involvement may be seen)

Disseminated haemorrhagic chickenpox

Arthritis, nephritis and pancreatitis

 

 

 

 

8A