5 Written Questions

1. Sore throat, symmetrical lymphadenopathy, fever, splenomegaly - Increase in T and B cells
2. NOT for use in egg, neomycin sensitivities, or immunosuppressed
3. Orchitis, deafness, oophoritis, mastitis, pancreatitis, spontaneous abortion
4. Appear at onset and disappear c resolution
   IgM heterophil ab recognizes Paul-Bunnell antigen
5. Agglutination of horse RBC if heterophile abs are present

5 Multiple Choice Questions

1. IgG anti-virus abs - permanent
   1. Heterophile antibodies
   2. Mumps (vaccine)
   3. CMV (labs)
   4. VCA antibodies
2. Acute salivary gland infection c fever - vomiting, h/a
   1. Mumps (clinical)
   2. Mumps (vaccine)
   3. Mumps (control)
   4. Mono (clinical)
3. s/s of IM, neg heterophile abs and EBV abs
   Signs of hepatitis, but neg Hep screen
   1. MMR
   2. CMV (risk groups)
   3. CMV (labs)
   4. Mumps (vaccine)
4. Post-transplant lymphoproliferative disease
   Burkitt's Lymphoma
   Non-Hodgkin Lymphoma
   Hodgkin Disease
   Nasopharyngeal carcinoma
   1. EBV (associated malignancies)
   2. CMV (epidemiology)
   3. Mumps (complications)
   4. VCA antibodies
5. Heterophile ab NEGATIVE - establishes latency
   1. Mumps (vaccine)
   2. Mumps (complications)
   3. Adult CMV infections
   4. CMV (labs)

5 True/False Questions

1. Mono (infants and children) → unreliable heterophile ab tests, use VCA tests.
   Milder (subclinical) infections than adults and adolescents

   True        False

2. Mumps (vaccine) → Outbreak may have occured d/t MMR vaccination method and we may need routine 3rd boosting

   True        False

3. CMV (epidemiology) → fetuses, HIV, immune-suppression

   True        False

4. CMV (risk groups) → fetuses, HIV, immune-suppression

   True        False

5. Mumps (control) → Acute salivary gland infection c fever - vomiting, h/a

   True        False