Got it from your Mama
Pass the TORCH
Bugs and Drugs
Baby Fever
Physical Exam Phun
100
The most common TORCH infection.
What is CMV?
100

This TORCH infections is vaccine preventable.

What is Rubella?

100

A mom has a reactive RPR with confirmatory positive TPA-Abs. What is the treatment in pregnancy?

What is Penicillin G

100
The temperature required to be considered "fever" in a neonate.
What is 100.4F or 38C?
100
These 2 TORCH infections cause intracranial calcifications.
What is Toxoplasmosis (generally located cerebral) and CMV (periventricular)?
200

The causative agent of syphilis?

Treponemia Pallidum - spirochete

200

A woman in her 2nd trimester is found to be positive for syphilis. She has a PCN allergy. The next step in her management is:

What is PCN sensitization?

200

Treatment AND dosage recommended for HSV outbreak in pregnancy.

What is valacyclovir 1000 mg BID

200

The name of the phenomenon (sometimes febrile) after receiving Syphilis treatment.

What is Jarisch-Herxheimer reaction?

200
Excessive sniffles can be seen in this congenital infection.
What is syphilis?
300

The likely diagnosis in a SGA baby found to have seizures, microcephaly, thrombocytopenia, hepatosplenomegaly and jaundice.

What is CMV?

Same symptoms can be seen with congenital Toxo, but thrombocytopenia is not associated with Toxo)=

300

Intervention for herpetic lesions found on the mons for a patient who presents in labor.

What is occlusive dressing

300

Treatment for suspected fetal toxoplasmosis

Pyrimethamine, sulfadiazine and leucovorin

300
Places to culture/consider infection in a neonate.
What is blood, urine, and CSF?
300

Cardiovascular defects associated with congenital rubella infection (two)

Pulmonary stenosis and PDA

400

In contrast to most viral infections during pregnancy, the risk of fetal infection with this virus decreases with increasing gestational age at maternal infection.

What is Rubella virus?

400
Two TORCH infections with hearing loss.
What is CMV and Rubella?
400

Treatment for toxoplasmosis if fetal infection is NOT suspected and diagnosed before 18 weeks.

What is Spiramycin?

400

How congenital toxoplasmosis is definitively diagnosed

What is organism isolation from placenta, serum or CSF

400
The "blueberry muffin rash" is actually what hematologic phenomenon?
What is extramedullary hematopoeisis?
500

The newborn with congenital syphilis is considered this stage of disease progression.

What is secondary syphilis?

500

Number of reported Congenital Rubella Syndrome diagnosed in the US in 2022.

What is zero? (Rubella eliminated in 2004 as endemic infection)

500

This drug (in high dose) shows some evidence of higher rates of asymptomatic neonates (82% vs 43%) born following intrauterine infection of CMV.

What is valacyclovir?
500

An adequate response in titer reduction following treatment of syphilis 

What is four-fold decline?

500

Fetus infected with these microbe in the third trimester are generally asymptomatic (two).

What are toxoplasmosis and CMV?

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