You are the head of infection control at the major hospital in an imaginary (read scary) land without access to any vaccinations. Thus, you never know what will walk through the door. You just learned you only have 4 airborne isolation rooms left and 5 patients (A Through E) to triage.
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Correct Answer: A (Mumps)
This fun stem deviates a bit from board style but combines a quick picture and description of classic infectious diseases and emphasizes their route of spread. Mumps is the only disease that is primarily spread via droplet.
Mumps is most contagious around onset of parotitis and droplet precautions should be kept until 5 days after parotitis. Check out link below for tweetorial describing mumps diagnosis and other unique issues in infection prevention.
A shingles rash would typically only require barrier protection (a bandage), however since the patient is immune-compromised you should assume disseminated disease initially and place in appropriate isolation precautions for varicella which includes airborne isolation.
This represents disseminated primary varicella. Note lesions in various stages. As above disseminated varicella requires airborne isolation.
A key distinguishing feature of small-pox is innumerable lesions across body that are all in the same stage of healing. It is spread through airborne route.
Measles is highly contagious through airborne route. This depicts the classic Koplic spots that arise on day 2-3 of illness.
Distractor answer choices
This question was uploaded on 4/13/22