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Management of Varicella Zoster Virus Infections in Prison Populations

Epidemiology of Varicella Zoster Virus

1. Foreign-born inmates are more likely to be susceptible to varicella than U.S. born inmates.

A. True

B. False


Overview of Varicella (Chickenpox)

2. The diagnosis of chickenpox can be made or supported by any of the following, except for:

A. PCR testing of vesicular fluid

B. IgM testing

C. Patient history

D. Physical examination


Overview of Herpes Zoster (Shingles)

3. Which of the following is the most common complication of herpes zoster?

A. Postherpetic neuralgia

B. Herpes zoster ophthalmicus

C. Bacterial superinfection of the lesions

D. Cranial and peripheral nerve palsies


Treatment

4. For maximum benefit, antiviral therapy for varicella should be given within _____ of the onset of rash.

A. 1 hour

B. 12 hours

C. 24 hours

D. 72 hours


5. Antiviral therapy, usually with oral acyclovir:

A. Decreases viral shedding

B. Accelerates healing of skin lesions

C. Reduces acute pain

D. All of the above


6. Steroids should not be prescribed for inmates who have absolute or relative contraindications, such as diabetes mellitus, therefore, topical antiviral agents should be used instead.

A. True

B. False


7. Diagnosis of herpes zoster ophthalmicus warrants emergency evaluation by an ophthalmologist.

A. True

B. False


Appendix 4: Varicella Vaccine Prophylaxis

8. The Varicella vaccine should not be administered to:

A. Pregnant women

B. HIV-infected persons with CD4 counts less than 200 cells/uL

C. Both (A) and (B)

D. None of the above


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