Infection · UKMLA & AKT
Rubella
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Prodrome (1-5 days): low-grade fever, malaise, mild upper respiratory symptoms
- Lymphadenopathy - suboccipital, post-auricular, posterior cervical; appears *before* rash - most characteristic feature
- Rash - pink-red maculopapular, starts face, spreads cephalocaudally; fades within 3-5 days
- Forchheimer spots - petechial lesions on soft palate; classic but non-specific
- Arthralgia/arthritis - especially adult women, small joints of hands and wrists
- Up to 50% of infections are subclinical
- Infectious period: 7 days before to 4 days after rash onset
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