Infection · UKMLA & AKT
Rubella
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise rubella — the full SA Note notes add investigations, management, complications and 10 practice questions.
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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