Epidemiology Test 3

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Created by:

JPTobin  on December 15, 2011

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PMT 20051

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Epidemiology Test 3

The infectious agent of Influenza is associated with:
Widespread epidemics and pandemics.
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Definitions

The infectious agent of Influenza is associated with: Widespread epidemics and pandemics.
The incubation period of Influenza is: 1-3 days.
The period of communicability for Influenza: 3-5 days from clinical onset.
Treatment for Meningococcal Meningitis includes: Penicillin.
Period of communicability for Meningococcal Meningitis: Meningococci usually disappear from the nasopharynx within 24 hours after treatment.
A patient who has been diagnosed with Scarlet Fever will have a tongue that feels like: Sandpaper.
Most Streptococcal diseases are caused by this agent: Streptococcus pyogenes, group A. (Greater than 80 serologically distinct groups).
Tuberculosis is diagnosed via: Reaction to PPD-S and clinical signs/symptoms.
Used to treat Tuberculosis: INH, Rifampin, Pyraziminamide, Ethambutol or Steptomycin.
Incubation period for Tuberculosis: 2-10 weeks. (HIV increases risk of infection and shortens incubation period).
Signs/symptoms of Diphtheria: Marked by a patch or patches of an adherent grayish membrane with surrounding inflammation.
Methods of control for Diphtheria include: Education, active immunization. (Preventive measures). Reporting to local health authority, disinfection of soiled articles. (Control of patient).
Rubella (German Measles) is diagnosed via: Confirmation of four-fold rise in specific antibody titer by ELISA.
Concerning the period of communicability for German Measles: Patients are highly communicable 1 week before and at least 4 days after onset of rash.
Complications of Rubeola include: Otitis media, pneumonia, laryngotracheobronchitis (croup), diarrhea, and encephalitis.
Concerning the occurence of Rubeola: Measles is one of the most highly communicable infectious diseases, and a herd immunity of greater than 94% may be needed to interrupt transmission.
Pnemococcal Pneumonia is caused by this agent: Streptococcus pneumoniae (pneumococcus).
Treatment for Pnemococcal Pneumonia includes: Vancomycin or chloramphenicol.
Concerning the signs/symptoms of Legionellosis: Pontiac fever is not associated with pneumonia or death- patient's recover spontaneously in 2-5 days without treatment.
Legionellosis is transmitted via: Airborne route.
Incubation period for Legionellosis: 5-6 days.
Incubation period for the common cold: 48 hours.
Methods of control for the common cold include: Public education on personal hygiene, avoidance of crowded living spaces.
A four drug therapy is used to treat Tuberculosis when: There is INH resistance.
Signs/symtpoms of Ciguatera fish poisoning include: Vomiting, hypotension, and pain/weakness in the lower extremities.
Concerning Ciguatera fish poisoning, small fish eat algae (source of toxin) which are in turn eaten by: Larger fish.
Measures taken to prevent risks concerning contaminated cooking materials include: Avoidance of using acidic foods in galvanized cooking materials.
Methemo-globinema, which is especially dangerous to children, is caused by: Nitrates greater than 45 PPM.
Signs/symptoms of Botulism include: Acute cranial nerve impairment, descending weakness or paralysis, blurred or double vision, and dry mouth.
Treatment for Botulism includes: Intravenous administration as soon as possible of 1 vial of polyvalent (AB or ABE) botulinum antitoxin, which is available from CDC Atlanta.
Campylobacter enteritis is caused by this agent: Campylobacter jejuni.
Campylobacter jejuni utilizes this reservoir: Raw poultry, cattle, puppies/kittens.
Range/Average incubation period for Campylobacter jejuni: 1-10 days/2-5 days.
Concerning susceptibility and resistance to Campylobacter jejuni: Immunity to serologically related strains follows infection.
Almost all outbreaks of Clostridium Perfringens foodborne intoxication are related to: Inadequately heated meats, stews, meat pies, and gravies.
Average incubation period for Clostridium Perfringens: 10-12 hours.
Staphylococcus intoxication is transmitted via: Associated conditions of infected cuts, boils, acne, and URI.
Method of control for Staphylococcus intoxication: Keep hot food above 140 degrees fahrenheit and cold food below 41 degrees fahrenheit.
Signs/symptoms of Salmonellosis include: Fever.
Incidence rates of Salmonellosis are higher in this age group: Small children. (Hand to mouth).
Salmonellosis is transmitted via: Raw milk, meat, and poultry.
Incubation period range for Salmonellosis: 6-72 hours.
Shigellosis is transmitted via: Direct or indirect fecal-oral route from a patient or a carrier.
Average incubation period for Shigellosis: 1-3 days.
Signs/symptoms of Typhoid fever include: Sustained fever, bradycardia, rose spots on the trunk of 25% of white patients.
Typhoid fever is caused by this agent: Salmonella typhi.
Signs/symptoms of Cholera include: Acute bacterial enteric disease with sudden onset of clear diarrhea with flakes of mucus, rice water stools, occasional vomiting, and rapid dehydration.
Serogroup 01 includes 2 biotypes: Classic and El Tor.
Signs/symptoms of Vibrio Parahemolyticus Enteritis include: A dysentery-like illness with bloody or mucoid stools, high-fever and WBC count.
The infectious agent which causes Vibrio Parahemolyticus Enteritis during colder seasons utilizes this reservoir: Marine silt.
Concerning the signs/symptoms of E. coli: This self-limiting illness lasts 8 days average.
Illnesses caused by E. coli are diagnosed via: Culture using MacConkey-sorbitol media.
E. coli illnesses are treated with: Fluid/electrolyte replacement. (Antibiotic therapy is uncertain).
E. coli utilizes this reservoir: Cattle and humans.
Period of communicability for E. coli in adults/children: One week/three weeks.
Signs/symptoms of the common cold include: Coryza, lacrimation, and irritated nasopharynx.

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