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epifinal
epifinal
181
Criminology
Not Applicable
07/26/2011

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Term
What is a new, re-emerging, or drug resistant infection whose incidence in humans had increased w/i the past two decades or whose incidence threatens to increase in the near future?
Definition
Emerging infection
Term
In 2011, especially in less developed countries, hosptial infections are _____ and antimicrobial resistance is ____
Definition
inc, inc
Term
T/f- hospitals, especially those in less developed countries, generally have state of the are microbiology facilities these days?
Definition
F- usually less than basic
Term
What is the leading cause of death?
Definition
Infection
Term
In 2011, there has been a _______ in sophisticated devices and procedures and a ______ in specialized ICUs
Definition
inc, inc
Term
T/f- there have been many new advances to treat gram (-) infections
Definition
F
Term
What is currently reducing diagnostic services?
Definition
Pressures to reduce costs
Term
What are the two major risk factors in developing antimicrobial resistance?
Definition
Improper antimicrobial use and poor infection control practices
Term
Which is not a common denominator related to human aspects leading to emergence of a disease?
a. sports/leisure activities- CA-MRSA
b. Money issues- managed care, do not put money where mouth is
c. Emphasis on self-diagnosis
d. Poverty- no access to care
e. Behavior- social, cultural, ignorance, social, work, etc
Definition
c
Term
Which is not a reason for antimicrobial resistance in developing countries?
a. Unnecessary ICUs
b. Inability to detect true resistance (inc cost w/ doing so, poor lab facilities)
c. Indiscriminate antimicrobial use
d. Pressures to increase revenue
Definition
d
Term
Match characteristic as either an immediate or potential cost of antimicrobial resistance in healthcare
A. Immediate
B. Potential
1. Inpatient care requirements
2. Protracted duration of admissions
3. Costly alternative antibiotics
4. Lost productivity
5. Untreatable infections
6. Higher death rates
Definition
A- 1,2,3; B- 4,5,6
Term
T/F- recentlym there has been a trend of inc hospital beds and dec ICU beds in licensed hospitals?
Definition
F- opposite
Term
T/F- between 1986 and 2008 gram (+) pathogens have been responsible for most penumonia episodes?
Definition
F- gram (-)
Term
Which is not a reason for the ever inc gram (-) pneumonia infections?
a. colonize host tissue via microbial adhesions
b. interact w/ receptors on mucosal surfaces
c. adhesin/receptor interactions define bacterial populations
d. changes in adhesins associated w/ resistant microorganisms or in interactions
Definition
all are reasons for inc
Term
T/F- pathogens encountered in healthcare institutions vary between countries though risk factors (like too many antimicorbials and device use are the same)?
Definition
F- usually the same, rest correct
Term
Which is a risk factor for CA-MRSA infection?
a. Close skin to skin contact
b. Contaminated surfaces
c. Poor hygiene/sharing items
d. Crowded living conditions
e. Openings in skin
Definition
all are
Term
Action in which of the following is require to prevent emerging infections?
a. surveillance and response
b. applied research
c. infrastructure and training
d. Prevention and control
Definition
take action in all of them
Term
T/f- humans are an intermediate host for WNV, and thus are usually symptomatic?
Definition
F- incidental host, usually asymptomatic
Term
what is the bloodborne parasite responsible for chagas, and which bug spreads it?
Definition
T cruzii, reduviid
Term
T/F- Chagas infection is acute, asymptomatic, untreatable, and potentially fatal?
Definition
F- infection chronic, rest correct
Term
T/f- chagas can be spread via blood or organ/tissue transplant?
Definition
T
Term
Which does not result from chronic chagas infection?
a. pulmonary edema
b. cardiomyopathy
c. megacolon
d. megaesophagus
Definition
A
Term
What are the two mechanisms through which influenza virus undergoes antigenic changes?
Definition
Ag shift and drift
Term
What occurs when an avain virus and human-adapted virus "swap genes" in a co-infected cell of an animal or human and a third virus results that can be readily transmitted by and between humans?
Definition
Reassortment
Term
Characterize as related to antigenic drift or shift
A. Drift
B. Shift
1. Gene point mutations result in strain variants
2. Emergence (among people) of a novel influenza A subtype
3. Minor Ag changes to HA
4. Continuous process
5. Most variants form evolutionary “dead end”
6. A strain eventually becomes predominant worldwide for 1-3 yrs
7. Reassortment
8. Direct animal to human transmission
Definition
A- 1,3,4,5,6; B- 2,7,8
Term
Flu viruses undergo antigenic change ____ than other respiratory viruses
Definition
more
Term
T/F- birds are a reservoir for influenza A viruses and can be spread to poultry and other animals?
Definition
T
Term
T/F- TB accounts for 2/3 of AIDS deaths worldwide and is the most common bloodstream pathogen in HIV-endemic countries>
Definition
F,T
Term
T/F- opportunistic fungal, bacterial, and protozoal infections are the elading causes of death among HIV patients?
Definition
T
Term
Which is a reason for why we are still at square one, especially in regards to antimicrobial resistance?
a. feasibility of universal antiretroviral therapy still being debated
b. rates of TB and HIV still escalating
c. microbiology services largely ignored
d. role of alliances ignored
e. Emerging infection remains a priority
e.
Definition
All are
Term
What are the three clinical stages of pertussis?
Definition
catarrhal, paroxysmal, convalescence
Term
What does PCR tell us about pertussis?
Definition
Detects of DNA of organism is present, regardless of infection stage
Term
what is the optimal stage for pertussis specimin collection?
Definition
Catarrhal
Term
Isolation of the pertussis organism ____ if specimen collection is delayed beyond 2 weeks of illness
Definition
dec
Term
W/ real time PCR, attach a ____ probe to ___, and measure the flourescent signal by ______
Definition
flourescent, DNA, each cycle
Term
With reverse transcription PCR, RNA - ______- _______
Definition
cDNA- amplified
Term
Long one- w/ PCR you can ______ a specific segment of DNA, there is ____ specifity, you can use _____ amounts of DNA, the test takes ______ time, and it is run on _______
Definition
amplify, high, small, gel electrophoresis
Term
What is the integration of conventional epidemiological approaches w/ laboratory techniques (esp DNA analysis) to track specific strains of pathogens in order to understand their distribution in a pop'n?
Definition
Molecular epidemiology
Term
Match pertussis stage and description
A. Catarrhal
B. Paroxysmal
C. Convalescence
1. Gradual recovery from weeks to months
2. Onset of runny nose, sneezing, low grade fever, mild/occasional cough like common cold
3. Occurs for 1-6 weeks
4. Occurs for 1-2 weeks
5. Burst of numerous rapid cough followed by whoop, may turn cyanotic, vomiting and exhaustion may occur
Definition
A-2/4,B-3/5,C-1
Term
Which test separates restriction fragments based on their relative lengths?
Definition
Gel electrophoresis
Term
What is the gold standard for isolation of an organism?
Definition
Culture
Term
What are two common methods of staining organisms?
Definition
gram, acid-fast
Term
Laboratory methods + epidemiology = ?
Definition
excellence in public health
Term
What is biowatch?
Definition
a program that uses air samplers in undisclosed locations that constantly monitor/sample air, and these filters can be tested using PCR to detect the presence of an organism's DNA
Term
Information from wchih program can assist in detecting emerging resistance patterns, assist w/ outbreaks, and assist in policies for drugs used in production animals?
Definition
Nat'l antimicrobial resistance monitoring system
Term
Which pathogens are tested for susceptibility by the CDC in accordance w/ NARMS?
Definition
O157:H7, s. typhi, shigella, non-typhi salmonella
Term
MIC for how many AB are tested by NARMS?
Definition
17
Term
Which is not a benefit/purpose of pulsenet?
a. Facilitate early identification of outbreaks
b. Describe the nature of the outbreak
c. assist epidemiologists in investigating outbreaks
d. separate sporadic and outbreak-associated cases
e. assist in rapid id of outbreak source
f. act as rapid and effective means of communication between public health laboratories
Definition
b
Term
the fact that pulsenet databases are availabale on demand to participants allow for ____ comparison of patterns
Definition
rapid
Term
Whcih procedure is characterized by standardized molecular subtyping/fingerprinting of foodborne disease-causing bacteria by pulsed-field gel electrophoresis?
Definition
Pulsenet
Term
Order the steps in a PFGE protocol
1. Compare DNA fingerprints
2. Have agar plug
3. Mage agar gel w/ organism
4. Isolate DNA via cell lysis, wash, protease K
5. load slice into gel wall
6. Cut slice and digest w/ RE
Definition
3,2,4,6,5,1
Term
W/ southern blot, DNA is transferred from ____ to ______
Definition
gel membrane, nylon membrane
Term
What type of probe is added to the membrane w/ IS6110 detection, and how is chemiluminescene detected?
Definition
IS6110, Xray film
Term
Which is a challenge in investigating related patterns?
a. cases may need to be reinterviewed
b. recall bias
c. exposures may be difficult to link
d. primary v secondary cases
Definition
all are
Term
T/F- Individuals may be infected by the same strain of an organisms, but the mechanism of transmission may have been different?
Definition
T
Term
What is the continuous systematic collection of data on illness or infections in a defined population?
Definition
surveillance of infectious disease
Term
What three things does surveillance involve in addition to collecting data?
Definition
analysis, interpretation, dissemination
Term
T/F- the nationally notifiable disease list is reviewed periodically, with additions, but not deletions, being made
Definition
F- both additions and deletions are made
Term
T/F- reporting of nationally notifiable diseases to states/local DOH is voluntary, while reporting to the CDC from states is mandatory?
Definition
F- opposite
Term
T/F- w/ regards to nationally notifiable diseases, CSTE, w/ input from the CDC makes recommendations annually for the changes?
Definition
T
Term
Whose responsibility is disease surveillance?
Definition
local/state/federal gov, world gov/organizations
Term
Notifiable diseases for each state are:
a. governed by state law
b. Required to meet national lists
c. Recommendations made to legislature by state health officials to add or delete diseases
d. Outbreaks reportable by law
Definition
all but b
Term
What are four uses of surveillance data?
Definition
measure amt of disease in pop'n, measure vaccine effectiveness, id risk factors (like demographics), eradication of a disease
Term
T/F- with active surveillance the health care provider reports diseases to the health department, and with passive surveillance health department personnel contact the health care providers to solicit case reports?
Definition
F- opposite
Term
Although generally non-reportable, what are two exceptions for which influenza is reportable?
Definition
novel strains and pediatric mortality
Term
T/F- MRSA and influenza coinfection is reportable?
Definition
F
Term
What are the three components of biowatch?
Definition
collection, laboratory analysis of filters, response
Term
what are the three ways sentinel reporters can report?
Definition
phone, fax, online
Term
T/f- w/ sentinel reporters, it is a CDC initiative, and there is county-state-CDC reporting?
Definition
T
Term
T/f- sentinel reporters rarely assist in vaccine development?
Definition
F- often do
Term
What are the four types of surveillance associated w/ abroviral surveillance?
Definition
dead bird reporting, sentinel chicken flocks, horse surveillance, human surveillance
Term
What is the reporting cycle for a notifiable disease?
Definition
ill person- health care provider- health agencies- public; reports, analyses, summaries, recommendations
Term
What is a web-based, automated electronic data collection and analysis available 24/7 and based upon emergency department chief complaints?
Definition
(Statewide) essence
Term
Which of the following describes the importance of syndromic surveillance
a. rapid detection of naturally occurring and intentionally spread outbreaks
b. situational awareness
c. Allows for quick determination of sero-type
d. allows for a quick response
e. complement to traditional disease reporting system
f. Augments by acquiring real-time syndromic data from hopsital ED
Definition
all but c
Term
What is the main syndromic surveillance system?
Definition
ESSENCE
Term
What is the collection and analysis of real-time or near real-time ED data (usually chief complaint or discharge) in an effort to detect outbreaks and provide situational awareness?
Definition
Syndromic surveillance
Term
what are five common sources of surveillance data on ifectious disease?
Definition
mortality data (primay and underlying CoD), nosocomial infection suveillance data (hospitals report to joint commission), adverse vaccine reactions, food-borne illness via foodnet/pulse-net, targeted disease surveillance for hepatitis, flu, TB, syphilis
Term
What are three types of medical provider reporting for surveillance systems?
Definition
Dr, labs, hospitals
Term
What are four types of surveillance systems that are non-medical or syndromic?
Definition
flu, RSV, MRSA, arboviral
Term
What are four factors to take into account when considering surveillance and determining if there is an outbreak?
Definition
if higher than 30 day max, higher vll than historical max, if demographics suspect
Term
Which is a potential benefit of syndromic surveillance
a. Allow for determination of tx efficacy
b. Can facilitate early detection of an intentional or natural disease outbreak or exposure
c. assurance when there are no outbreaks
d. long term health benefits, monitor community health (for situational awareness)
Definition
all but a
Term
What are the two types of influenza and how many of each subtype are there?
Definition
Hemagglutinin (16) and neuraminidase (9)
Term
T/f- influenza is a member of orthomoxyviridae, is a highly infectious type A and C virus, and incubates rapidly?
Definition
F- infectious type A and B virus, rest correct
Term
What are the two forms of highly pathogenic avian influenza?
Definition
H5 and H7
Term
How many/what type of surface spikes are on Flu A?
Definition
hemagglutinin (16) and neuraiminidase (9) proteins
Term
T/F- an orthomoxyvirus like Flu A has 6 segmented genes, an envelope, and SS(-) RNA
Definition
F- 8 segmented genes, rest correct
Term
T/F- Flue can, in addition to the typical symptoms, can cause eye infection, pneumonia, acute respiratory distress, and be life-threatening?
Definition
T
Term
T/F- primary pneumonia from flu is bacterial and secondary is viral?
Definition
F- opposite
Term
T/F- primary, but not secondary, pneumonia from flu can clog airways and make breathing impossible?
Definition
F- both can
Term
How can influenza kill?
Definition
1/2 pneumonia, acute respiratory distress, contribute to deaths from heart attack/stroke/cancer, etc
Term
What are two ways in which flu can be treated?
Definition
vaccine or antiviral meds like adamantane derivatives or neuraminidase inhibitors
Term
How is the flu virus spread?
Definition
Via droplet nuclei and some airborne
Term
What are the incubation and infectious periods of flu?
Definition
1-3 days, 3-5 days
Term
T/F- it is possible that a portion of all ppl w/ flu will be infectious even though they have no or mild symptoms?
Definition
T
Term
W/ flu, immunity to surface antigens _____ the likelihood of infection and disease severity if infection occurs?
Definition
dec
Term
_____ development of Ag variants leads to seasonal epidemics
Definition
frequent
Term
Shift refers to large scale changes in ____, ____, or _____ that creates a new subtype
Definition
HA, NA, or both
Term
What are the two flu subtypes that cause disease in humans?
Definition
A and B
Term
New flu variants result from ______ AG change/drift resulting from point mutations
Definition
frequent
Term
Under which condition can antigenic shift lead to a pandemic?
a. variant retains ability to replicate well in humans
b. it is sufficiently transmissible between humans
c. if variant has new surface HA or NA that evade existing flu Ab
d. variant has point mutations leading to amino acid substitutions
Definition
all but d
Term
During a pandemic, localized epi studies look to determine which of the following?
a. pop'n at highest risk of illness
b. pop'n at highest risk of death
c. infectiousness of virus
d. effectiveness of control measures
Definition
all
Term
T/F- there should be reporting of an unusual influenza virus to the WHO w/i 1 week?
Definition
F- should be immediate
Term
What are two purposes of the modern flu surveillance system?
Definition
a)monitor beginning, peak, and end of season
b) determine which viruses are causing illness
Term
Which flu strain is of potential concern to cause a pandemic?
Definition
H5N1
Term
What will occur if avian viruses acquire human genes?
Definition
This will facilitate person-to-person transmission
Term
T/F- the flu potential for pandemic comes from the fact that all flu viruses can mutate and reptilian flu can cause illness in humans?
Definition
F- avian flu causes illness in humans, rest accurate
Term
Describe the cycles of H5N1 in humans and animals
Definition
waterfowl-domestic birds
waterfowl and domestic birds to mammals, esp swine
domestic birds to humans and waterfowl
Term
There are ____ nat'l flu centers in over ____ countries that monitor flu activity and virus isolates throughout the world
Definition
120, 90
Term
T/F- the three methods of flu surveillance in Fl are (+) culture specimens sent to the state lab and network of sentinel physician practices?
Definition
T
Term
T/F- the network of sentinel physician practices can include stats like flu-like illness as percentage of office visits and flu cultures in selected practices?
Definition
T
Term
What are the three key epi findings that likely led to the evolution of bird flu (H5N1)
Definition
nomadic/free range ducks, live bird markets, cultural practices
Term
How do nomadic and fee range ducks contribute to the evolution of H5N1?
Definition
via contact w/ wild water birds, virus shedding and spreading, reservoir of infection
Term
T/F- viral spread is _____ in flocks by direct contact?
Definition
rapid
Term
What are natural hosts of birdflu?
Definition
domestic fowl, ducks, geese, turkeys, guinea fowl, quail, pheasants
Term
How many subtypes of swine flu are there and what are they?
Definition
4- H1N1, H1N2, H3N2, H3N1
Term
What is a respiratory disease that occurs in pigs caused by flu A?
Definition
swine flu
Term
T/F- swine flu is a virus that usually infects humans, regardless of contact w/ swine?
Definition
F- rarely infects humans, usually only if have direct contact w/ swine
Term
T/F- w/ regards to avian flu in Fl, the Fish and wildlife conservation commission monitors poultry flocks and the DACS monitors wild birds?
Definition
F- opposite
Term
Which of the following is a common method of monitoring for avian flu?
a. WHO and CDC regional labs that test animal and human specimens
b. WHO OIE tests bird samples
Definition
both
Term
T/F- w/ regards to bird flu monitoring, frequent updates are provided, and lab surveillance allows for implementation of needed control measures?
Definition
F- updates periodic
Term
T/F- there is no FDA approved H5N1 vaccine?
Definition
F- there is, approved in 2007
Term
T/F- there have been two outbreaks of bird flu in the US, the Delaware (H5N2) and Texas (H7N2)?
Definition
F- Tx H5N2, DE H7N2
Term
T/F- the Tx bird flu involved 12k chickens and was highly pathogenic, while the DE bird flu involved 7K chickens and was low pathogenic?
Definition
F- numbers reversed, rest correct
Term
How does HIV weaken the body's immune system and allow for opportunistic infections?
Definition
Virus invades T cells, replicates, and ifnectsm ore T cells
Term
What are the subtypes of HIV-1, and which is the dominant strain in the US?
Definition
A-H, and 1; B dominant in US
Term
Which individuals does AIDS include?
Definition
all ppl w/ HIV w/ <200 CD4+ t cells/ ml blood, and/or have 1 or more of 26 opportunistic infections or malignancies
Term
W/ HIV-2, the immunodeficiency is _____, the virus develops ______, it is _______ infectious at beginning stages, and ______ w/ disease duration
Definition
milder, slower, less, inc
Term
T/f- HIV-2 responds to the same drugs as HIV-1, and is common in the US?
Definition
F- does not respond to same drugs, rare in the US
Term
In which pop'n in the US is HIV/AIDS incidence highest?
Definition
homos, IV drug users, heterosexuals w/ specific risk factors
Term
Classify the symptoms as related to early or late HIV/AIDS disease
A. 1-4 weeks
B. Months to >10 yrs
1. Enlarged lymph nodes,
2. lack of energy,
3. weight loss,
4. frequent fever/sweats,
5. persistent/frequent yeast infections,
6. headache,
7. fever,
8. vision loss,
9. short term memory loss,
10. persistent rashes/flaky skin
11. PID that does not respond to treatment
12. Tiredness
Definition
A- 6,7,1,12; B- 2,3,4,5,8,9,10,11
Term
Since 2003, HIV prevelance has ____
Definition
increased
Term
Rank ethnicities according to incidence of HIV/AIDS cases among adults and adolescents:
1. Asian
2. American Indian/ Alaska native
3. Hispanic/Latino
4. White
5. Black
6. Native Hawaiian/Pacific Islander
Definition
5,4,3,1,2,6
Term
The incidence of AIDS diagnoses among adults/adolescents between 1985 and 2008, has ____ in whites, ______ in blacks, _____ in Hispanic/Latinos, _____ in Asians, and ____ in Native Hawaiin/PAcific islander
Definition
dec, inc, inc,stayed same, stayed same
Term
Among virtually all age groups, the incidence of HIV (not AIDS) infection is ______ in men than women
Definition
higher
Term
Rank region of the ocuntry in accordance w/ % of AIDS cases; West, Midwest, NE, South
Definition
South>NE>West>Midwest
Term
In 2008, for adults and children, the # of ppl living w/ HIV is _____, the # of new HIV infections is _______, and deaths due to AIDS is ________
Definition
33.4 million, 2.7 million, 2.0 million
Term
Which regions in particular has seen increasing # of HIV/AIDS cases since 1995?
Definition
Russia/E Europe, SE ASIA, subsaharan Africa
Term
In 2008, how many children >15 yrs of age are though to be living w/ HIV?
Definition
2.1 million
Term
Fill in the statistics: in 2008 there are _____ new HIV infections, ____% are in low/middle income countries, _____ are in children/ ppl under 15, _____ are in adults, ___% are among women, and ____ % are amoung ppl 15-24
Definition
7400, 97, 1200, 6200, 48, 40
Term
What are the 2 most common sources of Hepatitis C infection?
Definition
IV drug use, sexual contact
Term
What is a pathological condition of the body of body part caused by a virus, bacteria, fungus, or protozoan trnasmitted by sexual contact?
Definition
Sexually transmitted infection
Term
Classify these STIs as either viral, bacterial, or parasitic:
A. Viral
B. Bacterial
C. Parasitic
1. Trichomonas
2. Gonorrhea
3. Syhpilis
4. Chlamydia
5. Genital Herpes
6. HPV
7. Hep B
8. HIV
9. Bacterial vaginosis
10. Chancroid
11. Lymphogranuloma venereum
12. Human T-cell lymphotropic virus type 1
13. Cytomegalovirus
14. Scabies
15. Pediculosis
Definition
A-5,6,7,8,12,13,B-2,3,4,10,11,9,C-1,14,15
Term
What are the main symptoms associated w/ HPV, and how long does it take for them to appear after contact?
Definition
small bumy warts (look flat or like cauliflower) on anus/sex organs, itching/burning around sex organs; 1-20 months after contact
Term
T/F- w/ HPV, if the wart goes away, then the virus does too?
Definition
F- virus remains
Term
T/F- a mother can give HPV to a child during birth, especially to their eyes?
Definition
T
Term
Which is an effective method to prevent HPV infection? a. condom use b. annual PAP exam c. abstinence/ limit # of sexual partners d. screen partners to reveal subclinical infection e. vaccine
Definition
c,b,e (can't detect subclinical infection)
Term
In which demographic is HPV ifnection most common?
Definition
late teens/early 20s
Term
Which HPV strains are the most high risk ones?
Definition
16 and 18
Term
T/F- the warts you cannot see (flat and flesh colored) will get you?
Definition
T
Term
T/F- HPV can cause cervical cancer, and there are 26 strains which can cause genital infections?
Definition
F- 30 strains, rest true
Term
Which two STI can cause pelvic inflammatory disease?
Definition
chlamydia and gonorrhea
Term
What are some common symptoms of pelvic inflammatory disease?
Definition
pelvic pain, mild vaginal dishcarge, lower back pain, bleeding between prds, fever, nausea, vomiting, heavier periods
Term
T/F- PID can lead to ectopic pregnancies and infertility?
Definition
T
Term
Which area of the US has the highest chlamydia rates?
Definition
The south
Term
T/f- w/ chlamydia, 50% of women are asymptomatic and 75% of men are?
Definition
F- opposite
Term
Which of the following is not a common symptom of Chlamydia in men?
A. Discharge from penis
B. Burning w/ peeing
C. Fever
D. Testicular swelling
Definition
C
Term
Which of the following is not a common symptom of Chlamydia in women?
A. Vaginal discharge
B. Burning w/ peeing
C. Fever
D. Low back pain
E. Nausea
F. Painful intercourse
G. PID
H. Bleeding b/w prds
Definition
all are common symptoms
Term
How long does it take for chlamydia symptoms to appear?
Definition
1-3 weeks
Term
What is the most common demographic for chalmydia in men, women?
Definition
20-24, 15-19
Term
what are the best ways to prevent gonorrhea infection?
Definition
abstinence/monogamy, condoms, screening all pregnant women, annual test
Term
Overall, since 1989 until 2007, and especially from 1989-1997, the rate of gonorrhea in the US has _____
Definition
dec
Term
Which of the following is not a common symptom of gonorrhea in men?
a. White/yellow/green discharge
b. Asymptomatic
c. Swollen testicles
d. Painful urination
Definition
d
Term
Which of the following is not a common symptom of gonorrhea in women?
a. Asymptomatic
b. Painful urination
c. Discharge
d. PID
e. White/yellow/green discharge
Definition
e
Term
What are the drugs gonorrhea is sometimes resistant to?
Definition
penicillin, tetracycline, flouroquinolones, spectinomycin
Term
Which of the following is not a common pregnancy related complication stemming from gonorrhea infection?
a. Premature delivery/spontaneous abortion
b. Blindness
c. Joint infection
d. Potentially fatal blood infection in the baby
Definition
all are potential complications
Term
T/F- Hep A and E are transmitted by blood/sexual/perinatal transmission, while Hep B,C, and D are trnasmitted by the fecal-oral route?
Definition
F- opposite
Term
The mortality of Hep A is _____, of B is ____, C is ___, D is ____, and E is ___
Definition
low, mod to high, mod to high, high, low-mod
Term
Which type of hepatitis can become chronic?
Definition
B,C,D
Term
Which type of hepatitis can are self-limiting, and which requires co-infection w/ B and can lead to superinfections?
Definition
A and E, D
Term
What are typical HAV symptoms?
Definition
jaundice, fatigue, abdominal pain, loss of appetite, nausea, diarrhea, fever, none in children under 3
Term
How can one protect themselves from HAV?
Definition
Ig, vaccine, hygiene, sanitization, or lifelong immunity
Term
What are some common symptoms fo Hep B?
Definition
jaundice, fatigue, ab pain, loss of apetite, nausea, vomiting, joint pain, chronic liver disease
Term
Since the late 1980s, the incidence of HBV has _____
Definition
dec
Term
What are some of the major global hotspots of HBV?
Definition
E Canada, Africa, Oceana, E/C Europe
Term
Where are areas of high prevalence of HCV?
Definition
Africa, Latin America, Central/SE Asia
Term
What is the leading cause of liver transplants?
Definition
Hep C
Term
What is the incubation prd of HCV?
Definition
>20 yrs
Term
How can one prevent HBV infection?
Definition
vaccination, condoms, do not share works/toiletries, test if pregnant, Ig 12 hrs after birth
Term
What are the common symptoms of HCV?
Definition
dark urine, abdominal pain, jaundice, fatigue, loss of apetite, nausea; 90% of cases asymptomatic
Term
What are some common ways to protect one's self from HCV?
Definition
Get A and B vaccines, condoms, avoid sharing works/toiletries, avoid tattoos/piercings, do not donate blood/organ/tissue if (+), test if pregnant, use specifc tx (50% effective)
Term
What is the most common source of HBV infection?
Definition
unknown
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