Ch. 28 Flashcards

1
Q

Which of the following is the BEST way to prevent or control pathogens inside the body?

A) Antibiotic therapy
B) Normal flora
C) Hand washing
D) Anti-fungal therapy

A

B) Normal flora

Page Ref: 677
Objective: 28.1 Define key terms introduced in this chapter; 28.2 Describe the body’s defenses against infectious illnesses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which of the following would be considered an opportunistic infection?

A) A cancer patient contracts pneumonia after completing radiation treatments.
B) A young child comes down with chicken pox after exposure at school.
C) A patient gets a skin infection while healing from a full thickness burn.
D) An unimmunized carpenter contracts tetanus after stepping on a rusty nail.

A

A) A cancer patient contracts pneumonia after completing radiation treatments.

Page Ref: 677
Objective: 28.1 Define key terms introduced in this chapter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which step can an AEMT take to develop induced active immunity to infectious illnesses and thus prevent the spread of communicable diseases?

A) Wash hands thoroughly after each patient encounter.
B) Take preventative antibiotics and antiviral drugs.
C) Receive injections of immunoglobulins regularly.
D) Stay up to date on all vaccinations.

A

D) Stay up to date on all vaccinations.

Page Ref: 677
Objective: 28.3 Explain the actions that health care providers must take to prevent the spread of communicable illnesses to themselves and others.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Of the following situations, which would be LEAST likely to result in infection?

A) An AEMT inhales a highly virulent form of anthrax during decontamination.
B) An AEMT scrubs his hands after transferring a patient with a rash.
C) An AEMT gets blood splatter into her eyes from a patient with hepatitis C.
D) An AEMT gets a needle stick from a needle containing contaminated blood.

A

B) An AEMT scrubs his hands after transferring a patient with a rash.

Page Ref: 677
Objective: 28.4 Describe the routes of transmission of infectious illnesses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which of the following would be considered a significant exposure?

A) Being stuck with a needle while starting an IV on a patient with hepatitis B
B) Wearing gloves while caring for a patient with a skin rash
C) Standing in the same room with a patient with tuberculosis
D) Touching a cloth with blood from an elderly cardiac patient

A

A) Being stuck with a needle while starting an IV on a patient with hepatitis B

Page Ref: 677-678
Objective: 28.5 Discuss what constitutes a significant exposure to a communicable illness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which of the following pathogens would be considered a communicable disease?

A) A man contracts tetanus after stepping on a nail.
B) A family gets food poisoning after eating tainted mushrooms.
C) A health care worker gets contracts influenza during an outbreak.
D) A woman breaks out with poison ivy after working in her yard.

A

C) A health care worker gets contracts influenza during an outbreak.

Page Ref: 677
Objective: 28.1 Define key terms introduced in this chapter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which of the following could allow direct transmission of a pathogen?

A) Touching a door knob after someone with a cold
B) Sharing a passionate kiss
C) Being bitten by an animal with rabies
D) Contracting encephalitis after a mosquito bite

A

B) Sharing a passionate kiss

Page Ref: 677
Objective: 28.4 Describe the routes of transmission of infectious illnesses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which of the following would be considered a bloodborne pathogen?

A) Hepatitis B
B) Tuberculosis
C) Measles
D) Hepatitis A

A

A) Hepatitis B

Page Ref: 681-682, 686
Objective: 28.4 Describe the routes of transmission of infectious illnesses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which of the following occurs next after a person is exposed to a pathogen?

A) The person gets sick from the pathogen.
B) The infected patient is contagious to others.
C) It dies immediately upon contact with the body.
D) The pathogen begins to colonize in the body.

A

D) The pathogen begins to colonize in the body.

Page Ref: 678
Objective: 28.6 Describe the general stages of infectious illnesses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which of the following is an example of a patient in the fulminant stage of a disease?

A) A patient has been exposed but is asymptomatic.
B) The patient is between periods of the disease.
C) A patient has an acute onset of the disease.
D) The patient has succumbed to the disease.

A

C) A patient has an acute onset of the disease.

Page Ref: 678
Objective: 28.6 Describe the general stages of infectious illnesses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the period between exposure and the production of enough antibodies to be detected in the blood?

A) The disease period
B) The fulminant period
C) The latent phase
D) The window phase

A

D) The window phase

Page Ref: 678
Objective: 28.6 Describe the general stages of infectious illnesses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A person who has been exposed to a disease and is capable of transmitting the disease is a:

A) host.
B) carrier.
C) fomite.
D) vector.

A

B) carrier.

Page Ref: 678
Objective: 28.1 Define key terms introduced in this chapter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which of the following can produce a toxin that leads to toxic shock syndrome?

A) Enterococcus
B) Staphylococcus aureus
C) Herpes virus
D) Cryptosporidium

A

B) Staphylococcus aureus

Page Ref: 678
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which of the following would you MOST likely see in a patient with an infectious disease?

A) Abrasions
B) Fever
C) Bruising
D) Hypertension

A

B) Fever

Page Ref: 679
Objective: 28.7 Identify the general signs and symptoms of infectious illnesses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which of the following pathogens can lie dormant in the body but reemerge under times of stress?

A) Hepatitis
B) Fungi
C) Giardia lamblia
D) Herpes viruses

A

D) Herpes viruses

Page Ref: 678
Objective: 28.8 Describe the nature of the agents of infectious illnesses, including bacteria, viruses, fungi, helminths, protozoa, and external parasites.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Impetigo is typically seen in:

A) young children.
B) immunocompromised patients.
C) the elderly.
D) patients on ventilators.

A

A) young children.

Page Ref: 689
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

17
Q

Which of the following is typically seen as a nosocomial infection?

A) Impetigo
B) Boils
C) MRSA
D) Ringworm

A

C) MRSA

Page Ref: 690
Objective: 28.10 Discuss the significance and prevention of nosocomial infections and antibiotic resistant infections.

18
Q

Which of the following is a viral disease in the herpes family that causes general malaise and itchy, fluid-filled blisters on the skin that later crust and scab?

A) Rubella
B) Varicella
C) Rubeola
D) Mumps

A

B) Varicella

Page Ref: 686
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

19
Q

Your young patient appears ill with a high fever, difficulty swallowing and breathing, and drooling. You see that he is sitting upright and leaning forwarding. What should you suspect?

A) Croup
B) Pneumonia
C) Epiglottitis
D) Scarlet fever

A

C) Epiglottitis

Page Ref: 685
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

20
Q

People living in which region of the United States are at greatest risk of Bubonic plague?

A) Northeast–New York, Massachusetts, Maine
B) Southeast–Georgia, Alabama, Mississippi
C) Southwest–New Mexico, Colorado, Arizona
D) Northwest–Oregon, Washington, Idaho

A

C) Southwest–New Mexico, Colorado, Arizona

Page Ref: 685
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

21
Q

Which of the following statements regarding meningitis is TRUE?

A) Bacterial meningitis is more serious and can be fatal.
B) Viral meningitis occurs more often during the winter months.
C) The incidence of childhood meningitis has increased recently.
D) Viral meningitis is spread through contact with nasal and oral secretions.

A

A) Bacterial meningitis is more serious and can be fatal.

Page Ref: 686
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

22
Q

All of the following are correct regarding bacterial meningitis EXCEPT:

A) meningococcal bacteria enter the blood causing damage to blood vessels.
B) seizures and altered mental status can occur in bacterial meningitis.
C) bacterial meningitis is typically less serious than viral meningitis.
D) meningococcal bacterium commonly resides in the nasal passages.

A

C) bacterial meningitis is typically less serious than viral meningitis.

Page Ref: 686
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

23
Q

Which of the following is CORRECT regarding tularemia?

A) It is a gastrointestinal illness spread through food.
B) It causes hemolytic uremic syndrome if left untreated.
C) It is a bacterial infection transmitted by black-legged ticks.
D) It has been identified as a potential weapon of bioterrorism.

A

D) It has been identified as a potential weapon of bioterrorism.

Page Ref: 687
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

24
Q

Your 17-year-old patient is presenting with fatigue, fever, chills, headache, muscle and joint pain. Further history reveals a recent camping trip to the mountains. You note a bull’s-eye rash on his back that he had missed. You should suspect:

A) Lyme disease.
B) tularemia.
C) Rocky Mountain spotted fever.
D) rabies.

A

A) Lyme disease.

Page Ref: 687
Objective: 28.11 Given various scenarios involving known or suspected infectious disease, obtain relevant history and assessment information, formulate and implement an appropriate treatment plan, and take precautions to prevent disease transmission.

25
Q

You have a patient who was possibly bitten by a rabid dog. Which of the following is CORRECT about rabies?

A) Infection can lead to Bell’s palsy, headaches, and meningitis.
B) The virus travels along nerves from the bite to the brain.
C) It has been identified as a potential weapon of bioterrorism.
D) The virus causes inflammation of brain tissue.

A

B) The virus travels along nerves from the bite to the brain.

Page Ref: 687
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

26
Q

You are called for a six-year-old boy who has been very sick for several days. His signs and symptoms include hypersalivation and hydrophobia. These symptoms are immediately suggestive of:

A) tularemia.
B) rabies.
C) hanta virus.
D) Lyme disease.

A

B) rabies.

Page Ref: 687
Objective: 28.11 Given various scenarios involving known or suspected infectious disease, obtain relevant history and assessment information, formulate and implement an appropriate treatment plan, and take precautions to prevent disease transmission.

27
Q

Which of the following illnesses are spread through the gastrointestinal tract?

A) Hepatitis A and E
B) Hepatitis B and D
C) Hepatitis C and D
D) Hepatitis A and C

A

A) Hepatitis A and E

Page Ref: 677
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

28
Q

You are treating a six-year-old boy who has signs and symptoms of influenza, including fever. In treating this patient, which of the following would be contraindicated?

A) Tylenol
B) Aspirin
C) Motrin
D) Fluid challenge

A

B) Aspirin

Page Ref: 681
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

29
Q

Which of the following patients are MOST at risk for nosocomial infections?

A) A child with a broken arm
B) A patient having a heart attack
C) A woman having a TIA
D) An elderly AIDS patient

A

D) An elderly AIDS patient

Page Ref: 690
Objective: 28.10 Discuss the significance and prevention of nosocomial infections and antibiotic resistant infections; 28.11 Given various scenarios involving known or suspected infectious disease, obtain relevant history and assessment information, formulate and implement an appropriate treatment plan, and take precautions to prevent disease transmission.

30
Q

A sexually transmitted infection associated with cervical cancer in women is:

A) human papillomavirus.
B) syphilis.
C) chlamydia.
D) trichomoniasis.

A

A) human papillomavirus.

Page Ref: 690
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

31
Q

You are called for a 22-year-old girl who has been very sick for a few days and is complaining of upper right quadrant pain and dark urine. These symptoms immediately suggest which of the following conditions?

A) Respiratory infection
B) Meningitis
C) Hepatitis
D) Epiglottitis

A

C) Hepatitis

Page Ref: 679
Objective: 28.7 Identify the general signs and symptoms of infectious illnesses.

32
Q

After exposure, how many weeks does it usually take for primary syphilis to occur?

A) One to two weeks
B) Two to four weeks
C) Three to six weeks
D) Four to eight weeks

A

C) Three to six weeks

Page Ref: 690
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

33
Q

What is typically the best treatment for ringworm of the scalp (tinea capitis)?

A) Oral medications
B) Over-the-counter antifungal ointments
C) Application of a topical scabicidal cream
D) Vaccines and immunizations

A

A) Oral medications

Page Ref: 689
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.

34
Q

What type of treatment is important to provide patients with sepsis who may be hypothermic?

A) Provide intravenous fluids
B) Cover the patient with blankets
C) Administer oxygen
D) Offer a bronchodilator

A

B) Cover the patient with blankets

Page Ref: 680
Objective: 28.9 Discuss the causative agents, pathophysiology, routes of transmission, methods of prevention, and management of specific infectious diseases discussed in the chapter.