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MED-SURG > communicable disease > Flashcards

communicable disease Flashcards

1
Q

The time interval between the first exposure to the appearance of the first signs and symptoms is called:

a. Incubation
b. Prodromal
c.Illness stage
d. Convalescence

A

a. Incubation

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2
Q

To which of the following population groups does live attenuated virus (LAV) vaccine
contraindicated?

a. Elderly
b. Women
c. Infant
d. Pregnant

A

c. Infant

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3
Q

Which of the following is the definitive diagnostic procedure for Rabies?

a. ELISA
b. Brain biopsy for negri bodies
c. RT-PCR
d. CSF Analysis

A

b. Brain biopsy for negri bodies

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4
Q

Procedure observed to protect patient from environmental microorganisms is called:

a. Isolation
b. Surgical aseptic technique
c. Quarantine
d. Reverse isolation

A

d. Reverse isolation

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5
Q

Patient X had a severe COVID and experiencing septic shock. The client was given voluven and dopamine to mitigate the shock but the client is not responding well with the medications. Knowing the second line of medications to resolve shock, which medication should you anticipate to prepare?

a. Lidocaine HCL
b. Dobutamine
c. Norepinephrine
d. Morphine Sulfate

A

c. Norepinephrine

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6
Q

Which of the following is the enanthem found in patients with German measles (Rubella)?

a.
Rose spots
b.
Forchheimer’s spots
c.
Koplik spots
d.
Blind spots

A

b. Forchheimer’s spots

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7
Q

There are only 2 cases of pertussis in the Manila one is in Pasay and the other is in Quezon city. How to you classify the infectious disease occurrence in the given situation?

a. Endemic
b. Pandemic
c. Epidemic
d. Sporadic

A

d. Sporadic

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8
Q

Which of the following will be the best and appropriate independent nursing intervention for patient with Dengue hemorrhagic Fever during the acute phase of the disease?

a.
Advice to exercise to increase immune system
b.
Assist patient to brush teeth using a regular tooth-brush
c.
Encourage to increase clear fluid intake.
d.
Administer anti-pyretic like aspirin for fever

A

c. Encourage to increase clear fluid intake.

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9
Q

Which of the following client condition should you hold administering the vaccine?

a.
A patient with runny nose.
b.
A patient who have a nut allergy.
c.
A patient who had fever and body malaise on the first dose of the same vaccine.
d.
A patient who had a previous anaphylactic reaction on the first dose of the same vaccine.

A

d. A patient who had a previous anaphylactic reaction on the first dose of the same vaccine.

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10
Q

82% of malaria cases are found in Region IVB. How do you classify the infectious disease occurrence in the given situation?

a. Pandemic
b. Sporadic
c. Epidemic
d. Endemic

A

d. Endemic

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11
Q

What do you call the strategy in the treatment of tuberculosis in which heath workers counsel and observe their patients to swallow each dose of a powerful combination of medicines and services, monitor the patient’s progress until each is cured?

a.
Direct Observed Treatment Short Course
b.
National TB Prevention Program
c.
National Tuberculosis Control Program
d.
Multi-Drug Therapy

A

a. Direct Observed Treatment Short Course

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12
Q

Which of the following is the function of T Cells specifically CD8?

a.
Produces antibodies
b.
Marks pathogen for immune system destruction
c.
Controls multiplication of pathogens
d.
Kills the pathogen

A

d. Kills the pathogen

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13
Q

Knowing WHO gloving pyramid, which of the following action should a nurse implement in emptying a urine bag?

a.
Wear sterile gloves
b.
Wear clean gloves
c.
Clean bare hands
d.
Wear cloth gloves

A

b. Wear clean gloves

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14
Q

Which of the following in the CORRECT way of administering COVID-19 vaccine in adult client?

a.
In a 90 degree angle inject the vaccine into the deltoid.
b.
Aspirate before injecting the vaccine in a 45 degree angle in the deltoid.
c.
Aspirate before injecting the vaccine in a 90 degree angle in the deltoid.
d.
In a 90 degree angle inject the vaccine into the vastus lateralis.

A

c. Aspirate before injecting the vaccine in a 90 degree angle in the deltoid.

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15
Q

Which of the following is the drug of choice for leprosy?

a. Isoniazid
b. Thalidomide
c. Dapsone
d. Azithromycin

A

c. Dapsone

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16
Q

Which type of physiologic response does “body malaise” belongs?

a. Organic
b. Systemic
c. Local
d. Cellular

A

b. Systemic

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17
Q

Which of the following indicates a positive result in Rumpel-Leede’s test?

a.
1-10 rashes per 2.5 cm square
b.
20 or more rashes per 2.5-inch square
c.
1-10 rashes per 2.5-inch square
d.
20 or more rashes per 2.5 cm square

A

b. 20 or more rashes per 2.5-inch square

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18
Q

The child with chickenpox is considered contagious until:

a.
When the fever subsided
b.
24 hours after afebrile period
c.
The scabs have all fallen off
d.
All lesions have crusted completely

A

d.
All lesions have crusted completely

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19
Q

Knowing the principle of WHO gloving pyramid, what is the appropriate and necessary action should a nurse implement when performing urinary catheterization?

a.
Wear rubber gloves
b.
Clean bare hands
c.
Wear clean gloves
d.
Wear sterile gloves

A

d.
Wear sterile gloves

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20
Q

Which of the following action, prevents the rabies virus to reach the central nervous system after dog bite?

a.
Immediate treatment after a dog bite
b.
Maintaining a good body resistance
c.
Observation of the dog for 10 days before the start of treatment
d.
Killing the rabid dog

A

a.
Immediate treatment after a dog bite

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21
Q

Which of the following precaution in addition to standard precaution in taking care of a patient with typhoid fever?

a. Vector
b. Airborne
c. Contact
d. Droplet

A

c. Contact

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22
Q

Preventive measures for diseases brought by mosquitoes LEAST likely include:

a.
Hanging wet clothes in the houses
b.
Applying citronella oil on skin.
c.
Planting of Neem trees/ eucalyptus
d.
Cleaning the gutters

A

a.
Hanging wet clothes in the houses

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23
Q

In caring for a client on contact precautions for a draining infected foot ulcer, the nurse should perform which of the following?

a.
Follow standard precautions in all interactions with the client
b.
Wear a N95 mask during dressing changes
c.
Use surgical aseptic technique for all direct contact with the client.
d.
Provide disposable eating utensils and tray

A

c.
Use surgical aseptic technique for all direct contact with the client.

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24
Q

In addition to standard precaution, what is the appropriate precaution to implement on a person who has tuberculosis?

a. Airborne precaution
b. Contact precaution
c. Seizure precaution
d. Droplet precaution

A

a. Airborne precaution

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25
Q

How do you classify sneezing as a physiological responses?

a. Non-specific
b. Specific

A

a. Non-specific

26
Q

What type of immunity is when an infant drinks colostrum from his/her mother?

a. Natural passive
b. Artificial passive
c. Natural active
d. Artificial active

A

a. Natural passive

27
Q

In addition to standard precaution, what is the appropriate precaution to implement on a person with rubella?

a. Seizure precaution
b. Droplet precaution
c. Contact precaution
d. Airborne precaution

A

b. Droplet precaution

28
Q

The following are signs of systemic infection, EXCEPT:

a. Body malaise
b. Swelling and redness of infected area
c. Enlargement and tenderness of lymph nodes that drain the area of infection
d. Fever

A

b. Swelling and redness of infected area

29
Q

Which among the following is the most common antigen presenting cells to T Cells?

a. Macrophages
b. Monocytes
c. B cells
d. Dendritic cells

A

d. Dendritic cells

30
Q

What type of immunity is when a nurse administer tetanus immunoglobulin to patient who sustain a puncture wound?

a. Artificial active
b. Natural passive
c. Artificial passive
d. Natural active

A

c. Artificial passive

31
Q

How do you classify production of antibodies as an immune response?

a. Non-specific
b. Specific

A

b. Specific

32
Q

The following are conditions in the reservoir that allows microorganism to multiply, EXCEPT:

a. Presence of glucose
b. Temperature of 35-degree Celsius
c. pH3
d. Presence of oxygen

A

c. pH3

33
Q

In what stage of infection is defined as the time interval from the onset of nonspecific symptoms until specific symptoms begin to manifest?

a. Convalescent
b. Illness
c. Incubation
d. Prodromal

A

d. Prodromal

34
Q

According to the WHO’s “glove pyramid, when emptying the emesis basin the nurse should…

a. wear clean gloves
b. use clean bare hands
c. wear sterile gloves

A

a. wear clean gloves

35
Q

According to the “glove pyramid”, which of the following action is appropriate and necessary when administering IM injection to patient with DHF?

a. Wear N95 mask
b. wear examination gloves
c. wear sterile gloves
d. use clean bare hands

A

d. use clean bare hands

36
Q

Before administering a vaccine, what food allergy should be asked to the client?
a. pork
b. egg
c. nuts
d. beef

A

b. egg

36
Q

Before administering a vaccine, what food allergy should be asked to the client?
a. pork
b. egg
c. nuts
d. beef

A

b. egg

37
Q

Which complication is avoided by NOT GIVING ASPIRIN as antipyretic to patients with chicken pox?

A

Reyes’ Syndrome

38
Q

In patients infected with rabies, one of the classic symptom is hydrophobia, the reason for this is probably because of:

A

Painful contracture of the pharyngeal muscles that occurs during swallowing

39
Q

What is pathognomonic sign of Diptheria?

A

Grayish-white coating in mucosal membrane

40
Q

Where do excystation occurs during incubation period of Entamoeba hystolitica?

A

Small Intestine

41
Q

What is medication of choice of Amoebiasis?

A

Metronidazole

42
Q

What do you call an STD that is characterized by painless ulcers also known as CHANCRES in the genitals?

A

Syphilis

43
Q

Leptospirosis is transmitted by the urine of which of the following animal?

A

RATS

44
Q

Which type of measles in mild symptoms but EXTREMELY TERATOGENIC to pregnant women?

A

RUBELLA

45
Q

Knowing the mode of transmission of COVID-19, what is appropriate transmission precaution to implement on a person INFECTED with SARS-COV?

A

STANDARD PRECAUTION

46
Q

Which particular tissues does plasmodium attacks in Malaria?

A

RBC

47
Q

What should be the INITIAL treatment to a wound bitten by a stray dog?

A

Wash with mild soap in running water

48
Q

What is the first line antibiotic treatment given to patients with typhoid fever?

A

Ceftriaxone

49
Q

What is the route of administration of OPV, the polio vaccine?

A

Oral

50
Q

What is the route of administration of MMR vaccine?

A

Subcutaneous

51
Q

What is the side effects of ethambutol to watch out for on patients with tuberculosis?

A

Blurring of vision

52
Q

Which of the following is a late sign of leprosy?

A

Inability to close eyelids

53
Q

What is the pathognomonic sign of tuberculosis?

A

Weight loss

54
Q

Which of the following vaccine is given to prevent the whooping cough?

A

DPT

55
Q

Whic laboratory test confirms the presence of acute phase of HEPA B virus infection?

A

HBsAG

56
Q

Which of the following are the warning signs of DHF?

A

Persistent vomiting

57
Q

The pathognomonic sign of this disease is red spots in the soft palate?

A

Rubeola

58
Q

Chicken pox remain contagious until..

A

All the lesions have crusted

59
Q

What is the etiologic agent of Syphilis?

A

Plasmodium Falciparum

MED-SURG (4 decks)

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