Control of Communicable Diseases Flashcards

1
Q

Differentiate infectious from contagious

A

Infectious: caused by pathogens
Contagious: spread though human-human contact

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2
Q

Give examples of pathogens

A

Bacteria, virus, fungi

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3
Q

Give examples of human-human contact

A

Discharge, object

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4
Q

Classify the ff modes of transmission:

  1. Droplet (fluid, cough, sneeze)
  2. Vector (mosquito, ticks, fleas)
  3. Vehicle (food, water)
  4. Direct contact (skin, sex, soil)
  5. Airborne
  6. Fomites (hanky, bed linen)

A. Direct
B. Indirect

A
1A
2B
3B
4A
5B
6B
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5
Q

Match the RA to its corresponding role:

  1. RA 4073
  2. PO 205-1585
  3. AO 0036
  4. RA 3573
  5. AO 0023

A. Management committee for infectious diseases
B. Reporting diseases within 24 hrs
C. Formula One guidelines
D. Treatment of leprosy
E. Philippine Integrated Disease Surveillance and Response Framework

A
1D
2C
3E
4B
5A
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6
Q

Diseases that must be reported immediately even if single case (AMNROU)

A
Anthrax
Measles
Neonatal tetanus
Rabies
Outbreaks
Unusual diseases (COVID)
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7
Q

Give at least 3 nursing functions in CD control

A

Health education
Case finding, epidemiologic investigations
Training and supervision Coordination w/other HCWs
Requisition of drugs
Reporting cases

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8
Q

Leprosy is also known as ____ and it used to be one of the leading causes of d___

A

Hansen’s Disease

Disability

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9
Q

Match the causative agent: (CD)

  1. Rhabdovirus
  2. Mycobacterium leprae
  3. Anopheles mosquito
  4. Treponema palladium
  5. Aedes poicillus
  6. Parasite
  7. Aedes aegypti
  8. Aedes albopictus
  9. Neisseria Gonorrhea
A. Malaria
B. Rabies
C. Filiariasis
D. Leprosy
E. Dengue
F. Syphilis
G. Zika
H. Filariasis
I. Chikunguya
J. Schistosomiasis
K. Gonorrhea
A

1

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10
Q

(FILL IN) Leprosy
S/sx: u___ & p___
Early: r__ & h___
Late: d___

A

Ulcerations
Reddish skin & hair loss
Deformities

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11
Q

(FILL IN)
Slit skin smear result and # of lesions
Multibacillary () & (more/less than 5)
Paucibacillary (
)& (more/less than 5)

A

+, more

-, less

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12
Q

(T/F)
Tuberculoid leprosy = loss of structure
Lepromatous leprosy = more severe, loss of sensation

A

FALSE, vice versa

T > L

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13
Q

What are the medications for single-lesion paucibacillary (SLPB)? (ROM)

A

Rifampicin 600 mg
Ofloxacin 400 mg
Minocycline 100 mg

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14
Q

What is RA 4073? Name 2 advantages of this

A

Domiciliary Treatment or Home Treatment for Leprosy

Reduces degree of infectiousness and duration of treatment

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15
Q

Give at least 3 ways to prevent leprosy

A

Treat all leprosy cases
BCG immunization
Post-exposure chemoprophylaxis with single
dose rifampicin
Young children should avoid direct contact
Practice personal hygiene, good nutrition, enough rest and exercise, clean environment

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16
Q

Three Main Strategies to Control Leprosy (ETD)

A

Early detection
Adequate treatment
Prevention of disabilities

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17
Q

Incubation period of rabies

A

2-8 weeks

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18
Q

(T/F) People have to be bitten to get rabies

A

FALSE

source: saliva but can also be acquired through licking, scratching

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19
Q

(FILL IN) Prognosis of rabies gets ___ as symptoms show

A

Worse

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20
Q

(T/F) Rabies can cause inflammation of the area bitten

A

FALSE, it causes inflammation of the brain = delirium, paralysis, spasms

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21
Q

Treatment of Rabies (WCO)

A

Wash with soap and water
Consult immediately
Observe dog for 14 days

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22
Q

(FILL IN)

We can prevent rabies by i___ and being r___

A

Immunization

Responsible pet owners

23
Q

Characteristic biting
Anopheles:
Aedes aegypti:

A

(N) Night

(D) Day

24
Q

Characteristic biting and breeding
Anopheles:
Aedes aegypti:

A

(N) Night, any collection of water

(D) Day, fresh stagnant water

25
Q

How is malaria diagnosed?

A

History of being in malaria-endemic areas
S/sx
Blood smear
Rapid diagnostic test

26
Q

4 Methods of Preventing Malaria (CBEE)

A

Chemical: fumigation, chemically treated nets
Biological: larvae eating fish
Environmental: screening of houses
Educational: avoid outdoor activities at peak hrs (9PM-3AM) and wear long clothes

27
Q

Chloroquine is for?

A

Malaria

28
Q

Name the 3 stages of dengue

A

Febrile (1-4)
Toxic or hemorrhagic (4-7)
Convalescent (7-10)

29
Q

At which stage is a person more prone to develop Dengue Shock Syndrome?

A

Second (toxic/hemorrhagic)

30
Q

(T/F) Dengue used to be diagnosed with the Rumpel Leede Test (tourniquet & bp) but now, it is diagnosed with platelet count

A

FALSE, vice versa

31
Q

One way to prevent dengue is to do the 4 o’clock habit. What are the 4S?

A

Search and destroy
Self protection measures
Seek early consult
Say no to indiscriminate fogging

32
Q

Incubation period of Filariasis

A

6-8 months

33
Q

(T/F) The blood smear for filariasis is done in the morning

A

FALSE, the parasite is nocturnal

34
Q

Treatment of Filariasis (MSNP)

A

Medical: medications
Surgical: anastomosis, ligation
Nursing: symptomatic
P: eradication of vectors

35
Q

Match the incubation period with the corresponding disease:

  1. 6-8 months
  2. 3-5 years
  3. 2-8 weeks
  4. 3-7 days

A. Rabies
B. Filariasis
C. Chikungaya
D. Leprosy

A

1
2
3

36
Q

Match the incubation period with the corresponding disease:

  1. 6-8 months
  2. 3-5 years
  3. 2-8 weeks
  4. 3-7 days
  5. 1-20 years
A. Rabies
B. Filariasis
C. Chikungaya
D. Leprosy
E. HIV
A

1
2
3

37
Q

Treatment of Chikungaya (RFMAP)

A
Rest
Increase fluids
Take medicines
Except aspirin (bleeding)
Prevent bites (infect others)
38
Q

Zika virus can be transmitted via

BPST

A

Bite
Placenta
Sex
Blood transfusion

39
Q

(T/F) Zika is associated with birth defects such as macrocephaly

A

FALSE, microcephaly

40
Q

(FILL IN) Treatment for TB usually lasts for _ months with the TB-DOTS program where __

A

6

Patients must be seen taking the medication

41
Q

Pathognomonic Signs of TB (CFWN)

A

Cough
Fever
Weight loss
Night loss

42
Q

Can be used to check for infiltrates, may not always detect an active infection of TB

A

Chest xray

43
Q
Define the types of TB cases:
New
Relapse
Treatment after failure
Return after default
Transfer in
A

Never taken
Previously treated and cured but came back
Still positive after 5 months of treatment
Lost to follow up = treatment was interrupted for 2 months or more
Transferred house = new barangay

44
Q

Resistance is mainly due to n___

A

Non-compliance w/drug regimen

45
Q

Also known as snail fever or bilharziasis

A

Schistosomiasis

46
Q

Give at least 3 s/sx of schistosomiasis

A
Rashes
Afternoon fever
Muscle aches
Swelling around liver
Bladder damage
47
Q

Which is the preferred test for schistosomiasis? (stool/serology)

A

Serology

48
Q

Praziquantel is for?

A

Schistosomiasis

49
Q

What are the two other types of gonorrhea? (ON/C)

A

Opthalmia neonatorum (eyes of infan

50
Q

What are the two other types of gonorrhea? (ON/C)

A
Ophthalmia neonatorum (eyes of infant due to infected birth canal)
Gonorrheal conjunctivitis (eye infection)
51
Q

Describe the primary, secondary, and tertiary stage of syphilis

A

Primary: chancre appears, may disappear w/ or w/o treatment
Secondary: highly contagious
Tertiary: bacteria damages organs, can lead to death

52
Q

HIV attacks what kind of cells?

A

T-cells (CD4+)

53
Q

Give at least 3 transmission methods of HIV

A
Unprotected sex
Sharing needles (drug abuse)
Transfusion of HIV infected blood
Breastfeeding by HIV infected mother
Infants born to HIV infected mothers
Improper sterilized hospital tools
Transplantation of infected organs