Exam 2 Essays

Question 1

Discuss the Tuskegee syphilis trials
What happened:
Who did it happen to:
When treatment was available what happened:
How and when did the study end:

Answer 1

What happened: The US public service partnered with the Tuskegee in Alabama to study the effects of untreated syphilis on African American men

Who did to happen to: 600 African American men, 201 did not have it and 399 did. The men who had the disease were not informed which could have led to the spread of the disease

When treatment was available what happened: Penicillin was a known treatment about half way through between the study and they did not treat the men

How and when did the study end:
In 1972 a man put it in the local newspaper which then led to the termination in November

Question 2

Pick a topic related about health literacy, informed consent, withholding medical treatment or disparity against low socioecominic and racial factors. Discuss how this led to many individual having a lack of trust with government and healthcare

Answer 2

Henrietta Lacks

Question 3

How is TB spread

Answer 3

Droplet nuclei=airborn

Question 4

signs and symptoms of TB

Answer 4

cough lasting 3 weeks
chest pain
rust colored sputum
weakness/fatigue
chills/fever
night sweats
weight loss/no appetite

Question 5

differences between latent and active

Answer 5

latent: no symptoms, does not feel sick, cannot spread to others, POSITIVE SKIN AND BLOOD TEST, normal chest x ray and sputum test

Active: symptoms, can spread, POSITIVE SKIN AND BLOOD TEST, abnormal chest x ray and sputum

Question 6

Who is at risk

Answer 6

tight living quarters
below or at poverty line
refugee
immune system issues
substance abusers
kids less than 5

Question 7

the four core medications and what to educate

Answer 7

pyrazinamide: gout (esp. diabtetes/ kidney)
ethambutol: vision problems, peripheral neuropathy
rifampin: body fluids orange, stains soft contacts, less effective birth control, no alcohol, liver issues, sunburns
isoniazid: decreased vitamin B6, peripheral neuropathy

streptomycin: CN VIII Hearing

Question 8

one example of 5mm, 10mm, 15mm

Answer 8

5mm: people living with HIV
10mm: people who abuse drugs/other risk factors for TB
15: people with no known risk factors for TB

Question 9

Foodborne illness complaints what can the health department and nurses do? Please list the 6 items in your own words the very important role of the health department and nurse

Answer 9

• learn about potential public health problems via notifiable disease reports
• prevent others from becoming ill via investigating the complaint, identifying the source and correcting the problem
• add to our general knowledge of food borne diseases and preparation practices
• provide training on proper food preparation
• provide public health education
• demonstrate interest and responsiveness to client

Question 10

what to ask about GI symptoms and red flags

Answer 10

What is the problem
S/S
who is affected
when did they become ill
date and time of onset
why do they think they became ill
( who what when where and why)

red flags: abdominal pain, N/V
botulism
large numbers
food worker sick
a specific product or preparer