Final Questions Flashcards

1
Q
  1. Which one of the following species is the reservoir for LCMV? Pick the one best answer.
A

mice

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2
Q

Category A Bioterrorism (11)

A
  • Foot and mouth disease
  • Classical swine fever

  • Newcastle disease
  • Vesicular stomatitis
  • Highly pathogenic avian influenza
  • Anthrax
  • Botulism
  • Plague
  • Smallpox
  • Tularemia
  • Viral hemorrhagic fever
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3
Q

Category B Bioterrorism (9)

A
  • Brucellosis
  • Epsilon toxins of Clostridium perf
  • Glanders
  • Psittacosis
  • Q fever
  • Ricin toxin
  • Typhus
  • Viral encephalitis
  • Staph enterotoxin B
  • Water & food threats
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4
Q
  1. What properties make a good biological weapon? (Select all that apply)
A
  • Stable
  • Short incubation
  • Low infectivity dose
  • High morbidity

  • Severe disease
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5
Q
  1. You are a part owner of a mixed animal practice. One of your veterinary colleagues has just announced that she is pregnant. For the following, please indicate which activities she should avoid during her pregnancy? Assume she would be wearing gloves and a lab coat or coveralls and will be washing her hands after each activity. Pick all that apply
A
  • No lambing
  • No cat poo
  • Do NOT drink raw milk
  • Avoid Listeria monocytogenes: found in silage and ready-to-eat lunch meats
  • Avoid x-rays
  • Being around anesthetic gas
  • Hormones
  • Drugs and chemicals
  • Physical trauma and stress, lifting heavy things
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6
Q
  1. You are a veterinarian in a small animal practice in Albuquerque, New Mexico. You are presented with a 2-year-old cat with a 3-day history of anorexia and lethargy. On physical exam, you note that the cat has a fever and an enlarged popliteal lymph node. In taking a complete history you find out that this cat lives in a rural area and is allowed outside. It has brought home mice and other small rodents and the owner has found fleas and ticks on the animal. You send a lymph node aspirate to the Utah Veterinary Diagnostic Laboratory, and it comes back positive for Yersinia pestis. Given that this animal was confirmed positive for Yersinia pestis, which of the following actions should you take? Pick all that apply.
A
  • Quarantine & hospitalize cat
  • Treat with: streptomycin, Gentamicin, doxycycline, tetracycline, chloramphenicol, sulfonamides
  • Parenteral antibiotics (IV) for first 72 hours
  • USE PPE WHEN HANDLING: gloves, mask
  • Inform public health officials and veterinary regulatory officials
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7
Q
  1. On physical exam, you note that the cat has a fever and an enlarged popliteal lymph node. In taking a complete history you find out that this cat lives in a rural area and is allowed outside. It has brought home mice and other small rodents and the owner has found fleas and ticks on the animal. You send a lymph node aspirate to the Utah Veterinary Diagnostic Laboratory, and it comes back positive for Yersinia pestis. Which of the following is a potential route of transmission of Yersinia pestis to humans. Pick all that apply.
A
  • mucosal exposure to body fluid
  • Getting bitten by flea
  • Pneumonic contact: inhaling aerosols
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8
Q
  1. You have been called to a ranch in Loa, UT to investigate an outbreak of pinkeye in a beef herd. You evaluate 3 of the animals, but the rancher says there are at least 10 others. You determine the likely cause to be infectious Pink Eye (Moraxella bovis), and the rancher requests a long-acting, injectable antibiotic so that she does not have to restrain the animals again. You choose Excede® (a cephalosporin) which is not labeled for the treatment of infectious keratoconjunctivitis (pinkeye). What conditions must be met in order to use this product for pinkeye? (Select all that apply)
A

• Record: species, production class, indication, dose, route of admin, freq of admin, withdrawal time

o	Under supervision of veterinarian
o	ONLY FDA-approved drugs
o	Valid vet/client/patient relationship
o	Cannot be used for growth promotion
o	Cannot be used in feed
o	No tissue residue
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9
Q
  1. The rancher would like you to get them some oxytetracycline feed like years past to help her daughter’s steer “blossom” for the summer livestock show. She is visibly frustrated when you decline. Why did you decline? (Select the single best choice)
A

• Legal rule!! You can no longer use medically important antibiotics for growth in livestock. You can only use meds that are NOT medically important

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10
Q
  1. Explain to a client why recumbent (downer) cattle are no longer accepted for antemortem inspection? (Select the single best choice)
A

• ALL recumbent cattle are CONDEMNED on antemortem inspection: Due to concern for Bovine Spongiform Encephalopathy

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11
Q

For the cat, select the zoonotic disease of significant concern for immunosuppressed persons in her specific scenario.

A
  • Toxoplasmosis
  • Salmonella
  • Sporotrichosis: Sporothrix schenkii
  • Ringworm
  • Q-fever
  • Plague
  • Rabies
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12
Q
  1. Select the best safeguard to minimize toxoplasmosis transmission from Gandalf to Ms. Rood.
A
  • Do NOT let Ms. Rood clean out the cat’s litter box or handle the clean-up of cat feces
  • Request that someone else (immunocompetent) in the household clean the litter box once a day
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13
Q
  1. Which one of the following is the reservoir responsible for most cases of human giardiasis? Pick one best answer
A
  • Contamination of water, food, fomites or other HUMANS through fecal/oral
  • Dogs and cats CAN but less likely: need assemblage A or B
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14
Q
  1. You are a small animal veterinarian near Las Vegas, Nevada. Your client brings in a 5-year-old NM Husky Mix. The owner explains that the dog has had intermittent diarrhea for the last several months, with bouts occurring every 7-10 days; ever since the dog ate rabbit feces from a snowmelt puddle. The dog currently has diarrhea, and a Giardia SNAP test reveals a positive. You explain the likely etiology and discuss that:
A

• Dog most likely ingested an infected giardia cyst from the rabbit feces/OR contaminated water from the puddle.

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15
Q
  1. Up to 56% of animal workers are affected by animal-related allergies. Of those workers with allergies, as many as 50% will go on to develop asthma. (true or false)
A

true

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16
Q
  1. You have tentatively diagnosed Leptospirosis in a group of cattle on the Arizona strip. The owner elects to vaccinate. You explain that (select the single best, correct answer):
A
  • There are over 200 serovars for Lepto, and the immune system responds differently to each
  • Current bovine vaccine contains only 5 serovars
  • Vaccinate/boost biannually: but not practical bc no summer corals
  • Lepto can be maintained in the environment: water & mud
  • Quarantine animals that are positive with Lepto & discontinue current water sources
17
Q
  1. You are the owner/manager of a mixed animal practice in Yakima, WA. You started noticing a technician developing a “baby bump”. Knowing there are a number of occupational health concerns, how are you legally and tactfully going to address these concerns with your staff member(s)? [hint: how are you going to educate without being perceived as insensitive or getting sued for sexual harassment]
A
•	Staff meeting to reiterate dangers in the workplace: include risks for pregnant and non-pregnant personnel
o	PPE
o	Zoonotic dzs
o	Radiograph protocols
o	Anesthesia protocols
o	Animal handling
o	Cleaning litter
o	Avoid use of hormone, chemicals, drugs…
18
Q

Common Source of Giardia, Lepto, Tularemia, Salmonella, Foot&Mouth, West Nile, Plague, Trichinelia Spiralis, Bovine Spongiform, Cystercircosis, E. coli, Campy, Coxiella Burnetti, M Bovis, Brucella abortus, Listeria, Staph aureus, Clostridium botulinum, Clostridium perf, Vibriosis, Yersina enterocolitis & pseudotuberculosis

A
  • Giardia: FECAL contaminated water
  • Lepto: URINE contaminated water, working in farms
  • Tularemia: water, moist soil & decaying carcasses (rabbits)
  • Salmonella: foodborne
  • Foot & Mouth: cows & sheep
  • West Nile: mosquitos
  • Plague, Yersinia pestis: fleas, rodents, cats
  • Trichinella spiralis: swine, wild game, poultry
  • Bovine Spongiform Encephalopathy: cows
  • Cysticercosis: undercooked meat
  • E.coli O157:H7: feces
  • Campy: feces, ground turkey/chicken
  • Coxiella burnetti, M. Bovis, Brucella abortis: shed in raw milk
  • Listeria monocytogenes: ready-to-eat meats
  • Staph aureus: contaminated food
  • Clostridium botulinum: improperly canned foods with low acidity and honey
  • Clostridium perf: food in “danger window”
  • Vibriosis: raw seafood
  • Yersinia enterocolitica & pseudotuberculosis: pork and chitterlings
19
Q
  1. A cat with a positive IgG titer poses the greatest risk for transmission of toxoplasmosis to humans due to their potential to shed oocysts. (true or false)
A

false

20
Q
  1. Horses are commonly quarantined at referral hospitals (e.g., WSU). Horses with diarrhea are particularly concerning because of transmission of enteric pathogens to humans. One in particular comes to mind that we discussed in class. Select the best choice.
A

• Salmonella: get it from handling feces, normal GI flora in horse

21
Q
  1. Which of the following is true regarding the processing of meat to avoid microbial contamination?
A
  • Whole meat cuts: cook to 145
  • Ground meat: cook to 160
  • Wild game: cook to 160
  • Poultry: cook to 165
  • Freeze pork less than 6 inches for 20 days at 5 degrees to kill worms
  • FREEZING WILD GAME IS POINTLESS
  • Critical control points during slaughter to keep poop away

Test for residues:
• FAST (fast antimicrobial screen test),
• KIS (kidney inhibition swab),
• chemical testing

22
Q
  1. Which of the following statements regarding TB caused by M. bovis is correct?
A
  • Reservoir is cattle
  • Does not replicate outside of host
  • Can be in wild ruminants
  • Rare human-human transmission, not maintained in humans
  • M.Bovis & TB acquired through contaminated raw milk and aerosols
23
Q
  1. The prevention and control strategies for Tuberculosis (M. bovis) and Brucellosis (B. abortus) are similar in many ways but different in others. Regarding these strategies, which of the statements below are correct?
A
  • Pasteurize milk for both
  • Vaccine for both
  • If positive for M. bovis but localized= passed for cooking, Systemic dz is condemned.
  • If positive for B. Abortis, condemn only testes and udders.
24
Q
  1. It is spring, and one of your client’s does has just aborted. You have just examined the doe, the aborted placenta, and the fetus. The doe was added to the herd last fall and was serologically negative for C. burnetii on a pre-purchase exam. The owner also has annually scheduled serology tests for C. burnetti done on a sample from her herd, and all previous tests were negative. You explain that:
A
  • Spread by the wind: like if a nearby herd is positive
  • Broad host range: wildlife or ticks, doe could be bitten by a tick the day she entered the herd
  • Any barn cats?
  • false (-) in the first 7-15 days of illness
25
Q
  1. Suppose Q-fever is the cause for the abortion in the doe in the previous question. Which of the following is the correct statement regarding Q-fever and the risk to your client?
A
  • Zoonotic risk: inhale or ingest in unpasteurized milk
  • Can cause endocarditis, pneumonia, hepatitis, osteomyelitis & encephalitis
  • Can occur months to years after original infection
  • Especially bad for people with heart issues
  • Most cases are asymptomatic
  • Usually self-limiting, but can have pneumonia in elderly or immunosuppressed people.
  • Risk to pregnant women
26
Q
  1. Antibiotic stewardship is our responsibility. Which of the following is good antibiotic stewardship best practices?
A
  • Do culture and sensitivity testing, and target therapy accordingly
  • Standard diagnostic plan
  • Start with narrow spectrum
  • Antimicrobial use guidelines in your practice
  • Recognize your own biases and external factors influencing your prescription
27
Q
  1. Which of the following is the correct statement regarding emerging zoonoses? Choose the single best answer.
A
  • Definition: appearance in a new host population, changes in the pathogen’s underlying epidemiology, a newly evolved strain, recent or first entry into a host population, or increased incidence in an already known population
  • Most pathogens are usually always present
  • R0 < 1: limited spread
  • R0 = 1: endemic
  • R0 > 1: epidemic
28
Q
  1. What are the 4 most common antibiotic prescribing traps Dr. Rood discussed in class? In other words, antibiotics are often overprescribed for these when not needed.
A
  • diagnosis on fecal smear alone
  • not all equine snotty noses need Ab
  • not all feline upper resp need Ab
  • fever of unknown origin
29
Q
  1. The classic clinical signs of Rocky Mountain Spotted Fever in dogs and humans is due to: Select the single best answer.
A

• Skin lesion: rash and vasculitis

30
Q
  1. Which of the following is correct regarding plague?
A
•	Spread by rodents, cats, fleas
o	Aerosol or ingesting infected animal
•	Bacteria
•	Causes bubos 
•	Three types: systemic, bubonic, pneumonic
•	Type A bioterrorism: zoonotic
•	Test with IFA
31
Q
  1. Which of the following is correct regarding agroterrorism
A
  • Definition: Biological, chemical, radiological agents directed against livestock, crops, food and plants
  • Type of bioterrorism
32
Q
  1. Rachel was in Boston presenting at a conference one April. Early Friday evening they “hit” the town. Saturday night was spent in her hotel room, not far from the commode, in gastrointestinal distress.
  2. what is a likely culprit for her “food poisoning”?
A
  • Sushi, oysters, seafood: Vibriosis
  • Bad fresco: listeria
  • Ham sandwich: listeria
  • Salmonella from literally anywhere
33
Q
  1. explain the mechanism. of Vibriosis
A

o 4-to-96-hour incubation
o consume raw or improperly cooked fish or shellfish
o has a manufactured toxin
o Can cause vomiting

34
Q

Common Source of E. coli O157:H7, listeria, staph aureus, campy, salmonella

A

E. coli O157:H7
o ground beef

listeria
o fridge meat

staph
o cafeteria meat

campy
o raw chicken

salmonella
o transovarian