ID Final Pt 2

Question 1

characterized by an invasive infection of the mucosa of the large intestine causing inflammation and resulting the presence of pus and blood in the diarrheal stool.

Answer 1

Shigellosis (Bacillary dysentary)

Question 2

What is Yersinia enterocolitica?

Answer 2

Gram Negative rods, found in foods. Causes GI Infection

Question 3

GI infection from food, Gram negative rods

Answer 3

Yersinia enterocolitica

Question 4

What is found in uncooked seafood?

Answer 4

Vibrio parahaemolyticus

Question 5

What organism? Improperly canned foods. Nerve damage

Answer 5

Clostridium botulinum

Question 6

Staph aureus causes __ but __ is not a feature

Answer 6

It causes food poisoning. Does NOT cause diarrhea

Question 7

What organism that causes food poisoning does not cause diarrhea?

Answer 7

Staph aureus

Question 8

What is Listeriosis? Who is at risk? What organism?

Answer 8

Foodborne illness. Preganant women are affected. Listeria monocytogenes

Question 9

What organism causes pseudomembranous colitis?

Answer 9

Clostridium difficile

Question 10

What organism really is GABH Strep?

Answer 10

Strep pyogenes

Question 11

Name everything caused by Group A Strep (5)

Answer 11

Pharyngitis, cellulitis, rheumatic fever, glomerulonephritis, scarlet fever

Question 12

___ is a rash that sometimes occurs in people that have strep throat

Answer 12

Scarlet fever

Question 13

In ____ puffiness of the eyelids and facial edema. The urine is dark and scanty; the blood pressure is elevated.

Answer 13

Glomerulonephritis

Question 14

Who is at greatest risk for UTI’s?

Answer 14

Sexually active women

Question 15

All bacteria that cause UTI are:

Answer 15

Gram negative

Question 16

Name the 6 bacteria that cause UTI’s

Answer 16

E. coli, Klebsiella, Proteus, Enterobacter, Pseudomonas, Serratia

Question 17

What Bioterrorism agents are there vaccines for? (3)

Answer 17

Influenza, Anthrax (limited), Smallpox

Question 18

How to identify Inhalational Anthrax (3)

Answer 18

FEVER, CHILLS, DRY COUGH

Question 19

Rank from high-none communicability:

the A-List of Bioterrorism diseases

Answer 19

High: Smallpox & Pneumonic plague
Low: Viral hemorrhagic fever
None: Inhalational anthrax, Tularemia, Botulinum toxin

Question 20

If a patient has fever, chills, and a dry cough. What should be done next?

Answer 20

Chest X-Ray. Could be Anthrax

Question 21

Fever, myalgia, malaise, cough, headache, nausea , vomiting, chills, abdominal pain, chest pain

Answer 21

Inhalational Anthrax

Question 22

How does the progression of smallpox vary from chickenpox?

Answer 22

Synchronous progression: macules (discolored spot) - vesicles (small bubble) - pustules (pimples) - scabs. Chickenpox is asynchronous

Question 23

What is the incubation period of Smallpox? Chickenpox?

Answer 23

Smallpox: 7-17 days
Chickenpox: 14-21 days

Question 24

What is the distribution of Smallpox? Chickenpox?

Answer 24

Smallpox: Centrifugal (Most dense on face and extremities, moving away from center.)
Chickenpox: Centripedal (develops toward the center)

Question 25

Name 4 ways in which Smallpox and Chickenpox vary

Answer 25

Incubation time, distribution, progression, and scab formation day

Question 26

CDC “A” List Based on ease of dissemination, transmission, lethality, public disruption, public health preparedness (6)

Answer 26

1. Bacillus anthracis (Anthrax)
2. Variola (Smallpox)
3. Yersinia pestis (Plague)
4. Francisella tularensis (Tularemia)
5. Clostridium botulinum toxin
6. Viral hemorrhagic fever (e.g., Ebola)

Question 27

In a previously healthy individual, finding a widened mediastinum/pleural effusion (fluid in the pleura) after influenza-like prodrome should be considered _____ until proven otherwise

Answer 27

Inhalational Anthrax

Question 28

Large # of casualties within 48-72 hours suggests a _____

Answer 28

Microorganism

Question 29

Large # of casualties within minutes suggests a _____

Answer 29

Toxin/chemical

Question 30

What causes Smallpox?

Answer 30

Variola (a virus)

Question 31

Rank the CDC A-list diseas from High Lethality to Low Lethality (they’re all very lethal)

Answer 31

High
Botulism, Pneumonic Plague, Inhalational Anthrax
Smallpox, Viral Hemorrhagic Fevers
Tularemia
Q fever Coxiella burnetii
Low

Question 32

Name 4 types of Clostridium and some things about them

Answer 32

1. Clostridium perfringens
2. Clostridium botulinum
3. Clostridium tetani
4. Clostridium difficile

Question 33

Disease and details of Clostridium perfringens

Answer 33

Gas gangrene (myonecrosis) and food poisoning. gram-positive rods. anaerobic

Question 34

Disease and details of Clostridium botulinum

Answer 34

Botulism: heat-labile exotoxin blocks acetylcholine release at the myoneural junction. From improperly canned foods.

Question 35

Disease and details of Clostridium tetani

Answer 35

Tetanus: wound infection results in release of exotoxin, which blocks release of inhibitory neurotransmitters (glycine/GABA).
Prevention: toxoid vaccine. DPT vaccine

Question 36

Disease and details of Clostridium difficile

Answer 36

Pseudomembranous colitis: Enterotoxin (diarrhea) & cytotoxin (intestinal damage). Antibiotic induced overgrowth of C. difficile

Question 37

What causes Gas gangrene (myonecrosis)?

Answer 37

Clostridium perfringens

Question 38

What causes Pseudomembranous colitis?

Answer 38

Clostridium difficile