Increment 2 Flashcards
Ability of an agent to invade, survive, and multiply in a host
Infectivity
Ability of an agent to cause clinical disease in a susceptible host
Pathogenicity
Ability of an agent to cause severe disease in a host
Virulence
What is the simplest and easiest way to stop the spread of disease?
Handwashing
What are the 6 elements of communicable disease?
- Infectious Agent
- Reservoir
- Portal of Entry
- Portal of Exit
- Mode of Transmission
- Susceptible Host
What are the 4 infection types?
Acute, chronic, subclinical, latent
What are the 3 links to infections?
Agent, host, environment
What are the factors that affect disease emergence?
- food
- human behavior
- healthcare
- public health infrastructure
- environment
- microbial adaptation
- societal events
What CDC category is an agent that can easily spread from person to person, could result in a high mortality rate, and have major public health impact is:
Cat A
What is PH’s role in the Comm Dz program?
- Conduct surveillance
- Interview and education
- Dz investigations/reporting
Symptoms of chlamydia include:
- Most people are asymptomatic
- Urethritis
- PID
- Conjunctivitis
3 factors leading to a new dz are:
- Virulence
- New subtype
- Drug resistance
A complication of gonorrhea in newborns could be:
Blindness
How do you test for gonorrhea?
NAAT or culture
Which stage of syphilis is irreversible?
3rd stage (or tertiary stage)
Why do you do patient interviews?
- Dz control/ensure proper tx
- Educate
- Counsel
- Contact tracing
Steps to an interview
- Preparation
- Intro
- Education
- Contact tracing/investigation hx
- Conclusion
In order to have a successful interview, what do you need?
Maintain composure, quiet space, knowledgeable, to be prepared, speaking of the truth
What can you use to test for TB?
TST & IGRA
Tx for LTBI is recommended at which length by the CDC?
3 months
What 2 drugs treat LTBI?
INH & RIF
Which type of hepatitis is transmitted through the fecal-oral route?
A & E
Which types of hepatitis have IG and PEP?
A & B
What part of the SOAPP note has lab results and patient progress forward?
Objective
What part of the SOAPP note contains the diagnosis?
Assessment
What part of the SOAPP note contains the P hx and complaint?
Subjective
What part of the SOAPP note contains the plan to solve the P’s problem, referral, and/or follow-ups?
Plan of Care
What part of the SOAPP note contains education?
Prevention
How long is the standard quarantine for a dog that may have rabies?
10 days
What are the 3 species the 10 day quarantine pertains to?
Dogs, cats, ferrets
Which animal (wild or domestic) is more of a concern to harbor rabies?
Wild
What is the route of exposure for rabies?
bite/saliva
If a racoon bites a kid, what happens?
Wash, HRIG, vaccinate (Rabies, tDAP), abx
Who is rabies PrEP given to?
Individuals at high risk of encountering the virus
Who is the medical management of HIV patients according to the AF?
SAAMC/BAMC
If a member has a POS immunoassay and NEG ELISA, do they have HIV?
Unknown at this time
If a member has a POS immunoassay and POS ELISA, do they have HIV?
Yes, a chronic infection.
What AFI refers to public facility inspections?
AFI 48-117
What are the influential elements in prevention of dz in a childcare setting?
- Handwashing
- Exclusion of ill children
- Food handling
- Enviro sanitation
- Physical space/facility upkeep
When are personnel screened for Hep A & B?
At BMT/OTS
How often do you need a Yellow Fever vaccine?
Every 10 yrs as necessary
What is the vaccine frequency for in the initial anthrax series?
Day 1 (month 0), 1 month, 6 mo, 12 mo, and 18 mo
What would prevent your from receiving the smallpox vax?
HIV inf, active break in skin, chronic skin dz
Why do we have the flu program?
- prevent flu
- surveillance
- helps determine components for next vaccine
2 directives to release medical info:
Privacy Act of 1974 & HIPAA
When can you not give out P info?
- No need to know
- Doesn’t deal with mission readiness
Can you give medical information (without P consent) to parent of non-minor?
No
Can you give medical information (without P consent) to PH for tracing?
Yes
Can you give medical information (without P consent) to law enforcement?
Yes
Can you give medical information (without P consent) to parent of a married minor?
No
Can you give medical information (without P consent) for cadaver donations?
Yes
Who is the legal consultant for the release of medical information?
Medical legal consultant
What is the minimal level of lead for the AF?
5 mcg/dL
Which study would you use with risk ratio?
Cohort
Which study would you use with odds ratio?
Case-Control
Case-control studies are grouped by:
outcome
Cohort studies are grouped by:
exposure
T or F: Prevalence is used for existing dz
True
Incidence with nearly equal prevalence is:
short disease
What is active surveillance?
A search to find cases
What is passive surveillance?
Reporting of disease cases reaching out for treatment
What is the resource for public health surveillance?
AFMAN 48-105
A case definition includes what 4 things?
Person, place, time, symptoms
What is never included in a case definition?
Exposure
What are the different public facility inspections?
Initial, special, and routine
What type of inspection is required annually for CDCs?
Multidisciplinary comprehensive
