Lesson 17

Question 1

Characterized by repeated attacks of spasmodic coughing, which consists of a series of explosive expiration

Answer 1

Pertussis/whooping cough

Question 2

It produces a crowing sound, the whoop, and usually followed by vomiting

Answer 2

Pertussis

Question 3

Causative agent of pertussis

Answer 3

Bordetella Pertussis

Question 4

Incubation period of Pertussis

Answer 4

7-14 days

Question 5

Period of Communicability of Pertussis

Answer 5

7 days after exposure to three weeks after typical paroxysms

Question 6

Mode of Transmission of Pertussis

Answer 6

Direct contact
Indirect contact
Droplet
Soiled linen and other articles contaminated by respiratory secretions

Question 7

Source of infection of pertussis

Answer 7

Secretions from the nose and throat of the infected persons

Question 8

Clinical manifestation of pertussis

Answer 8

Catarrhal Stage
Paroxysmal Stage
Convalescent Stage

Question 9

Characterized by non-specific symptomatology where there is mucoid rhinorrhea, sneezing, lacrimation, and dry bronchial cough

Answer 9

Catarrhal stage

Question 10

Cough becomes spasmodic and recurrent with excessive, explosive outbursts in a rapid series

Answer 10

Paroxysmal stage

Question 11

Paroxysmal stage occurs on the ____ to _____ day

Answer 11

7th to 14th day

Question 12

Gradual decrease in the paroxysms of coughing, both in frequency and severity

Answer 12

Convalescent stage

Question 13

The most dangerous complication of pertussis

Answer 13

Bronchopneumonia

Question 14

This is due to persistent vomiting

Answer 14

Malnutrition and starvation

Question 15

Give complications of pertussis

Answer 15

Pneumonia
Atelectasis
Convulsion
Umbilical hernia
Otitis media
Bronchopneumonia

Question 16

Diagnostic test for pertussis

Answer 16

Nasopharyngeal swab
Sputum culture
CBC includes leukocytosis

Question 17

Treatment of pertussis

Answer 17

Supportive therapy
Antibiotic
Hyperimmune convalescent serum or gamma globulin

Question 18

What are the supportive therapy

Answer 18

F and A replacement
Adequare nutrition
Oxygen therapy

Question 19

Partial/complete lung collapse

Answer 19

Atelectasis

Question 20

Middle ear infection

Answer 20

Otitis media

Question 21

Prevention of pertussis

Answer 21

Isolation of 4 to 6 weeks from the onset of illness
DPT immunization

Question 22

It is fatal in up 60% of unimmunized persons, death occurs with 10 days of onset

Answer 22

Tetanus

Question 23

Causative agent of tetanus

Answer 23

Clostridium tetani

Question 24

Produces a potent exotoxin with prominent systemic neuromuscular effects

Answer 24

Clostridium Tetani

Question 25

Responsible for muscle spasms

Answer 25

Tetanospasmin

Question 26

It is responsible for destruction of RBCS

Answer 26

Tetanolysin

Question 27

Source of infection for tetanus

Answer 27

Animal and human feces Soil and dust Rusty materials, unsterile sutures, pins, and scissors

Question 28

Neck and facial muscle rigidity

Answer 28

Trismus

Question 29

Grinning expression

Answer 29

Risus sardonicus

Question 30

Spasms of the muscles causing backward arching of the head, neck,and spine

Answer 30

Opisthotonos

Question 31

What should be given within 72 hours post-exposure of tetanus

Answer 31

ATS TAT TIG

Question 32

What are the treatment for tetanus

Answer 32

ATS TAT TIG Tetanus toxoid Pen G Na Muscle relaxant

Question 33

What are the prevention for Tetanus

Answer 33

Active immunization of tetanus toxoid for pregnant woman Dpt for babies and children

Question 34

Give non specific treatment for tetanus

Answer 34

NGT feeding Tracheostomy Wound care

Question 35

Given after skin negative test

Answer 35

ATS (Tetanus Antitoxin)

Question 36

How many ml given for tetanus toxoid

Answer 36

0.5 ml, IM

Question 37

It has clear ampule

Answer 37

ATS

Question 38

It has cloudy ampule

Answer 38

TT

Question 39

Given after 3 days of exposure / 4 days onwards

Answer 39

TIG (tetanus immunoglobulin)

Question 40

What are the vaccines given for first order

Answer 40

Ats (tetanus antitoxin) TT (tetanus toxoid)

Question 41

What is the ml of an ATS

Answer 41

1500 u For adults 1500×3= 4500