Bumedinst 6222.10 - Prevention And Management Of Sexually Transmitted Diseases (Std)

Front 1

Which instruction establishes policy in the areas of testing, notification, counseling, and retention related to the HTLV-I and infection?

Back 1

BUMEDINST 6222.10 - Prevention and Management of Sexually Transmitted Diseases (STD)

Front 2

What is a human retrovirus found primarily in southwestern Japan) including Okinawa) and the Caribbean as well as parts of Central Maerica, South America, and Africa?

Back 2

HTLV-I

Front 3

What is the prevalence of HTLV-I in the general population in the United States?

Back 3

Low, between 2 to 5 per 10,000.

Front 4

True or False. HTLV-I is the same retrovirus as the Human Immunodeficiency Virus Type 1 (HIV-1) and Type 2 (HIV-2).

Back 4

False. HTLV-I is a different retrovirus.

Front 5

True or False. HTLV-I causes AIDS.

Back 5

False.

Front 6

How is HTLV-I transmitted?

Back 6

Parenterally (via blood transfusion of cellular components or intravenous drug abuse), from mother to child (primarily through breast feeding), and through sexual contact.

Front 7

True or False. HTLV-I appears to be transmitted predominately from female to male.

Back 7

False. HTLV-I appears to be transmitted predominately from male to female.

Front 8

What is the primary concern to the active duty navy and Marine Corps relating to HTLV-I and II?

Back 8

Maintaining a pool of blood donors free of retroviruses.

Front 9

True or False. Active duty personnel are routinely screened for infection for HTLV-I and II infection.

Back 9

False.

Front 10

Since when have military blood banks been screening all units of donated blood for HTLV-I?

Back 10

March 1989.

Front 11

What clinical evaluations do personnel with HTLV-I/II infection receive?

Back 11

(1) A physical examination with particular attention to the lymphatic and neurological examination. (2) A complete blood count with differential white blood count and careful examination of the peripheral blood smear looking for atypical white blood cells. (3) Counseling.

Front 12

Which policies, guidelines, and accreditation requirements must the DoN blood programs and civilian agencies collecting blood on naval installations follow?

Back 12

Armed Services Blood Program Office (ASBPO) policies, Food and Drug Administration (FDA) guidelines, and accreditation requirements of the American Association of Blood Banks (AABB).

Front 13

What date did ASBPO require all military blood banks to begin testing of all blood supplies for HTLV-I antibody?

Back 13

11 November 1988

Front 14

How are all donated units found to be HTLV-O antibody positive by EIA (enzyme immunoassay) handled?

Back 14

Forwarded to WRAIR (Walter Reed Army Institute of Research) for further analysis by Western Blot and other highly specific confirmatory tests for HTLV-I and HTLV-II.

Front 15

How many blood specimens are drawn for purposes of HTLV-I and II verification?

Back 15

Three green-top tubes of uncetrifuged blood, and sera from two large red-top tubes.

Front 16

How are blood specimens sent for testing?

Back 16

Unrefrigerated via overnight express delivery to the Division of Retroviroloy, WRAIT, Suite 201, 13 Tuft Court, Rockville, MD 20850.

Front 17

How must specimens be labeled?

Back 17

With the patient's name, sponsor's social security number, and the date drwan.

Front 18

What must be included with the specimen when sending it for testing?

Back 18

A laboratory slip with the address of the referring blood bank, a specific point of contact, and telephone number.

Front 19

How are initial confirmatory test results for antibody positive specimens reports by WRAIR to the referring blood bank as?

Back 19

(1) "Negative for HTLV-I or II antibodies." (2) Consistent with HTLV-I or II infection."

Front 20

True or False. A report stating "consistent with HTLV-I or II infection" implies the need for initial counseling and the drawing of additional blood samples to ascertain the type of retroviral infection.

Back 20

True

Front 21

True or False. The Commanding Officer needs to be informed of positive HTLV-I or II infection.

Back 21

False.

Front 22

True or False. Spouses of HTLV-infected individuals must be tested on an annual or biennial basis to deterine if seroconversion has or has not ocurred.

Back 22

True

Front 23

What year was HTLV-I isolated?

Back 23

1978

Front 24

What two diagnoses have been associated with HTLV-infection?

Back 24

Adult T-cell leukemia/lymphoma (ATL) and tropical spastic paraparesis (TSP)/HTLV-I-associated myelopathy (HAM).

Front 25

What year was HTLV-I first reported?

Back 25

1980

Front 26

What are required to differentiate from HTLV-I from HTLV-II infection?

Back 26

Virus isolation and gene amplification.

Front 27

True or False. Source plasma (obtained from plasma donors) intended for use in further manufacturing need not be screened for HTLV-I antibody.

Back 27

True

Front 28

CHBUMED ltr 6220 ser 24/0204 of 26 Oct 90 states that positive laboratory tests for which diseases must be reported?

Back 28

Hepatitis B surface antigen (HBsAg), malaria parasites, and human T-lymphotropic virus type I and/or type II (HTLV-I/II) from all clinical and blood program laboratories.

Front 29

What msut be reported for each positive test result as per CHBUMED ltr 6220 ser 24/0204 of 26 Oct 90?

Back 29

Patient's name, social security number, service, date of birth, date sample was collected, type of specimen (e.g., clinical or blood program), and test result.

Front 30

Each MTF must submit a monthly report which includes all positive tests reported out of the MTF laboratory during the calendar month to which entities?

Back 30

The cognizant Navy environmental and preventive medicine unit (NAVENPVNTMEDU), with a copy to the Navy Environmental Health Center (NAVENVIRHLTHCEN).

Front 31

Monthly reports which include all positive tests reported out of hte MTF laboratory may be sent by message, NAVGRAM, letter, or facsimile to arrive no later than when?

Back 31

No later than the eighth day of the subsequent month.

Front 32

NAVENVIRHLTHCEN must maintain laboratory reports in a database and provide the data to DMDC by which four dates?

Back 32

15 January, 15 April, 15 July, and 15 October for each preceeding quarter.

Front 33

What is the ICD for Plasmodium falciparum on malaria smear?

Back 33

0840

Front 34

What is the ICD for Plasmodium vivax on malaria smear?

Back 34

0841

Front 35

What is the ICD for Plasmodium malariae on malaria smear?

Back 35

0842

Front 36

What is the ICD for Plasmodium ovale on malaria smear?

Back 36

0843

Front 37

What is the ICD for for mixed malaria infection?

Back 37

0845

Front 38

What is the ICD for for unknown malaria species?

Back 38

0846

Front 39

What is the ICD for hepatitis B surface antigen positive?

Back 39

V026

Front 40

What is the ICD for repeatedly reactive on HTLV-I /II testing?

Back 40

V029

Front 41

What source or indication for testing is used for reportable diseases that are "clinically indicated".

Back 41

I

Front 42

What source or indication for testing is used for reportable diseases from "blood donors"?

Back 42

B

Front 43

What source or indication for testing is used for reportable diseases that are "requested by the individual"?

Back 43

R

Front 44

What source or indication for testing is used for reportable diseases that are for "obstetrical clinic screening"?

Back 44

O

Front 45

What source or indication for testing is used for reportable diseases that are for "any other source"?

Back 45

X