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45 Cards in this Set

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Which instruction establishes policy in the areas of testing, notification, counseling, and retention related to the HTLV-I and infection?
BUMEDINST 6222.10 - Prevention and Management of Sexually Transmitted Diseases (STD)
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?
HTLV-I
What is the prevalence of HTLV-I in the general population in the United States?
Low, between 2 to 5 per 10,000.
True or False. HTLV-I is the same retrovirus as the Human Immunodeficiency Virus Type 1 (HIV-1) and Type 2 (HIV-2).
False. HTLV-I is a different retrovirus.
True or False. HTLV-I causes AIDS.
False.
How is HTLV-I transmitted?
Parenterally (via blood transfusion of cellular components or intravenous drug abuse), from mother to child (primarily through breast feeding), and through sexual contact.
True or False. HTLV-I appears to be transmitted predominately from female to male.
False. HTLV-I appears to be transmitted predominately from male to female.
What is the primary concern to the active duty navy and Marine Corps relating to HTLV-I and II?
Maintaining a pool of blood donors free of retroviruses.
True or False. Active duty personnel are routinely screened for infection for HTLV-I and II infection.
False.
Since when have military blood banks been screening all units of donated blood for HTLV-I?
March 1989.
What clinical evaluations do personnel with HTLV-I/II infection receive?
(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.
Which policies, guidelines, and accreditation requirements must the DoN blood programs and civilian agencies collecting blood on naval installations follow?
Armed Services Blood Program Office (ASBPO) policies, Food and Drug Administration (FDA) guidelines, and accreditation requirements of the American Association of Blood Banks (AABB).
What date did ASBPO require all military blood banks to begin testing of all blood supplies for HTLV-I antibody?
11 November 1988
How are all donated units found to be HTLV-O antibody positive by EIA (enzyme immunoassay) handled?
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.
How many blood specimens are drawn for purposes of HTLV-I and II verification?
Three green-top tubes of uncetrifuged blood, and sera from two large red-top tubes.
How are blood specimens sent for testing?
Unrefrigerated via overnight express delivery to the Division of Retroviroloy, WRAIT, Suite 201, 13 Tuft Court, Rockville, MD 20850.
How must specimens be labeled?
With the patient's name, sponsor's social security number, and the date drwan.
What must be included with the specimen when sending it for testing?
A laboratory slip with the address of the referring blood bank, a specific point of contact, and telephone number.
How are initial confirmatory test results for antibody positive specimens reports by WRAIR to the referring blood bank as?
(1) "Negative for HTLV-I or II antibodies." (2) Consistent with HTLV-I or II infection."
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.
True
True or False. The Commanding Officer needs to be informed of positive HTLV-I or II infection.
False.
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.
True
What year was HTLV-I isolated?
1978
What two diagnoses have been associated with HTLV-infection?
Adult T-cell leukemia/lymphoma (ATL) and tropical spastic paraparesis (TSP)/HTLV-I-associated myelopathy (HAM).
What year was HTLV-I first reported?
1980
What are required to differentiate from HTLV-I from HTLV-II infection?
Virus isolation and gene amplification.
True or False. Source plasma (obtained from plasma donors) intended for use in further manufacturing need not be screened for HTLV-I antibody.
True
CHBUMED ltr 6220 ser 24/0204 of 26 Oct 90 states that positive laboratory tests for which diseases must be reported?
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.
What msut be reported for each positive test result as per CHBUMED ltr 6220 ser 24/0204 of 26 Oct 90?
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.
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?
The cognizant Navy environmental and preventive medicine unit (NAVENPVNTMEDU), with a copy to the Navy Environmental Health Center (NAVENVIRHLTHCEN).
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?
No later than the eighth day of the subsequent month.
NAVENVIRHLTHCEN must maintain laboratory reports in a database and provide the data to DMDC by which four dates?
15 January, 15 April, 15 July, and 15 October for each preceeding quarter.
What is the ICD for Plasmodium falciparum on malaria smear?
0840
What is the ICD for Plasmodium vivax on malaria smear?
0841
What is the ICD for Plasmodium malariae on malaria smear?
0842
What is the ICD for Plasmodium ovale on malaria smear?
0843
What is the ICD for for mixed malaria infection?
0845
What is the ICD for for unknown malaria species?
0846
What is the ICD for hepatitis B surface antigen positive?
V026
What is the ICD for repeatedly reactive on HTLV-I /II testing?
V029
What source or indication for testing is used for reportable diseases that are "clinically indicated".
I
What source or indication for testing is used for reportable diseases from "blood donors"?
B
What source or indication for testing is used for reportable diseases that are "requested by the individual"?
R
What source or indication for testing is used for reportable diseases that are for "obstetrical clinic screening"?
O
What source or indication for testing is used for reportable diseases that are for "any other source"?
X