Final - Chapter 27 Hiv, Hep, Tb, And Stds

Front 1

this syndrome can affect the immune and central nervous systems and cause infections or cancers.

Back 1

acquired immunodeficiency syndrome AIDS

CD4 count <200 for AIDS

Front 2

a STD caused by the organism which causes infection of the urethra and cervix. Infections may be asymptomatic and if untreated result in severe morbidity.

Back 2

chlamydia

bacterial. tx with antibiotics

Front 3

a system of providing medications for persons with TB infection in which the client is monitored to ensure that the medication is taken and to maximize adherence to the treatment.

Back 3

DOT directly observed therapy

Front 4

a virus that attacks the genital sand sacral nerve. Infection is characterized by painful lesions that present as vesicles and progress to ulcerations on the male and female genitals, buttocks, or upper thighs.

Back 4

genital herpes

Front 5

a STD caused by a bacterium, that results in inflammation of the urethra and cervix and dysuria, or may result in no symptoms.

Back 5

gonorrhea

bacterial. tx with antibiotics (some forms are developing resistance)

Front 6

virus that is transmitted by fecal-oral route. Clinical course ranges from mild to severe and often requires prolonged convalescence. The onset is usually characterized by acute fever, nausea, lack of appetite, malaise, and abd discomfort, followed after several days by jaundice.

Back 6

HAV - Hep A Virus

Front 7

virus that is transmitted through exposure to blood and body fluids. This virus infection may present with such mild symptoms that it goes unrecognized. It is the most common chronic blood-borne infection in the US.

Back 7

HCV - Hep C Virus

Front 8

virus that is transmitted through exposure to blood and body fluids. Infections result in a clinical picture that ranges form self-limited acute infection to fulminant hep or hep carcinoma possibly leading to death.

Back 8

HBV - Hep B Virus

*can survive @ room temp for at least 1 week
*vaccine available
*employers can be mandated to offer

Front 9

a lab procedure used to detect a specific virus. i.e. ELISA

Back 9

HIV antibody test, then western blot confirms it.

Front 10

a STD that results in genital warts that grow in the vulva, vagina, cervix, urinary meatus, scrotum, or perianal area. A link exists btwn this infection and cancer.

Back 10

HPV - human papillomavirus

*Vaccine to prevent 4 types of HPV
*this wont protect against all cases of cancer or genital warts

Front 11

in epidemiology, the number of new cases of infection or disease that occur in a defined population in a specified period of time.

Back 11

incidence

Front 12

the time interval beginning with invasion by an infectious agent and continuing until the organism multiplies to sufficient numbers to produce a host reaction and clinical symptoms.

Back 12

incubation period

Front 13

inflammation of the urethra from microorganisms other than gonorrhea

Back 13

nongonoccal urethritis (NGU)
*50% caused by chlamydia

Front 14

infection of the female reproductive organs, specifically the fallopian tubes and endometrium, resulting in infertility and/or ectopic pregnancy. Acute symptoms and signs include lower abdominal pain, increased vaginal discharge, urinary frequency, vomiting, and fever.

Back 14

pelvic inflammatory disease PID

Front 15

This results from untreated gonorrhea and chlamydia.

Back 15

PID

Front 16

infectious STD caused by a bacterium which is characterized by the appearance of lesions or chancres that may involve any tissue. Relapses are frequent and after the initial chancre and secondary symptoms.. it may exist for years without symptoms.

Back 16

syphilis

Front 17

a PPD test is positive if...

Back 17

the induration is greater than or equal to 5 mm in the following...
*person known to have HIV
*person whose chest xray suggested prior TB
*person in close contact to someone with infectious TB

if the induration is greater than or equal to 10mm in the following ppl..
*person with certain medical conditions DM, alcoholism, drug abuse
*foreign-born person from areas in which TB is common
*medically underserved, low-income minority populations
*residents and staff of long-term care facilites, jails, and prisons
*children younger than 4

if the induration is greater than or equal to 15mm in the following ppl...
*all persons over 4 years with no risk factors for TB

Front 18

How do you apply and read the PPD test properly?

Back 18

*for Mantoux test, inject 0.1mL containing 5 units
*read rxn 48-72 hrs after
*measure only induration
*record results in mm

Front 19

Which level of prevention is providing community education about prevention of communicable diseases to well populations.

Back 19

primary

Front 20

Which level of prevention is vaccinating for Hep A and Hep B

Back 20

primary

Front 21

Which level of prevention is providing community outreach for education and needle exchange

Back 21

primary

Front 22

Which level of prevention is administering purified protein derivatives?

Back 22

secondary PPD tests

Front 23

Which level of prevention is test and counsel for HIV

Back 23

secondary

Front 24

Which level of prevention is notify partners and trace contacts

Back 24

secondary

Front 25

Which level of prevention is educate caregivers of persons with HIV about standard precautions

Back 25

tertiary

Front 26

Which level of prevention is initiate DOT therapy for TB treatment

Back 26

tertiary

Front 27

Which level of prevention is identify community resources for providing supportive care (i.e. funds for purchasing meds)

Back 27

tertiary

Front 28

Which level of prevention is set up support groups for persons with herpes.

Back 28

tertiary