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79 Cards in this Set
- Front
- Back
TB Test >10
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INH tharepy unless prison population
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TB risk factors
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jujunoillial bypass, silicosis, gastroectomy, more than 10% underweight, corticosteroid therapy, immunosurpressed
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INH Doses
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300 mg and 10 mg/kg for children (no risk factors 6 mo with risk factor 12 mo)
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contraindications to INH tharepy
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Liver injury, acute or active liver etiology, severe reaction to INH
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What do you do if INH is indicated but medical officer or PA says no?
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advise the patient to get a second professional opinion
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MD
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Medicaly declined
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MT
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Medical Tempoary (pregnegant) only 365 days
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MR
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Med Reactive allergic ect
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MP
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Medical permenant Permant exempt immunocomprimised hiv ect
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MS
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Med Supply lacking suply only 90 days
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MI
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Medically immune
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MA
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medically assumed, lacking documentation but known to be given immunization. used to prevent double doseing e.g. got it a boot camp
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DOD immunazations follows what agency
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CDC and advisory committee for immunization practices ACIP
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primary method of immunization documentation
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electronic ITS
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who gets the HiB vaccine
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People with no spleen (aslpenic)
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what spreads flu A&B
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close quarters
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Prevelent in spec ops and expidition units mosquito bourne
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JEV vaccine Japenese enciphilitis
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JEV grounds air crew for how long
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!st dose 3 days ; 2nd dose 5 days ; 3rd dose 3 days
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There is no vaccine for which menginicoccal group?
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B
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Causitive agent of "the plague"
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Yersinia pestis
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Who do you administer pneumococcal vaccines to?
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Hi risk people such as people with out spleens and training groups at risk (no spleens get another dose 5 years later)
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poliomyelitis
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Dirty country traveler gets a booster and if no booster given in childhood
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How often do you boost rabies vaccine
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2 years
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Infectious fluids like blood and secretations may be decanted in
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Clinical sinks not hand washing sinks
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How to transport pathological waste
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Doubled plastic bag and double walled courrgated box
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Limit infectious waste storage on site for how long
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7 Days without refrigeration
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Infectious waste bags for transport shall be
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Red with biohazard symbol and of sufficent strength and puncture resistance
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Bleach dilution
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10:1
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infectious treatment microbiological
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steam, chemical, inceneration: then to a sanitary landfill
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infectious treatment pathological
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Inceneration, creamation sanitary land fill
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infectious treatment bulk body fluids and potentially infectious
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Gellantaize and sanitary landfill
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infectious treatment of Sharps
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Inceneration sanitary landfill
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HASP deployability manning priority
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Marines, casulty recieving, fwd prev med, expiditionary, SeaBees, hosp ship, oconus mtf, blood ops.
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HASP fills how much for Marine units in peace/war
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80 peacetime : 95 wartime:
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what can the feamales be assigned to.
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MAW, MLG, MARFOR, MEF, (unless spicifically requested they are not to serve MARDIV
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CRTS med augment has what level hss
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II
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SeaBees require HSS of and What NEC
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Level I and FMTB training (8404)
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expiditionary require what for HSS
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Level III
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OCONUS Requires what HSS
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Level IV
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Hospital ships are owned by who and operated by who
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Navy and military sealift command, commanded by nominated officials
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Routine deployable (teir I)
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4-10 days ready
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Surge ready (teir II)
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30-60 days ready
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Emergency Surge (teir III)
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60-120 days ready
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acute bacterial skin infection with possible complication of orophayrnx and oedema
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Bacterial anthrax
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Anthrax untreated fatality rate
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5% and 20%
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causitive agent of anthrax
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bacillus anthracis
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Anthrax resivoir
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Dead animals exposed by terminal hemmorage
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Anthrax mode of transmission
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Touching eating or breathing aerosolized infected animals
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Anthrax incubation period
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1-7 days
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anthrax prev med
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Do not sell infected animal or necropsy. immunize, educate, ventalate processing plants
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anthrax iso percautions
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Standard percautions
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who has the authority over anthrax attacks
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FBI
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anthrax antibiotics
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floroquinalones, first doxycyclenes second. vaccines(cell free) are administered then 2-4 weeks after first dose
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how do you tell herpes I from herpes II
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Dna tests, immunologics with antibodies, and anmial testing
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how often does HSV II occur in adults in the US
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20-30
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HSV II modes of transmissions
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Human sexual contact. medical professionals (dentists hands) and active salavia
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herpes simplex incubation
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2-12 days
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Communicable time
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2-7 weeks after first lesions
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Options for prego moms
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C-section
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Prevents HSV II reoccurance
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acyclovir
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HSV patients should not contact
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Immuno compromised, children with exczma, and newborns
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who has complete control over the prescious metal recovery program
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Defense Logistics agency (DLA)
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Recycles for DLA?
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Defense Reultilization and marketing agency
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who cooridnates the prescious metal recovery?
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naval supply system command
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BUMED 4010.3
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precious metals recovery program
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If your facility has prescious metal excess you:
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1:Appoint a cooidnator,2:submit a quarterly report, 3:Make records of PM use, 4:establish semi annual review board
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Prescious metals are transported in
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polyethlene bags
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Who is the PMRP quartly report go to
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NAVMEDLOGCOM
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What instruction covers the office of the Surgeon General and Chief, Bureau of Medicine ?
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BUMEDINST 5450.165
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Who must approve all BUMED and Regional Organizational changes ?
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Vice Chief, Bumed (M09)
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BUMEDINST 5450.165 lists who as the point of contact and coordinating authority for all change request ?
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Chief of Staff (M09B)
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Surgen gen reports to who
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CNO
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BUMEDINST 6010.13
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Quality Assurance Program
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QA applies to who?
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Ships and Stations Having Medical Department Personnel
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ECOMS??
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Executive Committee of the Medical Staff
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Quality Assurance committee is responsible for
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provides a forum for discussion and oversight of all nonmedical staff QA functions
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who
- interprets policies and provides guidance for Navy Wide QA programs Chief, BUMED |
Chief, BUMED
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who implements effective, flexible, integrated QA program, guided by a written plan
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COs, OICs
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who evaluates and modifies QA educational programs as neccessary
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NSHS Bethesda
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