Pmt 3 Idc

Front 1

WHAT TYPES OF MER'S DO WE HAVE (I.E. WHAT ARE THE CLASSIFICATIONS)

Back 1

- SUSPECTED
- PROBABLE
- CONFIRMED

Front 2

WHAT ARE THE DOSAGES THAT INH ARE GIVEN IN

Back 2

- 5MG/KG (300MG/DAY MAX) FOR NINE MONTHS (MUST ACCOMPLISH 270 DOSES WITHIN 9 MONTHS
- 15MG/KG (900MG/DAY MAX) TWICE WEEKLY FOR 9 MONTHS

Front 3

What is primary treatment with INH?
What is alternate treatment for INH?

Back 3

- 5MG/KG (300MG/DAY MAX) FOR NINE MONTHS (MUST ACCOMPLISH 270 DOSES WITHIN 9 MONTHS
-15 mg per KG 900 mg Max twice weekly for 9 months must be supervised.

Front 4

ONCE YELLOW FEVER IS RECONSTITUTED, IT MUST BE USED WITHIN HOW LONG

Back 4

1 HOUR

Front 5

A DIAGNOSES, CASE, OR MEDICAL-EVENT BECOMES REPORTABLE ONCE IT HAS BEEN CLASSIFIED AS WHAT

Back 5

SUSPECTED, PROBABLE OR CONFIRMED

Front 6

ONCE MMR IS RECONSTITUTED, IT MUST BE USED WITHIN HOW LONG

Back 6

8 HOURS

Front 7

LIST elements of the TB Control Program

Back 7

(1) Tuberculosis Screening and Testing
(2) Evaluation and Management of New Positive Test for Latent Tuberculosis Infection
(3) Tuberculosis Contact Investigation
(4) Tuberculosis Patient Management
(5) Reports

Front 8

STATE importance of a chest x-ray during tuberculosis screening

Back 8

-Entry in the naval service only If clinically indicated.
or If required for special programs
Separation from the naval service only If clinically indicated
(a) New reactor to rule out active disease.
(b) Any time active disease is suspected.
(c) New and previous reactors who are contacts of potentially infectious case of active
disease.

Front 9

When is chest x-ray for TB screening Not indicated

Back 9

Old reactor as part of annual evaluation if asymptomatic

Front 10

What is route and dose of Measles, Mumps and Rubella (MMR) (live virus)

Back 10

(1) All active duty personnel and DOD health care providers (military or civilian), will be given one dose of MMR vaccine regardless of year of birth.
(2) All women should be advised to avoid becoming pregnant for at least 28 days after immunization.
(3) Dosage: 0.5ml.
(4) Route - subcutaneous.
(5) Periodicity - single dose one time only.

Front 11

When would you not recieve MMR

Back 11

(a) Documented receipt of two doses of MMR vaccine after the first birthday.
(b) Serological evidence of immunity to all three agents.
(c) Pregnant

Front 12

What is Bacillus Calmette Guerin (BCG) IRT to TB screening

Back 12

(1) BCG vaccines made from live-attenuated bacteria are commonly used in certain countries to avert infection with M. tuberculosis.
(2) Tuberculin Skin Test (TST) can be administered to person who have previously received BCG immunization.
(3) A Positive TST reaction in BCG Immunized individuals should be regarded as indicative of TB infection.

Front 13

What are the first twelve illnesses are 24 hour reportable

Back 13

Amebiasis
Anthrax
Biological Warfare Agent exp
Botulism
Cholera
Dengue Fever
E. Coli
Encephalitis
Hantavirus infection
Hemoragic fever
Legionellosis
Malaria

Front 14

What are the Last 12 illnesses that are 24hour reportable?

Back 14

Measles
Meningococcal disease
Pertussis
Q-Fever
Rabies
Smallpox
TB
Tularemia
Typhoid
Typhus
yellow fever

Front 15

WHAT IS THE DOSAGE OF THE TST

Back 15

0.1CC OR 5TU

Front 16

When was The last naturally acquired case of smallpox in the world then
Global eradication was certified when and by what entity

Back 16

occurred in October 1977 in
Somalia;
two years later 1979 by the WHO

Front 17

Measles, Mumps and Rubella vaccine should be Stored between what temps

Back 17

58 ºF to 46 ºF

Front 18

POSITIVE TB RESULTS REQUIRE WHAT ACTION

Back 18

- 5MM OR GREATER MUST BE EVAL'D AND CONSIDERED FOR INH IF AT RISK.
- <15MM IS A CANDIDATE IF THEY MEET CRITERIA OUTLINED IN BUMEDINST 6224.8A
- 15MM OR MORE IS A CANDIDATE FOR INH THERAPY

Front 19

What do you do for suspected active TB case

Back 19

Quarantine, chest x-ray, referral to EPMU

Front 20

What are quarantinable diseases that are more concerning for docking in a foriegn port

Back 20

(1) Ships and aircraft proceeding to a foreign port will meet the quarantine requirements of
that port.
(2) Ships and aircraft will comply with sanitary measures prescribed by health authorities in
the port of departure to prevent the embarking of personnel infected or the introduction
of agent or vector of a quarantine disease.
(3) Foreign health officials may be received on board for receiving certification compliance
but only with the approval of the Commanding Officer.
(4) Foreign officials can not conduct inspections of military vessels.

Front 21

STATE purpose of quarantine regulations in regards to the internationally quarantinable diseases.

Back 21

(1) The movements of Navy vessels, aircraft, and other transport arriving at or leaving the U.S. and foreign countries or ports may introduce and disseminate communicable diseases and undesirable non-native species.
(2) Quarantine regulations are intended to prevent the introduction and dissemination, domestically or internationally originated, of diseases affecting:
(a) humans, plants, and animals;
(b)prohibited or illegally taken wildlife;
(c)arthropod vectors;
(d)and pests of health and agricultural importance.

Front 22

LIST primary objectives of Medical Event Reports

Back 22

a. Enables Navy public health experts to be aware of:
(1) Important medical events when they occur
(2) Prevention and control actions already taken by or being considered by local level medical staff
b. Enables Navy public health experts to be proactive in offering their assistance to local level
medical staff.

Front 23

LIST uses of MERs

Back 23

a. Any diagnosis, case or medical event that has been identified in a DON health care beneficiary and classified are reportable.
b. Research Labs that identify a case/medical-event, sufficiently enough to classify it as reportable.

Front 24

Periodic screening (LTBI Screening) Requirements

Back 24

(1) All active duty and Reserve personnel.
(a) Annual screening during Periodic Health Assessment (PHA).
(2) CIVMARs
(a) Annually or
(b)During periodic physical examination
(3) Individuals deemed to be at risk of acquiring TB.
(4) Additional screening and subsequent testing may be done:
(a) As directed by combatant command.
(b)As part of a contact or outbreak investigation.
(c) If clinically indicated by an individual practitioner based on history or physical.
(d)As recommended by cognizant NEPMU.
(5) During operational Suitability Screening
(a) All personnel must be tested for LTBI
(b)Clinically evaluate persons with prior LTBI diagnosis
(c) LTBI test results documented within 6 months prior to reporting are acceptable
(6) Within six months prior to separation or retirement

Front 25

LIST the Quarantinable Diseases

Back 25

(1) Cholera
(2) Diphtheria
(3) Infectious Tuberculosis
(4) Plague
(5) Smallpox
(6) Yellow Fever
(7) Viral Hemoragic Fevers
(8) SARS
(9) Influenza caused by novel or reemergent influenza viruses that are causing, or have the potential to cause, a pandemic.

Front 26

What are Methods of control IRT Cholera

Back 26

(1) Active immunization with oral vaccines provide high levels of protection for several months.
(2) Case report universally required by World Health Organization (WHO), Medical Event Report (MER).
(3) Isolation with enteric precautions of severely-ill patients, hand-washing and fly control.
(4) Concurrent disinfection of feces and vomitus of linens and articles used by patients.

Front 27

What are Methods of control IRT Plague

Back 27

(1) The basic objective is to reduce the likelihood of people being bitten by fleas, having contact with infective tissues or exudates, or exposure to patients with pneumonic
plague.
(2) Specific methods include:
(a)Education.
(b)Rat-proofing of buildings and/or ships.
(c)Storage and disposal of food and garbage.
(d)Patient isolation and concurrent disinfection.
(e)Clothing repellants.
(f) Case report universally required by WHO, MER.

Front 28

What are Methods of control IRT Yellow Fever

Back 28

(1) General precautions to avoid mosquito bites should be followed.
(2) These include the use of insect repellent, protective clothing, and mosquito netting.
(3) Immunization (including contacts)
(a)Yellow fever vaccine is a live virus vaccine which has been used for several
decades.
(b)A single dose confers immunity lasting 10 years or more.
(c)Adults and children over 9 months can take this vaccine.
(d)Administration of immune globulin does not interfere with the antibody response to
yellow fever vaccine.
(e)This vaccine is only administered at designated yellow fever vaccination centers; the locations of which can usually be given by the local health department.
(f) If a person is at continued risk of yellow fever infection, a booster dose is needed
every 10 years.
(4) Isolation.
(a)Blood and body fluid precautions.
(b)Clothing, bednets, and repellants.
(5) Case report universally required by WHO, MER.

Front 29

What are Methods of control IRT Small Pox

Back 29

(1) Immunization with vaccinia virus.
(2) Should a non-varicella, smallpox-like case be suspected, immediate telephonic communication with local and state health authorities is obligatory:

Front 30

What are the more prevelent quarantinable disease as it relates to foriegn ports

Back 30

(1) Cholera
(2) Plague
(3) Yellow Fever
(4) Small Pox

Front 31

DEFINE significant new reactor rate

Back 31

(1) The percent of close contacts who are TB reactors or converters is a good indicator of a case's infectivity.
(2) If the rate of newly identified converters is two times greater than the expected baseline conversion rate of the command (1%-2% per year for the Navy-Marine Corps), contact the cognizant NEPMU for specific guidance.

Front 32

How may a person contact cholera

Back 32

1) A person may get cholera by drinking water or eating food contaminated with the
cholera bacterium.
2) In an epidemic, the source of the contamination is usually the feces of an infected person.
3) The disease can spread rapidly in areas with inadequate treatment of sewage and drinking water.
4) Shellfish eaten raw have been a source of cholera, and a few persons in the United States have contracted cholera after eating raw or undercooked shellfish from the Gulf of Mexico.
5) The disease is not likely to spread directly from one person to another

Front 33

STATE tests to identify individuals exposed to mycobacterium tuberculosis

Back 33

1)Premixed Tween-80-stabilized intermediate strength PPD (5TU). Disposable 1 ml tuberculin syringe. Graduated in 0.1 ml intervals and fitted with a 25-gauge 5/8-inch needle.
2) Blood Assay for M. tuberculosis Infection (BAMT)

Front 34

How long after recieving the PPD test will the results be read

Back 34

48 to 72 hour interval

Front 35

What is the Mode of transmission of the Plague

Back 35

People usually get plague from being bitten by a rodent flea that is carrying the plague bacterium or by handling an infected animal

Front 36

What is the Mode of transmission of Yellow Fever

Back 36

A viral disease transmitted between humans by a mosquito

Front 37

What is the mode of transmission of Small Pox

Back 37

Systemic viral disease generally presenting with a characteristic skin eruption.
Infection usually occurred via the respiratory tract (droplet spread) or skin inoculation

Front 38

What may serve as source of propagation, leading to outbreaks or epidemics of Pnemonic Plague.

Back 38

(a)Extensive involvement of lungs, sputum loaded with causative agent.
(b)Respiratory droplets may serve as source of propagation, leading to outbreaks or epidemics.

Front 39

WHAT NAVY INSTRUCTION IN THE (QUARANTINE REGULATIONS OF THE NAVY)

Back 39

OPNAVINST 6210.2

Front 40

PROVIDES GUIDANCE ON NAVY'S RESPONSIBILITIES, LIAISONS, FOREIGN QUARANTINE AND PUBLIC HEALTH REQUIREMENTS

Back 40

OPNAVINST 6210.2

Front 41

SHIPBOARD SANITATION CERTIFICATE PROGRAM

Back 41

BUMEDNOTE 6210

Front 42

WHAT IDENTIFIES NAVY MEDICAL PERSONNEL DELEGATED AUTHORITY IN ACCORDANCE WITH OPNAVINST 6210.2 AND THE W.H.O., INTERNATIONAL HEALTH REGULATIONS (IHR'S) TO INSPECT AND ISSUE APPROPRIATE SHIP SANITATION CERTIFICATES (SSC) AND TO PROVIDE RELATED STANDARD PROCEDURES AND POLICY FOR THE SHIP SANITATION CERTIFICATE PROGRAM (SSCP)

Back 42

BUMEDNOTE 6210

Front 43

<15 MM REACTOR IS A CANDIDATE FOR THERAPY ONLY IF ONE OF THE CRITERIA OF WHAT APPLY

Back 43

BUMEDINST 6224.8A, TABLE 1 (CRITERIA FOR DETERMINING A POSITIVE TST REACTION)

Front 44

WHAT IS THE PURPOSE OF A MER

Back 44

ENABLES NAVY PUBLIC HEALTH EXPERTS TO BE AWARE OF;
- IMPORTANT MEDICAL EVENT WHEN THEY OCCUR
- PREVENTION AND CONTROL ACTIONS ALREADY TAKEN BY OR BEING CONSIDERED BY LOCAL LEVEL MEDICAL STAFF

Front 45

What has replaced the BUMEDINST 6250.14 Procurement of Deratting/Deratting Exemption Certificates?

Back 45

BUMED Note 6210
Shipboard Sanitation Control Certificate

Front 46

What is the TB Control Program instruction?

Back 46

BUMEDINST 6224.8A

Front 47

What is the MER instruction?

Back 47

BUMEDINST 6220.12B

Front 48

What is the approved PPD test and how is it administered?

Back 48

5TU (intermediate)
0.1 ml ID Left forearm (volar aspect)

Front 49

How must a PPD be recorded?

Back 49

By a properly trained MDR
After 48 to 72 hours
Measure in MM at widest point
Measure induration

Front 50

When are chest Xrays required?

Back 50

If clinically indicated
New reactor to R/O active TB
New and Old reactors who are contacts of active cases.

Front 51

What date does the annual report need to be submitted to EPMU?

Back 51

28 FEB of every year.

Front 52

What is the preferred method for reporting MER?

Back 52

Naval Disease Reporting System, internet
(NDRSi)

Front 53

What is the Immuniation instruction?

Back 53

BUMEDINST 6230.15
Immunization and chemoprophilaxis

Front 54

What forms are immunizations documented on?

Back 54

NAVMED 6230/4
PHS 731- yellow card

Front 55

WHo creates the Vaccine Information Sheets?
Where is VIS published?

Back 55

VIS is created by CDC
In federal register

Front 56

What are requirements to give immunizations?

Back 56

A person capable of treating anaphylaxis must be present
Type commanders will determine level of certification

Front 57

Which providers must be available for immuns?

Back 57

Physican
Physician's assistant
IDC
Dentist
Nurse
BCLS, but ACLS is preffered

Front 58

Who's recommendations do we follow for Navy Vaccinations?

Back 58

Advisory Committee on Immunization Practices (ACIP)

Front 59

STATE importance of Advisory Committee on Immunization Practices (ACIP) to the Navy
Immunization Program.

Back 59

Vaccine administration policies of the Navy Immunization Program must follow the recommendations of the CDC and the current ACIP recommendations unless there is a militarily relevant reason to do otherwise.

Front 60

A vaccine for TB named after the French scientists who developed it, Calmette and
Guérin.

Back 60

BCG
Rarely used in the United States, but it is often given to infants and small children in other countries where TB is common.

Front 61

If treatment has been interrupted for more than two months, patients must be examined to exclude active TB disease

Back 61

Do not restart the 9-month daily INH regimen if at least 270 doses of INH can be
administered within a 12-month period
2) INH can be given twice weekly 15 mg/kg body weight (up to 900 mg).
(a) This schedule makes directly observed therapy (DOT) more manageable, when poor compliance is a concern.

Front 62

When internet is unavailable routine reports should be submitte to their nearest NEPMU by U.S. Mail
Urgent reports may be made HOW?

Back 62

(1) Phone
(2) Priority Naval Message
(3) Encrypted e-mail
(4) Use of SAMS to submit MER is no longer authorized

Front 63

MER's that are not 24hr reportable but are routine are submitted when

Back 63

Monthly

Front 64

WHAT IS THE MINIMUM INTERVAL FOR THE HBV VACCINE Three dose regimen:

Back 64

1st dose followed by 2nd in one month.
3rd dose 6 months after the 1st dose.

Front 65

WHAT IS THE DOAGE FOR Anthrax vaccine.

Back 65

Dosage: 5 shots over 18 months.
(a) 0.5 mL given intramuscular at:
1) 0
2) 4 weeks
3) 6 months
4) 12 months
5) 18 months
6) subsequent booster injections at one year intervals if immunity is to be
maintained.

Front 66

Japanese Encephalitis (JE)

Back 66

1) Dosage - primary 3 doses of 1.0 mL each on day(s) 0, 7, and 30.
2) The last dose should be administered 10 days prior to entering an endemic area.
3) Route - subcutaneously 1.0 mL every 3 years
4) If not completed prior to departure, must be started prior to departure and then
completed upon arrival

Front 67

Cholera (inactivated bacterial).

Back 67

(1) Only when required by host country.
(2) Dosage - single dose of 0.5 mL.
(3) Route - subcutaneous/intramuscular.
(4) Periodicity - every 6 months if residing in or traveling to highly endemic area.

Front 68

Live virus vaccines should not be routinely administered to any pregnant female except

Back 68

(a) Can be given if ordered by attending physician for specific prevention or for
international travel.
(b) Polio and yellow fever vaccine may be administered if risks of contracting illness
outweigh potential complications.

Front 69

Yellow fever immunizations on IDC ships shall only be conducted in port during
normal working hours after prior notification and concurrence of

Back 69

local ISIC/RSG/Group
M.O., unless a Medical Officer is present.