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126 Cards in this Set

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QUARANTINE REGULATIONS ARE INTENDED TO PREVENT THE INTRODUCTION AND DISSEMINATION, DOMESTICALLY OR INTERNATIONALLY ORIGINATED, OF DISEASES AFFECTING WHAT
1) HUMANS, PLANTS AND ANIMALS
2) PROHIMITED OR ILLEGALLY TAKEN WILDLIFE
3) ARTHROPOD VECTORS
4) PESTS OF HEALTH & AGRICULTURAL IMPORTANCE
AN ACUTE, DIARRHEAL ILLNESS CAUSED BY INFECTION OF THE INTESTINE WITH THE BACTERIUM VIBRIOCHOLERAE
CHOLERA
APRROXIMATELY ONE IN EVERY HOW MANY PEOPLE HAVE SEVERE DISEASE CHARACTERIZED BY PROFUSE WATERY DIARRHEA, VOMITING AND LEG CRAMPS
20
WITHOUT TREATMENT FOR CHOLERA, DEATH CAN OCCUR IN HOW LONG
HOURS
IN A CHOLERA EPIDEMIC, THE SOURCE OF THE CONTAMINATION IS USUALLY WHAT
THE FECES OF AN INFECTED PERSON
THE CHOLERA BACTERIUM MAY ALSO LIVE IN WHAT ENVIRONMENT
THE BRACKISH RIVERS AND COASTAL WATERS
AN INFECTIOUS DISEASE OF ANIMALS AND HUMANS CAUSED BY A BACTERIUM NAMED YERSINIA PESTIS
PLAGUE
PEOPLE USUALLY GET THE PLAGUE FROM WHAT
BEING BITTEN BY A RODENT FLEA THAT IS CARRYING THE PLAGUE BACTERIUM
WHAT ARE THE CLINICAL FORMS THAT THE PLAGUE COMES IN
BUBONIC AND PNEUMONIC
VERY RARE CAUSE OF ILLNESS IN TRAVELERS, BUT MOST COUNTRIES HAVE REGULATIONS AND REQUIREMENTS FOR THIS VACCINATION PRIOR TO ENTERING THE COUNTRY
YELLOW FEVER
A VIRAL DISEASE TRANSMITTED BETWEEN HUMANS BY A MOSQUITO
YELLOW FEVER
HOW LONG IS THE VACCINATION FOR YELLOW FEVER GOOD FOR
10 YEARS
WHAT VACCINATION IS ONLY ADMINISTERED AT DESIGNATED VACCINATION CENTERS; THE LOCATIONS OF WHICH CAN USUALLY BE GIVEN BY THE LOCAL HEALTH DEPARTMENT
YELLOW FEVER
THE LAST NATURALLY ACQUIRED CASE OF SMALLPOX IN THE WORLD OCCURED WHEN AND IN WHAT COUNTRY
OCTOBER 1977 IN SOMALIA
WHEN WAS GLOBAL ERADICATION OF SMALLPOX WAS CERTIFIED WHEN BY THE W.H.O.
1979
ALL KNOWN VARIOLA VIRUS STOCKS ARE HELD UNDER SECURITY WHERE
THE CDC AND AT THE CENTRE OF VIROLOGY AND BIOTECHNOLOGY IN RUSSIA
WHAT IS A SYSTEMIC VIRAL DISEASE GENERALLY PRESENTING WITH A CHARACTERISTIC SKIN ERUPTION
SMALLPOX
HOW DO YOU IMMUNIZE AGAINST SMALLPOX
THE VACCINIA VIRUS
WHAT NAVY INSTRUCTION IN THE (QUARANTINE REGULATIONS OF THE NAVY)
OPNAVINST 6210.2
PROVIDES GUIDANCE ON NAVY'S RESPONSIBILITIES, LIAISONS, FOREIGN QUARANTINE AND PUBLIC HEALTH REQUIREMENTS
OPNAVINST 6210.2
WHAT CHAPTER OF THE P-5010 COVERS NAVY ENTOMOLOGY AND PEST CONTROL TECHNOLOGY
CHAPTER 8
SHIPBOARD SANITATION CERTIFICATE PROGRAM
BUMEDNOTE 6210
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)
BUMEDNOTE 6210
THE COMMANDING OFFICER WILL HAVE BETWEEN HOW MANY HOURS PRIOR TO ENTERING A PORT TO MESSAGE/RADIO THE SENIOR NAVAL OFFICER IN COMMAND OF THE PORT TO BE ENTERED
12-72
WHAT IS THE APPROVED MATERIAL FOR A TUBERCULIN TEST
TUBERCULIN, PURIFIED PROTEIN DERIVATIVE (PPD)
WHAT IS A PREMIXED TWEEN-80 STABILIZED INTERMEDIATE STREGTH
PPD (5TU)
WHAT IS USED TO ADMINISTER A PPD
1ML TUBERCULIN SYRINGE
WHAT TYPE OF NEEDLE IS A TUBERCULIN SYRINGE FITTED WITH
25-GUAGE 5/8-INCH NEEDLE
WHAT IS THE FDA APPROVED BLOOD TEST FOR TUBERCULOSIS
QUANTIFERON-TB GOLD (QFT)
WHAT IS THE BACTERIA THAT CAUSE LATENT TB INFECTION AS WELL ACTIVE TB DISEASE
MYCOBACTERIUM TUBERCULOSIS
AN ILLNESS IN WHICH TB BACTERIA ARE MULTIPLYING AND ATTACKING A PART OF THE BODY, USUALLY THE LUNGS
ACTIVE TB DISEASE
WHAT IS THE CONDITION IN WHICH TB BACTERIA ARE ALIVE BUT INACTIVE IN THE BODY
LATENT TB INFECTION (LTBI)
PEOPLE WITH LATENT TB INFECTION HAVE NO SYMPTOMS, DON'T FEEL SICK, CAN'T SPREAD TB TO OTHERS, AND USUALLY HAVE WHAT ELSE
A POSITIVE SKIN TEST REACTION
WHAT IS A TEST THAT IS OFTEN USED TO FIND OUT IF YOU ARE INFECTED WITH TB BACTERIA
TB SKIN TEST
A NEW TEST THAT USES A BLOOD SAMPLE TO FIND OUT IF YOU ARE INFECTED WITH TB BACTERIA
TB BLOOD TEST (QFT)
A VACCINE FOR TB NAMED AFTER THE FRENCH SCIENTISTS WHO DEVELOPED IT, CALMETTE AND GUERIN
BCG
WHAT IS A MORE DIRECT WAY OF HELPING PATIENTS TAKE THEIR MEDICINE FOR TB
DIRECTLY OBSERVED THERAPY (DOT)
THE ANTIBIOTIC REGIMEN OF CHOICE FOR TUBERCULOSIS PREVENTIVE THERAPY IS WHAT
INH
INH IS AN ORAL DAILY DOSE OF HOW MUCH MEDICATION AND FOR HOW LONG
5MG/KG (300MG MAX) FOR 9 MONTHS
WHAT IS AN ALTERNATE REGIMEN OF INH THAT IS TAKEN TWICE WEEKLY FOR 9 MONTHS
15MG/KG (900MG MAX)
WHEN IS INITIAL SCREENING (TB TESTING)
UPON ENTERING ACTIVE DUTY AND ALL INDIVIDUALS BEGINNING EMPLOYMENT AS CIVMAR FOR THE MSC
WHEN THE PERSON HAS A PAST HISTORY OF ACTIVE DISEASE, REACTION TO SKIN TEST, OR A HISTORY OF INH THERAPY, THEY MUST PROVIDE ADEQUATE DOCUMENTATION OF WHAT
1) PRIOR SKIN TESTS
2) CLINICAL EVALUATIONS
3) PERTINANT MEDICAL RECORDS
WITHIN HOW LONG OF SEPARATION OR RETIREMENT MUST A SERVICE MEMBER RECEIVE A TB SKIN TEST
6 MONTHS
WHEN IS IT INDICATED TO HAVE A CHEST RADIOGRAPH DONE WRT TB TESTING
FOR NEW REACTORS TO RULE OUT ACTIVE DISEASE AND FOR NEW AND PREVIOUS REACTORS WHO ARE CONTACTS OF POTENTIALLY INFECTIOUS CASE OF ACTIVE DISEASE
WHAT IS THE APPROVED METHOD FOR ADMINISTERING A PPD
MANTOUX METHOD
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/MC, WHO DO YOU NEED TO CONTACT
NEPMU
A POSITIVE TST REACTION IN BCG IMMUNIZED INDIVIDUALS SHOULD BE REGARDED AS INDICATIVE OF WHAT
TB INFECTION
ALL TB REACTORS WITH AN INDURATION OF ___ MM OR GREATER MUST BE EVALUATED AND CONSIDERED FOR THERAPY FOR ISONIAZID (INH)
5 MM
TB REACTOR WITH INDURATION OF ___ MM OR MORE IS A CANDIDATE FOR INH THERAPY
15 MM
<15 MM REACTOR IS A CANDIDATE FOR THERAPY ONLY IF ONE OF THE CRITERIA OF WHAT INSTRUCTION APPLY
BUMEDINST 6224.8A, TABLE 1 (CRITERIA FOR DETERMINING A POSITIVE TST REACTION)
PRIOR TO THERAPY, THE REACTOR MUST BE EVALUATED BY WHO TO RULE OUT ACTIVE TB DISEASE
MO, NP, PA OR IDC
WHAT IS PERFORMED ON THOSE WHOSE INITIAL TST EVALUATION SUGGESTS AN ELEVATED RISK OF LIVER DISEASE OR INH-INDUCED HEPATOXICITY
BASELINE LIVER FUNCTION TESTS (SGOT/SGPT)
LFT TESTING - SHOULD BE OBTAINED AT LEAST 1, 2 AND 3 MONTHS AFTER INITIATING INH FOR WHAT
1) ALL 35 Y/O OR GREATER
2) TAKING PHENYTOIN (DILANTIN)
3) HEAVE ETOH CONSUMERS
4) CHRONIC LIVER DISEASE OR SEVERE RENAL DYSFUNCTION
5) PREGNANCY
IF TREATMENT HAS BEEN INTERRUPTED FOR MORE THAN ____ MONTHS, PATIENTS MUST BE EXAMINED TO EXCLUDE ACTIVE DISEASE
2 MONTHS
DO NOT RESTART THE 9-MONTH DAILY INH REGIMEN IF AT LEAST ____ DOSES OF INH CAN BE ADMINISTERED WITHIN A 12-MONTH PERIOD
270 DAYS
INH THERAPY MAY DO WHAT TO THE LIVER ENZYMES (SGOT/SGPT) BLOOD LEVELS
INCREASE
CONSIDER WITHHOLDING IN IF A PATIENT'S ______ LEVELS EXCEED THREE TO FIVE TIMES THE UPPER LIMIT OF NORMAL
TRANSAMINASE
A CONTACT INVESTIGATION MUST BE INITIATED UPON DISCOVERY OF AN ACTIVE TB CASE IN AN EFFORT TO WHAT
PREVENT FURTHER PROPAGATION
UPON DISCOVERY OF A SUSPECTED OR CONFIRMED CASE OF ACTIVE TB, THE CO OR OIC MUST NOTIFY WHOM
COGNIZANT NEPMU
MER'S MUST BE SUBMITTED WITHIN HOW LONG OF SUSPICION/CONFIRMATION OF TB DIAGNOSIS
24 HOURS
WHAT DO YOU HAVE TO DO WHEN ACTIVE TB IS EITHER RULED IN OR OUT
SUBMIT A SECOND MER
WHO MUST VERIFY IN WRITING PERSONNEL WHO ARE TRAINED AND COMPETENT IN ADMINISTERING AND INTERPRETING THE RESULTS OF A TST
SMDR
TST'S MUST BE READ WITHIN HOW LONG
48-72 HOURS
HOW IS A TST RESULT READ WRT TO INDURATION
MEASURE INDURATION IN MM AT ITS WIDEST TRANSVERSE DIAMETER
WHERE DO YOU RECORD RESULTS OF A TST
NAVMED 6230/4 OR NAVMED 6230/5
ADSENCE OF INDURATION IS REPORTED AS WHAT
0 MM OR ZERO MM
WHAT ARE EXAMPLES OF WAYS NOT TO RECORD A TST
NEGATIVE, POSITIVE OR NONSIGNIFICANT
WHAT IS DONE WHEN A PERSON FAILS TO RETURN WITHIN 72 HOURS OF ADMINISTERING A TST
RECORD THE TEST AS "NOT READ" AND APPLY A TST ON THE OPPOSITE ARM
WHAT ARE SOME SYMPTOMS OF A PATIENT WITH ACTIVE TB DISEASE
WEAKNESS, WEIGHT LOSS, FATIGUE, FEVER, LOSS OF APPETITE, CHILLS AND NIGHT SWEATS
ISONIAZID, RIFAMPIN AND PYRAZINAMIDE ARE ANTITUBERCULOUS DRUGS CLASSIFIED AS WHAT
BACTERICIDAL
ETHAMBUTOL AND STREPTOMYCIN ARE ANTITUBERCULOUS DRUGS CLASSIFIED AS WHAT
BACTERIOSTATIC
CLINICAL TB MUST ALWAYS BE TREATED WITH AT LEAST HOW MANY DRUGS
TWO
THE PREFERRED TREATMENT FOR LATENT TB INFECTION IS WHAT
ING DAILY (300 MG FOR ADULTS, 10-20 MG/KG FOR CHILDREN) FOR 9 MONTHS
WHAT IS THE OFFICIAL SYSTEM TO CAPTURE, STORE AND COMMUNICATE INFORMATION RELATED TO RME'S
DISEASE REPORTING SYSTEM INTERNET (DRSI)
DRSI IS MANDATORY WHEN
WHERE THERE IS INTERNET CONNECTION
THE FOLLOWING COMMUNICABLE DISEASES ARE REQUIRED TO BE REPORTED WITHIN 24 HOURS
A SHIT TON!! READ THE LTG!!!
THE USE OF WHAT IS NO LONGER AUTHORIZED TO SUBMIT A MER
SAMS
SUBMIT ONLY ONE MER PER OUTBREAK UNLESS INSTRUCTED OTHERWISE BY WHO
NEPMU
WRT CLASSIFICATION, MER'S ARE USUALLY WHAT
UNCLASSIFIED
ALL MER'S SHOULD BE MARKED WHAT
"FOR OFFICIAL USE ONLY"
WHO IS REQUIRED TO SUBMIT THE REPORT FOR A REPORTABLE CASE/MEDICAL-EVENT
THE HEALTHCARE PROVIDER WHO DIAGNOSED OR IDENTIFIED
A DIAGNOSES, CASE, OR MEDICAL-EVENT BECOMES REPORTABLE ONCE IT HAS BEEN CLASSIFIED AS WHAT
SUSPECTED, PROBABLE OR CONFIRMED
WHAT IS THE DOSE INTERVAL FOR THE ANTHRAX VACCINE
0, 4 WEEKS, 6 MONTHS, 12 MONTHS, 18 MONTHS AND YEARLY BOOSTERS
WHAT ROUTE IS THE ANTHRAX VACCINE ADMINISTERED
IM
WHEN IS THE CHOLERA VACCINE REQUIRED
ONLNY WHEN REQUIRED BY THE HOST COUNTRY
WHAT IS THE ROUTE OF ADMINISTRATION FOR THE CHOLERA VACCINE
SQ OR IM
WHAT IS THE PERIODICITY OF THE CHOLERA VACCINE
EVERY 6 MONTHS IF RESIDING IN OR TRAVELING TO HIGHLY ENDEMIC AREA
THE HEPATITIS B VACCINE IS ADMINISTERED TO WHO
REQUIRED FOR HIGH RISK PERSONNEL SUCH AS;
- OCCUPATIONAL EXPOSURE TO BLOOD PRODUCTS OR OTHER BODY FLUIDS
- ALL HEALTHCARE WORKERS
- ALL HM STUDENTS
- ANY PERSON WHO CANTACTS AN STD
- HIGH RISK AREAS
HOW MANY DOSES IS THE HBV VACCINE
3
WHAT IS THE MINIMUM INTERVAL FOR THE HBV VACCINE
ONE MONTH BETWEEN DOES 1 AND 2; 5 MONTHS BETWEEN DOES 2 AND 3
WHAT TYPES OF MER'S DO WE HAVE (I.E. WHAT ARE THE CLASSIFICATIONS)
- SUSPECTED
- PROBABLE
- CONFIRMED
WHAT ARE THE DOSAGES THAT INH ARE GIVEN IN
- 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
ONCE YELLOW FEVER IS RECONSTITUTED, IT MUST BE USED WITHIN HOW LONG
1 HOUR
WHAT IS THE STORAGE TEMPERATURE OF YELLOW FEVER
32 - 41 DEG F
ONCE MMR IS RECONSTITUTED, IT MUST BE USED WITHIN HOW LONG
8 HOURS
WHAT ARE THE ELEMENTS OF THE TB CONTROL PROGRAM
- SCREENING & TESTING
- MANAGEMENT FOR NEW POSITIVE TESTS
- CONTANT INVESTION
- PATIENT MANAGEMENT
- REPORTS
WHEN ARE CHEST X-RAYS PERFORMED WRT TB SCREENING
ON NEW REACTORS TO RULE OUT ACTIVE
WHAT IS THE ROUTE OF ADMINISTRATION FOR MMR
SUBCUTANEOUS
WHAT IS THE DOSAGE OF THE TST
0.1CC OR 5TU
DESCRIBE THE NEEDLE REQUIREMENTS FOR ADMINISTERING A TST
1ML TUBERCULIN SYRINGE WITH A 5/8" 25 GAUGE
WHAT ARE TWO SIGNIFICANT DATE/TIME PERIODS WRT SMALLPOX
OCTOBER 1977 LAST KNOWN OUTBREAK, AND ERATICATED 2 YEARS LATER
WHAT ARE THE STORAGE TEMPS REQUIREMENTS FOR MMR
-58 DEG F TO 46 DEG F
WRT POSITIVE TB RESULTS, WHAT TEST RESULTS REQUIRE WHAT ACTION
- 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
WHAT IS THE PURPOSE OF A MER
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
WHEN IS A TB TEST REQUIRED TO BE ADMINISTERED
- UPON ACCESSION TO ACTIVE DUTY SERVICE
- BEING EMPLOYED BY CIVMAR (MSC)
- PERIODIC SCREENINGS WITH PHA OR ANNUAL EXAM
- 6 MONTH PRIOR TO RETIREMENT OR SEPARATION
- INDIVIDUALS DEEMED TO BE AT RISK
- DIRECTED BY COMBATANT COMMAND
- IF RECOMMENDED BY NEPMU
WHAT QUARANTIBABLE DISEASES ARE WE CONCERNED ABOUT WITH WHEN WE TRAVEL WORLDWIDE
- CHOLERA
- INFECTIOUS TB
- DIPTHERIA
- PLAGUE
- YELLOW FEVER
- SMALLPOX
- VIRAL HEMORAGIC FEVER
- SARS
- CERTIAN INFLUENZA'S
HOW WOULD YOU CONTROL CERTAIN QUARANTINABLE DISEASE
- EDUCATION
- RAT PROOFING
- STORAGE AND DISPOSAL OF FOODS
- PATIENT ISOLATION
- CLOTHING REPELLANTS
- CASE REPORTING
WHAT IS A GOOD INDICATOR OF A TB CASE INFECTIVITY. I.E. SIGNIFICATN NEW REACTOR RATE
IF THE RATE OF NEWLY IDENTIFIED CONVERTERS IS TWO TIMES GREATER THAN THE EXPECTED BASELINE OF 1-2%
WHEN WOULD YOU CONSIDER WITHHOLDING INH FOR A PATIENT
IF A PATIENT'S TRANSAMINASE LEVELS ARE THREE TO FIVE TIMES THE UPPER LIMIT OF NORMAL
HOW DO YOU CONTRACT CHOLERA
A PERSON MAY GET CHOLERA BY DRINKING WATER OR EATING FOOD CONTAMINATED WITH THE CHOLERA BACTERIUM
WHAT IS THE METHOD FOR ADMINISTERING A TST
- MANTOUX METHOD
- PLACED ON THE VOLAR ASPECT OF THE FOREARM
- THE BUMP ON THE SKIN IS CALLED A WHEEL
WHAT IS ANOTHER WAY TO TEST FOR TB BESIDES THE TST
QUANTIFERON-TB GOLD
(QFT-G)
WHAT CAN BE DONE WHEN PERSONNEL ARE NON-COMPLIANT WRT TB MEDICATION
YOU CAN CONSIDER DIRECT OBSERVATION THERAPY
WHAT IS THE PREFERRED METHOD FOR SUBMISSION OF A MER
DRSI (DISEASE REPORTING SYSTEM INTERNET)
IF THERE IS NO INTERNET HOW ELSE CAN YOU SUBMIT URGERT MER'S
- PHONE
- PRIORITY NAVAL MESSAGE
- ENCRYPTED EMAIL
WHAT IS DOSAGE SERIES WRT ANTHRAX
DAY 0, 4 WEEKS, 6 MONTHS, 12 MONTHS, 18 MONTHS & ANNUAL BOOSTER
WHAT IS THE MINIMUM INTERVAL WRT HEP B
DAYS 0, 1 MONTH & 6 MONTHS
WHAT IS THE DOSAGE FOR HEP B
1.0 CC ADULTS
WHAT IS THE MINIMUM INTERAL FOR JEV
DAY 0, DAY 7 & DAY 30
WHAT IS THE DOSAGE REQUIREMENT, ROUTE OF ADMINISTRATION AND PERIODICITY FOR JEV
- 1.0ML
- SQ
- EVERY 3 YEARS
WHAT IS THE DOSAGE FOR THE CHOLERA VACCINE
0.5 CC SQ OR IM
WHAT IS THE DOSAGE FOR THE YELLOW VACCINE
0.5 CC SQ
WHAT PAPERWORK IS GIVEN OUT WHEN ADMINISTERING A VACCINE
VACCINE INFORMATION SHEET
WHAT TYPE OF VACCINES SHOULD NOT BE ROUTINELY ADMINISTERED TO ANY PREGNANT FEMALE
LIVE VIRUS VACCINES
WHAT VACCINES MAY BE ADMINISTERED TO PREGNANT WOMEN IF RISKS OF CONTRACTING ILLNESS OUTWEIGH POTENTIAL COMPLICATIONS
POLIO AND YELLOW FEVER
WHAT COMMITTEE CONSISTS OF EXPERTS IN FIELDS ASSOCIATED WITH IMMUNIZATION, WHO HAVE BEEN SELECTED BY THE SECRETARY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
ADVISORY COMMITTEE ON IMMUNIZATIONS PRACTICES (ACIP)