Pub Health

Front 1

Which method of disease control is used to kill the biologic agents internally?

Back 1

Chemotheraputic

Front 2

A common disinfectant is a _____ solution of household bleach and water?

Back 2

1:10

Front 3

Steam serving tables should maintain a minimum temperature of _____ degrees F?

Back 3

140

Front 4

Refrigeration should have temperatures below _____ degrees F?

Back 4

45

Front 5

When used as a vaccine, Cholera is used in which form?

Back 5

Fractionated bacteria

Front 6

Which immunoglobulin increases with mucosal irritation, exercise and alcoholism?

Back 6

IgA

Front 7

Which immunoglobulin increases with rheumatoid factors and gram negative disease?

Back 7

. IgM

Front 8

A patient comes into your office with; a sore throat, nasal discharge, hoarseness, malaise
and fever followed by toxemia and prostration. Upon inspection you observe a tenacious
gray membrane on their tonsils and pharynx. Which one of the following conditions does
your patient present with?

Back 8

Diptheria

Front 9

A patient comes into your office with; sinusitis, nuchal rigidity, exaggerated symmetrical
deep tendon reflexes and a positive Brudzinski’s test. Which one of the following
conditions does your patient present with?

Back 9

Meningitis

Front 10

A patient comes into your office with; a fine maculopapular rash, posterior cervical and
postauricular lymphadenopathy. They have severe arthralgia resulting from a togavirus.
Which one of the following conditions does your patient present with?

Back 10

Rubella

Front 11

A patient comes into your office with; fever, coryza, cough, conjunctivitis and
photophobia. They have a systemic paramyxovirus with Koplik’s spots. Which one of the
following conditions does your patient present with?

Back 11

Measles

Front 12

A patient comes into your office with; sub-sternal soreness, coryza, malaise, sore throat
and non-productive cough. They also have leukopenia and proteinuria. Their virus has
been isolated via an egg cell culture. Which one of the following conditions does your
patient present with?

Back 12

Influenza

Front 13

Which one of the following items is not correct in regards to Viral Hepatitis?

Back 13

DNA virus

Front 14

Which one of the following items is not correct in regards to Hepatitis B?

Back 14

Food borne - not true, it is spread by blood.

Front 15

Which one of the following items is not correct in regards to Tuberculosis?

Back 15

Weight gain -

Front 16

A patient comes into your office with; fever, chills, vaginal discharge, lower abdominal
distress and menstrual disturbances. She has a history of STD infection. Which one of the
following conditions does your patient present with?

Back 16

Pelvic Inflammatory disease

Front 17

Which one of the following is not a likely mode of transmission for HIV?

Back 17

Saliva

Front 18

Which one of the following carcinogenic substances causes gastrointestinal cancer?

Back 18

Nitrates

Front 19

Which one of the following statements in not correct in regards to Lung cancer?

Back 19

There is a familial association

Front 20

Which one of the following statements in not correct in regards to Ovarian cancer?

Back 20

Multiple pregnancies is a high risk factor

Front 21

(human factor) focuses on the capabilities of an individual and the environmental and task demands placed on that individual.

Back 21

Ergonomics_________

Front 22

Most states use a blood alcohol concentration of _______ as impaired for driving.

Back 22

_.08

Front 23

There are five types of energy:

Back 23

1. ___Kinetic (mechanical)_________________ = is the most common cause of injury {auto crash}.
2. Thermal_______ = is the most common cause of burns.
3. Electrical__________ = causes electrocutions and burns.
4. Radiation_________ = causes burns
5. _Chemical______ = interferes with the body's energy metabolism {drowning}.

Front 24

the leading cause of nonfatal injury

Back 24

Falls

Front 25

is the leading cause of injury mortality to children ___less than one year of age_

Back 25

Suffocation

Front 26

The four E's of intervention are:

Back 26

1. _Engineering__________ = aimed at vectors and physical environment.
2. _Economic_______ = influence behavior by monetary incentives.
3. _Enforcement__________ = use of laws and regulations for effectiveness.
4. _Educational__________ = influencing behavior through reasoning and knowledge

Front 27

The Haddon Matrix Model

Back 27

___Pre-event______ strategies = designed to help prevent the agent from reaching the host.
2. __Event____strategies = designed to minimize the interaction at the precise time of injury.
3. ___Post-event_______ strategies = designed to limit or repair the damage already incurred.

Front 28

Physical Activity

Back 28

Adolescents 65% Target 85%
Adults 15% Target 30%

Front 29

Overweight and obesity

Back 29

Adolescents 11% Target 5%
Adults 23% Target 15%

Front 30

Tobacco use

Back 30

Adolescents 35% Target 16%
Adults 24% Target 12%

Front 31

Substance abuse

Back 31

Drug free adolescents - 79% Target 89%
Adult Binge drinking 17% - Target 6%
Adult drug use - 6% Target 2%

Front 32

Responsible sexual behavior

Back 32

Adolescents not sexually active or used condoms - 85% Target 95%
Sexually active unmarried women using condoms 23% -Target 50%

Front 33

Mental health

Back 33

Treated depresson - 23% Target 50%

Front 34

Injury and violence

Back 34

MVA - 15.6% Target 9.2%
Homocides - 6.5%, Target 3%

Front 35

Environmental quality

Back 35

Exposed to ozone above EPA standard 43% Target 0%
Exposed to tobacco smoke - 65% Target 45%

Front 36

Immunization

Back 36

Target 80% - 90% all vaccines

Front 37

Access to health care

Back 37

80% range - Target 90-100%

Front 38

There are three methods of control for a disease:

Back 38

1. Eliminating the disease-causing agent
• Chemotherapeutic = kills the biologic agents internally.
• Disinfectants = kills organisms outside the body. Common disinfectant is a 1:10 solution of household bleach and water
• Chlorination = used in water supply to control microorganisms.
• Heat = used to pasteurize milk, inactivate botulinal toxin and sterilize certain equipment.
2. Preventing the organism from multiplying to a level which can cause a disease.
3. Eliminating the reservoir so the disease has no place to multiply.

Front 39

temperature of ____degrees F or higher to destroy the spores of
Clostridium botulinum.

Back 39

250

Front 40

• Poultry must be heated to an internal temperature of _____ degrees F to help prevent Salmonella.

Back 40

165

Front 41

cannot be inactivated by heat.

Back 41

Staphylococcus enterotoxin

Front 42

Live attenuated viral vaccines =

Back 42

measles, mumps, rubella, polio

Front 43

Killed or fractionated viral vaccines =

Back 43

influenza, hepatitis B, rabies

Front 44

Killed or fractionated bacterial vaccines =

Back 44

cholera, meningococcal, pneumococcal

Front 45

_______ is a modified bacterial toxin which has been rendered nontoxic but still has the ability to
stimulate the formation of antitoxin such as tetanus toxoids.

Back 45

Toxiod

Front 46

= Most prevalent antibody in the body and increases secondary to IgM to
help fight off viruses, bacteria, and toxins. Increases with: infections, chronic
disease, multiple myeloma, and rheumatoid arthritis.

Back 46

IgG (85%)

Front 47

Three types of serious diseases and their consequences from not getting vaccines:

Back 47

1. Measles = can cause pneumonia, encephalitis, mental retardation, death
2. Rubella = can cause congenital birth defects
3. Polio = can cause paralysis, death

Front 48

Airborne diseases

Back 48

TB, Diphtheria, Rheumatic fever, Primary atypical pneumonia

Front 49

Arthropod borne

Back 49

Bubonic plague, Tularemia

Front 50

Food borne

Back 50

Staph food poisoning, Botulism, Salmonella food poisoning, Typhoid fever

Front 51

Soil borne

Back 51

Gas gangrene, Tetanus, Anthrax

Front 52

Water borne

Back 52

Shigella, Cholera, Brucellosis, Traveler’s

Front 53

• How cancer develops:

Back 53

1. Exposure to a carcinogen (a cancer causing substance)
2. Entry of the carcinogen into a cell
3. Initiation (an event, probably in the cell's genetic material, caused by radiation or
by a chemical carcinogen that can give rise to cancer) probably by the carcinogen's
ability to somehow altering the cellular genetic material.
4. Enhancement of cancer development by promoters (factors that do not initiate
cancer but that favor its development once the initiating event has taken place),
probably involving several more steps before the cell begins to multiply out of
control.
5. Disruption of normal body functions.