Health Sciences Test

Snakebite1972
QuestionPart2.docx

Question 26 

 Emerging antibiotic resistance threats in the healthcare setting include

Question 26 options:

Candida auris

Carbapenemase-producing Enterobacteriaceae

VRSA

All answers are current threats

Question 27 

A bioterrorist attack will likely first be identified

Question 27 options:

through passive surveillance systems

through analysis of death certificates

through sentinel surveillance

at an emergency department

Question 28 

 Legionnaires' disease

Question 28 options:

has a low case fatality rate at <5%

can be prevented through social distancing

is transmitted by inhalation of aerosolized contaminated water droplets

is not considered a healthcare associated infection

Question 29  

What are 5 steps consumers can take to prevent foodborne illnesses?

Question 29 options:

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Question 30  

Which statement about a bioterrorist agent is TRUE?

Question 30 options:

Anthrax is spread person to person

The detection of a single case of smallpox is a public health emergency

The best response to a smallpox outbreak is a mass vaccination strategy

Category C agents include botulism and anthrax

Question 31  

Key Infection Control Precautions Recommended for Preventing Ebola Transmission in U.S. Hospitals include

Question 31 options:

Isolation of patient if Ebola is suspected

All answers are correct

Keep a log of everyone who enters and leaves the patient's room

Avoid aerosol-generating procedures

Question 32  

Which statement about personal protection equipment (PPE) is true when using it for infection control in a healthcare setting?

Question 32 options:

Hand hygiene does not need to be performed when PPE is in use.

Removal of all PPE should be as soon as possible after completing care to avoid contaminating the environment outside the isolation room and any other patient or worker.

It is always essential to use all the items of PPE as part of Standard Precautions.

Reuse of all PPE items can be performed as long as hand hygiene is immediately afterwards.

Question 33  

Discuss why some diseases are able to be eradicated while others may not be as easy. What factors are important for disease eradication?

Question 33 options:

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Question 34  

Elimination of a disease differs from eradication of a disease in that

Question 34 options:

diseases such as measles and polio are eradicated

elimination is the specific infectious agent no longer exists in nature or in the laboratory.

eradication is the reduction to zero of the incidence of a specified disease in a defined geographical area as a result of deliberate efforts; continued intervention measures are required.

a disease must have a permanent reduction to zero of the worldwide incidence of infection caused by a specific agent as a result of deliberate efforts and that intervention measures are no longer needed to be considered eradicated.

Question 35  

The infectious disease that causes the most morbidity and mortality worldwide is

Question 35 options:

malaria

TB

HIV/AIDS

lower respiratory infections

Question 36  

Neglected tropical diseases

Question 36 options:

are bacterial, protozoan, and viral diseases that do not have a current vaccine available and are typically resistant to drug treatment

cause 57 million deaths annually

disproportionately affect populations living in poverty, without adequate sanitation and in close contact with infectious vectors and domestic animals and livestock

include TB, HIV/AIDS, and malaria

Question 37  

The comprehensive Primary Health Care was proposed by Scott et al. (2016) as the best way to respond to an Ebola outbreak. The approach is to

Question 37 options:

convert primary care facilities to 'holding centres' and Ebola Treatment Centres (ETC.).

prohibit travel of all cases and contacts, with exit screening for symptoms at international airports, seaports and borders.

address the underlying social determinants of ill-health through intersectoral action, seeking to empower communities, to meet the needs of the most marginalised and to provide comprehensive care with the emphasis on disease prevention and health promotion.

focus on a circumscribed number of diseases with high morbidity and mortality, using largely effective therapeutic or personal preventive interventions.

Question 38  

What is a compelling argument for why the effective control of communicable diseases in the developing world is important for global security?

Question 38 options:

It is realistic to see a future where there are no infectious disease threats

Communicable diseases have no borders

To increase the GDP of developing nations

Limits financial incentives for research and drug development if all communicable diseases are cured

Question 39  

Ohene et al. describes the outbreak response to cholera outbreaks in two districts in Ghana. What was the overarching conclusion on the responses?

Question 39 options:

In both districts, the case fatality rate was above the WHO acceptable rate of 1 % which was due to poor case management in the health facilities as the highest fatality was seen in the facilities.

Following implementation of response measures including massive community education and water, sanitation and hygiene (WASH) activities, the outbreaks were quickly controlled.

Neither district had an epidemic preparedness response plan.

For both outbreaks, high case fatality rate was attributed to late reporting of cases to the health facility.

Question 40  

A lesson learned from the SARS epidemic was

Question 40 options:

screening measures at airports was not sufficient and worldwide travel bans should be implemented swiftly

prompt and open reporting of cases of any disease with the potential for international spread is critical.

press should not be alerted until all details of the disease are known and communicated to the public

academic competition and rivalry on the world stage can actually contribute to outbreak response in a positive manner

Question 41  

Identify an emerging/re-emerging communicable disease and discuss the reasons for its emergence.