Health Sciences Test
Question 26
Emerging antibiotic resistance threats in the healthcare setting include
Question 26 options:
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Candida auris |
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Carbapenemase-producing Enterobacteriaceae |
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VRSA |
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All answers are current threats |
A bioterrorist attack will likely first be identified
Question 27 options:
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through passive surveillance systems |
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through analysis of death certificates |
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through sentinel surveillance |
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at an emergency department |
Legionnaires' disease
Question 28 options:
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has a low case fatality rate at <5% |
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can be prevented through social distancing |
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is transmitted by inhalation of aerosolized contaminated water droplets |
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is not considered a healthcare associated infection |
What are 5 steps consumers can take to prevent foodborne illnesses?
Question 29 options:
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Which statement about a bioterrorist agent is TRUE?
Question 30 options:
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Anthrax is spread person to person |
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The detection of a single case of smallpox is a public health emergency |
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The best response to a smallpox outbreak is a mass vaccination strategy |
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Category C agents include botulism and anthrax |
Key Infection Control Precautions Recommended for Preventing Ebola Transmission in U.S. Hospitals include
Question 31 options:
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Isolation of patient if Ebola is suspected |
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All answers are correct |
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Keep a log of everyone who enters and leaves the patient's room |
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Avoid aerosol-generating procedures |
Which statement about personal protection equipment (PPE) is true when using it for infection control in a healthcare setting?
Question 32 options:
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Hand hygiene does not need to be performed when PPE is in use. |
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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. |
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It is always essential to use all the items of PPE as part of Standard Precautions. |
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Reuse of all PPE items can be performed as long as hand hygiene is immediately afterwards. |
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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Elimination of a disease differs from eradication of a disease in that
Question 34 options:
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diseases such as measles and polio are eradicated |
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elimination is the specific infectious agent no longer exists in nature or in the laboratory. |
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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. |
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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. |
The infectious disease that causes the most morbidity and mortality worldwide is
Question 35 options:
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malaria |
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TB |
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HIV/AIDS |
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lower respiratory infections |
Neglected tropical diseases
Question 36 options:
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are bacterial, protozoan, and viral diseases that do not have a current vaccine available and are typically resistant to drug treatment |
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cause 57 million deaths annually |
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disproportionately affect populations living in poverty, without adequate sanitation and in close contact with infectious vectors and domestic animals and livestock |
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include TB, HIV/AIDS, and malaria |
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:
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convert primary care facilities to 'holding centres' and Ebola Treatment Centres (ETC.). |
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prohibit travel of all cases and contacts, with exit screening for symptoms at international airports, seaports and borders. |
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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. |
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focus on a circumscribed number of diseases with high morbidity and mortality, using largely effective therapeutic or personal preventive interventions.
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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:
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It is realistic to see a future where there are no infectious disease threats |
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Communicable diseases have no borders |
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To increase the GDP of developing nations |
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Limits financial incentives for research and drug development if all communicable diseases are cured |
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:
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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. |
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Following implementation of response measures including massive community education and water, sanitation and hygiene (WASH) activities, the outbreaks were quickly controlled. |
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Neither district had an epidemic preparedness response plan. |
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For both outbreaks, high case fatality rate was attributed to late reporting of cases to the health facility. |
A lesson learned from the SARS epidemic was
Question 40 options:
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screening measures at airports was not sufficient and worldwide travel bans should be implemented swiftly |
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prompt and open reporting of cases of any disease with the potential for international spread is critical. |
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press should not be alerted until all details of the disease are known and communicated to the public |
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academic competition and rivalry on the world stage can actually contribute to outbreak response in a positive manner |
Identify an emerging/re-emerging communicable disease and discuss the reasons for its emergence.