preventive medicine #1

1. WHAT INSTRUCTION IN THE NAVY PERTAINS TO DISEASE ALERT REPORTS?
A. NAVMEDCOMINST 6220.2
B. BUMEDINST 6220.3
C. NAVMEDCOMINST 6230.1
D. BUMEDINST 6250.13A

2. A PERSON OR ANIMAL KNOWN TO HAVE BEEN ASSOCIATED WITH AN INFECTED PERSON
OR ANIMAL, OR A CONTAMINATED ENVIRONMENT AND TO HAVE THE OPPORTUNITY TO
ACQUIRE AN INFECTION WOULD BE TERMED?
A. CARRIER
B. CONTACT
C. HOST
D. INFECTED PERSON

3. THE TRANSMISSION OF AN INFECTIOUS AGENT BY PROJECTION ON TO THE MUCOUS
MEMBRANES OF THE NOSE OR MOUTH WOULD BE TERMED?
A. VEHICLE-BORNE
B. VECTOR-BORNE
C. DIRECT
D. AIRBORNE

4. WHICH OF THE BELOW IS NOT ONE OF THE FOUR INTERNATIONAL QUARANTANABLE
DISEASES?
A. SMALLPOX
B. YELLOW FEVER
C. PLAGUE
D. TYPHOID

5. WHAT SERIOUS ACUTE INTESTINAL INFECTION IS CHARACTERIZED BY A SUDDEN ONSET,
VOMITING, PROFUSE WATERY STOOLS, RAPID DEHYDRATION, ACIDOSIS AND COLLAPSE?
A. SMALLPOX
B. YELLOW FEVER
C. PLAGUE
D. CHOLERA

1. WHAT INSTRUCTION IN THE NAVY PERTAINS TO DISEASE ALERT REPORTS?
A. NAVMEDCOMINST 6220.2
B. BUMEDINST 6220.3
C. NAVMEDCOMINST 6230.1
D. BUMEDINST 6250.13A

2. A PERSON OR ANIMAL KNOWN TO HAVE BEEN ASSOCIATED WITH AN INFECTED PERSON
OR ANIMAL, OR A CONTAMINATED ENVIRONMENT AND TO HAVE THE OPPORTUNITY TO
ACQUIRE AN INFECTION WOULD BE TERMED?
A. CARRIER
B. CONTACT
C. HOST
D. INFECTED PERSON

3. THE TRANSMISSION OF AN INFECTIOUS AGENT BY PROJECTION ON TO THE MUCOUS
MEMBRANES OF THE NOSE OR MOUTH WOULD BE TERMED?
A. VEHICLE-BORNE
B. VECTOR-BORNE
C. DIRECT
D. AIRBORNE

4. WHICH OF THE BELOW IS NOT ONE OF THE FOUR INTERNATIONAL QUARANTANABLE
DISEASES?
A. SMALLPOX
B. YELLOW FEVER
C. PLAGUE
D. TYPHOID

5. WHAT SERIOUS ACUTE INTESTINAL INFECTION IS CHARACTERIZED BY A SUDDEN ONSET,
VOMITING, PROFUSE WATERY STOOLS, RAPID DEHYDRATION, ACIDOSIS AND COLLAPSE?
A. SMALLPOX
B. YELLOW FEVER
C. PLAGUE
D. CHOLERA

6. WHAT FORM OF PLAGUE IS TRANSMITTED BY THE BITE OF THE INFECTIVE RAT FLEA
(XENOPSYLLA CHEOPIS)?
A. BUBONIC
B. PNEUMONIC
C. SEPTICEMIC
D. PHARYNGEAL AND TONSILLAR

7. WHAT MOSQUITO IS RESPONSIBLE FOR TRANSMITTING YELLOW FEVER?
A. AEDES
B. AEDES EGYPTI
C. ANOPHELES
D. CULEX

8. WHAT INFECTION OF THE COLON IS USUALLY ASYMPTOMATIC, HOWEVER SYMPTOMS
MAY RANGE FROM MILD ABDOMINAL DISCOMFORT WITH DIARRHEA CONTAINING BLOOD
OR MUCOUS ALTERNATING WITH CONSTIPATION TO ACUTE DYSENTERY WITH FEVER,
CHILLS AND BLOODY DIARRHEA?
A. DENGUE FEVER
B. VARICELLA - SHINGLES
C. AMEBIASIS
D. BOTULISM

9. WHICH OF THE FOLLOWING DISEASES DOES THE FLY OR CONTAMINATED WATER NOT
TRANSMIT?
A. AMEBIASIS
B. SHIGELLASIS
C. RELAPSING FEVER
D. CHOLERA

10. WHAT TYPE OF MALARIA IS THE MOST SERIOUS AND IS NOT CHARACTERIZED BY
RECURRENCE?
A. PLASMODIUM VIVAX
B. OVALE
C. FALCIPARUM
D. MALIGNANT TERTIAN

11. WHAT DISEASE IS CHARACTERIZED BY A FEVER OF 104 F CORYZA (RUNNY NOSE), SEVERE
COUGH, CONJUNCTIVITIS, KOPLIC SPOTS ON THE BUCCAL MUCOSA?
A. CHICKEN POX
B. MALARIA
C. RUBELLA(GERMAN MEASLES)
D. MEASLES

12. WHAT IS THE MEDICAL TERM FOR A PERSON WITH RING WORM OF THE FINGER OR THE
TOENAIL?
A. TINEA CAPITIS
B. TINEA CORPORUS
C. TINEA PEDIS
D. TINEA UNGUIUM

13. WHAT ACUTE VIRAL DISEASE IS CHARACTERIZED BY CHILLS, HEADACHE, ANOREXIA,
MALAISE, FEVER AND PAINFUL ENLARGEMENT OF THE SALIVARY GLANDS?
A. INFECTIOUS PAROTITIS
B. VIRAL PNEUMONIA
C. MEMINGOCOCCAL MENINGITIS
D. POLIOMYELITIS

14. WHICH OF THE BELOW IS NOT TRUE CONCERNING PNEUMOCCAL PNEUMONIA?
A. SPUTUM SMEARS REVEAL MANY GRAM NEGATIVE DIPLOCOCCI
B. CHARACTERIZED BY SHAKING CHILLS WITH FEVER, CHEST PAIN, DYSPNEA,
LEUKOCYTOSIS AND COUGH WITH RUSTY SPUTUM
C. PRELIMINARY DIAGNOSIS IS BASED ON SYMPTOMS, CHEST X-RAY AND AN ELEVATED
WHITE BLOOD COUNT (WBC).
D. IT IS MOST COMMON BACTERIAL PNEUMONIA

15. WHAT DISEASE IS CHARACTERIZED BY PAINFUL MUSCLE CONTRACTIONS, PRINCIPALLY
THE MASSETER AND NECK MUSCLES?
A. TYPHOID FEVER
B. TUBERCULOSIS
C. TETANUS (LOCK JAW)
D. MEMINGOCCAL MENINGITIS

16. WHICH OF THE BELOW IS NOT TRUE CONCERNING SEXUALLY TRANSMITTED DISEASES
(SDT)?
A. THERE IS NO CURE FOR HERPES GENITALIA
B. TREATMENT FOR NON-GONOCOCCAL URETHRITIS IS ORAL PENICILLIN
C. INCUBATION PERIOD FOR GONORRHEA IS 2 TO 9 DAYS
D. THE INFECTIOUS AGENT FOR SYPHILIS IS TREPONEMA PALLADIUM

17. WHAT PERSONNEL ARE QUALIFIED TO PROCURE STANDARD STOCK PESTICIDES
APPROVED FOR USE ABOARD SHIP AND TO CONDUCT SHIPBOARD PEST CONTROL
PROGRAMS IF THEY HAVE SUCCESSFULLY COMPLETED THE ONE DAY COURSE AND 1/2
DAY OJT TRAINING?
A. SUPPLY
B. MEDICAL
C. FOOD SERVICE
D. EITHER A OR B

18. WHAT INSECT RANKS FIRST IN THE IMPORTANCE OF DISEASE TRANSMITTED TO MAN?
A. TICK
B. FLEA
C. FLY
D. MOSQUITO

19. WHAT RODENT PREFERS MEAT AND FISH FOR FOOD?
A. BLACK ROOF RAT
B. NORWAY RAT
C. BROWN HOUSE RAT
D. BROWN ROOF RAT

20. WHICH OF THE BELOW IS NOT A RECOMMENDED FOOD FOR RAT TRAPS?
A. BACON RIND
B. PEANUT BUTTER
C. CHEESE
D. COCONUT

21. WHICH OF THE FOLLOWING WATER SOURCES ARE NOT MATCHED CORRECTLY?
A. GROUND WATER----- WELLS AND SPRINGS
B. SURFACE----- STREAMS, RIVERS, PONDS AND LAKES
C. VEGETATION-----COCONUT, PINEAPPLE AND CACTUS
D. SNOW AND ICE-----DISTILLATION

22. WHO IS RESPONSIBLE FOR ASSURING THAT A RESIDUAL DISINFECTANT OF WATER IS
MAINTAINED?
A. MUNICIPALITY
B. NAVY
C. ENVIRONMENT PROTECTION AGENCY
D. PUBLIC HEALTH SERVICE

23. POTABLE WATER OBTAINED FROM AN AREA WHERE AMEBIASIS OR HEPATITIS IS
ENDEMIC MUST BE CHLORINATED OR BROMINATED TO HOW MANY PARTS PER MILLION
AFTER A 30 MINUTE CONTACT TIME?
A. 0.2 PPM
B. 0.5 PPM
C. 1.0 PPM
D. 2.0 PPM

24. WHICH OF THE BELOW IS NOT TRUE CONCERNING BACTERIOLOGICAL TESTING AND
OBTAINING WATER SAMPLES?
A. COTTON MOISTENED WITH ALCOHOL AND HELD WITH THUMB FORCEPS SHOULD BE USED
TO FLAME A LEAKING SPIGOT
B. GREENISH-GOLD METALLIC SHEEN (COLIFORM BACTERIA) INDICATES FECAL
CONTAMINATION
C. CHLORINE READINGS SHOULD BE LOGGED ON A DD-686
D. AT LEAST FOUR SAMPLES SHOULD BE TESTED EACH WEEK

25. WHAT COLOR COMPARATOR KIT IS SIMPLE TO OPERATE AND SUITABLE FOR GENERAL
SHIPBOARD USE TO TEST WATER?
A. ORTHOTOLIDINE-ARSENITE
B. TAYLOR
C. PALIN-DPD
D. MEMBRANE FILTER TECHNIQUE

26. HOW OFTEN MUST EMERGENCY WATER BE INSPECTED TO INSURE THAT THE WATER IS
PROPERLY STORED AND SAFE FOR CONSUMPTION?
A. WEEKLY
B. MONTHLY
C. QUARTERLY
D. SEMI-ANNUALLY

27. WHO IS RESPONSIBLE FOR PROMULGATING INSTRUCTIONS FOR SHIP TO SHORE POTABLE
WATER CONNECTIONS AND FOR PROVIDING POTABLE WATER FROM THE APPROVED
SOURCE WHEN THE SHIP IS BERTHED AT A NAVAL FACILITY?
A. NAVAL FACILITIES ENGINEERING COMMAND
B. NAVAL SHIPS SYSTEMS COMMAND
C. BUREAU OF MEDICINE AND SURGERY
D. LOCAL PREVENTIVE MEDICINE UNIT

28. WHAT IS THE MINIMUM AMOUNT OF WATER PER MAN, PER DAY, FOR DRINKING ABOARD
SHIP?
A. 1 GALLON
B. 2 GALLONS
C. 5 GALLONS
D. 10 GALLONS

29. HOSES USED FOR DRINKING WATER ABOARD SHIP SHALL BE LABELED?
A. DRINKING WATER ONLY
B. POTABLE WATER ONLY
C. NOT FOR SEA WATER USE
D. CHLORINATE BEFORE USE

30. HOW LONG SHOULD THE CHRONOLOGICAL LOG BE MAINTAINED, INDICATING THE DATE,
SOURCE OF SAMPLE, BACTERIOLOGICAL RESULTS OBTAINED AND ACTION TAKEN
BECAUSE OF UNSATISFACTORY WATER ANALYSIS?
A. 12 MONTHS
B. 18 MONTHS
C. 24 MONTHS
D. 48 MONTHS

31. HOW FAR FROM THE NEAREST LAND MAY A SHIP PERMIT OVERBOARD DISCHARGE OF
UNTREATED SEWAGE?
A. 3 MILES
B. 5 MILES
C. 10 MILES
D. 25 MILES

32. WHAT FLY MAY SERVE AS A MECHANICAL VECTOR OF THE DISEASE ORGANISM IN THE
SAME WAY AS HOUSE FLIES, BUT THEY DO NOT PRESENT THE SAME PUBLIC HEALTH
PROBLEM SINCE THEY RARELY ENTER DWELLING?
A. WARBLE FLY
B. DEER FLY
C. BLACK FLY
D. BLOW FLY

33. WHAT IS THE EASIEST WAY FOR A COCKROACH TO GAIN ACCESS TO A SHIP?
A. BAGGED POTATOES AND ONIONS
B. BOTTLE CASES
C. FOOD PACKAGES
D. ALL OF THE ABOVE

34. WHAT IS THE MOST SERIOUS DISEASE TRANSMITTED TO MAN BY MITES?
A. SCHISTOSOMIAS
B. SCRUB TYPHUS
C. SCABIES
D. HOOKWORM

35. THE SAFE GUARDS TO INSURE A POTABLE WATER SUPPLY AND THE DETAILS OF
CHEMICAL PURIFICATION FOR SHIPS ARE COVERED IN THE MANUAL OF NAVAL
PREVENTIVE MEDICINE (NAV,MED P-5010) IN WHAT CHAPTER?
A. 5
B. 6
C. 7
D. 8

36. WHAT IS THE ONLY INSECTICIDE APPROVED FOR AIRCRAFT DISINFECTION BY THE
WORLD HEALTH ORGANIZATION?
A. 0.5% MALATHION
B. BHC (LINDANE)
C. RESMETHRIN
D. PYRETHRUM

37. WHO IS RESPONSIBLE FOR THE OPERATION AND MAINTENANCE OF THE SHIP-BOARD
WATER SUPPLY SYSTEM, PRODUCTION OF AN ADEQUATE AMOUNT OF WATER, AND
INSURING BACTERIOLOGICAL PURITY BY CHLORINATION?
A. OPERATIONS OFFICER
B. MEDICAL OFFICER
C. ENGINEERING OFFICER
D. BOTH B AND C

38. WHEN STRUCTURES ARE BUILT FOR RODENT CONTROL, ALL OPENINGS SHOULD BE
COVERED WITH WHAT SIZE GALVANIZED HARDWARE CLOTH?
A. 25 GAUGE, 1/8" MESH
B. 28 GAUGE, 3/8" MESH
C. 30 GAUGE, 5/8" MESH
D. 35 GAUGE, 1/8" MESH

39. WHAT SHOULD BE USED TO CONTROL CRAB LICE IF THEY BECOME RESISTANT TO KWELL
(LINDANE)?
A. 1% MALATHION DUST
B. 2% DIAZINON
C. 1% BAGON OIL SOLUTION
D. 2% BAGON BAIT

40. WHAT IS THE TERM USED TO DENOTE A TB SKIN TEST REACTION IN WHICH THE LARGEST
DIAMETER OF INDURATION IS LESS THAN 5MM?
A. CONVERSION
B. CONVERTER
C. REACTOR
D. NON-REACTIVE

41. UNDER WHAT CIRCUMSTANCES MUST A PPD NEVER BE GIVEN?
A. PRIOR TO DEPARTURE ON PCS ORDERS
B. 1 TO 6 WEEKS PRIOR TO SEPARATION
C. AFTER RECEIVING A PREVIOUS POSITIVE
D. AFTER CONTACT WITH A PATIENT WITH TB

42. WHICH OF THE BELOW IS NOT TRUE CONCERNING THE NAVY TUBERCULOSIS CONTROL
PROGRAM?
A. ANNUAL REPORT OF TB SCREENING IS SUBMITTED TO NAVMEDCOM BY 01 FEB
B. THE PPD IS READ IN NOT LESS THAN 48 HOURS OR MORE THAN 72 HOURS
C. TB CONTACTS SHOULD BE SCREENED AT 3, 6, AND 12 MONTH INTERVALS
D. ENSURE A COPY OF THE TB CONTACT/CONVERTER FOLLOW UP FORM (NAVMED 6224/1) IS
SENT TO NAVMEDCOM

43. WHAT IS USED AS THE CHEMOPROPHYLAXIS IN THE PREVENTION OF TUBERCULOSIS?
A. GAMMA GLOBULIN
B. ISONIAZID (INH)
C. CHLOROQUINE-PRIMAQUINE
D. CHEST X-RAY

44. WHAT IS THE INCUBATION PERIOD FOR CHOLERA?
A. 2-3 DAYS
B. 2-3 WEEKS
C. 1-3 WEEKS
D. 24 HOURS

45. WHAT IS THE INCUBATION PERIOD FOR AMEBIC DYSENTERY (AMEBIASIS)?
A. 1-6 DAYS
B. 5-6 DAYS
C. 18 DAYS
D. 2 - 4 WEEKS