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43 Cards in this Set
- Front
- Back
In what ages does mononucleosis normally appear?
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Adolescents and college students.
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What lab tests are used to diagnose mononucleosis?
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*WBC
*Monospot test |
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What is a strong symptom of mononucleosis?
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Splenomegaly.
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How is mononucleosis transmitted?
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Oropharyngeal route during close contact (saliva).
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Why should patients be taught to notify an MD if they have abdominal and left shoulder pain.
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Abdominal pain can indicate the splenomegaly present in mononucleosis and the shoulder pain can be a result of lymph drainage present in mononucleosis.
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What immunization contains a vaccine for pertussis?
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DPT.
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What are the 3 stages of pertussis?
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1.Catarrhal
2.Paroxysmal 3.Convalescent |
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When is pertussis most infectious?
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During the catarrhal stage.
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What is tuberculosis (TB)?
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A chronic infectious disease that is characterized by the formation of tubercles or granulomas in the lungs.
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What was the 1st effective drug used to treat TB in the US?
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Streptomycin.
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What is the mode of transmission for TB?
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Airborne, transmitted by droplet.
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Can a person with latent TB spread TB?
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No.
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Who is most at risk for TB?
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Elderly (especially in LTC facilities).
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What are some significant clinical manifestations of TB?
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*Cough
*Weakness *Fatigue *Pallor *Night sweats |
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How is TB treated?
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With 3-4 drugs at once.
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In what kind of room should a patient with TB reside while in the hospital?
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A negative pressure room.
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Name a therapy that is used to monitor for compliance.
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Direct Observation Therapy (DOT).
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Is there a vaccine for TB in the US?
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No.
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At what point is the patient considered no longer infected with TB?
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*3 negative AFB smears
*Imporving s/s-effective drug treatment |
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How is Lyme Disease transmitted?
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By an infected deer tick.
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What age groups have the highest incidence of Lyme Disease?
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Children and >30 years old.
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What is the definative symptom of Lyme Disease?
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A Bull's eye rash.
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What is the primary way of diagnosing Lyme disease?
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By clinical manifestations.
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What antibiotics are used to treat Lyme disease?
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Doxycycline or amoxicillin.
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How many stages are there of Lyme disease?
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3.
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Which stage of Lyme disease is resistant to antibiotics?
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The third.
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What is important teaching in preventing Lyme disease?
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Proper tick removal.
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Which clinical manifestation of the West Nile Virus that is fatal?
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Encephalitis.
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Is the West Nile Virus able to cross the blood/brain barrier?
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Yes.
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What are the modes of transmitting West Nile Virus?
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*Infected mosquitoes
*Transfusions *Transplants |
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Which is the best way to avoid West Nile Virus?
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Primary prevention - mosquitoe repellant.
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How is West Nile Virus diagnosed?
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The presence of Igm in blood.
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What does Group A Strep do?
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It destroys tissue at a rapid rate.
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What is the best medical management of Group A Strep?
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Prompt treatment. Need immediate debridement of all necrotic tissue.
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What is the major contributor to MRSA/VRE?
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Inappropriate use of antibiotics.
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Where, on the body, do you find MRSA?
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*Nasal secretions
*Skin *urine |
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Where, on the body, do you find VRE?
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*GI tract
*Female genital tract |
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How long can C. Diff spores survive on inanimate objects?
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Up to 70 days.
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What causes SARS?
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Corona Virus.
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Is there a vaccine for SARS?
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No.
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What should a nurse do immediately if they suspect a patient has SARS?
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Place a mask on the patient and put them in a private room.
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Is SARS reportable?
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Yes.
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How is Avian Influenza spread?
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Birds' saliva, nasal secretions, and feces.
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