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Chapter 26
Paramedic: Infectious Diseases
177
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Not Applicable
01/31/2013

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Term
What is an infectious disease that can be passed from one person to another?
Definition
Communicable Disease 1288
Term
What is a disease caused by pathogenic organisms?
Definition
Infectious Disease 1288
Term
What has promulgated rules and regulations designed to protect employees of public and private organizations?
Definition
OSHA 1288
Term
What is commonly known as the Bloodborne Pathogen Standard?
Definition
CFR 1910.1030 1288
Term
What is consistently present or prevalent in a population or geographic area?
Definition
Endemic 1289
Term
What is an outbreak of disease that substantially exceeds what is excepted based on recent experience?
Definition
Epidemic 1289
Term
What is an outbreak of disease that occurs on a global scale?
Definition
Pandemic 1289
Term
What is health care associated infections?
Definition
Nosocomial 1289
Term
What are items that come in contact with mucous membranes?
Definition
Critical Equipment 1289
Term
What are items that come into contact with intact skin?
Definition
Semicritical Equipment 1289
Term
What kind of cleaning solution fits the requirement for semicritical equipment?
Definition
1:100 Dilution Bleach and Water 1289
Term
What cleaning solution fits the requirement for critical equipment?
Definition
Environmental Protection Agency (EPA)-Registered Chemical sterilants 1289
Term
What equipment requires a mixture of EPA-registered hospital grade cleaner or bleach and water?
Definition
Noncritical Equipment 1289
Term
What requires that medical facilities notify emergency response personnel of airborne and droplet transmitted disease involving patients they transported?
Definition
Ryan White Comprehensive AIDS Resource Emergency (CARE) Act, Part G 1288
Term
When does the medical facility have to report a possible exposure to the emergency response personnel?
Definition
ASAP and no longer than 48 hours 1288
Term
What are small organisms that can grow and reproduce outside the human cell in the presence of the needed temperature and nutrients and cause disease by invading and multiplying in the tissues of the host?
Definition
Bacteria 1289
Term
What are small organisms that can grow rapidly in the presence of the needed nutrients and organic material and can cause infection related to contact with decaying organic matter or from airborne spores in the environment such as molds?
Definition
Fungi 1289
Term
What is any living organisms in or on any other living creature and take advantage of the host by feeding off cells and tissues?
Definition
Parasites 1289
Term
What are small organisms that can multiply only inside a host, such as a human, and cause disease?
Definition
Viruses 1289
Term
What is the transmission of an infectious agent by means of direct or indirect contact with the infected persons?
Definition
Contact Transmission 1289
Term
What are pathogenic microorganisms that are present in human blood and can cause disease in humans?
Definition
Bloodborne Pathogens 1290
Term
What are objects that harbor microorganisms and can transmit them to others?
Definition
Fomites 1290
Term
What occurs with inhalation of infected droplets?
Definition
Droplet Transmission 1290
Term
What is generally the rule with droplet transmission?
Definition
3-6 foot rule 1290
Term
What is the transmission of an infectious agent by inhalation of small particles that become aerosolized when the infected person coughs, sneezes, talks, or exhales?
Definition
Airborne Transmission 1290
Term
What is an organism that harbors pathogens that are harmless to the organism but cause disease when transmitted to a human host?
Definition
Vector 1290
Term
What is CSF, pericardial fluid, amniotic fluid, synovial fluid, peritoneal fluid, and any fluid containing visible blood?
Definition
Other Potentially Infectious Material (OPIM) 1291
Term
What causes more than 80% of exposures of health care providers to infectious agents?
Definition
Sharps Injuries 1292
Term
What did congress pass in 2000 which required that all sharps be needle-safe or needleless systems?
Definition
Needlestick Safety and Preventions Act 1292
Term
What is your 3rd line of defense against the effects of communicable diseases?
Definition
Postexposure Medical Follow-up 1292
Term
Who will ensure that you receive proper postexposure medical treatment including counseling, to reduce your chances of developing the disease to which you were exposed?
Definition
Designated Infection Control Officer (DICO) 1292
Term
What is any person, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure to another person?
Definition
Source Individual 1292
Term
What 3 people does the communication network for exposure reporting involve?
Definition
Exposed paramedic, DICO, and Treating Physician 1293
Term
What describes infection control practices that reduce the opportunity for an exposure to occur in the daily care of patients?
Definition
Standard Precautions 1294
Term
What term replaces the older terms universal precautions and body substance isolation (BSI)?
Definition
Standard Precautions 1294
Term
What are suspensions of whole (live or inactivated) or fractionated bacteria or viruses that have been rendered nonpathogenic?
Definition
Vaccines 1294
Term
What bring about immunity by causing the immune system to produce antibodies?
Definition
Vaccines 1294
Term
What is an inoculation with a vaccine, usually by injection or inhalation, to bring about immunity to a specific disease in a person?
Definition
Vaccinations 1294
Term
What is the process of producing widespread immunity to a specific disease among a targeted group by inoculating individual members of the population?
Definition
Immunizations 1294
Term
What is the presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface?
Definition
Contaminated 1294
Term
Who are people that harbor an infectious agent and, although not personally ill, can transmit the infection to other people?
Definition
Carriers 1294
Term
What involves a chain of events through which the communicable disease spreads?
Definition
Infection 1295
Term
What includes bacteria, viruses, and parasites?
Definition
Pathogenic Organisms 1295
Term
What is the ability of an organism to invade and create disease in a host?
Definition
Virulence 1295
Term
What is your ability to fight off infection?
Definition
Host Infection 1295
Term
What is the period between exposure to the organism and the first symptoms of illness?
Definition
Incubation Period 1295
Term
What is the period during which a person can transmit the illness to someone else?
Definition
Communicable Period 1295
Term
What are tiny fluid filled sacs or small blisters?
Definition
Vesicles 1295
Term
Where is a place where organisms may live and multiply?
Definition
Reservoir 1296
Term
What is the invasion of a host or host tissue by pathogenic organisms such as bacteria, viruses, or parasites that produces illness that may or may not have clinical manifestations?
Definition
Infection 1296
Term
What live in or on another living creature?
Definition
Parasites 1296
Term
What are single-celled, usually microscopic, eukaryotic organisms such as amoebas, ciliates, flagellates, and sporozoans?
Definition
Protozoa 1296
Term
What is an inflammation of the membranes that cover the brain and spinal cord?
Definition
Meningitis 1297
Term
What type of meningitis is most often involved in epidemic outbreaks?
Definition
Meningococcal Meningitis 1297
Term
What is the incubation period for meningococcal meningitis?
Definition
Between 2 and 10 days 1297
Term
What is it when the patient cannot extend his or her leg at the knee when the thigh is flexed because of stiffness in the hamstrings?
Definition
Kernig Sign 1297
Term
What is it when passive flexion of the leg on one side causes a similar movement in the opposite leg?
Definition
Brudzinski Sign 1297
Term
What is an infection that can progress to a disease characterized by a persistent cough for >3 weeks plus night sweats, headache, weight loss, hemoptysis, and/or chest pain?
Definition
Tuberculosis (TB) 1297
Term
What means that a person has tested positive for exposure to TB but does not have, and may never develop, active disease?
Definition
TB Infection (Latent TB) 1298
Term
What means that the person has active TB disease verified by laboratory testing and a positive chest radiograph?
Definition
TB Disease 1298
Term
What is the incubation period for TB?
Definition
4 to 12 Weeks 1298
Term
What is a test to determine if a person has ever been infected with TB?
Definition
Tuberculin Skin Test (TST) 1298
Term
How many people does TB develop in a person with a positive TB test?
Definition
10% 1298
Term
What many people die from pneumonia each year?
Definition
60,000 1298
Term
What is inflammation of the lungs?
Definition
Pneumonia 1298
Term
What is the leading cause of death in pediatric patients world wide, particularly infants?
Definition
Pneumonia 1299
Term
What is the leading cause of lower respiratory tract infection in infants, older people, and immunocompromised people?
Definition
Respiratory Syncytial Virus (RSV) 1299
Term
What is a labile paramyxovirus that infects the upper and lower respiratory tract, but disease, namely pneumonia and bronchiolitis, is more prevalent in the lower respiratory tract?
Definition
Respiratory Syncytial Virus (RSV) 1299
Term
What is the incubation period in respiratory syncytial virus (RSV)?
Definition
From 2-8 days 1299
Term
What may arises when the inner walls of the bronchioles become inflamed, usually due to infection?
Definition
Bronchitis 1300
Term
What is an inflammation of the voice box due to overuse, irritation, or infection?
Definition
Laryngitis 1300
Term
What is a life-threatening condition that causes the epiglottitis and supraglottic tissues to swell?
Definition
Epiglottitis 1300
Term
What is an infection of the upper respiratory system characterized by a runny nose, sore throat, cough, congestion, and watery eyes?
Definition
Common Cold 1300
Term
What is caused by the Hib bacteria and is contagious by the droplet route via coughing and sneezing?
Definition
Epiglottitis 1300
Term
What is caused by the Epstein-Barr virus, a herpes virus?
Definition
Mononucleosis 1300
Term
What virus grows in the epithelium of oropharynx and sheds into saliva and is call the kissing disease?
Definition
Mononucleosis 1300
Term
What has an incubation period of 4 to 6 weeks following exposure, with a prolonged communicable period?
Definition
Mononucleosis 1300
Term
What virus causes acute respiratory illnesses generally presenting as winter epidemics?
Definition
Influenza (Flu) 1300
Term
How many deaths does the flu cause each year?
Definition
Approximately 36,000 1300
Term
What has an incubation period of about 1 to 4 days and communicable period from the day before symptoms begin until about 5 days after the onset of the illness?
Definition
Influenza 1300
Term
What is the Standard on Fire Department Infection Control Program?
Definition
NFPA 1581
Term
What are a group of diseases usually acquired by sexual contact and include gonorrhea, syphilis, chlamydia, scabies, pubic lice, herpes, hepatitis, and HIV infections?
Definition
Sexually Transmitted Diseases (STDs) 1301
Term
What is an infection caused by the gonococcal bacteria, Neisseria gonorrhoeae?
Definition
Gonorrhea 1301
Term
What is the incubation period for gonorrhea?
Definition
2-7 days 1301
Term
What disease is communicable for months if not treated but if treated the disease is noncommunicable within hours?
Definition
Gonorrhea 1301
Term
What is caused by the spiral-shaped bacterium Treponema pallidum?
Definition
Syphilis 1301
Term
What is the incubation period of syphilis?
Definition
10 days to 3 months 1301
Term
What disease communicable period is variable and is considered noncontagious within 48 hours if treated with penicillin?
Definition
Syphilis 1301
Term
What is an ulcerative lesion?
Definition
Chancre 1301
Term
What is a chronic, recurrent illness produced by infection with the herpes simplex virus?
Definition
Genital Herpes 1301
Term
Which type of herpes is generally transmitted via contact with oral secretions?
Definition
Type I 1301
Term
What type of herpes is spread through sexual contact?
Definition
Type II 1301
Term
What is herpes infection of the finger?
Definition
Herpetic Whitlow 1302
Term
What is the incubation period of genital herpes?
Definition
2-12 days 1302
Term
How long are genital lesions infectious in genital herpes?
Definition
4-7 days 1302
Term
What is usually the cause of a genital herpes outbreak?
Definition
Stress-Related 1302
Term
What is used to reduce the outbreaks of genital herpes?
Definition
Acyclovir (Zovirax), Valacyclovir (Valtrex), and Famciclovir (Famvir) 1302
Term
What is an STD with the highest incidence in STDs?
Definition
Chlamydia 1302
Term
What has an incubation period of 7 to 14 days or longer and communicable period is unknown?
Definition
Chlamydia 1302
Term
What is caused by infection with Sarcoptes scabiei, a parasite?
Definition
Scabies 1302
Term
What has an incubation period of 4 to 6 weeks for persons with no prior exposure to the pathogen and a second or subsequent infestation my appear in as little as a few days?
Definition
Scabies 1302
Term
What has a communicable period that lasts until the mites and eggs are destroyed by treatment?
Definition
Scabies 1302
Term
How long can the female mite of scabies live on a human host?
Definition
Several Weeks 1302
Term
How long can a scabies parasite live without a host?
Definition
2 to 4 days 1302
Term
What is a topical treatment for scabies?
Definition
Lindane 1303
Term
What are small insects that crawl through hair and feed on blood through the skin?
Definition
Lice 1303
Term
What are the 3 types of lice?
Definition
Head Louse, Body Louse, and Pubic Louse 1303
Term
What has an incubation period that last approximately 8 to 10 days after the eggs hatch?
Definition
Lice 1303
Term
What diseases communicable period ends when all eggs are destroyed by treatment?
Definition
Lice 1303
Term
What is an inflammation of the liver produced by a virus?
Definition
Viral Hepatitis 1303
Term
How many distinct forms of viral hepatitis exist?
Definition
5 (A,B,C,D, and E) 1303
Term
What is an infection with the hepatitis B virus (HBV), which is transmitted through sexual contact, blood transfusion, or puncture of the skin with contaminated needles?
Definition
Serum Hepatitis 1304
Term
What is the incubation period for HBV?
Definition
45 to 200 days 1304
Term
What disease has a communicable period that starts weeks before the first symptoms appear and may persist for years in chronic carriers?
Definition
Hepatitis B (HBV) 1304
Term
What is a yellowing of the skin?
Definition
Jaundice 1304
Term
What is a yellowing of the sclera?
Definition
Scleral icterus 1304
Term
What are the whites of the eyes?
Definition
Sclera 1304
Term
What is the most common chronic bloodborne infection and the leading cause of liver transplantation in the United States?
Definition
Hepatitis C 1305
Term
What is the incubation period of hepatitis C?
Definition
2 to 24 weeks (average 6-7 weeks) 1305
Term
What requires that the host be infected with hepatitis B for infection to occur?
Definition
Hepatitis D 1305
Term
What is the incubation period for hepatitis D?
Definition
30 to 180 days 1305
Term
What is the virus in which the cells in the immune system are killed or damaged so that the body is unable to fight infections and certain cancers?
Definition
Human Immunodeficiency Virus (HIV) 1305
Term
What is having a positive blood test for an infectious agent?
Definition
Seropositive 1306
Term
What is the end-stage disease process caused by HIV?
Definition
Acquired Immunodefiency Syndrome (AID) 1306
Term
What is infections in which an organism thrives when the immune system has been compromised by illness, chemotherapeutic medications, or antirejection drugs in an organ transplant recipient?
Definition
Opportunistic Infections 1306
Term
What is a term that comprises many types of infections and irritations of the GI tract?
Definition
Gastroenteritis 1307
Term
What is not considered effective against the norovirus?
Definition
Alcohol Sanitizers 1307
Term
What is the most common type of hepatitis in the United States?
Definition
HAV or Infectious Hepatitis 1308
Term
What has an incubation period is usually about 2 to 4 weeks, although it can range from 15 to 50 days after ingestion of the virus?
Definition
Hepatitis A 1308
Term
What is also referred to as enterically transmitted non-A, non-B hepatitis (ET-NANB)?
Definition
Hepatitis E 1308
Term
What refers to infectious diseases of animals that can be transmitted to humans and cause disease?
Definition
Zoonotic 1308
Term
What is a type of virus that is transmitted by mosquitos, and usually causes only mild disease in human but can cause encephalitis, meningitis, and death?
Definition
West Nile Virus (WNV) 1308
Term
What is a tick-borne disease that primarily affects the skin, heart, joints, and nervous system and is characterized by a round, red lesion or bull's eye rash?
Definition
Lyme Disease 1309
Term
What are the 3 stages lyme disease is divided?
Definition
Early localized, Early disseminated, and Late manifestations 1309
Term
What stage in lyme disease is characterized by a round, red skin lesion, a bulls-eye rash?
Definition
Early Localized Stage 1309
Term
What stage in lyme disease will secondary lesions develop within days, and the patient may report flu-like symptoms?
Definition
Early Disseminated Stage 1309
Term
In what stage of lyme disease does arthritis occur in about 60% of untreated patients, beginning days to years after the initial infection?
Definition
Late Manifestations 1309
Term
What is a tick-borne disease caused by the bacterium Rickettsia rickettsii and is a cause of potentially fatal human illness?
Definition
Rocky Mountain Spotted Fever (RMSF) 1309
Term
What is the first-line treatment for adults and children of all ages for RMSF?
Definition
Doxycycline 1310
Term
What is a type of virus found in wild rodents, which can also cause disease in humans?
Definition
Hantavirus 1310
Term
What is found in the urine, feces, and saliva of chronically infected rodents?
Definition
Hantavirus 1310
Term
What is a fatal infection of the central nervous system caused by a bite from an animal that has been infected?
Definition
Rabies (hydrophobia) 1310
Term
What is skin sensation with no apparent cause?
Definition
Paresthesia 1310
Term
What is a disease caused by spores that enter the body through a puncture wound contaminated with animal feces, street dust, soil, or contaminated street drugs?
Definition
Tetanus 1311
Term
What is also known as lockjaw?
Definition
Tetanus 1311
Term
What is the recommended treatment of tetanus?
Definition
Tetanus Immune Globulin (TIG) 1311
Term
How often should paramedics be offered tetanus boosters?
Definition
Every 10 years 1311
Term
What is a strain of bacteria that became resistant to the drug methicillin, creating a new strain called methicillin-resistant S aureus?
Definition
Staphylococus Aureus 1311
Term
Where have studies shown that 50% to 90% of health care providers carry MRSA?
Definition
Nares 1311
Term
What is a pathogen that is present but has produced no illness in the host and often progresses to infection?
Definition
Colonized 1312
Term
What is one of the leading drugs for treating Staphylococus infections; however, once the organism has become resistant to this drug, it is no longer effective in treating the infections?
Definition
Vancomycin 1312
Term
What is a common normal organism of the gastrointestinal (GI) tract, urinary tract, and genitourinary tract?
Definition
Enterococcus 1312
Term
What is it when a person becomes resistant to the main drug used for treating enterococcal infection, vancomycin?
Definition
Vancomycin-Resistant Enterococci (VRE) 1312
Term
How many of all enterococcal isolates are currently resistant to vancomycin?
Definition
1/4 1312
Term
Where do VRE infections primarily occur?
Definition
Nosocomial 1312
Term
What is a health care-associated infection?
Definition
Nosocomial Infection 1312
Term
What is a new synthetic antibiotic used to treat VRE?
Definition
Linezolid 1313
Term
What is not a multidrug-resistant organism but is being treated like one and can occur after antibiotic treatment because some antibiotics can destroy normal bacteria in the intestine?
Definition
Clostridium Difficile (C diff) 1313
Term
What cleaning agent is required when cleaning after C difficile?
Definition
Chlorine-Based Cleaning Solution 1313
Term
What is an infection of the lungs and airways that usually occurs in children ages 3 to 6 months?
Definition
Bronchiolitis 1313
Term
What is the inflammation of the larynx and airway just below it and primarily occurs in children 5 years and younger?
Definition
Croup 1314
Term
What is also known as rubeola, hard measles, or red measles?
Definition
Measles 1314
Term
What is a highly communicable disease transmitted by airborne aerosolized droplets or by direct contact with the nasal or pharyngeal secretions of an infected person?
Definition
Measles 1314
Term
What phase in measles is characterized by fever, conjunctivitis, and coryza (acute rhinitis)?
Definition
Early (prodromal) Phase 1314
Term
What are whitish gray spots on the buccal (mouth) mucosa?
Definition
Koplik Spots 1314
Term
What is also known as German measles or 3-day measles?
Definition
Rubella 1314
Term
What is caused by a virus and occurs most commonly during the winter and spring and is highly communicable to susceptible people?
Definition
Rubella 1314
Term
What is a viral infection that primarily affects the parotid glands, which are one of the 3 pairs of salivary gland, causing swelling in front of the ears?
Definition
Mumps 1315
Term
What is also known as varicella zoster?
Definition
Chickenpox 1315
Term
What is a viral illness that produces a distinctive rash of itchy, fluid-filled vesicles?
Definition
Chickenpox 1315
Term
What are the two modes of transmission for chickenpox?
Definition
Airborne and Direct Contact Transmission 1315
Term
What is herpes zoster?
Definition
Shingles 1316
Term
What is also known as whooping cough?
Definition
Pertussis 1316
Term
What is an acute infectious disease characterized by a catarrhal stage, followed by a paroxysmal cough that ends in a whooping inspiration?
Definition
Pertussis 1316
Term
What is a new disease that arose from the merger of two viruses, one from mammals and one from birds?
Definition
Severe Acute Respiratory Syndrome (SARS) 1317
Term
What is a disease caused by a virus that occurs naturally in the bird population?
Definition
Avian (Bird) Flu 1317
Term
What are the lead agencies for responding to potential pandemic diseases in the United States?
Definition
Department of Health and Human Services 1317
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