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Exam & Evaluation (Biological Warfare: Diseases as Weapons)
 
Questions: Please respond to following statements.

1 All of the following are classified as Category A biological diseases or agents by the Centers for Disease Control and Prevention except:
  Smallpox
  Brucellosis
  Tularemia
  Anthrax
2 An example of a Category C agent is:
  Hantavirus
  Smallpox
  Staphylococcus enterotoxin B
  Q fever
3 Which type of anthrax has a case fatality rate between 90% and 100%?
  Cutaneous anthrax
  Gastrointestinal anthrax
  Inhalation anthrax
  Circulatory anthrax
4 Which of the following statements apply to the diagnosis of anthrax?
  It may be difficult to differentiate the beginning signs of inhalation anthrax from influenza
  Patients may have an initial period of improvement, followed by rapid deterioration
  Specific occupational and other risk factors for exposure should be assessed
  All of the above
5 The U.S. Food and Drug Administration approve all of the following antibiotics for the treatment of anthrax except:
  Procaine Penicillin G
  Gentamicin
  Ciprofloxacin
  Doxycline
6 Which of the following diseases or agents has the highest incidence of person-to-person transmission?
  Anthrax
  Botulism
  Tularemia
  Smallpox
7 Persons who have been exposed to anthrax bacillus spores should take antibiotics prophylactically for:
  10 days
  14 days
  30 days
  60 days
8 Botulinum toxin causes muscle paralysis by blocking the effects of:
  Epinephrine
  Glucagon
  Acetylcholine
  Thyroxin
9 Which of the following types of food is generally not associated with causing the foodborne form of botulism?
  Vegetables
  Fruits
  Salted fish
  Foil wrapped baked potatoes
10 The first symptoms of botulism are problems with:
  Seeing
  Speaking
  Swallowing
  All of the above
11 All of the following statements are true about botulism except:
  Botulinum toxin is colorless, odorless, and tasteless
  The onset and severity of botulism depends on the rate and amount of toxin absorbed
  Botulism does not affect the cranial nerves
  Death occurs from airway obstruction and paralysis of the respiratory muscles
12 Which of the following are classic symptoms of botulism?
  Symmetric, descending flaccid paralysis
  A clear sensorium
  Lack of fever
  All of the above
13 Which of these neurological conditions is most often confused with botulism?
  Parkinsonís disease
  Multiple sclerosis
  Guillain-Barre syndrome
  Amyotrophic lateral sclerosis
14 Patients with suspected botulism should be carefully monitored for:
  Sensory changes
  Respiratory failure
  Seizures
  Renal failure
15 A bed position that may help patients with botulism improve respiratory excursion is:
  Semi-Fowlers position
  Recumbent position
  Reverse Trendelenburg position
  Trendelenburg position
16 The causative agent of plague is:
  Bacillus anthracis
  Yersinia pestis
  Francisella tularemia
  Ebola virus
17 All of the following statements are true about pneumonic plague except:
  If untreated, pneumonic plague is rapidly fatal
  It is not transmitted from person to person
  It can be acquired by breathing in aerosolized bacteria
  It can occur from other forms of plague that spread to the lungs
18 The death rate from an outbreak of plague can be minimized if patients are treated within the first 24 hours of symptoms with:
  Anti-viral agents
  Plague vaccine
  Antibiotics
  Plague immune globulin
19 Routine smallpox vaccination in the U.S. stopped in:
  1962
  1972
  1984
  1993
20 Smallpox is considered a significant bioterrorist threat because:
  A large percentage of the U.S. population has no immunity to smallpox
  It is highly transmittable from person to person
  There is no treatment other than supportive care
  All of the above
21 The mortality rate from smallpox is approximately:
  5%
  15%
  20%
  30%
22 The incubation period for smallpox ranges from:
  12 to 72 hours
  1 to 6 days
  7 to 10 days
  7 to 17 days
23 All of the following are true of smallpox except:
  Smallpox can be contagious before the rash appears.
  Smallpox virus can be transmitted by bed linens and clothing.
  Hemorrhagic and malignant smallpox are mild forms of the disease.
  Patients who survive often have severe facial scarring.
24 Which of the following are characteristic of a smallpox rash?
  The rash is most prominent on the face and extremities
  The rash develops at the same rate on affected body parts
  Smallpox pustules are round, hard, and deeply embedded in the skin
  All of the above
25 Which principle(s) would be used to control a smallpox epidemic?
  Early detection and isolation of smallpox cases
  Surveillance of close contacts of persons with smallpox
  A focused selective vaccination program
  All of the above
26 All of the following statements are true about smallpox containment in a community except:
  Contacts of persons with smallpox, healthcare and emergency workers would be vaccinated first.
  It is possible that some individuals would be placed under quarantine
  Most patients with smallpox would be cared for in a hospital
  Home care would be the ideal site of care for most individuals
27 Which of the following are potential complications of smallpox vaccination?
  Postvaccinial encephalitis
  Progressive vaccinia
  Accidental inoculation of other parts of the body
  All of the above
28 Which of the following groups are at a higher than normal risk for complications of smallpox vaccine?
  Pregnant women
  Persons with eczema or other forms of exfoliative dermatitis
  Persons who are immunocompromised
  All of the above
29 Tularemia can be acquired by:
  A bite from an infected animal
  Handling infectious animal tissue or fluids
  Inhalation of infected aerosols
  All of the above
30 A bioterrorist attack would affect the greatest number of people by which means of transmission?
  Contamination of food supply
  Contamination of water supply
  Release of an infectious agent into the air
  Release of infected animal into a civilian population
31 The antibiotic of choice for treatment of tularemia in a contained casualty situation is:
  Penicillin Procaine G
  Ciprofloxacin
  Streptomycin
  Gentamicin
32 Which of the following are symptoms of infection with the agents that cause viral hemorrhagic fever?
  Fever
  Malaise
  Bleeding into the skin, internal organs, or body orifices
  All of the above
33 The treatment for viral hemorrhagic fever is:
  Antibiotic therapy
  Vaccine immune globulin
  Supportive care
  Passive vaccination
34 According to "Bioterrorism Readiness Plan: A Template for Healthcare Facilities" (Section I, A) all of the following groups should be notified if a bioterrorism event is suspected. Who would YOU notify FIRST?
  CDC
  FBI field office
  local and state health departments
  local police (911)
  local infection control personnel and healthcare facility administration
  medical emergency services
35 A patient with Llasa ("Lassa") fever should be given a specific antiviral medication called __________ (fill in)?
36 According to the Army Medical Research link, which medications are generally considered safe for nursing mothers? (Please note: there are multiple answers; check ALL responses that correctly answer this question)
  penicillin
  chloramphenicol
  tetracycline
  aminoglycosides
  fluoroquinolones
  macrolides
  cephalosporins
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