CMAN 380 Final Questions With Complete Solutions
1st step in preventing violence correct answers 1. understand
the Who, what, where, when, and how
2. analyze data
3. trends
4. obtain data from police reports, hospital charts, etc.
2 types of IGRAs correct answers 1. QuantiFERON-TB GOld
2. SPOT (T-spot)
2 ways TB can develop in an HIV-infected person? correct
answers 1. LTBI becomes infected with HIV
2. HIV infection becomes infected with M. tuberculosis
A member of the clinic housekeeping staff experiences a
needlestick by a contaminated needle. Which of the following
should be administered by the healthcare personnel? correct
answers Hepatitis B vaccine
-try and make the puncture bleed and wash with soap and water
A rapid flu screen has a sensitivity (50-70%). The result came
back, and it is negative. How would you explain the results to
the patient and what would you recommend? correct answers "it
is likely you have the flu"
-the other 30-50% will be a false negative
,ACE Study correct answers demonstrated an association of
adverse childhood experiences (ACEs) with health and social
problems across the lifespan.
Achilles InSight test has a sensitivity of 90% and a specificity of
32%. How would you interpret these results? correct answers
90% chance of having impaired bone density
Active TB (pulmonary) correct answers -Active
-TST (positive)
-CXR: abnormal
-Sputum culture: Positive
-Symptoms: cough, fever, weight loss
-Often infectious before treatment
-A case of TB
Acute viral hepatitis symptoms correct answers fever, headache,
malaise, anorexia, nausea, vomiting, diarrhea, abdominal pain,
or dark urine, jaundice, elevated ALT
Advantages of IGRA correct answers 1. single patient visit
2. results in 24 hours
3. does NOT cause booster phenomenon
4. less likely to have incorrect reading results compared to TST
5. BCG vaccine does NOT affect results
An induration of less than 5mm is considered negative or
positive? correct answers negative
, Antiretroviral therapy (ART) correct answers highly effective in
decreasing morbidity and mortality; progression to AIDS and
death
-earlier the diagnosis more benefit
-can dramatically reduce rate of transmission
Bacterial vaginosis (BV) correct answers NOT an STI infection
caused by overgrowth of bacteria naturally found in the vagina
(natural balance upset)
Can those with LTB receive treatment to prevent them from
developing Active TB? correct answers yes
Causes of false positive for HIV? correct answers 1. other viral
diseases
2. hematologic disorders
3. liver diseases
4. immunizations
5. Autoimmune disorders
Causes of False-Negative for HIV? correct answers 1. Acute
HIV infection (too soon to test)
2.Advanced HIV disease (very rare)
3. Antiretroviral Therapy (still test +antibodies)
CDC STI Screening Recommendations correct answers All
aged 13-64 should be tested at least once for HIV
All sexually active women <25 years should be tested for
gonorrhea and chlamydia every year.
1st step in preventing violence correct answers 1. understand
the Who, what, where, when, and how
2. analyze data
3. trends
4. obtain data from police reports, hospital charts, etc.
2 types of IGRAs correct answers 1. QuantiFERON-TB GOld
2. SPOT (T-spot)
2 ways TB can develop in an HIV-infected person? correct
answers 1. LTBI becomes infected with HIV
2. HIV infection becomes infected with M. tuberculosis
A member of the clinic housekeeping staff experiences a
needlestick by a contaminated needle. Which of the following
should be administered by the healthcare personnel? correct
answers Hepatitis B vaccine
-try and make the puncture bleed and wash with soap and water
A rapid flu screen has a sensitivity (50-70%). The result came
back, and it is negative. How would you explain the results to
the patient and what would you recommend? correct answers "it
is likely you have the flu"
-the other 30-50% will be a false negative
,ACE Study correct answers demonstrated an association of
adverse childhood experiences (ACEs) with health and social
problems across the lifespan.
Achilles InSight test has a sensitivity of 90% and a specificity of
32%. How would you interpret these results? correct answers
90% chance of having impaired bone density
Active TB (pulmonary) correct answers -Active
-TST (positive)
-CXR: abnormal
-Sputum culture: Positive
-Symptoms: cough, fever, weight loss
-Often infectious before treatment
-A case of TB
Acute viral hepatitis symptoms correct answers fever, headache,
malaise, anorexia, nausea, vomiting, diarrhea, abdominal pain,
or dark urine, jaundice, elevated ALT
Advantages of IGRA correct answers 1. single patient visit
2. results in 24 hours
3. does NOT cause booster phenomenon
4. less likely to have incorrect reading results compared to TST
5. BCG vaccine does NOT affect results
An induration of less than 5mm is considered negative or
positive? correct answers negative
, Antiretroviral therapy (ART) correct answers highly effective in
decreasing morbidity and mortality; progression to AIDS and
death
-earlier the diagnosis more benefit
-can dramatically reduce rate of transmission
Bacterial vaginosis (BV) correct answers NOT an STI infection
caused by overgrowth of bacteria naturally found in the vagina
(natural balance upset)
Can those with LTB receive treatment to prevent them from
developing Active TB? correct answers yes
Causes of false positive for HIV? correct answers 1. other viral
diseases
2. hematologic disorders
3. liver diseases
4. immunizations
5. Autoimmune disorders
Causes of False-Negative for HIV? correct answers 1. Acute
HIV infection (too soon to test)
2.Advanced HIV disease (very rare)
3. Antiretroviral Therapy (still test +antibodies)
CDC STI Screening Recommendations correct answers All
aged 13-64 should be tested at least once for HIV
All sexually active women <25 years should be tested for
gonorrhea and chlamydia every year.
