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While examining a patient, you note that he exhibits a positive Brudzinski's sign. You suspect:


A) meningitis.
B) pertussis.
C) varicella.
D) tuberculosis.

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A life-threatening medical condition that is caused by systemic inflammatory response syndrome (SIRS) is:


A) hypoglycemia.
B) thrombocytopenia.
C) septicemia.
D) pernicious anemia.

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One area in which paramedics have a chance to assume leadership is:


A) public education and infectious disease prevention.
B) FEMA studies.
C) CDC studies.
D) hospital advisory boards.

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Whooping cough is also known as:


A) meningococcus.
B) pertussis.
C) varicella.
D) pneumonia.

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Mushrooms and yeasts are examples of:


A) parasites.
B) fungi.
C) helminthes.
D) protozoa.

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After receiving the hepatitis B vaccine, the blood of a paramedic reveals no circulating antibodies for the disease. Which of the following phases would the paramedic most likely be in regarding the immunization?


A) Latent
B) Window
C) Incubation
D) Seroconversion

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You are suspicious that a patient is suffering from active tuberculosis. Which of the following would be most appropriate?


A) Neither you nor the patient should wear a HEPA respirator.
B) Both you and the patient should wear a HEPA respirator.
C) You should wear an N95 mask.
D) The patient should wear a HEPA respirator.

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Which of the following statements about Neisseria meningitidis is TRUE?


A) The vaccine is recommended for health care workers.
B) It is the bacteria that most often causes serious cases of meningitis.
C) It is responsible for 90 percent of patients with a viral meningitis.
D) Signs and symptoms of infection can take weeks to develop.

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All the following pathogens typically cause meningitis in children EXCEPT:


A) Haemophilus influenza type B
B) Streptococcus pneumoniae
C) Neisseria meningitidis
D) Paramyxovirus

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Which of the following organisms causes mononucleosis?


A) Epstein-Barr virus
B) Pediculus humanus capitis
C) Treponema
D) Herpes zoster

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Your patient is a 23-year-old male prisoner who is alert and oriented, complaining of general malaise. He describes a month-long history of weakness, joint pain, nausea and occasional vomiting, and anorexia. He has no medical history and takes no medications. Physical examination reveals clear lung sounds bilaterally; warm, dry skin; several prison tattoos; a firm liver; and jaundice to his sclera. Which of the following is most likely?


A) Fatty liver
B) Cirrhosis of the liver
C) HIV
D) Hepatitis B

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Clostridium botulinum has its effect primarily by:


A) altering cellular structure to create syncytia.
B) releasing a toxin that results in muscular paralysis.
C) creating gas through the fermentation of carbohydrates in muscle tissue.
D) causing septicemia.

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Which hepatitis often presents with hepatitis D?


A) A
B) B
C) C
D) D

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Which of the following statements about mumps is TRUE?


A) Mumps are of no concern to the adult patient.
B) There is no vaccine for the mumps virus.
C) Mumps are characterized by enlargement of the salivary glands.
D) Mumps are not highly communicable.

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Which of the following agencies is the primary agency responsible for establishing guidelines and standards to regulate health care worker safety as it relates to communicable disease transmission?


A) NFPA
B) CDC
C) FEMA
D) OSHA

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Demographics are:


A) statistics related to the morbidity and mortality of all illnesses and injuries.
B) geographical distributions of illness and injury.
C) statistics related to the incidence of infectious disease.
D) characteristics of human populations.

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You are caring for a patient you suspect of having an active TB infection. Your personal protective equipment (PPE) should include:


A) Tyvek suit.
B) hazmat level B protection.
C) powered air-purifying respirator (PAPR) mask.
D) N-95 mask.

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Which of the following agencies monitors national disease data and provides disease information to health care providers?


A) DHHS
B) CDC
C) OSHA
D) NIOSH

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Your patient is a 40-year-old male. As a child he would have been least likely to have suffered from:


A) RSV.
B) pertussis.
C) measles.
D) mumps.

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Hepatitis E is often associated with:


A) HIV infection.
B) tuberculosis infection.
C) contaminated drinking water.
D) HBV infection.

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