Exam 4

Question 1

Acamprosate and naltrexone

Answer 1

To reduce Alc cravings

Question 2

Methadone (methadose, dolophine)

Answer 2

Full opioid agonist

Question 3

Buprenorphine (subutex)

Answer 3

-used in long term recovery from opioid addiction

Question 4

Naloxone

Answer 4

-opioid antagonist
-temporary reversal of respiratory depression

Question 5

CIWA Ar

Answer 5

-tool for nurses to guide in administration of vendors for treatment of symptoms withdrawal from CNS depressants (Ativan, Valium)
-score greater then 15 on three consecutive assessment = alert the service

Question 6

Superfund

Answer 6

Named by the comprehensive, environmental response, compensation and liability act of 1980 allows the EPA to addressing clean up, hazardous waste sites and compel responsible parties to clean up and reimburse the government for EPA lead cleanups

Question 7

Exposure pathway

Answer 7

-Exposure to a contaminant from a specific source consists of five parts
-Source of contamination: what it is, and where it originated
-Environmental media and transport mechanisms: ground water, air service, oil, subsurface, oil, sediment in plants and animals
Point of exposure : place of contact, food home playground lake, etc.
Root of exposure : how contaminant enters the body
Receptor population : people likely to be exposed

Question 8

Bioavailability

Answer 8

The amount of a contaminant, that will actually end up in the systemic circulation

Question 9

Case-control studies in cluster investigations are

Answer 9

Retrospective identify, then work backward to the exposure

Question 10

Incident command system

Answer 10

Structured frequently practiced and updated plan

Question 11

Biologic agents in bioterrorism

Answer 11

-Air or water, borne, inhaled or ingested easy to obtain inexpensive

Question 12

Anthrax

Answer 12

-spore forming bacillus, naturally in soil (cattle and sheep) ingestion of contaminated meat, respiratory and skin high mortality, inhaled

Question 13

Botulism

Answer 13

Clostridium botulinum soil, and contaminated meat
-Low mortality

Question 14

Plague

Answer 14

Yersinia pestis rodents, and their fleas, inhaled spores bite (high mortality)

Question 15

Small pox

Answer 15

Various virus
-acutely contagious
-WHO declared eliminated in 1981 case reported considered an outbreak

Question 16

Tularemia

Answer 16

-francisella tilarensis, rodents, rabbits (low mortality)

Question 17

Viral hemorrhagic fevers VHFs

Answer 17

-arenaviruses, ebola rodents tics, Ebola precautions
Level four

Question 18

Invacuation

Answer 18

-Active moving people somewhere safe within building/another floor (lockdown)

Question 19

Radiation energy

Answer 19

-inform of particles or waves heat light radio waves microwaves

Question 20

Ionizing radiation

Answer 20

High energy form, electromagnetic, radiation

Question 21

Dirty bombs may lead to

Answer 21

Malignancies
Genetic mutations
Reproductive issues

Question 22

Corner stone to DHS comprehensive strategy for countering terrorism

Answer 22

BIOWATCH

Question 23

Trimorbidity

Answer 23

-Refers to chronic illness of the homeless population
-Mental illness substance addiction chronic physical illness

Question 24

Cohort studies

Answer 24

-Prospective study, moving forward what health affects occur