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Prevmed 2 > Prevmed 2 > Flashcards

Prevmed 2 Flashcards

1
Q

What is distillation?

A

Total process of distilling plant forms, including evaporation and condensation.

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2
Q

Who is responsible for promulgating instructions for SHIP-TO-SHORE potable water connections?

A

Naval Facilities Engineering Command (NAVFACENGCOM)

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3
Q

Whos is responsible for establishing HEALTH STANDARD for water quality AFLOAT?

A

Chief BUMED

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4
Q

Who is responsible for RECIEVING, STORAGE, DISTRIBUTION, PRODUCTION,AND TREATMENT of potable water?

A

Engineering Department

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5
Q

Water hour gallons?

A

2 gallons per man per day

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6
Q

NON water hour gallons?

A

50 per man per day

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7
Q

Approved sources for SHORE-TO SHIP delivery?

A

Environmental Protection Agency (EPA)

State and Territory Public Water System

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8
Q

We accept water from U.S. military under the cognizance of?

A

British Royal Navy
Canadian Forces
Royal Australian Navy

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9
Q

2 types of Reverse Osmosis?

A

Single Pass - Additional disinfection required

Triple Pass - NO additional Disinfection required

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10
Q

Tank coating standards are set by who?

A

NSF

ANSI

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11
Q

What does CHT stand for?

A

Collection Holding and Transfer

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12
Q

Color of connection hoses for Potable Water?

A

Dark Blue

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13
Q

Characteristics of Potable Water Hose Locker?

A
  • Vermin Proof
  • Locked
  • 18in of the deck
  • Water bill CONSPICUOUSLY posted inside the locker
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14
Q

What is the purpose of bacteriological testing?

A
  • Ensure fitness for human consumption

- Assess adequacy of disinfection process

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15
Q

Minimum halogen residual for doubtful quality?

A

2 parts per million

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16
Q

What are the 2 types of DPD?

A

DPD# 1

DPD# 4

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17
Q

What does DPD 1 test for?

A

FAC - Free Available Chlorine

TBR - Total Bromine

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18
Q

What does DPD 4 test for?

A

Test for Chloramines ( total chlorine ) residual

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19
Q

Least desirable method of water disinfection?

A

Batch Method (Manual Chlorine Disinfection)

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20
Q

HTH?

A

Calcium Hypochlorite

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21
Q

Halogen residual for APPROVED source?

A

0.2 PPM FAC/TBR - 30 min contact time

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22
Q

Halogen residual for UNAPPROVED sources?

A

2.0 PPM FAC/TBR - 30 min contact time

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23
Q

Method 1 hold time?

A

24 hrs

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24
Q

Steam method approved by?

A

NAVSEASYSCOM

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25
Q

Request outside assistance from?

A

NEPMU Via TYCOM Med Officer

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26
Q

Storage of HTH 65-70% available chlorine (Ready to use):

A
  • 6 ounce bottles
  • 3 1/4 holes
  • No more than 7 days stock
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27
Q

Storage of HTH 65-70% available chlorine (store room stock):

A
  • Located where maximum temp will not exceed 100
  • Located 5ft away from 140
  • 48 6 ounce bottles
  • Labeled HAZMAT calcium hypochlorite RED letters WHITE background
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28
Q

Who promulgates the Water Sanitation Bill?

A

CO ultimately responsible

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29
Q

How long do you maintain Water Log?

A

2 years by MDR

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30
Q

Waste Water hazard training conducted when?

A

Periodically

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31
Q

What are the 3 methods CHT operates in?

A
  • Restricted waters
  • At sea
  • In port
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32
Q

What type of marine sanitation device do ships use?

A

Type 2 Bravo

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33
Q

Pump room should have what specific breathing device?

A

2 EEBD

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34
Q

Toxic or explosive gases associated with CHT?

A

Methane
Ammonia
Carbon Dioxide
Hydrogen Sulfate - smell like rotten eggs

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35
Q

Practices of CHT workers required to prevent disease?

A

Personal Hygiene

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36
Q

EPA approved disinfectant for spills in medical, foodservice, and breathings?

A

Germicides

  • Iodine
  • Phenolic
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37
Q

Color coding for pipes of the valve handles?

A

Gold

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38
Q

Where do you transfer CHT(sewage/grey water) in port?

A

Sewer RISER

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39
Q

Who is responsible for construction of ground forces collection, operation, and distribution of potable water?

A

Engineering Officer

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40
Q

When medical treats water it becomes?

A

Potable Water

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41
Q

What type of tanks hold 3,000 gallons?

A

ONION

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42
Q

Semitrailer- Mounted Fabric Tank holds?

A

3,000 - 5,000 gallons

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43
Q

Definition of Surge?

A

Refers to personnel during special operations or exercises

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44
Q

What are the minimum standards of heating?

A

65 degrees F

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45
Q

What type of pillow is prohibited?

A

Polyurethane

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46
Q

How often are trash cans cleaned?

A

Daily

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47
Q

IDC will ensure inspection of sanitation and habitability will be conducted?

A

Quarterly

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48
Q

Disinfectants must meet what standards?

A

EPA

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49
Q

What garment is worn by barbers and patrons?

A

Smock

50
Q

Sanitation requirements for barbershops?

A

Hot and Cold running water

51
Q

Practices prohibited by barber?

A

Pimples

Ingrown hairs

52
Q

Compressed air in a barber shop will not exceed what PSI

A

15

53
Q

Laundry Facilities should use what method to clean floors?

A

Dustless

54
Q

Equipment louder than what DB requires hearing PRO?

A

84

55
Q

Hygienically safe laundry should be washed in?

A

120 - 140 degree F warm water without bleach

56
Q

Handling contaminated laundry by?

A

Double sealed water soluble biohazard bag

Contaminated linen must not be sorted

57
Q

When chlorine bleach is not included in formulation what is the necessary step?

A

Hot air dryer

58
Q

What bacteria causes Cholera?

A

Bacterium Vibrio Chlorae

59
Q

How can you get Cholera?

A

Contaminated water and food

60
Q

Were does cholera live?

A

Brackish rivers

Costal waters

61
Q

Yellow fever is caused by what mosquito?

A

Aedes Aegypti

62
Q

What is the small pox virus?

A

Variola Virus

63
Q

Small pox skin eruptions occur in how many days?

A

2-4 days

64
Q

Stocks of the Variola Virus(small pox) are held where?

A

CDC Atlanta Georgia

Centre of Biology and Biotechnology, Koltsovo Russia

65
Q

What immunization is used for small pox?

A

Vaccinia Virus

66
Q

Quarantine Regulation of the Navy:

A

OPNAVINST 6210.2

67
Q

With in how many hours does the CO message/radio the Senior Naval Officer in Command before entering port when there is a quarantinable disease on board?

A

12-72 hours

68
Q

What are the 5 elements of the TB program?

A
  1. TB Screening
  2. Preventative Therapy
  3. TB Case ID
  4. TB Patient Management
  5. Contact Investigation
69
Q

Method used to give TST?

A

Mantoux Method

70
Q

What is the preferred product for TST?

A

Tubersol

71
Q

What is BCG and who is it given to?

A
  • Vaccine for TB named after French scientists Calmette and Gurin
  • Often given to infants and small children in countries where TB is common
72
Q

When are military personnel screened for TB? what is the document used?

A

Anual PHA

NAVMED 6224/8

73
Q

When there is no documentation of previous positive exposure to TB?

A

Proceed with skin testing

74
Q

What do you look for in chest x rays for TB?

A

Fibrotic Changes

75
Q

When placing a TST what is the wheel size?

A

6-10 mm

76
Q

When is a PPD read?

A

48-72 hrs

77
Q

Who can rule out ACTIVE TB?

A

MO
NP
PA
IDC

78
Q

When are sputum examination performed?

A

Radiographs shows signs of active TB

79
Q

What form is used for Monthly evaluation of TB?

A

NAVMED 6224/9

80
Q

Who do you consult for non-compliance of TB meds?

A

EPMU

81
Q

What is Direct Observed Therapy?

A

tool used to ensure compliance

82
Q

In cases where active TB is suspected or confirmed who does the MDR notify?

A

Cognizant NEPMU

Local Health Department

83
Q

The contact investigation report goes what 3 places?

A

Members Command
Cognizant FLEET/TYCOM surgeon
NMCHPC

84
Q

What are the 4 drugs used to treat TB?

A

INH - Ionized
RIF - Rifampin
PZA - Purazinamide
EMB - Ethambutol

85
Q

What are Reportable medical events?

A

Event that poses and inherent, significant threat to public health and military operations.

86
Q

What is the official system to capture, store and communicate information related to RME?

A

Disease Reporting System internet (DRSi)

87
Q

NMCHPHC-TM 6220.12

A

Medical Surveillance and Medical Event Reporting Technical Manual

88
Q

Who is the primary consultant resource as well as where should findings be reported to?

A

NEPMU

89
Q

What are the 2 types of reports?

A

Urgent - must be submitted within 24hrs

Routine - no later than 7 calendar days

90
Q

Communicable diseases required to be reported within 24hrs:

A 
Anthrax
Botulism
Diphtheria
Hemorrhagic fever
Influenza A, Novel
Malaria
Measels (Rubella)
Meningococcal
Plague
Polio
Rabies
SARS
Smallpox
TB
Tularemia 
Outbreak or Disease Cluster
91
Q

What kind of report is used for an outbreak?

A

Narrative

92
Q

Who do you consult if you think the MER may have an adverse impact on operational unit or national security?

A

Information Security Officer

CO

93
Q

A diagnosis, case, or medical event becomes reportable once it has been classified as:

A

Suspected
Probable
Confirmed

94
Q

How often is the Typhoid booster given with continued exposure to type organism?

A

Every 2 years

95
Q

Immunization refrigerator temps?

A

2 - 8 degrees Celsius

36 - 46 degrees Fahrenheit

96
Q

What drug must be readily available at all vaccine sites?

A

Epinephrine in case of anaphylaxis

97
Q

What must provided to patients prior to administering a vaccine?

A

Vaccine Information Sheet (VIS)

98
Q

Will you perform pregnancy test prior to administering live virus vaccines?

A

NO

99
Q

What do you do for short notice deployments?

A

Administer primary dose and make arrangements to complete series

100
Q

Who makes the VIS?

A

U.S. Department of health and Human Services, Centers for Disease Control and Prevention

101
Q

What instruction states that IDCs cannot give Yellow Fever?

A

COMNAVSURFINST 6000.1

102
Q

Religious exemption to immunizations is command discussion made with whose advice?

A

Medical
Judge Advocate
Chaplain

103
Q

Who grants waivers for religious exceptions?

A

Chief, Bureau of Medicine and Surgery

104
Q

What forms are used to document patient immunizations?

A

NAVMED 6230/4 - Adult Health Record Immunization Record
CDC 731 - Internal Certification Of Vaccination
DD 2766 - Adult Preventative and Chronic Care Flowsheet

105
Q

Can you use sea water for marine sanitation devices?

A

YES

106
Q

Who must be medically screened to be free of communicable diseases prior to initial assignment?

A

Barber shop employees

107
Q

Where can 65-70% HTH NOT be stored?

A

Area where paint, oil, grease, or other combustable organic materials are stored

108
Q

When not able to transfer of off-ship immediately, where is it stored?

A

Holding Tanks

109
Q

What is the treatment for disinfecting natural surface or well water?

A

5 ppm FAC after 30 min contact time

110
Q

Alternative procedures for chlorinating water?

A

10 ppm FAC

111
Q

Plague is spread by what flea?

A

Rodent Flea

112
Q

Methods for controlling plague?

A
  • Education
  • Rat proofing
  • Storage and disposal of garbage
  • Patient isolation and concurrent disinfection
  • Clothing repellants
113
Q

Where is the water sanitation bill posted?

A

Conspicuously in areas where potable watered associated material are processed, treated and stored

114
Q

What is the most important source of water contamination?

A

Cross connections with non-potable systems

115
Q

What should water sanitation bills consist of?

A

Sources
Connection procedures for
- Ship to ship
- Sip to shore

Potable water tanks
Storage tanks
Disinfection procedure
Halogen residual testing
Bacteriological testing
Temp, PH and Salinity testing
Disinfection of tanks and distribution systems
Distribution systems
Records
116
Q

What is CHT also know as?

A

Marine Sanitation Device

117
Q

What can you use in place of TST?

A

QFT ( QuantiFERON TB GOLD, and GOLD +

118
Q

High Risk

A
  • 5mm +
  • Recent close contact
  • Chest radiograph consistent with prior TB
  • Suspected of having active TB
119
Q

Medium Risk

A
  • 10 mm +
  • Recent Immigrants within 5 years
  • Health care worker/ Occupational risk
  • Clinical conditions
120
Q

Low Risk

A
  • 15 mm +

- No Risk

121
Q

Non active duty personnel who are enrolled in a contact investigation will f/u where?

A

Local Public health department

VA

Prevmed 2 (1 decks)

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