Prevmed 2 Flashcards
(121 cards)
1
Q
What is distillation?
A
Total process of distilling plant forms, including evaporation and condensation.
2
Q
Who is responsible for promulgating instructions for SHIP-TO-SHORE potable water connections?
A
Naval Facilities Engineering Command (NAVFACENGCOM)
3
Q
Whos is responsible for establishing HEALTH STANDARD for water quality AFLOAT?
A
Chief BUMED
4
Q
Who is responsible for RECIEVING, STORAGE, DISTRIBUTION, PRODUCTION,AND TREATMENT of potable water?
A
Engineering Department
5
Q
Water hour gallons?
A
2 gallons per man per day
6
Q
NON water hour gallons?
A
50 per man per day
7
Q
Approved sources for SHORE-TO SHIP delivery?
A
Environmental Protection Agency (EPA)
State and Territory Public Water System
8
Q
We accept water from U.S. military under the cognizance of?
A
British Royal Navy
Canadian Forces
Royal Australian Navy
9
Q
2 types of Reverse Osmosis?
A
Single Pass - Additional disinfection required
Triple Pass - NO additional Disinfection required
10
Q
Tank coating standards are set by who?
A
NSF
ANSI
11
Q
What does CHT stand for?
A
Collection Holding and Transfer
12
Q
Color of connection hoses for Potable Water?
A
Dark Blue
13
Q
Characteristics of Potable Water Hose Locker?
A
- Vermin Proof
- Locked
- 18in of the deck
- Water bill CONSPICUOUSLY posted inside the locker
14
Q
What is the purpose of bacteriological testing?
A
- Ensure fitness for human consumption
- Assess adequacy of disinfection process
15
Q
Minimum halogen residual for doubtful quality?
A
2 parts per million
16
Q
What are the 2 types of DPD?
A
DPD# 1
DPD# 4
17
Q
What does DPD 1 test for?
A
FAC - Free Available Chlorine
TBR - Total Bromine
18
Q
What does DPD 4 test for?
A
Test for Chloramines ( total chlorine ) residual
19
Q
Least desirable method of water disinfection?
A
Batch Method (Manual Chlorine Disinfection)
20
Q
HTH?
A
Calcium Hypochlorite
21
Q
Halogen residual for APPROVED source?
A
0.2 PPM FAC/TBR - 30 min contact time
22
Q
Halogen residual for UNAPPROVED sources?
A
2.0 PPM FAC/TBR - 30 min contact time
23
Q
Method 1 hold time?
A
24 hrs
24
Q
Steam method approved by?
A
NAVSEASYSCOM
25
Request outside assistance from?
NEPMU Via TYCOM Med Officer
26
Storage of HTH 65-70% available chlorine (Ready to use):
- 6 ounce bottles
- 3 1/4 holes
- No more than 7 days stock
27
Storage of HTH 65-70% available chlorine (store room stock):
- 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
28
Who promulgates the Water Sanitation Bill?
CO ultimately responsible
29
How long do you maintain Water Log?
2 years by MDR
30
Waste Water hazard training conducted when?
Periodically
31
What are the 3 methods CHT operates in?
- Restricted waters
- At sea
- In port
32
What type of marine sanitation device do ships use?
Type 2 Bravo
33
Pump room should have what specific breathing device?
2 EEBD
34
Toxic or explosive gases associated with CHT?
Methane
Ammonia
Carbon Dioxide
Hydrogen Sulfate - smell like rotten eggs
35
Practices of CHT workers required to prevent disease?
Personal Hygiene
36
EPA approved disinfectant for spills in medical, foodservice, and breathings?
Germicides
- Iodine
- Phenolic
37
Color coding for pipes of the valve handles?
Gold
38
Where do you transfer CHT(sewage/grey water) in port?
Sewer RISER
39
Who is responsible for construction of ground forces collection, operation, and distribution of potable water?
Engineering Officer
40
When medical treats water it becomes?
Potable Water
41
What type of tanks hold 3,000 gallons?
ONION
42
Semitrailer- Mounted Fabric Tank holds?
3,000 - 5,000 gallons
43
Definition of Surge?
Refers to personnel during special operations or exercises
44
What are the minimum standards of heating?
65 degrees F
45
What type of pillow is prohibited?
Polyurethane
46
How often are trash cans cleaned?
Daily
47
IDC will ensure inspection of sanitation and habitability will be conducted?
Quarterly
48
Disinfectants must meet what standards?
EPA
49
What garment is worn by barbers and patrons?
Smock
50
Sanitation requirements for barbershops?
Hot and Cold running water
51
Practices prohibited by barber?
Pimples
| Ingrown hairs
52
Compressed air in a barber shop will not exceed what PSI
15
53
Laundry Facilities should use what method to clean floors?
Dustless
54
Equipment louder than what DB requires hearing PRO?
84
55
Hygienically safe laundry should be washed in?
120 - 140 degree F warm water without bleach
56
Handling contaminated laundry by?
Double sealed water soluble biohazard bag
| Contaminated linen must not be sorted
57
When chlorine bleach is not included in formulation what is the necessary step?
Hot air dryer
58
What bacteria causes Cholera?
Bacterium Vibrio Chlorae
59
How can you get Cholera?
Contaminated water and food
60
Were does cholera live?
Brackish rivers
| Costal waters
61
Yellow fever is caused by what mosquito?
Aedes Aegypti
62
What is the small pox virus?
Variola Virus
63
Small pox skin eruptions occur in how many days?
2-4 days
64
Stocks of the Variola Virus(small pox) are held where?
CDC Atlanta Georgia
| Centre of Biology and Biotechnology, Koltsovo Russia
65
What immunization is used for small pox?
Vaccinia Virus
66
Quarantine Regulation of the Navy:
OPNAVINST 6210.2
67
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?
12-72 hours
68
What are the 5 elements of the TB program?
1. TB Screening
2. Preventative Therapy
3. TB Case ID
4. TB Patient Management
5. Contact Investigation
69
Method used to give TST?
Mantoux Method
70
What is the preferred product for TST?
Tubersol
71
What is BCG and who is it given to?
- Vaccine for TB named after French scientists Calmette and Gurin
- Often given to infants and small children in countries where TB is common
72
When are military personnel screened for TB? what is the document used?
Anual PHA
| NAVMED 6224/8
73
When there is no documentation of previous positive exposure to TB?
Proceed with skin testing
74
What do you look for in chest x rays for TB?
Fibrotic Changes
75
When placing a TST what is the wheel size?
6-10 mm
76
When is a PPD read?
48-72 hrs
77
Who can rule out ACTIVE TB?
MO
NP
PA
IDC
78
When are sputum examination performed?
Radiographs shows signs of active TB
79
What form is used for Monthly evaluation of TB?
NAVMED 6224/9
80
Who do you consult for non-compliance of TB meds?
EPMU
81
What is Direct Observed Therapy?
tool used to ensure compliance
82
In cases where active TB is suspected or confirmed who does the MDR notify?
Cognizant NEPMU
| Local Health Department
83
The contact investigation report goes what 3 places?
Members Command
Cognizant FLEET/TYCOM surgeon
NMCHPC
84
What are the 4 drugs used to treat TB?
INH - Ionized
RIF - Rifampin
PZA - Purazinamide
EMB - Ethambutol
85
What are Reportable medical events?
Event that poses and inherent, significant threat to public health and military operations.
86
What is the official system to capture, store and communicate information related to RME?
Disease Reporting System internet (DRSi)
87
NMCHPHC-TM 6220.12
Medical Surveillance and Medical Event Reporting Technical Manual
88
Who is the primary consultant resource as well as where should findings be reported to?
NEPMU
89
What are the 2 types of reports?
Urgent - must be submitted within 24hrs
| Routine - no later than 7 calendar days
90
Communicable diseases required to be reported within 24hrs:
```
Anthrax
Botulism
Diphtheria
Hemorrhagic fever
Influenza A, Novel
Malaria
Measels (Rubella)
Meningococcal
Plague
Polio
Rabies
SARS
Smallpox
TB
Tularemia
Outbreak or Disease Cluster
```
91
What kind of report is used for an outbreak?
Narrative
92
Who do you consult if you think the MER may have an adverse impact on operational unit or national security?
Information Security Officer
| CO
93
A diagnosis, case, or medical event becomes reportable once it has been classified as:
Suspected
Probable
Confirmed
94
How often is the Typhoid booster given with continued exposure to type organism?
Every 2 years
95
Immunization refrigerator temps?
2 - 8 degrees Celsius
| 36 - 46 degrees Fahrenheit
96
What drug must be readily available at all vaccine sites?
Epinephrine in case of anaphylaxis
97
What must provided to patients prior to administering a vaccine?
Vaccine Information Sheet (VIS)
98
Will you perform pregnancy test prior to administering live virus vaccines?
NO
99
What do you do for short notice deployments?
Administer primary dose and make arrangements to complete series
100
Who makes the VIS?
U.S. Department of health and Human Services, Centers for Disease Control and Prevention
101
What instruction states that IDCs cannot give Yellow Fever?
COMNAVSURFINST 6000.1
102
Religious exemption to immunizations is command discussion made with whose advice?
Medical
Judge Advocate
Chaplain
103
Who grants waivers for religious exceptions?
Chief, Bureau of Medicine and Surgery
104
What forms are used to document patient immunizations?
NAVMED 6230/4 - Adult Health Record Immunization Record
CDC 731 - Internal Certification Of Vaccination
DD 2766 - Adult Preventative and Chronic Care Flowsheet
105
Can you use sea water for marine sanitation devices?
YES
106
Who must be medically screened to be free of communicable diseases prior to initial assignment?
Barber shop employees
107
Where can 65-70% HTH NOT be stored?
Area where paint, oil, grease, or other combustable organic materials are stored
108
When not able to transfer of off-ship immediately, where is it stored?
Holding Tanks
109
What is the treatment for disinfecting natural surface or well water?
5 ppm FAC after 30 min contact time
110
Alternative procedures for chlorinating water?
10 ppm FAC
111
Plague is spread by what flea?
Rodent Flea
112
Methods for controlling plague?
- Education
- Rat proofing
- Storage and disposal of garbage
- Patient isolation and concurrent disinfection
- Clothing repellants
113
Where is the water sanitation bill posted?
Conspicuously in areas where potable watered associated material are processed, treated and stored
114
What is the most important source of water contamination?
Cross connections with non-potable systems
115
What should water sanitation bills consist of?
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
What is CHT also know as?
Marine Sanitation Device
117
What can you use in place of TST?
QFT ( QuantiFERON TB GOLD, and GOLD +
118
High Risk
- 5mm +
- Recent close contact
- Chest radiograph consistent with prior TB
- Suspected of having active TB
119
Medium Risk
- 10 mm +
- Recent Immigrants within 5 years
- Health care worker/ Occupational risk
- Clinical conditions
120
Low Risk
- 15 mm +
| - No Risk
121
Non active duty personnel who are enrolled in a contact investigation will f/u where?
Local Public health department
| VA
