Shared Flashcard Set

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Public Health Final YOLO
Final Exam for Straif Bouregois
158
Health Care
Undergraduate 1
12/10/2012

Additional Health Care Flashcards

 


 

Cards

Term
Incubation Period
Definition

exposure to an infectious agent

and the onset of symptoms or signs of infection

Term
Infecting Doses
Definition
Amount of virus or bacteria to cause infection 100,000 to 1 billion---> infection
Term
Minutes
Definition
Chemicals
Term
Hours
Definition
Bacterial Toxins
Term
Days
Definition
Bacteria and Virus
Term
Survives in Rare Hamburger meat
Definition
E Coli
Term
Survives in Omelettes
Definition
Salmonella
Term
Survives in steamed oysters
Definition
Norovirus
Term
Traditional Outbreak
Definition
Coming from one isolated place, restaurant, church picnic, etc.
Term
Modern Outbreak
Definition
National, international levels, on large scale food production
Term
Lecture 14 
Definition
Term
What is most affect by HIV/AIDS
Definition
CD4 and T cells
Term
AIDS means
Definition
acquired Immune Deficiency
Term
Gonorrhea Bacteria or Virus?
Definition
Bacteria
Term
Chlamydia Bacteria or Virus?
Definition
Bacteria
Term
Syphilis Bacteria or Virus
Definition
Bacteria
Term
Trichomonas Bacteria or Virus
Definition
Parasite
Term
Herpes Bacteria or Virus?
Definition
Virus
Term
Candida Bacteria or Virus?
Definition
Fungus
Term
Tuberculosis Time period?
Definition
End of 18th Century to End of 19th century
Term
Tuberculosis cure was helped by
Definition
1895 discovered x ray
Term
Transmission for TB?
Definition
Coughing, Large droplets, hospitals, guinea pigs
Term
What is required for TB to start infection
Definition
Droplet nuclei has to reach alveoli
Term
Tuberculosis is a _________ kind of infection
Definition
Bacterial
Term
The Baltimore Experiment
Definition
Chillin with guinea pigs, 
Term
TB co infection with ________
Definition
HIV
Term
TB Most prevalent in these three regions
Definition
Sub Saharan Africa, Former USSR, Southeast Asia
Term
Most HIV Co infecitons with TB are in ____
Definition
25-45 year old men
Term
Clinical Picture
Definition
[image]
Term
Diagnosis of TB
Definition
Sputum smear, X-ray, Mantoux skin test
Term
TB Drugs take
Definition
8-18 weeks to affect, bad for body
Term
X Rays only ____________
Definition
show shadows, not if infection is present
Term
Mantoux Skin Test
Definition
Best one, inject something, measure induration, or width and hardness, not redness
Term
Interpretation of Mantoux Test 15mm 10mm and 5mm
Definition

15-No medical risk factors, non infectious

10-Foreign Born in high prevalence area, children under 5, high risk

5-Close contact to TB suspects, HIV infections posssible

Term
BCG Vaccine
Definition
 not very affective, used for childhood
Term
MDR TB
Definition
Drug resistant strain of TB, resistant to Isioniazid and Rifampin
Term
XDR TB
Definition
extensively drug restistant TB, untreatable
Term
Vector borne Disease, Malaria is _________
Definition
Parasitic
Term
Importance of Malaria
Definition

1.6 Billion people are exposed to Malaria

in >100 countries

40% of worlds population a risk

 

Term
Sub Saharan Africa Malaria Cases and deaths
Definition

100 million cases a year

2 million deaths a year

Term
 Parasitiology Malaria is ____________
Definition
Intracellular protozoa of the genus Plasmodium
Term
Immunity or Vaccine to Malaria?
Definition

No, no full immunity, even after infection

No vaccine

Term
Kinds of Malaria
Definition

Vivax and Falciparum Important

Malarie and Ovale secondary

Term
Transmission of Malaria
Definition
[image]
Term
Diagnosis of Malaria
Definition
Blood Smears and unexplained fever in areas with high risk of malaria
Term
Incubation Period of Malaria
Definition
10 days to four weeks
Term
Malaria destroys
Definition
Red blood cells
Term
Prevention of Malaria
Definition

Avoid Dusk or Dawn

Mosquito nets, 

Long sleeves, bug spray

Term
Malaria Pregnancy
Definition
  1. Insecticide‐treated nets (ITNs)

    Intermittent preventive treatment

Are pregnant women more susceptible?

Effective and prompt case management of malarial illness. 

Term

Treatment

of Malaria

Definition

Clinical Care only eradicates RBC trophoziotes and schizonts

Radical Care does same and hepatic shizonts(liver cell)

Term
Malaria and HIV/AIDs
Definition

4 Million combined deaths

HIV infected vulnerable to Malaria

More treatment and diagnosis where both occur

Term
Cardiovascular Disease is _______ cause of death world wide
Definition
Leading
Term
Types of Cardiovascular diseases
Definition

Coronary Artery disease,

Hypertension,

Stroke,

Cerebrovascular disease

Term
Unchangeable Risks Factors of Cardiovascular diseases
Definition
Age, Gender(more men til menopause), family history, ethnicity
Term
Modifiable Risk Factors for Cardiovascular Diseases
Definition

Hypertension, smoking

obesity (saturated fats), alcohol, Diabetes, physical activity (lack there of), Cholesterol

Term
Plaques
Definition
Fatty substances that attract platelets that stick to artery wall, 
Term
Blood Clot
Definition
Reduces blood flow, caused by plaque buildup
Term
Ischemia
Definition
No blood flow leads to death of artery tissue, heart attack
Term
Order clot plaque and ischemia
Definition
plaque, clot, ischemia
Term
Lipids
Definition
Fats, 
Term
HDL vs LDL
Definition

HDL are healthy cholesterol

LDL are lousy cholesterol

Both steroids

Counterract

Term

HDL GOES FROM _______ TO _________

LDL GOES FROM _________ TO ___________

Definition

HDL - Arteries(Heart) to Liver

LDL- Liver to Arteries

Term
Atheroscholosis
Definition
Disease of arterial blood vessels
Term
Framingham Heart Study
Definition
First demonstrated epidemiologic relations of cigarette smoking,blood pressure, and cholesterol levels to incidence of CHD.
Term
Diagnosis of Heart Disease
Definition
Family History, MRI, Labwork, Nuclear Testing
Term
Treatment of Heart Disease
Definition

Restore Blood flow to the heart 

by thrombolysis (enzymatically

disossolving the clot in the artery

–By angioplasty (using a balloon to push

the the artery artery open and or stints to maintain flow)

–Coronary bypass

–Close monitoring on a coronary care

unit to prevent complications

Term
Prevention of Heart Disease
Definition
Modify Risk Factors, Chemotherapy, Reduce fat intake
Term
Who first defined recognized stroke?
Definition
Hippocrates
Term
Who first described what caused stroke in 1658?
Definition
Johann Wepfer
Term
What is a stroke?
Definition
Rapidly developing loss of brain function caused by brain blood supply disturbance, Brain Attack
Term
What kind of Brain Blood disturbances cause stroke?
Definition
Ischemia(Loss of blood) and Hemorraghe (Leakage of blood)
Term
Which of the two causes of Stroke is most common
Definition
Ischemia 87%
Term
What are the results of a stroke
Definition
Loss of movement of one side of body, loss of vision on one side, inability to formulate or understand speech
Term
Thrombosis
Definition
Obstruction of blood vessel by blood clot, Gradual blockage, symptom onset slower, Sickle cell anemians affected a lot
Term
Embolism
Definition
obstruction due to an embolus from elsewhere in the body, mostly from heart,commonly a clot, can be bacteria, cancer cells, air, fat from bone marrow.
Term
Hemorrhage Stroke
Definition

Accumulation of blood anywhere in skull vault

Intra-axial-inside brain

Extra-axial- Inside Skull, outside brain

Term
Signs and Symptoms of Stroke
Definition

More extenside area, more functions lost

Sudden Face Weakness

Abnormal Speech, 

One Side of Body, opposite affected brain side

Weakness in pretty much all facial muscles

Loss of senses

Term
How do you diagnose ischemic strokes?
Definition

CT Scans(Hemorrhages too)

MRI Scans(Thrombotic and Hemorrhages too)

Term
What are Treatments of stroke?
Definition

Thrombolysis( Clot Buster)

Post Stroke Prevention

Treatment to recover lost functions

Term
What is the disease burden of Stroke?
Definition

Leading cause of adult disability in US, EU

Number 2 cause of death worldwide

700,000 strokes a year worldwide

Term
Risk Factors of Stroke
Definition

Advanced Age

Previous Stroke

Hypertension

High Cholestrol

Cigarette Smoking

 

Term
Prevention of Stroke
Definition

Rapid Intervention

Lifestyle choices

Term
Rehabilitation
Definition

Multidisciplanary

Physical therapy 

Speech therapy

Good Nursing

Term
What is Hypertension?
Definition
A chronic medical condition in which blood pressure is elevated in arteries, harder for heart to work
Term
Systolic Pressure
Definition
Pressure during heart contraction
Term
Diastolic
Definition
Pressure during cardiac relaxation (Between beats)
Term
Epidemiology of Hypertension
Definition

1/4 of adult population affected

Large Variations from region to region

More common in men til menopause

 

Term

Classification

 

Definition

Primary Hypertension= 90-95% of cases in adult, just high blood pressure

Secondary Hypertension= in kids 5-10% of cases, caused by kidney, arterial, cardiac disease

 

Term
Signs and Symptoms of HyperTension
Definition

Usually asymptomatic

symptoms caused by anxiety 

small eprcentage have vertigo, headaches, fainting 

Term
Hypertension in Pregnancy
Definition

Relatively common 5-10%

preexisting primary hypertension mostly

Term
What the fuck is Pre Eclampsia?
Definition
Hypertension rises in pregnancy
Term
What the Fuck is actual Eclampsia?
Definition
That shit is deadly, only if neglected
Term
What is the physiology of Hypertension
Definition
Pressure in the arterial system fluctuates with the cardiac cycle
Term
How do you diagnose hypertension?
Definition

Bloodwork, Chest radiograph

High blood pressure readings, anything higher than 140 over 90, persistently high

Term
Prevention of hypertension
Definition
Lifestyle and dietary changes, chemotherapy
Term
What is a Macro nutrient?
Definition
Carbohydrate, proteins, and lipids, because you need a lot of then
Term
What is a micro nutrient?
Definition
Necessary nutrients, vitamins, other nutrients, dont need as many
Term
What are calories
Definition
Unit of measurment of energy, for food it is actually kilocalorie
Term
What is diet?
Definition
Daily energy intake
Term
Daily Energy intake
Definition
For young adults, 2500 Kilocals and 2000 kilocals for women a day
Term
What is the fuck is LBW? What does that shit cause?
Definition
Low birth weight beetch. Causes long term impact of children into long term adulthood, Louisiana ranks last
Term
What regions have lowest food consumption, undernourished
Definition
Central America, Africa, and South Asia, developing countries
Term
Whats the deal with MyPyramid 2005?
Definition
Tailors to individuals needs for food consumption, mostly grains, vergeatable, milk, fruits, meat and beans, oils in that order
Term
Actual causes of death from poor diet and phyiscal activity?
Definition
16.6% poor diet and physical activity
Term
What is obesity?
Definition
High body mass index, Over 25% is overweight, over 3% is obese
Term
Red meat causes what kind of cancer
Definition
Colon Cancer!!!
Term
Fruits and Vegetables can cause ____ cancer
Definition
Lung
Term
Fiber can lessen what kind of cancer?
Definition
Colon Cancer
Term
Obesity is a risk factor for ______ cancer
Definition

Breast Cancer

More fat issue leads to more estrogen

Term
Que es Diabetes
Definition
Chronic condition characterized by raised plasma glucose levels and bodies inability to produce or use insulin
Term
What is type 1 diabetes?
Definition
Type 1 diabetes when it produces no insulin, less common
Term
What is type two diabetes?
Definition
Caused by insulin resistance and deficiencies, more common 80% recognized, (acquired diabetes)
Term
What is insulin?
Definition
Small simple protein, also hormone, regulates carbohydrate and fat metabolism
Term
What is the history of diabetes?
Definition

Maimonides-first one to do epidemiology, found more common in warm countries

Galen called it diarrhea of Urine, thirsty disease

Term

What is IGT?

What is IFG?

Definition

Impaired Glucose Tolerance- Prediabetic state, before type 2 

Impaired Fasting Glucose-Glucose levels between 100-125 after fasting, higher risk of diabetes

Term
What is the deal with Pima Indians?
Definition
Have Gene that makes them store fat energy, efficiency. Their genes store fat, energy more, because they have evolved to store fat in preparation for fasting
Term
Signs and Symptoms of Diabetes?
Definition

Frequent Urination

Constant Thirst

Increased fatigue

Unusual weight loss

Term
Risks Factors
Definition

Family History

Hypertension

Age

Obesity

Term
What is the disease burden of Diabetes?
Definition

Increasing by 150% in developing countries by 2030 

Louisiana has 11% prevalence rate

Term
What is treatment?
Definition

Lifestyle changes

Insulin injections

Medicine to control blood pressure and cholestrol 

Term
What is the definition of cancer at cellular level?
Definition
Abnormal cells divide without control and invade other tissues, uncontrollable cell growth
Term
What can malignant tumors do?
Definition
Malignant tumors can spread to other parts of body, more dangerous
Term
What is Metastasis?
Definition
Spreading of cancer from one part of the body to others
Term
What are the signs and symptoms of Cancer?
Definition

Lumps, enlarged organs, compression of surrounding tissues may cause blood pressure compression hemmorhage, pain

Weight loss, fatigue, anemia

Term
Signs and Systems of Metastasis?
Definition
Enlarged lymphnodes, cough, enlarged liver, Bone pain
Term
Cancer is the number ____ killer in US
Definition
2
Term
____ of men worldwide will have cancer anywhere in their bodies
Definition
1/2
Term
____ of men will have lung cancer
Definition
1/13
Term
_____ of women will get cancer
Definition
1/3
Term
_____ of women will get lung cancer
Definition
1/16
Term
How many Americans live with Cancer?
Definition
11.4 million
Term
What are the two leading killers worldwide for men and women? 
Definition

Men are lung and stomach

Women are breast and lung

Term
Most diagnosed cancer types in the world for mena and women?
Definition

Lung Prostate for men

Breast Cervix for women

Term
Risk Factors of Cancer
Definition
low physical activity, tobacco, alcohol, obesity, diet, infectious disease agents, radiation, occupation and genetics
Term
What is the history of Tobacco use?
Definition
Doll and Hill did first test in the 1950s in London comparing non smokers and smokers that were lung cancer patients. Early 20th century sharp increase
Term
90% of lung cancer is __________
Definition
bronchogenic carcinoma, Most lethal type of malignant tumor, 3 million people a year die from it
Term
Signs and Symptoms of Lung Cancer
Definition

Chronic cough

Wheezing

Chest pain, Shortness of breath

fatigue, loss of appetite

Term
How do you diagnosis lung cancer?
Definition
Through chest xrays, CT Scans and PET and Blood test
Term
The two types of lung cancer are
Definition

Small cell-20%

non small cell-80%

Term
Where are most of the carcogens from tobacco formed?
Definition
During the curing process
Term
The attempt to decrease tar leads to ______
Definition
Decreased nicotine
Term
What is considered binge drinking?
Definition
5 drinks for men 4 for women
Term
What is Liver cirrhosis?
Definition
The replacement of liver tissue by fibrosis and scar tissue
Term
Consequences of cirrhosis
Definition
Lower quality of life, more prone to infection, liver transplant needed
Term
Alcohol leads to _____ disease
Definition
Liver 
Term
Only treatment for liver disease is_______
Definition
No more alcohol
Term
Fetal alcohol syndrome causes
Definition

Mental and Physical defects

Stunts fetal development

Head is disfigured

cognitive and functional disabilities

Term
More than ____ drinks a week seem to cause FAS
Definition
15 
Term
Alcohol consumption is a risk factor for type __ diabetes
Definition
2
Term
Moderate drinking can prevent ______
Definition
Diabetes
Term
Alcohol raises the chance of STD's and HIV because________
Definition
less cautious, more risky behavior
Term
Excess alcohol use is men and women messes with Reproductive system. T/F?
Definition
True
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