1. Which statement about carriers of meningococcal meningitis is not true:
A Carriers will pass on the bacteria through nasal secretions, most likely in the winter months
B Carriers will typically harbor these bacteria for an entire lifetime
C Carriers may become immune to the bacteria
D Up to 20% of carriers harbor the bacteria in a relatively harmless state
E The rate may reach 95% in epidemics
2. What is/are the most common forms of bacterial meningitis of concern to the college population in America?
A Meningococccal
B Aseptic
C Pneumococcal
D Type B
E Both A & C
3. The most common complication in survivors of bacterial meningitis is:
A Deafness/ Hearing loss
B Amputations
C Brain damage
D Epilepsy
E Mood swings
4. Antibiotic treatment should be utilized in:
A All diagnosed cases of meningitis
B All diagnosed cases of bacterial meningitis
C All known close contact exposures with infected individuals
D Both A & C
E Both B & C
5. A close contact exposure to an infected individual two days after vaccination will not protect the vaccinated individual who would need antibiotic treatment as well, because:
A The individual is not protected from all strains
B Vaccination protects against only 70% of the disease
C Development of immunity takes 7-10 days post-vaccination
D All aseptic meningitis cases should be treated with antibiotics
E New strains of the disease have been recently developing in the United States and are only resistant to antibiotics
6. Which statement best describes viral meningitis:
A It is relatively rare
B Carriage can aid in immunity in some individuals
C Its clinical presentation in adults is the triad of fever ,neck stiffness and an altered mental state.
D It is more common than bacterial and occurs in the summer months
E It is more common than bacterial and occurs in the winter months
7. Septicaemia is:
A Often difficult to recognize in dark skinned individuals
B Is a sign of serious meningococcal infection due to the release of toxins into the blood stream
C Can spread at a high rate and is responsible for a higher fatality rate
D Both A & B
E All
8. The average annual incidence of meningococcal meningitis among on-campus, four year college resident students in the United States is:
A 1.74 per 100,000
B .96 per 100,000
C 3.24 per 100,000
D 5.14 per 100,000
E 1.44 per 100,000
9. Which statement best describes the ACIP recommendation on meningococcal vaccination?
A All individuals who live in college housing should consider meningococcal vaccination
B College health care providers must provide vaccinations to all students wishing to reduce the risk of meningococcal
infection
C Individuals who provide medical care to college freshman, particularly those living in or plan to live in college dormitories, should provide information about meningococcal disease and the benefits of
vaccination
D Individuals who provide medical care to college freshman should provide information about meningococcal disease and the benefits of vaccination
E College health care providers should require
meningococcal vaccination for college freshman admissions, particularly those living in or plan to live in college dormitories
10. Vaccinations have decreased which particular strain of bacterial meningitis in adults?
A Type B
B Streptococcus
C Neisseria
D Aseptic
E Pneumococcal
11. Bacteria carrying meningitis:
A Can harbor in the nasopharyngeal cavity of individuals for months, yet never cause infection
B In certain strains can multiply uncontrollably in the blood stream
C Can cause
fatalities in up to 20% of individuals who develop meningococcal meningitis
D Both A & B
E All
12. Which statement is false regarding college resident students appearing to be at higher risk for meningococcal infection:
A This age group has the highest rate of carriers
B Recent studies have shown a higher risk in this specific group
C Casual contact causing infection is likely occur in this specific group
D
The modes of transmission are more likely to cause infection in these living accommodations
E The symptoms are similar to those of the flu or the common cold and are difficult to diagnose
13. Immunity from meningococcal bacteria can:
A Last 7-10 years after vaccinations
B Be aided in some carriers
C Occur in 7-10 days with vaccinations
D Both B & C
E All
14. Diagnosis of meningitis can be effectively be ruled out if the following are not present:
A Fever, neck stiffness, headache and photophobia
B Fever, rash, altered mental state, and septicaemia
C Fever, neck stiffness, rash, and headache
D Fever, neck stiffness, headache and an altered mental state
E Fever, neck stiffness, rash and chills