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Test 2: Patient management

  1. What is an Ebola outbreak?
    • A common rash seen with Ebola
    • A severe form of bloody diarrhoea in an Ebola patient
    • One or more patients with Ebola in a country
    • At least 10 patients with Ebola in a single hospital
  2. What is a case definition for Ebola?
    • The hospital record number of a patient with Ebola
    • A set of criteria used to assess whether the patient has Ebola or not
    • The post mortem result of a patient who has died of Ebola
    • A case summary of a patient who has died of Ebola
  3. What is an epidemiological risk factor for Ebola?
    • A person younger than 15 years of age
    • Someone living in any African country
    • Anyone with a fever
    • Contact with an Ebola patient or corpse in the last 21 days
  4. Which symptom is common in Ebola?
    • Chest pain and shortness of breath
    • Severe headache and muscle pains
    • Blurred or double vision
    • Painful, stiff joints
  5. Which clinical sign is common in patients with Ebola?
    • Fever
    • Jaundice
    • Enlarged lymph nodes
    • Oedema of the legs
  6. How soon can a person become ill after contact with a patient with Ebola?
    • Within 24 hours
    • As early as 4 days
    • Usually after 21 days
    • Sometimes as late as 28 days
  7. Bleeding and bruising:
    • Is uncommon in Ebola
    • Occurs in all Ebola patients
    • Is an early sign of Ebola
    • Usually starts after 7 days in patients with Ebola
  8. Once the Ebola virus enters the body it rapidly multiplies:
    • In the cells of lungs
    • In the cells of the bone marrow
    • Only in the cells of the immune system
    • In many different types of cell
  9. Ebola is most infectious:
    • In the week before the patient becomes ill
    • As soon as the patient becomes ill
    • Just before they die
    • When they start to recover
  10. What is an important complication of Ebola?
    • Hypertension and stroke
    • Bowel perforation and peritonitis
    • Heart failure and pulmonary oedema
    • Dehydration and shock
  11. What organ often fails in patients very ill with Ebola?
    • The heart
    • The kidneys
    • The lungs
    • The spleen
  12. What is the death rate in the current Ebola outbreak?
    • 10%
    • 50%
    • 70%
    • 100%
  13. How should suspected Ebola patients be transported?
    • They should not be moved but nursed at home
    • They can be safely moved on public transport
    • A routine ambulance can be used provided the staff wash their hands well
    • Personal protective equipment must be worn by the ambulance staff
  14. What is an important part of supportive care in a patient with Ebola?
    • Keeping them nil per mouth to avoid vomiting
    • Giving them a diuretic to treat heart failure
    • Fluid replacement
    • Giving morphine for pain
  15. Are pregnant women at increased risk of dying from Ebola?
    • Yes
    • Only if they go into labour and deliver
    • Pregnancy gives them some protection against Ebola
    • No
  16. Should patients with Ebola be actively resuscitated if they collapse in an under-resourced hospital?
    • Yes as this is an important part of good patient care
    • Only if they look as if they may survive
    • Only if they have been given an anti-Ebola drug first
    • No as the risk of infection of the staff is extremely high
  17. When can a patient with Ebola be discharged home?
    • When the bleeding stops
    • When they are no longer shocked
    • When they are feeling better
    • When they have had no fever for at least 3 days and are clinically better
  18. What disinfectant should be used to clean patients’ clothes?
    • 70% alcohol
    • A lime solution
    • A 0.5% chlorine solution
    • Soap and water
  19. How should corpses be prepared for disposal?
    • They should be placed in a single, robust, leak-proof plastic body bag
    • They must be burned immediately
    • They should be soaked in a lime solution for 24 hours
    • They should be laid on the ground and sprayed with 0.05% chlorine every hour
  20. What role can the family play in burying a patient who has died of Ebola?
    • There is no need for any precautions
    • They can touch the body if they wash their hands well afterwards
    • They can wash the body with soap and water
    • They can prepare the coffin and help dig the grave