Quiz 2: Patient management
Please choose the one, most correct answer to each question or statement.
- 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
- 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
- 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
- Which symptom is common in Ebola?
- Chest pain and shortness of breath
- Severe headache and muscle pains
- Blurred or double vision
- Painful, stiff joints
- Which clinical sign is common in patients with Ebola?
- Fever
- Jaundice
- Enlarged lymph nodes
- Oedema of the legs
- 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
- 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
- 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
- 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
- What is an important complication of Ebola?
- Hypertension and stroke
- Bowel perforation and peritonitis
- Heart failure and pulmonary oedema
- Dehydration and shock
- What organ often fails in patients very ill with Ebola?
- The heart
- The kidneys
- The lungs
- The spleen
- What is the death rate in the current Ebola outbreak?
- 10%
- 50%
- 70%
- 100%
- 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
- 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
- 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
- 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
- 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
- What disinfectant should be used to clean patients’ clothes?
- 70% alcohol
- A lime solution
- A 0.5% chlorine solution
- Soap and water
- 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
- 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
