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Step2 Questions 368–372 (page: 75)

Updated On: 9-Feb-2026

Workers in certain occupations are exposed to diseases for which animals are the reservoir. These workers may then become a source of infection to others.

Warehouse worker are most likely to acquire and transmit the infectious disease?

  1. anthrax
  2. brucellosis
  3. Lyme disease
  4. murine (endemic) typhus
  5. salmonellosis

Answer(s): D

Explanation:

Rodents frequently infest granaries, despite strenuous efforts to control them. Murine (endemic) typhus has its principal reservoir in rodents and is conveyed to humans by flea bites. In the United States, murine or endemic typhus occurs mainly in the Southeastern and Gulf states. It is also common in parts of South America, Africa, and Southeast Asia. The disease generally follows a less severe course than epidemic typhus.



Workers in certain occupations are exposed to diseases for which animals are the reservoir. These workers may then become a source of infection to others.

Livestock worker are most likely to acquire and transmit the infectious disease?

  1. anthrax
  2. brucellosis
  3. Lyme disease
  4. murine (endemic) typhus
  5. salmonellosis

Answer(s): B

Explanation:

Brucella infections in humans follow a varied and sometimes chronic or recurrent course. Chronic disease is rare in appropriately treated patients. Human infections generally occur through one of three routes:
ingestion, direct contact, or inhalation. Cattle sheds become infected after abortion, a manifestation of the disease, or occasionally after normal parturition.Worldwide, ingestion of unpasteurized dairy products is the primary source of infection.



Workers in certain occupations are exposed to diseases for which animals are the reservoir. These workers may then become a source of infection to others.
Park rangers are most likely to acquire and transmit the infectious disease?

  1. anthrax
  2. brucellosis
  3. Lyme disease
  4. murine (endemic) typhus
  5. salmonellosis

Answer(s): C

Explanation:

Lyme disease was first comprehensively described in Connecticut in 1977. It is found in temperate North America and Eurasia. It may be identified some time after the initial illness, which may be a vague collection of symptoms. The vector is a tick found on the white-footed mouse, which is the reservoir.
Persons who spend a significant amount of time in affected wooded areas are at risk for Lyme disease.



The following questions identify health care planning methods used by various organizations. The answer options are strategies that may correspond to these methods. Select the strategy that best corresponds to each health care planning method.
A local health department employs population based planning in meeting the needs of its community.

  1. identifying what the market for services are and estimating future demands
  2. identifying mechanisms for carrying out established goals within specific program areas
  3. identifying financial resources to meet community needs
  4. identifying barriers to growth and the resources needed to overcome them

Answer(s): A

Explanation:

Local health departments make plans for the entire population in the jurisdiction for which they have responsibility, whether it is a single county, city, or multicounty health department. Their planning is population based. This involves estimating health requirements, matching them with existing resources, and outlining a health strategy based on the deficit or surplus demonstrated.



The following questions identify health care planning methods used by various organizations. The answer options are strategies that may correspond to these methods. Select the strategy that best corresponds to each health care planning method.

A Health Maintenance Organization (HMO) employs institutional planning to identify its goals and objectives.

  1. identifying what the market for services are and estimating future demands
  2. identifying mechanisms for carrying out established goals within specific program areas
  3. identifying financial resources to meet community needs
  4. identifying barriers to growth and the resources needed to overcome them

Answer(s): B

Explanation:

A distinction is frequently made between what the patient wants (which would be used if available and money was no object), needs (services determined by professionals to be appropriate), and demands (services that are actually used in the current market situation). Planning for an HMO is based on that segment of the population or "market" for which the
HMO is responsible. The population may or may not live in contiguous areas. The planning is designed to identify goals and objectives in institutional terms: What is the market for the services the organization provides, and what is the estimate of future demands? The population need (as opposed to the population demand) is rarely a concern of institutional planners.



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