MEDICAL COLLEGES OF NORTHERN PHILIPPINES

Alimannao Hills, Peñablanca, Cagayan

COLLEGE OF NURSING

Subject Code : MC3

Subject Title : Microbiology and Parasitology
Term : Semifinal Exam
Semester : Second School Year: 2019-2020

General Guideline: Use SHORT BONDPAPER in answering the exam. Use the
format of the name of the student and its section below. The name of the student
should be written at the TOP most part of the bond paper. All answers are hand written
and write legibly and clearly. Erasures are considered, however your answers must be
direct to the point with corresponding facts or explanations. Answers without brief
explanation DOE’S NOT earn any point. Use separate sheet when the need arises.
When you are done, take a picture of your output and submit thru my email add
rodelcespino020580@gmail.com or you may submit directly to the Edmodo e-
classroom. Please keep your output because this will be collected for the purpose of
evaluation when school resumes. For issues of poor connectivity (internet) you are
given until July 31, 2020 to comply with all your academic requirements. Good luck and
God bless you.
Name:____________________________ Score:_______________________
Year/Course:______________________ Date:________________________
Case 1. The Impartial Diagnosis (20 points)
Kennedy B. a junior high school was brought to a nearby hospital for a chief complain of
fever, severe muscle and joint pain and rash. Prior to his illness, he experienced malaise
and a mild muscle weakness. Upon admission, standard assessment was performed to
him including complete blood count. However, it was noted that his temperature was
38.8oC and his platelet count where below normal. Based from the clinical
manifestations, the doctor ordered supportive intravenous fluid therapy with Vitamin C
and diagnosed as a case of Dengue Fever. During the course of the disease, the patient
has developed bleeding in his gums and the presence of blood in his stool. Routine
differential blood counts where performed to monitor his red blood cells. By the end of
his second day in the hospital, his RBC’s where below normal values, as consequences
the physician ordered blood transfusion until his blood components will normalize.
1. Is the disease primary or secondary infection?
2. Is the disease localized or systemic?
3. Is the disease acute, chronic or latent?
4. Is the disease sporadic, endemic, epidemic or pandemic?
5. What was the final diagnosis?
6. What was the mode of transmission of the disease?
7. What was the portal of entry of the disease?
8. What are the possible reservoir of the disease?
9. What was the causative agent of the disease?
10.What is the possible vector of the disease?
Case 2. Fishing for an answer (20 points)
Lucia, the 19 year old daughter of Emilia G. had worked with her mother in the family
fish market only few weeks after leaving her position as a cashier in a nearby
supermarket. She enjoyed being a part of the family business despite the fact that it
was more demanding job than punching keys on cash register. Last Saturday, the index
finger on her left hand was “inoculated” by the dorsal fin of a blue fish she was
cleaning. Over the weekend, the area around the puncture remained red. On Monday
there was no particular change could be noted, but by Wednesday she experienced
discomfort and malaise. By Friday the area had become larger, was painful and swollen

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and had taken on a violet-red hue. It was apparent to her and her mother that she had
some type of infection. She made an appointment later that day at a local clinic.
Standard assessment tools where administered to her and culture swab was later
confirmed that the pus contain significantly high viable counts of Staphylococcus aureus
beta hemolytic strains. The physician ordered antibiotics and informed Lucia to contact
her for possible changes in her present health status.
1. Is the disease primary or secondary infection?
2. Is the disease localized or systemic?
3. Is the disease acute, chronic or latent?
4. Is the disease sporadic, endemic, epidemic or pandemic?
5. What was the mode of transmission of the disease?
6. What was the portal of entry of the disease?
7. When was the incubation period of the disease started?
8. What was the causative agent of the disease?
9. What is the possible diagnosis?
10. When was the prodromal period of the disease?
Case 3. The Nurse get infected. (10 points)
Three days before a nurse developed meningococcemia, she assisted with intubation of
a patient with a Neisseria meningitidis infection. Of the 24 medical personnel involved,
only this nurse became ill. The nurse recalled that she was exposed to nasopharyngeal
secretions and did not receive antibiotic prophylaxis. What two mistakes did the nurse
make? How is meningitis transmitted?
Case 4. The Nightingale’s Efforts (10 points)
Florence Nightingale gathered the following data in 1855.
Population Sampled Deaths from Contagious Diseases
Englishmen (in general population) 0.2%
English soldiers (in England) 18.7%
English soldiers (in Crimean War) 42.7%
English soldiers (in Crimean War)
after Nightingale’s sanitary reforms 2.2%
Discuss how Nightingale used the three basic types of epidemiological investigation.
The contagious diseases were primarily cholera and typhus; how are these diseases
transmitted and prevented?
Case 5. The Eating Disorder (10 points)
Explain whether each of the following examples is a food infection or intoxication. What
is the probable etiological agent in each case? Which one is caused by endotoxin and
exotoxin? Please support your answer.
1. Eighty-two people in Louisiana developed diarrhea, nausea, headache, and fever
from 4 hours to 2 days after eating shrimp.
2. Two people in Vermont developed malaise, nausea, blurred vision, breathing
difficulty, and numbness 3 to 6 hours after eating barracuda caught in Florida.
Case 6. Your Role as a Future Nurse (10 points)
With the present situation that we are experiencing, what measures are you going to
establish in order to control the spread of COVID-19 in your locality. How would you
perform the 4 C’s of Control of Infectious Diseases? Kindly react on the Pro’s and Con’s
of the Government’s effort to contain the disease by promoting Rapid Assessment,
Monitoring, Prevention, Surveillance, Outbreak control and Disease Management.

Prepared by:

RODEL C. ESPINO, LPT.

Subject Teacher

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