JLGH Winter 2022 Recap
Q&A for Extended Learning
 

Q: Transmission of the 2022 monkeypox outbreak occurred through skin-to-skin contact, fomite transmission, and respiratory secretions. What protection is recommended for providers while interacting with patients with suspected monkeypox infection?

A: The CDC recommends that providers wear a gown, gloves, eye protection (goggles or face shield), and an N95 respirator. Additionally, patients should be evaluated and treated in a single-person room whenever possible.  

Q: The case report from the Family Medicine Residency Program addressed ethical considerations in medicine, including the need for care team support. List some resources available at LG Health.

A: Available resources include the Penn Medicine Lancaster General Health Critical Response Team, nurse leadership, Palliative Care team, Chaplain Department, and free counseling services through EAP and Penn Cobalt. The LG Health Ethics Committee is also available for consult to any member of a patient’s care team for any patient in the LG Health system.  

Q: What are the five most common types of soil-transmitted intestinal nematode infections, and what is the most effective treatment for each?

A: Enterobiasis (infection with pinworm), ascariasis (infection with  large roundworm), necatoriasis (infection with hookworm), trichuriasis (infection with whipworm), and strongyloidiasis (infection with threadworm) are most common. Albendazole is the best treatment in all but strongyloidiasis, which — in uncomplicated cases — is best treated with ivermectin.  

Q: Referring to the Top Tips section of the Winter issue, which of the following statements are true?
  1. In older adults, adding a second antihypertensive rather than maximizing the dose of an initial one results in a greater number of patients stopping their regimen.
  2. The American College of Physicians recommends initial treatment of uncomplicated diverticulitis without antibiotics.
  3. Nasal irrigation can decrease the progression of mild COVID-19 progression.
  4. All of the above are true.
A: The answer is: 4. All of the above are true.