Managing Chronic and Infectious Diseases Flashcards
7 cards from real CCHP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Managing Chronic and Infectious Diseases flashcards as text
An inmate with known opioid use disorder is admitted to a correctional facility. According to current evidence-based guidelines, what is the recommended approach to medication-assisted treatment (MAT)?
Answer: Continue or initiate MAT with methadone, buprenorphine, or naltrexone as clinically indicated
Evidence-based practice and NCCHC standards support continuing or initiating all three FDA-approved MAT medications for opioid use disorder in correctional settings.
Which strategy is MOST effective for controlling methicillin-resistant Staphylococcus aureus (MRSA) outbreaks in correctional facilities?
Answer: Promoting hand hygiene, covering wounds, not sharing personal items, and laundering linens regularly
MRSA transmission in corrections is primarily contact-based; hygiene education, wound coverage, and not sharing personal items are the most effective prevention strategies.
When managing an inmate with sickle cell disease in a correctional facility, which situation requires the MOST urgent medical response?
Answer: Fever above 38.5°C (101.3°F), which can indicate life-threatening sepsis in this population
Fever in sickle cell disease can signal sepsis — a medical emergency — because functional asplenia greatly increases susceptibility to encapsulated bacterial infections.
A correctional health provider is reviewing gonorrhea treatment guidelines. Which regimen reflects current CDC recommendations for uncomplicated urogenital gonorrhea?
Answer: Ceftriaxone 500 mg IM as a single dose (or 1g if weight ≥150 kg)
Current CDC guidelines recommend ceftriaxone 500 mg IM (or 1g if ≥150 kg) as monotherapy for uncomplicated gonorrhea due to widespread fluoroquinolone resistance.
An inmate with type 2 diabetes develops a foot ulcer. Which assessment component is MOST critical to determine the urgency of medical intervention?
Answer: Signs of infection including depth of wound, presence of cellulitis, exposed bone, and systemic signs of sepsis
Depth of ulceration, presence of infection, exposed bone (suggesting osteomyelitis), and systemic sepsis signs determine whether emergent surgical or hospitalization is needed.
Under which circumstance does the Americans with Disabilities Act (ADA) MOST directly apply to chronic disease management in correctional facilities?
Answer: When a correctional facility denies reasonable accommodations to an inmate whose chronic condition constitutes a disability
The ADA requires correctional facilities to provide reasonable accommodations for inmates with qualifying disabilities, including chronic conditions that substantially limit major life activities.
Which approach BEST supports medication adherence for an HIV-positive inmate on ART in a correctional facility?
Answer: Implementing directly observed therapy (DOT) for ART administration to confirm ingestion and reduce diversion
DOT for ART ensures consistent ingestion, supports viral suppression, and prevents medication diversion — all critical for individual health and public health in corrections.