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1.5 CE Test Hours

Lyme Disease

Diagnosis, Treatment, and Prevention

Contrada, Emily

AJN The American Journal of Nursing: April 2018 - Volume 118 - Issue 4 - p 46,47
doi: 10.1097/01.NAJ.0000532072.40092.7e
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Lyme Disease: Diagnosis, Treatment, and Prevention


To provide information about the etiology of Lyme disease and its diagnosis, treatment, and prevention.

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After completing this educational activity, you should be able to

  • outline the etiology and transmission of Lyme disease.
  • recognize early and late manifestations of Lyme disease.
  • discuss the diagnosis, treatment, and prevention of Lyme disease.
  1. Which of the following spirochetal microorganisms causes Lyme disease?
    1. Treponema pallidum
    2. Brachyspira pilosicoli
    3. Borrelia burgdorferi
  2. Lyme disease is transmitted by ticks of which of the following species complexes?
    1. Ixodes ricinus
    2. Dermacentor variabilis
    3. Amblyomma maculatum
  3. Of the following seasons, the risk of human infection with Lyme disease in the United States is greatest in
    1. winter.
    2. autumn.
    3. summer.
  4. Humans are most often infected through the bites of nymphs, which are about the size of
    1. an apple seed.
    2. a poppy seed.
    3. a sesame seed.
  5. Transmission of the bacterium that causes Lyme disease requires at least how many hours of attachment?
    1. 12
    2. 24
    3. 36
  6. At which of the following sites does the Lyme disease rash often develop?
    1. axilla
    2. chest
    3. face
  7. The lesion that develops at the site of the tick bite is often
    1. yellow.
    2. brown.
    3. purple.
  8. About what percentage of patients who have Lyme disease present with multiple rashes?
    1. 20%
    2. 40%
    3. 60%
  9. The rash or lesions of Lyme disease are sometimes accompanied by manifestations such as
    1. vomiting.
    2. headache.
    3. tremors.
  10. Lyme arthritis appears an average of how many months after the onset of Lyme disease?
    1. 1
    2. 3
    3. 6
  11. The pain and swelling of Lyme arthritis most often affects which of the following joints?
    1. hip
    2. knee
    3. shoulder
  12. In patients who have Lyme disease and don't receive prompt treatment, neurologic manifestations can develop—the most common being
    1. seizures.
    2. confusion.
    3. facial nerve palsy.
  13. Serologic testing in the acute phase of Lyme disease may be paired with serologic testing in the convalescent phase how long after initial testing?
    1. 14 days
    2. 30 days
    3. 90 days
  14. Studies suggest that what percentage of patients who have the Lyme disease rash and receive antibiotic treatment continue to have symptoms long after treatment?
    1. 10% to 20%
    2. 20% to 30%
    3. 30% to 40%
  15. To prevent Lyme disease, which of the following antibiotics should adults with a known tick bite and no rash receive in a single dose?
    1. oxacillin
    2. erythromycin
    3. doxycycline
  16. Children under the age of 8 years who have the Lyme disease rash should receive
    1. cefotaxime.
    2. amoxicillin.
    3. clarithromycin.
  17. Which of the following is recommended to prevent tick bites?
    1. Walk in the center of trails.
    2. Wear dark-colored clothing.
    3. Apply repellent under children's clothing.
  18. Which of the following is recommended after a tick bite?
    1. Shower within 4 hours.
    2. Apply petroleum jelly to the tick.
    3. Use tweezers to remove the tick.
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