- Email: [email protected]
Lyme Disease
Test Your Knowledge by Sandy Wilbanks, MSN, FNP
Lyme Disease 2
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Across 3. Remove brush and leaf _____. 6. Highest incidence in warmer _____. 11. 4 types of ticks bite _____. 15. Know the local ______ of disease. 16. Antibodies cannot distinguish new from ______ inf ection. 17. Requires 36 hours of ______ to transmit disease. 20. Fatigue and _____ are common. 24. Principal vector is the _____tick. 27. Shower after potential _____. 28. Infected ticks _____ the pathogen. 30. Underreporting is more likely in high _____ areas. 31. A rare cardiac outcome. 32. Soldiers, hunters, hikers and _____are at risk. 36. One dose of ______f ollowing a high-risk tick bite. 38. The life cycle of a tick is 2 _____. 39. Erythema migrans (ab).
Down
45. Incidence is high in the Northeastern and_____U.S. 46. Serologic assays are insensitive for _____ disease. 47. _____ tick bites. 49. Infected ticks live on small _____. 50. Infection related to weekend _____. 51. Found in Europe and _____ America. 53. Know the number and distribution of _____. 54. _____ is more likely in nonendemic areas.
1. Incidence has ______ over the last 2 decades. 2. Avoid heavily tick-______ areas. 4. Clinical manifestations vary by _____. 5. High antibody _____ can persist for years. 7. Occupations and _____ increase risk of infection. 8. Watch for an expanding _____ rash. 9. May cause _____palsy. 10. May cause neurologic ______. 12. Assess _____ and duration of infection. 13. Rash is a _____symptom. 14. Use insect ______ containing DEET. 18. Symptoms may be _____. 19. Personal _____measures. 21. Lyme Disease is _____to the CDC. 22. Treatment prevents _____ complications. 23. High rates among _______ and adults >50. 25. A tick takes 3 blood _____ in it's life cycle. 26. Lyme disease is a tick-_____zoonosis. 29. Wear long-______ shirts. 33. Lab-based reporting is not an efficient mode of _____.
34. Zoonosis is a disease _____from animals to humans. 35. Humans are dead-end _____. 37. The organism cycles between small mammals and ______. 40. Daily tick _____. 41. Clothing can be treated with _____. 42. Pesticide _____ sprays are effective. 43. Few deaths are caused by _____ disease. 44. A carrier of disease. 48. Incidence is higher among _____. 51. A tick's life cycle includes larvae, _____, and adult. 52. Is transmitted by _____.
Source: Mead PS. Epidemiology of Lyme Disease. Infect Dis Clin North Am. 2015;29: 187-210.
Sandy Wilbanks, MSN, FNP, works for Covenant Healthcare in Saginaw, MI, and has written the book Cross Check Medical Crossword Puzzles. She can be reached at [email protected].
The answer key for this puzzle is available online.
1555-4155/15/$ see front matter © 2015 Elsevier, Inc. All rights reserved. http://dx.doi.org/10.1016/j.nurpra.2015.07.013
www.npjournal.org
The Journal for Nurse Practitioners - JNP
847
Lyme Disease 2
1
3
4
5
6
7
8
10
9
11 13
12
14 15 16
Scan this QR code and go directly to the crossword online.
18
17
19 20
21
22 23
25
24
26
27
28 29 30 31 33
32
34
35
36 37 40
39
41
42
43
45
38
44 46
48
47
49
50
51
52
53 54
Across 3. Remove brush and leaf _____. 6. Highest incidence in warmer _____. 11. 4 types of ticks bite _____. 15. Know the local ______ of disease. 16. Antibodies cannot distinguish new from ______ inf ection. 17. Requires 36 hours of ______ to transmit disease. 20. Fatigue and _____ are common. 24. Principal vector is the _____tick. 27. Shower after potential _____. 28. Infected ticks _____ the pathogen. 30. Underreporting is more likely in high _____ areas. 31. A rare cardiac outcome. 32. Soldiers, hunters, hikers and _____are at risk. 36. One dose of ______f ollowing a high-risk tick bite. 38. The life cycle of a tick is 2 _____. 39. Erythema migrans (ab).
Down
45. Incidence is high in the Northeastern and_____U.S. 46. Serologic assays are insensitive for _____ disease. 47. _____ tick bites. 49. Infected ticks live on small _____. 50. Infection related to weekend _____. 51. Found in Europe and _____ America. 53. Know the number and distribution of _____. 54. _____ is more likely in nonendemic areas.
1. Incidence has ______ over the last 2 decades. 2. Avoid heavily tick-______ areas. 4. Clinical manifestations vary by _____. 5. High antibody _____ can persist for years. 7. Occupations and _____ increase risk of infection. 8. Watch for an expanding _____ rash. 9. May cause _____palsy. 10. May cause neurologic ______. 12. Assess _____ and duration of infection. 13. Rash is a _____symptom. 14. Use insect ______ containing DEET. 18. Symptoms may be _____. 19. Personal _____measures. 21. Lyme Disease is _____to the CDC. 22. Treatment prevents _____ complications. 23. High rates among _______ and adults >50. 25. A tick takes 3 blood _____ in it's life cycle. 26. Lyme disease is a tick-_____zoonosis. 29. Wear long-______ shirts. 33. Lab-based reporting is not an efficient mode of _____.
34. Zoonosis is a disease _____from animals to humans. 35. Humans are dead-end _____. 37. The organism cycles between small mammals and ______. 40. Daily tick _____. 41. Clothing can be treated with _____. 42. Pesticide _____ sprays are effective. 43. Few deaths are caused by _____ disease. 44. A carrier of disease. 48. Incidence is higher among _____. 51. A tick's life cycle includes larvae, _____, and adult. 52. Is transmitted by _____.
Source: Mead PS. Epidemiology of Lyme Disease. Infect Dis Clin North Am. 2015;29: 187-210.
Sandy Wilbanks, MSN, FNP, works for Covenant Healthcare in Saginaw, MI, and has written the book Cross Check Medical Crossword Puzzles. She can be reached at [email protected].
The answer key for this puzzle is available online.
1555-4155/15/$ see front matter © 2015 Elsevier, Inc. All rights reserved. http://dx.doi.org/10.1016/j.nurpra.2015.07.013
www.npjournal.org
The Journal for Nurse Practitioners - JNP
847