Lyme Disease Quiz: Symptoms & Signs

Reviewed by );"John P. Cunha, DO, FACOEP on November 1, 2017
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Lyme disease is contagious.

Lyme disease is not transmitted from an affected person to someone else. Therefore, Lyme disease is not contagious.

True False

You are more likely to get Lyme disease as a result of...

You are more like to get Lyme disease as a result of hiking. This is because ticks generally cling to plants near the ground in brushy, wooded, or grassy places. The edges of woodlands and leaf litter are high-risk areas. The ticks, which cannot jump or fly, climb onto animals and people who brush against plants.

Hiking Swimming

What is Lyme disease?

Lyme disease is a bacterial illness caused by a bacterium called a "spirochete."

A fungal disease. A bacterial illness. A viral infection. None of the above.

You've found a tick on your leg. Now what?

The longer a tick remains attached to someone, the greater the chance it will be able to spread a disease-causing germ. Therefore, any attached tick should be removed as soon as possible using a fine-point tweezers. The tick should not be squeezed or twisted but grasped close to the skin and pulled straight out with steady pressure.

Leave it until you can get to a doctor. Soak your leg in hot water until the tick releases. Remove the tick with fine-point tweezers. Use ice to freeze the tick until it dies.

Ticks are carriers of the Lyme bacterium...

Ticks are carriers of the Lyme bacterium in their stomachs.

In their mouths. On their backs. In their stomachs. None of the above.

Where was Lyme disease first identified?

Lyme disease only became apparent in 1975 when mothers of a group of children who lived near each other in Lyme, Connecticut, made researchers aware that their children had all been diagnosed with rheumatoid arthritis. This unusual grouping of illness that appeared "rheumatoid" eventually led researchers to the identification of the bacterial cause of the children's condition, what was then called "Lyme disease" in 1982.

Lyme, New York. Lyme, Ohio. Lyme, New Hampshire. Lyme, Connecticut.

Lyme disease is reported most often in the southeastern U.S.

Lyme disease has been reported most often in the northeastern United States, but it has been reported in all 50 states, as well as China, Europe, Japan, Australia, and parts of the former Soviet Union. In certain areas of New York, where Lyme disease is common, over half of the ticks are infected.

True False

What are early symptoms and signs of Lyme disease?

As the bacteria spread in the skin away from the initial tick bite, the infection causes an expanding reddish rash that is often associated with "flu-like" symptoms.

Itching and swelling of the extremities. Tremors and dizziness. Expanding reddish rash and flu-like symptoms. None of the above.

The characteristic Lyme disease rash looks like...

In the early phase of the illness, within days to weeks of the tick bite, the skin around the bite develops an expanding ring of unraised redness. There may be an outer ring of brighter redness and a central area of clearing, leading to a "bull's-eye" appearance.

Polka dots. A bull's eye. Pus-filled blisters. None of the above.

Lyme disease rash is called...

This classic initial rash of Lyme disease is called "erythema migrans" (formerly called erythema chronicum migrans).

Erythema migrans. Erythema nodosum. Erythema multiforme. None of the above.

What is one of the effects of late-stage Lyme disease?

The later phases of Lyme disease can affect the heart, causing inflammation of the heart muscle. This can result in abnormal heart rhythms and heart failure. The nervous system can develop facial muscle paralysis (Bell's palsy), abnormal sensation due to disease of peripheral nerves (peripheral neuropathy), meningitis, and confusion. Arthritis, or inflammation in the joints, begins with swelling, stiffness, and pain, and particularly affects one knee.

Heart failure Bell's palsy Arthritis All of the above

How do doctors diagnose Lyme disease?

In early Lyme disease, doctors can sometimes make a diagnosis simply by finding the classic red rash. Currently, the confirmatory test that is most reliable is the Western Blot assay antibody test.

Identify the classic red rash. Perform Western Blot assay antibody test. Both of the above. None of the above.

Which drug is used to treat early state Lyme disease?

Early illness is usually treated with medicines taken by mouth, for example, doxycycline (Vibramycin), amoxicillin (Amoxil), or cefuroxime axetil (Ceftin).

Doxycycline (Vibramycin). Amoxicillin (Amoxil). Cefuroxime axetil (Ceftin). All of the above.

How can Lyme disease be prevented?

Because Lyme disease is transmitted by ticks attaching to the body, it is important to use tick-bite avoidance techniques when visiting known tick areas. Spraying insect repellant containing DEET onto exposed skin can help. Wearing long pants tucked into boots and long sleeves can protect the skin. Clothing, children, and pets should be examined for ticks. Ticks can be removed gently with tweezers and saved in a jar for later identification. Bathing the skin and scalp and washing clothing upon returning home might prevent the bite and transmission of the disease.

Spray insect repellant containing DEET onto exposed skin. Wear long pants tucked into boots and long sleeves. Bathe the skin and scalp and wash clothing upon returning home. All of the above

Today, Lyme disease may be prevented with a vaccine.

Vaccines were formerly on the market; however, as of Feb. 25, 2002, the manufacturer announced that the LYMErix Lyme disease vaccine will no longer be commercially available.

True False

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