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1. One study found girls to be infested with nits _____ times more than boys.

A. 0.7 B. 6 C. 13 D. 25

2. Head lice can be attracted to humans because of the presence of

A. Nits from other lice B. Dirt C. Lice feces D. Pheromones

3. In a German study, the average number of head lice consultations given weekly by pharmacists was

A. 2.5 B. 4 C. 7 D. 10

4. The most frequent factor leading to misdiagnosis of head lice infestations is

A. Hysteria B. Acceptance of nonviable nits C. The absence of pruritis D. Atopic eczema

5. The majority of infestations have _____ lice.

A. ≤10 B. ≤15 C. ≤20 D. >20

6. If the patient presents with nits-only, they should be treated if

A. They are in close contact with others who do have live lice diagnosed B. Have active secondary infections C. The school district declares an epidemic D. Only after continued examination every few days when ultimately live lice or viable nits are seen

7. Lice movement is slowed by

A. Wet hair B. Cold ambient temperature C. Wind D. Bright lights

8. Lice can move by

A. Walking B. Fleeing C. Being blown by wind D. All the above

9. Which of the following has not been identified as a disease transmitted by lice:

A. Typhus Rickettsia prowazekii B. Trench fever Bartonella quintana C. Bubonic plague Yersinia pestis D. Relapsing fever Borellia recurrentis

10. Items such as hair brushes should be placed in

A. Water:bleach (4:1) B. Hot water 130 degrees for 5 minutes C. Dry heat 165 degrees for 30 minutes D. Dishwasher heavy cycle

11. When considering resistance, it is best to

A. Retreat in 3-5 days B. Use stronger chemical agents which have lasting repellency C. Make sure application of treatment chemicals is greater than typically recommended D. Ensure manual removal of all nits

12. Which of the following is not an issue with the use of malathione:

A. Flammability B. Alopecia C. Systemic toxicity D. Odor

13. Which of the following statements best describes benzyl alcohol 5%:

A. Cutaneous erythema and irritation are common with application B. It should be avoided in infants C. Its mechanism of action essentially causes asphyxiation of the nit D. Similar to permethrin, it should be applied sparingly as to avoid toxicity

14. Pyrethrins are extracts from

A. Blow fish B. Chrysanthemum C. Venus flytrap, Dionaea muscipula D. Petroleum

15. Which of the following botanicals, when used alone or placed in formulations with other natural products, did not show effectiveness when used in against head lice:

A. Eucalyptus B. Quassia amara C. American paw-paw D. Lemon grass

16. When combing the hair for evidence of head lice infestations, studies suggest taking ______ minutes to comb through the hair.

A. 5-30 B. 15-60 C. 30-90 D. 60-120

17. Nontoxic suffocation methods were tested successfully against head lice, utilizing a specific technique of applying

A. Water B. Olive oil C. Cetaphil D. Mayonnaise

18. Which of the following statements best describes manual delousing:

A. Nit combing should only be done as an adjunctive method to pesticides B. Metal nit combs perform better than plastic combs C. Nit combing is unnecessary when using suffocation methods D. Combing does not need to be repeated after treatment

19. Which of the following statements about repellents is true:

A. Botanical oil formulations have shown clinical effectiveness B. Repellents simply don't work and just increase costs C. Pepper spray has been studies to repel lice for 4 weeks D. In order to demonstrate repellency, products must be aerosolized

20. Which of the following statements about The National Pediculosis Association (NPA) is FALSE:

A. Endorses caution, peace of mind, and preparedness in their approach to head lice B. They endeavor to suggest safe approaches toward treating children with head lice infestations C. Condone the use of effective, alternative treatments as fundamental first-line rational approaches toward the treatment of head lice in contrast to pesticides and toxic drugs D. They are a nationally funded branch of the CDC