AAT Zoonotic Disease Prevention 3 — Questions and Answers
Question 1: A therapy dog program requires annual health screenings. Which test is specifically recommended to detect Giardia, a common zoonotic intestinal parasite in dogs?
- Complete blood count (CBC)
- Fecal antigen test or direct fluorescent antibody (DFA) assay (Correct answer)
- Skin scraping culture
- Urinalysis with microscopy
Correct answer: Fecal antigen test or direct fluorescent antibody (DFA) assay
Giardia is best detected through fecal antigen tests or DFA assay, as standard fecal flotation may miss Giardia cysts.
Question 2: Ringworm (dermatophytosis) is a fungal zoonosis. Which AAT setting poses the greatest transmission risk to clients?
- Outdoor equine-assisted therapy with adolescents (Correct answer)
- Hospital visits with adult therapy dogs
- Aquatic therapy with fish tanks nearby
- Prison visits with trained service dogs
Correct answer: Outdoor equine-assisted therapy with adolescents
Equine-assisted therapy involves close, prolonged physical contact with horses, which can carry Trichophyton equinum, increasing ringworm transmission risk.
Question 3: What does the term 'fomite' mean in the context of zoonotic disease transmission during AAT?
- An animal that shows no symptoms but carries a pathogen
- An inanimate object that can harbor and transfer infectious agents (Correct answer)
- A blood-borne pathogen requiring needle exposure
- A legally reportable communicable disease
Correct answer: An inanimate object that can harbor and transfer infectious agents
Fomites are inanimate objects such as leashes, harnesses, or furniture that can carry pathogens and facilitate indirect zoonotic transmission.
Question 4: Q fever (Coxiella burnetii) is most associated with which animals commonly used in farm animal-assisted therapy?
- Horses and donkeys
- Goats, sheep, and cattle (Correct answer)
- Rabbits and guinea pigs
- Llamas and alpacas
Correct answer: Goats, sheep, and cattle
Goats, sheep, and cattle are the primary reservoirs of Coxiella burnetii, particularly during parturition when high concentrations are shed in birth fluids.
Question 5: An AAT handler is selecting appropriate PPE for a session involving a therapy dog in a wound care unit. Which combination is MOST appropriate?
- No PPE is needed if the dog is vaccinated and healthy
- Gloves only, changed between patients
- Gloves and a clean facility gown or smock, changed between patients (Correct answer)
- Full surgical mask, gloves, and gown for every patient contact
Correct answer: Gloves and a clean facility gown or smock, changed between patients
Gloves and a clean outer layer protect patients with open wounds from animal-associated pathogens and prevent cross-contamination between patients.
Question 6: Which statement best describes 'reverse zoonosis' (anthroponosis) in the context of AAT programs?
- When animals transmit diseases to humans through direct contact
- When humans transmit pathogens to therapy animals, which may then spread them (Correct answer)
- When a zoonotic disease is treated with animal-derived antibiotics
- When therapy animals develop immunity from repeated human exposure
Correct answer: When humans transmit pathogens to therapy animals, which may then spread them
Reverse zoonosis occurs when humans transmit pathogens to animals; therapy animals visiting multiple facilities can then carry and spread these pathogens.
Question 7: Toxoplasmosis poses the greatest documented risk to which AAT client group involving cat-assisted therapy?
- Immunocompetent elderly residents in nursing homes
- Pregnant women, especially those who are seronegative (Correct answer)
- Children with autism spectrum disorder
- Veterans with PTSD
Correct answer: Pregnant women, especially those who are seronegative
Seronegative pregnant women face risk of primary Toxoplasma infection which can cause severe fetal harm including stillbirth, neurological damage, and chorioretinitis.
A therapy dog program requires annual health screenings.
Which test is specifically recommended to detect Giardia, a common zoonotic intestinal parasite in dogs?