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Criteria of drinking water quality Criteria, units of measurement Odour, points Turbidity, mg/l Spectral colour, degrees Aftertaste, points Hydrogen index, pH value, within the range, units. Iron, mg/l Total hardness, mg-equiv/l Sulphates, mg/l Solid residue (total mineralization), mg/l Polyphosphate residue, mg/l Chlorides, mg/l Copper, mg/l Manganese, mg/l Zinc, mg/l Chlorophenols, mg/l Sanitary rules and norms (State sanitary rules and norms) 2* 0.5 (1.5)** 20 (35)*** 2* 6.5—8.5 0.3 7.0 (10.0) 250 (500) 1000 (1500) — 250 (350) 1.0 0.1 — 0.0003 Criteria of drinking water Indices, units of measurement Amount of bacteria in 1 ml of water (total microbial number, TMN), CFU /ml Amount of colibacillus group bacteria (coli-form microorganisms), i.e. CBGB index, CFU /l Amount of thermostable colibacilli (fecal coliforms), i.e. FC index, CFU /100 ml Amount of pathogenic microorganisms, CFU /l Amount of coli-phages, PFU /l Parasitologic Amount of pathogenic intestinal protozoa (cells, cysts) in 25 l of water Amount of intestinal helminths (cells, roes, larvae) in 25 l of water Sanitary rules and norms (SSRandN) Maximum 100* Maximum 3** Absence *** Absence *** Absence *** Absence Absence Children from a certain township present with brittle teeth, malocclusion, dental enamel erosions, and dental pigmentation that looks life yellow-brown spots. What is the likely cause of this presentations? A. High level of nitrates B. Low level of sulfates in water C. High level of fluorine in water D. High level of sulfates in water E. Low level of fluorine in water ANSWER: C The "very mild" (and most common) form of fluorosis, is characterized by small, opaque, "paper white” areas scattered irregularly over the tooth, covering less than 25% of the tooth surface. Severe fluorosis is characterized by brown discoloration and discrete or confluent pitting; brown stains are widespread and teeth often present a corroded-looking appearance. Some of the population of a city district have uneven teeth color. The individuals have white spots, transverse brown stripes on the incisors. Occurrence of these symptoms is associated with the quality of drinking water from a deep well. Which of the following components of water can be the cause of the disease? A.F B.Ca C.Mg D.J E.Fe ANSWER: A Caries morbidity rate is 89% among residents of a community. It is determined that fluorine content in water is 0,1 mg/l. What preventive measures should be taken? A. Water fluorination B. Tooth brushing C. Fluorine inhalations D. Sealant application E. Introduce more vegetables to the diet ANSWER: A In pediatric clinic, located in a rural area, there are 9 children, who simultaneously fell ill. The following signs were detected: low physical activity, acrocyanosis of the nasolabial triangle and fingertips, mucosal cyanosis, tachycardia, dyspnea. It was determined that all the sick children were fed with a formula that was dissolved in the water taken from a dug well. Laboratory analysis revealed high levels of methemoglobin in the blood of the children. These sings can be caused by increased content of a certain element in the water. Name this element. A. Selenium B. Lead C. Methylmercury D. Nitrates E. Sulfates ANSWER: D Maximum permissible limit 50 mg /l Examination of a group of persons living on the same territory revealed the following common symptoms: dark-yellow pigmentation of the tooth enamel, diffuse osteoporosis of bone apparatus, ossification of ligaments and joints, functional disorders of the central nervous system. This condition may be caused by the excessive concentration of the following microelement in food or drinking water: A. Fluorine B. Copper C. Nickel D. Iodine E. Cesium ANSWER: A According to the report of water quality control, drinking city water has the following characteristics: turbidity 1,5 mg/m3, odour 3 points, metallic taste 2 points, pale yellow colour, colour index 20o, temperature 12o. Which of these factors doesn’t comply with hygienic requirements? A. Odour B. Turbidity C. Colour index D. Temperature E. Taste ANSWER: A A military unit stopped for 3-day’s rest in inhabited locality after a long march. The sanitary-epidemiological reconnai-ssance found several water sources. It is necessary to choose the source complyi-ng with the hygienic standards for potable water in the field A. Artesian well water B. Spring water C. River water D. Rain water E. Water from melted snow ANSWER: A A mineshaft is situated on the territory of homestead land, it is 20 m away from the house, 10 m - from the toilet and 15 m - from the neighbour’s house. What is the smallest distance that, according to the sanitary code, should be established between the well and the source of probable water pollution? A. 30 m B. 25 m C. 20 m D. 15 m E. 10 m ANSWER: A