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About the Speaker
Jeff Solheim MSN RN-BC CEN CFRN FAEN
Jeff brings with him a wealth of nursing background, including clinical nursing in medical/surgical and emergency medicine, cruise-ship nursing, flight nursing, nursing management, state surveyor, and nursing educator. Jeff currently finds his fulfillment speaking in front of audiences around the world on a variety of clinical and motivational topics.
Jeff was honored by the Emergency Nurses Association with the “Nursing Education Award” for his outstanding contribution to Emergency Nursing through education and publication and in 2008, was inducted as a fellow in the Academy of Emergency Nursing.
Jeff has authored eight CEN review books, authored the online CEN review course for MCStrategies and the Emergency Nurses Association and has co-authored and edited numerous other textbooks, online courses and publications. Jeff is currently the co-editor of the column “Experience Talks” in the Journal of Emergency Nursing.
Jeff is also the founder and executive director of Project Helping Hands, a not-for-profit humanitarian medical organization that coordinates medical teams in developing nations. Jeff has personally led over 50 teams to countries all around the world.
Particular Heading Text that Captures Point of Brochure
Location Name 1-800-000-0000
Certified Emergency
Nurse® (CEN)
REVIEW
Tuba City, AZ April 15 – 16, 2014
July 11 & 12, 2011
Successfully completing the Certified Emergency Nurse (CEN) exam is a challenge that has been completed by only a minority of emergency nurses. This course is a review of emergency nursing designed to assist the participant to be successful in obtaining CEN certification. The course offers lectures, graphics, videos and practice questions in many of the areas that are tested on the CEN exam. This review provides a foundation for further study as the participant works toward emergency nursing certification.
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Refunds and Substitutions We have a no refund policy. Once your registration is submitted, payment will be processed and cannot be refunded for any reason.
Moenkopi Legacy Inn & Suites Tunatya Room 1&2
P.O. Box 2260 Tuba City, AZ 86045 Phone 928.283.4500
www.experiencehopi.com
Tues April 15 & Wed April 16, 2014, 8 AM – 5 PM
If you plan to stay at the Moenkopi Legacy Inn & Suites during the event, please book your room directly with the hotel by calling (928) 283-4500. When making your reservations, be sure to indicate that you will be attending the Certified Emergency Course sponsored by the AZ Chapter of the American Academy of Pediatrics and use Group Code P0415. Book by March 30th, 2014 to recieve a discounted rate. CONTACT HOURS
This activity has been approved by the Emergency Nurses Association for 16.4 contact
hours (Activity Code 120116-OR-C). The Emergency Nurses Association is accredited as an approver of continuing nursing education by the
American Nurses Credentialing Center’s Commission on Accreditation.
CEN Review Course
Day One Sessions Day Two Sessions
Registra t ion @0730
Review of Exam
Shock and Multi -system Trauma
Cardiovascular Emergencies
Medical Emergencies
Gastrointestinal Emergencies
Genitourinary/Obstetrical/ Gynecological Emergencies
Neurological Emergencies
Registra t ion @ 0730
Respiratory Emergencies
Toxicological and Environmental Emergencies
Professional Issues
Maxillofacial and Ocular Emergencies
Orthopedic/Wound Emergencies
Psychological and Social Emergencies
Moenkopi Legacy Inn & Suites Tunatya Room 1&2
P.O. Box 2260 Tuba City, AZ 86045
Tues April 15 & Wed April 16, 2014,
8 AM – 5 PM
$50.00/person for individuals or Free to Pediatric Prepared Emergency Care Hospital Members
Includes daily lunch & course syllabus
Registration is available online: https://events.r20.constantcontact.com/register/eventReg?llr=l4feghcab&oeidk=a07e8pqb99811f55ce8
COURSE DESCRIPTION: Successfully completing the Certified Emergency Nurse (CEN) ® exam is a challenge that has been completed
by only a minority of emergency nurses. Successful completion of this exam exhibits to others that the bearer has demonstrated a knowledge
base in the specialty of emergency nursing that exceeds their peers.
This course is a review of emergency nursing designed to assist the participant to be successful in obtaining CEN certification. The course
offers lectures, graphics, videos and practice questions in many of the areas that are tested on the CEN examination. This review will provide
not only a knowledge base for successfully completing the exam, but also a foundation for further study as the participant works towards
emergency nursing certification.
ABOUT THE SPEAKER: Jeff Solheim RN-BC MSN CEN CFRN FAEN
Jeff brings with him a wealth of nursing background, including clinical nursing in medical/surgical and emergency medicine, cruise-ship
nursing, flight nursing, nursing management and administration, state surveyor, and nursing educator. Jeff currently finds his fulfillment
speaking in front of audiences around the world on a variety of clinical and motivational topics. He was honored by the Emergency Nurses
Association with the “Nursing Education Award” for his outstanding contributions to Emergency Nursing through education and publishing
and in 2008, was inducted as a fellow in the Academy of Emergency Nursing. Aside from speaking, Jeff contributes to numerous journals
and publications. He is the co-editor of the Manager’s Forum for the Journal of Emergency Nursing, is a regular contributor to Nursing
Spectrum, and has served as editor or author for numerous books.
Jeff wrote the CEN Review course in 2004 and has offered it in locations around the world over hundreds of times since. He has been invited
to present the course at the Emergency Nurses Association annual convention for numerous years and has been invited by the Emergency
Nurses Association to offer his course as a live webinar through the organization. Jeff is the author and editor of numerous resource books
utilized by participants in preparing for the CEN exam including a series of review books entitled “Pocket Pearls” and another series of books
entitled “Pocket Practice”. Jeff authored and edited an online CEN Review course in conjunction with the Emergency Nurses Association for
MC Strategies – an affiliate of Mosby-Elsevier publishing company. Jeff’s CDs, DVDs and iPod versions of the CEN review course have
sold thousands of copies over the past decade.
Aside from his work in the nursing field, Jeff is also the founder and director of a third world humanitarian organization called Project
Helping Hands which regularly takes medical teams into various third world countries. Jeff has personally visited over fifteen different
countries and led over 30 teams through his organization.
Jeff combines his sense of humor with stories from his travels around the world to make each seminar a fun and unforgettable experience.
DAY ONE – MORNING SESSION (0800 – 1200)
Review of exam
Preparing for the exam
Registering for the exam
Exam taking tips
Shock
Hypovolemic shock
Anaphylactic shock
Septic shock
Neurogenic shock
Obstructive shock
Medical Emergencies
Infectious diseases
Endocrine disorders
Hematological disorders
Fluid and electrolyte disorders
Psychosocial Emergencies
Psychosis
Eating Disorders
Abuse
Grief
Lunch (1200 – 1300)
DAY ONE – AFTERNOON SESSION (1300 – 1700)
Gastrointestinal Emergencies
Esophageal Emergencies
Stomach Emergencies
Emergencies of the organs of the biliary tree
Intestinal Emergencies
Abdominal trauma
Genitourinary, Gastrointestinal and
Obstetrical Emergencies
Genitourinary trauma
Male Issues
Gynecology
Obstetrics
Childbirth and post-natal care
Neurological Emergencies
Neurological Assessment
Neurological Trauma
Headaches
Seizures
Chronic Neurological Disorders
DAY TWO – MORNING SESSION (0800 – 1200)
Cardiovascular Emergencies
Cardiovascular Physiology
Dysrhythmias
Vasopressors
Heart Failure
Coronary Artery Disease
Cardiac Infections
Peripheral Vascular Disease
Respiratory Emergencies
Blood gases
Chronic Obstructive Pulmonary Disease
Pulmonary Embolism
Pulmonary Edema
Pulmonary trauma
Professional issues
Pain management
End-of-life issues
Disaster management
Evidence Based Practice and Research
Patient transport
Forensics
Critical Incident Stress Management
Ethics
DAY TWO – AFTERNOON SESSION (1300 – 1700)
Maxillofacial Emergencies
Disorders of the cranial nerves
Mouth and throat disorders
Nasal disorders
Ear disorders
Ocular disorders
Facial trauma
Orthopedic and Wound Trauma
Wounds
Infections
Joint Injuries
Fractures
Orthopedic complications
Amputations
Toxicological and Environmental
Emergencies
Toxidromes
Medicinal overdoses
Non-medicinal overdoses
Chemical and radiological exposures
Heat and cold related injuries
Animal injuries
Title of Educational Activity: Certified Emergency Nurse (CEN) Review Course
Learner Objectives
Content (Topics) Outline
Time Frame
Presenter
Teaching Methods
State the educational objectives for this CNE
activity in behavioral terms that define the
expected outcomes for the learner. They must
be expressed in measurable terms, identify
observable actions, and specify one action or
outcome per objective.
At the end of this activity, the learner will be
able to:
Provide an outline of the content for each
objective. Each objective must have a directly
related content outline that is more than a
restatement of the objective.
Provide a time
frame for each
objective and
its related
content.
List the presenter for each
objective. (Attach a bio
form for each presenter)
List teaching methods,
strategies, materials,
and resources for each
presenter and
objective. They must
be congruent with
objectives and content.
1. The learner will be able to list at least three
strategies for successfully preparing for the
Certified Emergency Nurse Exam
Preparing for the exam
I. Preparing for the exam
II. Registering for the exam
III. Exam taking tips
35 minutes Jeff Solheim Lecture
Powerpoint
presentation
Video and audio
clips
Sample questions
1. The learner will be able to define shock
2. The learner will be able to differentiate the
signs of compensatory shock from signs of
decompensatory shock.
3. The learner will be able to list the three
forms of distributive shock.
Shock States
I. Shock defined
II. Obstructive shock
III. Hypovolemic shock
a. Compensatory shock
b. Decompensatory shock
c. Signs and symptoms
d. Treatment
i. Crystalloids
ii. Colloids
iii. Blood products
IV. Distributive shock
a. Neurogenic shock
b. Septic shock
c. Anaphylactic shock
65 minutes Jeff Solheim Lecture
Powerpoint
presentation
Video and audio
clips
Practice questions
Medical Emergencies 85 minutes Jeff Solheim Lecture
1. Learners will be able to differentiate
between symptoms of diabetic ketoacidosis
and hyperosmolar hyperglycemic syndrome
2. Learners will be able to verbalize
precautions to consider when caring for a
patient with neutropenia
3. Learners will be able to recognize lab
abnormalities associated with disseminated
intravascular coagulation
4. Learners will be able to list what type of
isolation precautions are appropriate for
various infectious diseases
5. Learners will be able to verbalize risk
factors for developing Reye’s syndrome.
I. Endocrine disorders
A. Thyroid emergencies
i. Thyroid storm
ii. Myxedema coma
B. Pancreas
i. Hypoglycemia
ii. Diabetic ketoacidosis
iii. Hyperosmolar
hyperglycemic syndrome
C. Adrenal emergencies
i. Addison’s crisis
ii. Cushing’s syndrome
II. Hematological disorders
A. Polycythemia
B. Anemia
C. Sickle cell anemia
D. Neutropenia
E. Lymphopenia
F. Thrombocytopenia
G. Thrombocytosis
H. Disseminated intravascular
coagulation
I. Hemophilia
III. Infectious diseases
A. Isolation precautions
B. Tuberculosis
C. Mononucleosis
D. Childhood diseases
i. Mumps
ii. Pertussis
iii. Measles
iv. Varicella Zoster
Virus
v. Diphtheria
IV. Reye’s syndrome
Powerpoint
presentation
Video and audio
clips
Practice questions
1. The learner will be able to differentiate
between symptoms of delirium and
dementia
2. The learner will be able to list nursing
interventions for patients with various
eating disorders
3. The learner will be able to state the triad of
injuries commonly associated with abusive
brain injury
4. The learner will be able to discuss
interventions appropriate for patients
experiencing grief.
Psychological and Social Emergencies
I. Psychotic behavior
a. Delirium
b. Dementia
c. Depression
d. Bipolar disorder
e. Schizophrenia
II. Eating disorders
a. Anorexia nervosa
b. Bulimia
III. Abuse
a. Physical abuse
b. Emotional abuse
c. Neglect
d. Abusive brain injury
e. Munchausen syndrome
by proxy
IV. Grief
60 minutes Jeff Solheim Lecture
Powerpoint
presentation
Video and audio
clips
Practice questions
1. Learners will be able to prioritize
treatments for patients with esophageal
emergencies.
2. Learners will be able to recognize the
signs of gastritis.
3. Learners will be able to verbalize
discharge instructions appropriate for
patients with hepatitis.
4. Learners will be able to differentiate
between the symptoms of small bowel
obstructions and large bowel
Gastrointestinal Emergencies
A. Esophageal emergencies
a. Obstruction
b. Mallory-Weiss tears
c. Boerhaave’s syndrome
d. Varices
e. Esophagitis
B. Stomach emergencies
a. Gastritis
b. Ulcers
C. Disorders of organs of the biliary tree
a. Cholecystitis
b. Pancreatitis
c. Hepatitis
d. Cirrhosis/liver failure
D. Peritonitis
E. Bowel emergencies
70 minutes Jeff Solheim Lecture
PowerPoint
presentation
Video and audio
clips
Practice questions
Discussion.
obstructions.
5. Learners will be abel to identify the
abdominal organ most frequently
injured in traumatic situations.
a. Appendicitis
b. Diverticulitis
c. Bowel obstruction
i. Small bowel
ii. Large bowel
d. Functional bowel syndromes
F. Abdominal trauma
a. Spleen
b. Liver
c. Stomach
d. Pancreas
e. Bowel
1. Learners will be able to prioritize
interventions appropriate for genitourinary
trauma.
2. Learners will be able to differentiate
between various sexually transmitted
diseases based on a patient’s presenting
complaint
3. Learners will be able to verbalize nursing
care for a patient with a fractured penis.
4. Learners will be able to differentiate
between various causes of ovarian cysts
based on a patient’s complaints.
5. Learners will be able to define the six types
of abortion
Genitourinary, Obstetrical and
Gynecological Emergencies
I. Genitourinary trauma
a. Renal trauma
b. Bladder/Urethral trauma
II. Renal Colic
III. Sexually Transmitted Diseases
a. Genital Herpes
b. Gonorrhea
c. Chlamydia
IV. Male Genitourinary problems
a. Testicular Torsion
b. Epididymitis
c. Orchitis
d. Phimosis/Paraphimosis
e. Fractured Penis
a.
V. Female Genitourinary Problems
a. Vulvovaginitis
b. Pelvic Inflammatory Disease
c. Vaginal Bleeding
d. Bartholin’s Cyst
e. Ovarian Cysts
70 minutes Jeff Solheim Lecture
Powerpoint
presentation
Video and audio
clips
Practice questions
6. Learners will be able to list the steps
involved in assisting with childbirth.
VI. Emergencies during pregnancy
a. Abortion
b. Ectopic Pregnancy
c. Placenta Previa
d. Abruption Placentae
e. Pre-eclampsia
f. Eclampsia
g. HELLP Syndrome
h. Trauma and Pregnancy
i. Prolapsed Cord
VII. Childbirth
VIII. Neonatal resuscitation
1. Learners will be able to differentiate
between early and late signs of
increased intracranial pressure
2. Learners will be able to discuss care of
the patient with a basilar skull fracture.
3. Learners will be able to define
autonomic dysreflexia.
Neurological Emergencies
I. Intracranial pressure
a. Symptoms
b. Treatment
V. Shunt Dysfunctions
VI. Glasgow Coma Score
a. Best eye opening
b. Best motor response
c. Best verbal response
VII. Brain Injuries
a. Diffuse Axonal Injury
b. Intracranial bleeds
i. Epidural bleed
ii. Subdural bleed
iii. Subarachnoid
bleed
c. Basilar skull fractures
VIII. Spinal cord injuries
a. Complete cord injuries
b. Partial cord injuries
i. Anterior cord
syndrome
ii. Posterior cord
80 minutes Jeff Solheim Lecture
Powerpoint
presentation
Video and audio
clips
Practice questions
4. Learners will be able to recognize
medications used in the treatment of
seizures.
5. Learners will be able to verbalize
discharge instructions that should be
provided to patients with Myasthenias
Gravis
syndrome
iii. Central cord
syndrome
iv. Brown-Sequard
syndrome
v. Cauda equine
syndrome
c. Spinal shock
d. Treatment
e. Autonomic Dysreflexia
IX. Headaches
X. Seizures
XI. Meningitis
XII. Chronic Neurological
disorders
a. Amyotrophic Lateral
Sclerosis
b. Multiple Sclerosis
c. Parkinson’s Disease
d. Myasthenia Gravis
e. Guillian Barre Syndrome
1. The learner will be able to define preload,
afterload, cardiac output and stroke volume.
2. The learner will be able to recognize
problems with implanted pacemakers that
present to the emergency department.
3. The learner will be able to list drugs that
are used to control tachycardic rhythms.
Cardiovascular Emergencies
I. Cardiovascular Physiology
a. Cardiac output
b. Stroke volume
c. Heart rate
d. Preload
e. Afterload
f. Contractility
II. Bradycardia
a. Pharmacology
b. Pacing
i. Transcutaneous
ii. Transvenous
iii. Implanted
70 minutes Jeff Solheim Lecture
Powerpoint
presentation
Video and audio
clips
Practice questions
4. The learner will be able to state nursing
interventions for a patient experiencing an
acute aortic dissection.
5. The learner will be able to differentiate
between the symptoms of a right-sided
myocardial infarction and a left-sided
myocardial infarction.
6. The learner will be able to differentiate
treatments implemented for arterial versus
venous peripheral vascular occlusions.
III. Tachycardia
a. Cardioversion
b. ICD
c. Pharmacology
IV. Hypotension
V. Hypertension
a. Hypertensive crisis
b. Aortic dissection
VI. Heart failure
VII. Coronary Artery Disease
a. EKG
b. Symptoms
c. Treatment
d. Right sided MI
VIII. Variant Angina
IX. Infections of the heart
a. Endocarditis
b. Pericarditis
X. Pericardial tamponade
XI. Peripheral vascular occlusions
a. Arterial
b. Venous
XII. Blunt cardiac injury
1. Learners will be able to analyze a blood gas
abnormality by looking at blood gas values.
2. Learners will be able to list side effects of
drugs used to treat chronic Obstructive
Pulmonary Disease
Respiratory Emergencies
I. Suctioning
II. Oxygen therapy
III. Respiratory Patterns
IV. Blood Gases
a. Respiratory Acidosis
b. Respiratory Alkalosis
c. Metabolic Acidosis
d. Metabolic Alkalosis
V. Chronic Obstructive Pulmonary Disease
a. Asthma
b. Chronic Bronchitis
90 minutes Jeff Solheim Lecture
Powerpoint
presentation
Video and audio
clips
Practice questions
3. Learners will be able to differentiate
between types of pulmonary emboli based
on presenting symptamology.
4. Learners will be able to recognize
symptoms of each type of respiratory
infection.
5. Learners will be able to verbalize treatment
strategies for pulmonary edema.
6. Learners will be able to list nursing
interventions for various types of
pnuemothoraces
c. Emphysema
VI. Pulmonary Embolism
a. Blood clot
b. Fat
c. Amniotic Fluid
VII. Respiratory Infections
a. Bronchitis
b. Bronchiolitis
c. Pneumonia
VIII. Pulmonary Edema
a. Cardiogenic
b. Acute Respiratory Distress
Syndrome
c. Neurogenic
d. High Altitude
IX. Thoracic Trauma
a. Rib Fractures
b. Pulmonary Contusion
c. Ruptured Diaphragm
d. Pleural Space
i. Simple Pneumothorax
ii. Open Pneumothorax
iii. Tension Pneumothorax
iv. Fluid in the pleural space
1. The learner will be able to define somatic,
visceral and neuropathic pain
2. The learner will be able to define three
types of advanced directives
Professional Issues
I. Pain management
a. Types of pain
i. Somatic pain
ii. Visceral pain
iii. Neuropathic pain
b. Sedation and analgesic agents
c. Pediatric pain management
II. End-of-life issues
a. Advanced directives
b. Organ and tissue donation
50 minutes Jeff Solheim Lecture
Powerpoint
presentation
Video and audio
clips
Practice questions
3. The learner will be able to correctly apply
triage levels to sample patients utilizing
disaster triage.
4. The learner will be able to verbalize the
steps in the research process.
5. The learner will be able to list two
advantages and two disadvantages of
ground, rotor-wing and fixed-wing
transports.
6. The learner will be able to describe the
process of documenting when caring for a
patient who is the victim of a crime.
7. The learner will be able to define the
ethical principal of beneficence and non-
maleficence
8. The learner will be able to differentiate
between a defusing and a debriefing
III. Disaster management
a. Stages of disaster
management
b. Disaster triage
IV. Research and quality improvement
a. Evidence based practice
b. Types of research
c. Steps of research
d. Quality
improvement/assurance
V. Patient transport
a. Ground transport
b. Rotor-wing transport
c. Fixed wing transport
d. Patient considerations for
transport
VI. Forensics
a. Clothing
b. Gunshot wounds
c. DNA
d. Documentation
VII. Ethical principals
a. Autonomy
b. Veracity
c. Justice
d. Beneficence
e. Non-maleficence
VIII. Critical incident stress management
a. Defusing
b. Debriefing
1. The learner will be able to describe
assessment of various cranial nerves.
2. The learner will be able to verbalize
Maxillofacial and ocular emergencies
I. Cranial nerves
II. Maxillofacial trauma
a. Facial fractures
80 minutes Jeff Solheim Lecture
Powerpoint
presentation
Video and audio
clips
treatment considerations for maxillofacial
trauma.
3. The learner will be able to describe the
process for removing a foreign body from
the ear canal.
4. The learner will be able to prioritize
interventions for oral emergencies
b. TMJ dislocation
c. Neck injuries
III. Ocular emergencies
IV. Nasal emergencies
V. Foreign bodies in the ear
VI. Ear infections
VII. Oral emergencies
Practice questions
1. Learners will be able to describe
assessment techniques for major nerves of
the hand and foot.
2. Learners will be able to assign a triage level
to patients with various types of wounds.
3. Learners will be able to properly fit a
patient for crutches.
4. Learners will be able to differentiate
between primary, secondary, tertiary and
quaternary explosive injuries
Orthopedic and Wound Emergencies
1. Nerve assessment
2. Inflammatory conditions
a. Tendonitis
b. Bursitis
c. Cellulitis
d. Ostemomyelitis
e. Arthritis
3. Wounds
a. Abrasions
b. Amputation
c. Avulsion/degloving
d. Contusions
e. Puncture wounds
i. High pressure
injuries
ii. Foreign objects
f. Pressure wounds
g. Wound closure
h. Tetanus immunization
4. Orthopedic injuries
a. Dislocations
b. Fractures
c. Crutches
5. Explosive injuries
6. Orthopedic complications
a. Rhabdomyolysis
80 minutes Jeff Solheim Lecture
Powerpoint
presentation
Video and audio
clips
Practice questions
5. Learners will be able to describe the
process of measuring compartment
pressures.
b. Compartment syndrome
1. The learner will be able to identify the type
of substance ingested based on the signs
and symptoms demonstrated.
2. The learner will be able to verbalize
treatment recommendations for various
drugs of abuse.
3. The learner will be able to list antidotes for
common medicinal overdoses.
4. The learner will be able to describe
decontamination procedures for chemical
and radiation exposures.
5. The learner will be able to verbalize body
temperatures that are considered life
Toxicological and Environmental
Emergencies
A. Toxidromes
a. Sympathomemetics
b. Anti-cholinergics
c. Cholinergics
d. Sedative-Hypnotics
e. Opiates
B. Drugs of Abuse
a. Gamma-hydroxyburyrate
b. Phencyclidine
c. Inhalants
d. Alcohol
i. Ethanol
ii. Methanol
iii. Ethylene Glycol
iv. Isopropanol
C. Medicinal Overdoses
a. Digoxin
b. Beta-Blockers
c. Calcium Channel Blockers
d. Tylenol
e. Salicylates
f. Iron
D. Environmental Emergencies
a. Chemical emergencies
i. Ingestion
ii. Skin exposure
iii. Ocular exposure
b. Radiation exposure
c. Thermal burns
d. Carbon monoxide and cyanide
exposure
e. Electrical burns
80 minutes Jeff Solheim Lecture
PowePoint
presentation
Video and audio
clips
Practice questions
threatening.
6. The learner will be able to describe
treatment modalities appropriate for various
poisonous animal envenomations.
7. The learner will be able to differentiate
between various parasitical infections based
on the symptoms presented.
f. Heat stroke
g. Cold injuries
i. Frostbite
ii. Hypothermia
h. Animal related injuries
i. Aquatic animals
ii. Spider envenomation
iii. Snake envenomation
iv. Scorpion sting
v. Rabies
i. Parasitical infections
i. Pin worms
ii. Ring worm
iii. Tape worm
iv. Giardia
v. Lice
vi. Scabies