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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Identification of Infectious Disease Processes | 17-19% | |
| Topic 2: Environment of Care | 10-13% | |
| Topic 3: Cleaning, Sterilization, Disinfection, Asepsis | 10-13% | |
| Topic 4: Employee/Occupational Health | 10-13% | |
| Topic 5: Preventing/Controlling the Transmission of Infectious Agents | 17-19% | |
| Topic 6: Education and Research | 6-9% | |
| Topic 7: Surveillance and Epidemiologic Investigation | 22-26% | |
| Topic 8: Management and Communication | 10-13% |
1. Infection Prevention and Control identified a cluster of Aspergillus fumigatus infections in the transplant unit.
The infection preventionist (IP) meets with the unit director and Environmental Services director to begin investigation. What information does the IP need from the Environmental Services director?
A) Use of dust mitigating strategies during floor care
B) Hospital grade disinfectant used on the transplant unit
C) Date of the last cleaning of the fish tank in the waiting room
D) Date of last terminal clean of the infected patient rooms
2. An infection preventionist (IP) is notified that a patient who underwent an endoscopic brain biopsy the night before has been diagnosed with prion disease. Because the diagnosis was thought to be unlikely but possible at the time of the biopsy, the endoscope was sequestered. The endoscope manufacturer's instructions for reprocessing indicate that the endoscope can be reprocessed using high-level disinfection or low-temperature sterilization. The IP should recommend that the endoscope be:
A) Sterilized using ethylene oxide or hydrogen peroxide gas plasma.
B) Autoclaved at 134°C (273°F) for 18 minutes.
C) Bagged as biohazardous waste and discarded.
D) Disinfected with a 1:10 dilution of household bleach or 1N NaOH.
3. An infection preventionist recommended incorporating the Mycobacterium tuberculosis (MTB) conversion rate as part of the facility's annual risk assessment. Occupational Health provided the number of conversions among healthcare personnel (HCP) during the last year. Which additional information is needed to calculate the HCP conversion rate?
A) Number of HCP with unprotected exposure to patients with MTB in the last year
B) Number of HCP tested for MTB during the last year
C) Number of HCP with positive tuberculin skin test or interferon gamma release assay in the last year
D) Number of HCP that cared for patients with MTB in the last year
4. Why might identification of an infectious disease disaster related to bioterrorism or an outbreak of an emerging pathogen be difficult and/or delayed?
A) A novel strain of a pathogen could be involved.
B) Identification of bioterrorism attacks is done through blood donation surveillance, which is a slow process.
C) Over ten infected individuals/cases are needed before event identification can be confirmed.
D) The laboratory tests available for these pathogens have low sensitivity.
5. On January 31, the nursing staff of a long-term care facility reports that five out of 35 residents have developed high fever, nasal discharge, and a dry cough. The BEST diagnostic tool to determine the causative agent is:
A) Legionella serology
B) Blood culture
C) Sputum culture
D) Nasopharyngeal swab
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |
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