CIC ACTUAL EXAM PRACTICE QUESTIONS AND ANSWERS 2024 A+ GRADED

CIC ACTUAL EXAM PRACTICE QUESTIONS AND ANSWERS 2024 A+ GRADED 1. I was discovered in 1894 by a Swiss physician in Hong Kong 2. I was the causative agent of an epidemic that tore through Europe in the 1300s, killing millions of people 3. I am a rod shaped Gram-negative, facultative anaerobic bacterium 4. People most commonly become infected when bitten by an infected flea; however can also become infected from direct contact with infected fluids or tissues from an animal that is sick or has died from the disease. 5. Three types: Bubonic, septicemic, and pneumonic 6. Symptoms of me may vary based on form. Bubonic form presents with swollen, tender and painful lymph nodes. 7. A person usually becomes ill with the bubonic form 2-6 days after being infected. Airborne route is 1-3 days. 8. There are still sporadic cases in the US - CORRECT ANSWER-Yersinia pestis (Plague) Who am I? #MicroMonday 1. I am box-car shaped, anaerobic gram-positive that forms spores. I'm sensitive to heat and cannot survive in the presence of oxygen. 2. My spores are found in the soil, and in animal feces and teeth. 3. The spore form can remain inactive in the soil, but can remain infectious for more than 40 years! 4. Infection occurs when my spores enter the body through an injury or wound. Time to infection ranges from 7-21 days. 5. Disease from me often begins with mild spasms in the jaw muscles, but can also affect the chest, neck, back, and abdominal muscles. 6. Other symptoms: drooling, excessive sweating, fever, hand or foot spasms, irritability, swallowing difficulty, urinary or bowel incontinence 7. Back spasms often cause arching, also called opisthotonos 8. There are no hospital labs that can diagnose the disease. Treatment includes hospitalization, TIG, vaccine, drugs to control spasms, wound car - CORRECT ANSWER-Clostridium tetani Who am I? #MicroMonday 1) I am a microscopic parasite that infects red blood cells. 2a) I am transmitted by the bite of infected Ixodes scapularis ticks (deer ticks). 2b) While deer are an important food source for adult ticks, they're not infected with me. I normally infect white-footed mice, small mammals, and humans. 3a) Transmission most commonly occurs during the warm months in the Northeast and upper Midwest and is spread by the young nymph stage of the tick. 3b) These are normally the size of a poppy seed, and may be referred to by locals as a "seed tick". 4a) Most infections are asymptomatic. 4b)Some may present with flu-like symptoms, such as fever, chills, sweats, headache, body aches, anorexia, nausea, or fatigue. 5) I can cause hemolytic anemia from destruction of red blood cells. 6) Symptoms, if present, can begin approximately a week after infection. For others, symptoms may take weeks or months to deve - CORRECT ANSWER-Babesiosis (Babesia microti) Who am I? #MicroMonday 1. I am an obligate aerobic Gram-negative rod that does not ferment glucose and is catalase positive. 2. First described by Walter Burkholder in 1949 as the cause of bacterial rot of onion bulbs. 3. I was originally included in the Pseudomonas genus. 4. I can be found in soil, water, infected plants, animals, and humans 5. I am capable of breaking down toxic compounds found in pesticides and herbicides. 6. I have shown resistance to some disinfectants 7. I commonly hold penA gene, which aids in resistance to β -lactam antibiotics. 8. I normally have a higher resistance to first and 2nd generation cephalosporins; may show resistant to imipenem, but not meropenem. 9. I am commonly found in cystic fibrosis patients and those who are immunocompromised; have been implicated in healthcare outbreaks, especially from aqueous environments and irrigants 10. Treatment for resistant strains may include mi - CORRECT ANSWER-Burkholderia cepacia For annual screening of employees for tuberculosis, a PPD/TST skin test of 15 mm of induration, 48 to 72 hours after administration indicates (A) active tuberculosis. (B) the BCG vaccination is still effective. (C) an allergic reaction to thimerosal preservative. (D) further assessment is required. - CORRECT ANSWER-D Which of the following procedures identifies the presence of Cryptococcus in spinal fluid? (A) KOH preparation (B) Acid Fast stain (C) Tzanck preparation (D) India ink preparation - CORRECT ANSWER-D In designing a hospital's surveillance plan, an infection preventionist (IP) should include all of the following criteria EXCEPT the (A) demographic characteristics of the hospital's population. (B) use of invasive devices or performance of high-risk procedures. (C) volume of patients on a particular service. (D) amount of resources (personnel, technology) available to infection control. - CORRECT ANSWER-C What criteria should be included when reviewing surgical prophylactic antibiotic use? A) age of patient, route of administration, surgeon B) surgeon, surgical classification, length of procedure C) category of antibiotic, timing of dose, age of patient D) surgical classification, timing of dose, length of procedure - CORRECT ANSWERThe correct answer is D: surgical classification, timing of dose, length of procedure An infection preventionist (IP) was notified that two patients developed post-procedure febrile reactions following a cardiac catheterization. This occurrence was MOST likely related to A) pyrogenic endotoxins present in reusable catheters following sterilization. B) inappropriate use of prophylactic antibiotics. C) scrubbed personnel who leave and reenter the procedure area without changing scrubs. D) scrubbed personnel adjusting the overhead lights during the procedure. - CORRECT ANSWER-The correct answer is A: pyrogenic endotoxins present in reusable catheters following sterilization. Several staff from a variety of disciplines report sudden onset of watery diarrhea, abdominal cramps, and N&V within 4 hours of attending a multi-cultural potluck event where a raw fish appetizer was served. Upon investigation, the ICP determines that the MOST likely diagnosis and advice for follow up for OH nurse to provide to the symptomatic employees is A) V.cholerae; symptoms should subside within 3 days; IV hydration and antibiotic therapy may be indicated if symptoms are severe. B) V. parahaemolyticus; symptoms should subside within 5 days; antibiotic therapy may be indicated if symptoms are severe. C) Salmonella; symptoms should subside within 3 days; antibiotic therapy rarely indicated. D) Staphylococcal aureus; symptoms should subside within 5 days; antibiotic therapy usually indicated. - CORRECT ANSWER-The correct answer is B: V. parahaemolyticus; symptoms should subside within 5 days; antibiotic therapy may be indicated if symptoms are severe. The sterile processing department reports a positive spore test to the ICP. The MOST appropriate initial action would be to A) recall any implantable devices from the affected load. B) recall all items processed since the last negative biological indicator. C) notify surgical staff and recommend additional post-operative antibiotic use.