CBiC exam 1 review
- ANS-
a blood spill contaminated pneumatic tube system and its contents. The leak was not
identified for a period of time after remediation of the contamination the IP
recommended the following to prevent a future incident
a. establish a method to recognize bills or leaks
b. perform a hazard vulnerability analysis
c. contract with an outside vendor to clean and maintain system
d.restrict the use of pneumatic tube to non-hazardous material - ANS-a
a case of healthcare associated mycobacterium chelone respiratory infection has been
identified in a patient of the following exposures that the patient had in the facility which
should be investigated as a potential source of the infection
1) bronchoscopes
2) dialysis
3) hydrotherapy pool
4) ice from tap water used during surgery
a.1
b. 1,3
c. 1,3,4
d. 1,2,3,4 - ANS-b
a hospital administrator has proposed that single use angiography catheters be
reprocessed and reused to cut costs what is the best response to this request
a. single use items are not allowed to be reprocessed
b. a cost benefit analysis should be done before decision is made
c. single use items can be reprocessed in a facility as long as administration risk
management legal counsel supply chain administratorand infection control
representatives say it's allowable
d. single use items can be reprocessed in a third-party facility if FDA guidelines are
followed - ANS-d
, A patient has been admitted with a wound infection The lab reports at the stain of the
wound culture is positive for AFB and the culture is positive for mycobacterium marinum
which of the following is the correct follow-up for this lab report
a. no further follow-up is needed
b. place the patient on airborne precautions
c. contact the local health department to report mycobacterium infection
d. place the patient on contact precautions - ANS-a no further follow-up is needed m
marinum is a bacterium found in water and may be the cause of wound infections
a patient is suspected of having pertussis a nasal pharyngeal aspirate is collected for
direct fluorescent antibody testing and for culture 8 hours after antimicrobial therapy is
started The DFA test is negative but the culture test is positive does this patient have
pertussis?
a. no because the DFA test is highly specific and it was negative
b. no because culture of bordetella pertussis has very low sensitivity
c. no because I'll testing is unreliable if antimicrobial therapy has been initiated prior to
specimen collection
d.Yes because the culture test is 100% specific for identification of bordetella pertussis -
ANS-d
a patient who had neurosurgery was exposed to CJD prions through surgical
instruments that were not correctly processed after having been previously used on an
infected patient as a result she has developed the disease herself this is example of
which motive infection
a. familial CJD
b. iatrogenic CJD
c. spontaneous CJD
d. mutational CJD - ANS-b
a preliminary microbiology report states that a patient's blood culture grew aerobic
gram-negative bacilli which of the following is most likely genus and species of the
organism
a. enterococcus faecalis
b. bacteroides fragilis
c. acinetobacter baumanii
d. Neisseria meningitis - ANS-c
- ANS-
a blood spill contaminated pneumatic tube system and its contents. The leak was not
identified for a period of time after remediation of the contamination the IP
recommended the following to prevent a future incident
a. establish a method to recognize bills or leaks
b. perform a hazard vulnerability analysis
c. contract with an outside vendor to clean and maintain system
d.restrict the use of pneumatic tube to non-hazardous material - ANS-a
a case of healthcare associated mycobacterium chelone respiratory infection has been
identified in a patient of the following exposures that the patient had in the facility which
should be investigated as a potential source of the infection
1) bronchoscopes
2) dialysis
3) hydrotherapy pool
4) ice from tap water used during surgery
a.1
b. 1,3
c. 1,3,4
d. 1,2,3,4 - ANS-b
a hospital administrator has proposed that single use angiography catheters be
reprocessed and reused to cut costs what is the best response to this request
a. single use items are not allowed to be reprocessed
b. a cost benefit analysis should be done before decision is made
c. single use items can be reprocessed in a facility as long as administration risk
management legal counsel supply chain administratorand infection control
representatives say it's allowable
d. single use items can be reprocessed in a third-party facility if FDA guidelines are
followed - ANS-d
, A patient has been admitted with a wound infection The lab reports at the stain of the
wound culture is positive for AFB and the culture is positive for mycobacterium marinum
which of the following is the correct follow-up for this lab report
a. no further follow-up is needed
b. place the patient on airborne precautions
c. contact the local health department to report mycobacterium infection
d. place the patient on contact precautions - ANS-a no further follow-up is needed m
marinum is a bacterium found in water and may be the cause of wound infections
a patient is suspected of having pertussis a nasal pharyngeal aspirate is collected for
direct fluorescent antibody testing and for culture 8 hours after antimicrobial therapy is
started The DFA test is negative but the culture test is positive does this patient have
pertussis?
a. no because the DFA test is highly specific and it was negative
b. no because culture of bordetella pertussis has very low sensitivity
c. no because I'll testing is unreliable if antimicrobial therapy has been initiated prior to
specimen collection
d.Yes because the culture test is 100% specific for identification of bordetella pertussis -
ANS-d
a patient who had neurosurgery was exposed to CJD prions through surgical
instruments that were not correctly processed after having been previously used on an
infected patient as a result she has developed the disease herself this is example of
which motive infection
a. familial CJD
b. iatrogenic CJD
c. spontaneous CJD
d. mutational CJD - ANS-b
a preliminary microbiology report states that a patient's blood culture grew aerobic
gram-negative bacilli which of the following is most likely genus and species of the
organism
a. enterococcus faecalis
b. bacteroides fragilis
c. acinetobacter baumanii
d. Neisseria meningitis - ANS-c
