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
Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers c
a robust performance improvement team should perform all of
the following except
a. observational audits