CIC Exam Study |600 questions with verified
answers
___________ is a systematic, proactive method for evaluating a process
to identify where and how it might fail and to assess the relative impact
of different failures in order to identify the parts of the process that are
most in need of change.
A. PDSA
B. RCA
C. FMEA
D. DMAIC Ans✓✓✓ C. FMEA
3 Key Aspects of a Cleaning Procedure Ans✓✓✓ 1. Cleaning schedules
and procedures progress from the least soiled areas to the most soiled
(patient zone) and from high surfaces to low ones.
2. To ensure that all surfaces are reached cleaning should be performed
in a systematic manner.
3. After selecting a starting point, such as the door or window, work
typically progresses from that point in either a clockwise or
counterclockwise direction.
,5.25% sodium hypochlorite Ans✓✓✓ Household bleach disinfectant. It
has a broad spectrum of antimicrobial activity. It is effective against
hepatitis B virus and HIV. It is a fast acting disinfectant.
9 Water-associated Pathogens
All of these genera are associated with serious disease and can
potentially be transmitted directly or indirectly from faucets and skinks
through inhalation or aerosols, such as those generated from
construction activities or from showerheads Ans✓✓✓ 1. Pseudomonas
2. Acinetobacter
3. Moraxella
4. Aeromonas
5. Xanthomonas
6. Legionella
7. Aspergillus
8. Fusarium spp
9. Atypical (non-TB) Mycobacteria
A 19 y/o Female UCF student presents to the ED at ORMC with a high
fever, and respiratory issues. The patient became hypoxic and required
immediate intubation prior to being transferred to the ICU. Her CXR
revealed air-space disease, most likely being pneumonia. A
bronchoscopy is performed, and the Gram-stain reveals a Gram-
negative diplococci. The attending calls you to assist both the
,employees who cared for this patient and her contacts. Those in need
of prophylaxis following this exposure to this patient are:
A. The ICU and ER staff, the college students in her dormitory and her
family
B. No special prophylaxis is needed
C. The EMT who suctioned the patient, the physician who intubated the
patient, and the patient's boyfriend
D. The EMTs, the ER staff on duty, the ICU personnel and the
radiography technician Ans✓✓✓ C. The EMT who suctioned the
patient, the physician who intubated the patient, and the patient's
boyfriend
A 38-year-old woman being treated for breast cancer has a WBC count
of 2.3. This is an improvement over the counts seen during the past two
weeks. Her physician has been aggressive in treating every potential
infection she has had. She is currently on an antibiotic for a
bloodstream infection from staphylococcus epidermidis. She now has a
fever of 100.4°F. What action should be taken?
A. Her intervenous side should be inspected frequently.
B. None because she may have a neutropenic fever and no real
infection.
C. More blood cultures because she may be developing a fungal
septicemia.
, D. Antibiotics stopped because she may have a "drug fever" Ans✓✓✓
C. More blood cultures because she may be developing a fungal
septicemia.
Sepsis (staphylococcus and fungi) is the leading cause of mortality in
neutropenic cancer patients. Early initiation of affective causative
therapy as well as intensive adjunctive therapy is mandatory to improve
outcome. Blood cultures as a part of the usual microbiological work up
remain the gold standard for the diagnosis of bacteremia.
A 47-year-old female bus driver is brought to the Emergency
Department (ED) with a two-day history of fever, shortness of breath,
and chest pain. She is diaphoretic and appears acutely ill. She is
confused as to place and time. Temperature is 38°C (100.4°F), blood
pressure is 88/60 mm Hg, pulse rate is 110/min, and respiration rate is
28/min. Coarse bronchial breath sounds are heard. She has had no
recent known contact with ill persons. The leukocyte count is 15,000/μL
(15 × 109/L). A chest radiograph shows a widened mediastinum and
bilateral pleural effusions. Gram stain of a peripheral blood smear
shows box car-shaped Gram-positive bacilli. A bioterrorism agent is
suspected. Which of the following agents is most likely?
a. Typhus fever
b. Smallpox
c. Tularemia
d. Anthrax Ans✓✓✓ d. Anthrax
answers
___________ is a systematic, proactive method for evaluating a process
to identify where and how it might fail and to assess the relative impact
of different failures in order to identify the parts of the process that are
most in need of change.
A. PDSA
B. RCA
C. FMEA
D. DMAIC Ans✓✓✓ C. FMEA
3 Key Aspects of a Cleaning Procedure Ans✓✓✓ 1. Cleaning schedules
and procedures progress from the least soiled areas to the most soiled
(patient zone) and from high surfaces to low ones.
2. To ensure that all surfaces are reached cleaning should be performed
in a systematic manner.
3. After selecting a starting point, such as the door or window, work
typically progresses from that point in either a clockwise or
counterclockwise direction.
,5.25% sodium hypochlorite Ans✓✓✓ Household bleach disinfectant. It
has a broad spectrum of antimicrobial activity. It is effective against
hepatitis B virus and HIV. It is a fast acting disinfectant.
9 Water-associated Pathogens
All of these genera are associated with serious disease and can
potentially be transmitted directly or indirectly from faucets and skinks
through inhalation or aerosols, such as those generated from
construction activities or from showerheads Ans✓✓✓ 1. Pseudomonas
2. Acinetobacter
3. Moraxella
4. Aeromonas
5. Xanthomonas
6. Legionella
7. Aspergillus
8. Fusarium spp
9. Atypical (non-TB) Mycobacteria
A 19 y/o Female UCF student presents to the ED at ORMC with a high
fever, and respiratory issues. The patient became hypoxic and required
immediate intubation prior to being transferred to the ICU. Her CXR
revealed air-space disease, most likely being pneumonia. A
bronchoscopy is performed, and the Gram-stain reveals a Gram-
negative diplococci. The attending calls you to assist both the
,employees who cared for this patient and her contacts. Those in need
of prophylaxis following this exposure to this patient are:
A. The ICU and ER staff, the college students in her dormitory and her
family
B. No special prophylaxis is needed
C. The EMT who suctioned the patient, the physician who intubated the
patient, and the patient's boyfriend
D. The EMTs, the ER staff on duty, the ICU personnel and the
radiography technician Ans✓✓✓ C. The EMT who suctioned the
patient, the physician who intubated the patient, and the patient's
boyfriend
A 38-year-old woman being treated for breast cancer has a WBC count
of 2.3. This is an improvement over the counts seen during the past two
weeks. Her physician has been aggressive in treating every potential
infection she has had. She is currently on an antibiotic for a
bloodstream infection from staphylococcus epidermidis. She now has a
fever of 100.4°F. What action should be taken?
A. Her intervenous side should be inspected frequently.
B. None because she may have a neutropenic fever and no real
infection.
C. More blood cultures because she may be developing a fungal
septicemia.
, D. Antibiotics stopped because she may have a "drug fever" Ans✓✓✓
C. More blood cultures because she may be developing a fungal
septicemia.
Sepsis (staphylococcus and fungi) is the leading cause of mortality in
neutropenic cancer patients. Early initiation of affective causative
therapy as well as intensive adjunctive therapy is mandatory to improve
outcome. Blood cultures as a part of the usual microbiological work up
remain the gold standard for the diagnosis of bacteremia.
A 47-year-old female bus driver is brought to the Emergency
Department (ED) with a two-day history of fever, shortness of breath,
and chest pain. She is diaphoretic and appears acutely ill. She is
confused as to place and time. Temperature is 38°C (100.4°F), blood
pressure is 88/60 mm Hg, pulse rate is 110/min, and respiration rate is
28/min. Coarse bronchial breath sounds are heard. She has had no
recent known contact with ill persons. The leukocyte count is 15,000/μL
(15 × 109/L). A chest radiograph shows a widened mediastinum and
bilateral pleural effusions. Gram stain of a peripheral blood smear
shows box car-shaped Gram-positive bacilli. A bioterrorism agent is
suspected. Which of the following agents is most likely?
a. Typhus fever
b. Smallpox
c. Tularemia
d. Anthrax Ans✓✓✓ d. Anthrax
