CIC - Certification in Infection Prevention and Control exam (with 100% Errorless Solutions)

Chain of Infection correct answers 1) Infectious agent= organism with ability to cause disease; greater virulence, invasiveness, and pathogenicity => increased odds of infection 2) Reservoir: place where microbes can persist and reproduce 3) Portal of Exit: way for microbe to leave the reservoir 4) Mode of transmission: method of microbe transfer from one place to another 5) Portal of entry: opening that allows microbe to enter host 6) Susceptible host: Lacks immunity or physical resistance to prevent invasion by microbe Is a circle; each link must be present in sequential order for infection to occur Virulence correct answers Measure of microbe's ability to invade and create disease Depends on ability to: Survive in environment between hosts Transmit between hosts (moving; adherence) Proliferate IgM correct answers Pentamer; primary response, short-lived (<6 months); best at fixing complement IgG correct answers Monomer; main blood antibody, secondary response; longer lived. opsonization and toxin neutralization. 4 subclasses Physical barriers correct answers Skin; fever; secreted antimicrobials; innate immunity Complement system correct answers 11=protein cascade; classically activate by ab:ag complexes; alternate by pathogen surfaces Skin defects; examples and associated pathogens correct answers Wounds, burns, trauma, serious derm problems, indwelling devices, injections. Skin flora- S. aureus, CNS, strep pyo, corynebacteria, malassezia furfur Mucous membrane barrier defects; examples and associated pathogens correct answers chemo-induced mucositosis, head/neck trauma, smoking, inhalational injury, antacids/PPIs. Resident flora- anaerobes, aerobic GNR, candida, enteroccus, bovis Body passage obstruction; examples and associated pathogens correct answers Tumors, foreign bodies, stones, cystic fibrosis. Resident flora overgrow or invade; site-specific. Abnormal number or function of granulocytes correct answers Leukemia, chemo, congenital disorders, diabetes. If short term (< 2 wks) then aerobic GNR, Sa, CoNS. IF long term, add fungi (candida, t. glabrata, aspergillus)