rooms with how many air exchanges per hour?
3
5
10
12 - ANSWER 12. A greater number of air exchanges per hour prevent opportunistic in-
fections among stem cell transplant recipients
Because of the increased risk of infection with parenteral nutrition, the maximum infusion
time for a parenteral lipid bag to run is?
6 hours
12 hours
18 hours
24 hours - ANSWER Maximum 12 hours. Lipid emulsions pose greatest risk of contamina-
tion w/ bacteria or fungi
The single most effective method of controlling hospital-acquired infections (HAI) is:
Screening patients
Isolating infected patients
Handwashing
Immunizing staff members - ANSWER Handwashing
1
,If a breastfeeding mother develops mastitis, the most likely cause is:
Infant colonized with Staphylococcus aureus
Inadequate cleansing of breast
Maternal flora invading nipple
Contaminated breast pump - ANSWER Infant colonized with S. aureus. 50% of neonates
become colonized w/ S. aureus w/in a few days of birth, & pass infection into breast
If hair removal is required for a surgical procedure, the BEST method is to:
Shave hair with razor immediately before the incision
Remove hair with a depilatory the night before surgery
Remove hair with clippers the night before surgery
Remove hair with clippers immediately before incision - ANSWER Remove hair with clip-
pers immediately before incision. Clippers cause the least trauma, always immediately be-
fore surgery. Hair removal in general may not reduce rate of SSIs and may increase risk of in-
fection
IPC plan for an ambulatory surgery center should be evaluated (multiple options possible):
I - annually
II - monthly
III - when risks change
IV - when staff members change - ANSWER I - annually and III - when risks change
How long after exposure to Hep A are IgM antibodies to HAV detectable in the blood?
48 hrs
7 days
2
,3 weeks
1-10 weeks - ANSWER 3 weeks
For patients who require hemodialysis, which type of vascular access device (VAD) poses the
lowest risk of infection?
Arteriovenous graft
Subclavian catheter
Arteriovenous fistula
Right internal jugular catheter - ANSWER Arteriovenous fistula. Placed in the arm rather
the thigh. Patients w/ catheters have 7x the risk of infection (subclavian catheters have high
risk). Patients w/ chronic kidney disease should have vascular access preserved and AV fistu-
las created as soon as possible
Which items in medical facility require most frequent environmental cleaning?:
Bedrails
Floors
Ventilation grilles
Window curtains - ANSWER Bedrails, because they are high touch. Others only require
frequent cleaning if visibly soiled
Which preventive measures are recommended to prevent community-acquired pneumo-
nia?:
Pneumococcal vaccination
Herpes zoster vaccination
Influenza vaccination
Smoking cessation - ANSWER Pneumococcal vaccine, influenza vaccine, smoking cessa-
tion
3
, The best time to collect a sputum specimen for acid-fast bacilli is:
Early morning
Midday
Afternoon
Bedtime - ANSWER Early morning
A distribution curve that has a skew value of +3 will exhibit what shape? - ANSWER An
enlarged tail to the right. This is indicating there are more data than expected on the right
(or positive) end of the distribution curve. Skew is positive when the mean is greater than
the median, negative when the mean is lesser than the median. Value of 0 = normal bell
curve with no skew. Negative value = skew to the left.
How long does a patient remain infectious after exposure to West Nile virus? - ANSWER
6-7 days before symptoms occur
With which teaching style (Grasha) does the IP focus on content rather than relationships w/
learners?:
Demonstrator
Formal authority
Facilitator
Expert - ANSWER Formal authority
In outbreak investigation, a line list & epi curve have been completed. Before generating hy-
potheses, the next step should be to:
Establish plan for methodology
Conduct lit review
4