CIC EMPLOYEE/OCCUPATIONAL
HEALTH Exam Questions and Answers
100% Pass
1. The infection preventionist (IP) is assisting Employee Health with personnel tuberculosis (TB)
skin testing. Which of the following represents a known tuberculin skin test (TST) conversion in
a healthcare worker?
a. Prior tuberculin test results are not available, but the current result is 16 mm after 48 hours
b. Tuberculin reaction 1 year ago was 9 mm, and the current results are 13 mm
c. A prior tuberculin reaction was not measured, but the employee states it was dime-sized. The
current result is 11 mm
d. Tuberculin reaction 1 year ago was 3 mm, and the current result is 18 mm - ANS D
Tuberculin reaction 1 year ago was 3 mm, and the current result is 18 mm
Rationale: Interpretation of the TST depends on measured TST induration in millimeters, the
person's risk for being infected with M. tuberculosis, and risk for progression to active TB if
infected. The TST test should be interpreted according to the CDC guidelines. A healthcare
worker without known exposure who demonstrates an increase of ≥10 mm is considered a
positive result
2. A food service worker is diagnosed with Hepatitis A. How long should this employee be on
work restrictions?
a. Until 14 days after symptoms resolve
b. Until 7 days after onset of jaundice
c. Until 14 days after onset of jaundice
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d. Until 10 days after symptoms resolve - ANS B Until 7 days after onset of jaundice
Rationale: According to the ACIP, food service workers who are diagnosed with Hepatitis A
must be restricted from food handling until 7 days after the onset of jaundice.
3. Because there is no vaccine for Hepatitis C, there have been national recommendations for
prevention and control of Hepatitis C virus (HCV) infections. These include all but which
recommendation?
a. Screening and testing of blood donors
b. Risk-reduction counseling and screening of persons at risk for Hepatitis C infection
c. A national registry for all healthcare personnel known to be Hepatitis C antibody positive
d. Adherence to Standard Precautions and safe work practices in healthcare settings - ANS C
A national registry for all healthcare personnel known to be Hepatitis C antibody positive
Rationale: No vaccine against HCV infection exists. National recommendations for prevention
and control of HCV infection, issued in 1998, emphasize primary prevention activities to reduce
the risk for HCV transmission. These activities include screening and testing of blood donors,
viral inactivation of plasma- derived products, risk-reduction counseling and screening of
persons at risk for HCV infection, and adherence to Standard Precautions and safe work
practices in healthcare settings.
4. The U.S. Public Health Service's Advisory Committee on Immunization Practices (ACIP)
recommends all of the following immunizations be provided to healthcare personnel except:
a. Hepatitis A and B vaccines
b. Influenza Vaccine
c. Measles, mumps, and rubella (MMR) and varicella-zoster vaccines (if not immune)
d. Bacillus Calmette-Guérin (BCG) - ANS D Bacillus Calmette-Guérin (BCG)
Rationale: Immunization programs provide protection from vaccine- preventable diseases for
both the workers and those under their care. The infectious diseases for which vaccines are
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