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| Section | Weight | Objectives |
|---|---|---|
| Prevention and Control of Transmission of Infectious Agents | 28% | - Antimicrobial stewardship - Isolation and patient placement - Hand hygiene and aseptic techniques - Standard and transmission-based precautions - Cleaning, disinfection, and sterilization |
| Environment of Care | 10% | - Safety and risk assessment - Facility design, construction, and renovation - Water and air quality management - Waste management and environmental services |
| Surveillance and Epidemiologic Investigation | 24% | - Data collection, validation, and analysis - Outbreak investigation and response - Benchmarking and reporting - Surveillance system design and implementation |
| Identification of Infectious Disease Processes | 19% | - Epidemiologic principles - Risk factors and transmission mechanisms - Microbiology and pathogenesis - Emerging and re-emerging pathogens |
| Employee and Occupational Health | 10% | - Immunization programs - Health screening and surveillance - Workplace safety policies - Exposure management and post-exposure prophylaxis |
| Education, Research, and Quality Improvement | 9% | - Performance measurement and quality improvement - Development and delivery of education programs - Regulatory and accreditation compliance - Evidence-based practice and research application |
1. The intensive care unit has noted an increase in patients with ventilator-associated events (VAEs). Which of the following may be contributing to the increase in these events?
A) Daily oral care with chlorhexidine
B) Supine position during transport
C) Daily weaning assessment
D) Daily sedation vacation
2. Two patients in a medical intensive care unit (ICU) and one patient in a surgical ICU have Aspergillus fumigatus cultured from sputum. An exterior construction project was started two weeks ago with demolition of an old office building one week ago. All of the following questions are important for the infection preventionist to ask EXCEPT:
A) "Have ventilation filters been changed according to the preventive maintenance schedule during construction?"
B) "Has Aspergillus fumigatus been cultured from these patients prior to construction?"
C) "Where are the air-intake units relative to these two ICUs?"
D) "Are there any healthcare personnel that have cared for both of these patients during their hospitalization?"
3. During an outbreak investigation of Pseudomonas aeruginosa in a medical intensive care unit (ICU), what is a critical INITIAL step the infection preventionist (IP) should take to better understand an investigation process and this organism?
A) Notify public health officials to alert them of the outbreak.
B) Contact the Centers for Disease Control and Prevention to determine if anyone in their area has experienced similar situations.
C) Consult with other IPs in their region to find out what others have seen.
D) Conduct a literature search that summarizes similar outbreak investigations.
4. There has been an outbreak of foodborne illness in the community believed to be associated with attendance at a church festival. Which of the following is the MOST appropriate denominator for calculation of the attack rate?
A) People admitted to hospitals with gastrointestinal symptoms
B) Residents in the county who attended the festival
C) Dinners served at the festival
D) Admission tickets sold to the festival
5. A healthcare worker experiences a percutaneous exposure to a patient with untreated HIV. The next step is to:
A) Offer post-exposure prophylaxis only if symptoms develop.
B) Retest for HIV after 6 months before deciding on PEP.
C) Wait for HIV test results before starting treatment.
D) Initiate HIV post-exposure prophylaxis (PEP) within 2 hours.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: D |
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