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WorksheetsCBIC QUIZ 1 LECTURES FROM 1-4
Total questions: 25
Worksheet time: 25mins
The IP is asked to review with a group of staff nurses how to interpret antibiotic susceptibility tests. The
susceptibility test that allows a determination of the least amount of antibiotic per milliliter that impedes
the growth of an organism is known as a:
a)Minimum inhibitory concentration
b)Minimum bactericidal concentration
c)Antimicrobial liquid susceptibility test
d)Kirby-Bauer disc method
The Major circulating and interstitial antibody type is:
a)Ig A
b)Ig M
c)Ig E
d-IgG
Binding of an antigen to B-cell receptor will result in the formation of:
a)Plasma cells and cytotoxic T-cells
b-Memory cells and cytotoxic T-cells
c)Plasma cells for antibody production and memory cells for secondary response
d)None of the above
Which of the following is MOST important in influencing the effectiveness of routine handwashing?
a)product used
b)duration of wash
c)amount of soap used
d)technique of handwashing
The Director of Infection Prevention and Control has been asked to lead a team in the development of an
antimicrobial stewardship program at an organization. Core members should include:
1) Pharmacist
2) Risk manager
3) Respiratory therapist
4) Infectious disease physician
a)1, 2
b)3,4
c)2,3
d-1,4
When young patient in the ICU in your facility develop Catheter Associated Urinary Tract infection, the
catheter in this infection reflect which item in the chain of infection?
a)Portal of entry
b)Reservoir
c)Susceptible host
d)Transmission route
A bacterium that is decolorized with alcohol during a Gram stain and retains the counterstain is:
a)Gram-negative
b)Gram-positive
c)Stained purple
d)Acid-fast positive
Staphylococcus has many enzymes and toxins that make it able to cause multiple diseases, this criteria
reflect which term:
a)Virulence
b)Pathogenicity
c)Infectivity
d)Size of inoculum
A microbe that can grow in the absence of oxgen but is also able to utilize oxygen for growth is a/an:
a. Aerobe
b. Obligate anaerobe
c. Facultative anaerobe
d. Microaerophilic aerobe
Patients with cell-mediated immunity dysfunction are susceptible to infections attributed to pathogenic intracellular bacteria. Examples of these organisms include:
1) Salmonella typhi
2) Bacteroides tragi/is
3) Listeria monocytogenes
4) Staphylococcus aureus
a. 2, 3
b. 1, 3
c. 1, 2
d. 3,4
Gram stains classify an organism as Gram-positive or Gram negative. The determinant factors for Gram stains are cell wall components of:
a. Peptidoglycans
b. Lipids
c. Polysaccharides
d. Mycolic acids
The IP is teaching nurses how to assess infection risks in patients.n Depletion of what cell type provides the best indication of susceptibility to most bacterial infections?
a. Monocyte
b. Eosinophil
c. Neutrophil
d. Lymphocyte
Anaerobic cultures should be used for any of the following sites except:
a. Blood
b. Transtracheal aspirate
c. Spinal fluid
d. Sputum
An early-level (novice) IP in your department has set a goal of advancing to achieve middle-level (proficient) competency within the next year. Which of the following activities would be the most appropriate to include on her personal development plan for the year:
1) Nominating herself for the President-elect position of the local APIC chapter
2) Taking the Certification in Infection Control exam within six months
3) Requesting information about a Master of Science in Epidemiology degree
4) Learning the basics of surveillance
a. 1
b. 1, 2
c. 1, 2, 3
d. 1, 2, 3, 4
The most common type of transmission of infectious organisms in the healthcare facility is
.
a. common source/vehicle.
b. droplet
c. airborne.
d. contact
1-Guidelines for transporting specimens include:
1) Transport within 2 hours of collecting a specimen
2) Transport in leakproof specimen containers and sealable
leakproof bags
3) Transport specimen in the syringe used to collect it
4) Refrigerate all specimens prior to transport
a. 1, 4
b. 2, 3
c. 1, 2
d. 3,4
3-Which of the following is not a mechanical barrier to infection?
a. Intact skin
b. Mucous membranes
c. Secretions
d. Cilia
4-An infection preventionist (IP) is reviewing the cerebrospinal fluid (CSF) results from a patient admitted the previous night. The CSF is cloudy and has an elevated white blood cell count
(WBC), markedly increased lymphocytes normal glucose level, and elevated protein concentration. What type of meningitis should she suspect?
a. Bacterial
b. Viral
c. septic
d. Aseptic
An infection preventionist (IP) received a note from the receptionist that there is a parrot with a visitor ,the IP cocern will be mostly about which infection?
a.Chlamydia trachomatis
b.Rickettsia rickettsii(Rocky Mountain spotted fever)
c.Chlamydia psittaci(psittacosis)
d.Coxiella brunetti(Q fever)
7-Patient infected with measles should be
a.Isolated in protective environment with 6 air exchange per hour
b.Isolated in AII with 6-12 air exchange per hour in positive air pressure
c.Isolated in AII with negative air pressure with 6 to 12 air exchanges per hour
d.No isolation required
9-The basis for selection of antimicrobial therapy for a specific infection in a patient includes all of the following EXCEPT
a. The infecting organism is known.
b. Antimicrobial susceptibility is known.
c. The therapy is cost effective.
d. A broad spectrum antimicrobial is preferable.
11-Safety injection practices should be implemented with each injection, what is the most important practices?
I- Sterile field for each injection practices include room measures control (HVAC system included).
II- Never recapping syringes and use appropriate safety box
III- Disinfection for vial rubber before needle insertion.
VI- When use multi-doses vial should be confirm chemical preservative contained as long as you use it.
A- I, II, III
B- I, II, IV
C- I, II, III, IV
D- II, III only
13-All of the following about "endotoxins" are true except:
".
.
A. Associated with Gm –ve bacteria only
B. Are called "pyrogens
C. Inactivated by heat.
D. None of the Above
19-patient swab culture was positive for MRSA in the absence of symptoms. This is an example of:
a.Normal flora
b.Colonization
c.Asymptomatic infection
d.Symptomatic infection
The Advisory Committee on Immunization Practices (ACIP) Live virus vaccines are generally contraindicated in all patients in
a.patients with HIV infection
b. patients with severe immunosuppression not caused by HIV
c.patients with other conditions that cause limited immune deficits, such as asplenia,
d.patients with renal failure, diabetes, and alcoholism
