WorksheetsInfectious Disease Processes Part 1
Total questions: 25
Worksheet time: 17mins
1. Which statement is true about a Mantoux Tuberculin Skin Test (TST) reaction in someone with no known risk factors for tuberculosis?
a. An induration of 15mm or greater indicates a positive TST
b. An induration of 10mm or greater indicates a negative TST
c. An induration of 15mm or less indicates a negative TST
d. An induration of 5mm or less indicates a positive TST
A 65-year-old individual arrives at the emergency department exhibiting fever, cough, and muscle aches that began about five days after a recent stay in a hotel. The physician suspects legionellosis, which can manifest as either Legionnaires’ disease or Pontiac fever. How does a negative chest X-ray inform the diagnosis of the condition?
a. Legionnaires’ disease is more likely if pneumonia is not observed on the chest X-ray.
b. A negative chest X-ray is indicative of a nonbacterial source of infection.
c. A negative chest X-ray aids in identifying potential cardiac abnormalities associated with legionellosis.
d. Pontiac fever is not associated with pneumonia.
What is the name for a substance that prevents water-soluble elements such as antibiotics and disinfectants from reaching pathogens?
a. Cell wall
b. Biofilm
c. Sludge
d. Biocarbon
Which of the following statements is true regarding respiratory syncytial virus (RSV)?
a. Once a person has had RSV, immunity to RSV is lifelong.
b. Infection prevention measures require contact and airborne Transmission-Based Precautions.
c. RSV is most active and transmissible during the summer months.
d. The persons at the greatest risk for severe RSV are infants,
individuals who are immunocompromised, and older adults.
A patient who returned from a medical mission trip to sub-Saharan Africa 8 days ago presents with complaints of headache, vomiting, diarrhea, and unexplained bruising. Which disease should the infection preventionist suspect?
Ebola
Measles
Tuberculosis
Salmonella
A group of people attended an outdoor picnic. Individuals who ate ham sandwiches experienced nausea, vomiting, and abdominal cramps within 30 minutes to 8 hours. What is the most likely causative agent?
a. Clostridium perfringens
b. Escherichia coli
c. Staphylococcus aureus
d. Salmonella spp.
A patient presents to the emergency department with jaundice, dark urine, and light-colored stools. The patient has a history of intravenous drug use. Which disease should the infection preventionist suspect?
Tuberculosis
Hepatitis A
Encephalitis
Hepatitis C
An elderly patient was admitted to long-term care with a history of psoriasis. After four weeks of treatment, the itchy rash was not improving, and two employees reported developing crusted and itchy rashes. What type of scabies presents with thick, crusty skin and spreads by direct skin-to-skin contact?
a. American scabies
b. Norwegian scabies
c. Canadian scabies
d. English scabies
A parent presents with a child who has not been feeling well the past week. The child is now experiencing violent coughing followed by vomiting and exhaustion. What disease should the infection preventionist suspect?
a. Influenza
b. Pertussis
c. Respiratory syncytial virus
d. Strep throat
A 34-year-old male with no significant medical history presented to the emergency department after experiencing fatigue and generalized myalgia for eight days, and perianal lesions for two days. This morning, he observed new lesions on his palms, soles, chest, and extremities. He reported recent international travel and unprotected sex with multiple male partners. Which pathogen is most likely responsible for his illness?
a. A non-enveloped, double-stranded RNA virus
b. An enveloped, double-stranded RNA virus
c. A non-enveloped, single-stranded DNA virus
d. An enveloped, double-stranded DNA virus
What does the biohazard symbol signify in laboratory and medical settings?
a. Ionizing radiation
b. Presence of infectious materials
c. Risk of chemical contamination
d. Carcinogen
12. The infection preventionist is reviewing microbiology culture results for a patient with a previous history of methicillin-resistant Staphylococcus aureus (MRSA) infection and encounters the following:
• Blood culture: No growth
• Urine culture: No growth
• Nares culture swab: positive Staphylococcus aureus
The patient does not have swelling, redness, or purulent discharge from the nares. The IP concludes that the case represents which if the following>
a. Infection
b. Contamination
c. Colonization
d. Pseudo Infection
On March 11, 2020, after more than 118,000 cases in 114 countries and 4,291 deaths, the World Health Organization declared COVID-19 to be a pandemic. Which of the following describes a pandemic?
a. The usual incidence of a given disease within a geographical area during a specified time period.
b. An epidemic spread over a wide geographical area, across countries or continents
c. A group of persons with a given disease whose cases occur in the same space and time but have not been epidemiologically linked.
d. A number of cases that exceeds the expected incidence of disease within a given geographical area during a specified time period.
A 72-year-old patient from a long-term acute care hospital who is receiving long-term antibiotics for endocarditis is admitted to the acute care facility with generalized abdominal pain, nausea, fever, tachycardia, and frequent watery stools. Based on the risk factors and symptoms, the infection preventionist suspects which of the following infections?
a. Clostridioides difficile infection (CDI)
b. Urinary tract infection (UTI)
c. Decubitus ulcer infection
d. Appendicitis
Which of the following is unique to gram-negative bacteria?
a. They produce endotoxins.
b. They contain a thick peptidoglycan layer.
c. They contain flagella.
d. They produce endospores.
What is the primary mode of transmission of Plasmodium falciparum, the parasite responsible for malaria?
a. Ingestion of contaminated food and water
b. Sexual transmission from infected individuals.
c. Airborne spread through respiratory droplets
d. Transmission through vectors, such as mosquitos
An infection preventionist is reviewing the cerebrospinal fluid (CSF) results from a patient admitted with headache and fever. The CSF results show decreased glucose, elevated protein, and a neutrophil predominance. Which of the following organisms would be the most likely source of infection?
a. Neisseria meningitidis
b. Candida auris
c. Enterovirus
d. Herpes zoster virus
Haemophilus influenzae is present as a commensal organism in which body site?
a. Large Intestine
b. Skin
c. Genitourinary tract
d. Nasopharyngeal tract
Which of the following can be used for a simple, quick, and reliable antigen test of bodily fluids to detect Legionella pneumophila serogroup 1?
a. Serum
b. Saliva
c. Sputum
d. Urine
A female patient with diabetes is admitted with a nonhealing foot ulcer. The patient is septic with positive blood cultures and is taken to surgery for an incision and drainage of the wound. Among the following choices, which organism would most likely be the causative pathogen associated with the infection?
a. Candida auris
b. Group A Streptococcus
c. Serratia marcescens
d. Enterobacter cloacae
An 82-year-old man is admitted for a syncopal episode. The admitting
nurse contacts the infection preventionist (IP) on call to report a
potential exposure to tuberculosis. The nurse informs the IP that the attending physician has documented the patient as having “latent TB.” How should the IP respond?
a. Initiate Isolation Precautions for the patient pending further evaluation by the physician.
b. Notify Employee Health to assess potential exposure among the emergency department personnel.
c. Confirm with the physician that the patient has recovered from active tuberculosis.
d. Inform the nurse that the patient was previously infected with tuberculosis but currently does not have the disease, so no precautions are necessary.
Which of the following constitutes the majority of all bacteria in the gut?
a. Bacteroides
b. Clostridium
c. Corynebacterium
d. Firmicutes
Which of the following is considered normal skin flora?
a. Coagulase-negative streptococci
b. Coagulase-negative staphylococci
c. Coagulase-positive staphylococci
d. Coagulase positive streptococci
Candidiasis and tuberculosis are complications commonly associated with advanced HIV infection. Which term best describes these complications?
a. Autoimmune complications
b. Primary infection
c. Endogenous infections
d. Opportunistic infections
During annual safety education for healthcare personnel, the infection preventionist imparts information on minimizing occupational risk of exposure to bloodborne pathogens. This includes guidance on using personal protective equipment, practicing hand hygiene, sharps safety, and safe injection practices. What is the collective term used to describe these methods aimed at reducing the risk for healthcare personnel?
a. Enhanced Precautions
b. Standard Precautions
c. Universal Safety Precautions
d. Comprehensive Protection Precautions
