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| Section | Weight | Objectives |
|---|---|---|
| Surveillance and Epidemiologic Investigation | 24% | - Benchmarking and reporting - Data collection, validation, and analysis - Surveillance system design and implementation - Outbreak investigation and response |
| Environment of Care | 10% | - Safety and risk assessment - Water and air quality management - Waste management and environmental services - Facility design, construction, and renovation |
| Education, Research, and Quality Improvement | 9% | - Development and delivery of education programs - Regulatory and accreditation compliance - Performance measurement and quality improvement - Evidence-based practice and research application |
| Employee and Occupational Health | 10% | - Workplace safety policies - Health screening and surveillance - Exposure management and post-exposure prophylaxis - Immunization programs |
| Prevention and Control of Transmission of Infectious Agents | 28% | - Isolation and patient placement - Antimicrobial stewardship - Cleaning, disinfection, and sterilization - Hand hygiene and aseptic techniques - Standard and transmission-based precautions |
| Identification of Infectious Disease Processes | 19% | - Epidemiologic principles - Emerging and re-emerging pathogens - Risk factors and transmission mechanisms - Microbiology and pathogenesis |
1. Based on the Spaulding classification, which of the following pairings is an example of a semi-critical item and its minimal level of disinfection?
A) Surgical instrument; sterilization
B) Endocavity probe; high-level disinfection
C) Bedside table; high-level disinfection
D) Bedpan; intermediate-level disinfection
2. Healthcare-associated transmission of methicillin-resistant Staphylococcus aureus (MRSA) is commonly associated with which of the following?
A) Improper ventilation
B) MRSA-infected patients
C) Inadequate hand hygiene
D) MRSA-colonized healthcare workers
3. Education and training on safe work practices should be
A) Specific to a job or task.
B) Conducted in the nationally approved language.
C) Provided when policies and procedures are reviewed.
D) Optional at the time of orientation.
4. Which of the following BEST demonstrates the effectiveness of a program targeted at reducing central-line associated bloodstream infections (CLABSIs) in an intensive care unit (ICU)?
A) A 30% decrease in total costs related to treatment of CLABSIs over 12 months
B) A 25% decrease in the length of stay in the ICU related to CLABSIs
C) A 25% reduction in the incidence of CLABSIs over 6 months
D) A 30% reduction in the use of antibiotic-impregnated central catheters over 6 months
5. A hospital is experiencing an increase in multidrug-resistant Acinetobacter baumannii infections in the intensive care unit (ICU). The infection preventionist's FIRST action should be to:
A) Perform environmental sampling to detect Acinetobacter on surfaces.
B) Implement universal contact precautions for all ICU patients.
C) Initiate decolonization protocols for all ICU patients.
D) Conduct an epidemiologic investigation to identify potential sources.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: D |
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