CIC Practice Questions - Employee /
Occupational Health
A food service worker is diagnosed with Hep A. How long should this employee be on
work restrictions?
a. Until 14 days after symptom onset
b. Until 7 days after onset of jaundice
c. Until 14 days after onset of jaundice
d. Until 10 days after symptoms resolve - ANS-b. Until 7 days after onset of jaundice
A new employee who needs to be tested for TB infection before starting work has a
history of BCG vaccination. Which method of TB testing would be the best choice in this
situation?
A. The TST would be the best method to use because it is the most cost-effective
testing method
B. A TST would be the best method to use because it distinguishes latent from active
TB infection
C. An interferon-gamma release assay (IGRA) blood test would be the best method to
use because prior BCG immunization does not cause a false positive with this test
D. An IGRA blood test would be the best method to use because it is a rapid test and
provides results within 30 minutes - ANS-C. An interferon-gamma release assay (IGRA)
blood test would be the best method to use because prior BCG immunization does not
cause a false positive with this test
A patient in the Emergency Room is diagnosed with bacterial meningitis due to
Neisseria meningitidis. The patient was not properly isolated, and a number of
employees entered her room without wearing a mask. Which employee should receive
PEP?
A. The phlebotomist who drew blood on the patient
B. The respiratory therapist who intubated the patient
C. The radiology technician that performed the chest radiograph
D. The employee from admissions that registered the patients - ANS-B. The respiratory
therapist who intubated the patient
According to the CDC, which type of thermometer should be used in a vaccine storage
unit?
A. Fluid-filled biosafe liquid thermometer
B. Infrared thermometer
, C. Chart recorder
D. Probe in glycol-filled bottle with an external monitoring device - ANS-D. Probe in
glycol-filled bottle with an external monitoring device
An employee has sustained a needlestick injury form a blood-contaminated needle. The
source patient was Hep B virus (HBV) positive, and the employee had completed one of
the three vaccinations in the Hep B series. Which of the following is the correct
postexposure prophylaxis (PEP) for this patient?
A. Complete the Hep B vaccine series
B. Complete the Hep B vaccine series and provide Hep B immunoglobulin
C. Provide Hep B immunoglobulin and begin interferon therapy
D. No PEP is needed - ANS-B. Complete the Hep B vaccine series and provide Hep B
immunoglobulin
An employee is exposed to a known HIV-positive patients' blood via needlestick after
giving an intramuscular injection. The patient has a known high viral load. After the
employee has 'thoroughly' washed the exposed area with soap and water, what is the
next step that should be taken following this exposure?
A. The employee needs to be counseled about using safer sex practices and to avoid
pregnancy, breast-feeding, and blood and organ donation for 3 months after exposure
B. The employee should be treated as soon as possible with expanded multidrug PEP
C. The employee should have baseline testing for HIV, Hepatitis B antigen, and
Hepatitis B antibody
D. The employee should be counseled by a clinician knowledgeable about HIV
transmission risks - ANS-B. The employee should be treated as soon as possible with
expanded multidrug PEP
An employee is exposed to a patient known to have chronic Hep B. The employee is a
known responder to the Hep B vaccine, which was given to him as a student 5 years
ago. What is the recommended post exposure tx for the employee?
a. Test the employee and all close contacts for Hep B
b. Start the Hep B series on the employee because of the length of the time since
vaccination
c. No tx is recommended for a known responder
d. Recommend giving the employee the Hep A vaccine - ANS-c. No tx is recommended
for a known responder
An employee who is not immune to varicella-zoster was exposed to a patient with active
chickenpox. How long must the employee remain on work restrictions?
a. Until evaluated by a physician
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