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EMS Live @ Nite!

Infectious Diseases

October 13, 2009

PRE-TEST

Name _________________________________

1. Which of the following are considered OPIM (other potentially infectious materials)?

A. Vaginal secretions

B. Cerebral spinal fluid

C. Pericardial fluid

D. Blood

E. All of the above

2. Why is it that not all body substance exposures result in infection (with or without post-exposure prophylaxis)?

A. Not all source patients are infectious

B. Not all types of injury or exposure will result in infection

C. If you are immune (from natural infection or vaccination), risk for infection is greatly reduced

D. Many exposures do not include an infectious dose of a pathogen

E. All of the above

3. Is the risk for exposure to a bloodborne pathogen limited to occupation?

A. Yes, my only risk is through the lifesaving work I perform

B. No, risk could include inadvertently sharing a toothbrush with a close relative with HBV

C. Yes, I do not engage in risky behaviors while off duty

D. No, and contact with blood and OPIM should avoided while both on and off duty

E. Answers 2 and 4 are correct

4. After caring for a patient in which there is no risk for blood or body substance exposure, which of the following is most appropriate?

A. Remove gloves, dispose of them in regular trash and brush off any powder if powdered gloves were used

B. Carefully remove gloves, dispose of them in the regular trash and wash hands with soap and water, or use hand sanitizer containing at least 60% alcohol if soap and water are unavailable

C. Carefully remove gloves, dispose of them in a red hazardous waste container and wash hands with soap and water, or use hand sanitizer containing at least 60% alcohol if soap and water are unavailable

D. Carefully remove gloves, dispose of them in the regular trash and since there was no potential exposure, the use of hand sanitizer containing at least 60% alcohol regardless of the availability of soap and water

E. Answers 2 and 4 are correct

5. It is important for EMS staff to be vaccinated against both seasonal and pandemic influenza strains?

A. Yes, being vaccinated protects both the vaccinee and those around them

B. Yes, being vaccinated helps protect those people who cannot be vaccinated, e.g., those with egg allergies and those under 6 months of age

C. Yes, the Centers for Disease Control and Prevention’s (CDC’s) Advisory Committee on

Immunization Practices (ACIP) specifically recommends that EMS personnel be vaccinated

D. Yes, being immune reduces the risk for lost work time due to illness, which with influenza could mean as much two weeks time loss (a minimum of 7 days, regardless of length of illness)

D. All of the above, and more

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