Your-Doctor
Multiple Choice Questions (MCQ)

Quiz Categories Click to expand

Category: Critical Care Medicine-Infections and Immunologic Disease--->Hospital Infection Control, Hospital Acquired Infections
Page: 1

Question 1#Print Question

Which set of precaution measures are MOST appropriate for a patient being treated for Clostridioides (formerly Clostridium) difficile colitis?

A. Mandatory gowns, gloves, and surgical masks for healthcare workers
B. Mandatory gowns and gloves for healthcare workers, followed by alcohol-based hand cleansing after removing gown and gloves
C. Mandatory gowns and gloves for healthcare workers, followed by soap-and-water hand cleansing after removing gown and gloves
D. Mandatory gowns and gloves for healthcare workers, followed by soap-and-water hand cleansing after removing gown and gloves until the patient has fewer than five loose bowel movements daily


Question 2#Print Question

You are placing a central venous catheter in a 44-year-old patient with unknown identity found down in the street. The patient is intubated and sedated. After multiple attempts to cannulate the vein, you accidentally stick your finger with the finder needle. You remove your glove and see that your finger is bleeding.

What should you do next? 

A. Wash your finger with soap and water for 2 minutes, then call your hospital’s infection control, infectious diseases consult, or emergency medicine needlestick response team for further assistance
B. Wash your finger with soap and water for 2 minutes, then order testing for HIV, hepatitis B, and hepatitis C to be sent from the patient’s blood
C. Clean your finger thoroughly with a chlorhexidine swab and then wash with soap and water for 2 minutes
D. Bandage your finger with an antibiotic ointment and then call your hospital’s infection control, infectious diseases consult, or emergency medicine needlestick response team for further assistance


Question 3#Print Question

A 32-year-old pregnant woman is admitted to your intensive care unit with severe respiratory distress and hypoxemia requiring supplementary oxygen delivered by high-flow nasal cannula. Computed tomography (CT) of the chest demonstrates bilateral perihilar ground-glass and nodular infiltrates. On physical examination, you notice a diffuse erythematous and vesicular rash, with crops of vesicles in different stages of development. The patient tells you the rash is extremely pruritic.

Which of the following infection control measures is MOST appropriate?

A. Pregnant and nonimmune healthcare workers should not be assigned to care for this patient; mandatory gowns, gloves, and surgical masks should be worn by healthcare workers
B. Pregnant and nonimmune healthcare workers should not be assigned to care for this patient; mandatory gowns, gloves, airborne precautions, and N-95 respirator masks should be worn by healthcare workers
C. Mandatory gowns, gloves, and surgical masks should be worn by healthcare workers
D. Mandatory gowns, gloves, airborne precautions, and N-95 respirator masks should be worn by healthcare workers


Question 4#Print Question

Which of the following scenarios represents INAPPROPRIATE use of an indwelling urethral catheter?

A. Monitoring urine output in a man with urinary incontinence
B. Monitoring urine output in a man with urinary incontinence and urinary retention
C. Obtaining urine for testing in a patient who can void spontaneously
D. All of the above are inappropriate uses of an indwelling urethral catheter


Question 5#Print Question

After 4 days of being intubated and sedated on a ventilator, a 62- year-old man develops fever, an increased oxygen requirement, and new infiltrates on chest X-ray. Are these findings sufficient to diagnose the patient with a probable ventilator-associated pneumonia?

A. Yes
B. No, an increase in peripheral blood white blood cell count or increase in respiratory secretions is also needed
C. No, a lower respiratory tract culture growing a potential pathogen is also needed
D. No, CT of the chest demonstrating new infiltrates is also needed




Category: Critical Care Medicine-Infections and Immunologic Disease--->Hospital Infection Control, Hospital Acquired Infections
Page: 1 of 2