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RadReview Infection Control

front 1

Body substances and fluids that are considered infectious or potentially infectious include

sputum

synovial fluid

cerebrospinal fluid

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 1

D.
1, 2, and 3

front 2

Where is the "sterile corridor" located?
A.
Just outside the surgical suite
B.
Immediately inside each operating room door
C.
Between the draped patient and the instrument table
D.
At the foot end of the draped patient

back 2

C.
Between the draped patient and the instrument table

front 3

Which of the following is a violation of correct sterile technique?
A.
Gowns are considered sterile in the front down to the waist, including the arms.
B.
Sterile gloves must be kept above the waist level.
C.
Persons in sterile dress should pass each other face to face.
D.
A sterile field should not be left unattended.

back 3

C.
Persons in sterile dress should pass each other face to face.

front 4

The type of isolation practiced to prevent the spread of infectious agents in aerosol form is
A.
respiratory isolation
B.
protective isolation
C.
contact isolation
D.
strict isolation

back 4

A.
respiratory isolation

front 5

The most frequent site of hospital-acquired infection is the
A.
urinary tract.
B.
blood.
C.
respiratory tract.
D.
digestive tract.

back 5

A.
urinary tract.

front 6

An iatrogenic infection is one caused by
A.
physician intervention.
B.
blood-borne pathogens.
C.
chemotherapy.
D.
infected droplets.

back 6

A.
physician intervention.

front 7

The following instructions should be given to a patient following a barium sulfate contrast examination:

Increase fluid and fiber intake for several days.

Changes in stool color will occur until all barium has been evacuated.

Contact a physician if no bowel movement occurs in 24 hours.

A.
1 only
B.
2 only
C.
1 and 3 only
D.
1, 2, and 3

back 7

D.
1, 2, and 3

front 8

Chemical substances that are used to kill pathogenic bacteria are called
1. antiseptics.
2. germicides.
3. disinfectants.

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 8

C.
2 and 3 only

front 9

Federal regulations regarding infection control in the workplace, as amended by the Occupational Safety and Health Administration (OSHA), make which of the following requirements?

Hepatitis B immunizations must be made available to all hospital employees.

Puncture-proof containers must be provided for all used needles.

Follow-up care must be provided to any staff accidentally exposed to blood splash/needle stick.

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 9

C.
2 and 3 only

front 10

Each of the following is an example of a fomite except
A.
a doorknob.
B.
a tick.
C.
a spoon.
D.
an x-ray table.

back 10

B.
a tick.

front 11

Examples of means by which infectious microorganisms can be transmitted via indirect contact include

a fomite.

a vector.

nasal or oral secretions.

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 11

1 and 2 only

front 12

Lyme disease is caused by bacteria carried by deer ticks. The tick bite may cause fever, fatigue, and other associated symptoms. This is an example of transmission of an infection by
A.
droplet contact.
B.
a vehicle.
C.
the airborne route.
D.
a vector.

back 12

D.
a vector.

front 13

The complete killing of all microorganisms is termed
A.
surgical asepsis.
B.
medical asepsis.
C.
sterilization.
D.
disinfection

back 13

C.
sterilization.

front 14

What type of precautions prevent the spread of infectious agents in droplet form?
A.
Contact precautions
B.
Airborne precautions
C.
Protective isolation
D.
Strict isolation

back 14

B.
Airborne precautions

front 15

Contaminated needles are disposed of in special containers in which of the following ways?
A.
Recap the needle, remove syringe, dispose of.
B.
Do not recap needle, remove from syringe, dispose of.
C.
Recap the needle, dispose of entire syringe.
D.
Do not recap needle, dispose of entire syringe.

back 15

D.
Do not recap needle, dispose of entire syringe.

front 16

The risk of inoculation with HIV is considered high for which of the following entry sites?

Broken skin

Perinatal exposure

Accidental needle stick

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 16

B.
1 and 2 only

front 17

Guidelines for cleaning contaminated objects or surfaces include which of the following?

Clean from the least contaminated to the most contaminated areas.

Clean in a circular motion, starting from the center and working outward.

Clean from the top down.

A.
1 only
B.
1 and 2 only
C.
1 and 3 only
D.
1, 2, and 3

back 17

C.
1 and 3 only

front 18

Which ethical principle is related to sincerity and truthfulness?
A.
Beneficence
B.
Autonomy
C.
Veracity
D.
Fidelity

back 18

C.
Veracity

front 19

Sterile technique is required when contrast agents are administered
A.
rectally.
B.
orally.
C.
intrathecally.
D.
through a nasogastric tube.

back 19

C.
intrathecally.

front 20

Diseases whose mode of transmission is through the air include

TB.

mumps.

rubella.

A.
1 only
B.
1 and 2 only
C.
1 and 3 only
D.
1, 2, and 3

back 20

D.
1, 2, and 3

front 21

A nosocomial infection is a(n)
A.
infection acquired from frequent handshaking.
B.
upper respiratory tract infection.
C.
infection acquired in a hospital.
D.
type of rhinitis.

back 21

C.
infection acquired in a hospital

front 22

The acquired immune deficiency syndrome (AIDS) virus may be transmitted

by sharing contaminated needles.

from mother to child during birth.

by intimate contact with body fluids.

A.
1 only
B.
1 and 2 only
C.
1 and 3 only
D.
1, 2, and 3

back 22

D.
1, 2, and 3

front 23

Indirect modes of disease transmission include

airborne

fomite

vector

A.
1 only
B.
1 and 2 only
C.
1 and 3 only
D.
1, 2, and 3

back 23

D.
1, 2, and 3

front 24

Hemovac or Penrose drains are used for
A.
bile duct drainage.
B.
tissue drainage of wounds or postoperative drainage.
C.
decompression of the gastrointestinal tract.
D.
feeding patients who are unable to swallow food.

back 24

B.
tissue drainage of wounds or postoperative drainage.

front 25

According to the CDC, all the following precaution guidelines are true except
A.
airborne precautions require that the patient wear a mask.
B.
masks are indicated when caring for patients on MRSA precautions.
C.
patients under MRSA precautions require a negative-pressure room.
D.
gloves are indicated when caring for a patient on droplet precautions.

back 25

C.
patients under MRSA precautions require a negative-pressure room.

front 26

The risk of inoculation with human immunodeficiency virus (HIV) is considered high for the following entry sites:
1. Broken skin
2. Shared needles
3. Conjunctiva

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 26

B.
1 and 2 only

front 27

Techniques that function to reduce the spread of microbes are termed
A.
surgical asepsis.
B.
medical asepsis.
C.
sterilization.
D.
disinfection.

back 27

B.
medical asepsis.

front 28

All the following rules regarding proper hand washing technique are correct except
A.
keep hands and forearms lower than elbows.
B.
use paper towels to turn water on.
C.
avoid using hand lotions whenever possible.
D.
carefully wash all surfaces and between fingers.

back 28

C.
avoid using hand lotions whenever possible.

front 29

Protective or "reverse" isolation is required in which of the following conditions?

TB

Burns

Leukemia

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 29

C.
2 and 3 only

front 30

The infection streptococcal pharyngitis ("strep throat") is caused by a
A.
virus.
B.
fungus.
C.
protozoon.
D.
bacterium.

back 30

D.
bacterium.

front 31

A patient with an upper respiratory tract infection is transported to the radiology department for a chest examination. Who should be masked?

Technologist

Transporter

Patient

A.
1 only
B.
1 and 2 only
C.
3 only
D.
1, 2, and 3

back 31

C.
3 only

front 32

Body substances and fluids that are considered infectious or potentially infectious include

feces.

breast milk.

wound drainage.

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 32

D.
1, 2, and 3

front 33

Handwashing is the easiest way of preventing spread of microorganisms, and health care professionals should wash their hands before and after every patient. Additionally, it is particularly essential that the radiographer wash his/her hands after contact with
1. patients who are at risk of infection.
2. blood/body fluids.
3. patients with known communicable diseases.

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 33

C.
2 and 3 only

front 34

When disposing of contaminated needles, they are placed in a special container using what procedure?
A.
Recap the needle, remove the syringe, and dispose of the needle.
B.
Do not recap the needle, remove the syringe, and dispose of the needle.
C.
Recap the needle and dispose of the entire syringe.
D.
Do not recap the needle and dispose of the entire syringe.

back 34

D.
Do not recap the needle and dispose of the entire syringe.

front 35

An autoclave is used for
A.
dry heat sterilization.
B.
chemical sterilization.
C.
gas sterilization.
D.
steam sterilization.

back 35

D.
steam sterilization.

front 36

In which stage of infection do the infective microbes begin to multiply?
A.
Latent period
B.
Incubation period
C.
Disease phase
D.
Convalescent phase

back 36

B.
Incubation period

front 37

Which of the following statements is (are) true regarding a two-member team performing mobile radiography on a patient with MRSA precautions?

One radiographer remains "clean"—that is, he or she has no physical contact with the patient.

The radiographer who positions the mobile unit also makes the exposure.

The radiographer who positions the cassette also retrieves the cassette and removes it from its plastic protective cover.

A.
1 and 2 only
B.
1 and 3 only
C.
2 and 3 only
D.
1, 2, and 3

back 37

A.
1 and 2 only

front 38

Of the four stages of infection, which is the stage during which the infection is most communicable?
A.
Latent period
B.
Incubation period
C.
Disease phase
D.
Convalescent phase

back 38

C.
Disease phase

front 39

The cycle of infection includes which of the following components?

Reservoir of infection

Susceptible host

Means of transmission

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 39

D.
1, 2, and 3

front 40

The radiographer must perform which of the following procedures prior to entering a contact isolation room with a mobile x-ray unit?

Put on gown and gloves only.

Put on gown, gloves, mask, and cap.

Clean the mobile x-ray unit.

A.
1 only
B.
2 only
C.
1 and 3 only
D.
2 and 3 only

back 40

A.
1 only

front 41

All the following statements regarding hand hygiene and skin care are correct except
A.
hands should be cleansed before and after each patient examination.
B.
faucets should be opened and closed with paper towels.
C.
hands should be smooth and free from chapping.
D.
any cracks or abrasions should be left uncovered to facilitate

back 41

D.
any cracks or abrasions should be left uncovered to facilitate healing.

front 42

Which of the following can be transmitted via infected blood?

HBV

AIDS

TB

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 42

B.
1 and 2 only

front 43

An animal host of an infectious organism that transmits the infection via a bite or sting is a
A.
vector
B.
fomite
C.
host
D.
reservoir

back 43

A.
vector

front 44

Radiographers should wear gloves when they might come in contact with
1. wounds.
2. mucous membrane.
3. body fluids containing blood.

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 44

D.
1, 2, and 3

front 45

Hypochlorite bleach (Clorox) and Lysol are examples of
A.
antiseptics.
B.
bacteriostatics.
C.
antifungal agents.
D.
disinfectants.

back 45

D.
disinfectants.

front 46

An inanimate object that has been in contact with an infectious microorganism is termed a
A.
vector.
B.
fomite.
C.
host.
D.
reservoir.

back 46

B.
fomite.

front 47

Diseases that require contact precautions include

MRSA

Clostridium difficile (C-diff)

TB

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

back 47

B.
1 and 2 only

front 48

The most effective method of sterilization is
A.
dry heat.
B.
moist heat.
C.
pasteurization.
D.
freezing.

back 48

B.
moist heat.

front 49

The Centers for Disease Control and Prevention (CDC) suggests that health care workers protect themselves and their patients from blood and body fluid contamination by using
A.
strict isolation precautions.
B.
standard precautions.
C.
respiratory precautions.
D.
sterilization.

back 49

B.
standard precautions.

front 50

An illness of unknown or obscure cause is said to be
A.
systemic.
B.
epidemic.
C.
idiopathic.
D.
pathogenic.

back 50

C.
idiopathic.

front 51

The cycle of infection includes which of the following components?

Reservoir of infection

Pathogenic organism

Means of transmission

A.
1 only
B.
1 and 2 only
C.
1 and 3 only
D.
1, 2, and 3

back 51

D.
1, 2, and 3

front 52

In which of the following situations should a radiographer wear protective eye gear (goggles)?

When performing an upper GI radiographic examination

When assisting the radiologist during an angiogram

When assisting the radiologist in a biopsy/aspiration procedure

A.
1 and 2 only
B.
1 and 3 only
C.
2 and 3 only
D.
1, 2, and 3

back 52

C.
2 and 3 only