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[{"id":327242,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-26 23:35:00","updated_at":"2017-11-27 00:00:12","questionName":"A hospital has hired a new manager of the Microbiology section of the Laboratory. During the initial discussion with the manager about the Infection Prevention and Control program,the IP stresses the importance of collaboration between the departments in reducing healthcare-associated infections (HAts). Of the chotces below, which activity wm best meet this goal?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":4,"explanation":"The clinical microbiology laboratory is an important partner in the practice of infection prevention.The active !nvo,vement and cooperation cf the microbiology laboratory is critical to the functioning of the infection control program,particularly <n surv","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":327244,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-26 23:38:56","updated_at":"2017-11-27 00:00:12","questionName":"When are lgM antibodies to Hepatitis A virus (HAV) detectable in the blood?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":6,"explanation":"Hepatitis A is an acute liver disease caused by HAY. Clinical features of acute hepatitis are not specific for HAV infection, so serological diagnosis is necessary. lgM antibodies to HAV (lgM anti-HAY), which are used to diagnose acute HAV infection, are ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":327245,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-26 23:41:05","updated_at":"2017-11-27 00:00:12","questionName":"The incubation period for pertussis in immunocompromised persons is usually:","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":7,"explanation":"Pertussis (whooping cough) is a highly communicable, acute, infectious respiratory disease caused by Bordetella pertussis. The incubation period of pertussis in immunocompromised patients is usually 7 to 10 days, with a range of 6 to 21 days. In rare case","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":327247,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-27 00:03:00","updated_at":"2017-11-27 00:03:00","questionName":"A nurse is concerned that a patient in the neurology ward has a prion disease after receiving a lab report stating that the patient had a positive nucleic acid test for John Cunningham virus (JCV) in the cerebrospinal fluid. What is the best response to give this nurse?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"JCV is a polyomavirus that can cause a demyelinating disease called progressive multifocal leukoencephelalopathy in immunocompromised indlvlduals. Because of the name and some presenting symptoms, JCV is sometimes confused with Creutzfetdt\u00ad Jakob disease ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":327248,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-27 00:05:38","updated_at":"2017-11-27 00:05:38","questionName":"An IP is conducting an educational session to help the nursing staff understand infectious disease transmission. She explains that the initial element in virulence ls the ability of an organism to survive in the external environment during transit between hosts. What is the second element of virulence?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"The second element in virulence is a mechanism for transmission to a new host. For example, insect vectors may transmit pathogens by injecting materjal tram salivary glands or defecation into sites of penetration of host skin. Some viruses car> survive","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":327246,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-26 23:56:35","updated_at":"2017-11-27 00:00:12","questionName":"A patient who was hospitalized for 2 days calls 3 days after discharge complaining that he has developed healthcare\u00ad associated scabies due to his recent inpatient stay. The IP knows that his scabies infestation is not healthcare-associated because:","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":8,"explanation":"The incubation period for scabies may be as short as 10 days but is typically between 4 and 6 weeks. Therefore, the patient could not have acquired scabies during the hospital stay because, based on tile incubation period, he would need to have been expos","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":327243,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-26 23:36:50","updated_at":"2017-11-27 00:00:12","questionName":"The primary immune response after exposure to a communicable disease pathogen or vaccine is production of:","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":5,"explanation":"During the primary immune response that occL1rs after a communicable dsease pathogen or vaccine is encountered, the class of antibody that is produced first is lgM. lgG antibodies develop a few weeks later. 1gG antibodies are a good indication or the conv","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":327196,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-26 23:21:51","updated_at":"2017-11-27 00:00:12","questionName":"The optimal time to collect a sputum specimen for acid-fast bacilli (AFB) testing to rule out TB would be: ","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":3,"explanation":"Because pulmonary disease is the most common form of TB, patients with suspected TB should have a chest radiograph. If the radiograph is abnormal or the patient has respiratory complaints, sputum specimens should be collected for acid-fast bacilli (AFB) s","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":326916,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-26 22:54:30","updated_at":"2017-11-27 00:00:12","questionName":"Which is true about a tuberculin skin test (TST)?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":2,"explanation":"TST involves injection of purified protein derived from the mycobacterial cell wall. The test relies on the face that persons who have been infected with TB will have a delayed-type hypersensitivity reaction to this reagent. The TST is a screening tool to","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":326913,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-26 22:47:23","updated_at":"2017-11-27 00:00:12","questionName":"Guidelines for transporting specimens include:","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":1,"explanation":"The appropriate selection, collection, and transport of specimens to the diagnostic microbiology laboratory are essential parts in the accurate identification or microorganisms that cause infections that affect patient care and infection prevention. Trans","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":326905,"quiz_id":"16616","answer_id":null,"answerType_id":"0","created_at":"2017-11-26 22:15:41","updated_at":"2017-11-27 00:00:12","questionName":"A patient was just admitted to a long-term care facility from the local hospital. The patient is being treated for psoriasis. The psoriasis does not appear to be responding to treatment, and 48 hours later, the infection preventionist (IP) recieves a report that a Certified Nursing Assistant has developed an itchy rash. The patient's physician visits and determines the patient has crusted scabies and not psoriasis. Another name for crusted scabies is:","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":0,"explanation":"Crusted scabies is a severe form of scabies that can occur in individuals who may be immunocompromised, elderly, disabled, or debilitated. It is also called Norweigian Scabies. In immunodeficient individuals and in senile patients, infestation often appea","question_score_id":null,"lang":null,"questionAudioPath":null}]