Cic

Front 1

Virulence

Back 1

Ability to grow and multiply

Front 2

Infectivity

Back 2

Ability to enter tissue

Front 3

Pathogenicity

Back 3

Ability to cause disease

Front 4

Duration of exposure

Back 4

Length of time person exposed

Front 5

Size of inoculum

Back 5

Number of organisms needed to cause disease

Front 6

India ink positive.

Low glucose csf and predominant lymphocytes.

Meningitis

Light sensitivity

Back 6

Cryptococcosis

Not communicable

Front 7

Meningitis

Normal glucose

Predom neutrophils

Back 7

Bacterial meningitis

Front 8

Meningitis

Stain neg

Normal glucose

Back 8

Viral meningitis

Front 9

Gram positive clusters

Back 9

Staphylococcus

Front 10

Gram positive chains

Back 10

Streptococcus

Front 11

Frequency distribution for intervals

Back 11

Histogram

Front 12

Line graph providing same data as histogram

Back 12

Frequency polygon

Front 13

Finger lesion

Back 13

Herpetic whitlow

Restrict from work

Front 14

Confidence interval

Back 14

Large sample size=narrower and more precise. Quadruple sample size to halve margin of error

Front 15

Gram -, oxidase positive. Csf

Back 15

N. Meningitis is

Front 16

Diarrhea most often linked to contam seafood

Back 16

Vibrio

Front 17

Bronchoscopy AAIR

Back 17

12 ach. Neg pressure.

Front 18

Suspect bed bugs

Back 18

Bag belongings. Declutter. Vacuum with hepa filter

Front 19

SRP Ach

Back 19

Ach of 10. Neg air

Front 20

Hep A

Back 20

Not blood borne. Not spread person to person

Front 21

Floor Area in or needing to be cleaned

Back 21

3x4 foot around table

Front 22

Varicella exposure response

Back 22

Back (Definition)

Front 23

Bed bug survival time with no feeding

Back 23

1 year

Front 24

During outbreaks, no. times in day that high touch surfaces should be cleaned

Back 24

3 times/day

Front 25

Droplet precaution termination for N.meningitidis

Back 25

After 24hrs of therapy

Front 26

Process measure

Back 26

Used to measure compliance with desired care or support practices or to monitor variation in these practices.

Opposite is outcome measures

Front 27

Scarlet fever incubation period

Back 27

1-7 days. GAS. Symptoms 3 days after exposure. Rash. Throat

Front 28

High sensitivity

Back 28

Most who have disease will have positive test result. Few people who have disease will have a negative test result…number false negatives will be low

Front 29

Cdiff spore survival time

Back 29

5 months

Front 30

Rapid neurodegeneration. +csf. mri abnormalities in caudate nucleus. Typical eeg.

Back 30

Creutzfeldt- Jakob prion disease

Front 31

Patient HBeAg positive

Back 31

Patient is infectious

Front 32

Patient is Anti-HBc and Anti-HBs positive.

Back 32

Patient previously infected and now immune

Front 33

Gluteraldehyde, hydrogen peroxide, peracetic acid, chlorine, orthophthaldehyde

Back 33

HLD disinfectants needed for semi critical items

Front 34

Meningitis and CSF results

Back 34

Back (Definition)

Front 35

Chart showing single line of data with upper and lower control limit

Back 35

Control chart

Front 36

Incidence exposed/incidence unexposed

Back 36

Relative risk

Front 37

Neuroparalytic. Blurred vision, dysphasia, paralysis, respiratory failure

Back 37

Botulism

Front 38

Cryptosporidium parvum

Back 38

Protozoa resistant to many disinfectants. Only hydrogen peroxide known to be effective

Front 39

Cat 1a recommendation

Back 39

Sterilization of instruments that will come into contact with sterile tissue

Front 40

Bacteria passed from mother to baby during birth

Back 40

Streptococcus agalactiae/ group b strep

Front 41

Why chg recommended?

Back 41

Dries in 30 sec and low risk for allergy. No rinsing required. Not for those under 2 months

Front 42

Immunoglobulin not available for what?

Back 42

Pertussis

Front 43

Dialysis HBsAg patient precautions

Back 43

Seperate equipment and separate room

Front 44

Hep c

Back 44

Low risk transmission by sex

Front 45

Special cause variation

Back 45

Variation more than 3 std deviations outside mean

Front 46

Measles

Back 46

Culture and transport on ice. Culture immediately or store at -70

Front 47

HBsAg

Back 47

Detected in high levels in serum during acute or chronic HBV infection. HBsAg positive 7-30 days after vaccination

Front 48

Weil-Felix agglutination

Back 48

Test to differentiate rickettsia antibodies in serum. Used for Rocky Mountain spotted fever diagnosis

Front 49

Human factors engineering

Back 49

Studies human characteristics and is concerned with design of tools, machines and systems that take into account human capabilities

Front 50

Viral load of HIV patient

Back 50

Once during antiretroviral phase, decr during asymptomatic hiv infection, incr as progresses to aids

Front 51

Empiric

Back 51

Broad spectrum prior to culture results

Front 52

Job enrichment

Back 52

Giving employees more responsibilities and variety in work

Front 53

Propagated source of infection

Back 53

No single source

Front 54

Hills criteria for causation

Back 54

See chapter 10. Epi general principles

Front 55

Body piercing infections

Back 55

Atypical mycobacterium

Staph species

Pseudo species

Front 56

HVAC malfunction possible infections

Back 56

Increase in SSI

Aspergillus

Hai varicella outbreak

Front 57

Sensitivity

Back 57

Ability to detect true positives when applied to population with disease

Front 58

HSV ref range

Back 58

<1:10 neg

1:10 or greater= pos

Front 59

Point of care instruments with lumen

Back 59

Wash with water. Never saline

Front 60

P value of 0.1 means

Back 60

1 in 10 chance of making type 1 error

Front 61

Type 1 error

Back 61

Occurs when rejecting null hypothesis when it is true

Front 62

4 principles of EM

Back 62

Mitigation, preparedness, response and recovery

Front 63

Most common pneumonia in kids

Back 63

Mycoplasma pneumoniae

Front 64

Hep B exposure

Back 64

Back (Definition)

Front 65

Gram -ve bacilli. Aerobic.

Back 65

Acineyobacter baumanii

Front 66

Safe cold food temp storage

Back 66

Below 5c

Front 67

Malassezia furfur fungal infection often associated with..

Back 67

Intravenous lipid infusions

Front 68

Which level of equipment must be processed by HLD

Back 68

Semi-critical

Front 69

Blood collection time

Back 69

Less than 2hrs room temp

Front 70

Amount of water needed to be stored for emergency situation

Back 70

25gallons per patient per day

Front 71

Mycoplasma pneumonia isolation

Back 71

Droplet

Front 72

Mycobacterium chelonae potential source of infection

Back 72

Bronchoscope and hydrotherapy pool

Front 73

Cat B bioterrorism

Back 73

Moderate ease in spread, moderate morbidity, low mortality. Eg typhus

Front 74

Relative humidity limit to prevent fungal growth

Back 74

60%

Front 75

Dialysis infection risk reduced with

Back 75

AV fistula rather than dialysis catheter

Tunneled cuffed catheter

Femoral only short time and bed bound

Front 76

Cryptosporidium resistant to what disinfectant?

Back 76

Chlorine

Front 77

Bleach used at what conc?

Back 77

5.25-6.15%

Front 78

Pareto chart

Back 78

Bars and lines present

Front 79

Meningococcal meningitis incubation period

Back 79

2-10 days

Front 80

Recommendations for mop heads

Back 80

Launder daily

Change mop water after use in 3-4 rooms or no ore than 1 hr of use

Front 81

Measles isolation period

Back 81

7 days after rash appears

Front 82

Iatrogenic CJD

Back 82

Develops as a result of medical treatment

Front 83

Positive predictive value

Back 83

True positive/(true positive+false positive)

Front 84

Ethylene oxide sterilization affected by what parameters

Back 84

Gas conc

Temp

Relative humidity

Exposure time

Front 85

Positive TST

Back 85

Indicates past exposure to TB. Detects latent Tb. No current infection

Front 86

IgM

Back 86

Primary immune response

Front 87

Hepatitis A IgM detectable after how many days?

Back 87

5-10 days after exposure. Ab detectable within 3 weeks. Ab not detectable after 6-12months

Front 88

Pertussis incubation period

Back 88

7-10 days

Front 89

Scabies incubation period

Back 89

4-6weeks. Minimal 10days. Discontinue contact isolation after 24hrs of treatment

Front 90

What does TST induration mean

Back 90

10mm= positive

Front 91

Csf interpretation

Back 91

Back (Definition)

Front 92

Flu incubation period

Back 92

1-4 days

Front 93

Flu shedding

Back 93

Adults:Day before symptoms begin through 5-10 days after

Front 94

Immunocompromised def

Back 94

Neutropenia, HIV with CD4 <200, less than 1 yr BMT, steroid, chemo

Front 95

Paroxysmal stage of whooping cough

Back 95

1-6 weeks

Front 96

Lyme disease not found where?

Back 96

Southeast

Front 97

Bacteria that can penetrate conjunctiva

Back 97

Neisseria gonorrhea/meningitidis

Strep pneumoniae

Listeria monocytogenes

Corynebacterium diphtheria

Front 98

Scabies presentation

Back 98

Pruritic lesions on hands, webs of fingers, wrists, elbows, knees, outer surface of feet, armpits, buttocks and waist

Front 99

Not known to contaminate TPN

Back 99

Mycobacterium fortuitum

Front 100

ESBL resistance to what Ab?

Back 100

Ceftazidime, cefotaxime, ceftriaxone

Front 101

Koplik spots

Back 101

Measles. Prodromal fever, conjunctivitis, cough, small spots with white center

Front 102

Pneumonic plague isolation

Back 102

From inhaled aerosolized bacteria. Incubation period 1-6 days. Flu like symptoms. Resp droplet spread. Mask. Cohorted. 3ft. Iso disc 48hrs after therapy.

Front 103

SSI risk score

Back 103

Back (Definition)

Front 104

Anthrax

Back 104

Bioterrorism agent. Mediastinal widening. Gram+ box car shaped bacilli.

Front 105

Measles symptom onset

Back 105

Cough: lasts 2-4 days

Rash appears day 3-7, lasting 5-6 days

Front 106

Vaccination

Back 106

Federal regulations do not require informed consent

Front 107

Disinfectant

Back 107

More microbes, greater amount of time needed

Front 108

Transtheoretical model/ stage theory stages

Back 108

Precontemplation, contemplation, preparation(planning for behavior change), action and maintenance

Front 109

Water management plan

Back 109

Disinfect when distal sites is 30%

Front 110

OPA benefit

Back 110

Does not require activation

Front 111

Room temp to treat bed bugs

Back 111

118 for 1 hr

Front 112

Negative predictive value

Back 112

True negative/(false + true neg)

Front 113

Higher specificity than sensitivity

Back 113

TN/(TN+FP)

Neg result more accurate than positive

Front 114

Diluted bleach storage time in open container

Back 114

24hrs

Front 115

Non immune hcp given vzig, isolation time

Back 115

28 days after exposure

Front 116

Bloom taxonomy analysis

Back 116

Compare, discriminate, differentiate

Front 117

Organisms most often associated with improper scope reprocessing

Back 117

TB and pseudomonas

Front 118

Sterilizer that forced steam into the chamber from top and push air out bottom

Back 118

Gravity displacement sterilizer

Front 119

Common urine contaminant

Back 119

Yeast

Front 120

Sterility assurance level for critical items

Back 120

10^-6

Front 121

Case-control

Back 121

Use for rare outcomes

Front 122

Anthrax clean

Back 122

Standard terminal clean. No person to person transmission

Front 123

Discrete data

Back 123

Whole numbers. Can be categorical or noncategorical

Front 124

Time for IgM response to develop in measles

Back 124

Up to 72hrs

Front 125

Delphi technique

Back 125

Structured communication method to solicit opinion from experts by answering questionnaires in 2 or more rounds

Front 126

Passive immunity

Back 126

HepA IG given within 2 weeks after exposure

Front 127

Community acquired MRSA pneumonia symptoms

Back 127

Severe pneumonia, hemoptysis, mulitlobar infiltrate

Front 128

Hot water laundry temp

Back 128

160f

Front 129

MERV filtration minimum OR

Back 129

MERV 14

Front 130

Airflow direction in OR

Back 130

Noninductional unidirectional infusion of air with a supply over the surgical table and an exhaust near floor at periphery of room.

From clean to less clean

Front 131

Bleach dilution for non porous surface

Back 131

1:100

Front 132

Airborne room requirement

Back 132

Must exhaust outside. Minimum 12 air changes/hr

Front 133

Water temp range to prevent legionella

Back 133

Hot water 124c and cold 68

Front 134

When to use detergent

Back 134

Enviro friendlier. Can use to clean floors when not an isolation room

Front 135

Sterile storage parameters

Back 135

18 inch below ceiling, 8 inches above floor and 2 inches from wall

Front 136

Sterile supply room parameters

Back 136

Temp of 75. RH not to exceed 70%.

Front 137

Tuberculin rxn interpretation

Back 137

Back (Definition)

Front 138

Food service worker hep a exclusion from work

Back 138

7 days after onset of jaundice

Front 139

Regulations about handling of infectious waste regulated at what level?

Back 139

State

Front 140

Incidence proportion used to measure frequency of new cases in a specific population during a limited time

Back 140

Attack rate

Front 141

Can inactivate disinfectants

Back 141

Blood and protein

Front 142

Rooms required to be negative pressure

Back 142

Janitor closet and ER waiting room

Front 143

Virulence factor common to Gram -ve

Back 143

Produce endotoxin

Front 144

Class of chemical indicator Bowie-Dick

Back 144

Class 2

Front 145

Epi model consisting of hub(host) with inner core of genetic info. Outer enviro of physical, biological or social.

Back 145

Wheel model of Disease causation

Front 146

Critical, semi critical, non critical require what cleaning?

Back 146

Sterilization, HLD and low level disinfection respectively

Front 147

Flu vaccine storage rate

Back 147

2-8C

Front 148

3 domains of learning

Back 148

Cognitive

Affective- emotions

Psychomotor- manual/physical

Front 149

Bloom’s taxonomy

Back 149

Remembering

Understanding

Applying

Analyzing

Evaluating

Creating

Front 150

TB risk assessment categories and annual screen

Back 150

<200. Low<3, Medium>3 (annual screen)

Front 151

Flu isolation

Back 151

5 days or until symptoms resolved(whichever is longest)

Front 152

Amount of time for multi dose vials

Back 152

28 days

Front 153

When does antibiotic timeout occur?

Back 153

Within 24-48hrs of results being available

Front 154

What method of disinfection & sterilization will kill all organisms and spores?

Back 154

Steam sterilization and ethylene oxide

Front 155

Negative airborne ach

Back 155

6-12 ach

Front 156

Smallpox mortality

Back 156

30%

Front 157

Tdap vaccine recommendations

Back 157

All >19yrs should get it

Front 158

When can chi- square test be used?

Back 158

To evaluate effect of variable on outcome, to calculate odds or relative risk, when each cell greater than 5.

Front 159

What test when data small?

Back 159

Fishers exact

Front 160

Specificity calculation

Back 160

No. true negatives/total persons without disease x100

Front 161

Std deviation

Back 161

1std=68%

2std=95%

3std=99.7%

Front 162

Correlationl

Back 162

r closest to 1 means stronger positive correlation

Front 163

Kurtosis

Back 163

How flat a peak is.

0: mesokurtic. Bell shaped

+: leptokurtosis. More peaked

-:platykurtic. Flatter curve.

Front 164

Mode

Back 164

Number in a set occurring most frequently

Front 165

Extraneous variable that systematically varies with independent variable and influences dependent variable

Back 165

Confounding

Front 166

Kaposis sarcoma

Back 166

Caused by herpesvirus 8

Front 167

Coccidioides

Back 167

Soil fungus. 50% of ppl in endemic areas exposed

Front 168

Avian flu found in what reservoir?

Back 168

Domestic poultry

Front 169

Prevalence of disease is low means…

Back 169

Positive predictive value of diagnostic test is lowered

Front 170

Attributable risk calc

Back 170

(No. exposed who get disease/total no. Exposed) - (no. Unexposed who get disease/total no. Who are not exposed)