1. APIC Chapter 13 – Greater New York Q & A Session
Adebisi Adeyeye, DHA, RN, CIC
Montefiore Medical Center
Bronx, NY

2. Hepatitis A and B vaccines Influenza vaccines
Q1. The U. S public health Service’s Advisory Committee on Immunization Practices (ACIP recommends all of the following except:
Hepatitis A and B vaccines
Influenza vaccines
Measles, mumps, and rubella (MMR) and varicella-zoster vaccines (if not immune)
Bacillus Calmette-Guerin (BCG)

3. Answer and Rationale:
D: Immunization programs provide protection from vaccine-preventable diseases for both workers and those under their care.

4. Q2. During rounds , you discover a small bucket filled with liquid inside the cart used by an EVS staff member. The staff person tells you that she pours her cleaning solution into the bucket because it is easier than pouring it from the product’s container. Your response is:
Tell her that this practice is acceptable
Talk to the ES manager and ask that she be placed in corrective action
Explain that as long as she writes the name of the product on the bucket, the practice is acceptable
Explain that the cleaning solution container must be labeled with the chemical content, name , and expiration date.

5. Answer and Rationale:
D: Explain that the cleaning solution container must be labeled with the chemical content, name, and expiration date
Rationale:
Containers for cleaning agents must be labeled in accordance with regulatory requirements(chemical content, name , and expiration date)

6. Staphylococcus aureus Group B Streptococcus Group A Streptococcus
Q3. The bacterium most likely to be transmitted from mother to infant during labor and cause neonatal sepsis is:
Escherichia coli
Staphylococcus aureus
Group B Streptococcus
Group A Streptococcus

7. C. Group B Streptococcus
Answer and Rationale:
C. Group B Streptococcus
Rationale: In Group B Streptococcus (GBS) neonatal infections, heavy maternal colonization is associated with an increased risk for preterm labor, which in turn is a significant risk factor for neonatal infection.

8. Q4. The antibiogram is usually prepared by which department:
Infection Prevention and Control Department
Laboratory
Pharmacy
Information technology

9. Answer and Rationale:
B. Laboratory
Rationale: Many hospital laboratories routinely perform antimicrobial susceptibility testing on bacterial antigens. Antibiogram lend information that can be used to raise and identify opportunities to raise awareness of resistance problems and identify opportunities to reduce inappropriate antibiotic usage .

10. Q5. Anaerobic cultures should be used for any of the following except:
Blood
Transtracheal aspirate
Spinal fluid
Sputum

11. Answer and Rationale:
D. Sputum
Rationale: An anaerobic bacteria culture is a method used to grow anaerobes from a clinical specimen. Anaerobes are commonly found on mucous membranes and other sites such as vagina and oral cavity.

12. References APIC, 2015. certification study guide-6th edition
Grota. P, ed. APIC Text of Infection Control and Epidemiology, 4th edition. Washington, DC.