Employee Health

Question 1

What is the significance of the year 1957 for an individual worried of contracting measles

Answer 1

Prior to 1957 everyone was vaccinated for measles, but should still prove immunity through antibody testing to apply for a healthcare job

Question 2

True or false measles have an incubation period of 11 to 12 days with early symptoms appearing between two and four days and a rash onset of 14 days

Answer 2

True

Question 3

What type of isolation would you put a measles case in?

Answer 3

Airborne isolation they can be large respiratory droplet, but also can be airborne. Therefore, you put them in airborne isolation.

Question 4

How long are measles communicable for after exposure?

Answer 4

5 to 21 days after exposure

Question 5

As an IP if you are informed that a staff member is positive for measles. What should your next step be?

Answer 5

To inform occupational health of the positive measles case

Question 6

If staff member is tested on day two of exposure for IGM AB’s in measles and it is negative is the staff member cleared as not having contracted measles

Answer 6

No, it can take up to 72 hours for antibodies to show up for IM in measles

Question 7

MMR measles incubation. 11 to 12 days, Mumps incubation period is 16 to 18 days rubella incubation period is 14 days just remember.

Answer 7

The MMR is least longest middle for incubation. Periods.

Question 8

** remember** MMR measles are communicable for 5-21 days // mumps are communicable 9-26 days // rubella is communicable for 7-21 days

Answer 8

Again, it goes lowest highest middle in the shortest communicable period then you have to remember that 21 days are the bread and 26 days is the jelly. LOWEST HIGHEST MIDDLE.

Question 9

What type of isolation would you put someone in who has mumps?

Answer 9

Droplet isolation

Question 10

What type of isolation would you put someone with rubella in?

Answer 10

Droplet isolation

Question 11

If you have to guess about how long something is communicable for go with 21 days except for when someone has received the VZIG and this is past 28 days which means 29 days

Answer 11

This is just a remember card

Question 12

How long is varicella zoster or chickenpox communicable for?

Answer 12

10 to 21 days if EIG is given that staff member would need to be off for 28 days which means on day 29 they can come back

Question 13

What type of immunity is given through vaccinations? Is it passive or active?

Answer 13

Passive immunity is given through vaccination

Question 14

What type of immunity is given through having the disease is it passive or active immunity?

Answer 14

Active immunity is given through having the disease

Question 15

True or false diphtheria, varicella, and pertussis are all preventable by immunization

Answer 15

True -DVP= DAMN VACCINATION POWER.

Question 16

What does it mean if someone has the hepatitis B IGE antigen

Answer 16

This means that someone is in an acute phase of infection. This is only seen in exposure and transmission.

Question 17

What does it mean if someone has the hepatitis B IGE antibody

Answer 17

This means that they have been through an active phase, and this is the immune response. This can only be seen in exposure and infection.

Question 18

If someone has an hepatitis B core antibody, what does this indicate?

Answer 18

That they have had a past infection this is not due to immunization

Question 19

What does it mean if someone has a hepatitis B surface antigen

Answer 19

They can either be infected or have been given the vaccination

Question 20

What does it mean if someone has the hepatitis B surface antibody?

Answer 20

This can mean that that person has either been infected or has been vaccinated

Question 21

What does it mean if someone has a hepatitis B antigen?

Answer 21

The antigens or antigens is what invades the body to cause disease. The type of guns or antigens are surface on the outside, B is middle and C is core.

Question 22

Hepatitis, surface antibodies, or antigens is found mean that the person has been infected by either live or vaccination true or false

Answer 22

True

Question 23

Hepatitis B E antigen and antibody is produced during replication of the virus. It is located in the middle of the cell if it equals an acute phase of the virus true or false.

Answer 23

True

Question 24

True or false the higher the hepatitis B E antigen is the more infectious the person is

Answer 24

True

Question 25

True or false hepatitis B can be spread through the percutaneous or mucosal areas if exposed to infectious blood

Answer 25

True

Question 26

Which of these individuals should receive the hepatitis B vaccine list all that apply anyone working with the developmentally delayed or disabled persons, people with more than one sexual partner, or adults over 60 with diabetes

Answer 26

All apply

Question 27

VIG was given to an exposed employee that employee needs to be off for work for how many days

Answer 27

28 days they can come back on the 29th day

Question 28

HIV positive staff may have work restrictions placed on them when?

Answer 28

HIV positive staff may have work restrictions placed on them if that is required by the state or after council from an expert review panel is sought

Question 29

Which is higher risk after a needle stick is it acquiring hepatitis B or HIV?

Answer 29

Hepatitis B is at a higher risk, HIV on average only 0.3% even during percutaneous injuries

Question 30

How long should employee that is infected with Nora virus remain off work

Answer 30

Norovirus positive staff members should remain off work for 48 hours after symptoms resolve

Question 31

What type of transmission is when an organism is present on an object that can make you ill but the virus or bacteria do not replicate on that object, it is only transferred on the object such as hepatitis A on food that is been eaten or CDF on a bed railing that is then transferred to the mouth

Answer 31

Passive transmission is when an object is transferred causing illness

Question 32

What type of transmission is when you directly obtain the virus or bacteria from the source such as through sneezing and coughing, needle stick or salmonella on chicken

Answer 32

This is active transmission. Salmonella will still replicate on the chicken, causing your inoculation dose to increase.

Question 33

Antibodies or anti-blocker is what is sent by the body as a result of an antigen or anti-guns being present true or false

Answer 33

True

Question 34

What is the hepatitis core antibody used for in detecting illness?

Answer 34

The core antibody is used to distinguish between acute and chronic in Latent phases of the disease.

Question 35

Remember card – hepatitis B surface is looking for exposure or immunity …. E antibody or antigen is looking for viral load or how infective a person is… and see antibody or antigen is looking to see if they are in an acute or chronic stage

Answer 35

Just a remember card. 

Question 36

What test is the confirmation test for anyone with suspected HIV?

Answer 36

The western block test is used for confirmation of HIV

Question 37

Blood culture should be received by the lab within how many hours

Answer 37

2

Question 38

Blood cultures should be stored at what temperature and received by the lab within two hours

Answer 38

Blood cultures should remain at room temperature

Question 39

The epidemiological triangle consists of what three corners

Answer 39

Host environment agent

Question 40

Which of the three app I’d logical triangle corners is the corner that causes the disease or the what of the triangle?

Answer 40

Agent or microbe that causes the disease is on the left bottom of the triangle. This is the what of the triangle.

Question 41

Which corner of the epidemiological triangle is the portion that is harboring the disease the who of the triangle

Answer 41

Host host is the organism harboring the disease the who of the triangle is at the top of the pyramid

Question 42

What is on the right lower corner of the epidemiologic triangle that has external factors that cause or allow disease transmission this is the portion of the triangle

Answer 42

Environment

Question 43

What is the typical delusion for bleach according to OSHA BBP standards

Answer 43

1:10. is typical but a one to 100 delusion can be used for non-porous surfaces or for dialysis units

Question 44

What organism is the main concern if boxcar shaped bacilli or identified?

Answer 44

Anthrax has a boxcar shaped bacilli.
Questrom can also look and appear as a box car shaped bacilli, but are not bio terroristic

Question 45

What would the first thing be if an IP is asked for signs and symptoms that would meet Worker’s Comp. for an employee

Answer 45

They should familiarize themselves in the Worker’s Compensation system prior to assessing the cause of the infection or refer them to occupational health

Question 46

What are three infections classified as urgent threats by CDC

Answer 46

CRE, drug resistant, gonorrhea, and CDiff

Question 47

True or false if staff is exposed to TB, they should have a TST done at the time of exposure +12 weeks later and if converts in 12 weeks, they should follow up with x-rays of the chest

Answer 47

This is true

Question 48

How long after exposure to hepatitis A or immunoglobulin M or IGM antibodies detectable in the blood

Answer 48

correct answer is three weeks. Unlike measles, which only takes 72 hours.