Employee/Occupational Health

Question 1

Diarrheal disease

Answer 1

Acute Stage: Restrict from contact with patient, patient’s surroundings, or food handling.

Convalescent Stage: Restrict from care of high risk patients

Question 2

Hepatitis A

Answer 2

Restrict from contact with patient, patient’s environment, and food handling

Question 3

Hepatitis B

Answer 3

not performing exposure-prone procedures: No restriction; refer to state regulations

performing exposure prone procedures: do not perform exposure-prone invasive procedures until counsel from expert review panel; refer to state regulations

Question 4

Herpes simplex

Answer 4

Genital: No restrictions

Hands (herpetic whitlow): restrict from contact with patient and patient’s surroundings

Orofacial: evaluate need to restrict from care of high-risk patients

Question 5

HIV

Answer 5

Do not perform exposure-prone invasive procedures until review from expert panel
Observe standard precautions
Refer to state regulations

Question 6

Measles, active

Answer 6

exclude from duty until 7 days after the rash appears

Question 7

Measles, post-exposure

Answer 7

exclude from work from 5th day after first exposure, through 21st day after last exposure, or until 4 days after rash appears

Question 8

Mumps, active

Answer 8

exclude from duty until 9 days after parotitis

Question 9

Mumps, post-exposure

Answer 9

exclude from 9th day after first exposure through 26th day after last exposure, or until 9 days after onset of parotitis

Question 10

Pertussis, active

Answer 10

exclude from duty from beginning of catarrhal stage through 3rd week after onset of paroxysms or until 5 days after start of effective therapy

Question 11

Pertussis, post-exposure asymptomatic personnel

Answer 11

no exclusion, treat with prophylaxis

Question 12

Pertussis, post-exposure symptomatic personnel

Answer 12

exclude from duty until 5 days after effective therapy

Question 13

Rubella, active

Answer 13

exclude from duty until 5 days after rash appears

Question 14

Rubella, post-exposure susceptible personnel

Answer 14

exclude from duty from 7th day after first exposure through 21st day after last exposure

Question 15

Varicella, active

Answer 15

exclude from duty until all lesions dry and crust

Question 16

Varicella, post-exposure susceptible personnel

Answer 16

exclude from work from 10th day after first exposure through 21st day (28th if VZIG given) after last exposure

Question 17

Zoster, localized in healthy person

Answer 17

cover lesions; restrict from care of high-risk patient until all lesions dry and crust

Question 18

Zoster, generalized or localized in immunosuppressed person

Answer 18

restrict from patient contact until all lesions dry and crust

Question 19

Zoster, postexposure susceptible personnel

Answer 19

restrict from patient contact from 10th day after first exposure through 21st day (28th day if VZIG given) or if disease occurs, until lesions dry and crust

Question 20

Baseline TST

Answer 20

> = 10 positive result first or second step

Question 21

Serial testing TST

Answer 21

increase of >= 10 mm is positive

Question 22

Known exposure TST

Answer 22

> =5 is positive for anyone with baseline of 0

increase of >=10 with previous result of >=0