ABFAS Safety and Infection Control 3

Question 1

A foot and ankle surgeon sustains a needlestick from a patient with unknown HIV status. What is the recommended first step?

Accepted Answer

Immediately wash the site with soap and water and report to occupational health

Answer

Immediate wound cleansing with soap and water followed by prompt reporting allows timely HIV risk assessment and post-exposure prophylaxis if indicated.

Question 2

What class of surgical wound is a diabetic foot debridement procedure for an infected ulcer?

Accepted Answer

Class IV (Dirty/Infected)

Answer

Wounds with established infection or perforated viscera at the time of surgery are classified as Class IV (Dirty/Infected).

Question 3

Which of the following best describes the 'sterile field' concept during foot and ankle surgery?

Accepted Answer

All items within the sterile zone must be sterile and handled only by scrubbed personnel

Answer

The sterile field encompasses all sterile items and surfaces, and must only be contacted by sterile-gloved and gowned personnel to prevent contamination.

Question 4

What is the recommended minimum time for high-level disinfection of reusable foot and ankle scopes using glutaraldehyde at room temperature?

Accepted Answer

20–45 minutes

Answer

High-level disinfection with 2% glutaraldehyde requires a minimum contact time of 20–45 minutes to eliminate vegetative bacteria, most viruses, and fungi.

Question 5

During a foot and ankle procedure, a circulating nurse notices that the scrub technician's gown sleeve touches the non-sterile mayo stand. What should occur?

Accepted Answer

The contaminated gown must be changed and the involved items replaced or re-draped

Answer

Any break in sterile technique requires immediate correction, including changing the gown and replacing or reprocessing contaminated items.

(ABFAS) American Board of Foot and Ankle Surgery Practice Test

(ABFAS) American Board of Foot and Ankle Surgery Practice Test

ABFAS Safety and Infection Control 3