Safety & Infection Control Flashcards
7 cards from real ADM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Safety & Infection Control flashcards as text
Which of the following vaccines is most critically recommended for patients with chronic liver disease due to alcohol use disorder?
Answer: Hepatitis A and B vaccines
Hepatitis A and B vaccines are critical for patients with chronic liver disease as these infections can cause acute liver failure in those with underlying hepatic dysfunction.
A patient discloses that they reuse their own syringes because they cannot access clean ones. Which response reflects evidence-based harm reduction?
Answer: Provide education on safer injection techniques and refer to a syringe services program
Providing harm reduction education and referral to syringe services programs reduces infection risk and maintains therapeutic engagement.
Which of the following best describes the 'test and treat' strategy for hepatitis C in patients with opioid use disorder?
Answer: Screen all patients for HCV and initiate DAA treatment regardless of current drug use status
Current guidelines support universal HCV screening and treatment with DAAs regardless of ongoing substance use, as treatment is effective and reinfection can be addressed.
What is the appropriate action when a patient on methadone maintenance develops active pulmonary tuberculosis?
Answer: Co-administer TB treatment and methadone with monitoring for drug interactions
TB treatment and methadone can be co-administered; rifampin induces CYP3A4 and may require methadone dose increases to prevent withdrawal.
In managing occupational exposure to HIV in a healthcare setting, the source patient is found to have an undetectable viral load on ART. What is the recommended approach to PEP?
Answer: PEP should still be offered as the standard of care following needlestick exposure
Current occupational exposure guidelines recommend offering standard 28-day PEP after needlestick from any HIV-positive source, regardless of viral load, as a precautionary measure.
Which of the following is a known complication of xylazine ('tranq') contaminated opioids relevant to infection control?
Answer: Severe necrotic skin wounds at injection sites resistant to naloxone reversal
Xylazine-contaminated opioids cause severe necrotic skin ulcers at and distant from injection sites that do not respond to naloxone and require specialized wound care.
A patient with severe alcohol use disorder is hospitalized for detoxification. Which infection is this patient at elevated risk for due to immune dysfunction and nutritional deficiencies?
Answer: Bacterial pneumonia
Alcohol use disorder causes immune suppression, malnutrition, and aspiration risk, making bacterial pneumonia a significant infectious complication during hospitalization.