ADM Safety & Infection Control 3

Question 1

A clinician is exposed to blood from a patient of unknown HIV status via a needlestick. What is the recommended window period for HIV post-exposure prophylaxis (PEP) initiation?

Accepted Answer

Within 72 hours

Answer

HIV PEP must be initiated within 72 hours of exposure to be effective, with earlier initiation being more beneficial.

Question 2

Which of the following is a harm reduction strategy that directly reduces the transmission of bloodborne infections among people who inject drugs (PWID)?

Accepted Answer

Syringe services programs (SSPs)

Answer

Syringe services programs reduce HIV and HCV transmission by providing sterile injection equipment and linking PWID to health services.

Question 3

Which organism is a common cause of infective endocarditis in patients who inject drugs, often affecting right-sided heart valves?

Accepted Answer

Staphylococcus aureus

Answer

Staphylococcus aureus is the most common cause of endocarditis in people who inject drugs and frequently involves the tricuspid valve.

Question 4

A patient on buprenorphine maintenance therapy develops a fever and a fluctuant mass at an injection site. What is the most appropriate next step?

Accepted Answer

Order blood cultures and refer for surgical evaluation

Answer

A fluctuant mass with fever suggests abscess formation requiring blood cultures to rule out bacteremia and surgical evaluation for drainage.

Question 5

What is the recommended approach for disposing of used sharps in a clinic providing medication-assisted treatment?

Accepted Answer

Use an FDA-cleared sharps disposal container and follow local regulations

Answer

FDA-cleared sharps containers with proper disposal per local regulations are the standard for safe sharps management in clinical settings.

(ADM) Board Certified Addiction Medicine Specialist Practice Test

(ADM) Board Certified Addiction Medicine Specialist Practice Test

ADM Safety & Infection Control 3