CCHP Managing Chronic and Infectious Diseases 5

Question 1

An inmate with known opioid use disorder is admitted to a correctional facility. According to current evidence-based guidelines, what is the recommended approach to medication-assisted treatment (MAT)?

Accepted Answer

Continue or initiate MAT with methadone, buprenorphine, or naltrexone as clinically indicated

Answer

Evidence-based practice and NCCHC standards support continuing or initiating all three FDA-approved MAT medications for opioid use disorder in correctional settings.

Question 2

Which strategy is MOST effective for controlling methicillin-resistant Staphylococcus aureus (MRSA) outbreaks in correctional facilities?

Accepted Answer

Promoting hand hygiene, covering wounds, not sharing personal items, and laundering linens regularly

Answer

MRSA transmission in corrections is primarily contact-based; hygiene education, wound coverage, and not sharing personal items are the most effective prevention strategies.

Question 3

When managing an inmate with sickle cell disease in a correctional facility, which situation requires the MOST urgent medical response?

Accepted Answer

Fever above 38.5°C (101.3°F), which can indicate life-threatening sepsis in this population

Answer

Fever in sickle cell disease can signal sepsis — a medical emergency — because functional asplenia greatly increases susceptibility to encapsulated bacterial infections.

Question 4

A correctional health provider is reviewing gonorrhea treatment guidelines. Which regimen reflects current CDC recommendations for uncomplicated urogenital gonorrhea?

Accepted Answer

Ceftriaxone 500 mg IM as a single dose (or 1g if weight ≥150 kg)

Answer

Current CDC guidelines recommend ceftriaxone 500 mg IM (or 1g if ≥150 kg) as monotherapy for uncomplicated gonorrhea due to widespread fluoroquinolone resistance.

Question 5

An inmate with type 2 diabetes develops a foot ulcer. Which assessment component is MOST critical to determine the urgency of medical intervention?

Accepted Answer

Signs of infection including depth of wound, presence of cellulitis, exposed bone, and systemic signs of sepsis

Answer

Depth of ulceration, presence of infection, exposed bone (suggesting osteomyelitis), and systemic sepsis signs determine whether emergent surgical or hospitalization is needed.

(CCHP) Certified Correctional Health Professional Practice Test

(CCHP) Certified Correctional Health Professional Practice Test

CCHP Managing Chronic and Infectious Diseases 5