FFICM Safety and Infection Control 4

Question 1

Which decontamination method is required for flexible bronchoscopes between patient uses?

Accepted Answer

High-level disinfection (e.g., glutaraldehyde or automated endoscope reprocessor)

Answer

Flexible bronchoscopes are semi-critical items requiring high-level disinfection to eliminate all microorganisms except bacterial spores.

Question 2

According to the Spaulding classification, a laryngoscope blade used for intubation is classified as:

Accepted Answer

Semi-critical

Answer

Laryngoscope blades contact mucous membranes and are classified as semi-critical items requiring at minimum high-level disinfection.

Question 3

A cluster of MRSA infections occurs in the ICU. After implementing contact precautions, which additional measure is most likely to identify the source?

Accepted Answer

Environmental cultures of high-touch surfaces

Answer

Environmental cultures of high-touch surfaces can identify MRSA reservoirs and guide targeted cleaning in outbreak investigations.

Question 4

In ICU patients, subglottic secretion drainage (SSD) endotracheal tubes primarily prevent VAP by which mechanism?

Accepted Answer

Removing pooled secretions above the cuff that otherwise microaspirate

Answer

SSD tubes have a port above the cuff that continuously or intermittently aspirates secretions, preventing their microaspiration into the lower airways.

Question 5

Which personal protective equipment (PPE) is required when caring for a patient with confirmed pulmonary tuberculosis?

Accepted Answer

Fit-tested N95 respirator, gloves, gown, and eye protection in a negative-pressure room

Answer

Pulmonary TB is transmitted by airborne droplet nuclei; a fit-tested N95 or higher respirator and negative-pressure room are mandatory.

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

FFICM Safety and Infection Control 4