Practice Paper 1

Question 1

What sample do you take to check for infection?

Answer 1

Urine

Question 2

How many patients die of health-care associated infection every year?

Answer 2

5,000

Question 3

When treating for C.diff what PPE is needed?

Answer 3

Apron and gloves (mask too?)

Question 4

Which structure is unique to gram negative bacteria?

Answer 4

Outer membrane

Question 5

What % of patients acquire an infection whilst in hospital?

Answer 5

10%

Question 6

Which bacterial pathogen is the main cause of antibiotic associated diarrhoea?

Answer 6

C.diff

Question 7

What shape is Escherichia coli and Neisseria meningitidis

Answer 7

Escherichia coli is rod-shaped

Neisseria meningitidis is coccus

Question 8

Which part of the body is most heavily colonized by bacteria?

Answer 8

The gastrointestinal tract

Question 9

What is the most appropriate method to decontaminate hands when caring for patients suffering from c.diff.

Answer 9

Wash hands with soap and water following patient contact.

Question 10

Is the herpes virus ubiquitous or not?

Answer 10

It is ubiquitous

Question 11

Which type of cell is depleted during HIV/AIDS?

Answer 11

CD4+ T-lymphocytes

Question 12

Which antibiotic acts on bacterial cell wall?

Answer 12

Vancomycin

Question 13

What specimen should be collected using a swab?

Answer 13

Urethral discharge?

Question 14

Which virus is associated with causing cancer?

Answer 14

Epstein Barr Virus

Question 15

What is the MAIN route of spread for hepatitis A virus?

Answer 15

Faecal-oral

Question 16

Which organism is commonly associated with meningitis in young babies?

Answer 16

Group B Streptococcus

Question 17

What is the leading cause of community acquired pneumonia?

Answer 17

Streptococcus pneumoniae

Question 18

What virus family does the mumps virus belong to?

Answer 18

Paramyxoviruses

Question 19

Which enteric organism is associated with hemolytic uremic syndrome (HUS)?

Answer 19

Escherichia Coli

Question 20

What sample should be taken from a patient with suspected Shigella infection?

Answer 20

Faecal sample

Question 21

What sample should be taken from an elderly patient from a care home being admitted for a hip replacement?

Answer 21

A nasal swab

Question 22

What sample should be taken from a patient who has been on long term antibiotics and presents with diarrhoea

Answer 22

Faecal sample

Question 23

What sample should be taken from a 22 year old student with suspected meningitis?

Answer 23

Cerebrospinal fluid

Question 24

What sample should be taken from a hospitalised female patient who develops pyelonephritis?

Answer 24

Clean catch urine

Question 25

What's the most common organism causing urinary tract infections?

Answer 25

Escherichia coli

Question 26

What is the leading cause of tonsillitis?

Answer 26

Streptococcus pyogenes

Question 27

What is the main cause for impetigo?

Answer 27

Staphylcoccus aureus

Question 28

What is one of the two most important causes of bacterial meningtitis?

Answer 28

Streptococcus pneumoniae

Question 29

What is a common cause of medical device related infection?

Answer 29

Staphylococcus epidermidis

Question 30

What condition causes urgency, pain and frequency associated with urination, blood in the urine and lower back pain?

Answer 30

Pyelonephritis

Question 31

What condition has a sudden onset of development of painful, red generalised area of skin that is hot to tender?

Answer 31

Cellulitis

Question 32

What condition has nausea, vomiting and diarrhoea?

Answer 32

Salmonella enterica infection

Question 33

What condition has purlent sputum, shortness of breath, cyanosis, chest pain and fever?

Answer 33

Pneumonia

Question 34

What condition has fever, abdominal cramps and bloody diarrhoea that is full of mucous?

Answer 34

Bacillary dysentery

Question 35

What sample do you take for an elderly patient that has been bedridden for three weeks and has developed pressure sores that are now red and painful?

Answer 35

General medical ward, wound swab

Question 36

What sample do you do for a baby showing signs of meningitis and the mother is positive for group B streptococcus?

Answer 36

Take a cerebrospinal fluid sample

Question 37

What sample do you take for an elderly patient arrives who has faecal incontinence and complains of pain that is limited to the bladder region?

Answer 37

Urine sample

Question 38

What sample do you take?. Elderly patient, post heart surgery, wound is red, swollen and painful with purulent exudate visible. Patient has been admitted to hospital four times in the last 6 months and has been taking antibiotics for a chest infection?

Answer 38

Blood and nasal swab and inform the infection prevention team.

Question 39

What sample do you take? elderly homeless ham brought in with chest pain, fever, high resp rate. Productive cough and lips are blue

Answer 39

Take blood and sputum samples.