Download Foodborne Illness Outbreak Investigation and more Exams Nursing in PDF only on Docsity! CP-FS study EXAM QUESTIONS CP-FS STUDY EXAM QUESTIONS WITH GUARANTEED ACCURATE ANSWERS 1. Determine legitimacy of food borne illness When ________or more cases of foodborne illness caused by the same organism occur during a limited period of time involving either same foodservice operation or the same food product, public health authorities consider it a foodborne illness outbreak. - Accurate Answers✔✔✔ Two A _______ case of botulism is considered an outbreak. - Accurate Answers✔✔✔ Single _________ and ___________ are the two key factors of all outbreak investigations. - Accurate Answers✔✔✔ Speed Accuracy _______ an outbreak in its tracks and ________ illness are the most obvious goals of outbreak investigations. - Accurate Answers✔✔✔ Stopping Preventing Three types of outbreaks: - Accurate Answers✔✔✔ 1. Localized one- time event, such as a specific food preparation error or ill food worker at a foodservice establishment. 2. Widespread distribution of a perishable commodity, such as spinach or tomatoes 3. Contamination of shelf-stable commodities, such as canned or frozen foods or peanut butter, or persistent environmental contamination at a farm, food processing facilitym or restaurant. Ways to prevent future outbreaks (3) - Accurate Answers✔✔✔ 1. Identifying new hazards 2. Maintaining the public's confidence 3. Empowering the public Outbreaks typically are detected through three general methods; - Accurate Answers✔✔✔ 1. Pathogen-specific furveillance 2. Notification/complaint systems 3. Syndromic surveillance Local and state health agencies are often the ________ to detect the occurrence of an outbreak and to begin an __________. These public When beginning an investigation based on multiple individual complaints, the best approach is to collect a ___________ exposure history. - Accurate Answers✔✔✔ Five-day The purpose of the clinical and food samples is to determine if there is an __________ agent that _______ between the two groups of samples. - Accurate Answers✔✔✔ etiologic matches Verification of who has possessed the samples and where the samples have been is easier if ________________ procedures are followed. - Accurate Answers✔✔✔ Chain of custody ______________ is a legal term that refers to the chronological documentation or "paper trail", that shows the seizure, custody, control, transfer, analysis, and disposition of physical or electronic evidence. - Accurate Answers✔✔✔ Chain of custody When investigating a food production or foodservice establishment implicated in an outbreak, conduct an ______________________. - Accurate Answers✔✔✔ Environmental health assessment The goals of an environmental health assessment are to identify the following: - Accurate Answers✔✔✔ 1. Possible points of contamination of the implicated food with the disease agent 2. Whether the causative agent could have survived 3. Whether conditions were conducive for subsequent growth or toxin production by the disease agent 4. Antecedents that resulted in the conditions that allowed the outbreak to happen _____________ are the circumstances behind the problem and include inadequate worker education, behavioral risk factors, management decisions, and social and cultural beliefs. - Accurate Answers✔✔✔ Antecedents To accurately relate the opportunities for contamination, survival, and growth of a disease agent in a food to a specific outbreak, the investigator needs to have a good understanding of the following (3) - Accurate Answers✔✔✔ 1. Agents 2. Factors necessary to cause illness 3. Implicated vehicle 13. Initiate a trace back Tracing the source of food items or ingredients through distribution to source of production can be critical to identifying _____________ links among cases or ruling them out. For non-branded commodities, such as produce items, the ____________ of multiple cases along a distribution pathway may identify the source of contamination. Converselyk failure to identify common suppliers may indicate that the food item in question is not a likely vehicle - Accurate Answers✔✔✔ epidemiologic convergence Food samples must be collected in _______ containers using an _________ collection method. - Accurate Answers✔✔✔ sterile aseptic Whenever possible, avoid _______ containers, which may break and contaminate the food product. - Accurate Answers✔✔✔ glass For dry materials, use ____________ boxes, cans, bags, or packets with suitable closures. - Accurate Answers✔✔✔ sterile metal Do not use ______ pan on plasztic because the ink might _________ the container - Accurate Answers✔✔✔ felt penetrate Obtain at least _________g for each sample unit - Accurate Answers✔✔✔ 100 Samples should be analyzed within __________ hours after receipt. If sample analysis is not possible within _____ hours, then perishable foods should be _______. - Accurate Answers✔✔✔ 48 frozen Collect frozen samples in _____________ containers. - Accurate Answers✔✔✔ pre-chilled
