Needlestick Injury Post Test

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Question 1 of 6

1. Question
Which of the following are considered significant exposures in relation to potential blood borne virus transmission?
- A patient sneezes onto the exposed arm of a healthcare worker
- During a procedure a patient's blood splashes onto an uncovered abrasion on a healthcare worker’s wrist
- While inserting a catheter, a patient's urine splashes into the eye of a healthcare worker
- A needle used to take blood punctures the glove and skin of the person performing phlebotomy
- During a surgical procedure a bone fragment tears the gown of the surgeon and pierces their skin
Question 2 of 6

2. Question
Select which of the following tests should be sent from the source patient in a needlestick injury after appropriate consent is obtained.
- Hepatitis B surface antigen
- Quanteferon gold for tuberculosis
- Hepatitis C antibody
- Hepatitis B surface antibody
- HIV antibody
Question 3 of 6

3. Question
Post exposure prophylaxis for HIV should be recommended in which of the following circumstances?
- A nurse punctures their finger with an unused needle while preparing an IV medicine to be given to an HIV positive patient
- A catheter bag bursts and the urine of a patient known to be a sex industry worker comes in contact with the uncovered eczema on the arms of a health care assistant
- A junior doctor punctures the palm of their hand with a needle just used to successfully obtain an ABG from a patient who is an intravenous drug user
- An emergency department nurse suffers a needlestick from an exposed used sharp left in a cubicle. The source patient is unknown
Question 4 of 6

4. Question
Which of the following is an appropriate prescription for HIV post exposure prophylaxis?
- Tenofovir 245mg once daily. Atazanavir 300mg once daily
- Tebofovir 245mg and emtricitabine 200mg twice daily. Raltegevir 400mg once daily
- Tenofovir 245mg and emtricitabine 200mg once daily. Raltegevir 400mg twice daily
- Abacavir 600mg once daily. Lamivudine 300mg once daily
- Tebofovir 245mg and emtricitabine 200mg once daily. Lopinavir 400mg and ritonavir 100mg twice daily
Question 5 of 6

5. Question
Regarding Hep B post exposure prophylaxis following a needlestick injury, which of the management plans is appropriate in the clinical situation?

*Hepatitis B prophylaxis table adapted from Public Health England. Hepatitis B: the green book, chapter 18. 2013. [accessed June 2020]
- An unvaccinated healthcare worker. The source's hep B status is unknown. They are given HBIG and an accelerated course of hep B vaccine
- A HCW who has received a full hep B vaccine course with the last dose 6 months ago. The source is known to be hep B positive. They do not receive HBIG or a hep B vaccine booster
- A HCW who is a known responder to the hep B vaccine. The source is hep B positive. They are given no PEP
- A HCW who is a known non-responder to the hep B vaccine. The source’s hep B status is unknown. They are given 2 doses of HBIG and a booster dose of hep B vaccine
Question 6 of 6

6. Question
A member of the public who is normally well and not a HCW presents to ED having suffered a needlestick injury from a discarded needle in a park which they are concerned may have had dried blood on. Which of the following statements are true?
- They should be immediately redirected to the local sexual health service
- They are likely to have had a full course of the hep B vaccine in childhood
- HIV PEP is not recommended
- No hep B prophylaxis should be given
- Follow up of all investigations performed should be carried out by the emergency department team

Needlestick Injury

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