ADC Practice Question — Practitioners with Infectious Disease

What are the window periods for BBV serology follow-up testing?

Infection control in the ADC exam tests decision-making around exposure incidents, instrument classification, and decontamination protocols. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

Michael Thompson, a dental hygienist, experiences a splash of blood-contaminated saliva to his eyes during a scaling procedure on patient James Rodriguez. The source patient agrees to testing, and results show HCV antibody positive. Michael requires assessment for hepatitis C transmission risk and appropriate follow-up protocols. What are the window periods for BBV serology follow-up testing?

A. HIV 1 month, HBV 3 months, HCV 3 months
B. HIV up to 3 months, HBV 6 months, HCV 6 months
C. All BBV testing at 6 weeks only
D. HIV 6 months, HBV 3 months, HCV 1 month

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Sources cited

Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more

Show the answer and cited explanation

Correct answer: B

Window periods for follow-up serology are HIV up to 3 months (PCR detects 90% within 4 weeks), HBV 6 months, and HCV 6 months (ICG p.82)

Source: ICG Section 4: BBFE Protocol

Remy's study tip — The differentiator is usually the Spaulding classification level or the step order in a protocol.

Exam preparation FAQ

How are Practitioners with Infectious Disease questions structured in the ADC written exam?

ADC Practitioners with Infectious Disease questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

Should I memorise guidelines word-for-word for Practitioners with Infectious Disease?

Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.

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