ADC Practice Question — BBFE First Aid & Risk Assessment

What is the most urgent priority, and why is timing critical?

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.

After the sharps injury, you assess the urgency of action. What is the most urgent priority, and why is timing critical?

A. Take a radiograph to check for embedded fragments
B. Assess the risk of blood-borne virus transmission and obtain postexposure
C. Complete the patient's treatment first
D. File an incident report with the practice manager

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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

Assess the risk of blood-borne virus transmission and obtain postexposure prophylaxis (PEP) for HIV — PEP is most effective within 1-2 hours of exposure, reducing HIV transmission risk by up to 81%. Some protection remains even if delayed up to 48-72 hours

Source: Odell 4th Ed, Case 31: Ouch (Sharps Injury)

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

Exam preparation FAQ

How should I prepare for Infection Control in the ADC exam?

Build competence across all topics. The exam tests application of guidelines to clinical scenarios, not memorisation.

How do I approach an unfamiliar BBFE First Aid & Risk Assessment vignette?

Extract key clinical data from the stem before reading options. There are usually 3–4 critical variables that determine the correct answer.

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What is the most urgent priority, and why is timing critical?

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