Global food production and distribution processes can result in widely disseminated foodborne infections. A large outbreak of foodborne infection caused by a Shiga toxin producing E coli took place in Germany and France in 2011. What was the contaminated item that caused the disseminated foodborne infection?

Correct Answer: D

Rationale: The 2011 E. coli O104:H4 outbreak in Germany and France was traced to contaminated fenugreek sprouts.

Correct Answer: C

Rationale: Disposable aprons should be changed between patients to prevent cross-contamination, making C correct per infection control standards.

Correct Answer: B

Rationale: The deltoid is preferred for IM and SC injections in older children and adults due to accessibility and reduced risk, per Green Book.

Correct Answer: A

Rationale: Diabetes increases influenza complication risk, warranting vaccination, per Green Book; all are indicated, but A is a clear example.

Correct Answer: B

Rationale: Claims are assessed on balance of probability with a disability percentage, per Green Book procedure.