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Foodborne Illness

67 questions
51. A manager sorts the walk-in by which items need strict temperature control. Which item is NOT a time/temperature control for safety food?
a.A pan of cooked white rice
b.A container of cut cantaloupe
c.A tray of sliced beefsteak tomatoes
d.A crate of whole uncut watermelons✓

Whole, uncut melons are protected by an intact rind and are not time/temperature control for safety food. Once a melon is cut, the knife carries surface organisms into moist, low-acid flesh, so cut melon is. Cooked rice and cut tomatoes are also on the list because heat treatment or cutting removes their natural barriers.

52. A prep cook shreds several cases of romaine for the salad line. What changes about the romaine the moment it is cut?
a.It becomes TCS food and needs 41°F or less✓
b.It becomes safe to hold at 55°F for one shift
c.It becomes exempt from date marking for 14 days
d.It becomes a low-risk item like whole dry pasta

Cut leafy greens are time/temperature control for safety food, so shredded romaine must be held at 41°F or below like any other TCS item. Cutting releases plant fluids and spreads field organisms across every leaf surface, which is why whole heads are far more stable than a bin of shredded lettuce.

53. A kitchen makes a house garlic-in-oil mixture for the pasta station. Why must this mixture be treated as TCS food?
a.The oil raises the acidity of the raw garlic above a pH of 4.6
b.The oil keeps the garlic above a pH of 7.5
c.The oil blocks oxygen and can allow botulism toxin✓
d.The oil draws moisture out of the raw garlic

Untreated garlic-in-oil is a classic botulism hazard: the oil seals out oxygen while the low-acid garlic supplies nutrients, which is exactly what Clostridium botulinum needs to produce toxin. The mixture must be kept cold and used quickly, or the recipe must be acidified under a variance from the regulatory authority.

54. A steakhouse bakes 200 russet potatoes at 4:00 p.m. for the dinner rush. How must the baked potatoes be handled after they come out of the oven?
a.Wrapped in foil and stacked at room temperature
b.Held at 135°F or above, or cooled and refrigerated✓
c.Held on the pass at 110°F until the last order goes out
d.Left uncovered on a sheet pan for up to 8 hours

A baked potato is time/temperature control for safety food, so it must be held at 135°F or above or cooled and held at 41°F or below. Foil traps heat and blocks oxygen around a low-acid food, which is the combination that has caused botulism outbreaks from foil-wrapped potatoes held at room temperature.

FDA Food Code §3-501.16
55. Guests who shared a potato salad begin vomiting about three hours after the meal. What does that short onset time suggest to the manager?
a.A preformed toxin, such as Staphylococcus aureus✓
b.A parasite, such as Cryptosporidium in the water
c.A slow-growing infection, such as Listeria in a deli
d.A viral infection, such as hepatitis A from a worker

An intoxication makes people sick quickly, often within one to six hours, because the toxin is already in the food when it is eaten. Infections need time for the organism to multiply in the body: hepatitis A takes weeks, Listeria can take days, and parasites are slower still, so a three-hour onset points to a toxin.

56. A case of tuna loins sat on a loading dock for five hours in July. Which statement about the histamine that may have formed is correct?
a.Freezing the tuna solid will break the histamine down
b.Searing the tuna to 145°F will break the histamine down
c.Histamine is never destroyed by cooking or freezing✓
d.Histamine is removed by rinsing the loins under water

Histamine builds up when scombroid fish such as tuna, mahi-mahi, and bonito are time-temperature abused, and it is a heat-stable chemical rather than a living organism. Cooking, freezing, and rinsing all leave it intact, so the only controls are buying from a reputable supplier and keeping the fish cold from the moment it arrives.

57. A chef is offered barracuda and large grouper caught by a friend on a reef. What is the manager's only real control against ciguatera toxin?
a.Cook the fillets to an internal 165°F for 15 seconds
b.Freeze the fillets at -4°F for 7 days before service
c.Marinate the fillets in a citrus and vinegar brine overnight
d.Buy reef fish only from an approved, reputable supplier✓

Ciguatera toxin accumulates in large predatory reef fish such as barracuda, grouper, and amberjack, and it survives cooking, freezing, and acid marinades. Because there is no kill step in the kitchen, the control is purchasing from suppliers who comply with law and avoiding fish from unapproved sources.

FDA Food Code §3-201.11
58. A health department tells a manager it is investigating a foodborne-illness outbreak. What does that term mean?
a.One single guest reports an illness after eating at the operation
b.Two or more people get the same illness from the same food✓
c.A supplier recalls a product the operation has in storage
d.An inspector documents a critical temperature violation onsite

An outbreak is an incident in which two or more people experience the same illness after eating the same food, and it is confirmed when a laboratory analysis identifies the source. A single complaint, a recall, and an inspection violation are all serious signals, but none of them meets the definition on its own.

59. Which operation is serving a highly susceptible population as the Food Code uses that term?
a.A day care kitchen feeding preschool children in care✓
b.A sports bar serving a late-night crowd after the games
c.A food truck parked outside a downtown office tower
d.A steakhouse with a large weekend banquet business downtown

Highly susceptible populations are people more likely to become seriously ill, served in facilities that provide custodial care such as day cares, hospitals, nursing homes, and senior centers. Bars, food trucks, and banquet restaurants serve the general public, so the stricter rules on raw eggs, raw sprouts, and undercooked animal food do not apply to them.

FDA Food Code §3-801.11
60. A nursing home kitchen wants to put house-made Caesar dressing on the menu. What does the Food Code require for that recipe?
a.Raw shell eggs held at 41°F or below before mixing
b.Raw shell eggs from a supplier with a grading stamp
c.Pasteurized eggs substituted for the raw shell eggs✓
d.Raw shell eggs whipped and served within 4 hours

In a facility serving a highly susceptible population, pasteurized eggs or egg products must be substituted for raw eggs in dishes such as Caesar dressing, hollandaise, mayonnaise, meringue, and eggnog, and in any recipe combining more than one broken egg. Cold holding, a grading stamp, or a short service window does not remove the Salmonella risk from a raw egg.

FDA Food Code §3-801.11
61. A hospital cafeteria plans a salad bar. Which item may it never offer in ready-to-eat form to its patients?
a.Shredded cabbage held on ice at 41°F or below
b.Sliced cucumbers washed well in the produce sink
c.Cooked chickpeas cooled and then held cold at 41°F
d.Raw alfalfa seed sprouts held at 41°F or below✓

An operation serving a highly susceptible population may not serve raw seed sprouts in ready-to-eat form, because sprouting conditions are ideal for Salmonella and E. coli and no wash step reliably removes them. Washed vegetables and properly cooled cooked legumes are acceptable at the same temperature.

FDA Food Code §3-801.11
62. Norovirus and hepatitis A are grouped together in training because they share which route into food?
a.Undercooked ground beef served rare to guests
b.An infected worker's hands touching ready-to-eat food✓
c.Cross-contact between two allergens on one cutting board
d.Toxins that form in fish that is held above 41°F for too long

Both viruses are shed in feces and reach guests when an infected food handler touches ready-to-eat food, which is why handwashing and the no-bare-hand-contact rule are the primary controls. Undercooked beef points to E. coli, allergen cross-contact is not an infection at all, and fish toxins are chemical hazards.

FDA Food Code §3-301.11
63. Where does Salmonella Typhi, the organism behind typhoid fever, live between outbreaks?
a.In humans, who can carry and shed it while feeling well✓
b.In poultry flocks, where it lives in the birds' intestines
c.In coastal waters, where filter feeders concentrate it
d.In soil and dust, where it forms heat-resistant spores

Salmonella Typhi is carried by people, and a carrier can shed the organism in feces long after symptoms end, which is why the Food Code makes typhoid fever reportable for three months after diagnosis. Nontyphoidal Salmonella is the one associated with poultry and eggs, Vibrio with coastal waters, and Clostridium species with soil.

64. Shiga toxin-producing E. coli is called a toxin-mediated infection. What does that label describe?
a.The toxin is already in the food before it is eaten
b.The toxin is destroyed once the food reaches 145°F
c.The bacteria are eaten and make toxin inside the body✓
d.The bacteria multiply only on the surface of the food

In a toxin-mediated infection the guest swallows living bacteria, which then produce toxin in the intestines. That is different from an intoxication such as Staphylococcus aureus, where the toxin is formed in the food beforehand, and it is why cooking ground beef to 155°F for 17 seconds prevents the illness.

65. A forager offers a restaurant wild mushrooms he picked and identified himself. What should the manager do?
a.Accept them and always cook every mushroom to 165°F
b.Decline them and order from an approved supplier✓
c.Accept them and always hold them frozen until service
d.Decline them unless the forager signs a waiver

Mushroom toxins are heat stable and a misidentified wild mushroom can be fatal, so cooking and freezing are not controls. All food must come from sources that comply with law, and a personal waiver does not make an unapproved source legal or a poisonous mushroom safe.

FDA Food Code §3-201.11
66. A cook offers to bring in tamales he steamed in his own kitchen so the restaurant can sell them at the counter. What does the Food Code say?
a.They may be sold if he always reheats them to 165°F on site
b.They may be sold if each package is labeled homemade
c.They may be sold if the manager tastes a sample of them first
d.Food prepared in a private home may never be sold here✓

Food prepared in a private home may not be used or offered for human consumption in a food establishment, because a home kitchen is outside the regulatory system that inspects suppliers. Reheating, labeling, and tasting do nothing about an unapproved source, and this rule is absolute regardless of how good the cook is.

FDA Food Code §3-201.11
67. The CDC names five risk factors that account for most foodborne illness in retail food. Which list states them?
a.Unsafe sources, bad cooking, bad holding, dirty equipment, poor hygiene✓
b.Unsafe sources, thin menus, bad holding, dirty floors, weak marketing
c.Slow service, bad cooking, cold dining rooms, dirty equipment, low pay
d.Unsafe sources, bad cooking, long menus, dirty ceilings, high turnover

The five risk factors are purchasing food from unsafe sources, failing to cook food adequately, holding food at incorrect temperatures, using contaminated equipment, and practicing poor personal hygiene. They are worth memorizing because a food safety management system is judged on whether it controls these five, not on how clean the dining room looks.

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