/105 1 Infection Control Preparation (Pr. Sok Srun) 1 / 105 1) How can HCF ensure the quality of water?: a. Regular monitoring and evaluation of water supply b. All of the above c. Regular monitoring and evaluation of water treatment process d. Regular monitoring and evaluation of water quality 2 / 105 2) Why is it important to prevent SSI?: a. All of the above b. It is an important cause of additional morbidity c. It may contributes to increased Antimicrobial Resistance (AMR) d. It is an immediate threat to patient mortality e. It can cause incremental cost to patients 3 / 105 3) ααΆααααα»αααααααααααΆαααααααΆα αα»αααΉαααΆαααα½αα’αααααααΊααααΆαα ααααΌαααΆααα ααΎαααΆααααααααα αα·αααααα·ααααα· α ααααααααααααΎαααααΌααααααααααααα·α ααΎαααααααααΆαααααα’αααΈ? a. αααααααΌαα b. ααααααααααααΆααααα c. αααααααααΆαααααααα αΎα α’αΆα ααααΎα‘αΎααα·αααΆα d. ααααααααΈααΆαααααΆα e. ααααααααααααΆααααα ααααααααααααα 4 / 105 4) Choose the incorrect statement about Occupational Health and Safety (OHS).: a. It includes the prevention of illness, accident and injury from the work b. Healthcare Facility staffs are responsible for their own OHS c. Healthcare management staffs are responsible for their employeesβ OHS d. It is the specific terminology that is applied to healthcare facility staffs only e. It includes the promotion and maintenance of all aspects of health 5 / 105 5) Choose the correct statement for the relationship between infection prevention and control (IPC) and the Chain of Infection.: a. IPC aims to cut the pathways in the Chain of Infection. b. IPC aims to control the elements of the Chain of Infection. c. IPC aims to cut the pathways in the Chain of Infection and IPC aims to control the elements of the Chain of Infection. d. Chain of Infection can be completely eliminated when IPC implement properly and also cut it e. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken. 6 / 105 6) Choose the correct statement for safe handling of equipment and soiled linen.: a. Thermometer can be shared between patients if it is wiped with wet tissue. b. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. c. All of the above d. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. e. Safe handling of equipment soak, clean, dry, packaging, sterilization and storage to reuse 7 / 105 7) Choose the correct example of HCF ventilation.: a. b and c b. None of the above c. Isolation room has a ceiling fan to make air circulate to outside d. Window is blocked with TV screen in the patient room e. Window is open and mosquito net is installed in the patient room 8 / 105 8) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+) Staphylococcus b. Bacteria Gram (-) E-coli c. Bacteria Gram (-) Pseudomonas d. Bacteria Gram (+) Streptococcus e. Bacteria Gram (+) Enterococcus 9 / 105 9) Choose the correct description about triage zone.: a. Staffs need to wear a gown and gloves, but not mask. b. Only highly infectious patients should go through triage zone. c. The distance between patient and the staff has to be minimum 2 meters away d. Patients may be required to wear PPE depending on their symptom e. It is better to be close to ICU so that severe patients can be rapidly transferred 10 / 105 10) αααααααΌαα : ααΌα ααααα αα ααΆααααααααααααΆααααα: a. αααααααααααα αααΈααΆαααααΆα αα»ααααα½α b. αααααααΆαα ααα½αααααΆααα½αααααααααααααααααΆ c. αααααααααααα αααΈααΆαααααΆα αα»ααααα½α αα·ααααααα±αα d. αααααααααααααα½ααααααα e. αααααααααααα αααΈααΆαααααΆα αα»ααααα½α αααααα±αα αα·ααα·αααα»ααααα 11 / 105 11) Arrange the provided steps to enter Isolation Unit in a correct order.: 1.Person should write their name in the General Access Area. 2.Person should change to appropriate PPE in the changing room. 3.Person must go through training before entering the Isolation Unit. 4.Before leaving, PPE should be slowly taken out in the changing room. 5.Person should perform the hand hygiene procedure. a. 1-2-3-4-5 b. 5-2-1-3-4 c. 3-1-5-2-4 d. 2-4-1-3-5 e. 3-2-5-1-4 12 / 105 12) What is not relevant to HCF environment?: a. Food safety b. Ventilation c. Safe water d. Building design and construction e. Safe commuting route 13 / 105 13) Choose the appropriate behavior for staff working with infectious patients.: a. Staffs move in between general access area and isolation room wearing the same PPE b. Staff still comes to work when having a mild fever c. Staffs scratch their face with the protection glove on in the triage zone d. Staffs call the patient in the isolation room instead of going in e. Staffs move between triage zone and isolation unit wearing the same PPE 14 / 105 14) What is definition of pathogens?: a. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. b. None of the above c. Toxic chemicals d. Microorganisms that damage the human host by direct invasion or by toxic products e. Microorganisms that produces toxic chemicals 15 / 105 15) Which is NOT part of the most high risk areas of nosocomial infection in Healthcare Facility (HCF)?: a. Neo-natal unit b. Emergency room c. Outpatient consultation room d. Operating room e. Laboratory 16 / 105 16) What should be included in the scope of Occupational Health and Safety(OHS)?: a. Physical health b. Social well-being c. Mental health d. All of the above 17 / 105 17) What is the incorrect description of Injection Safety?:l a. Immediate throw-away of disposable items after usage b. Performing post-exposure prophylaxis when accidentally exposed to the risk c. Recapping of needles d. Use of safety box with puncture-proof function e. Use of disposable glove 18 / 105 18) Choose the correct description of OR environment.: a. All equipment after operation should be cleaned in the OR b. Thirty air changes per hour (30ACH) is maintained c. All of the above d. Temperature should be controlled between 20~25 ΜC e. Air flows from OR to outside 19 / 105 19) Choose the correct example of clean healthcare facility environment.: a. Water sink in the shared bathroom is broke b. One trash can is shared by all patients in the ward c. Cleaning staff cleans the operation room at least twice a day d. None of the above e. Cleaning staff cleans the floor with the broom only 20 / 105 20) Choose the correct linkage of microorganism and its examples: a. Parasite β Escheria coli b. Virus β Hepatitis B c. Fungi β Streptococcus d. Bacteria β Plasmodium falciparum e. All of the above 21 / 105 21) Choose the incorrect statement regarding laboratory biosafety.: a. Lab technicians are required to have pre-employment health check-up and vaccination b. All laboratory technicians should be trained to keep themselves safe from hazards c. All biosafety level requires staffs to wear Personal Protection Equipment d. Level of biosafety can be defined differently per each country e. All laboratory technicians should be aware what biosafety level their working environment is 22 / 105 22) Why is it important to prevent Nosocomial Infection?: a. a and b b. It increases the cost of healthcare facility management c. It can be life-threatening to both patients and healthcare staffs d. all of the above e. It can cause extra financial burden to patients 23 / 105 23) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)?: a. Poorly managed HCF environment could raise the Nosocomial Infection rate b. It provides the safe environment for patients c. All of the above d. It provides the safe workplace for HCF staffs e. It provides the safe environment for caregivers and visitors 24 / 105 24) What is the objective of Infection Prevention and Control (IPC) program in the hospital?: a. All of the above b. To reduce the risk and incidence of Nosocomial Infection c. To attract more patients with the cleaner look of the hospital d. To ensure safety of the patients, but not the doctors and nurses e. To prescribe more antibiotics to patients to earn more money 25 / 105 25) Who is exposed to the risk factor of Nosocomial Pneumonia?: a. Post-operation patient who stays in bed without mobility b. Patient who is aided with mechanical ventilation c. All of the above d. Patient in the same ward as pneumonia patient 26 / 105 26) What describes the right prevention of Nosocomial Pneumonia?: 1.Perform hand hygiene procedure 2.Elevation of bed heat to 80~90Β° so that patient can sit up straight 3.Regular change of humidifier 4.Post-operation patient try to move as much as possible when not recommended 5.Disinfection of respiratory equipment a. 1, 2, 3, 4, 5 b. 1, 3, 5 c. 1, 5 d. 1, 2, 3, 5 e. 3, 5 27 / 105 27) Choose the correct statement about HCF environment.: a. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection b. Having a safe environment is crucial for the safety of patients, staffs and visitors c. Environmental cause is easily separable from other causes of Nosocomial Infection d. All of the above 28 / 105 28) Who is responsible to execute Infection Prevention and Control practices?: a. Visitors of the patients b. Doctors who performs major intrusive surgery c. All of the above d. Cleaning staffs of the hospital 29 / 105 29) αααααααΌαα : ααΌα ααααα αα ααΆαααααααΌαα : a. αααααααΌαα ααΆαα αααΎααααααα b. αααααααΌαα ααΆαααααααααααΆα αα·ααααααααΈααααΆα c. αααααααΌαα : αα·ααα»α ααααΆααααααααααΆαα αα·αααααααΆαα ααααααα d. αααααααΌαα ααΆααααααααααΆααααΆα ααΉα ααΆα ααΆαααααααΆαααΉα e. αααααααΌαα ααΆαααααααα½ααα»αααααΌαααααα’αΆααααΆααααΌαααααΆα 30 / 105 30) What is the correct example of handling urinary catheter?: a. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much b. Using urinary catheter for patients with flexible mobility c. Provide prophylactic antibiotics to all patients with urinary catheter d. Wearing gloves when connecting the catheter to patients 31 / 105 31) ααΆααααα ααααααααααααααΆαααααααΆααααΆααα½ααααααααααααααααΆααΈαααααα a. αααααααΆααΆααααα½αααααΎααΆαααα ααα αα αα·αααΉααααααΌα b. αααααααΆαααααα ααααΆαα’αααααΆααα»αααΆααα·ααααα c. αααααααΆααΆααααα½αααααΎααΆαααα ααα αα αα·αααΉααααααΌα α¬ααααααααα d. αααααααΆαααααα ααααΆαα’αααααΆααα»αααΆααα·ααααα ααααααααα ααααα·ααα»α e. αααααααΆααα’αΉααααα αααααααΉαααααααααΆαα»ααααααΆ 32 / 105 32) ααΌαααααΆαααααΆααα»αααΆαα’αΆα ααα·α αααααααΈααααΆααααΆααα»αααΆαα a. αααααααΌαα αα·α αααααααααααα αα½αααΆαααααααα±αα αα·α ααααααα·αααα»ααααα b. αααααααΌαα αα·α αααααααααααα c. αααααααΌαα αα·α ααααααααααααΆααααα d. αααααααΌαα αα·α αααααααααααα αα½αααΆαααααααα±αα αα·α ααααααα»ααααα½α e. αααααααΌαα αα·α αααααααααααα αα½αααΆαααααααα±αα 33 / 105 33) In the example of Dr. Semmelweis in the Obstetric Clinic in General Hospital of Vienna, maternal and child mortality rate was higher in one division than the ones in the other. Higher mortality was observed in the division where medical students often performed biopsy before delivery. The other division, on the contrary, was managed solely by midwives. What do you think could be the most likely source of different mortality rate?: a. Poor hand hygiene of practicing doctors b. Midwives have better skills to assist delivery to avoid unnecessary infection c. Medical students might have used equipment that are not perfectly disinfected d. Level of hygiene in the delivery room was lower than the other division. e. All of the above 34 / 105 34) Choose the incorrect statement about Pressure Ulcer: a. It can spread further infection to the deeper skin layer b. It is caused by the constant pressure applied to skin exposed to source of infection c. It can be avoided by regularly washing the patient at least twice a day d. None of the above e. It can be avoided by regularly mobilizing the patient 35 / 105 35) What type of Personal Protective Equipment (PPE) used or additional precaution for physician to examination the patient with a fever include cough and sneeze?: a. Eyes protection b. Surgical mask and disposable glove c. Gown d. Surgical mask e. Disposable Gloves 36 / 105 36) Choose the correct practice of IPC precautions in ICU and Neo-natal unit: a. Incubator should be changed every week b. One alcoholic hand rub (AHR) is needed per one room c. Children is not recommended to visit ICU d. Upon patient discharge, all personal equipment should be discarded e. Completely prohibit the visitors from outside 37 / 105 37) HCW takes blood sample with patient for routine check-up, the patient does not present visible symptoms, what type and which IPC precaution the staff will apply?: a. To performs hand hygiene and wears disposable gloves b. To clean hand, used disposable gloves, safety book to collect the syringe & needle c. To clean and disinfected area with alcohol d. To use safety box to collect the single used of needle and syringe 38 / 105 38) What disease can be prevented by performing good respiratory hygiene?: a. Hepatitis C b. All of the above c. HIV d. Hepatitis B e. Tuberculosis 39 / 105 39) α’αααααααΊααααΆααααΆαααααααΆαα·ααΉα ααααΌαααΆαα αΆαααααααΌα α‘α α α α.α αααα’αααααααΌα ααΎαααααΌααααααΆα αα ααΎααΎααααααα»α αα·αααααααααααααΆα ααααΈ αααααααΎααααααααααΌαααααααΆαααααα’αααΈ? a. αααααααααααα b. αααααααΈααΈ c. αααααααΌαα d. αααααα±αα e. ααααα αααααααααααα αα·α αααααα±αα 40 / 105 40) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from?: a. Patients to patients b. Patient to visitors and HCWs c. Patients to health care workers (HCWs) and HCWs to patients d. People who has contacted, included soil material and environment e. Patients to environment and crossed environment to patient and HCWs 41 / 105 41) Q14. Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (-)Anaerobia b. Bacteria Gram (+)Staphylococcus c. Bacteria Gram (-) Pseudomonas d. Bacteria Gram (+) Streptococcus e. Bacteria Gram (+)Enterococcus 42 / 105 42) Choose the correct example of safe HCF environment.: a. Hospital corridor is full of people b. Window is closed in the operation room c. None of the above d. Paint on the wall is scratched and removed e. Sink in the bathroom is broken and water is leaking 43 / 105 43) Choose the incorrect statement: a. All hospital laboratories require equal level of IPC precautions b. Regardless of the location, everywhere inside HCF is exposed to the risk of Nosocomial Infection. c. All staffs should be trained for IPC precautions regardless of their task d. IPC standard precautions must always be applied everywhere in HCF e. None of the above 44 / 105 44) Choose the correct example of performing respiratory hygiene.: a. All of the above b. None of the above c. Doctor shaking hands with all the patients to be friendly d. Visitor who came to see the flu patient, not wearing any mask e. Patient using a box of tissue while coughing and sneezing 45 / 105 45) Choose incorrect statement about ventilation in HCF.: a. Window should be always open for natural ventilation b. None of the above c. Every patient room has to have window directly connected to outside d. Mosquito screen or mosquito net should be provided when window is open e. It should be designed to reduce microbial contamination 46 / 105 46) What is the definition of Antimicrobial Resistance (AMR)?: a. It is the ability for human to resist chemicals b. It is the ability for chemicals to resist microorganism c. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth d. It is the ability for human to resist microorganism e. It is the ability for microorganism to resist human immune system 47 / 105 47) Choose the incorrect statement about Chemical Hazard at HCF.: a. Clear labeling, formal training and available emergency procedure is important b. Main route of exposure is through skin absorption c. None of the above d. Minor skin irritation doesnβt have to be reported e. All staffs should wear proper Personal Protection Equipment (PPE) 48 / 105 48) Choose the incorrect description about transfer procedure of infectious patient.: a. Both patients and staff needs to wear surgical mask, gown, gloves and other necessary PPEs. b. Choose the shortest route as possible. c. If possible, use ambulance rather than ordinary vehicle. d. Clean and disinfect the car after the transfer is finished. e. Driver does not have to wear any PPE when driver seat is separated from the patientβs seat with the glass wall. 49 / 105 49) Who should perform respiratory hygiene?: a. All of the above b. Patient who is diagnosed with flu c. Visitor who is sneezing d. Doctors when dealing with coughing patients 50 / 105 50) Choose the correct statement about additional precautions.: a. None of the above b. When necessary, HCWs staff must change from standard precaution to additional precautions. c. Additional precaution is not necessary for general outpatient consultation. d. To use additional precaution is better than standard precaution e. Needs of additional precaution dependent on pathogenβs mode of transmission. 51 / 105 51) Choose the correct prevention practice against SSI.: a. Perform a surgical scrub with antiseptic product immediately before the operation b. Always administer prophylactic antimicrobial agent c. All of the above d. Always remove hair on the surgical site before the operation 52 / 105 52) Which levels of BSL does the lab technician need to pay attention for airborne transmission?: a. BSL4 b. All of the above c. BSL3 d. BSL2 e. BSL3 and BSL4 53 / 105 53) In what way can hospital implement effective Infection Prevention and Control program?: a. Provide exclusive training to front-line doctors b. Financial penalty to incompliance c. Limit the hospitalization of patients with highly infectious disease d. Provide continuous training and education to all staffs working in the facility e. Ban all external visitors 54 / 105 54) αααααΆααααΈαα·ααΆαα»ααααΆαααΆαααΎααΆαα αΆααααΆα ααα»αα²ααα’αααααααΊαα½α αααααα»αααΆαααααα»ααααα’αααα»ααααα·ααΆα αα½α ααΆααααααΊαα»ααΆααααααααΆααααα‘αΆααααΆαααΆαααααα»ααα»ααααααα a. ααααααααααααααΆαα b. αααααα±αα c. αααααααΌαα d. ααααααα»ααααα½α e. αααααααΈααΈ 55 / 105 55) What is Nosocomial Infection (NI)?: a. NI is defined as infections acquired within 24 hours after hospital admission b. NI is a part of HAI (Healthcare Associated Infection) c. NI is only applicable for infections acquired by patients d. NI includes the infections that were acquired outside the hospital, but appeared after the admission e. All of the above 56 / 105 56) Choose the correct implementation of Isolation Unit.: a. There is no sign of βIsolation Unitβ outside in order to avoid fear from public b. Air flows from inside to outside c. General access area is for staffs to change into PPE d. All furniture is made of plastic e. Curtain is installed for patientsβ convenience 57 / 105 57) What is the potential risk factor of Surgical Site Infection(SSI)?: a. all of the above b. Long duration of the operation c. Antibiotic prophylaxis d. Patientβs pre-disposed symptoms 58 / 105 58) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury.: a. Doctor is wearing a mask, but not the gloves when injecting b. None of the above c. Nurse close the cap of the needle after the injection procedure d. Needles are thrown away in the trash can without lid e. Safety box or sharp box container and AD syringes. 59 / 105 59) What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind?: a. Distance between each patient bed b. Route of the laundries being transported in the building c. Numbers and types of rooms d. Materials used for floor, type of furnitures e. All of them are important 60 / 105 60) Choose the correct description about Isolation Unit.: a. Every waste produced from isolation unit can be disposed in one trash can. b. Staff wearing PPE can enter the isolation unit without further procedure c. None of the above d. Patients can share the isolation unit if their symptom is same. e. Patients can share the isolation unit regardless of their symptom. 61 / 105 61) Choose the correct linkage of microorganism and its description.: a. Parasites β lives inside the cell b. Bacteria β reproduces by replication and cellular fusion c. Fungi β has no nucleus d. Virus β multicellular organism 62 / 105 62) To select the correct answer one below, the six components of the chain of infection are: a. Reservoir, fungus, mode of transmission, place of entry, host, and environment. b. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host c. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism d. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. e. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. 63 / 105 63) Choose the patient that would require to be accommodated in an Isolation Room. a. all of the above b. Children with high fever (38 Β°C) coughing and shortness of breath without confirmed diagnosis c. Unconscious patient from traffic accident d. Patient who came with a hemorrhagic fever e. Children with high fever (38 Β°C) coughing and shortness of breath without confirmed diagnosis and Patient who came with a hemorrhagic fever 64 / 105 64) Choose the correct statement about standard precautions.: a. IPC standard precautions HCWs should be applied for all patients at all time b. Risk assessment should be performed only for susceptible host. c. Standard precaution is not necessary for outpatient consultation. d. To clean hand and selected PPE to use e. IPC standard precautions HCWs should be applied for selected patients not to all. 65 / 105 65) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)?: a. None of the above b. Use of gown and gloves for staffs performing insertion procedure c. Insertion of intravenous catheter for nutrition feeding when patient lost appetite d. Cleaning skin with disinfectant before inserting the catheter e. Use of surgical drape to cover the insertion spot 66 / 105 66) Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed?: a. To prevent spreading the air-borne disease b. To prevent spreading the droplet-borne disease c. To prevent the close contact people d. To prevent the nurses to contact patient e. To prevent the contamination of pathogens to other people 67 / 105 67) αα·ααΆαα»ααααΆαααααΆααααΆααααα αα αΆααααααΆαα’ααααΈαααΈαααα·ααααα’αααααααΊααααΆαα αααααΆααααΈααΌαααααΆαααΈααα’αααα αα ααααααααααΆααααααααΆαααΉαααααΆα ααΎααααααααα ααΆαααααααααααα’αααΈ? a. αααααααΈααΈ b. ααααααααααααααΆαα c. αααααααΌαα d. αααααα±αα e. ααααααααααααΆααααα 68 / 105 68) What type of Personal Protective Equipment (PPE) used or additional precaution for physician to examination the TB patient with a fever include cough and sneeze?: a. Disposable glove and N 95 mask b. Eyes protection c. Disposable Gloves d. Surgical mask e. Gown and apron 69 / 105 69) Choose the correct example of exposure to chemical hazard. a. Cleaning staff accidentally spilled the bottle of glutheraldehyde b. Doctor wearing latex gloves developed minor skin irritation c. Nurse who worked in the hospital for 10 years developed Asthma d. All of the above 70 / 105 70) Who could be the βSusceptible hostβ of micro-organism?: a. People who are working in healthcare facilities b. Elderly people with chronic diseases c. Pregnant women and children under 5 years of age d. Nurses and physicians who performs regular injection task and examination people e. Pregnant women, children < 5 Years and elderly people 71 / 105 71) Choose the correct statement.: a. None of the above b. Fungi infection can be easily treated by antimicrobiotics c. Normal flora does not cause any nosocomial infection in any case. d. Any bacteria, once entered human body, is pathogenic. e. Any virus, once entered human body, causes immediate symptoms 72 / 105 72) Choose the correct description of IPC precautions in Emergency Room (ER).: a. When the ER gets too crowded with patients, it is ok for patients with mild symptom to share the bed. b. Staffs should change the PPE every hour to avoid Nosocomial Infection c. Separate triage area should be installed with hand hygiene equipment d. The distance between each patient should be at least 1.5 meter e. To avoid humidity, ER room should not be installed with water sink 73 / 105 73) Choose the right element of HCF OHS policy/IPC program.: a. Post-exposure emergency leaves b. Treatment for infectious diseases (HIV, HepB, etc) c. Vaccination for staffs d. All of the above e. Regular medical check-up for staffs 74 / 105 74) What describes the incorrect way to prevent CABSI?: a. Protect the insertion site with a sterile dressing b. Plug needle directly into infusion bottle to avoid using unnecessary equipment c. None of the above d. Remove the catheter as early as possible e. Do not perform CABSI when alternative oral feeding method is possible 75 / 105 75) Choose the most correct implementation of triage zone.: a. None of the above. b. Triage zone is set up but in one corner of the health center room c. Triage zone is set up without any staff d. Triage zone is set up in the hospital, before the entrance to any other facilities. e. Triage zone is set up in the separate building from other facilities. 76 / 105 76) How can we avoid/combat AMR?: a. Revise the antibiotic guidelines and protocols whenever the new AMR is detected b. Use routine prophylactic antibiotics before operation c. All of the above d. Prescribe antibiotics whenever possible to avoid infection e. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear 77 / 105 77) Choose the incorrect statement about Healthcare Facility(HCF) staffsβ OHS.: a. All HCF staffs should be properly immunized b. All staffs should be aware of IPC program and OHS policy to be able to protect themselves c. HCF staffs are exposed to greater risk of OHS hazard than many other occupations d. Post-exposure Prophylaxis should be available for everyone e. When exposed to infectious pathogen, staff should immediately go home to avoid further transmission 78 / 105 78) αααααααααααα αααα ααΎα a. ααααααααα»αααααα αα·α ααΊααΆαααααα»ααααααααΎαα½α b. ααααααααα»αααααα ααααα»αα»ααααα½α ααΆα ααΉαααα α¬αααααααα‘αΆααααΆα c. ααααααααα»αααααα (ααΆααααααΈ αααΆαααΆαα»αΈα ααΈαα»α αα·α αααα·α) d. αααααααα½ααααα»αααααα ααα‘αΈαααα‘αΆααααΆα αααα»α αααααα»αααα½α ααααα»αα»ααααα½α αα½αααΆααααΊαα»ααΆααααα»αααααΎαα½α e. ααααααααα»αααααα αα·αααααα»αα»ααααα½α 79 / 105 79) Choose the correct statement.: a. Chain of infection only exists in the hospital setting. b. None of the above. c. Holistic IPC program is needed to effectively control the chain of infection. d. It is more effective to control Reservoir than to control portal of exit. e. Chain of infection can be usually controlled well by tackling 1 of the 6 elements. 80 / 105 80) If you were Dr. Semmelweis, what would you have implemented to solve this mortality disparity?: a. Close down the division where higher mortality occurred b. All of the above c. Stop accommodating medical students for the practice d. Accept only healthy mothers to the Maternal clinic e. Enhance the hygiene control for all staffs, facilities and equipment 81 / 105 81) Arrange the incident management procedure in right order.: 1.Report to the IPC team and/or to chief of the department for further management 2.Stop the task 3.Report immediately to OHS doctor or nurse. If urgent, call emergency number 81) 4.Follow the post-exposure procedure and perform Post-exposure Prophylaxis(PEP) as needed 81) 5.Monitor and follow up 6.Quickly assess the risk a. 2-3-6-4-1-5 b. 3-1-2-6-4-5 c. 2-4-5-6-3-1 d. 2-6-3-4-1-5 e. 2-3-1-6-4-5 82 / 105 82) What is the correct statement about food safety at HCF?: a. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator b. None of the above c. All food for patients must be prepared by authorized hospital kitchen d. If visitor brings food from outside, itβs better to share the food with others e. Itβs not a big problem to store raw fruit and cooked food together 83 / 105 83) Choose the correct IPC standard precautions to apply: a. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette b. Hand hygiene and to select PPE to use c. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, d. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. e. There are five componence hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. 84 / 105 84) Choose the incorrect way of decreasing risk of Surgical Site Infection (SSI).: a. Surgical staffs should perform the equal hand hygiene procedure as they do outside OR b. Pre-operative disinfection/sterilization should be performed for both patient and equipment c. None of the above d. Proper post-operation follow-up is crucial to avoid Nosocomial Infection e. Operation Room should be cleaned at least twice a day 85 / 105 85) Choose the incorrect statement about Occupational Incident Management at HCF.: a. None of the above b. Exposed staff should assess the risk before reporting to the right contact c. If there is no immediate threat or symptom, staff should try to continue working as much as possible for patients. d. HCF should have a OHS policy and OHS team who is in charge of the incident management e. Incident management procedure has to be strictly followed 86 / 105 86) ααααααααααααΆαααααα ααΎαααααααΈααΈ αα·ααααααα±ααααΆααααααααΌα ααααα ? a. αααααααΆαααααααααΉα ααΆα αα·αα§αααααααΌα ααααΆ b. ααααααα»αααααΆααΆαααΌαααααααΈααΈ c. αααααααΈααΈ (ααΉα ααΆα α§ααααα) αα»αααΈαααααα±αα ααΆααααΆαααΆαααΆαα½α αααα»αα αααααααΆαααΆααα»α ααΆαααα»αΈ αααα»α αα·αααααα·αααα d. αααααααΆαααααααααΌα ααααααΆ e. αααααααΆαααααααααΉα ααΆα αα·αα§αααααααΌα ααααΆ ααααααα·ααααααΆαα»αααααΆ 87 / 105 87) infection prevention and control (IPC) measures can break the chain of infection by: a. Remove all risky micro-organisms b. Remove the reservoir of micro-organism and block the mode of transmission c. Block the mode of transmission d. Remove the reservoir of micro-organism e. All of the above excepted 88 / 105 88) α’αααααααΊααααΆααααΆαααααααΆαα·ααΉα ααααΌαααΆαα αΆαααααααΌα α‘α α α α.α αααα’αααααααΌα ααΎαααααΌααααα ααααΆ ααΎααΎααααααα»α αα·αααααααααααααΆα αα ααΈααααααααααΌα ααΎαααα»α αα·αααααΌαααΆαααααα’αααΈ? a. αααααααααααα b. αααααααΌαα c. αααααααΈααΈ d. αααααααααα»αα»ααααα½α 89 / 105 89) Choose the common site of Nosocomial Infection.: a. a and c b. Catheter-Associated Blood Stream Infection (CABSI) c. Urinary Tract Infection (UTI) d. All of the above e. Surgical Site Infection (SSI) 90 / 105 90) Why is it important to manage an infectious disease in the healthcare facility?: a. It can detect the early emergence/re-emergence of pathogens. b. It is important to protect the health of healthcare facility staffs. c. Managing the early case can help prevent the outbreak in the community d. All of the above. e. When managed poor, it could be a great public health concern. 91 / 105 91) Choose the correct IPC behavior of surgical staffs.: a. If doctor drop the mass on his knee in a sitting position, it is ok to pick it up and use it b. They can bring mobile phone as long as they donβt use it c. Entrance to the room should be strictly limited to necessary personnel only d. For prolonged surgery, it is ok to eat in the OR e. When temperature is too hot, it is ok to let the window open 92 / 105 92) Choose incorrect example of respiratory hygiene practice.: a. Covering nose when coughing b. Wiping nose with hand when sneezing c. Throwing away the used tissue to the trash bin d. Washing hands regularly 93 / 105 93) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient.: a. Gown b. Gloves c. Disposable glove and surgical mask d. Surgical mask e. Mask 94 / 105 94) Choose all correct statements about Biological Hazard at HCF.: 1.All staffs, including cleaning staff and cafeteria staff, should be trained to standard precautions to avoid biological hazard exposure. 2.Disposable items should be re-used after sterilization. 3.All staffs, including cleaning staff and cafeteria staff, should go through health check-up before employment. 4.Exposure to biological hazard should be reported immediately. 5.One of the most common route of exposure is through needle stick/sharp injury 6.When passing sharp equipment, hand-to-hand transfer is the best way a. 2, 4, 5 b. 1, 3, 4 c. 1, 4, 5 d. 1, 4, 5, 6 e. 1, 3, 4, 5 95 / 105 95) What is the lesson learnt from global outbreaks of ZIKA, Ebola and MERS?: a. Itβs impossible to stop the transmission of infectious disease without vaccine. b. Timely and adequate application of IPC, especially in the healthcare facility, is critical c. All of the above d. Infectious disease is unavoidable. e. People should not travel to dangerous countries 96 / 105 96) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Disposable Gloves only b. Eyes protection c. Apron d. Surgical mask e. Gown 97 / 105 97) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. Patient and patient's member included visitor b. All cleaners and nurses by washing your hands with soap and water. c. The doctors and nurses, but not for cleaning staffs. d. All people who provided health care services, included patients and patient's family. e. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. 98 / 105 98) What is the most common pathogen of nosocomial infection in HCFs? : a. Fungi b. Mix bacteria and virus c. Virus d. Bacteria e. Parasites 99 / 105 99) Why are the patients in ICU and Neo-Natal unit at higher risk to develop nosocomial infection? a. All of the above b. They usually need supportive apparatus: e.g. mechanical ventilation c. They are severely ill and/or immune-compromised d. They usually need invasive devices: e.g. endotracheal tube, IV line, feeding tube, etc,. 100 / 105 100) Choose the correct statement: a. None of the above b. Ministry of Health let every healthcare facility to freely choose whether or not to implement Infection Prevention and Control (IPC) program. c. Patients have no role to play in hospital IPC program. d. In Cambodia, Healthcare-Associated Infection (HAI) is not considered as a significant problem e. Infection Prevention and Control (IPC) program should be a continuous effort of all healthcare facility staffs. 101 / 105 101) ααααααααΈααΆαααααΆααααα ααΎα a. ααααααα»α ααΆααααααΆαα αα·α ααΆα b. ααααααα»α ααΆααααααΆαα c. ααααααααααα ααααααα»α ααΆααααααΆαα ααΆαα·ααΆ ααΉαααα αα·α ααΆα αα·α αααααααααΆααα’ααααα d. ααααααα»α ααΆααααααΆαα ααΆαα·ααΆ ααΉαααα αα·α ααΆα e. αααααααααΆααα’ααααα 102 / 105 102) What is the entry germs or micro-organism to βSusceptible hostβ are?: a. Patients who have been with chronic diseases b. People who have a low resistance against pathogen included pregnant women c. Patients who gets stress with TB and AIDS more easily than others d. People who have a multiple history of infection to microorganisms, especially elderly people e. Children under age 5 103 / 105 103) What are the common hazards in HCF?: a. Exposure to toxic chemicals b. Exposure to infectious diseases c. Exposure to physical hazards (noise, heavy lifting, etc) d. All of the above e. Exposure to heavy stress 104 / 105 104) What is not considered during the IPC risk assessment?: a. Risk of contacting body fluid b. Patientβs blood type c. None of the above d. Medical procedure to be performed e. Pre-diagnosed condition or symptoms 105 / 105 105) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Escherichia coli (E-coli) b. Staphylococcus c. Klebsiella pneumoniae d. Pseudomonas e. Anaerobia Your score isThe average score is 39% Facebook 0% Restart quiz Any comments? Send feedback
