/105 389 Infection Control Preparation (Pr. Sok Srun) 1 / 105 1) What is the correct statement about food safety at HCF?: a. All food for patients must be prepared by authorized hospital kitchen b. None of the above c. If visitor brings food from outside, it’s better to share the food with others d. It’s not a big problem to store raw fruit and cooked food together e. If the risk of going wrong is small, it’s ok to keep the food outside the refrigerator 2 / 105 2) Choose the correct example of HCF ventilation.: a. Window is open and mosquito net is installed in the patient room b. Isolation room has a ceiling fan to make air circulate to outside c. Window is blocked with TV screen in the patient room d. None of the above e. b and c 3 / 105 3) 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. 2-4-1-3-5 b. 5-2-1-3-4 c. 3-1-5-2-4 d. 3-2-5-1-4 e. 1-2-3-4-5 4 / 105 4) Choose the correct example of performing respiratory hygiene.: a. Patient using a box of tissue while coughing and sneezing 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. All of the above 5 / 105 5) Why is it important to prevent Nosocomial Infection?: a. all of the above b. It increases the cost of healthcare facility management c. It can be life-threatening to both patients and healthcare staffs d. a and b e. It can cause extra financial burden to patients 6 / 105 6) Choose the correct statement about additional precautions.: a. To use additional precaution is better than standard precaution b. When necessary, HCWs staff must change from standard precaution to additional precautions. c. Additional precaution is not necessary for general outpatient consultation. d. Needs of additional precaution dependent on pathogen’s mode of transmission. e. None of the above 7 / 105 7) Why is it important to prevent SSI?: a. It may contributes to increased Antimicrobial Resistance (AMR) b. It is an immediate threat to patient mortality c. It can cause incremental cost to patients d. It is an important cause of additional morbidity e. All of the above 8 / 105 8) Which levels of BSL does the lab technician need to pay attention for airborne transmission?: a. All of the above b. BSL3 c. BSL2 d. BSL3 and BSL4 e. BSL4 9 / 105 9) Choose the correct linkage of microorganism and its description.: a. Fungi – has no nucleus b. Virus – multicellular organism c. Bacteria – reproduces by replication and cellular fusion d. Parasites – lives inside the cell 10 / 105 10) Why is it important to manage an infectious disease in the healthcare facility?: a. All of the above. b. Managing the early case can help prevent the outbreak in the community c. It can detect the early emergence/re-emergence of pathogens. d. It is important to protect the health of healthcare facility staffs. e. When managed poor, it could be a great public health concern. 11 / 105 11) សំណល់ឆ្លងរោគ សំដៅលើ៖ a. សំណល់ក្រុមមេរោគ និងវត្ថុមុតស្រួច b. សំណល់ក្រុមមេរោគ (បាក់តេរី ប៉ារ៉ាសុីត វីរុស និង ផ្សិត) c. សំណល់ក្រុមមេរោគ វត្ថុមុតស្រួច ឈាម ទឹកនោម ឬស្បៃប្រឡាក់ឈាម d. សំណល់ពពួកក្រុមមេរោគ សំឡីប្រឡាក់ឈាម ខ្ទុះ ស្បៃរុំរបួស វត្ថុមុតស្រួច រួមទាំងសឺរុំាងម្ជុលប្រើរួច e. សំណល់ក្រុមមេរោគ និង សឺរាំងម្ជុលដែលប្រើរួច 12 / 105 12) ការបែងចែកសំណល់វេជ្ជសាស្ដ្រជាប្រាំបួនប្រភេទផ្សេងគ្នាពីព្រោះ៖ a. សំណល់ទាំងនោះចែកតាមអង្កការសុខភាពពិភពលោក b. សំណល់ទាំងនោះចែកតាមអង្កការសុខភាពពិភពលោក ប្រភេទពណ៌ ថង់និងធុង c. សំណល់វាងាយស្រួលធ្វើការវេចខ្ចប់ និងដឹកជញ្ជូន ឬគ្រប់គ្រង d. សំណល់ទាំងអឹស់នោះ ប្រព្រឹត្តកម្មវាខុសៗគ្នា e. សំណល់វាងាយស្រួលធ្វើការវេចខ្ចប់ និងដឹកជញ្ជូន 13 / 105 13) What should be included in the scope of Occupational Health and Safety(OHS)?: a. Social well-being b. All of the above c. Mental health d. Physical health 14 / 105 14) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Escherichia coli (E-coli) b. Staphylococcus c. Pseudomonas d. Anaerobia e. Klebsiella pneumoniae 15 / 105 15) 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. Safe handling of equipment soak, clean, dry, packaging, sterilization and storage to reuse c. It is ok not to change the bed linen in between patients if the previous one didn’t bleed. d. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. e. All of the above 16 / 105 16) 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 the contamination of pathogens to other people c. To prevent spreading the droplet-borne disease d. To prevent the nurses to contact patient e. To prevent the close contact people 17 / 105 17) What is the potential risk factor of Surgical Site Infection(SSI)?: a. Long duration of the operation b. all of the above c. Patient’s pre-disposed symptoms d. Antibiotic prophylaxis 18 / 105 18) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. Patient and patient's member included visitor b. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. c. All people who provided health care services, included patients and patient's family. d. All cleaners and nurses by washing your hands with soap and water. e. The doctors and nurses, but not for cleaning staffs. 19 / 105 19) What is Nosocomial Infection (NI)?: a. NI is only applicable for infections acquired by patients b. NI is a part of HAI (Healthcare Associated Infection) c. NI is defined as infections acquired within 24 hours after hospital admission d. All of the above e. NI includes the infections that were acquired outside the hospital, but appeared after the admission 20 / 105 20) សំណល់ទូទៅ : ដូចម្ដេចទៅជាសំណល់ទូទៅ: a. សំណល់ទូទៅមានច្រើនប្រភេទ b. សំណល់ទូទៅជាសំណល់ផ្ទះបាយ និងសំណល់ទីផ្សារ c. សំណល់ទូទៅជាសំណល់ទទួលខុសត្រូវរបស់អាជ្ញាធរមូលដ្ឋាន d. សំណល់ទូទៅជាសំណល់ដែលមានសភាព រឹង រាវ ពាក់កណ្ដាលរឹង e. សំណល់ទូទៅ: មិនពុល គ្មានគ្រោះថ្នាក់ មិនបង្កការចម្លងរោគ 21 / 105 21) Choose incorrect example of respiratory hygiene practice.: a. Throwing away the used tissue to the trash bin b. Wiping nose with hand when sneezing c. Covering nose when coughing d. Washing hands regularly 22 / 105 22) គិលានុដ្ឋាកម្នាក់បានរៀបចំចាក់ថ្នាំអង់ទីប៊ីយោទិកដល់អ្នកជំងឺម្នាក់ បន្ទាប់ពីបូមថ្នាំពីដបអស់នៅតែ សំបកដបថ្នាំទទេគ្មានទឹកថ្នាំ តើសំបកដបនេះ ជាប្រភេទសំណល់អ្វី? a. សំណល់វេជ្ជសាស្ដ្រ b. សំណល់គ្រោះថ្នាក់ c. សំណល់ឱសថ d. សំណល់គីមី e. សំណល់ទូទៅ 23 / 105 23) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Disposable Gloves only b. Apron c. Gown d. Eyes protection e. Surgical mask 24 / 105 24) 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. Eyes protection b. Disposable glove and N 95 mask c. Disposable Gloves d. Surgical mask e. Gown and apron 25 / 105 25) Choose the incorrect way of decreasing risk of Surgical Site Infection (SSI).: a. None of the above b. Operation Room should be cleaned at least twice a day c. Pre-operative disinfection/sterilization should be performed for both patient and equipment d. Surgical staffs should perform the equal hand hygiene procedure as they do outside OR e. Proper post-operation follow-up is crucial to avoid Nosocomial Infection 26 / 105 26) សំណល់វេជ្ជសាស្ដ្រ៖ តើសំណល់គីមី និងសំណល់ឱសថមានលក្ខណដូចម្ដេច? a. សំណល់មានលក្ខណៈរឹង រាវ និងឧស្ម័នដូចគ្នា b. សំណល់គីមី (រឹង រាវ ឧស្ម័ន) ខុសពីសំណល់ឱសថ មានសមាសភាពណាមួយ ក្នុងចំណោមសមាសភាពពុល កាត់សុី ផ្ទុះ និងប្រតិកម្ម c. សំណល់មានលក្ខណៈដូចតែគ្នា d. សំណល់មានលក្ខណៈរឹង រាវ និងឧស្ម័នដូចគ្នា តែប្រតិកម្មវាខុសគ្នា e. សំណល់ខុសគ្នាតាមរូបមន្ដគីមី 27 / 105 27) Choose the correct linkage of microorganism and its examples: a. Parasite – Escheria coli b. All of the above c. Bacteria – Plasmodium falciparum d. Virus – Hepatitis B e. Fungi – Streptococcus 28 / 105 28) How can HCF ensure the quality of water?: a. Regular monitoring and evaluation of water quality b. All of the above c. Regular monitoring and evaluation of water treatment process d. Regular monitoring and evaluation of water supply 29 / 105 29) Choose the correct statement.: a. None of the above. b. Holistic IPC program is needed to effectively control the chain of infection. c. Chain of infection can be usually controlled well by tackling 1 of the 6 elements. d. Chain of infection only exists in the hospital setting. e. It is more effective to control Reservoir than to control portal of exit. 30 / 105 30) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient.: a. Surgical mask b. Mask c. Gown d. Gloves e. Disposable glove and surgical mask 31 / 105 31) Choose the correct description about triage zone.: a. The distance between patient and the staff has to be minimum 2 meters away b. Staffs need to wear a gown and gloves, but not mask. c. Patients may be required to wear PPE depending on their symptom d. It is better to be close to ICU so that severe patients can be rapidly transferred e. Only highly infectious patients should go through triage zone. 32 / 105 32) Choose incorrect statement about ventilation in HCF.: a. Mosquito screen or mosquito net should be provided when window is open b. Window should be always open for natural ventilation c. Every patient room has to have window directly connected to outside d. None of the above e. It should be designed to reduce microbial contamination 33 / 105 33) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)?: a. Cleaning skin with disinfectant before inserting the catheter b. Insertion of intravenous catheter for nutrition feeding when patient lost appetite c. Use of surgical drape to cover the insertion spot d. None of the above e. Use of gown and gloves for staffs performing insertion procedure 34 / 105 34) Choose the incorrect statement about Occupational Incident Management at HCF.: a. Exposed staff should assess the risk before reporting to the right contact b. Incident management procedure has to be strictly followed c. None of the above d. HCF should have a OHS policy and OHS team who is in charge of the incident management e. If there is no immediate threat or symptom, staff should try to continue working as much as possible for patients. 35 / 105 35) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)?: a. All of the above b. It provides the safe workplace for HCF staffs c. Poorly managed HCF environment could raise the Nosocomial Infection rate d. It provides the safe environment for patients e. It provides the safe environment for caregivers and visitors 36 / 105 36) 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. To avoid humidity, ER room should not be installed with water sink c. Separate triage area should be installed with hand hygiene equipment d. Staffs should change the PPE every hour to avoid Nosocomial Infection e. The distance between each patient should be at least 1.5 meter 37 / 105 37) Who could be the “Susceptible host” of micro-organism?: a. Pregnant women and children under 5 years of age b. People who are working in healthcare facilities c. Nurses and physicians who performs regular injection task and examination people d. Elderly people with chronic diseases e. Pregnant women, children < 5 Years and elderly people 38 / 105 38) Choose the correct statement for the relationship between infection prevention and control (IPC) and the Chain of Infection.: a. Chain of Infection can be completely eliminated when IPC implement properly and also cut it b. IPC aims to cut the pathways in the Chain of Infection. c. IPC aims to control the elements of the Chain of Infection. d. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken. e. IPC aims to cut the pathways in the Chain of Infection and IPC aims to control the elements of the Chain of Infection. 39 / 105 39) Choose the incorrect statement regarding laboratory biosafety.: a. All biosafety level requires staffs to wear Personal Protection Equipment b. Lab technicians are required to have pre-employment health check-up and vaccination c. Level of biosafety can be defined differently per each country d. All laboratory technicians should be aware what biosafety level their working environment is e. All laboratory technicians should be trained to keep themselves safe from hazards 40 / 105 40) How can we avoid/combat AMR?: a. Revise the antibiotic guidelines and protocols whenever the new AMR is detected b. Prescribe antibiotics whenever possible to avoid infection c. All of the above d. Use routine prophylactic antibiotics before operation e. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear 41 / 105 41) Why are the patients in ICU and Neo-Natal unit at higher risk to develop nosocomial infection? a. They are severely ill and/or immune-compromised b. All of the above c. They usually need supportive apparatus: e.g. mechanical ventilation d. They usually need invasive devices: e.g. endotracheal tube, IV line, feeding tube, etc,. 42 / 105 42) Who should perform respiratory hygiene?: a. Patient who is diagnosed with flu b. All of the above c. Doctors when dealing with coughing patients d. Visitor who is sneezing 43 / 105 43) What is the most common pathogen of nosocomial infection in HCFs? : a. Parasites b. Mix bacteria and virus c. Virus d. Bacteria e. Fungi 44 / 105 44) 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. Wearing gloves when connecting the catheter to patients d. Provide prophylactic antibiotics to all patients with urinary catheter 45 / 105 45) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from?: a. People who has contacted, included soil material and environment b. Patients to environment and crossed environment to patient and HCWs c. Patients to health care workers (HCWs) and HCWs to patients d. Patient to visitors and HCWs e. Patients to patients 46 / 105 46) 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 47 / 105 47) Choose the correct statement about standard precautions.: a. IPC standard precautions HCWs should be applied for all patients at all time b. IPC standard precautions HCWs should be applied for selected patients not to all. c. Standard precaution is not necessary for outpatient consultation. d. To clean hand and selected PPE to use e. Risk assessment should be performed only for susceptible host. 48 / 105 48) 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. All of the above b. Midwives have better skills to assist delivery to avoid unnecessary infection c. Level of hygiene in the delivery room was lower than the other division. d. Poor hand hygiene of practicing doctors e. Medical students might have used equipment that are not perfectly disinfected 49 / 105 49) What is not relevant to HCF environment?: a. Building design and construction b. Ventilation c. Safe commuting route d. Food safety e. Safe water 50 / 105 50) Choose the correct statement: a. None of the above b. Patients have no role to play in hospital IPC program. c. Infection Prevention and Control (IPC) program should be a continuous effort of all healthcare facility staffs. d. Ministry of Health let every healthcare facility to freely choose whether or not to implement Infection Prevention and Control (IPC) program. e. In Cambodia, Healthcare-Associated Infection (HAI) is not considered as a significant problem 51 / 105 51) Choose the correct IPC standard precautions to apply: a. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. b. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, c. There are five componence hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. d. Hand hygiene and to select PPE to use e. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette 52 / 105 52) What is definition of pathogens?: a. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. b. Microorganisms that produces toxic chemicals c. Toxic chemicals d. None of the above e. Microorganisms that damage the human host by direct invasion or by toxic products 53 / 105 53) ការប្រុងប្រយ័ត្នជាស្ដង់ដារ មុននឹងលាងរបួសអ្នកជំងឺម្នាក់ ត្រូវលាងដៃ ទើបពាក់ស្រោមដៃ និងប្រតិបត្តិ ចប់បេសសកម្មយើងត្រូវដោះស្រោមដៃវិញ តើស្រោមដៃជាសំណល់អ្វី? a. សំណល់វេជ្ជសាស្ដ្រ b. សំណល់សរីរាង្គកាយ c. សំណល់វេជ្ជសាស្ដ្រ ប្រភេទឆ្លងរោគ d. សំណល់ទូទៅ e. សំណល់សំលាប់មេរោគហើយ អាចប្រើឡើងវិញបាន 54 / 105 54) សំណល់ទូទៅ : ដូចម្ដេចទៅជាសំណល់វេជ្ជសាស្ដ្រ: a. សំណល់ឆ្លងរោគ សរីរាង្គកាយ មុតស្រួច សំណល់ឱសថ និងវិទ្យុសកម្ម b. សំណល់ឆ្លងរោគ សរីរាង្គកាយ មុតស្រួច និងសំណល់ឱសថ c. សំណល់ឆ្លងរោគ សរីរាង្គកាយ មុតស្រួច d. សំណល់មានចំនួនប្រាំបួនប្រភេទផ្សេងៗគ្នា e. សំណល់ឆ្លងរោគមួយប្រភេទ 55 / 105 55) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+) Streptococcus b. Bacteria Gram (+) Enterococcus c. Bacteria Gram (-) E-coli d. Bacteria Gram (-) Pseudomonas e. Bacteria Gram (+) Staphylococcus 56 / 105 56) Choose the correct implementation of Isolation Unit.: a. Air flows from inside to outside b. All furniture is made of plastic c. There is no sign of “Isolation Unit” outside in order to avoid fear from public d. Curtain is installed for patients’ convenience e. General access area is for staffs to change into PPE 57 / 105 57) What is the objective of Infection Prevention and Control (IPC) program in the hospital?: a. To ensure safety of the patients, but not the doctors and nurses b. To prescribe more antibiotics to patients to earn more money c. To attract more patients with the cleaner look of the hospital d. To reduce the risk and incidence of Nosocomial Infection e. All of the above 58 / 105 58) Choose the correct IPC behavior of surgical staffs.: a. For prolonged surgery, it is ok to eat in the OR b. Entrance to the room should be strictly limited to necessary personnel only c. If doctor drop the mass on his knee in a sitting position, it is ok to pick it up and use it d. When temperature is too hot, it is ok to let the window open e. They can bring mobile phone as long as they don’t use it 59 / 105 59) សំណល់សរីរាង្គកាយសំដៅលើ៖ a. សំណល់សុក ទារកស្លាប់ b. សំណល់ប្រភេទ សំណល់សុក ទារកស្លាប់ ជាលិកា ទឹករងៃ និង ឈាម និង សំណល់កំណាត់អវៈយវៈ c. សំណល់កំណាត់អវៈយវៈ d. សំណល់សុក ទារកស្លាប់ និង ឈាម e. សំណល់សុក ទារកស្លាប់ ជាលិកា ទឹករងៃ និង ឈាម 60 / 105 60) Q14. Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+)Enterococcus b. Bacteria Gram (-) Pseudomonas c. Bacteria Gram (+) Streptococcus d. Bacteria Gram (+)Staphylococcus e. Bacteria Gram (-)Anaerobia 61 / 105 61) What is the incorrect description of Injection Safety?:l a. Use of safety box with puncture-proof function b. Recapping of needles c. Use of disposable glove d. Immediate throw-away of disposable items after usage e. Performing post-exposure prophylaxis when accidentally exposed to the risk 62 / 105 62) Choose the incorrect statement about Pressure Ulcer: a. It can be avoided by regularly washing the patient at least twice a day b. It can spread further infection to the deeper skin layer c. It can be avoided by regularly mobilizing the patient d. It is caused by the constant pressure applied to skin exposed to source of infection e. None of the above 63 / 105 63) Choose the patient that would require to be accommodated in an Isolation Room. a. Children with high fever (38 °C) coughing and shortness of breath without confirmed diagnosis b. Children with high fever (38 °C) coughing and shortness of breath without confirmed diagnosis and Patient who came with a hemorrhagic fever c. Unconscious patient from traffic accident d. all of the above e. Patient who came with a hemorrhagic fever 64 / 105 64) Choose the correct description about Isolation Unit.: a. Patients can share the isolation unit if their symptom is same. b. Every waste produced from isolation unit can be disposed in one trash can. c. Patients can share the isolation unit regardless of their symptom. d. None of the above e. Staff wearing PPE can enter the isolation unit without further procedure 65 / 105 65) Choose the correct practice of IPC precautions in ICU and Neo-natal unit: a. Completely prohibit the visitors from outside b. Children is not recommended to visit ICU c. Upon patient discharge, all personal equipment should be discarded d. Incubator should be changed every week e. One alcoholic hand rub (AHR) is needed per one room 66 / 105 66) If you were Dr. Semmelweis, what would you have implemented to solve this mortality disparity?: a. Accept only healthy mothers to the Maternal clinic b. Enhance the hygiene control for all staffs, facilities and equipment c. Stop accommodating medical students for the practice d. All of the above e. Close down the division where higher mortality occurred 67 / 105 67) អ្នកជំងឺម្នាក់រាគខ្វះជាតិទឹក ត្រូវការចាក់សេរ៉ូម ១០០០ម.ល ពេលអស់សេរ៉ូម យើងត្រូវបោះចោលវា បើយើងដកម្ជុល និងខ្សែបន្ដោងវាចេញ ពីប្លោកសេរ៉ូម តើម្ជុល និងទ្រូសជាសំណល់អ្វី? a. សំណល់ឆ្លងរោគ b. សំណល់គីមី c. សំណល់វត្ថុមុតស្រួច d. សំណល់ទូទៅ 68 / 105 68) What is the definition of Antimicrobial Resistance (AMR)?: a. It is the ability for microorganism to resist human immune system b. It is the ability for human to resist microorganism c. It is the ability for human to resist chemicals d. It is the ability for chemicals to resist microorganism e. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth 69 / 105 69) Choose the incorrect statement: a. None of the above b. All staffs should be trained for IPC precautions regardless of their task c. IPC standard precautions must always be applied everywhere in HCF d. All hospital laboratories require equal level of IPC precautions e. Regardless of the location, everywhere inside HCF is exposed to the risk of Nosocomial Infection. 70 / 105 70) Choose the correct example of exposure to chemical hazard. a. All of the above b. Nurse who worked in the hospital for 10 years developed Asthma c. Cleaning staff accidentally spilled the bottle of glutheraldehyde d. Doctor wearing latex gloves developed minor skin irritation 71 / 105 71) 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. Gown b. Surgical mask c. Disposable Gloves d. Eyes protection e. Surgical mask and disposable glove 72 / 105 72) បន្ទាប់ពីគិលានុដ្ឋាកខាងលើបានចាក់សាច់ដុំឲ្យអ្នកជំងឺរួច ដកម្ជុលដាក់ក្នុងប្រអប់សុវត្ថិភាព រួចគាត់យកសឺរុំាងទទេគ្មានប្រឡាក់ឈាមដាក់ក្នុងធុងសំណល់៖ a. សំណល់គីមី b. សំណល់ទូទៅ c. សំណល់គ្រោះថ្នាក់ d. សំណល់មុតស្រួច e. សំណល់ឱសថ 73 / 105 73) Choose the appropriate behavior for staff working with infectious patients.: a. Staffs move between triage zone and isolation unit wearing the same PPE b. Staffs move in between general access area and isolation room wearing the same PPE c. Staffs call the patient in the isolation room instead of going in d. Staff still comes to work when having a mild fever e. Staffs scratch their face with the protection glove on in the triage zone 74 / 105 74) Choose the incorrect description about transfer procedure of infectious patient.: a. Driver does not have to wear any PPE when driver seat is separated from the patient’s seat with the glass wall. b. Both patients and staff needs to wear surgical mask, gown, gloves and other necessary PPEs. c. If possible, use ambulance rather than ordinary vehicle. d. Choose the shortest route as possible. e. Clean and disinfect the car after the transfer is finished. 75 / 105 75) Choose the common site of Nosocomial Infection.: a. Surgical Site Infection (SSI) b. Urinary Tract Infection (UTI) c. a and c d. All of the above e. Catheter-Associated Blood Stream Infection (CABSI) 76 / 105 76) Choose the correct statement.: a. None of the above b. Any virus, once entered human body, causes immediate symptoms c. Fungi infection can be easily treated by antimicrobiotics d. Normal flora does not cause any nosocomial infection in any case. e. Any bacteria, once entered human body, is pathogenic. 77 / 105 77) Who is exposed to the risk factor of Nosocomial Pneumonia?: a. Post-operation patient who stays in bed without mobility b. All of the above c. Patient who is aided with mechanical ventilation d. Patient in the same ward as pneumonia patient 78 / 105 78) Choose the incorrect statement about Chemical Hazard at HCF.: a. Main route of exposure is through skin absorption b. Minor skin irritation doesn’t have to be reported c. None of the above d. All staffs should wear proper Personal Protection Equipment (PPE) e. Clear labeling, formal training and available emergency procedure is important 79 / 105 79) Choose the correct description of OR environment.: a. Thirty air changes per hour (30ACH) is maintained b. All equipment after operation should be cleaned in the OR c. Air flows from OR to outside d. Temperature should be controlled between 20~25 ̊C e. All of the above 80 / 105 80) Which is NOT part of the most high risk areas of nosocomial infection in Healthcare Facility (HCF)?: a. Neo-natal unit b. Outpatient consultation room c. Laboratory d. Emergency room e. Operating room 81 / 105 81) infection prevention and control (IPC) measures can break the chain of infection by: a. Block the mode of transmission b. Remove all risky micro-organisms c. Remove the reservoir of micro-organism d. All of the above excepted e. Remove the reservoir of micro-organism and block the mode of transmission 82 / 105 82) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury.: a. None of the above b. Nurse close the cap of the needle after the injection procedure c. Needles are thrown away in the trash can without lid d. Safety box or sharp box container and AD syringes. e. Doctor is wearing a mask, but not the gloves when injecting 83 / 105 83) Choose the incorrect statement about Occupational Health and Safety (OHS).: a. It is the specific terminology that is applied to healthcare facility staffs only b. It includes the promotion and maintenance of all aspects of health c. It includes the prevention of illness, accident and injury from the work d. Healthcare management staffs are responsible for their employees’ OHS e. Healthcare Facility staffs are responsible for their own OHS 84 / 105 84) Choose the incorrect statement about Healthcare Facility(HCF) staffs’ OHS.: a. When exposed to infectious pathogen, staff should immediately go home to avoid further transmission b. All HCF staffs should be properly immunized c. All staffs should be aware of IPC program and OHS policy to be able to protect themselves d. Post-exposure Prophylaxis should be available for everyone e. HCF staffs are exposed to greater risk of OHS hazard than many other occupations 85 / 105 85) 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 85) 4.Follow the post-exposure procedure and perform Post-exposure Prophylaxis(PEP) as needed 85) 5.Monitor and follow up 6.Quickly assess the risk a. 2-4-5-6-3-1 b. 2-3-6-4-1-5 c. 3-1-2-6-4-5 d. 2-3-1-6-4-5 e. 2-6-3-4-1-5 86 / 105 86) Choose the correct prevention practice against SSI.: a. All of the above b. Perform a surgical scrub with antiseptic product immediately before the operation c. Always administer prophylactic antimicrobial agent d. Always remove hair on the surgical site before the operation 87 / 105 87) Choose the correct example of safe HCF environment.: a. Paint on the wall is scratched and removed b. Sink in the bathroom is broken and water is leaking c. Hospital corridor is full of people d. Window is closed in the operation room e. None of the above 88 / 105 88) Choose the correct example of clean healthcare facility environment.: a. Water sink in the shared bathroom is broke b. Cleaning staff cleans the operation room at least twice a day c. One trash can is shared by all patients in the ward d. Cleaning staff cleans the floor with the broom only e. None of the above 89 / 105 89) What describes the right prevention of Nosocomial Pneumonia?: 1.Perform hand hygiene procedure 2.Elevation of bed heat to 80~90° 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, 5 b. 3, 5 c. 1, 5 d. 1, 2, 3, 4, 5 e. 1, 3, 5 90 / 105 90) To select the correct answer one below, the six components of the chain of infection are: a. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host b. Reservoir, fungus, mode of transmission, place of entry, host, and environment. c. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. d. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. e. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism 91 / 105 91) 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. 1, 4, 5 b. 1, 3, 4, 5 c. 2, 4, 5 d. 1, 3, 4 e. 1, 4, 5, 6 92 / 105 92) What are the common hazards in HCF?: a. Exposure to physical hazards (noise, heavy lifting, etc) b. Exposure to toxic chemicals c. Exposure to heavy stress d. Exposure to infectious diseases e. All of the above 93 / 105 93) What is the lesson learnt from global outbreaks of ZIKA, Ebola and MERS?: a. It’s impossible to stop the transmission of infectious disease without vaccine. b. All of the above c. Timely and adequate application of IPC, especially in the healthcare facility, is critical d. People should not travel to dangerous countries e. Infectious disease is unavoidable. 94 / 105 94) Choose the right element of HCF OHS policy/IPC program.: a. Treatment for infectious diseases (HIV, HepB, etc) b. All of the above c. Vaccination for staffs d. Post-exposure emergency leaves e. Regular medical check-up for staffs 95 / 105 95) What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind?: a. Materials used for floor, type of furnitures b. Route of the laundries being transported in the building c. All of them are important d. Numbers and types of rooms e. Distance between each patient bed 96 / 105 96) What disease can be prevented by performing good respiratory hygiene?: a. Hepatitis B b. Tuberculosis c. All of the above d. HIV e. Hepatitis C 97 / 105 97) 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 clean hand, used disposable gloves, safety book to collect the syringe & needle b. To performs hand hygiene and wears disposable gloves c. To use safety box to collect the single used of needle and syringe d. To clean and disinfected area with alcohol 98 / 105 98) What is the entry germs or micro-organism to “Susceptible host” are?: a. People who have a multiple history of infection to microorganisms, especially elderly people b. People who have a low resistance against pathogen included pregnant women c. Children under age 5 d. Patients who gets stress with TB and AIDS more easily than others e. Patients who have been with chronic diseases 99 / 105 99) What describes the incorrect way to prevent CABSI?: a. Do not perform CABSI when alternative oral feeding method is possible b. Protect the insertion site with a sterile dressing c. Remove the catheter as early as possible d. None of the above e. Plug needle directly into infusion bottle to avoid using unnecessary equipment 100 / 105 100) What is not considered during the IPC risk assessment?: a. Risk of contacting body fluid b. Medical procedure to be performed c. None of the above d. Pre-diagnosed condition or symptoms e. Patient’s blood type 101 / 105 101) មូលដ្ឋានថែទាំសុខភាពអាចផលិត សំណល់ពីសេវាថែទាំសុខភាព៖ a. សំណល់ទូទៅ និង សំណល់ឆ្លងរោគ រួមទាំងសំណល់ឱសថ b. សំណល់ទូទៅ និង សំណល់ឆ្លងរោគ រួមទាំងសំណល់ឱសថ និង សំណល់មុតស្រួច c. សំណល់ទូទៅ និង សំណល់ឆ្លងរោគ d. សំណល់ទូទៅ និង សំណល់ឆ្លងរោគ រួមទាំងសំណល់ឱសថ និង សំណល់វិទ្យុសកម្ម e. សំណល់ទូទៅ និង សំណល់វេជ្ជសាស្ដ្រ 102 / 105 102) អ្នកជំងឺម្នាក់រាគខ្វះជាតិទឹក ត្រូវការចាក់សេរ៉ូម ១០០០ម.ល ពេលអស់សេរ៉ូម យើងត្រូវបោះវាចោល បើយើងដកម្ជុល និងខ្សែបន្ដោងវាចេញពី ប្លោកតើប្លោកសេរ៉ូមទទេរជាសំណល់អ្វី? a. សំណល់គីមី b. សំណល់ទូទៅ c. សំណល់ឱសថ d. សំណល់ឆ្លងរោគ e. សំណល់ សំណល់ឆ្លងរោគ និង សំណល់ឱសថ 103 / 105 103) Choose the correct statement about HCF environment.: a. Having a safe environment is crucial for the safety of patients, staffs and visitors b. All of the above c. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection d. Environmental cause is easily separable from other causes of Nosocomial Infection 104 / 105 104) In what way can hospital implement effective Infection Prevention and Control program?: a. Ban all external visitors b. Limit the hospitalization of patients with highly infectious disease c. Provide exclusive training to front-line doctors d. Financial penalty to incompliance e. Provide continuous training and education to all staffs working in the facility 105 / 105 105) Choose the most correct implementation of triage zone.: a. Triage zone is set up but in one corner of the health center room b. Triage zone is set up without any staff c. None of the above. 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. Your score isThe average score is 84% Facebook 0% Restart quiz Any comments? Send feedback
