/105 389 Infection Control Preparation (Pr. Sok Srun) 1 / 105 1) Choose incorrect example of respiratory hygiene practice.: a. Washing hands regularly b. Throwing away the used tissue to the trash bin c. Covering nose when coughing d. Wiping nose with hand when sneezing 2 / 105 2) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient.: a. Mask b. Surgical mask c. Disposable glove and surgical mask d. Gloves e. Gown 3 / 105 3) 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. Level of hygiene in the delivery room was lower than the other division. c. Medical students might have used equipment that are not perfectly disinfected d. Poor hand hygiene of practicing doctors e. Midwives have better skills to assist delivery to avoid unnecessary infection 4 / 105 4) What are the common hazards in HCF?: a. Exposure to infectious diseases b. All of the above c. Exposure to heavy stress d. Exposure to toxic chemicals e. Exposure to physical hazards (noise, heavy lifting, etc) 5 / 105 5) Who could be the βSusceptible hostβ of micro-organism?: a. Nurses and physicians who performs regular injection task and examination people b. Pregnant women and children under 5 years of age c. Elderly people with chronic diseases d. Pregnant women, children < 5 Years and elderly people e. People who are working in healthcare facilities 6 / 105 6) What is Nosocomial Infection (NI)?: a. NI is defined as infections acquired within 24 hours after hospital admission b. All of the above c. NI is only applicable for infections acquired by patients d. NI is a part of HAI (Healthcare Associated Infection) e. NI includes the infections that were acquired outside the hospital, but appeared after the admission 7 / 105 7) 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. 5-2-1-3-4 b. 3-2-5-1-4 c. 2-4-1-3-5 d. 1-2-3-4-5 e. 3-1-5-2-4 8 / 105 8) What is the most common pathogen of nosocomial infection in HCFs? : a. Parasites b. Fungi c. Mix bacteria and virus d. Bacteria e. Virus 9 / 105 9) Choose the correct practice of IPC precautions in ICU and Neo-natal unit: a. Upon patient discharge, all personal equipment should be discarded b. One alcoholic hand rub (AHR) is needed per one room c. Children is not recommended to visit ICU d. Completely prohibit the visitors from outside e. Incubator should be changed every week 10 / 105 10) Choose the correct IPC behavior of surgical staffs.: a. Entrance to the room should be strictly limited to necessary personnel only b. If doctor drop the mass on his knee in a sitting position, it is ok to pick it up and use it c. For prolonged surgery, it is ok to eat in the OR d. When temperature is too hot, it is ok to let the window open e. They can bring mobile phone as long as they donβt use it 11 / 105 11) Choose the correct statement: a. Patients have no role to play in hospital IPC program. b. Infection Prevention and Control (IPC) program should be a continuous effort of all healthcare facility staffs. c. In Cambodia, Healthcare-Associated Infection (HAI) is not considered as a significant problem d. Ministry of Health let every healthcare facility to freely choose whether or not to implement Infection Prevention and Control (IPC) program. e. None of the above 12 / 105 12) 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. All of the above c. People should not travel to dangerous countries d. Timely and adequate application of IPC, especially in the healthcare facility, is critical e. Infectious disease is unavoidable. 13 / 105 13) Choose the correct statement about additional precautions.: a. To use additional precaution is better than standard precaution b. None of the above c. Additional precaution is not necessary for general outpatient consultation. d. Needs of additional precaution dependent on pathogenβs mode of transmission. e. When necessary, HCWs staff must change from standard precaution to additional precautions. 14 / 105 14) αααααΆααααΈαα·ααΆαα»ααααΆαααΆαααΎααΆαα αΆααααΆα ααα»αα²ααα’αααααααΊαα½α αααααα»αααΆαααααα»ααααα’αααα»ααααα·ααΆα αα½α ααΆααααααΊαα»ααΆααααααααΆααααα‘αΆααααΆαααΆαααααα»ααα»ααααααα a. ααααααααααααααΆαα b. αααααααΈααΈ c. ααααααα»ααααα½α d. αααααα±αα e. αααααααΌαα 15 / 105 15) If you were Dr. Semmelweis, what would you have implemented to solve this mortality disparity?: a. Stop accommodating medical students for the practice b. Accept only healthy mothers to the Maternal clinic c. All of the above d. Close down the division where higher mortality occurred e. Enhance the hygiene control for all staffs, facilities and equipment 16 / 105 16) 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. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. c. All of the above d. Safe handling of equipment soak, clean, dry, packaging, sterilization and storage to reuse e. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. 17 / 105 17) 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 17) 4.Follow the post-exposure procedure and perform Post-exposure Prophylaxis(PEP) as needed 17) 5.Monitor and follow up 6.Quickly assess the risk a. 2-6-3-4-1-5 b. 2-3-6-4-1-5 c. 2-3-1-6-4-5 d. 3-1-2-6-4-5 e. 2-4-5-6-3-1 18 / 105 18) How can HCF ensure the quality of water?: a. All of the above b. Regular monitoring and evaluation of water quality c. Regular monitoring and evaluation of water supply d. Regular monitoring and evaluation of water treatment process 19 / 105 19) Choose the incorrect statement: a. Regardless of the location, everywhere inside HCF is exposed to the risk of Nosocomial Infection. b. IPC standard precautions must always be applied everywhere in HCF c. All hospital laboratories require equal level of IPC precautions d. All staffs should be trained for IPC precautions regardless of their task e. None of the above 20 / 105 20) What should be included in the scope of Occupational Health and Safety(OHS)?: a. Social well-being b. Mental health c. All of the above d. Physical health 21 / 105 21) Choose the incorrect description about transfer procedure of infectious patient.: a. If possible, use ambulance rather than ordinary vehicle. b. Clean and disinfect the car after the transfer is finished. c. Both patients and staff needs to wear surgical mask, gown, gloves and other necessary PPEs. d. Choose the shortest route as possible. e. Driver does not have to wear any PPE when driver seat is separated from the patientβs seat with the glass wall. 22 / 105 22) 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. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. c. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. d. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism e. Reservoir, fungus, mode of transmission, place of entry, host, and environment. 23 / 105 23) ααααααααΈααΆαααααΆααααα ααΎα a. ααααααααααα ααααααα»α ααΆααααααΆαα ααΆαα·ααΆ ααΉαααα αα·α ααΆα αα·α αααααααααΆααα’ααααα b. ααααααα»α ααΆααααααΆαα ααΆαα·ααΆ ααΉαααα αα·α ααΆα c. αααααααααΆααα’ααααα d. ααααααα»α ααΆααααααΆαα e. ααααααα»α ααΆααααααΆαα αα·α ααΆα 24 / 105 24) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)?: a. None of the above b. Insertion of intravenous catheter for nutrition feeding when patient lost appetite c. Use of surgical drape to cover the insertion spot d. Cleaning skin with disinfectant before inserting the catheter e. Use of gown and gloves for staffs performing insertion procedure 25 / 105 25) Choose the correct prevention practice against SSI.: a. Always remove hair on the surgical site before the operation b. Always administer prophylactic antimicrobial agent c. All of the above d. Perform a surgical scrub with antiseptic product immediately before the operation 26 / 105 26) ααααααααααααΆαααααα ααΎαααααααΈααΈ αα·ααααααα±ααααΆααααααααΌα ααααα ? a. ααααααα»αααααΆααΆαααΌαααααααΈααΈ b. αααααααΆαααααααααΉα ααΆα αα·αα§αααααααΌα ααααΆ c. αααααααΆαααααααααΉα ααΆα αα·αα§αααααααΌα ααααΆ ααααααα·ααααααΆαα»αααααΆ d. αααααααΆαααααααααΌα ααααααΆ e. αααααααΈααΈ (ααΉα ααΆα α§ααααα) αα»αααΈαααααα±αα ααΆααααΆαααΆαααΆαα½α αααα»αα αααααααΆαααΆααα»α ααΆαααα»αΈ αααα»α αα·αααααα·αααα 27 / 105 27) Who is responsible to execute Infection Prevention and Control practices?: a. Cleaning staffs of the hospital b. Visitors of the patients c. All of the above d. Doctors who performs major intrusive surgery 28 / 105 28) What is the entry germs or micro-organism to βSusceptible hostβ are?: a. Patients who gets stress with TB and AIDS more easily than others b. People who have a multiple history of infection to microorganisms, especially elderly people c. People who have a low resistance against pathogen included pregnant women d. Children under age 5 e. Patients who have been with chronic diseases 29 / 105 29) What is the correct example of handling urinary catheter?: a. Provide prophylactic antibiotics to all patients with urinary catheter b. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much c. Wearing gloves when connecting the catheter to patients d. Using urinary catheter for patients with flexible mobility 30 / 105 30) α’αααααααΊααααΆααααΆαααααααΆαα·ααΉα ααααΌαααΆαα αΆαααααααΌα α‘α α α α.α αααα’αααααααΌα ααΎαααααΌααααααΆα αα ααΎααΎααααααα»α αα·αααααααααααααΆα ααααΈ αααααααΎααααααααααΌαααααααΆαααααα’αααΈ? a. ααααα αααααααααααα αα·α αααααα±αα b. αααααααΌαα c. αααααααΈααΈ d. αααααα±αα e. αααααααααααα 31 / 105 31) 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, 3, 4, 5 b. 2, 4, 5 c. 1, 4, 5, 6 d. 1, 3, 4 e. 1, 4, 5 32 / 105 32) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)?: a. It provides the safe environment for caregivers and visitors b. It provides the safe environment for patients c. All of the above d. It provides the safe workplace for HCF staffs e. Poorly managed HCF environment could raise the Nosocomial Infection rate 33 / 105 33) What disease can be prevented by performing good respiratory hygiene?: a. All of the above b. HIV c. Tuberculosis d. Hepatitis B e. Hepatitis C 34 / 105 34) 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. αααααααααα»αα»ααααα½α b. αααααααΈααΈ c. αααααααΌαα d. αααααααααααα 35 / 105 35) Choose the incorrect statement about Occupational Incident Management at HCF.: a. HCF should have a OHS policy and OHS team who is in charge of the incident management b. If there is no immediate threat or symptom, staff should try to continue working as much as possible for patients. c. Incident management procedure has to be strictly followed d. Exposed staff should assess the risk before reporting to the right contact e. None of the above 36 / 105 36) Why are the patients in ICU and Neo-Natal unit at higher risk to develop nosocomial infection? a. They usually need supportive apparatus: e.g. mechanical ventilation b. They are severely ill and/or immune-compromised c. They usually need invasive devices: e.g. endotracheal tube, IV line, feeding tube, etc,. d. All of the above 37 / 105 37) ααΆααααα»αααααααααααΆαααααααΆα αα»αααΉαααΆαααα½αα’αααααααΊααααΆαα ααααΌαααΆααα ααΎαααΆααααααααα αα·αααααα·ααααα· α ααααααααααααΎαααααΌααααααααααααα·α ααΎαααααααααΆαααααα’αααΈ? a. αααααααΌαα b. ααααααααααααΆααααα ααααααααααααα c. ααααααααααααΆααααα d. αααααααααΆαααααααα αΎα α’αΆα ααααΎα‘αΎααα·αααΆα e. ααααααααΈααΆαααααΆα 38 / 105 38) Choose the correct linkage of microorganism and its description.: a. Parasites β lives inside the cell b. Virus β multicellular organism c. Bacteria β reproduces by replication and cellular fusion d. Fungi β has no nucleus 39 / 105 39) Choose the correct IPC standard precautions to apply: a. Hand hygiene and to select PPE to use b. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. c. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette d. There are five componence hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. e. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, 40 / 105 40) What is the potential risk factor of Surgical Site Infection(SSI)?: a. all of the above b. Patientβs pre-disposed symptoms c. Antibiotic prophylaxis d. Long duration of the operation 41 / 105 41) Choose the right element of HCF OHS policy/IPC program.: a. Treatment for infectious diseases (HIV, HepB, etc) b. Regular medical check-up for staffs c. All of the above d. Vaccination for staffs e. Post-exposure emergency leaves 42 / 105 42) Choose the correct description of IPC precautions in Emergency Room (ER).: a. Staffs should change the PPE every hour to avoid Nosocomial Infection b. The distance between each patient should be at least 1.5 meter c. When the ER gets too crowded with patients, it is ok for patients with mild symptom to share the bed. d. Separate triage area should be installed with hand hygiene equipment e. To avoid humidity, ER room should not be installed with water sink 43 / 105 43) Choose incorrect statement about ventilation in HCF.: a. None of the above b. Window should be always open for natural ventilation c. It should be designed to reduce microbial contamination d. Mosquito screen or mosquito net should be provided when window is open e. Every patient room has to have window directly connected to outside 44 / 105 44) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury.: a. Safety box or sharp box container and AD syringes. b. Nurse close the cap of the needle after the injection procedure c. None of the above d. Doctor is wearing a mask, but not the gloves when injecting e. Needles are thrown away in the trash can without lid 45 / 105 45) Choose the correct description about Isolation Unit.: a. Patients can share the isolation unit regardless of their symptom. b. Staff wearing PPE can enter the isolation unit without further procedure c. Patients can share the isolation unit if their symptom is same. d. Every waste produced from isolation unit can be disposed in one trash can. e. None of the above 46 / 105 46) ααΆααααα ααααααααααααααΆαααααααΆααααΆααα½ααααααααααααααααΆααΈαααααα a. αααααααΆααΆααααα½αααααΎααΆαααα ααα αα αα·αααΉααααααΌα b. αααααααΆααΆααααα½αααααΎααΆαααα ααα αα αα·αααΉααααααΌα α¬ααααααααα c. αααααααΆαααααα ααααΆαα’αααααΆααα»αααΆααα·ααααα d. αααααααΆαααααα ααααΆαα’αααααΆααα»αααΆααα·ααααα ααααααααα ααααα·ααα»α e. αααααααΆααα’αΉααααα αααααααΉαααααααααΆαα»ααααααΆ 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. Risk assessment should be performed only for susceptible host. c. IPC standard precautions HCWs should be applied for selected patients not to all. d. Standard precaution is not necessary for outpatient consultation. e. To clean hand and selected PPE to use 48 / 105 48) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Staphylococcus b. Klebsiella pneumoniae c. Escherichia coli (E-coli) d. Pseudomonas e. Anaerobia 49 / 105 49) What is not relevant to HCF environment?: a. Ventilation b. Safe water c. Building design and construction d. Safe commuting route e. Food safety 50 / 105 50) Choose the patient that would require to be accommodated in an Isolation Room. a. Patient who came with a hemorrhagic fever b. Unconscious patient from traffic accident c. Children with high fever (38 Β°C) coughing and shortness of breath without confirmed diagnosis and Patient who came with a hemorrhagic fever d. all of the above e. Children with high fever (38 Β°C) coughing and shortness of breath without confirmed diagnosis 51 / 105 51) In what way can hospital implement effective Infection Prevention and Control program?: a. Limit the hospitalization of patients with highly infectious disease b. Financial penalty to incompliance c. Ban all external visitors d. Provide exclusive training to front-line doctors e. Provide continuous training and education to all staffs working in the facility 52 / 105 52) 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. All of the above d. Environmental cause is easily separable from other causes of Nosocomial Infection 53 / 105 53) Choose the appropriate behavior for staff working with infectious patients.: a. Staffs scratch their face with the protection glove on in the triage zone b. Staffs call the patient in the isolation room instead of going in c. Staff still comes to work when having a mild fever d. Staffs move between triage zone and isolation unit wearing the same PPE e. Staffs move in between general access area and isolation room wearing the same PPE 54 / 105 54) Choose the incorrect statement regarding laboratory biosafety.: a. Level of biosafety can be defined differently per each country b. Lab technicians are required to have pre-employment health check-up and vaccination c. All laboratory technicians should be trained to keep themselves safe from hazards d. All biosafety level requires staffs to wear Personal Protection Equipment e. All laboratory technicians should be aware what biosafety level their working environment is 55 / 105 55) Choose the correct statement.: a. Holistic IPC program is needed to effectively control the chain of infection. b. None of the above. c. Chain of infection only exists in the hospital setting. 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. 56 / 105 56) Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed?: a. To prevent the nurses to contact patient b. To prevent spreading the droplet-borne disease c. To prevent the contamination of pathogens to other people d. To prevent the close contact people e. To prevent spreading the air-borne disease 57 / 105 57) Who is exposed to the risk factor of Nosocomial Pneumonia?: a. Patient in the same ward as pneumonia patient b. Patient who is aided with mechanical ventilation c. Post-operation patient who stays in bed without mobility d. All of the above 58 / 105 58) Why is it important to prevent SSI?: a. It is an important cause of additional morbidity b. All of the above 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 59 / 105 59) Choose the correct description about triage zone.: a. Staffs need to wear a gown and gloves, but not mask. b. Patients may be required to wear PPE depending on their symptom c. Only highly infectious patients should go through triage zone. d. The distance between patient and the staff has to be minimum 2 meters away e. It is better to be close to ICU so that severe patients can be rapidly transferred 60 / 105 60) Choose the correct statement.: a. Fungi infection can be easily treated by antimicrobiotics b. None of the above c. Any bacteria, once entered human body, is pathogenic. d. Normal flora does not cause any nosocomial infection in any case. e. Any virus, once entered human body, causes immediate symptoms 61 / 105 61) Q14. Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+)Staphylococcus b. Bacteria Gram (+) Streptococcus c. Bacteria Gram (+)Enterococcus d. Bacteria Gram (-)Anaerobia e. Bacteria Gram (-) Pseudomonas 62 / 105 62) Which levels of BSL does the lab technician need to pay attention for airborne transmission?: a. BSL4 b. BSL2 c. BSL3 and BSL4 d. BSL3 e. All of the above 63 / 105 63) What is the objective of Infection Prevention and Control (IPC) program in the hospital?: a. To attract more patients with the cleaner look of the hospital b. To prescribe more antibiotics to patients to earn more money c. To reduce the risk and incidence of Nosocomial Infection d. All of the above e. To ensure safety of the patients, but not the doctors and nurses 64 / 105 64) Choose the correct implementation of Isolation Unit.: a. General access area is for staffs to change into PPE b. Curtain is installed for patientsβ convenience c. Air flows from inside to outside d. There is no sign of βIsolation Unitβ outside in order to avoid fear from public e. All furniture is made of plastic 65 / 105 65) How can we avoid/combat AMR?: a. Prescribe antibiotics whenever possible to avoid infection b. Use routine prophylactic antibiotics before operation c. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear d. Revise the antibiotic guidelines and protocols whenever the new AMR is detected e. All of the above 66 / 105 66) ααΌαααααΆαααααΆααα»αααΆαα’αΆα ααα·α αααααααΈααααΆααααΆααα»αααΆαα a. αααααααΌαα αα·α ααααααααααααΆααααα b. αααααααΌαα αα·α αααααααααααα αα½αααΆαααααααα±αα c. αααααααΌαα αα·α αααααααααααα d. αααααααΌαα αα·α αααααααααααα αα½αααΆαααααααα±αα αα·α ααααααα·αααα»ααααα e. αααααααΌαα αα·α αααααααααααα αα½αααΆαααααααα±αα αα·α ααααααα»ααααα½α 67 / 105 67) Who should perform respiratory hygiene?: a. Doctors when dealing with coughing patients b. Visitor who is sneezing c. Patient who is diagnosed with flu d. All of the above 68 / 105 68) Choose the correct example of exposure to chemical hazard. a. All of the above b. Doctor wearing latex gloves developed minor skin irritation c. Cleaning staff accidentally spilled the bottle of glutheraldehyde d. Nurse who worked in the hospital for 10 years developed Asthma 69 / 105 69) What is the definition of Antimicrobial Resistance (AMR)?: a. It is the ability for human to resist chemicals b. It is the ability for microorganism to resist human immune system c. It is the ability for human to resist microorganism d. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth e. It is the ability for chemicals to resist microorganism 70 / 105 70) 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 and disinfected area with alcohol b. To clean hand, used disposable gloves, safety book to collect the syringe & needle c. To performs hand hygiene and wears disposable gloves d. To use safety box to collect the single used of needle and syringe 71 / 105 71) Choose the correct example of performing respiratory hygiene.: a. All of the above b. Visitor who came to see the flu patient, not wearing any mask c. Doctor shaking hands with all the patients to be friendly d. None of the above e. Patient using a box of tissue while coughing and sneezing 72 / 105 72) 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. Surgical mask d. Gown and apron e. Disposable Gloves 73 / 105 73) Choose the incorrect statement about Healthcare Facility(HCF) staffsβ OHS.: a. Post-exposure Prophylaxis should be available for everyone b. HCF staffs are exposed to greater risk of OHS hazard than many other occupations c. All HCF staffs should be properly immunized d. All staffs should be aware of IPC program and OHS policy to be able to protect themselves e. When exposed to infectious pathogen, staff should immediately go home to avoid further transmission 74 / 105 74) Choose the most correct implementation of triage zone.: a. Triage zone is set up in the separate building from other facilities. b. Triage zone is set up in the hospital, before the entrance to any other facilities. c. None of the above. d. Triage zone is set up but in one corner of the health center room e. Triage zone is set up without any staff 75 / 105 75) Choose the correct description of OR environment.: a. All of the above b. Temperature should be controlled between 20~25 ΜC c. Air flows from OR to outside d. All equipment after operation should be cleaned in the OR e. Thirty air changes per hour (30ACH) is maintained 76 / 105 76) Choose the correct linkage of microorganism and its examples: a. Virus β Hepatitis B b. All of the above c. Fungi β Streptococcus d. Parasite β Escheria coli e. Bacteria β Plasmodium falciparum 77 / 105 77) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Surgical mask b. Eyes protection c. Gown d. Disposable Gloves only e. Apron 78 / 105 78) Choose the correct example of HCF ventilation.: a. Window is open and mosquito net is installed in the patient room b. None of the above c. Window is blocked with TV screen in the patient room d. Isolation room has a ceiling fan to make air circulate to outside e. b and c 79 / 105 79) αα·ααΆαα»ααααΆαααααΆααααΆααααα αα αΆααααααΆαα’ααααΈαααΈαααα·ααααα’αααααααΊααααΆαα αααααΆααααΈααΌαααααΆαααΈααα’αααα αα ααααααααααΆααααααααΆαααΉαααααΆα ααΎααααααααα ααΆαααααααααααα’αααΈ? a. ααααααααααααΆααααα b. αααααα±αα c. αααααααΈααΈ d. αααααααΌαα e. ααααααααααααααΆαα 80 / 105 80) infection prevention and control (IPC) measures can break the chain of infection by: a. Remove the reservoir of micro-organism b. All of the above excepted c. Remove all risky micro-organisms d. Remove the reservoir of micro-organism and block the mode of transmission e. Block the mode of transmission 81 / 105 81) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. All cleaners and nurses by washing your hands with soap and water. b. Patient and patient's member included visitor c. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. d. All people who provided health care services, included patients and patient's family. e. The doctors and nurses, but not for cleaning staffs. 82 / 105 82) Choose the incorrect statement about Pressure Ulcer: a. It can be avoided by regularly mobilizing the patient b. It is caused by the constant pressure applied to skin exposed to source of infection c. None of the above d. It can spread further infection to the deeper skin layer e. It can be avoided by regularly washing the patient at least twice a day 83 / 105 83) αααααααΌαα : ααΌα ααααα αα ααΆααααααααααααΆααααα: a. αααααααααααααα½ααααααα b. αααααααααααα αααΈααΆαααααΆα αα»ααααα½α c. αααααααΆαα ααα½αααααΆααα½αααααααααααααααααΆ d. αααααααααααα αααΈααΆαααααΆα αα»ααααα½α αααααα±αα αα·ααα·αααα»ααααα e. αααααααααααα αααΈααΆαααααΆα αα»ααααα½α αα·ααααααα±αα 84 / 105 84) 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. 3, 5 b. 1, 2, 3, 4, 5 c. 1, 3, 5 d. 1, 2, 3, 5 e. 1, 5 85 / 105 85) Choose the correct example of clean healthcare facility environment.: a. None of the above b. Cleaning staff cleans the floor with the broom only c. Water sink in the shared bathroom is broke d. Cleaning staff cleans the operation room at least twice a day e. One trash can is shared by all patients in the ward 86 / 105 86) What is the correct statement about food safety at HCF?: a. None of the above b. All food for patients must be prepared by authorized hospital kitchen c. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator 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 87 / 105 87) Why is it important to prevent Nosocomial Infection?: a. It can be life-threatening to both patients and healthcare staffs b. all of the above c. It can cause extra financial burden to patients d. a and b e. It increases the cost of healthcare facility management 88 / 105 88) Choose the correct example of safe HCF environment.: a. Paint on the wall is scratched and removed b. None of the above c. Hospital corridor is full of people d. Sink in the bathroom is broken and water is leaking e. Window is closed in the operation room 89 / 105 89) αααααααααααα αααα ααΎα a. ααααααααα»αααααα ααααα»αα»ααααα½α ααΆα ααΉαααα α¬αααααααα‘αΆααααΆα b. ααααααααα»αααααα (ααΆααααααΈ αααΆαααΆαα»αΈα ααΈαα»α αα·α αααα·α) c. ααααααααα»αααααα αα·α ααΊααΆαααααα»ααααααααΎαα½α d. ααααααααα»αααααα αα·αααααα»αα»ααααα½α e. αααααααα½ααααα»αααααα ααα‘αΈαααα‘αΆααααΆα αααα»α αααααα»αααα½α ααααα»αα»ααααα½α αα½αααΆααααΊαα»ααΆααααα»αααααΎαα½α 90 / 105 90) 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. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken. c. IPC aims to control the elements of the Chain of Infection. d. IPC aims to cut the pathways in the Chain of Infection. e. IPC aims to cut the pathways in the Chain of Infection and IPC aims to control the elements of the Chain of Infection. 91 / 105 91) αααααααΌαα : ααΌα ααααα αα ααΆαααααααΌαα : a. αααααααΌαα ααΆαααααααααααΆα αα·ααααααααΈααααΆα b. αααααααΌαα ααΆααααααααααΆααααΆα ααΉα ααΆα ααΆαααααααΆαααΉα c. αααααααΌαα ααΆαααααααα½ααα»αααααΌαααααα’αΆααααΆααααΌαααααΆα d. αααααααΌαα : αα·ααα»α ααααΆααααααααααΆαα αα·αααααααΆαα ααααααα e. αααααααΌαα ααΆαα αααΎααααααα 92 / 105 92) Choose the incorrect statement about Occupational Health and Safety (OHS).: a. Healthcare management staffs are responsible for their employeesβ OHS b. Healthcare Facility staffs are responsible for their own OHS c. It includes the prevention of illness, accident and injury from the work d. It includes the promotion and maintenance of all aspects of health e. It is the specific terminology that is applied to healthcare facility staffs only 93 / 105 93) Choose the incorrect statement about Chemical Hazard at HCF.: a. Minor skin irritation doesnβt have to be reported b. None of the above c. All staffs should wear proper Personal Protection Equipment (PPE) d. Main route of exposure is through skin absorption e. Clear labeling, formal training and available emergency procedure is important 94 / 105 94) Which is NOT part of the most high risk areas of nosocomial infection in Healthcare Facility (HCF)?: a. Laboratory b. Emergency room c. Neo-natal unit d. Outpatient consultation room e. Operating room 95 / 105 95) Why is it important to manage an infectious disease in the healthcare facility?: a. It is important to protect the health of healthcare facility staffs. b. When managed poor, it could be a great public health concern. c. It can detect the early emergence/re-emergence of pathogens. d. Managing the early case can help prevent the outbreak in the community e. All of the above. 96 / 105 96) What is definition of pathogens?: a. Toxic chemicals b. Microorganisms that produces toxic chemicals c. None of the above d. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. e. Microorganisms that damage the human host by direct invasion or by toxic products 97 / 105 97) What is the incorrect description of Injection Safety?:l a. Use of disposable glove b. Recapping of needles c. Performing post-exposure prophylaxis when accidentally exposed to the risk d. Use of safety box with puncture-proof function e. Immediate throw-away of disposable items after usage 98 / 105 98) Choose the common site of Nosocomial Infection.: a. Catheter-Associated Blood Stream Infection (CABSI) b. Urinary Tract Infection (UTI) c. Surgical Site Infection (SSI) d. All of the above e. a and c 99 / 105 99) Choose the incorrect way of decreasing risk of Surgical Site Infection (SSI).: a. Pre-operative disinfection/sterilization should be performed for both patient and equipment b. Proper post-operation follow-up is crucial to avoid Nosocomial Infection c. Operation Room should be cleaned at least twice a day d. Surgical staffs should perform the equal hand hygiene procedure as they do outside OR e. None of the above 100 / 105 100) What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind?: a. Numbers and types of rooms b. Route of the laundries being transported in the building c. Materials used for floor, type of furnitures d. All of them are important e. Distance between each patient bed 101 / 105 101) What describes the incorrect way to prevent CABSI?: a. Do not perform CABSI when alternative oral feeding method is possible b. Remove the catheter as early as possible c. None of the above d. Protect the insertion site with a sterile dressing e. Plug needle directly into infusion bottle to avoid using unnecessary equipment 102 / 105 102) What is not considered during the IPC risk assessment?: a. Medical procedure to be performed b. Pre-diagnosed condition or symptoms c. None of the above d. Risk of contacting body fluid e. Patientβs blood type 103 / 105 103) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from?: a. Patients to patients b. People who has contacted, included soil material and environment c. Patients to health care workers (HCWs) and HCWs to patients d. Patients to environment and crossed environment to patient and HCWs e. Patient to visitors and HCWs 104 / 105 104) 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. Eyes protection c. Surgical mask d. Disposable Gloves e. Surgical mask and disposable glove 105 / 105 105) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (-) Pseudomonas b. Bacteria Gram (+) Staphylococcus c. Bacteria Gram (+) Enterococcus d. Bacteria Gram (-) E-coli e. Bacteria Gram (+) Streptococcus Your score isThe average score is 84% Facebook 0% Restart quiz Any comments? Send feedback
