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