/105 389 Infection Control Preparation (Pr. Sok Srun) 1 / 105 1) 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. Proper post-operation follow-up is crucial to avoid Nosocomial Infection c. Operation Room should be cleaned at least twice a day d. None of the above e. Pre-operative disinfection/sterilization should be performed for both patient and equipment 2 / 105 2) Choose the correct practice of IPC precautions in ICU and Neo-natal unit: a. Incubator should be changed every week b. Completely prohibit the visitors from outside c. Upon patient discharge, all personal equipment should be discarded d. One alcoholic hand rub (AHR) is needed per one room e. Children is not recommended to visit ICU 3 / 105 3) ααΆααααα»αααααααααααΆαααααααΆα αα»αααΉαααΆαααα½αα’αααααααΊααααΆαα ααααΌαααΆααα ααΎαααΆααααααααα αα·αααααα·ααααα· α ααααααααααααΎαααααΌααααααααααααα·α ααΎαααααααααΆαααααα’αααΈ? a. αααααααααΆαααααααα αΎα α’αΆα ααααΎα‘αΎααα·αααΆα b. αααααααΌαα c. ααααααααααααΆααααα ααααααααααααα d. ααααααααααααΆααααα e. ααααααααΈααΆαααααΆα 4 / 105 4) What is definition of pathogens?: a. None of the above b. Microorganisms that produces toxic chemicals c. Microorganisms that damage the human host by direct invasion or by toxic products d. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. e. Toxic chemicals 5 / 105 5) Choose the correct linkage of microorganism and its examples: a. Bacteria β Plasmodium falciparum b. All of the above c. Fungi β Streptococcus d. Parasite β Escheria coli e. Virus β Hepatitis B 6 / 105 6) What is the potential risk factor of Surgical Site Infection(SSI)?: a. Patientβs pre-disposed symptoms b. Antibiotic prophylaxis c. Long duration of the operation d. all of the above 7 / 105 7) αααααααΌαα : ααΌα ααααα αα ααΆαααααααΌαα : a. αααααααΌαα ααΆαααααααα½ααα»αααααΌαααααα’αΆααααΆααααΌαααααΆα b. αααααααΌαα ααΆααααααααααΆααααΆα ααΉα ααΆα ααΆαααααααΆαααΉα c. αααααααΌαα ααΆαα αααΎααααααα d. αααααααΌαα : αα·ααα»α ααααΆααααααααααΆαα αα·αααααααΆαα ααααααα e. αααααααΌαα ααΆαααααααααααΆα αα·ααααααααΈααααΆα 8 / 105 8) Who is responsible to execute Infection Prevention and Control practices?: a. Doctors who performs major intrusive surgery b. Cleaning staffs of the hospital c. Visitors of the patients d. All of the above 9 / 105 9) What is not relevant to HCF environment?: a. Building design and construction b. Safe commuting route c. Food safety d. Ventilation e. Safe water 10 / 105 10) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient.: a. Surgical mask b. Gloves c. Disposable glove and surgical mask d. Gown e. Mask 11 / 105 11) What are the common hazards in HCF?: a. All of the above b. Exposure to heavy stress c. Exposure to infectious diseases d. Exposure to toxic chemicals e. Exposure to physical hazards (noise, heavy lifting, etc) 12 / 105 12) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury.: a. Doctor is wearing a mask, but not the gloves when injecting b. None of the above c. Safety box or sharp box container and AD syringes. d. Nurse close the cap of the needle after the injection procedure e. Needles are thrown away in the trash can without lid 13 / 105 13) What describes the incorrect way to prevent CABSI?: a. None of the above b. Protect the insertion site with a sterile dressing c. Remove the catheter as early as possible d. Do not perform CABSI when alternative oral feeding method is possible e. Plug needle directly into infusion bottle to avoid using unnecessary equipment 14 / 105 14) 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. Disposable Gloves c. Eyes protection d. Gown and apron e. Surgical mask 15 / 105 15) Choose the correct example of performing respiratory hygiene.: a. Visitor who came to see the flu patient, not wearing any mask b. All of the above c. Patient using a box of tissue while coughing and sneezing d. Doctor shaking hands with all the patients to be friendly e. None of the above 16 / 105 16) ααααααααΈααΆαααααΆααααα ααΎα a. αααααααααΆααα’ααααα b. ααααααα»α ααΆααααααΆαα ααΆαα·ααΆ ααΉαααα αα·α ααΆα c. ααααααα»α ααΆααααααΆαα αα·α ααΆα d. ααααααααααα ααααααα»α ααΆααααααΆαα ααΆαα·ααΆ ααΉαααα αα·α ααΆα αα·α αααααααααΆααα’ααααα e. ααααααα»α ααΆααααααΆαα 17 / 105 17) Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed?: a. To prevent the close contact people b. To prevent the contamination of pathogens to other people c. To prevent the nurses to contact patient d. To prevent spreading the droplet-borne disease e. To prevent spreading the air-borne disease 18 / 105 18) If you were Dr. Semmelweis, what would you have implemented to solve this mortality disparity?: a. Enhance the hygiene control for all staffs, facilities and equipment b. All of the above c. Close down the division where higher mortality occurred d. Accept only healthy mothers to the Maternal clinic e. Stop accommodating medical students for the practice 19 / 105 19) What is Nosocomial Infection (NI)?: a. NI includes the infections that were acquired outside the hospital, but appeared after the admission b. NI is a part of HAI (Healthcare Associated Infection) c. NI is defined as infections acquired within 24 hours after hospital admission d. NI is only applicable for infections acquired by patients e. All of the above 20 / 105 20) 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. Materials used for floor, type of furnitures c. Route of the laundries being transported in the building d. All of them are important e. Distance between each patient bed 21 / 105 21) Why is it important to prevent SSI?: a. It is an immediate threat to patient mortality b. It can cause incremental cost to patients c. It may contributes to increased Antimicrobial Resistance (AMR) d. All of the above e. It is an important cause of additional morbidity 22 / 105 22) Why is it important to prevent Nosocomial Infection?: a. It can cause extra financial burden to patients b. all of the above c. a and b d. It increases the cost of healthcare facility management e. It can be life-threatening to both patients and healthcare staffs 23 / 105 23) α’αααααααΊααααΆααααΆαααααααΆαα·ααΉα ααααΌαααΆαα αΆαααααααΌα α‘α α α α.α αααα’αααααααΌα ααΎαααααΌααααααΆα αα ααΎααΎααααααα»α αα·αααααααααααααΆα ααααΈ αααααααΎααααααααααΌαααααααΆαααααα’αααΈ? a. αααααααααααα b. αααααααΌαα c. ααααα αααααααααααα αα·α αααααα±αα d. αααααααΈααΈ e. αααααα±αα 24 / 105 24) Choose the correct statement: a. In Cambodia, Healthcare-Associated Infection (HAI) is not considered as a significant problem b. Ministry of Health let every healthcare facility to freely choose whether or not to implement Infection Prevention and Control (IPC) program. c. Patients have no role to play in hospital IPC program. d. None of the above e. Infection Prevention and Control (IPC) program should be a continuous effort of all healthcare facility staffs. 25 / 105 25) 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 control the elements of the Chain of Infection. 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. e. IPC aims to cut the pathways in the Chain of Infection and IPC aims to control the elements of the Chain of Infection. 26 / 105 26) Choose the appropriate behavior for staff working with infectious patients.: a. Staff still comes to work when having a mild fever b. Staffs call the patient in the isolation room instead of going in c. Staffs move in between general access area and isolation room wearing the same PPE d. Staffs scratch their face with the protection glove on in the triage zone e. Staffs move between triage zone and isolation unit wearing the same PPE 27 / 105 27) Choose the right element of HCF OHS policy/IPC program.: a. Regular medical check-up for staffs b. Post-exposure emergency leaves c. Vaccination for staffs d. All of the above e. Treatment for infectious diseases (HIV, HepB, etc) 28 / 105 28) 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. αααααααΌαα b. αααααααααα»αα»ααααα½α c. αααααααΈααΈ d. αααααααααααα 29 / 105 29) Choose the correct linkage of microorganism and its description.: a. Bacteria β reproduces by replication and cellular fusion b. Parasites β lives inside the cell c. Virus β multicellular organism d. Fungi β has no nucleus 30 / 105 30) What is the lesson learnt from global outbreaks of ZIKA, Ebola and MERS?: a. Timely and adequate application of IPC, especially in the healthcare facility, is critical b. All of the above c. Infectious disease is unavoidable. d. Itβs impossible to stop the transmission of infectious disease without vaccine. e. People should not travel to dangerous countries 31 / 105 31) αααααααααααα αααα ααΎα a. ααααααααα»αααααα αα·αααααα»αα»ααααα½α b. ααααααααα»αααααα αα·α ααΊααΆαααααα»ααααααααΎαα½α c. ααααααααα»αααααα (ααΆααααααΈ αααΆαααΆαα»αΈα ααΈαα»α αα·α αααα·α) d. ααααααααα»αααααα ααααα»αα»ααααα½α ααΆα ααΉαααα α¬αααααααα‘αΆααααΆα e. αααααααα½ααααα»αααααα ααα‘αΈαααα‘αΆααααΆα αααα»α αααααα»αααα½α ααααα»αα»ααααα½α αα½αααΆααααΊαα»ααΆααααα»αααααΎαα½α 32 / 105 32) 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 gown and gloves for staffs performing insertion procedure c. None of the above d. Insertion of intravenous catheter for nutrition feeding when patient lost appetite e. Use of surgical drape to cover the insertion spot 33 / 105 33) What is the most common pathogen of nosocomial infection in HCFs? : a. Bacteria b. Fungi c. Mix bacteria and virus d. Virus e. Parasites 34 / 105 34) How can we avoid/combat AMR?: a. Revise the antibiotic guidelines and protocols whenever the new AMR is detected b. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear c. Prescribe antibiotics whenever possible to avoid infection d. Use routine prophylactic antibiotics before operation e. All of the above 35 / 105 35) Choose the incorrect statement: a. All staffs should be trained for IPC precautions regardless of their task b. All hospital laboratories require equal level of IPC precautions c. None of the above d. IPC standard precautions must always be applied everywhere in HCF e. Regardless of the location, everywhere inside HCF is exposed to the risk of Nosocomial Infection. 36 / 105 36) 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 invasive devices: e.g. endotracheal tube, IV line, feeding tube, etc,. d. They usually need supportive apparatus: e.g. mechanical ventilation 37 / 105 37) Choose the correct description of OR environment.: a. Air flows from OR to outside b. All equipment after operation should be cleaned in the OR c. Temperature should be controlled between 20~25 ΜC d. All of the above e. Thirty air changes per hour (30ACH) is maintained 38 / 105 38) Choose the incorrect statement regarding laboratory biosafety.: a. All biosafety level requires staffs to wear Personal Protection Equipment b. All laboratory technicians should be aware what biosafety level their working environment is c. Lab technicians are required to have pre-employment health check-up and vaccination d. All laboratory technicians should be trained to keep themselves safe from hazards e. Level of biosafety can be defined differently per each country 39 / 105 39) What is the correct example of handling urinary catheter?: a. Provide prophylactic antibiotics to all patients with urinary catheter b. Wearing gloves when connecting the catheter to patients c. Using urinary catheter for patients with flexible mobility d. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much 40 / 105 40) ααΌαααααΆαααααΆααα»αααΆαα’αΆα ααα·α αααααααΈααααΆααααΆααα»αααΆαα a. αααααααΌαα αα·α ααααααααααααΆααααα b. αααααααΌαα αα·α αααααααααααα αα½αααΆαααααααα±αα αα·α ααααααα»ααααα½α c. αααααααΌαα αα·α αααααααααααα αα½αααΆαααααααα±αα αα·α ααααααα·αααα»ααααα d. αααααααΌαα αα·α αααααααααααα αα½αααΆαααααααα±αα e. αααααααΌαα αα·α αααααααααααα 41 / 105 41) ααΆααααα ααααααααααααααΆαααααααΆααααΆααα½ααααααααααααααααΆααΈαααααα a. αααααααΆαααααα ααααΆαα’αααααΆααα»αααΆααα·ααααα ααααααααα ααααα·ααα»α b. αααααααΆααΆααααα½αααααΎααΆαααα ααα αα αα·αααΉααααααΌα α¬ααααααααα c. αααααααΆαααααα ααααΆαα’αααααΆααα»αααΆααα·ααααα d. αααααααΆααα’αΉααααα αααααααΉαααααααααΆαα»ααααααΆ e. αααααααΆααΆααααα½αααααΎααΆαααα ααα αα αα·αααΉααααααΌα 42 / 105 42) Choose the correct statement.: a. Chain of infection can be usually controlled well by tackling 1 of the 6 elements. b. It is more effective to control Reservoir than to control portal of exit. c. Holistic IPC program is needed to effectively control the chain of infection. d. Chain of infection only exists in the hospital setting. e. None of the above. 43 / 105 43) ααααααααααααΆαααααα ααΎαααααααΈααΈ αα·ααααααα±ααααΆααααααααΌα ααααα ? a. αααααααΈααΈ (ααΉα ααΆα α§ααααα) αα»αααΈαααααα±αα ααΆααααΆαααΆαααΆαα½α αααα»αα αααααααΆαααΆααα»α ααΆαααα»αΈ αααα»α αα·αααααα·αααα b. αααααααΆαααααααααΉα ααΆα αα·αα§αααααααΌα ααααΆ ααααααα·ααααααΆαα»αααααΆ c. αααααααΆαααααααααΉα ααΆα αα·αα§αααααααΌα ααααΆ d. ααααααα»αααααΆααΆαααΌαααααααΈααΈ e. αααααααΆαααααααααΌα ααααααΆ 44 / 105 44) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Anaerobia b. Staphylococcus c. Pseudomonas d. Escherichia coli (E-coli) e. Klebsiella pneumoniae 45 / 105 45) Who should perform respiratory hygiene?: a. Patient who is diagnosed with flu b. Doctors when dealing with coughing patients c. Visitor who is sneezing d. All of the above 46 / 105 46) To select the correct answer one below, the six components of the chain of infection are: a. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. b. Reservoir, fungus, mode of transmission, place of entry, host, and environment. c. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism d. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host e. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. 47 / 105 47) Which is NOT part of the most high risk areas of nosocomial infection in Healthcare Facility (HCF)?: a. Emergency room b. Neo-natal unit c. Laboratory d. Outpatient consultation room e. Operating room 48 / 105 48) What describes the right prevention of Nosocomial Pneumonia?: 1.Perform hand hygiene procedure 2.Elevation of bed heat to 80~90Β° so that patient can sit up straight 3.Regular change of humidifier 4.Post-operation patient try to move as much as possible when not recommended 5.Disinfection of respiratory equipment a. 1, 5 b. 3, 5 c. 1, 2, 3, 4, 5 d. 1, 3, 5 e. 1, 2, 3, 5 49 / 105 49) 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 50 / 105 50) Choose the most correct implementation of triage zone.: a. Triage zone is set up without any staff 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. None of the above. e. Triage zone is set up in the hospital, before the entrance to any other facilities. 51 / 105 51) Choose the correct statement.: a. None of the above b. Fungi infection can be easily treated by antimicrobiotics c. Normal flora does not cause any nosocomial infection in any case. d. Any virus, once entered human body, causes immediate symptoms e. Any bacteria, once entered human body, is pathogenic. 52 / 105 52) What is the correct statement about food safety at HCF?: a. None of the above b. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator c. If visitor brings food from outside, itβs better to share the food with others d. All food for patients must be prepared by authorized hospital kitchen e. Itβs not a big problem to store raw fruit and cooked food together 53 / 105 53) Choose the correct IPC standard precautions to apply: a. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette b. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. c. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, d. Hand hygiene and to select PPE to use e. There are five componence hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. 54 / 105 54) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. b. All cleaners and nurses by washing your hands with soap and water. c. Patient and patient's member included visitor d. The doctors and nurses, but not for cleaning staffs. e. All people who provided health care services, included patients and patient's family. 55 / 105 55) Choose the correct example of exposure to chemical hazard. a. Cleaning staff accidentally spilled the bottle of glutheraldehyde b. Doctor wearing latex gloves developed minor skin irritation c. All of the above d. Nurse who worked in the hospital for 10 years developed Asthma 56 / 105 56) Choose the correct statement about HCF environment.: a. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection b. All of the above c. Environmental cause is easily separable from other causes of Nosocomial Infection d. Having a safe environment is crucial for the safety of patients, staffs and visitors 57 / 105 57) Choose the correct example of HCF ventilation.: a. b and c b. Window is blocked with TV screen in the patient room c. Window is open and mosquito net is installed in the patient room d. Isolation room has a ceiling fan to make air circulate to outside e. None of the above 58 / 105 58) Who is exposed to the risk factor of Nosocomial Pneumonia?: a. All of the above b. Post-operation patient who stays in bed without mobility c. Patient who is aided with mechanical ventilation d. Patient in the same ward as pneumonia patient 59 / 105 59) Which levels of BSL does the lab technician need to pay attention for airborne transmission?: a. BSL3 b. BSL4 c. BSL3 and BSL4 d. All of the above e. BSL2 60 / 105 60) Choose the correct prevention practice against SSI.: a. Perform a surgical scrub with antiseptic product immediately before the operation b. All of the above c. Always administer prophylactic antimicrobial agent d. Always remove hair on the surgical site before the operation 61 / 105 61) What disease can be prevented by performing good respiratory hygiene?: a. Tuberculosis b. Hepatitis B c. Hepatitis C d. All of the above e. HIV 62 / 105 62) Who could be the βSusceptible hostβ of micro-organism?: a. Nurses and physicians who performs regular injection task and examination people b. Pregnant women, children < 5 Years and elderly people c. Pregnant women and children under 5 years of age d. Elderly people with chronic diseases e. People who are working in healthcare facilities 63 / 105 63) Choose the correct description of IPC precautions in Emergency Room (ER).: a. Separate triage area should be installed with hand hygiene equipment b. To avoid humidity, ER room should not be installed with water sink c. When the ER gets too crowded with patients, it is ok for patients with mild symptom to share the bed. 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 64 / 105 64) Choose the common site of Nosocomial Infection.: a. a and c b. Catheter-Associated Blood Stream Infection (CABSI) c. Surgical Site Infection (SSI) d. Urinary Tract Infection (UTI) e. All of the above 65 / 105 65) In what way can hospital implement effective Infection Prevention and Control program?: a. Provide continuous training and education to all staffs working in the facility b. Ban all external visitors c. Financial penalty to incompliance d. Provide exclusive training to front-line doctors e. Limit the hospitalization of patients with highly infectious disease 66 / 105 66) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from?: a. Patients to health care workers (HCWs) and HCWs to patients b. Patients to environment and crossed environment to patient and HCWs c. Patients to patients d. Patient to visitors and HCWs e. People who has contacted, included soil material and environment 67 / 105 67) What is not considered during the IPC risk assessment?: a. Patientβs blood type b. Pre-diagnosed condition or symptoms c. Medical procedure to be performed d. Risk of contacting body fluid e. None of the above 68 / 105 68) 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 69 / 105 69) 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. Staffs need to wear a gown and gloves, but not mask. d. The distance between patient and the staff has to be minimum 2 meters away e. Only highly infectious patients should go through triage zone. 70 / 105 70) 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. Performing post-exposure prophylaxis when accidentally exposed to the risk e. Immediate throw-away of disposable items after usage 71 / 105 71) αα·ααΆαα»ααααΆαααααΆααααΆααααα αα αΆααααααΆαα’ααααΈαααΈαααα·ααααα’αααααααΊααααΆαα αααααΆααααΈααΌαααααΆαααΈααα’αααα αα ααααααααααΆααααααααΆαααΉαααααΆα ααΎααααααααα ααΆαααααααααααα’αααΈ? a. αααααααΌαα b. ααααααααααααααΆαα c. ααααααααααααΆααααα d. αααααααΈααΈ e. αααααα±αα 72 / 105 72) Choose the incorrect statement about Occupational Incident Management at HCF.: a. None of the above b. Exposed staff should assess the risk before reporting to the right contact c. HCF should have a OHS policy and OHS team who is in charge of the incident management d. If there is no immediate threat or symptom, staff should try to continue working as much as possible for patients. e. Incident management procedure has to be strictly followed 73 / 105 73) Choose the correct example of safe HCF environment.: a. Window is closed in the operation room b. Sink in the bathroom is broken and water is leaking c. None of the above d. Paint on the wall is scratched and removed e. Hospital corridor is full of people 74 / 105 74) Choose the correct example of clean healthcare facility environment.: a. Water sink in the shared bathroom is broke b. Cleaning staff cleans the floor with the broom only c. None of the above d. Cleaning staff cleans the operation room at least twice a day e. One trash can is shared by all patients in the ward 75 / 105 75) Choose the incorrect description about transfer procedure of infectious patient.: a. Choose the shortest route as possible. b. Clean and disinfect the car after the transfer is finished. c. Driver does not have to wear any PPE when driver seat is separated from the patientβs seat with the glass wall. d. Both patients and staff needs to wear surgical mask, gown, gloves and other necessary PPEs. e. If possible, use ambulance rather than ordinary vehicle. 76 / 105 76) αααααΆααααΈαα·ααΆαα»ααααΆαααΆαααΎααΆαα αΆααααΆα ααα»αα²ααα’αααααααΊαα½α αααααα»αααΆαααααα»ααααα’αααα»ααααα·ααΆα αα½α ααΆααααααΊαα»ααΆααααααααΆααααα‘αΆααααΆαααΆαααααα»ααα»ααααααα a. αααααααΈααΈ b. ααααααααααααααΆαα c. ααααααα»ααααα½α d. αααααα±αα e. αααααααΌαα 77 / 105 77) Choose the correct statement for safe handling of equipment and soiled linen.: a. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. b. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. c. Thermometer can be shared between patients if it is wiped with wet tissue. d. Safe handling of equipment soak, clean, dry, packaging, sterilization and storage to reuse e. All of the above 78 / 105 78) Q14. Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+)Enterococcus b. Bacteria Gram (-)Anaerobia c. Bacteria Gram (-) Pseudomonas d. Bacteria Gram (+)Staphylococcus e. Bacteria Gram (+) Streptococcus 79 / 105 79) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+) Staphylococcus b. Bacteria Gram (-) E-coli c. Bacteria Gram (-) Pseudomonas d. Bacteria Gram (+) Enterococcus e. Bacteria Gram (+) Streptococcus 80 / 105 80) 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 80) 4.Follow the post-exposure procedure and perform Post-exposure Prophylaxis(PEP) as needed 80) 5.Monitor and follow up 6.Quickly assess the risk a. 3-1-2-6-4-5 b. 2-4-5-6-3-1 c. 2-6-3-4-1-5 d. 2-3-6-4-1-5 e. 2-3-1-6-4-5 81 / 105 81) 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 performs hand hygiene and wears disposable gloves c. To clean hand, used disposable gloves, safety book to collect the syringe & needle d. To use safety box to collect the single used of needle and syringe 82 / 105 82) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)?: a. It provides the safe workplace for HCF staffs b. It provides the safe environment for caregivers and visitors c. All of the above d. Poorly managed HCF environment could raise the Nosocomial Infection rate e. It provides the safe environment for patients 83 / 105 83) What is the entry germs or micro-organism to βSusceptible hostβ are?: a. Patients who have been with chronic diseases b. Patients who gets stress with TB and AIDS more easily than others c. Children under age 5 d. People who have a low resistance against pathogen included pregnant women e. People who have a multiple history of infection to microorganisms, especially elderly people 84 / 105 84) Choose the incorrect statement about Pressure Ulcer: a. It is caused by the constant pressure applied to skin exposed to source of infection b. It can spread further infection to the deeper skin layer c. None of the above d. It can be avoided by regularly washing the patient at least twice a day e. It can be avoided by regularly mobilizing the patient 85 / 105 85) What should be included in the scope of Occupational Health and Safety(OHS)?: a. Physical health b. All of the above c. Mental health d. Social well-being 86 / 105 86) Choose the correct description about Isolation Unit.: a. None of the above 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. Staff wearing PPE can enter the isolation unit without further procedure e. Patients can share the isolation unit if their symptom is same. 87 / 105 87) infection prevention and control (IPC) measures can break the chain of infection by: a. Remove all risky micro-organisms b. Block the mode of transmission c. Remove the reservoir of micro-organism and block the mode of transmission d. All of the above excepted e. Remove the reservoir of micro-organism 88 / 105 88) Choose the correct implementation of Isolation Unit.: a. There is no sign of βIsolation Unitβ outside in order to avoid fear from public b. All furniture is made of plastic c. Curtain is installed for patientsβ convenience d. General access area is for staffs to change into PPE e. Air flows from inside to outside 89 / 105 89) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Apron b. Eyes protection c. Disposable Gloves only d. Surgical mask e. Gown 90 / 105 90) Choose the correct statement about additional precautions.: a. When necessary, HCWs staff must change from standard precaution to additional precautions. b. Needs of additional precaution dependent on pathogenβs mode of transmission. c. None of the above d. Additional precaution is not necessary for general outpatient consultation. e. To use additional precaution is better than standard precaution 91 / 105 91) Choose the correct statement about standard precautions.: a. IPC standard precautions HCWs should be applied for selected patients not to all. b. IPC standard precautions HCWs should be applied for all patients at all time c. Risk assessment should be performed only for susceptible host. d. To clean hand and selected PPE to use e. Standard precaution is not necessary for outpatient consultation. 92 / 105 92) αααααααΌαα : ααΌα ααααα αα ααΆααααααααααααΆααααα: a. αααααααααααααα½ααααααα b. αααααααΆαα ααα½αααααΆααα½αααααααααααααααααΆ c. αααααααααααα αααΈααΆαααααΆα αα»ααααα½α αααααα±αα αα·ααα·αααα»ααααα d. αααααααααααα αααΈααΆαααααΆα αα»ααααα½α e. αααααααααααα αααΈααΆαααααΆα αα»ααααα½α αα·ααααααα±αα 93 / 105 93) Choose the patient that would require to be accommodated in an Isolation Room. a. Unconscious patient from traffic accident b. Children with high fever (38 Β°C) coughing and shortness of breath without confirmed diagnosis and Patient who came with a hemorrhagic fever c. Children with high fever (38 Β°C) coughing and shortness of breath without confirmed diagnosis d. all of the above e. Patient who came with a hemorrhagic fever 94 / 105 94) How can HCF ensure the quality of water?: a. Regular monitoring and evaluation of water quality b. Regular monitoring and evaluation of water treatment process c. All of the above d. Regular monitoring and evaluation of water supply 95 / 105 95) Why is it important to manage an infectious disease in the healthcare facility?: a. Managing the early case can help prevent the outbreak in the community b. All of the above. 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. 96 / 105 96) Choose the incorrect statement about Healthcare Facility(HCF) staffsβ OHS.: a. Post-exposure Prophylaxis should be available for everyone b. All HCF staffs should be properly immunized c. When exposed to infectious pathogen, staff should immediately go home to avoid further transmission d. All staffs should be aware of IPC program and OHS policy to be able to protect themselves e. HCF staffs are exposed to greater risk of OHS hazard than many other occupations 97 / 105 97) 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 b. 2, 4, 5 c. 1, 4, 5 d. 1, 4, 5, 6 e. 1, 3, 4, 5 98 / 105 98) What is the definition of Antimicrobial Resistance (AMR)?: a. It is the ability for human to resist microorganism b. It is the ability for microorganism to resist human immune system c. It is the ability for chemicals to resist microorganism d. It is the ability for human to resist chemicals e. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth 99 / 105 99) Choose the incorrect statement about Chemical Hazard at HCF.: a. None of the above b. Main route of exposure is through skin absorption c. All staffs should wear proper Personal Protection Equipment (PPE) d. Minor skin irritation doesnβt have to be reported e. Clear labeling, formal training and available emergency procedure is important 100 / 105 100) 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 reduce the risk and incidence of Nosocomial Infection c. To attract more patients with the cleaner look of the hospital d. To prescribe more antibiotics to patients to earn more money e. All of the above 101 / 105 101) 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. Surgical mask and disposable glove b. Gown c. Surgical mask d. Eyes protection e. Disposable Gloves 102 / 105 102) Choose the correct IPC behavior of surgical staffs.: a. They can bring mobile phone as long as they donβt use it b. For prolonged surgery, it is ok to eat in the OR c. When temperature is too hot, it is ok to let the window open d. Entrance to the room should be strictly limited to necessary personnel only e. If doctor drop the mass on his knee in a sitting position, it is ok to pick it up and use it 103 / 105 103) Choose incorrect example of respiratory hygiene practice.: a. Throwing away the used tissue to the trash bin b. Covering nose when coughing c. Wiping nose with hand when sneezing d. Washing hands regularly 104 / 105 104) Choose the incorrect statement about Occupational Health and Safety (OHS).: a. It includes the promotion and maintenance of all aspects of health b. Healthcare Facility staffs are responsible for their own OHS c. It includes the prevention of illness, accident and injury from the work d. Healthcare management staffs are responsible for their employeesβ OHS e. It is the specific terminology that is applied to healthcare facility staffs only 105 / 105 105) 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. Medical students might have used equipment that are not perfectly disinfected 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. Level of hygiene in the delivery room was lower than the other division. Your score isThe average score is 84% Facebook 0% Restart quiz Any comments? Send feedback
