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