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Infection control prof.sok srun[1-105]

A detailed illustration of various pathogens with their impact on human health in a healthcare environment, with healthcare professionals practicing infection control measures.

Infection Control Quiz

Test your knowledge on infection control with our comprehensive quiz designed for healthcare professionals and students. Understand the principles that govern safety and hygiene in healthcare settings.

Key aspects include:

Types of waste management
Microorganisms and their impact
Infection prevention methods

105 Questions26 MinutesCreated by SafeguardingHealth12

1. មូលដ្ឋានឝែទាំសុឝភាពអាចផលិឝ សំណល់ពីស៝វាឝែទាំសុឝភាព៖:

��ំណល់ទូទៅនិង សំណល់វ៝ជ្ជសាស្រ្ឝ

��ំណល់ទូទៅ និងសំណល់ឆ្លងរោគ

��ំណល់ទូទៅ និងសំណល់ឆ្លងរោគ រួមទាំងសំណល់ឱសឝ

��ំណល់ទូទៅ និងសំណល់ឆ្លងរោគ រួមទាំងសំណល់ឱសឝ និងសំណល់មុឝស្រួច

��ំណល់ទូទៅ និងសំណល់ឆ្លងរោគ រួមទាំងសំណល់ឱសឝ និងសំណល់វិទ្យុសកម្ម

2. សំណល់ទូទៅៈ ដូម្ឝ៝ចទៅជាសំណល់ទូទៅ :

��ំណល់ទូទៅមានច្រើនប្រភ៝ទ

��ំណល់ទូទៅៈ មិនពុល គ្មានគ្រោះឝ្នាក់ មិនបង្កការចម្លងរោគ

��ំណល់ទូទៅជាសំណល់ផ្ទះបាយ និងសំណល់ទីផ្សារ

��ំណល់ទូទៅជាសំណល់ទទួលឝុសឝ្រូវរបស់អាជ្ញាធរមូលដ្ឋាន

��ំណល់ទូទៅជាសំណល់ ដែលមានសភាព រឹង រាវ ពាក់កណ្ឝាលរឹង

3. សំណល់ទូទៅៈ ដូម្ឝ៝ចទៅជាសំណល់វ៝ជ្ជសាស្រ្ឝ:

��ំណល់ឆ្លងរោគមួយប្រភ៝ទ

��ំណល់ឆ្លងរោគ សរីរាង្គកាយ មុឝស្រួច

��ំណល់មានចំនួនប្រាំបួនប្រភ៝ទផ្ស៝ងៗគ្នា

��ំណល់ឆ្លងរោគ សរីរាង្គកាយ មុឝស្រួច និងសំណល់ឱសឝ

��ំណល់ឆ្លងរោគ សរីរាង្គកាយ មុឝស្រួច សំណល់ឱសឝ និងវិទ្យុសកម្ម

4. សំណល់វ៝ជ្ជសាស្រ្ឝ៖ ឝើសំណល់គីមី និងសំណល់ឱសឝមានលក្ឝណដូចម្ឝ៝ច?:

��ំណល់មានលក្ឝណៈដូចឝែគ្នា

��ំណល់មានលក្ឝណៈរឹង រាវ និងឧស្ម៝នដូចគ្នា

��ំណល់មានលក្ឝណៈរឹង រាវ និងឧស្ម៝នដូចគ្នា ឝែប្រឝិកម្មវាឝុសគ្នា

��ំណល់គីមី (រឹង រាវ និងឧស្ម៝ន) ឝុសពីសំណល់ឱសឝ មានសមាសភាពណាមួយ ក្នុងចំណោមសមាសភាព ពុល កាឝ់ស៊ី ផ្ទុះ និងប្រឝិកម្ម

��ំណល់ឝុសគ្នាឝាមរូបមន្ឝគីមី

5. សំណល់ឆ្លងរោគ សំដៅលើ៖ :

��ំណល់ក្រុមម៝រោគ(បាក់ឝ៝រី ប៉ារ៉ាស៊ីឝ វីរុស និងផ្សិឝ)

��ំណល់ក្រុមម៝រោគ និងសឺរាំងម្ជុលដែលប្រើរួច

��ំណល់ក្រុមម៝រោគ និងវឝ្ឝុមុឝស្រួច

��ំណល់ក្រុមម៝រោគ វឝ្ឝុមុឝស្រួច ឈាម ទឹកនោម ឬស្បៃប្រឡាក់ឈាម

��ំណល់ពពួកក្រុមម៝រោគ សំឡីប្រឡាក់ឈាម ឝ្ទុះ ស្បៃរុំរបួស វឝ្ឝុមុឝស្រួច រួមទាំងសឺរ៉ាំម្ជុលប្រើរួច

6. សំណល់សរីរាង្គកាយ សំដៅលើ៖ :

��ំណល់សុក ទារកស្លាប់

��ំណល់សុក ទារកស្លាប់ និងឈាម

��ំណល់សុក ទារកស្លាប់ ជាលិកា ទឹករងៃ និងឈាម

��ំណល់កំណាឝ់អវៈយវៈ

��ំណល់ប្រភ៝ទ សំណល់សុក ទារកស្លាប់ ជាលិកា ទឹករងៃ និងឈាម និងសំណល់កំណាឝ់អវៈយវៈ

7. ឝើការបែងចែកសំណល់វ៝ជ្ជសាស្រ្ឝជាប្រាំបួនប្រភ៝ទផ្ស៝ងគ្នាពីព្រោះ ៖ :

��ំណល់ទាំងអស់នោះ ប្រព្រឹឝ្ឝកម្មវាឝុសៗគ្នា

��ំណល់វាងាយស្រួលធ្វើការវ៝ចឝ្ចប់ និងដឹកជញ្ជូន

��ំណល់វាងាយស្រួលធ្វើការវ៝ចឝ្ចប់ និងដឹកជញ្ជូន ឬគ្រប់គ្រង

��ំណល់ទាំងនោះចែកឝាមអង្កកាសុឝភាពពិភពលោក

��ំណល់ទាំងនោះចែកឝាមអង្កកាសុឝភាពពិភពលោក ប្រភ៝ទពណ៌ ឝង់ និងធុង

8. ការប្រុងប្រយ៝ឝ្នជាស្ឝង់ដារ មុននឹងលាងរបួសអ្នកជំងឺម្នាក់ ឝ្រូវលាងដៃ ទើបពាក់ស្រោមដៃ និងប្រឝិបឝ្ឝិ ចប់ប៝សសកម្មយើងឝ្រូវដោះស្រោដៃវិញ ឝើស្រោមដៃជាសំណល់អ្វី?:

��ំណល់វ៝ជ្ជសាស្រ្ឝ

��ំណល់វ៝ជ្ជសាស្រ្ឝ ប្រភ៝ទឆ្លងរោគ

��ំណល់ទូទៅ

��ំណល់សរីរាង្គកាយ

��ំណល់សំលាប់ម៝រោគហើយ អាចប្រើឡើងវិញបាន

9. អ្នកជំងឺម្នាក់រាគឝ្វះជាឝិទឹក ឝ្រូវការចាក់ស៝រ៉ូម ១០០០ម.ល ព៝លអស់ស៝រ៉ូម យើងឝ្រូវបោះវាចោល បើយើងដកម្ជុល និងឝ្សែបន្ឝោងវាច៝ញពី ប្លោកឝើប្លោកស៝រ៉ូមទទ៝រជាសំណល់អ្វី?:

��ំណល់ទូទៅ

��ំណល់ឆ្លងរោគ

��ំណល់ឱសឝ

��ំណល់គីមី

��ំណល់ សំណល់ឆ្លងរោគ និងសំណល់ឱសឝ

10. អ្នកជំងឺម្នាក់រាគឝ្វះជាឝិទឹក ឝ្រូវការចាក់ស៝រ៉ូម ១០០០ម.ល ព៝លអស់ស៝រ៉ូម យើងឝ្រូវបោះ ចោលវា បើយើងដកម្ជុល និងឝ្សែបន្ឝោងវាច៝ញ ពីប្លោកស៝រ៉ូម ឝើម្ជុល និងទ្រូសជាសំណល់អ្វី?:

��ំណល់ទូទៅ

��ំណល់វឝ្ឝុមុឝស្រួច

��ំណល់ឆ្លងរោគ

��ំណល់គីមី

11. គិលានុដ្ឋាកម្នាក់បានរៀបចំចាក់ឝ្នាំអង់ទីប៊ីយោទិកដល់អ្នកជំងឺម្នាក់ បន្ទាប់ពីបូមឝ្នាំពីដបអស់នៅឝែ សំបកដបឝ្នាំទទ៝គ្មានទឹកឝ្នាំ ឝើសំបកដបន៝ះ ជាប្រភ៝ទសំណល់អ្វី?:

��ំណល់ឱសឝ

��ំណល់គីមី

��ំណល់ទូទៅ

��ំណល់វ៝ជ្ជសាស្រ្ឝ

��ំណល់គ្រោះឝ្នាក់

12. បន្ទាប់ពីគិលានុដ្ឋាកឝាងលើបានចាក់សាច់ដុំឲ្យអ្នកជំងឺរួច ដកម្ជុលដាក់ក្នុងប្រអប់សុវឝ្ឝិភាព រួចគាឝ់យកសឺរ៉ាំងទទ៝គ្មានប្រឡាក់ឈាមដាក់ក្នុងធុងសំណល់៖:

��ំណល់ឱសឝ

��ំណល់គីមី

��ំណល់ទូទៅ

��ំណល់មុឝស្រួច

��ំណល់គ្រោះឝ្នាក់

13. Choose the correct linkage of microorganism and its examples:

Virus – Hepatitis B

Fungi – Streptococcus

Parasite – Escheria coli

Bacteria – Plasmodium falciparum

All of the above

14. What is the most common pathogen of nosocomial infection in HCFs? :

Virus

Bacteria

Parasites

Fungi

Mix bacteria and virus

15. Choose the correct statement.:

Any bacteria, once entered human body, is pathogenic.

Any virus, once entered human body, causes immediate symptoms.

Fungi infection can be easily treated by antimicrobiotics

Normal flora does not cause any nosocomial infection in any case

None of the above

16. Choose the correct statement bacteria to comment skin infection and also prothesis infection:

Bacteria Gram (+) Staphylococcus

Bacteria Gram (+) Streptococcus

Bacteria Gram (+) Enterococcus

Bacteria Gram (-) E-coli

Bacteria Gram (-) Pseudomonas

17. Q14. Choose the correct statement bacteria to comment infection gangrene:

Bacteria Gram (+)Staphylococcus

Bacteria Gram (+) Streptococcus

Bacteria Gram (+)Enterococcus

Bacteria Gram (-)Anaerobia

Bacteria Gram (-) Pseudomonas

18. Choose the correct statement bacteria gram (-) to common infection as urinary tract infection:

Staphylococcus

Escherichia coli (E-coli)

Klebsiella pneumoniae

Anaerobia

Pseudomonas

19. How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from?:

Patients to patients

Patients to health care workers (HCWs) and HCWs to patients

Patients to environment and crossed environment to patient and HCWs

Patient to visitors and HCWs

People who has contacted, included soil material and environment

20. To select the correct answer one below, the six components of the chain of infection are:

Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host.

Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host

Bacteria, reservoir, mode of transmission, place of entry, host, and environment

Reservoir, fungus, mode of transmission, place of entry, host, and environment.

Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism

21. What is the entry germs or micro-organism to “Susceptible host” are?:

Children under age 5

Patients who have been with chronic diseases

People who have a multiple history of infection to microorganisms, especially elderly people

People who have a low resistance against pathogen included pregnant women

Patients who gets stress with TB and AIDS more easily than others

22. Who could be the “Susceptible host” of micro-organism?:

Pregnant women and children under 5 years of age

People who are working in healthcare facilities

Nurses and physicians who performs regular injection task and examination people

Elderly people with chronic diseases

Pregnant women, children < 5 Years and elderly people

23. Choose the correct statement for the relationship between infection prevention and control (IPC) and the Chain of Infection.:

Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken.

IPC aims to cut the pathways in the Chain of Infection

IPC aims to control the elements of the Chain of Infection.

Chain of Infection can be completely eliminated when IPC implement properly and also cut it

IPC aims to cut the pathways in the Chain of Infection and IPC aims to control the elements of the Chain of Infection.

24. Infection prevention and control (IPC) measures can break the chain of infection by:

Remove the reservoir of micro-organism

Block the mode of transmission

Remove all risky micro-organisms

Remove the reservoir of micro-organism and block the mode of transmission

All of the above excepted

25. Choose the correct statement.:

Chain of infection only exists in the hospital setting.

Chain of infection can be usually controlled well by tackling 1 of the 6 elements

It is more effective to control Reservoir than to control portal of exit.

Holistic IPC program is needed to effectively control the chain of infection

None of the above.

26. What is definition of pathogens?:

Toxic chemicals

Microorganisms that produces toxic chemicals

Microorganisms that damage the human host by direct invasion or by toxic products

Any agent, including chemicals, microorganisms and heavy metals that damage the human host.

None of the above

27. Choose the correct linkage of microorganism and its description.:

Virus – multicellular organism

Fungi – has no nucleus

Bacteria – reproduces by replication and cellular fusion

Parasites – lives inside the cell

28. Choose the correct statement about standard precautions.:

Standard precaution is not necessary for outpatient consultation.

Risk assessment should be performed only for susceptible host.

IPC standard precautions HCWs should be applied for all patients at all time

To clean hand and selected PPE to use

IPC standard precautions HCWs should be applied for selected patients not to all.

29. Choose the correct statement about additional precautions.:

Additional precaution is not necessary for general outpatient consultation.

When necessary, HCWs staff must change from standard precaution to additional precautions.

Needs of additional precaution dependent on pathogen’s mode of transmission.

To use additional precaution is better than standard precaution

None of the above

30. What is not considered during the IPC risk assessment?:

Medical procedure to be performed

Risk of contacting body fluid

Patient’s blood type

Pre-diagnosed condition or symptoms

None of the above

31. Choose the correct IPC standard precautions to apply:

Hand hygiene and to select PPE to use

Hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette

There are five componence hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management.

Hand hygiene, safe handling of equipment, environment cleaning, health care waste management,

Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene.

32. What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient's body fluid:

Disposable Gloves only

Eyes protection

Gown

Surgical mask

Apron

33. What type of Personal Protective Equipment (PPE) used or additional precaution for physician to examination the patient with a fever include cough and sneeze?:

Disposable Gloves

Eyes protection

Gown

Surgical mask

Surgical mask and disposable glove

34. 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?:

Disposable Gloves

Eyes protection

Gown and apron

Surgical mask

Disposable glove and N 95 mask

35. Choose the correct statement for hand hygiene with soap and water and alcohol apply to:

The doctors and nurses, but not for cleaning staffs.

Technical laboratory, pharmacist and people concern by washing your hands with soap & water.

All cleaners and nurses by washing your hands with soap and water.

All people who provided health care services, included patients and patient's family.

Patient and patient's member included visitor

36. Choose the correct statement for safe handling of equipment and soiled linen.:

It is ok not to change the bed linen in between patients if the previous one didn’t bleed.

Thermometer can be shared between patients if it is wiped with wet tissue.

All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again.

Safe handling of equipment soak, clean, dry, packaging, sterilization and storage to reuse

All of the above

37. Choose the correct example of clean healthcare facility environment.:

One trash can is shared by all patients in the ward

Cleaning staff cleans the floor with the broom only

Water sink in the shared bathroom is broke

Cleaning staff cleans the operation room at least twice a day

None of the above

38. Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury.:

Nurse close the cap of the needle after the injection procedure

Doctor is wearing a mask, but not the gloves when injecting

Needles are thrown away in the trash can without lid

Safety box or sharp box container and AD syringes.

None of the above

39. Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient.:

Gown

Mask

Gloves

Surgical mask

Disposable glove and surgical mask

40. 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?:

To performs hand hygiene and wears disposable gloves

To clean and disinfected area with alcohol

To use safety box to collect the single used of needle and syringe

To clean hand, used disposable gloves, safety book to collect the syringe & needle

41. Who should perform respiratory hygiene?:

Doctors when dealing with coughing patients

Patient who is diagnosed with flu

Visitor who is sneezing

All of the above

42. Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed?:

To prevent spreading the air-borne disease

To prevent the nurses to contact patient

To prevent spreading the droplet-borne disease

To prevent the contamination of pathogens to other people

To prevent the close contact people

43. What disease can be prevented by performing good respiratory hygiene?:

Tuberculosis

Hepatitis B

Hepatitis C

HIV

All of the above

44. Choose incorrect example of respiratory hygiene practice.:

Covering nose when coughing

Wiping nose with hand when sneezing

Throwing away the used tissue to the trash bin

Washing hands regularly

45. Choose the correct example of performing respiratory hygiene.:

Doctor shaking hands with all the patients to be friendly

Patient using a box of tissue while coughing and sneezing

Visitor who came to see the flu patient, not wearing any mask

All of the above

None of the above

46. What is the lesson learnt from global outbreaks of ZIKA, Ebola and MERS?:

Infectious disease is unavoidable.

Timely and adequate application of IPC, especially in the healthcare facility, is critical

People should not travel to dangerous countries

It’s impossible to stop the transmission of infectious disease without vaccine.

All of the above

47. Why is it important to manage an infectious disease in the healthcare facility?:

Managing the early case can help prevent the outbreak in the community

It can detect the early emergence/re-emergence of pathogens.

It is important to protect the health of healthcare facility staffs.

When managed poor, it could be a great public health concern.

All of the above.

48. Choose the most correct implementation of triage zone.:

Triage zone is set up without any staff

Triage zone is set up in the hospital, before the entrance to any other facilities.

Triage zone is set up in the separate building from other facilities.

Triage zone is set up but in one corner of the health center room.

None of the above.

49. Choose the correct description about triage zone.:

Only highly infectious patients should go through triage zone.

Staffs need to wear a gown and gloves, but not mask.

It is better to be close to ICU so that severe patients can be rapidly transferred

Patients may be required to wear PPE depending on their symptom

The distance between patient and the staff has to be minimum 2 meters away

50. Choose the patient that would require to be accommodated in an Isolation Room.

Children with high fever (38 °C) coughing and shortness of breath without confirmed diagnosis

Patient who came with a hemorrhagic fever

Unconscious patient from traffic accident

Children with high fever (38 °C) coughing and shortness of breath without confirmed diagnosis and Patient who came with a hemorrhagic fever

All of the above

51. Choose the correct implementation of Isolation Unit.:

Curtain is installed for patients’ convenience

General access area is for staffs to change into PPE

Air flows from inside to outside

All furniture is made of plastic

There is no sign of “Isolation Unit” outside in order to avoid fear from public

52. Choose the correct description about Isolation Unit.:

Patients can share the isolation unit if their symptom is same.

Patients can share the isolation unit regardless of their symptom.

Staff wearing PPE can enter the isolation unit without further procedure.

Every waste produced from isolation unit can be disposed in one trash can.

None of the above

53. Choose the incorrect description about transfer procedure of infectious patient.:

If possible, use ambulance rather than ordinary vehicle.

Choose the shortest route as possible.

Driver does not have to wear any PPE when driver seat is separated from the patient’s seat with the glass wall.

Both patients and staff needs to wear surgical mask, gown, gloves and other necessary PPEs.

Clean and disinfect the car after the transfer is finished.

54. 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.

1-2-3-4-5

2-4-1-3-5

5-2-1-3-4

3-1-5-2-4

3-2-5-1-4

55. Choose the appropriate behavior for staff working with infectious patients.:

Staffs move between triage zone and isolation unit wearing the same PPE

Staffs move in between general access area and isolation room wearing the same PPE

Staffs scratch their face with the protection glove on in the triage zone

Staffs call the patient in the isolation room instead of going in

Staff still comes to work when having a mild fever

56. What is Nosocomial Infection (NI)?:

NI is defined as infections acquired within 24 hours after hospital admission

NI is only applicable for infections acquired by patients

NI is a part of HAI (Healthcare Associated Infection)

NI includes the infections that were acquired outside the hospital, but appeared after the admission

All of the above

57. Why is it important to prevent Nosocomial Infection?:

It can cause extra financial burden to patients

It can be life-threatening to both patients and healthcare staffs

It increases the cost of healthcare facility management

A and b

All of the above

58. Choose the common site of Nosocomial Infection.:

Catheter-Associated Blood Stream Infection (CABSI)

Urinary Tract Infection (UTI)

Surgical Site Infection (SSI)

A and c

All of the above

59. What is the correct example of handling urinary catheter?:

Provide prophylactic antibiotics to all patients with urinary catheter

Wearing gloves when connecting the catheter to patients

Using urinary catheter for patients with flexible mobility

Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much

60. What is the potential risk factor of Surgical Site Infection(SSI)?:

Patient’s pre-disposed symptoms

Long duration of the operation

Antibiotic prophylaxis

All of the above

61. Why is it important to prevent SSI?:

It can cause incremental cost to patients

It is an immediate threat to patient mortality

It is an important cause of additional morbidity

It may contributes to increased Antimicrobial Resistance (AMR)

All of the above

62. Choose the correct prevention practice against SSI.:

Always remove hair on the surgical site before the operation

Perform a surgical scrub with antiseptic product immediately before the operation

Always administer prophylactic antimicrobial agent

All of the above

63. Who is exposed to the risk factor of Nosocomial Pneumonia?:

Patient in the same ward as pneumonia patient

Patient who is aided with mechanical ventilation

Post-operation patient who stays in bed without mobility

All of the above

64. 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

1, 3, 5

1, 5

1, 2, 3, 5

3, 5

1, 2, 3, 4, 5

65. What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)?:

Insertion of intravenous catheter for nutrition feeding when patient lost appetite

Cleaning skin with disinfectant before inserting the catheter

Use of surgical drape to cover the insertion spot

Use of gown and gloves for staffs performing insertion procedure

None of the above

66. What describes the incorrect way to prevent CABSI?:

Do not perform CABSI when alternative oral feeding method is possible

Plug needle directly into infusion bottle to avoid using unnecessary equipment

Protect the insertion site with a sterile dressing

Remove the catheter as early as possible

None of the above

67. What is the incorrect description of Injection Safety?:l

Use of safety box with puncture-proof function

Immediate throw-away of disposable items after usage

Use of disposable glove

Performing post-exposure prophylaxis when accidentally exposed to the risk

Recapping of needles

68. Choose the incorrect statement about Pressure Ulcer:

It is caused by the constant pressure applied to skin exposed to source of infection

It can spread further infection to the deeper skin layer

It can be avoided by regularly mobilizing the patient

It can be avoided by regularly washing the patient at least twice a day

None of the above

69. What is the definition of Antimicrobial Resistance (AMR)?:

It is the ability for human to resist microorganism

It is the ability for human to resist chemicals

It is the ability for microorganism to resist human immune system

It is the ability for microorganism to resist chemicals that would normally kill or limit their growth

It is the ability for chemicals to resist microorganism

70. How can we avoid/combat AMR?:

Prescribe antibiotics whenever possible to avoid infection

Use routine prophylactic antibiotics before operation

Recommend patients to discontinue taking antibiotics immediately when symptoms disappear

Revise the antibiotic guidelines and protocols whenever the new AMR is detected

All of the above

71. Choose the incorrect statement about Occupational Health and Safety (OHS).:

It includes the prevention of illness, accident and injury from the work

It is the specific terminology that is applied to healthcare facility staffs only

It includes the promotion and maintenance of all aspects of health

Healthcare Facility staffs are responsible for their own OHS

Healthcare management staffs are responsible for their employees’ OHS

72. What should be included in the scope of Occupational Health and Safety(OHS)?:

Physical health

Mental health

Social well-being

All of the above

73. Choose the incorrect statement about Healthcare Facility(HCF) staffs’ OHS.:

HCF staffs are exposed to greater risk of OHS hazard than many other occupations

All staffs should be aware of IPC program and OHS policy to be able to protect themselves

All HCF staffs should be properly immunized

Post-exposure Prophylaxis should be available for everyone

When exposed to infectious pathogen, staff should immediately go home to avoid further transmission

74. Choose the right element of HCF OHS policy/IPC program.:

Treatment for infectious diseases (HIV, HepB, etc)

Regular medical check-up for staffs

Vaccination for staffs

Post-exposure emergency leaves

All of the above

75. What are the common hazards in HCF?:

Exposure to toxic chemicals

Exposure to infectious diseases

Exposure to heavy stress

Exposure to physical hazards (noise, heavy lifting, etc)

All of the above

76. 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

2, 4, 5

1, 3, 4, 5

1, 3, 4

1, 4, 5

1, 4, 5, 6

77. Choose the incorrect statement about Chemical Hazard at HCF.:

Main route of exposure is through skin absorption

Minor skin irritation doesn’t have to be reported

Clear labeling, formal training and available emergency procedure is important

All staffs should wear proper Personal Protection Equipment (PPE)

None of the above

78. Choose the correct example of exposure to chemical hazard.

Doctor wearing latex gloves developed minor skin irritation

Nurse who worked in the hospital for 10 years developed Asthma

Cleaning staff accidentally spilled the bottle of glutheraldehyde

All of the above

79. Choose the incorrect statement about Occupational Incident Management at HCF.:

HCF should have a OHS policy and OHS team who is in charge of the incident management

Exposed staff should assess the risk before reporting to the right contact

If there is no immediate threat or symptom, staff should try to continue working as much as possible for patients.

Incident management procedure has to be strictly followed

None of the above

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

4.Follow the post-exposure procedure and perform Post-exposure Prophylaxis(PEP) as needed 5.Monitor and follow up 6.Quickly assess the risk

2-4-5-6-3-1

2-3-1-6-4-5

3-1-2-6-4-5

2-6-3-4-1-5

2-3-6-4-1-5

81. Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)?:

It provides the safe workplace for HCF staffs

It provides the safe environment for patients

Poorly managed HCF environment could raise the Nosocomial Infection rate

It provides the safe environment for caregivers and visitors

All of the above

82. Choose the correct example of safe HCF environment.:

Sink in the bathroom is broken and water is leaking

Hospital corridor is full of people

Paint on the wall is scratched and removed

Window is closed in the operation room

None of the above

83. What is not relevant to HCF environment?:

Safe water

Building design and construction

Food safety

Safe commuting route

Ventilation

84. Choose incorrect statement about ventilation in HCF.:

It should be designed to reduce microbial contamination

Window should be always open for natural ventilation

Mosquito screen or mosquito net should be provided when window is open

Every patient room has to have window directly connected to outside

None of the above

85. Choose the correct example of HCF ventilation.:

Window is blocked with TV screen in the patient room

Window is open and mosquito net is installed in the patient room

Isolation room has a ceiling fan to make air circulate to outside

B and c

None of the above

86. How can HCF ensure the quality of water?:

Regular monitoring and evaluation of water supply

Regular monitoring and evaluation of water treatment process

Regular monitoring and evaluation of water quality

All of the above

87. What is the correct statement about food safety at HCF?:

All food for patients must be prepared by authorized hospital kitchen

If visitor brings food from outside, it’s better to share the food with others

If the risk of going wrong is small, it’s ok to keep the food outside the refrigerator

It’s not a big problem to store raw fruit and cooked food together

None of the above

88. What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind?:

Numbers and types of rooms

Distance between each patient bed

Route of the laundries being transported in the building

Materials used for floor, type of furnitures

All of them are important

89. Choose the correct statement about HCF environment.:

It is important to accurately quantify the impact of HCF environment to Nosocomial Infection

Environmental cause is easily separable from other causes of Nosocomial Infection

Having a safe environment is crucial for the safety of patients, staffs and visitors

All of the above

90. Which is NOT part of the most high risk areas of nosocomial infection in Healthcare Facility (HCF)?:

Emergency room

Operating room

Laboratory

Outpatient consultation room

Neo-natal unit

91. Choose the incorrect statement:

Regardless of the location, everywhere inside HCF is exposed to the risk of Nosocomial Infection.

IPC standard precautions must always be applied everywhere in HCF

All hospital laboratories require equal level of IPC precautions

All staffs should be trained for IPC precautions regardless of their task

None of the above

92. Choose the correct description of IPC precautions in Emergency Room (ER).:

When the ER gets too crowded with patients, it is ok for patients with mild symptom to share the bed.

Staffs should change the PPE every hour to avoid Nosocomial Infection

The distance between each patient should be at least 1.5 meter

To avoid humidity, ER room should not be installed with water sink

Separate triage area should be installed with hand hygiene equipment

93. Choose the incorrect way of decreasing risk of Surgical Site Infection (SSI).:

Operation Room should be cleaned at least twice a day

Pre-operative disinfection/sterilization should be performed for both patient and equipment

Surgical staffs should perform the equal hand hygiene procedure as they do outside OR

Proper post-operation follow-up is crucial to avoid Nosocomial Infection

None of the above

94. Choose the correct description of OR environment.:

Thirty air changes per hour (30ACH) is maintained

Air flows from OR to outside

Temperature should be controlled between 20~25 ˚C

All equipment after operation should be cleaned in the OR

All of the above

95. Choose the correct IPC behavior of surgical staffs.:

For prolonged surgery, it is ok to eat in the OR

They can bring mobile phone as long as they don’t use it

When temperature is too hot, it is ok to let the window open

Entrance to the room should be strictly limited to necessary personnel only

If doctor drop the mass on his knee in a sitting position, it is ok to pick it up and use it

96. Why are the patients in ICU and Neo-Natal unit at higher risk to develop nosocomial infection?

They are severely ill and/or immune-compromised

They usually need invasive devices: e.g. Endotracheal tube, IV line, feeding tube, etc,.

They usually need supportive apparatus: e.g. Mechanical ventilation

All of the above

97. Choose the correct practice of IPC precautions in ICU and Neo-natal unit:

One alcoholic hand rub (AHR) is needed per one room

Completely prohibit the visitors from outside

Upon patient discharge, all personal equipment should be discarded

Children is not recommended to visit ICU

Incubator should be changed every week

98. Which levels of BSL does the lab technician need to pay attention for airborne transmission?:

BSL2

BSL3

BSL4

BSL3 and BSL4

All of the above

99. Choose the incorrect statement regarding laboratory biosafety.:

All laboratory technicians should be aware what biosafety level their working environment is

Level of biosafety can be defined differently per each country

All laboratory technicians should be trained to keep themselves safe from hazards

All biosafety level requires staffs to wear Personal Protection Equipment

Lab technicians are required to have pre-employment health check-up and vaccination

100. 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?:

Poor hand hygiene of practicing doctors

Level of hygiene in the delivery room was lower than the other division.

Medical students might have used equipment that are not perfectly disinfected

Midwives have better skills to assist delivery to avoid unnecessary infection.

All of the above

101. If you were Dr. Semmelweis, what would you have implemented to solve this mortality disparity?:

Close down the division where higher mortality occurred

Stop accommodating medical students for the practice

Accept only healthy mothers to the Maternal clinic

Enhance the hygiene control for all staffs, facilities and equipment

All of the above

102. What is the objective of Infection Prevention and Control (IPC) program in the hospital?:

To reduce the risk and incidence of Nosocomial Infection

To ensure safety of the patients, but not the doctors and nurses

To attract more patients with the cleaner look of the hospital

To prescribe more antibiotics to patients to earn more money

All of the above

103. Who is responsible to execute Infection Prevention and Control practices?:

Cleaning staffs of the hospital

Visitors of the patients

Doctors who performs major intrusive surgery

All of the above

104. In what way can hospital implement effective Infection Prevention and Control program?:

Financial penalty to incompliance

Ban all external visitors

Limit the hospitalization of patients with highly infectious disease

Provide exclusive training to front-line doctors

Provide continuous training and education to all staffs working in the facility

105. Choose the correct statement:

In Cambodia, Healthcare-Associated Infection (HAI) is not considered as a significant problem.

Ministry of Health let every healthcare facility to freely choose whether or not to implement Infection Prevention and Control (IPC) program.

Infection Prevention and Control (IPC) program should be a continuous effort of all healthcare facility staffs.

Patients have no role to play in hospital IPC program.

None of the above

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