Year 2DD/Infection control/Prof.Sok Srun/
Infection Control Quiz
Test your knowledge on infection control practices and waste management in healthcare settings with this comprehensive quiz designed for healthcare professionals and students alike.
Join us to explore key topics including:
- Types of waste in healthcare
- Microorganism identification
- Infection prevention strategies
1. មូលដ្ឋានឝែទាំសុឝភាពអាចផលិឝ សំណល់ពីស៝វាឝែទាំសុឝភាព៖:
σ សំណល់ទូទៅនិង សំណល់វ៝ជ្ជសាស្រ្ឝ
σ សំណល់ទូទៅ និងសំណល់ឆ្លងរោគ
σ សំណល់ទូទៅ និងសំណល់ឆ្លងរោគ រួមទាំងសំណល់ឱសឝ
σ សំណល់ទូទៅ និងសំណល់ឆ្លងរោគ រួមទាំងសំណល់ឱសឝ និងសំណល់មុឝស្រួច
σ សំណល់ទូទៅ និងសំណល់ឆ្លងរោគ រួមទាំងសំណល់ឱសឝ និងសំណល់វិទ្យុសកម្ម
2. សំណល់ទូទៅៈ ដូម្ឝ៝ចទៅជាសំណល់ទូទៅ
σ សំណល់ទូទៅមានច្រើនប្រភ៝ទ
σ សំណល់ទូទៅៈ មិនពុល គ្មានគ្រោះឝ្នាក់ មិនបង្កការចម្លងរោគ
σ សំណល់ទូទៅជាសំណល់ផ្ទះបាយ និងសំណល់ទីផ្សារ
σ សំណល់ទូទៅជាសំណល់ទទួលឝុសឝ្រូវរបស់អាជ្ញាធរមូលដ្ឋាន
σ សំណល់ទូទៅជាសំណល់ ដែលមានសភាព រឹង រាវ ពាក់កណ្ឝាលរឹង
3. សំណល់ទូទៅៈ ដូម្ឝ៝ចទៅជាសំណល់វ៝ជ្ជសាស្រ្ឝ:
σ សំណល់ឆ្លងរោគមួយប្រភ៝ទ
σ សំណល់ឆ្លងរោគ សរីរាង្គកាយ មុឝស្រួច
σ សំណល់មានចំនួនប្រាំបួនប្រភ៝ទផ្ស៝ងៗគ្នា
σ សំណល់ឆ្លងរោគ សរីរាង្គកាយ មុឝស្រួច និងសំណល់ឱសឝ
σ សំណល់ឆ្លងរោគ សរីរាង្គកាយ មុឝស្រួច សំណល់ឱសឝ និងវិទ្យុសកម្ម
4. សំណល់វ៝ជ្ជសាស្រ្ឝ៖ ឝើសំណល់គីមី និងសំណល់ឱសឝមានលក្ឝណដូចម្ឝ៝ច?:
σ សំណល់មានលក្ឝណៈដូចឝែគ្នា
σ សំណល់មានលក្ឝណៈរឹង រាវ និងឧស្ម៝នដូចគ្នា
σ សំណល់មានលក្ឝណៈរឹង រាវ និងឧស្ម៝នដូចគ្នា ឝែប្រឝិកម្មវាឝុសគ្នា
σ សំណល់គីមី (រឹង រាវ និងឧស្ម៝ន) ឝុសពីសំណល់ឱសឝ មានសមាសភាពណាមួយ ក្នុងចំណោមសមាសភាព ពុល កាឝ់ស៊ី ផ្ទុះ និងប្រឝិកម្ម
σ សំណល់ឝុសគ្នាឝាមរូបមន្ឝគីមី
5. សំណល់ឆ្លងរោគ សំដៅលើ៖ :
σ សំណល់ក្រុមម៝រោគ(បាក់ឝ៝រី ប៉ារ៉ាស៊ីឝ វីរុស និងផ្សិឝ)
σ សំណល់ក្រុមម៝រោគ និងសឺរាំងម្ជុលដែលប្រើរួច
σ សំណល់ក្រុមម៝រោគ និងវឝ្ឝុមុឝស្រួច
σ សំណល់ក្រុមម៝រោគ វឝ្ឝុមុឝស្រួច ឈាម ទឹកនោម ឬស្បៃប្រឡាក់ឈាម
σ សំណល់ពពួកក្រុមម៝រោគ សំឡីប្រឡាក់ឈាម ឝ្ទុះ ស្បៃរុំរបួស វឝ្ឝុមុឝស្រួច រួមទាំងសឺរ៉ាំម្ជុលប្រើរួច
6. សំណល់សរីរាង្គកាយ សំដៅលើ៖ :
σ សំណល់សុក ទារកស្លាប់
σ សំណល់សុក ទារកស្លាប់ និងឈាម
σ សំណល់សុក ទារកស្លាប់ ជាលិកា ទឹករងៃ និងឈាម
σ សំណល់កំណាឝ់អវៈយវៈ
σ សំណល់ប្រភ៝ទ សំណល់សុក ទារកស្លាប់ ជាលិកា ទឹករងៃ និងឈាម និងសំណល់កំណាឝ់អវៈយវៈ
7. ឝើការបែងចែកសំណល់វ៝ជ្ជសាស្រ្ឝជាប្រាំបួនប្រភ៝ទផ្ស៝ងគ្នាពីព្រោះ ៖ :
σ សំណល់ទាំងអស់នោះ ប្រព្រឹឝ្ឝកម្មវាឝុសៗគ្នា
σ សំណល់វាងាយស្រួលធ្វើការវ៝ចឝ្ចប់ និងដឹកជញ្ជូន
σ សំណល់វាងាយស្រួលធ្វើការវ៝ចឝ្ចប់ និងដឹកជញ្ជូន ឬគ្រប់គ្រង
σ សំណល់ទាំងនោះចែកឝាមអង្កកាសុឝភាពពិភពលោក
σ សំណល់ទាំងនោះចែកឝាមអង្កកាសុឝភាពពិភពលោក ប្រភ៝ទពណ៌ ឝង់ និងធុង
8. ការប្រុងប្រយ៝ឝ្នជាស្ឝង់ដារ មុននឹងលាងរបួសអ្នកជំងឺម្នាក់ ឝ្រូវលាងដៃ ទើបពាក់ស្រោមដៃ និងប្រឝិបឝ្ឝិ ចប់ប៝សសកម្មយើងឝ្រូវដោះស្រោដៃវិញ ឝើស្រោមដៃជាសំណល់អ្វី?:
σ សំណល់វ៝ជ្ជសាស្រ្ឝ
σ សំណល់វ៝ជ្ជសាស្រ្ឝ ប្រភ៝ទឆ្លងរោគ
σ សំណល់ទូទៅ
σ សំណល់សរីរាង្គកាយ
σ សំណល់សំលាប់ម៝រោគហើយ អាចប្រើឡើងវិញបាន
9. អ្នកជំងឺម្នាក់រាគឝ្វះជាឝិទឹក ឝ្រូវការចាក់ស៝រ៉ូម ១០០០ម.ល ព៝លអស់ស៝រ៉ូម យើងឝ្រូវបោះវាចោល បើយើងដកម្ជុល និងឝ្សែបន្ឝោងវាច៝ញពី ប្លោកឝើប្លោកស៝រ៉ូមទទ៝រជាសំណល់អ្វី?:
σ សំណល់ទូទៅ
σ សំណល់ឆ្លងរោគ
σ សំណល់ឱសឝ
σ សំណល់គីមី
σ សំណល់ សំណល់ឆ្លងរោគ និងសំណល់ឱសឝ
10. អ្នកជំងឺម្នាក់រាគឝ្វះជាឝិទឹក ឝ្រូវការចាក់ស៝រ៉ូម ១០០០ម.ល ព៝លអស់ស៝រ៉ូម យើងឝ្រូវបោះ ចោលវា បើយើងដកម្ជុល និងឝ្សែបន្ឝោងវាច៝ញ ពីប្លោកស៝រ៉ូម ឝើម្ជុល និងទ្រូសជាសំណល់អ្វី?:
σ សំណល់ទូទៅ
σ សំណល់វឝ្ឝុមុឝស្រួច
σ សំណល់ឆ្លងរោគ
σ សំណល់គីមី
11. គិលានុដ្ឋាកម្នាក់បានរៀបចំចាក់ឝ្នាំអង់ទីប៊ីយោទិកដល់អ្នកជំងឺម្នាក់ បន្ទាប់ពីបូមឝ្នាំពីដបអស់នៅឝែ សំបកដបឝ្នាំទទ៝គ្មានទឹកឝ្នាំ ឝើសំបកដបន៝ះ ជាប្រភ៝ទសំណល់អ្វី?:
σ សំណល់ឱសឝ
σ សំណល់គីមី
σ សំណល់ទូទៅ
σ សំណល់វ៝ជ្ជសាស្រ្ឝ
σ សំណល់គ្រោះឝ្នាក់
12. បន្ទាប់ពីគិលានុដ្ឋាកឝាងលើបានចាក់សាច់ដុំឲ្យអ្នកជំងឺរួច ដកម្ជុលដាក់ក្នុងប្រអប់សុវឝ្ឝិភាព រួចគាឝ់យកសឺរ៉ាំងទទ៝គ្មានប្រឡាក់ឈាមដាក់ក្នុងធុងសំណល់៖:
σ សំណល់ឱសឝ
σ សំណល់គីមី
σ សំណល់ទូទៅ
σ សំណល់មុឝស្រួច
σ សំណល់គ្រោះឝ្នាក់
13. Choose the correct linkage of microorganism and its examples:
σ Virus – Hepatitis B
σ Fungi – Streptococcus
σ Parasite – Escheria coli
σ Bacteria – Plasmodium falciparum
σ All of the above
14. What is the most common pathogen of nosocomial infection in HCFs?
σ Virus
σ Bacteria
σ Parasites
σ Fungi
σ Mix bacteria and virus
15. Choose the correct statement.:
σ Any bacteria, once entered human body, is pathogenic
σ Any virus, once entered human body, causes immediate symptoms
σ Fungi infection can be easily treated by antimicrobiotics
σ Normal flora does not cause any nosocomial infection in any case
σ None of the above
16. Choose the correct statement bacteria to comment skin infection and also prothesis infection:
σ Bacteria Gram (+) Staphylococcus
σ Bacteria Gram (+) Streptococcus
σ Bacteria Gram (+) Enterococcus
σ Bacteria Gram (-) E-coli
σ Bacteria Gram (-) Pseudomonas
17. Choose the correct statement bacteria to comment infection gangrene
σ Bacteria Gram (+)Staphylococcus
σ Bacteria Gram (+) Streptococcus
σ Bacteria Gram (+)Enterococcus
σ Bacteria Gram (-)Anaerobia
σ Bacteria Gram (-) Pseudomonas
18. Choose the correct statement bacteria gram (-) to common infection as urinary tract infection
σ Staphylococcus
σ Escherichia coli (E-coli)
σ Klebsiella pneumoniae
σ Anaerobia
σ Pseudomonas
19. How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from?:
σ Patients to patients
σ Patients to health care workers (HCWs) and HCWs to patients
σ Patients to environment and crossed environment to patient and HCWs
σ Patient to visitors and HCWs
σ 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:
σ Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host
σ Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host
σ Bacteria, reservoir, mode of transmission, place of entry, host, and environment
σ Reservoir, fungus, mode of transmission, place of entry, host, and environment
σ Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism
21. What is the entry germs or micro-organism to “Susceptible host” are?:
σ Children under age 5
σ Patients who have been with chronic diseases
σ People who have a multiple history of infection to microorganisms, especially elderly people
σ People who have a low resistance against pathogen included pregnant women
σ Patients who gets stress with TB and AIDS more easily than others
22. Who could be the “Susceptible host” of micro-organism?:
σ Pregnant women and children under 5 years of age
σ People who are working in healthcare facilities
σ Nurses and physicians who performs regular injection task and examination people
σ Elderly people with chronic diseases
σ 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.:
σ Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken.
σ IPC aims to cut the pathways in the Chain of Infection
σ IPC aims to control the elements of the Chain of Infection.
σ IPC aims to control the elements of the Chain of Infection.
σ 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:
σ Remove the reservoir of micro-organism
σ Block the mode of transmission
σ Remove all risky micro-organisms
σ Remove the reservoir of micro-organism and block the mode of transmission
σ All of the above excepted
25. Choose the correct statement.:
σ Chain of infection only exists in the hospital setting.
σ Chain of infection can be usually controlled well by tackling 1 of the 6 elements
σ It is more effective to control Reservoir than to control portal of exit.
σ Holistic IPC program is needed to effectively control the chain of infection
σ None of the above.
26. What is definition of pathogens?:
σ Toxic chemicals
σ Microorganisms that produces toxic chemicals
σ Microorganisms that damage the human host by direct invasion or by toxic products
σ Any agent, including chemicals, microorganisms and heavy metals that damage the human host
σ None of the above
27. Choose the correct linkage of microorganism and its description.:
σ Virus – multicellular organism
σ Fungi – has no nucleus
σ Bacteria – reproduces by replication and cellular fusion
σ Parasites – lives inside the cell
28. Choose the correct statement about standard precautions.:
σ Standard precaution is not necessary for outpatient consultation
σ Risk assessment should be performed only for susceptible host.
σ IPC standard precautions HCWs should be applied for all patients at all time
σ To clean hand and selected PPE to use
σ IPC standard precautions HCWs should be applied for selected patients not to all.
29. Choose the correct statement about additional precautions.:
σ Additional precaution is not necessary for general outpatient consultation
σ When necessary, HCWs staff must change from standard precaution to additional precautions.
σ Needs of additional precaution dependent on pathogen’s mode of transmission.
σ To use additional precaution is better than standard precaution
σ None of the above
30. What is not considered during the IPC risk assessment?
σ Medical procedure to be performed
σ Risk of contacting body fluid
σ Patient’s blood type
Pre-diagnosed condition or symptoms
σ None of the above
31. Choose the correct IPC standard precautions to apply:
σ Hand hygiene and to select PPE to use
σ hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette
σ There are five componence hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management
σ Hand hygiene, safe handling of equipment, environment cleaning, health care waste management,
σ 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:
σ Disposable Gloves only
σ Eyes protection
σ Gown
σ Surgical mask
σ 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?:
σ Disposable Gloves
σ Eyes protection
σ Gown
σ Surgical mask
σ 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?:
σ Disposable Gloves
σ Eyes protection
σ Gown and apron
σ Surgical mask
σ Disposable glove and N 95 mask
35. Choose the correct statement for hand hygiene with soap and water and alcohol apply to:
σ The doctors and nurses, but not for cleaning staffs.
σ Technical laboratory, pharmacist and people concern by washing your hands with soap & water
σ All cleaners and nurses by washing your hands with soap and water.
σ All people who provided health care services, included patients and patient's family.
σ Patient and patient's member included visitor
36. Choose the correct statement for safe handling of equipment and soiled linen.:
σ It is ok not to change the bed linen in between patients if the previous one didn’t bleed.
σ Thermometer can be shared between patients if it is wiped with wet tissue.
σ All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again.
σ Safe handling of equipment soak, clean, dry, packaging, sterilization and storage to reuse
σ All of the above
37. Choose the correct example of clean healthcare facility environment.:
σ One trash can is shared by all patients in the ward
σ Cleaning staff cleans the floor with the broom only
σ Water sink in the shared bathroom is broke
σ Cleaning staff cleans the operation room at least twice a day
σ None of the above
38. Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury.:
σ Nurse close the cap of the needle after the injection procedure
σ Doctor is wearing a mask, but not the gloves when injecting
σ Needles are thrown away in the trash can without lid
σ Safety box or sharp box container and AD syringes
σ None of the above
39. Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient.:
σ Gown
σ Mask
σ Gloves
σ Surgical mask
σ 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?:
σ To performs hand hygiene and wears disposable gloves
σ To clean and disinfected area with alcohol
σ To use safety box to collect the single used of needle and syringe
σ To clean hand, used disposable gloves, safety book to collect the syringe & needle
41. Who should perform respiratory hygiene?:
σ Doctors when dealing with coughing patients
σ Patient who is diagnosed with flu
σ Visitor who is sneezing
σ All of the above
42. Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed?:
σ To prevent spreading the air-borne disease
σ To prevent the nurses to contact patient
σ To prevent spreading the droplet-borne disease
σ To prevent the contamination of pathogens to other people
σ To prevent the close contact people
43. What disease can be prevented by performing good respiratory hygiene?:
σ Tuberculosis
σ Hepatitis B
σ Hepatitis C
σ HIV
σ All of the above
44. Choose incorrect example of respiratory hygiene practice.:
σ Covering nose when coughing
σ Wiping nose with hand when sneezing
σ Throwing away the used tissue to the trash bin
σ Washing hands regularly
45. Choose the correct example of performing respiratory hygiene.:
σ Doctor shaking hands with all the patients to be friendly
σ Patient using a box of tissue while coughing and sneezing
σ Visitor who came to see the flu patient, not wearing any mask
σ All of the above
σ None of the above
46. What is the lesson learnt from global outbreaks of ZIKA, Ebola and MERS?:
σ Infectious disease is unavoidable.
σ Timely and adequate application of IPC, especially in the healthcare facility, is critical
σ People should not travel to dangerous countries
σ It’s impossible to stop the transmission of infectious disease without vaccine
σ All of the above
47. Why is it important to manage an infectious disease in the healthcare facility?:
σ Managing the early case can help prevent the outbreak in the community
σ It can detect the early emergence/re-emergence of pathogens.
σ It is important to protect the health of healthcare facility staffs.
σ When managed poor, it could be a great public health concern.
σ All of the above.
48. Choose the most correct implementation of triage zone.:
σ Triage zone is set up without any staff
σ Triage zone is set up in the hospital, before the entrance to any other facilities.
σ Triage zone is set up in the separate building from other facilities.
σ Triage zone is set up but in one corner of the health center room.
σ None of the above.
49. Choose the correct description about triage zone.:
σ Only highly infectious patients should go through triage zone.
σ Staffs need to wear a gown and gloves, but not mask.
σ It is better to be close to ICU so that severe patients can be rapidly transferred
σ Patients may be required to wear PPE depending on their symptom
σ 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.
σ Children with high fever (38 °C) coughing and shortness of breath without confirmed diagnosis
σ Patient who came with a hemorrhagic fever
σ Unconscious patient from traffic accident
σ Children with high fever (38 °C) coughing and shortness of breath without confirmed diagnosis and Patient who came with a hemorrhagic fever
σ all of the above
51. Choose the correct implementation of Isolation Unit.:
σ Curtain is installed for patients’ convenience
σ General access area is for staffs to change into PPE
σ Air flows from inside to outside
σ All furniture is made of plastic
σ There is no sign of “Isolation Unit” outside in order to avoid fear from public
52. Choose the correct description about Isolation Unit.:
σ Patients can share the isolation unit if their symptom is same.
σ Patients can share the isolation unit regardless of their symptom
σ Staff wearing PPE can enter the isolation unit without further procedure.
σ Every waste produced from isolation unit can be disposed in one trash can
σ Every waste produced from isolation unit can be disposed in one trash can
53. Choose the incorrect description about transfer procedure of infectious patient.:
σ If possible, use ambulance rather than ordinary vehicle
σ Choose the shortest route as possible.
σ Driver does not have to wear any PPE when driver seat is separated from the patient’s seat with the glass wall
σ Both patients and staff needs to wear surgical mask, gown, gloves and other necessary PPEs
σ Clean and disinfect the car after the transfer is finished
54. Arrange the provided steps to enter Isolation Unit in a correct order.:
σ 1-2-3-4-5 1.Person should write their name in the General Access Area
σ 2-4-1-3-5 2.Person should change to appropriate PPE in the changing room
σ 5-2-1-3-4 3.Person must go through training before entering the Isolation Unit
σ 3-1-5-2-4 4.Before leaving, PPE should be slowly taken out in the changing room
σ 3-2-5-1-4 5.Person should perform the hand hygiene procedure
55. Choose the appropriate behavior for staff working with infectious patients.:
σ Staffs move between triage zone and isolation unit wearing the same PPE
σ Staffs move in between general access area and isolation room wearing the same PPE
σ Staffs scratch their face with the protection glove on in the triage zone
σ Staffs call the patient in the isolation room instead of going in
σ Staff still comes to work when having a mild fever
56. What is Nosocomial Infection (NI)?:
σ NI is defined as infections acquired within 24 hours after hospital admission
σ NI is only applicable for infections acquired by patients
σ NI is a part of HAI (Healthcare Associated Infection
σ NI includes the infections that were acquired outside the hospital, but appeared after the admission
σ All of the above
57. Why is it important to prevent Nosocomial Infection?:
σ It can cause extra financial burden to patients
σ It can be life-threatening to both patients and healthcare staffs
σ It increases the cost of healthcare facility management
σ a and b
σ all of the above
58. Choose the common site of Nosocomial Infection.:
σ Catheter-Associated Blood Stream Infection (CABSI)
σ Urinary Tract Infection (UTI)
σ Surgical Site Infection (SSI)
σ a and c
σ All of the above
59. What is the correct example of handling urinary catheter?:
Provide prophylactic antibiotics to all patients with urinary catheter
σ Wearing gloves when connecting the catheter to patients
σ Using urinary catheter for patients with flexible mobility
σ 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)?:
σ Patient’s pre-disposed symptoms
σ Long duration of the operation
σ Antibiotic prophylaxis
σ all of the above
61. Why is it important to prevent SSI?:
σ It can cause incremental cost to patients
σ It is an immediate threat to patient mortality
σ It is an important cause of additional morbidity
σ It may contributes to increased Antimicrobial Resistance (AMR)
σ All of the above
62. Choose the correct prevention practice against SSI.:
62. Choose the correct prevention practice against SSI.:
σ Perform a surgical scrub with antiseptic product immediately before the operation
σ Always administer prophylactic antimicrobial agent
σ All of the above
63. Who is exposed to the risk factor of Nosocomial Pneumonia?:
σ Patient in the same ward as pneumonia patient
σ Patient who is aided with mechanical ventilation
σ Post-operation patient who stays in bed without mobility
σ All of the above
64. What describes the right prevention of Nosocomial Pneumonia?:
σ 1, 3, 5 1.Perform hand hygiene procedure
σ 1, 5 2.Elevation of bed heat to 80~90° so that patient can sit up straight
σ 1, 2, 3, 5 3.Regular change of humidifier
σ 3, 5 4.Post-operation patient try to move as much as possible when not recommended
σ 1, 2, 3, 4, 5 5.Disinfection of respiratory equipment
65. What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)?:
σ Insertion of intravenous catheter for nutrition feeding when patient lost appetite
σ Cleaning skin with disinfectant before inserting the catheter
σ Use of surgical drape to cover the insertion spot
σ Use of gown and gloves for staffs performing insertion procedure
σ None of the above
66. What describes the incorrect way to prevent CABSI?:
σ Do not perform CABSI when alternative oral feeding method is possible
σ Plug needle directly into infusion bottle to avoid using unnecessary equipment
σ Protect the insertion site with a sterile dressing
σ Remove the catheter as early as possible
σ None of the above
67. What is the incorrect description of Injection Safety?:l
σ Use of safety box with puncture-proof function
σ Immediate throw-away of disposable items after usage
σ Use of disposable glove
σ Performing post-exposure prophylaxis when accidentally exposed to the risk
σ Recapping of needles
68. Choose the incorrect statement about Pressure Ulcer:
σ It is caused by the constant pressure applied to skin exposed to source of infection
σ It can spread further infection to the deeper skin layer
σ It can be avoided by regularly mobilizing the patient
σ It can be avoided by regularly washing the patient at least twice a day
σ None of the above
69. What is the definition of Antimicrobial Resistance (AMR)?:
σ It is the ability for human to resist microorganism
σ It is the ability for human to resist chemicals
σ It is the ability for microorganism to resist human immune system
σ It is the ability for microorganism to resist chemicals that would normally kill or limit their growth
σ It is the ability for chemicals to resist microorganism
70. How can we avoid/combat AMR?:
σ Prescribe antibiotics whenever possible to avoid infection
σ Use routine prophylactic antibiotics before operation
σ Recommend patients to discontinue taking antibiotics immediately when symptoms disappear
σ Revise the antibiotic guidelines and protocols whenever the new AMR is detected
σ All of the above
71. Choose the incorrect statement about Occupational Health and Safety (OHS).:
σ It includes the prevention of illness, accident and injury from the work
σ It is the specific terminology that is applied to healthcare facility staffs only
σ It includes the promotion and maintenance of all aspects of health
σ Healthcare Facility staffs are responsible for their own OHS
σ Healthcare management staffs are responsible for their employees’ OHS
72. What should be included in the scope of Occupational Health and Safety(OHS)?:
σ Physical health
σ Mental health
σ Social well-being
σ All of the above
73. Choose the incorrect statement about Healthcare Facility(HCF) staffs’ OHS.:
σ HCF staffs are exposed to greater risk of OHS hazard than many other occupations
σ All staffs should be aware of IPC program and OHS policy to be able to protect themselves
σ All HCF staffs should be properly immunized
σ Post-exposure Prophylaxis should be available for everyone
σ 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.:
σ Treatment for infectious diseases (HIV, HepB, etc)
σ Regular medical check-up for staffs
σ Vaccination for staffs
σ Post-exposure emergency leaves
σ All of the above
75. What are the common hazards in HCF?:
σ Exposure to toxic chemicals
σ Exposure to infectious diseases
σ Exposure to heavy stress
σ Exposure to physical hazards (noise, heavy lifting, etc)
σ All of the above
76. Choose all correct statements about Biological Hazard at HCF.:
σ 2, 4, 5 1.All staffs, including cleaning staff and cafeteria staff, should be trained to standard precautions to avoid biological hazard exposure
σ 1, 3, 4, 5 2.Disposable items should be re-used after sterilization
σ 1, 3, 4 3.All staffs, including cleaning staff and cafeteria staff, should go through health check-up before employment
σ 1, 4, 5 4.Exposure to biological hazard should be reported immediately.
σ 1, 4, 5, 6 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
77. Choose the incorrect statement about Chemical Hazard at HCF.:
σ Main route of exposure is through skin absorption
σ Minor skin irritation doesn’t have to be reported
σ Clear labeling, formal training and available emergency procedure is important
σ All staffs should wear proper Personal Protection Equipment (PPE)
σ None of the above
78. Choose the correct example of exposure to chemical hazard
σ Doctor wearing latex gloves developed minor skin irritation
σ Nurse who worked in the hospital for 10 years developed Asthma
σ Cleaning staff accidentally spilled the bottle of glutheraldehyde
σ All of the above
79. Choose the incorrect statement about Occupational Incident Management at HCF.:
σ HCF should have a OHS policy and OHS team who is in charge of the incident management
σ Exposed staff should assess the risk before reporting to the right contact
σ If there is no immediate threat or symptom, staff should try to continue working as much as possible for patients
σ Incident management procedure has to be strictly followed
σ None of the above
80. Arrange the incident management procedure in right order.:
σ 2-4-5-6-3-1 1.Report to the IPC team and/or to chief of the department for further management
σ 2-3-1-6-4-5
σ 3-1-2-6-4-5
σ 2-6-3-4-1-5
σ 2-6-3-4-1-5
81. Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)?:
σ It provides the safe workplace for HCF staffs
σ It provides the safe environment for patients
σ Poorly managed HCF environment could raise the Nosocomial Infection rate
σ It provides the safe environment for caregivers and visitors
σ All of the above
82. Choose the correct example of safe HCF environment.:
σ Sink in the bathroom is broken and water is leaking
σ Hospital corridor is full of people
σ Paint on the wall is scratched and removed
σ Window is closed in the operation room
σ None of the above
83. What is not relevant to HCF environment?:
σ Safe water
σ Building design and construction
σ Food safety
σ Safe commuting route
σ Ventilation
84. Choose incorrect statement about ventilation in HCF.:
σ It should be designed to reduce microbial contamination
σ Window should be always open for natural ventilation
σ Mosquito screen or mosquito net should be provided when window is open
σ Every patient room has to have window directly connected to outside
σ None of the above
85. Choose the correct example of HCF ventilation.:
σ Window is blocked with TV screen in the patient room
σ Window is open and mosquito net is installed in the patient room
σ Isolation room has a ceiling fan to make air circulate to outside
σ b and c
σ None of the above
86. How can HCF ensure the quality of water?:
σ Regular monitoring and evaluation of water supply
σ Regular monitoring and evaluation of water treatment process
σ Regular monitoring and evaluation of water quality
σ All of the above
87. What is the correct statement about food safety at HCF?:
σ All food for patients must be prepared by authorized hospital kitchen
σ If visitor brings food from outside, it’s better to share the food with others
σ If the risk of going wrong is small, it’s ok to keep the food outside the refrigerator
σ It’s not a big problem to store raw fruit and cooked food together
σ None of the above
88. What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind?:
σ Numbers and types of rooms
σ Distance between each patient bed
σ Route of the laundries being transported in the building
σ Materials used for floor, type of furnitures
σ All of them are important
89. Choose the correct statement about HCF environment.:
σ It is important to accurately quantify the impact of HCF environment to Nosocomial Infection
σ Environmental cause is easily separable from other causes of Nosocomial Infection
σ Having a safe environment is crucial for the safety of patients, staffs and visitors
σ All of the above
90. Which is NOT part of the most high risk areas of nosocomial infection in Healthcare Facility (HCF)?:
σ Emergency room
σ Operating room
σ Laboratory
σ Outpatient consultation room
σ Neo-natal unit
91. Choose the incorrect statement:
σ Regardless of the location, everywhere inside HCF is exposed to the risk of Nosocomial Infection.
σ IPC standard precautions must always be applied everywhere in HCF
σ All hospital laboratories require equal level of IPC precautions
σ All staffs should be trained for IPC precautions regardless of their task
σ All staffs should be trained for IPC precautions regardless of their task
92. Choose the correct description of IPC precautions in Emergency Room (ER).:
σ When the ER gets too crowded with patients, it is ok for patients with mild symptom to share the bed.
σ Staffs should change the PPE every hour to avoid Nosocomial Infection
σ The distance between each patient should be at least 1.5 meter
σ To avoid humidity, ER room should not be installed with water sink
σ Separate triage area should be installed with hand hygiene equipment
93. Choose the incorrect way of decreasing risk of Surgical Site Infection (SSI).:
σ Operation Room should be cleaned at least twice a day
σ Pre-operative disinfection/sterilization should be performed for both patient and equipment
σ Surgical staffs should perform the equal hand hygiene procedure as they do outside OR
σ Proper post-operation follow-up is crucial to avoid Nosocomial Infection
σ None of the above
94. Choose the correct description of OR environment
σ Thirty air changes per hour (30ACH) is maintained
σ Air flows from OR to outside
σ Temperature should be controlled between 20~25 ˚C
σ All equipment after operation should be cleaned in the OR
σ All of the above
95. Choose the correct IPC behavior of surgical staffs.:
σ For prolonged surgery, it is ok to eat in the OR
σ They can bring mobile phone as long as they don’t use it
σ When temperature is too hot, it is ok to let the window open
σ Entrance to the room should be strictly limited to necessary personnel only
σ 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?
σ They are severely ill and/or immune-compromised
σ They usually need invasive devices: e.g. Endotracheal tube, IV line, feeding tube, etc,.
σ They usually need supportive apparatus: e.g. Mechanical ventilation
σ All of the above
97. Choose the correct practice of IPC precautions in ICU and Neo-natal unit:
σ One alcoholic hand rub (AHR) is needed per one room
σ Completely prohibit the visitors from outside
σ Upon patient discharge, all personal equipment should be discarded
σ Children is not recommended to visit ICU
σ Children is not recommended to visit ICU
98. Which levels of BSL does the lab technician need to pay attention for airborne transmission?:
σ BSL2
σ BSL3
σ BSL4
σ BSL3 and BSL4
σ All of the above
99. Choose the incorrect statement regarding laboratory biosafety.:
σ All laboratory technicians should be aware what biosafety level their working environment is
σ Level of biosafety can be defined differently per each country
σ All laboratory technicians should be trained to keep themselves safe from hazards
σ All biosafety level requires staffs to wear Personal Protection Equipment
σ 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?:
σ Poor hand hygiene of practicing doctors
σ Level of hygiene in the delivery room was lower than the other division.
σ Medical students might have used equipment that are not perfectly disinfected
σ Midwives have better skills to assist delivery to avoid unnecessary infection
σ All of the above
101. If you were Dr. Semmelweis, what would you have implemented to solve this mortality disparity?:
σ Close down the division where higher mortality occurred
σ Stop accommodating medical students for the practice
σ Accept only healthy mothers to the Maternal clinic
σ Enhance the hygiene control for all staffs, facilities and equipment
σ All of the above
102. What is the objective of Infection Prevention and Control (IPC) program in the hospital?:
σ To reduce the risk and incidence of Nosocomial Infection
σ To ensure safety of the patients, but not the doctors and nurses
σ To attract more patients with the cleaner look of the hospital
σ To prescribe more antibiotics to patients to earn more money
σ All of the above
103. Who is responsible to execute Infection Prevention and Control practices?:
σ Cleaning staffs of the hospital
σ Visitors of the patients
σ Doctors who performs major intrusive surgery
σ All of the above
104. In what way can hospital implement effective Infection Prevention and Control program?:
σ Financial penalty to incompliance
σ Ban all external visitors
σ Limit the hospitalization of patients with highly infectious disease
σ Limit the hospitalization of patients with highly infectious disease
σ Provide continuous training and education to all staffs working in the facility
105. Choose the correct statement:
σ In Cambodia, Healthcare-Associated Infection (HAI) is not considered as a significant problem.
σ Ministry of Health let every healthcare facility to freely choose whether or not to implement Infection Prevention and Control (IPC) program.
σ Infection Prevention and Control (IPC) program should be a continuous effort of all healthcare facility staffs.
σ Patients have no role to play in hospital IPC program
σ None of the above
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