MCQ

Dr. A. A. Wegdan

1. Nosocomial infection is an infection occurring in a patient within 48 hours or more after Hospital admission. a. True. b. False. 2. Which of the following best describes hospital acquired infection? a. An infection occurring in a patient within one hour after hospitalization. b. infections are exogenous. c. Infections are neither present nor incubating at time of hospital admission but which are acquired during a hospital stay. d. None of the above. 3.Which of the following statements is CORRECT? a. Infections are rarely transmitted in health care settings. b. Most infections of health care workers acquire at a health facility could not have been prevented. c. Patients are at risk of infection when providers do not wash their hands. d. Good infection prevention practices protect only Patients.

4. Health care workers can get an infection: a. When blood or other body fluids splash in the health care worker's eyes, nose, or mouth. b. When blood or other body fluids come in contact with non-intact skin due to rash, chapped skin, or an unhealed cut/scratch c. From a needle stick injury. d. All of the above. 5. Proper infection prevention practices are important for: a. Preventing infections in service providers and other staff. b. Preventing infections in patients. c. Protecting the community from infections that originate in health care facilities. d. All of the above. 6. Infections are MOST commonly spread in health care settings by the following mode of transmission: a. Contact b. Common vehicle c. Airborne d. Vector borne.

7. Prevention and control of nosocomial infections has allowed institutions to do the following: a. Decrease length of stay. b. Decrease morbidity. c. Decrease costs. d. All of the above. 8. The function of infection control team is to maintain a safe environment for patients and medial staff. a. True. b. False 9. Infection control committee is responsible for day to day practice. a. True b. False 10. Infection control team is responsible for approval of infection control plane. a. True b. False

11. The MOST important standard precaution to prevent hospital infection is: a. Use of gloves. b. Environmental cleaning. c. Use of gowns. d. Hand washing. 12. Standard precautions include all of the following EXCEPT: a. Preventing injuries with sharps. b. Processing contaminated instruments. c. Good record-keeping practices. d. Good waste-disposal practices. 13. Standard precautions are recommended for the handling of: a. Blood b. Saliva c. Non-intact skin d. All of the above

14. The considerations for hand washing facilities include the following EXCEPT: a. Sinks are placed in convenient and accessible areas. b. Surfaces are smooth, non porous to resist fungal growth. c. Sufficient spaces are designed for paper towel dispensers, soap and waste disposal. d. A large bar of soap is kept in a saucer for use by all personnel. 15. Resident flora a. Are bacteria that patients acquire in health care facilities. b. Are easy to remove with soap and water. c. Live within the skin and are difficult to remove. d. Usually pathogenic. 16. Transient flora are the following EXCEPT: a. Easy to remove with soap and water. b. Usually pathogenic c. Live within the skin and are difficult to remove. d. Are bacteria that patient acquire in health care facilities.

17. Which does routine hand washing with soap and water remove? a. Resident microorganisms b. Transient microorganisms 18. Hands should always be washed after removing gloves. a. True b. False 19. The MOST important way to reduce the spread of infection in health care settings is: a. Properly processing instruments b. Hand washing. c. Having screens on all windows of the facility. d. Proper environmental cleaning. 20. Hand washing with antiseptic soap and running water removes transient microorganisms and kills or inhibits resident microorganisms. a. True. b. False 21. Alcohol hand rub may be substituted for hand washing in most cases. a. True. b. False

22. When using an alcohol hand rub, it is not necessary to let the alcohol dry before putting on surgical gloves. a. True. b. False 23. Surgical hand scrub requires at least 2 seconds to remove transient and most of resident flora. a. Tue b. False 24. An alternative to the antiseptic-and-water surgical scrub is: a. Scrubbing with plain soap and hot water for 15 minutes. b. Scrubbing with plain soap and warm water for 3-5 minutes, followed by applying 3-5 ml of an alcohol hand rub solution c. Washing with plain soap and warm water, followed by pouring hydrogen peroxide over the hands and allowing them to air- dry. d. Scrubbing with warm water alone for 15 minutes.

25. Hygienic hand washing is indicated in the following conditions EXCEPT: a. Before and after nursing the patient b. Before performing invasive procedures c. Before and after touching wounds d. Before surgical operation 26. The following agents are used for hand antisepsis EXCEPT: a. Isopropyl alcohol b lodophores. c.Glutaraldehyde. d.Chlorhexidine. 27. The best way to prevent infections is: a. Always wearing a mask. b. Following standard precautions. c. Avoiding health care services. d. Denying service to patients who might have an infection.

28. These gloves should be worn for all procedures where there will be contact with tissues under the skin or contact with the bloodstream: a. Surgical gloves b. Non- sterile, single use (examination) gloves. c. Utility gloves. d. No gloves needed. 29. Gloves provide a barrier against potentially infectious microorganisms that can be found in blood, other body fluids, and waste. a. True b. False 30. A separate pair of gloves must be used for each patient. a. True b. False 31. It is safer to process and reuse gloves than to use disposable gloves. a. True b.False

32. Sterile gloves should be worn surgical for procedures. a. False b. True 33. Clean non sterile gloves are not acceptable for use during pelvic examination. a. False b. True 34. These gloves should be worn for handling contaminated instruments, handling waste and linens, performing housekeeping activities and cleaning contaminated surfaces: a. Surgical gloves b. Examination gloves c. Utility gloves d. No gloves needed

35. The reasons for wearing gloves in hospitals include the following EXCEPT: a. To prevent contamination of the hands when touching blood and other body fluids. b. b. To reduce transmission of micro-organisms from medical personnel to patients. c. To replace hand washing. d. To reduce transmission of micro-organisms between patients. 36. Caps and masks worn in the operating theater should always be sterile. a. True b. False 37. Surgical gloves a. HLD is just as appropriate as sterilization for these items. b. HLD is acceptable for these items only if sterilization is not possible. c. Neither HLD nor sterilization is necessary for these items. d. HLD is not acceptable for these items.

38. Which statement about surgical attire is correct? a. If footwear not available, staff may walk around the operating room with bare feet. b. Caps and masks worn in the operating room should be sterile. c. Sterile surgical gloves should be considered contaminated if your gloved hands drop below the level of your waist d. When removing surgical gloves, always remove the first glove completely and then remove the second glove with your bare hand. 39. N95 mask is used to prevent infections transmitted by: a. Airborne particles. b. Contact. c. Flies. d. None of the above. 40. All of the following are cleaning solutions used during housekeeping at a health care facility EXCEPT: a. An antiseptic cleaning solution. b. A detergent and water. c. A disinfectant solution. d. A disinfectant cleaning solution.

41. rapidly kills infectious microorganisms during the cleaning process: a. A detergent b. A disinfectant c. Plain water d. An antiseptic solution 42. . removes dirt and organic material during cleaning: a. A detergent b. A disinfectant c. Plain water d. An antiseptic solution 43. Which of the following is NOT a method of sterilization? a. Dry heat. b. Soaking in chemicals c. Boiling. d. Autoclaving

44. Sterilization is a term used to describe: a. killing the vegetative forms of pathogenic micro organisms b The reduction of the microbial population to safe levels. c. Destruction of all forms of organisms including spores. d. The swabbing of the skin before giving an injection 45. The steps involved in the cleaning process for patient care equipments are: a. Soaking, washing, rinsing and drying. b. Soaking, washing and rinsing. c. Sorting, soaking, washing, rinsing and drying. d. Sorting, washing, rinsing and drying.