MCQ2

Dr. A. A. Wegdan

46. One of the following is NOT a criterion for alcohol: a. It has a rapid effect. b. Not sporicidal c. Used as antiseptic and disinfectant d. Not affected by organic matter. 47. Low temperature sterilization method include: a. Ethylene oxide gas. b. Plasma gas c. Boiling d. a& b 48. HLD is suitable for items that will be used during procedures in which they will come in contact with intact mucous membranes, such as pelvic examinations. a. True b. False 49. HLD kills all microorganisms, with the exception of some bacterial endospores. a. True b. False

50. Making sure items are properly sterilized is more important than how they are stored after sterilization. a. True b. False 51. When a large spill of blood or another body fluid occurs in the facility: a. Wipe it with a cloth that has been saturated with a disinfectant solution. b. Flood the area with a disinfectant solution (e.g5% chlorine), mop up the solution. and then clean with a disinfectant cleaning solution. c. Place a cloth over the spill temporarily so you can clean up the spill after clinic hours arc over. d. None of the above 52. It is important to dry instruments and other items after cleaning them, because water on items can dilute the chemicals used for. sterilization 01' HLD. a. True b. False 53. If an iodophor solution is used to prepare the skin before a surgical procedure, it should remain on the site for 2 minutes before the procedure. a. True b. False

54. The effectiveness of sterilization can be decreased by the presence of blood and other organic material on instruments and other items. a. True b. False 55. The ideal method for sterilizing needles and syringes is chemical sterilization. a. True b. False 56. Fumigation with formaldehyde is an effective way to reduce contamination of surfaces such as walls and ceilings in order to prevent infection. a. True b. False 57. If instruments will be sterilized or high-level disinfected, cleaning with detergent and water is not necessary. a. True b False

58. Boiling is a method of sterilization. a. True b. False 59. It is acceptable to leave a hypodermic needle inserted through the stopper of a multidose vial. a. True b. False 60. To reduce the risk of infection and injury: a. Recap all needles immediately after use by holding the needle still in one hand and carefully placing the cap over the needle with the other hand. b. Bend needle before disposal. c. Dispose of sharp objects along with medical waste, such as used bandages and gauze. d. None of the above.

61. Which of the following are appropriate infection prevention practices? a. Changing the needle, but not the syringe, between injections b. Leaving a needle inserted through the stopper of a multi dose vial. c. Using a new or processed needle and syringe to draw up medication from a multidose vial. d. All of the above. 62. The following represents the single greatest risk of blood borne pathogen transmission. a. Splash to eyes. b. Percutaneous injury c. Spatter to intact skin. d. Spatter to mucous membrane. 63. Which of the following are considered medical waste? a. Outdated patients' records b. Used bandages and gauze. c. Trash from the hospital kitchen. d. None of the above

64. Proper disposal of medical waste: a. Reduces the number of insects around a facility b. Minimizes the spread of infections c. Reduces the risk of injury. d. All of the above 65. Patient-to-patient transmission of disease can occur through the use of contaminated surgical instruments, needles, syringes, and other equipment that have not been correctly processed between uses. a. True b. b. False 66. Since it may not be possible to know whether a patient is infected with a hepatitis virus or H IV, contaminated instruments, and other items from all patients must be handled as though the patient were infected. a. True b. False. 67. HLD is preferable to sterilization for items that will come in contact with the bloodstream or tissues under the skin a. True b. False.

68. The appropriate concentration of chlorine for cleaning during housekeeping at health care facility is: a.0.1% b.0.5% c.0.05% d.5% 69. Most blood borne infections acquired in the workplace are the result of: a. Blood transfusions. b. Accidents with sharps. c. Cleaning toilets or latrines d. Cleaning walls. 70. Whenever possible, medical waste should be burned or buried on-site. a. True b. False 71. Burial sites for medical waste should not be located near water sources because of the potential to contaminate the water. a. True b. False

72. The following is safe practice that protect medical staff member from injury by sharps: a. Bending used needles before disposal b. Carrying unprotected sharps from the procedure room to the operating theater. c. Recapping used needles using the "one-hand" technique d. Disposing of sharps in red bags. 73. Proper disposal of used hypodermic needles and other sharps includes: a. Always breaking the needle before disposal b. Placing the needle an attached syringe in puncture-resistant container c. Waiting until sharps containers are full before throwing them away d. Carefully removing the needle from the syringe

74. Which of the following is NOT in accordance with general housekeeping guidelines: a. Always wear gloves when cleaning b. Use soap and detergent for cleaning. c. Always dry-dust or sweep floors in clinic areas to reduce the spread of dust and microorganisms d. Clean the highest areas first and work downward. 75. The measures needed for collection and handling of linen include one of the following: a. Bags are sturdy enough to contain wet linen. b. Bags are transported manually to laundry. c. Bags are removed every 48 hours. d. Laundry bags are filled more than two third full. 76. Housekeeping staff are rarely at risk of infection, since they do not generally have direct contact with patients. a. True b. False

77. Housekeeping equipment such as mops, brushes, sponges, and buckets do not need to be decontaminated and cleaned since those items are used with a disinfectant cleaning solution. a. True b. False
78. Dry-dusting and sweeping should be avoided because they spread dust particles and microorganisms into the air and onto cleaned surfaces. a. True b. False 79. Housekeeping staff at a health care facility are at high risk of infections: a. If they do not understand how diseases are transmitted b. If they do not wear utility gloves while performing cleaning activities c. Because they are exposed to potentially contaminated blood and other body fluids as part of their work d. All of the above

80 . Patient with pulmonary tuberculosis requires isolation in room with negative pressure ventilation. a. True b. False 81. Contact isolation precautions are required to prevent transmission of: a. Hepatitis B virus. b. Tuberculosis. c. Methicillin resistant Staphylococcus aureus skin infections. d. All of the above.