手卫生宣传周-试题.docx

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1、手卫生宣传周 试题手卫生宣传周 试题 医院感染知识 相关试题 一、简答题： 1、手卫生技术包括哪几种？ 2、三级综合医院等级评审实施细则中要求，医务人员的手卫生依从率达到多少？ 3、洗手的目的是什么？ 4、卫生手消毒的目的是什么？ 5、外科手消毒的目的是什么？ 6、当手部没有肉眼可见的污染时，首选哪种手卫生方法 7、洗手时，双手揉搓时间为多久？ 8、我院第一届手卫生宣传活动是某年某月举办的？ 9、本次“进一步推进手卫生”活动宣传周主题是什么？ 控制医院感染最简单、最有效、最方便、最经济的措施是什么？ 手术部位感染的预防措施有哪些？ 11、血管导管相关血流感染的预防措施有哪些？ 12、我院第二季

2、度多重耐药菌检出前五位是有哪些？ 13、医务人员进行侵入性操作时应戴无菌手套，戴手套前应当洗手，摘手套后不必洗手。这种说法对还是错？为什么？ 14、咳嗽礼节包括哪些？ 15、多重耐药菌集束化防控策略包括哪些？ 16、结肠或直肠手术前，应选用对哪些细菌有效的抗菌药物？ 17、血流感染类型包括哪几种？ 18、采集血培养时，进行皮肤消毒三步法： 降钙素原10ng/ml 的临床意义是什么？ 20、降钙素原被推荐用于细菌感染性脓毒症的哪几个方面？ 二、多选择题： 1、下列观点错误的是： A 对于医院感染应持“零宽容”的态度，尽可能避免每一例医院感染； B 医生查房时应随身携带速干手消毒剂，每查完一个患者

3、即进行手卫生； C 戴手套不能代替洗手； D 做好手卫生只是保护患者，并非保护医务人员。 2、为防止耐药菌传播，WHO推荐的标准手卫生方法是？ A 普通肥皂/皂液洗手 B 抗菌肥皂/皂液洗手 C 含酒精的擦手液擦手 D 碘伏擦手 3、佩戴口罩中，哪项是不正确的？ A 外科口罩佩戴时，皱褶向下一面朝里 B 佩戴口罩前须洗手或严格手卫生 C 口罩须覆盖口鼻及下巴 D 口罩有金属软条一侧向上 4、发现医院感染病例，要求多长时间上报到医院感染管理科？ A 24小时 B 48小时 C 1周 D 出院之前 5、取分泌物采样时，以下哪种采样方法是正确的 A 消毒液棉签擦拭无菌生理盐水湿棉签取样 B 消毒液棉

4、签擦拭干棉签取样 C 生理盐水棉签擦拭无菌生理盐水湿棉签取样 D 生理盐水棉签擦拭干棉签取样 6、抗菌药物相关腹泻主要病原体是 A 金黄色葡萄球菌 B 白色念珠菌 C 艰难梭菌 D 大肠埃希菌 7、根据医院感染诊断标准规定，有植入物手术后多少天发生的手术部位感染属于医院感染 A 出院之前 B 30天以内 C 半年以内 D 一年以内 8、飞沫传播是一种近距离传播，近距离是指： A 1米以内 B 1.2米以内 C 1.5米以内 D 2米以内 9、如果血培养标本不能及时运送，应暂存于何种环境？ A 4 B -18 C 室温 D 无所谓 10、关于戴手套的描述错误的是： A 进行侵入性操作时应当戴无菌

5、手套? ? B 若不是无菌操作，不同病人之间可以不换手套 C 摘手套后应当洗手? ? D 戴手套前应当洗手 11、消毒与灭菌的区别主要在于能否杀灭 A 病原微生物 B 非致病微生物 C 细菌繁殖体 D 芽孢 12、根据医院感染诊断标准规定，无植入物手术后多少天发生的手术部位感染属于医院感染 A 出院之前 B 10天以内 C 20天以内 D 30天以内 13、普通集尿袋、导尿管的更换频次分别为： A 每天和每周 B 每3-4天和每周 C 每天和每2周 D 每3-4天和每2周 14、医院感染暴发是指在医疗机构或其科室的患者中，短时间内出现 同种同源感染病例的现象。 A 3例 B 3例 C 5例 D

6、 5例 15、进行诊疗护理操作时，可能发生血液、分泌物喷溅时执行标准预防措施包括哪些防护用品的使用 A 口罩、帽子 B 口罩、帽子、手套 C 口罩帽子、手套、防护面罩 D 口罩帽子、手套、防护面罩、隔离衣 16、各种治疗、护理及换药操作次序为 A 清洁伤口-感染伤口-隔离伤口 B 感染伤口-隔离伤口-清洁伤口 C 清洁伤口-隔离伤口-感染伤口 D 隔离伤口-感染伤口-清洁伤口 17、盛装的医疗废物达到包装物或者容器的多少时，应当使用有效的封口方式。 A 1/2 B 2/3 C 3/4 D 4/5 18、“限制使用级”抗菌药物治疗的住院患者微生物送检率应： A 20% B 30% C 50% D

7、 60% 19、清洁切口围术期抗菌药物预防使用率应： A 20% B 30% C 50% D 60% 20、MRSA肺部感染者如不能单间放置最好与下列哪类病人同室安置？ A 气管切开患者 B 开放性创口患者 C MRSA尿路感染患者 D 深静脉置管患者 21、下列哪些情况属于医院感染？ A 婴儿经胎盘获得的感染，如巨细胞病毒、弓形体病48h内发病者 B 新生儿鹅口疮 C 由于诊疗措施激活的潜在性感染，如疱疹病毒、结核杆菌等的感染 D 人工关节置换术后6个月，出现手术部位肿胀、疼痛，诊断性关节穿刺细菌培养为金黄色葡萄球菌 E 医务人员接诊甲流患者后，出现流感样症状，实验室诊断为甲流 22、下列哪

8、些属于医疗废物？ A 未接触病人体液的输液瓶/袋 B 使用后的一次性外科口罩 C 外科病人的伤口敷料 D 使用后的输液器 E 传染病病人的生活垃圾 23、接触隔离适用于下列哪些疾病？ A 蜂窝组织炎 B 急性结膜炎 C 多重耐药菌感染 D 脓疱病 E 皮肤感染 24、灭菌后的物品在何种情况下视为已被污染？ A 手感潮湿 B 与潮湿物接触 C 不慎掉落地上 D 包装松散 E 外包装有明显水渍 25、预防针刺伤正确的做法是： A 在进行侵袭性诊疗、护理操作过程中，要保证充足的光线 B 将使用后的一次性针头重新套上针头套，以防刺伤别人 C 使用具有安全保护装置的注射器、输液器 D 使用后的针头直接放

9、入利器盒 E 医生为病人进行穿刺操作后，应把针头一并包入穿刺包内，由护士来处置 26、预防和控制多重耐药菌传播的措施包括： A 加强医务人员的手卫生 B 严格实施隔离措施 C 加强抗菌药物的合理应用 D 加强医院环境卫生管理 27、医务人员在下列哪些情况下应当进行手卫生？ A 穿脱隔离衣前后 B 接触清洁、无菌物品之前 C 接触病人前 D 脱手套后 E 配药前 28、属于手部皮肤常居菌的是 A 凝固酶阴性葡萄球菌 B 棒状杆菌类 C 丙酸菌属 D 大肠埃希菌 E 不动杆菌属 29、下列哪些不是预防手术部位感染的有效措施？ A 术前半小时预防使用抗菌药物 B 术前用剃毛刀去除手术区域的毛发 C

10、术后长时间使用抗菌药物 D 手术过程中给患者保暖 30、医院感染病原体的特点有哪些？ A 以机会致病菌为主 B 多为多重耐药菌属 C 主要侵犯抵抗力低下的患者 D 通过洗手可以很容易地去除 E 通常在皮肤上的生存时间不长 31、血培养标本的采集指征包括： A 发热38 B 低体温10.0109/L E 血压降低 32、使用含氯消毒液进行消毒时，对经血传播病原体、分枝杆菌和细菌芽孢污染物品的消毒，有效氯的浓度和作用时间分别为： A 500mg-1000mg 30分钟 B 1000mg-20XXmg 30分钟 C 20XXmg-5000mg 30分钟 D 20XXmg-5000mg 60分钟 33

11、、导尿管相关尿道感染的预防措施，以下哪些是错误的？ A 集尿袋应保持低于膀胱水平，及时清空袋中尿液 B 每天进行膀胱冲洗 C 集尿袋每天更换 D 每天评估留置导尿管的必要性，尽早拔出导尿管 34、关于皮肤暂居菌的描述正确的是 A 常规洗手容易被去除 B 通过直接接触病人或被污染的环境表面获得 C 可通过手传播 D 与医院感染密切相关 E 与医院感染没有很大关系 35、根据医院感染诊断标准，泌尿道感染诊断要点包括 A 患者出现尿频、尿急、尿痛等尿路刺激症状，抗菌治疗有效可以诊断为泌尿道感染 B 必须尿培养出细菌才可以诊断为泌尿道感染 C 留置导尿患者，尿检白细胞10个/高倍视野 36、35下，尿

12、标本中的大肠杆菌倍增时间通常为 A 23秒 B 23分钟 C 2030分钟 D 23小时 37、以下物品属于化学性废物的是 A 医学影像室废弃的化学试剂 B 废弃的过氧乙酸 C 废弃的汞血压计、汞温度计 D 废弃的抗生素 E 实验室废弃的化学试剂 38、我国各项监测中医院感染最常见部位是？ A 泌尿道感染 B 下呼吸道感染 C 血流感染 D 胃肠道感染 39、腮腺炎患者需要采取何种隔离措施？ 40、戴手套常见错误有？ A 戴一副手套接触多位患者 B 戴手套打电话 C 手套可以消毒和再次利用 D 脱手套后不必洗手 41、医院感染包括以下哪些？ A 本次感染直接与上次住院有关 B 病人在住院期间发

13、生的感染 C 病人在医院内获得，但在出院后发生的感染 D 医院工作人员在医院工作期间获得的感染 42、清洁手术通常不需预防用抗菌药物，但下列情况可考虑预防用药： A 手术范围大、时间长 B 颅脑手术、心脏手术、眼内手术 C 异物植入手术，如人工心瓣膜植入、永久性心脏起博器放置、人工关节置换等 D 高龄或免疫缺陷者 43、近距离接触经空气传播或飞沫传播的呼吸道传染病患者时应戴哪种口罩： A 纱布口罩 B 一次性医用口罩 C 外科口罩 D 医用防护口罩 三、判断题: 1、一小腿开放性损伤患者，创面轻微污染，入院后给予清创及手术治疗，术后52小时伤口红、肿、有脓性分泌物，是否诊断伤口感染？需要哪些检

14、查支持诊断？是否属于医院感染？ 2、为提高血培养的阳性率和获得准确的血培养结果，美国临床和实验室标准协会要求：每次采集几套标本，都包括哪些？采集部位有何具体要求？ 3、患者因严重肺部感染入院，入院后给予广谱抗菌素控制感染，入院后第10天，患者发生腹泻，大便为水样便，偶见白色膜样组织，同时伴有腹痛和脐周压痛。患者可能的感染诊断？需要哪些检查支持诊断？是否属于医院感染？ 4、男，35岁，重度颅脑外伤术后，气管切开，仍昏迷，不发热，痰少。体查：深度昏迷，口腔无白膜，颈软，双肺呼吸音略粗，无干湿性罗音，心率70次/分，律齐，腹部平软无压痛，肝脾未扪及，假性导尿。血WBC+DC正常，尿常规正常，CRP及

15、PCT均正常，胸片正常。痰培养： PDR-AB 。请问如何诊断和处置？ Measures for the routine management of moral education in Middle SchoolsMethod of conventional management of moral education in middle schoolFirst, the guiding ideology:School moral education is an organic whole of the whole education work, always adhere to the sc

16、hool adhere to the moral education, education for this product, and actively promote the quality education, the school building efficient curriculum system of moral education, moral education, improve the sense of attraction and appeal, enhance the moral education work for through and timeliness. Te

17、ach everyone, service education and management education, and school moral education work must be with family education and community education closely together, to form a concerted pattern, and strive to create a good atmosphere for education, and to promote the all-round development of students, t

18、o establish a scientific moral education full of vigor the For long-term mechanism.Two, the goal of moral education:To guide the students to form the correct world outlook, outlook on life, values, to cultivate students unity and mutual assistance, honest and trustworthy, law-abiding, good quality,

19、hard work, set a good XX students ideological quality, psychological quality and image quality. The formation of excellent moral education curriculum system and management system, the construction of school. The society, family moral education network, to achieve full member education, environment e

20、ducation, education service people, educating people. Traditional moral education initiativesThree, the routine work of moral education:Daily moral education:1, the daily morning exercises or class-break setting-up exercise and discipline inspection and appraisal of public signs;2, daily cleaning an

21、d inspection;3, the daily student school appearance, dress, wearing school card check;4, the daily duty guide to the leadership class discipline three rounds.Weekly moral education work:L, the flag raising ceremony and the national flag speech under the flag raising ceremony held on Monday;2, every

22、week a class meeting, the meeting;3, every week two exercises, cleaning and hygiene, behavior norms, attendance situation published cloth appraisal, and the issue of the code of conduct;4, weekly work week.Monthly moral education work:1, at least once a month, the theme of education activities, to p

23、atriotism education, behavior norms of education as the focus, combined with major retreat day.2, the monthly class quantization assessment and class teacher assessment, selection of behavior for the standard model class.Moral education in each term:1, at the end of each semester to form three good

24、student, outstanding student cadres, civilized student.2, at least once a semester, parents will be.,Student etiquette conventionA, the school leavers1, dress neatly to wear school card, step posture correct, full of spirit; cycling of the same students, at the school gate and get off, go to the car

25、 line of the school; are not allowed to ride a bicycle in the campus, bicycle according to the specified location;2, no time to school, had to leave school. A special reason to leave school early to school, the teacher signature issued on release;3, order out of the school gate, not chasing;B, class

26、room activities4, the classroom desks and chairs, arranged in order, decorate beautiful;5, the students on duty should promptly clean the blackboard, sweep the floor, turn off the lights, close the doors and windows, lock the door;6, keep the classroom clean, no spitting, no littering debris and oth

27、er debris;7, not in the desk, doors and windows, walls, etc. The Painted graffiti graffiti board;8, the preparation of the bell ring, sitting in their own position, and do a good lesson preparation, keep the classroom quiet;9, when the class to stand up to the teacher Shi Hangli; class speech first

28、raise their hands;10, listen attentively. Speak to raise their hands to answer questions, to stand up to loud sounds;L1, not to be late, do not leave early, not late into the classroom to play truant. Standing in the doorway shouting report, raised by the teacher agreed to in classroom;L2, to concen

29、trate on self-study, do not do and learning has nothing to do;13, do not copy homework, do not cheat in the exam;C, assembly activityIn L4, the flag raising ceremony, solemn, neat, orderly queue team, for the national flag stood for salute. The national anthem, the original should be standing.15, ex

30、ercise to do fast, quiet, qi;16, the rally should be punctual, keep quiet speak first to Su; teachers and audience charming year ceremony, the end of the speech of thanks; to watch the performances, games, applause to appropriate moderation.D, campus health177, keep the corridor clean, sanitary, qui

31、et, do not push, do not push, do not play slapstick;18, do not pour from upstairs downstairs, spitting, throwing debris;19, clean area on duty to seriously do the clean health work area;20, take good care of the campus environment, do not litter. Paper towels, peel, beverage bottles, food packaging

32、bags, etc. should be thrown into the designated bins;2L, love and care for school facilities and equipment, care of flowers and trees on campus park;E, civilized and polite22, teachers and visitors to take the initiative to say hello, smiling; answer question to teachers, guests stand up, generous,

33、humble, polite;23, the use of good manners, please, please, you, Hello, thank you, no, no, no matter, goodbye;244, the use of body language: smile, shake hands, waving, clapping, right salute comity, stand up to answer questions;255, respect and help the old, young, sick, disabled, and walk out of t

34、he way, car seat, shopping, let;26, eat at home please elders sit, or your home or go home to parents to say hello;277, respect for teachers, teachers first comity long walk, criticism and education, the teacher, to listen to, dont argue, dont hit Dingding. Is there a problem, explain afterwards;28,

35、 do not casually into the classroom, into the teachers office, to call the report;29, to unity and friendship among the students, and do not give students a nickname, do not bully the small students, students have difficulties, to help each other;30, the contradiction between students, to self-disci

36、plined, and their more self broad-minded toward others, criticized;31, the male and female students exchanges to be dignified, generous nature;F, moral accomplishment32, dress and speech and deportment should pay attention to the occasion, do not wear slippers class and to participate in meetings, t

37、he party will not wear, with their age and identity copy does not match the clothes and ornaments. Not Hair Coloring, boys do not have long hair; girls do not perm perm, do not wear high heels. Pepe put into the school to school card, conversation good manners.33, no swearing, no profanity, no smoki

38、ng, no drinking, no stealing, no gambling, no minors into the business of Internet cafes;34, form the habit of saving habits, advocate plain living, without ostentation and extravagance, not compare;35, without the consent of others, not to use other things, borrow things to be returned on time, dam

39、age to the compensation, pick up things to be handed over to the father;36, honest, trustworthy and commitment to the other side can not be done, to apologize and explain to the other side, to achieve understanding.Class quantitative assessment1, classroom discipline:Attendance: in the normal class

40、or school for the mid-term exam during the period, absenteeism or absent 1 people class deducted 1 points, the 1 passengers arrive late or leave early leave class buckle, buckle points is not a plus.The classroom teacher in the class and the middle order: every stage during the exam, exam, exam, class or disorder, by the teacher to reflect the class is true, a deduction of 2 points. The class where self ZiXiKe classroom disorder, after examination to check real persons, a deduction of the cl