問題一覧
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Protection and control for biological materials to prevent their unauthorized access, loss, theft, diversion, or intentional release
Biosecurity
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Protect the germs from people
biosecurity
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Examples of biosecurity
Personnel security (access controls) , Physical security (CCTV, password-protected doors) , Material control, Quarantine, Policy
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Examples of biosafety
Spill kit, Engineering controls (BSC, Fume hoods) , Sterilisation , Disinfection , Isolation techniques
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Containment principles and practices to prevent unintentional exposure to pathogens and toxins or their unintentional release
biosafety
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Protect the people from germs
biosafety
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Laboratory response network responsible for definitive characterization of agents
National Laboratories
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Has the reagents and technology for confirmatory testing of pathogens
Reference Lab
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LRN that detects and recognizes a possible bioterrorism event. Formerly Level A laboratories
Sentinel Lab
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Treat all human blood and certain body fluids as infectious for bloodborne pathogens (hiv, hbv, etc)
universal precaution
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Modification of UP- treat all as infectious
body substance isolation
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Apply only to blood and all body fluid or secretions except sweat, non intact skin and mucous membrane
Standard precaution
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Highest risk; Easily transmitted; Highly Infectious
Category A bioterrorism agents
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Highest risk; Easily transmitted; Highly Infectious
Smallpox, B. anthracis, Y. pestis
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Moderately easy to transmit; Moderate to Low mortality
B. pseudomallei, Brucella, C. perfringens toxins
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Moderately easy to transmit; Moderate to Low mortality
Category B bioterrorism agents
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Emerging/Recurrent; Could be engineered in the future
Ebola, Dengue, MERS-CoV, Hemorrhagic fever Viruses
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Emerging/Recurrent; Could be engineered in the future
Category C bioterrorism agents
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For instances in which the agent is highly transmissible like a person under investigation (PUI) or confirmed for ebola virus, an outer apron may not be necessary.
True
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BSL - I risk description
No or low individual and community risk
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BSL - II risk description
Moderate individual and low community risk
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BSL - III risk description
High individual and low community risk
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BSL - IV risk description
High individual and community risk
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BSL - I risk description
rarely causing disease
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BSL - II risk description
can cause disease but rarely severe; with available treatment or prevention
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BSL - III risk description
causes serious or deadly disease; treatment or prevention may or may not be available
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BSL - IV risk description
causes serious or deadly disease; treatment or prevention is usually not available
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Required BSC for BSL-I
None
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Required BSC for BSL-II
BSC-II
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Minimum required BSC for BSL-III
BSC-II
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Required BSC for BSL-IV
BSC-III or in full-body positive pressure suite
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Transmission-based Isolation Recommendations for Contact Precautions (MDR bacterial infections, Adenovirus, Diarrhea and GI infections, Hepa A, Herpes simplex, Lice, Scabies; Mask if with respiratory: Parainfluenza, RSV, Chickenpox)
None
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Transmission-based Isolation Recommendations for Droplet Precautions (Pertussid, Influenza, Neisseria meningitidis is and other bacterial meningitidis, Cocksackie, RSV, mumps, Rubella)
Fluid-resistant mask and eye protection
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Transmission-based Isolation Recommendations for Airborne precautions (Chicken pox, Shingles, Measles; N95 respirator: TB, SARS, Avian Influenza (H5-H10)
Negative pressure; Fluid-resistant mask and eye protection
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Meaning of HEPA
high efficiency particulate air
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HEPA filter size and efficiency
0.3 um; 99.995%
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No air recirculation; total exhaust to the outside
BSC-II B2
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70% recirculated; 30% exhausted
BSC-II A1
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70% recirculated; 30% exhausted; has 100 LFM
BSC-II A2
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30% recirculated; 70% exhausted
BSC-II B1
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BSC class with Vertical Laminar flow
BSC-II
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BSC class for Research facilities
BSC-III
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There should be ____ feet around the bsc during operation to ensure the proper air circulating system
3
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Certification of biosafety cabinet should be done after
All of the choices
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Spillage
Wear PPE, Adsorb with paper towel, Neutralize with disinfectant (10% bleach) , Dispose in yellow bag
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Killing all forms of microbial life including spores
sterilization
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Killing pathogenic microbes but not necessarily all microbes, prions and spores
Disinfection
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Removal of pathogenic microbes in inanimate objects so that they are safe to handle and dispose
decontamination
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Autoclave, Tyndalization/Fractional sterilization and Inspissation are types of sterilization method under
Moist heat
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Autoclave settings for sterilising broth and media
121°C; 15 psi, 15-30 min
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Autoclave settings for medical waste w/ blood/bloody fluids; Best sterilization and decontamination of used media
132°C; 15 psi, 30-60 mins
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Tyndallization/Fractional sterilization is a process that happens for 3 consecutive days. It kills ___ on the 1st day, ___ on the second say, and ___ on the 3rd day.
vegetative cells; spores, the remaining cells
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Recommended sterilization for Lowenstein Jensen
Inspissation
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Inspissation settings
70-80°C; 2 hours 3 consecutive days
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For drying glassware, cotton swab, oils, petrolatum, powder
Oven
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Oven temp and time
160-170°C; 1.5-3 hours
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For research animals and medical/laboratory waste; safest method to ensure no infective materials remain in samples
Incineration
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Inceneration temperature
870-980°C
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It acts as a membrane when pulling liquids with a vacuum in the Membrane Filtration sterilization process
Cellulose acetate
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Used in sterilizing disposable such as plastic syringe, vacutainer, blood tubes, catheters and gloves
Ionizing/Gamma Radiation
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For heat-sensitively materials; most common gas sterilant
Ethylene Oxide (ETO)
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And oxidizing agent: Used in sterilizing HEPA filter in BSCs, metals, and medical instruments like scissors; No toxic by-product
Vapor-Phase hydrogen peroxide
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Principle: generates plasma by exciting the gas in enclosed chamber under deep vacuum with the use of radio frequency or microwave energy
Hydrogen peroxide gas plasma
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Physical methods of disinfection: Boiling
100°C; 15 min
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Physical methods of disinfection: Batch method
63°C; 30 min
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Physical methods of disinfection: Flash method
72°C; 15 sec
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Physical methods of disinfection: Bailey's
70°C; 30 min
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Properly pasteured milk should have a
Negative ALP test result
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Physical disinfection method used in working surfaces of BSC and contaminated rooms
Non ionizing radiation
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Resistant to Alcohol disinfection
Enterococcus faecium
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Most common concentration of Sodium hypochlorite (house bleach)
5.25-6.15% NaOCl
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Sodium hypochlorite dilution according to CDC recommended for cleaning tabletop after blood spills
1:10
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Which of the following can be used for disinfecting BSC hoods when in gas form
Formaldehyde
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Sporicidal in medical equipment in 3-10 hours; does not corrode lens, metal, rubber, bronchoscope
Glutaraldehyde
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Same as gluteraldehyde but more stable and requires no activation; does not require exposure monitoring and not mucus membrane irritant
Ortho-Phthalaldehyde (OPA)
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Effective even in the presence of organic material; used in surface sterilization of surgical instruments; kills bacteria, fungi and even their spores
Peracetic acid + Hydrogen peroxide
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Concentration of Hydrogen Peroxide in Catalase test
3%
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Concentration of Hydrogen Peroxide in Superoxol test
30%
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When dealing with spillage, it is necessary to Adsorp with paper towel first before neutralizing
True
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Used in benchtops or surfaces, floors, furniture and walls. It is activated by organic compounds; non-tuberculoidal, non-sporocidal
Quaternary Ammonium Compounds (QUATS)
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Kills bacteria, mycobacteria, virus, fungi. It is not sporicidal
Ethyl alcohol
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Iodine + alcohol
Tincture of iodine
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Iodine + neutral polymer (Povidone-iodine, Poloxamer-iodine)
Iodophor
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Contact time for iodophore in drawing blood culture and surgery
>30 seconds
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Tincture of Iodine and Iodophore are examples of
Halogen
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70% ethyl alcohol followed by iodophor is used in drawing blood culture and surgery
True
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Derivatives of carbolic acid
Phenolics
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Stable, biodegradable and active in the presence of organic materials. Can be found in germicidal soap
Ortho-phenylphenol and Ortho-benzyl-para-chlorophenol
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Has high antimicrobial activity, better than povidone iodine, and has low toxicity. More effective on gram+ than gram-. Less effective in fungi and mycobacteria; baked viruses are not in activated.
Chlorhexidine gluconate (CHG)
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For outbreaks of gram+ infections
Hexachlorophene
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Halogen-substituted phenolic compound
Chloroxylenol
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Added to many household products; clothing kitchenware toothpaste and toys to prevent bacterial contamination
Triclosan
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It requires on-site preparation; economical alternative to expensive antiseptics; used in cleaning of chronic wounds prior to administration of antibiotics
Hypochlorous acid + chlorine
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A procedure that involves washing a newborn's eyes with a 1% Silver nitrate to prevent ophthalmia neonatorum of N. gonorrheae
Crede's prophylaxis
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Substitute for 1% Silver nitrate in performing Crede's prophylaxis
Erythromycin or povidone iodine
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Bioindicators for Autoclave
Geobacillus stearothermophilus
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Bioindicators for dry heat/oven
Bacillus subtilis, Bacillus athrophaeus