COKO Safety and Infection Control 2 — Questions and Answers
Question 1: A kinesiologist notices a client has an open wound on their forearm before a session. What is the most appropriate first action?
- Proceed with the session while avoiding the area
- Ask the client to cover the wound with a bandage and wash hands before contact (Correct answer)
- Cancel the session immediately
- Apply antiseptic cream to the wound directly
Correct answer: Ask the client to cover the wound with a bandage and wash hands before contact
Open wounds must be covered and proper hand hygiene observed before any physical contact to prevent pathogen transmission.
Question 2: Which of the following is the correct order of steps when removing Personal Protective Equipment (PPE) to minimize self-contamination?
- Gloves, goggles, gown, mask (Correct answer)
- Mask, gloves, goggles, gown
- Gown, gloves, mask, goggles
- Goggles, gown, mask, gloves
Correct answer: Gloves, goggles, gown, mask
Gloves are removed first as they are most contaminated, followed by goggles, gown, and finally the mask.
Question 3: A kinesiologist is working in a facility that uses shared exercise mats. What is the minimum recommended disinfection protocol between clients?
- Wipe down with water only
- Air out the mat between uses
- Clean with an approved disinfectant and allow appropriate contact time (Correct answer)
- Replace the mat after each client
Correct answer: Clean with an approved disinfectant and allow appropriate contact time
Approved disinfectants must be applied and allowed to sit for the manufacturer-specified contact time to effectively kill pathogens on shared surfaces.
Question 4: Under the COKO Standards of Practice, a kinesiologist must report a workplace injury within what timeframe in Ontario?
- Within 24 hours
- Within 72 hours
- As soon as practicable (Correct answer)
- Only if medical attention is required
Correct answer: As soon as practicable
Ontario's Occupational Health and Safety Act requires workplace injuries to be reported as soon as practicable to the employer.
Question 5: Which blood-borne pathogen poses the greatest risk of transmission through needlestick injury in a clinical kinesiology setting?
- HIV
- Hepatitis B virus (HBV) (Correct answer)
- Hepatitis C virus (HCV)
- MRSA
Correct answer: Hepatitis B virus (HBV)
Hepatitis B has the highest transmission risk via needlestick, with up to 30% infection rate per exposure in unvaccinated individuals.
Question 6: What does the term 'chain of infection' refer to in infection control?
- The sequence of antibiotic resistance development
- The six interconnected links required for infection to spread from one host to another (Correct answer)
- The hierarchy of PPE selection
- The order in which symptoms appear after exposure
Correct answer: The six interconnected links required for infection to spread from one host to another
The chain of infection describes six links — infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host — that must all be present for infection to occur.
Question 7: A kinesiologist working with a post-surgical client notices signs of wound dehiscence. What is the most appropriate response?
- Continue the session with modified exercises
- Apply compression bandaging and continue
- Stop the session and refer the client to their physician immediately (Correct answer)
- Clean the wound and document it in the session notes
Correct answer: Stop the session and refer the client to their physician immediately
Wound dehiscence is a medical emergency requiring immediate physician referral; kinesiologists must not attempt to manage this condition independently.
COKO Safety and Infection Control 2
A kinesiologist notices a client has an open wound on their forearm before a session.
What is the most appropriate first action?