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19. Which regulatory body enforces HIPAA compliance?
                   A. OSHA
                   B. FDA
                   C. Office for Civil Rights (OCR)
                   D. CDC


               20. Which action is a breach of patient confidentiality?
                   A. Discussing patient information in private settings
                   B. Sharing patient details with unauthorized personnel
                   C. Using secure messaging for communication
                   D. Reviewing records for treatment purposes


               21. Which technique is recommended for cleaning surfaces in clinical settings?
                   A. Using EPA-registered hospital-grade disinfectants
                   B. Wiping with plain water
                   C. Using household cleaning products
                   D. Dry dusting only


               22. Which measure is recommended to prevent trips and falls in the clinic?
                   A. Keep walkways clear of equipment and supplies
                   B. Store items on the floor in hallways
                   C. Leave cords and wires exposed
                   D. Place rugs with curled edges in patient areas


               23. Which type of waste should be disposed of in a sharps container?
                   A. Clean gauze pads
                   B. Office paper waste
                   C. Unused medications
                   D. Used syringes and needles

               24. Which practice is part of universal precautions?
                   A. Using PPE selectively based on patient diagnosis
                   B. Wearing gloves only for visibly soiled surfaces
                   C. Treating all blood and bodily fluids as potentially infectious
                   D. Avoiding hand hygiene between patients
               25. Which guideline addresses the proper use of personal protective equipment (PPE)?
                   A. HIPAA Privacy Rule
                   B. OSHA Bloodborne Pathogens Standard
                   C. FDA Equipment Maintenance Guide
                   D. CDC Nutritional Guidelines
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