/58 0 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) Choose the correct prevention practice against SSI. a. All of the above b. Perform a surgical scrub with antiseptic product immediately before the operation c. Always remove hair on the surgical site before the operation d. Always administer prophylactic antimicrobial agent 2 / 58 2) What is the safe source of water for HCF? a. All of the above b. Main city water supply c. Rain water stored in tanks d. Rain water stored in tanks , Main city water supply e. Open pond 3 / 58 3) Who is exposed to the risk factor of Nosocomial Pneumonia? a. All of the above b. Post-operation patient who stays in bed without mobility c. Patient who is aided with mechanical ventilation d. Patient in the same ward as pneumonia patient 4 / 58 4) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Gown b. Apron c. Disposable Gloves only d. Eyes protection e. Surgical mask 5 / 58 5) infection prevention and control (IPC) measures can break the chain of infection by a. Remove all risky micro-organisms b. Remove the reservoir of micro-organism and block the mode of transmission c. Block the mode of transmission d. All of the above excepted (d) e. Remove the reservoir of micro-organism 6 / 58 6) Who should perform respiratory hygiene? a. All of the above b. Patient who is diagnosed with flu c. Visitor who is sneezing d. Doctors when dealing with coughing patients 7 / 58 7) What type of Personal Protective Equipment (PPE) used or additional precaution for physician to examination the TB patient with a fever include cough and sneeze? a. Eyes protection b. Surgical mask c. Disposable glove and N 95 mask d. Disposable Gloves e. Gown and apron 8 / 58 8) Choose the common site of Nosocomial Infection. a. Urinary Tract Infection (UTI) b. Catheter-Associated Blood Stream Infection (CABSI) c. All of the above d. Surgical Site Infection (SSI) 9 / 58 9) What is the definition of Antimicrobial Resistance (AMR)? a. It is the ability for human to resist microorganism b. It is the ability for microorganism to resist human immune system c. It is the ability for chemicals to resist microorganism d. It is the ability for human to resist chemicals e. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth 10 / 58 10) Choose the correct statement about additional precautions. a. Additional precaution is not necessary for general outpatient consultation. b. To use additional precaution is better than standard precaution c. When necessary, HCWs staff must change from standard precaution to additional precautions. d. Needs of additional precaution dependent on pathogenβs mode of transmission. e. None of the above 11 / 58 11) Choose the correct statement about standard precautions. a. IPC standard precautions HCWs should be applied for all patients at all time b. IPC standard precautions HCWs should be applied for selected patients not to all. c. Standard precaution is not necessary for outpatient consultation. d. To clean hand and selected PPE to use e. Risk assessment should be performed only for susceptible host. 12 / 58 12) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (-): Pseudomonas b. Bacteria Gram (-): E-coli c. Bacteria Gram (+): Streptococcus d. Bacteria Gram (+): Enterococcus e. Bacteria Gram (+): Staphylococcus 13 / 58 13) Choose the correct statement for the relationship between infection prevention and control (IPC) and the Chain of Infection. a. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken. b. IPC aims to cut the pathways in the Chain of Infection. c. IPC aims to control the elements of the Chain of Infection. d. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken, IPC aims to control the elements of the Chain of Infection. e. Chain of Infection can be completely eliminated when IPC implement properly and also cut it 14 / 58 14) Why is it important to prevent SSI? a. It is an important cause of additional morbidity b. It may contributes to increased Antimicrobial Resistance (AMR) c. All of the above d. It is an immediate threat to patient mortality e. It can cause incremental cost to patients 15 / 58 15) Choose the correct linkage of microorganism and its examples a. Fungi β Streptococcus b. All of the above c. Parasite β Escheria coli d. Bacteria β Plasmodium falciparum e. Virus β Hepatitis .B 16 / 58 16) Choose the correct statement about HCF environment. a. Having a safe environment is crucial for the safety of patients, staffs and visitors b. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection c. Environmental cause is easily separable from other causes of Nosocomial Infection d. All of the above 17 / 58 17) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+): Staphylococcus b. Bacteria Gram (-): Pseudomonas c. Bacteria Gram (+): Streptococcus d. Bacteria Gram (-): Anaerobia e. Bacteria Gram (+): Enterococcus 18 / 58 18) What is Nosocomial Infection (NI)? a. NI includes the infections that were acquired outside the hospital, but appeared after the admission b. NI is only applicable for infections acquired by patients c. All of the above d. NI is a part of HAI (Healthcare Associated Infection) e. NI is defined as infections acquired within 24 hours after hospital admission 19 / 58 19) How can HCF ensure the quality of water? a. Regular monitoring and evaluation of water supply b. Regular monitoring and evaluation of water quality c. Regular monitoring and evaluation of water treatment process d. All of the above 20 / 58 20) Why is it important to prevent Nosocomial Infection? a. It increases the cost of healthcare facility management b. It can cause extra financial burden to patients c. all of the above d. It can be life-threatening to both patients and healthcare staffs 21 / 58 21) How can we avoid/combat AMR? a. Revise the antibiotic guidelines and protocols whenever the new AMR is detected b. All of the above c. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear d. Use routine prophylactic antibiotics before operation e. Prescribe antibiotics whenever possible to avoid infection 22 / 58 22) Choose the correct example of HCF ventilation. a. Window is open and mosquito net is installed in the patient room b. None of the above c. Window is blocked with TV screen in the patient room d. Isolation room has a ceiling fan to make air circulate to outside 23 / 58 23) What describes the right prevention of Nosocomial Pneumonia? 23) 1.Perform hand hygiene procedure 2.Elevation of bed heat to 80~90Β° so that patient can sit up straight 3.Regular change of humidifier 4.Post-operation patient try to move as much as possible when not recommended 5.Disinfection of respiratory equipment a. 3, 5 b. 1, 3, 5 c. 1, 5 d. 1, 2, 3, 4, 5 e. 1, 2, 3, 5 24 / 58 24) What is the correct example of handling urinary catheter? a. Provide prophylactic antibiotics to all patients with urinary catheter b. Using urinary catheter for patients with flexible mobility c. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much d. Wearing gloves when connecting the catheter to patients 25 / 58 25) What is the correct statement about food safety at HCF? a. If visitor brings food from outside, itβs better to share the food with others b. All food for patients must be prepared by authorized hospital kitchen c. Itβs not a big problem to store raw fruit and cooked food together d. None of the above e. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator 26 / 58 26) Choose incorrect example of respiratory hygiene practice. a. Covering nose when coughing b. Throwing away the used tissue to the trash bin c. Washing hands regularly d. Wiping nose with hand when sneezing 27 / 58 27) Choose the correct statement for safe handling of equipment and soiled linen. a. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. b. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. c. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse d. Thermometer can be shared between patients if it is wiped with wet tissue. e. All of the above 28 / 58 28) Choose the incorrect statement about Pressure Ulcer a. It is caused by the constant pressure applied to skin exposed to source of infection b. None of the above c. It can be avoided by regularly mobilizing the patient d. It can spread further infection to the deeper skin layer e. It can be avoided by regularly washing the patient at least twice a day 29 / 58 29) Choose the correct IPC standard precautions to apply: a. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. b. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, c. Hand hygiene and to select PPE to use d. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. e. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette 30 / 58 30) Choose the correct statement. a. Chain of infection only exists in the hospital setting. b. None of the above. c. Chain of infection can be usually controlled well by tackling 1 of the 6 elements d. It is more effective to control Reservoir than to control portal of exit. e. Holistic IPC program is needed to effectively control the chain of infection. 31 / 58 31) Choose the correct example of safe HCF environment. a. Window is closed in the operation room b. Hospital corridor is full of people c. Paint on the wall is scratched and removed d. None of the above e. Sink in the bathroom is broken and water is leaking 32 / 58 32) What is the entry germs or micro-organism to βSusceptible hostβ are? a. People who have a low resistance against pathogen included pregnant women b. Patients who gets stress with TB and AIDS more easily than others c. Children under age 5 d. People who have a multiple history of infection to microorganisms, especially elderly people e. Patients who have been with chronic diseases 33 / 58 33) Choose the correct example of clean healthcare facility environment. a. One trash can is shared by all patients in the ward b. None of the above c. Cleaning staff cleans the floor with the broom only d. Water sink in the shared bathroom is broke e. Cleaning staff cleans the operation room at least twice a day 34 / 58 34) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)? a. Insertion of intravenous catheter for nutrition feeding when patient lost appetite b. None of the above c. Cleaning skin with disinfectant before inserting the catheter d. Use of gown and gloves for staffs performing insertion procedure e. Use of surgical drape to cover the insertion spot 35 / 58 35) Choose the correct linkage of microorganism and its description. a. Fungi β has no nucleus b. Bacteria β reproduces by replication and cellular fusion c. Virus β multicellular organism d. Parasites β lives inside the cell 36 / 58 36) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. Patient and patient's member included visitor b. The doctors and nurses, but not for cleaning staffs. c. All cleaners and nurses by washing your hands with soap and water. d. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. e. All people who provided health care services, included patients and patient's family. 37 / 58 37) What is not relevant to HCF environment? a. Safe water b. Food safety c. Safe commuting route d. Ventilation e. Building design and construction 38 / 58 38) What disease can be prevented by performing good respiratory hygiene? a. Hepatitis .C b. Hepatitis .B c. HIV d. All of the above e. Tuberculosis 39 / 58 39) What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind? a. Materials used for floor, type of furnitures b. Distance between each patient bed c. Numbers and types of rooms d. Route of the laundries being transported in the building e. All of them are important 40 / 58 40) What is the most common pathogen of nosocomial infection in HCFs? a. Mix bacteria and virus b. Virus c. Parasites d. Fungi e. Bacteria 41 / 58 41) What is the incorrect description of Injection Safety? a. Use of disposable glove b. Recapping of needles c. Use of safety box with puncture-proof function d. Immediate throw-away of disposable items after usage e. Performing post-exposure prophylaxis when accidentally exposed to the risk 42 / 58 42) What is definition of pathogens? a. Microorganisms that damage the human host by direct invasion or by toxic products b. Microorganisms that produces toxic chemicals c. None of the above d. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. e. Toxic chemicals 43 / 58 43) Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed? a. To prevent spreading the droplet-borne disease b. To prevent spreading the air-borne disease c. To prevent the close contact people d. To prevent the nurses to contact patient e. To prevent the contamination of pathogens to other people 44 / 58 44) What is not considered during the IPC risk assessment? a. None of the above b. Patientβs blood type c. Medical procedure to be performed d. Risk of contacting body fluid e. Pre-diagnosed condition or symptoms 45 / 58 45) What describes the incorrect way to prevent CABSI? a. Remove the catheter as early as possible b. None of the above c. Do not perform CABSI when alternative oral feeding method is possible d. Plug needle directly into infusion bottle to avoid using unnecessary equipment e. Protect the insertion site with a sterile dressing 46 / 58 46) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Anaerobia b. Staphylococcus c. Klebsiella pneumoniae d. Escherichia coli (E-coli) e. Pseudomonas 47 / 58 47) Choose the correct statement. a. Fungi infection can be easily treated by antimicrobiotics b. Normal flora does not cause any nosocomial infection in any case. c. None of the above d. Any virus, once entered human body, causes immediate symptoms. e. Any bacteria, once entered human body, is pathogenic. 48 / 58 48) What is the potential risk factor of Surgical Site Infection(SSI)? a. all of the above b. Long duration of the operation c. Antibiotic prophylaxis d. Patientβs pre-disposed symptoms 49 / 58 49) What type of Personal Protective Equipment (PPE) used or additional precaution for physician to examination the patient with a fever include cough and sneeze? a. Gown b. Eyes protection c. Disposable Gloves d. Surgical mask and disposable glove e. Surgical mask 50 / 58 50) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Gloves b. Surgical mask c. Gown d. Mask e. Disposable glove and surgical mask 51 / 58 51) Who could be the βSusceptible hostβ of micro-organism? a. Pregnant women, children < 5 Years and elderly people b. Nurses and physicians who performs regular injection task and examination people c. Pregnant women and children under 5 years of age d. Elderly people with chronic diseases e. People who are working in healthcare facilities 52 / 58 52) To select the correct answer one below, the six components of the chain of infection are: a. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism b. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. c. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host d. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. e. Reservoir, fungus, mode of transmission, place of entry, host, and environment 53 / 58 53) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)? a. It provides the safe environment for caregivers and visitors b. Poorly managed HCF environment could raise the Nosocomial Infection rate c. It provides the safe environment for patients d. It provides the safe workplace for HCF staffs e. All of the above 54 / 58 54) Choose the correct example of performing respiratory hygiene. a. None of the above b. All of the above c. Doctor shaking hands with all the patients to be friendly d. Visitor who came to see the flu patient, not wearing any mask e. Patient using a box of tissue while coughing and sneezing 55 / 58 55) HCW takes blood sample with patient for routine check-up, the patient does not present visible symptoms, what type and which IPC precaution the staff will apply? a. To clean hand, used disposable gloves, safety book to collect the syringe & needle b. To performs hand hygiene and wears disposable gloves c. To clean and disinfected area with alcohol d. To use safety box to collect the single used of needle and syringe 56 / 58 56) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury. a. None of the above b. Nurse close the cap of the needle after the injection procedure c. Doctor is wearing a mask, but not the gloves when injecting d. Safety box or sharp box container and AD syringes. e. Needles are thrown away in the trash can without lid 57 / 58 57) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from? a. Patients to patients b. Patients to environment and crossed environment to patient and HCWs c. People who has contacted, included soil material and environment d. Patient to visitors and HCWs e. Patients to health care workers (HCWs) and HCWs to patients 58 / 58 58) Choose incorrect statement about ventilation in HCF. a. Window should be always open for natural ventilation b. Mosquito screen or mosquito net should be provided when window is open c. It should be designed to reduce microbial contamination d. Every patient room has to have window directly connected to outside e. None of the above Your score isThe average score is 0% Facebook 0% Restart quiz Any comments? Send feedback
