/58 125 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) 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 and disinfected area with alcohol b. To clean hand, used disposable gloves, safety book to collect the syringe & needle c. To use safety box to collect the single used of needle and syringe d. To performs hand hygiene and wears disposable gloves 2 / 58 2) What is not relevant to HCF environment? a. Safe water b. Ventilation c. Food safety d. Building design and construction e. Safe commuting route 3 / 58 3) Choose the incorrect statement about Pressure Ulcer a. It can be avoided by regularly mobilizing the patient b. It can spread further infection to the deeper skin layer c. None of the above d. It is caused by the constant pressure applied to skin exposed to source of infection e. It can be avoided by regularly washing the patient at least twice a day 4 / 58 4) Choose the correct statement about standard precautions. a. Standard precaution is not necessary for outpatient consultation. b. IPC standard precautions HCWs should be applied for selected patients not to all. c. Risk assessment should be performed only for susceptible host. d. To clean hand and selected PPE to use e. IPC standard precautions HCWs should be applied for all patients at all time 5 / 58 5) 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 bacteria, once entered human body, is pathogenic. e. Any virus, once entered human body, causes immediate symptoms. 6 / 58 6) What is the definition of Antimicrobial Resistance (AMR)? a. It is the ability for microorganism to resist human immune system b. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth c. It is the ability for human to resist chemicals d. It is the ability for human to resist microorganism e. It is the ability for chemicals to resist microorganism 7 / 58 7) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Surgical mask b. Eyes protection c. Apron d. Gown e. Disposable Gloves only 8 / 58 8) Why is it important to prevent Nosocomial Infection? a. It can cause extra financial burden to patients b. It can be life-threatening to both patients and healthcare staffs c. all of the above d. It increases the cost of healthcare facility management 9 / 58 9) Choose the correct example of performing respiratory hygiene. a. None of the above b. All of the above c. Visitor who came to see the flu patient, not wearing any mask d. Doctor shaking hands with all the patients to be friendly e. Patient using a box of tissue while coughing and sneezing 10 / 58 10) What is the correct statement about food safety at HCF? a. None of the above b. If visitor brings food from outside, itβs better to share the food with others c. All food for patients must be prepared by authorized hospital kitchen d. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator e. Itβs not a big problem to store raw fruit and cooked food together 11 / 58 11) Who could be the βSusceptible hostβ of micro-organism? a. Elderly people with chronic diseases b. Pregnant women and children under 5 years of age c. Pregnant women, children < 5 Years and elderly people d. Nurses and physicians who performs regular injection task and examination people e. People who are working in healthcare facilities 12 / 58 12) Choose the correct linkage of microorganism and its examples a. Fungi β Streptococcus b. Virus β Hepatitis .B c. Bacteria β Plasmodium falciparum d. Parasite β Escheria coli e. All of the above 13 / 58 13) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)? a. None of the above b. Insertion of intravenous catheter for nutrition feeding when patient lost appetite c. Use of gown and gloves for staffs performing insertion procedure d. Cleaning skin with disinfectant before inserting the catheter e. Use of surgical drape to cover the insertion spot 14 / 58 14) What describes the incorrect way to prevent CABSI? a. None of the above b. Plug needle directly into infusion bottle to avoid using unnecessary equipment c. Do not perform CABSI when alternative oral feeding method is possible d. Protect the insertion site with a sterile dressing e. Remove the catheter as early as possible 15 / 58 15) Choose incorrect example of respiratory hygiene practice. a. Washing hands regularly b. Wiping nose with hand when sneezing c. Covering nose when coughing d. Throwing away the used tissue to the trash bin 16 / 58 16) What is definition of pathogens? a. Microorganisms that damage the human host by direct invasion or by toxic products b. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. c. Microorganisms that produces toxic chemicals d. None of the above e. Toxic chemicals 17 / 58 17) What is the correct example of handling urinary catheter? a. Wearing gloves when connecting the catheter to patients b. Provide prophylactic antibiotics to all patients with urinary catheter c. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much d. Using urinary catheter for patients with flexible mobility 18 / 58 18) Choose the correct example of safe HCF environment. a. Sink in the bathroom is broken and water is leaking b. Window is closed in the operation room c. None of the above d. Hospital corridor is full of people e. Paint on the wall is scratched and removed 19 / 58 19) What is Nosocomial Infection (NI)? a. NI is only applicable for infections acquired by patients b. NI is a part of HAI (Healthcare Associated Infection) c. All of the above d. NI includes the infections that were acquired outside the hospital, but appeared after the admission e. NI is defined as infections acquired within 24 hours after hospital admission 20 / 58 20) Choose the correct statement for the relationship between infection prevention and control (IPC) and the Chain of Infection. a. IPC aims to cut the pathways in the Chain of Infection. b. 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. c. IPC aims to control the elements of the Chain of Infection. d. Chain of Infection can be completely eliminated when IPC implement properly and also cut it e. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken. 21 / 58 21) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. All people who provided health care services, included patients and patient's family. b. All cleaners and nurses by washing your hands with soap and water. c. The doctors and nurses, but not for cleaning staffs. d. Patient and patient's member included visitor e. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. 22 / 58 22) What is the safe source of water for HCF? a. Rain water stored in tanks b. Rain water stored in tanks , Main city water supply c. All of the above d. Open pond e. Main city water supply 23 / 58 23) Choose the correct statement for safe handling of equipment and soiled linen. a. Thermometer can be shared between patients if it is wiped with wet tissue. b. All of the above c. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. d. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. e. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse 24 / 58 24) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Surgical mask b. Gown c. Disposable glove and surgical mask d. Gloves e. Mask 25 / 58 25) What is the most common pathogen of nosocomial infection in HCFs? a. Mix bacteria and virus b. Fungi c. Virus d. Bacteria e. Parasites 26 / 58 26) What is the incorrect description of Injection Safety? a. Use of disposable glove b. Use of safety box with puncture-proof function c. Recapping of needles d. Performing post-exposure prophylaxis when accidentally exposed to the risk e. Immediate throw-away of disposable items after usage 27 / 58 27) Choose the correct example of clean healthcare facility environment. a. Cleaning staff cleans the floor with the broom only b. None of the above c. Cleaning staff cleans the operation room at least twice a day d. Water sink in the shared bathroom is broke e. One trash can is shared by all patients in the ward 28 / 58 28) What disease can be prevented by performing good respiratory hygiene? a. Hepatitis .B b. All of the above c. HIV d. Tuberculosis e. Hepatitis .C 29 / 58 29) What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind? a. All of them are important b. Materials used for floor, type of furnitures c. Distance between each patient bed d. Numbers and types of rooms e. Route of the laundries being transported in the building 30 / 58 30) Choose the correct statement. a. None of the above. b. Chain of infection only exists in the hospital setting. c. Chain of infection can be usually controlled well by tackling 1 of the 6 elements d. Holistic IPC program is needed to effectively control the chain of infection. e. It is more effective to control Reservoir than to control portal of exit. 31 / 58 31) Choose the correct linkage of microorganism and its description. a. Virus β multicellular organism b. Fungi β has no nucleus c. Parasites β lives inside the cell d. Bacteria β reproduces by replication and cellular fusion 32 / 58 32) Choose the correct prevention practice against SSI. a. Always administer prophylactic antimicrobial agent b. All of the above c. Always remove hair on the surgical site before the operation d. Perform a surgical scrub with antiseptic product immediately before the operation 33 / 58 33) What describes the right prevention of Nosocomial Pneumonia? 33) 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. 1, 2, 3, 4, 5 b. 1, 5 c. 1, 3, 5 d. 3, 5 e. 1, 2, 3, 5 34 / 58 34) Choose incorrect statement about ventilation in HCF. a. None of the above b. Every patient room has to have window directly connected to outside c. Mosquito screen or mosquito net should be provided when window is open d. It should be designed to reduce microbial contamination e. Window should be always open for natural ventilation 35 / 58 35) Who should perform respiratory hygiene? a. Patient who is diagnosed with flu b. Visitor who is sneezing c. Doctors when dealing with coughing patients d. All of the above 36 / 58 36) To select the correct answer one below, the six components of the chain of infection are: a. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. b. Reservoir, fungus, 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. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism 37 / 58 37) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from? a. Patients to patients b. Patient to visitors and HCWs c. Patients to environment and crossed environment to patient and HCWs d. Patients to health care workers (HCWs) and HCWs to patients e. People who has contacted, included soil material and environment 38 / 58 38) Choose the correct IPC standard precautions to apply: a. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. b. Hand hygiene and to select PPE to use c. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette d. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, e. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. 39 / 58 39) 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 Gloves d. Disposable glove and N 95 mask e. Gown and apron 40 / 58 40) 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. Safety box or sharp box container and AD syringes. c. Needles are thrown away in the trash can without lid d. Nurse close the cap of the needle after the injection procedure e. Doctor is wearing a mask, but not the gloves when injecting 41 / 58 41) 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. Disposable Gloves b. Surgical mask c. Eyes protection d. Gown e. Surgical mask and disposable glove 42 / 58 42) Choose the correct example of HCF ventilation. a. Window is open and mosquito net is installed in the patient room b. Window is blocked with TV screen in the patient room c. None of the above d. Isolation room has a ceiling fan to make air circulate to outside 43 / 58 43) Who is exposed to the risk factor of Nosocomial Pneumonia? a. Patient who is aided with mechanical ventilation b. All of the above c. Post-operation patient who stays in bed without mobility d. Patient in the same ward as pneumonia patient 44 / 58 44) infection prevention and control (IPC) measures can break the chain of infection by a. Remove the reservoir of micro-organism b. All of the above excepted (d) c. Remove the reservoir of micro-organism and block the mode of transmission d. Remove all risky micro-organisms e. Block the mode of transmission 45 / 58 45) Choose the correct statement about HCF environment. a. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection b. Environmental cause is easily separable from other causes of Nosocomial Infection c. All of the above d. Having a safe environment is crucial for the safety of patients, staffs and visitors 46 / 58 46) 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. It is an immediate threat to patient mortality d. All of the above e. It can cause incremental cost to patients 47 / 58 47) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)? a. It provides the safe workplace for HCF staffs b. It provides the safe environment for caregivers and visitors c. All of the above d. Poorly managed HCF environment could raise the Nosocomial Infection rate e. It provides the safe environment for patients 48 / 58 48) What is the potential risk factor of Surgical Site Infection(SSI)? a. Long duration of the operation b. all of the above c. Antibiotic prophylaxis d. Patientβs pre-disposed symptoms 49 / 58 49) Choose the correct statement about additional precautions. a. To use additional precaution is better than standard precaution b. None of the above c. When necessary, HCWs staff must change from standard precaution to additional precautions. d. Additional precaution is not necessary for general outpatient consultation. e. Needs of additional precaution dependent on pathogenβs mode of transmission. 50 / 58 50) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Staphylococcus b. Escherichia coli (E-coli) c. Pseudomonas d. Anaerobia e. Klebsiella pneumoniae 51 / 58 51) Choose the common site of Nosocomial Infection. a. Urinary Tract Infection (UTI) b. All of the above c. Surgical Site Infection (SSI) d. Catheter-Associated Blood Stream Infection (CABSI) 52 / 58 52) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+): Staphylococcus b. Bacteria Gram (+): Streptococcus c. Bacteria Gram (+): Enterococcus d. Bacteria Gram (-): Anaerobia e. Bacteria Gram (-): Pseudomonas 53 / 58 53) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Streptococcus b. Bacteria Gram (+): Enterococcus c. Bacteria Gram (+): Staphylococcus d. Bacteria Gram (-): Pseudomonas e. Bacteria Gram (-): E-coli 54 / 58 54) What is not considered during the IPC risk assessment? a. Pre-diagnosed condition or symptoms b. None of the above c. Medical procedure to be performed d. Risk of contacting body fluid e. Patientβs blood type 55 / 58 55) How can HCF ensure the quality of water? a. Regular monitoring and evaluation of water quality b. All of the above c. Regular monitoring and evaluation of water treatment process d. Regular monitoring and evaluation of water supply 56 / 58 56) 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 the nurses to contact patient c. To prevent the close contact people d. To prevent the contamination of pathogens to other people e. To prevent spreading the air-borne disease 57 / 58 57) What is the entry germs or micro-organism to βSusceptible hostβ are? a. Children under age 5 b. People who have a low resistance against pathogen included pregnant women c. People who have a multiple history of infection to microorganisms, especially elderly people d. Patients who gets stress with TB and AIDS more easily than others e. Patients who have been with chronic diseases 58 / 58 58) How can we avoid/combat AMR? a. Prescribe antibiotics whenever possible to avoid infection b. Use routine prophylactic antibiotics before operation c. All of the above d. Revise the antibiotic guidelines and protocols whenever the new AMR is detected e. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear Your score isThe average score is 80% Facebook 0% Restart quiz Any comments? Send feedback
