/58 8 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) 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. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. c. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism d. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host e. Reservoir, fungus, mode of transmission, place of entry, host, and environment 2 / 58 2) Choose the incorrect statement about Pressure Ulcer a. It is caused by the constant pressure applied to skin exposed to source of infection b. It can be avoided by regularly mobilizing the patient c. It can spread further infection to the deeper skin layer d. None of the above e. It can be avoided by regularly washing the patient at least twice a day 3 / 58 3) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Surgical mask b. Gloves c. Mask d. Disposable glove and surgical mask e. Gown 4 / 58 4) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury. a. Needles are thrown away in the trash can without lid b. None of the above c. Doctor is wearing a mask, but not the gloves when injecting d. Safety box or sharp box container and AD syringes. e. Nurse close the cap of the needle after the injection procedure 5 / 58 5) What describes the right prevention of Nosocomial Pneumonia? 5) 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, 5 b. 1, 3, 5 c. 1, 2, 3, 5 d. 1, 2, 3, 4, 5 e. 3, 5 6 / 58 6) 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) 7 / 58 7) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from? a. Patients to health care workers (HCWs) and HCWs to patients b. Patients to patients c. People who has contacted, included soil material and environment d. Patient to visitors and HCWs e. Patients to environment and crossed environment to patient and HCWs 8 / 58 8) What is the safe source of water for HCF? a. Main city water supply b. All of the above c. Rain water stored in tanks , Main city water supply d. Open pond e. Rain water stored in tanks 9 / 58 9) How can we avoid/combat AMR? a. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear 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. Prescribe antibiotics whenever possible to avoid infection 10 / 58 10) 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 chemicals to resist microorganism e. It is the ability for human to resist microorganism 11 / 58 11) Choose the correct statement about standard precautions. a. Risk assessment should be performed only for susceptible host. b. To clean hand and selected PPE to use c. IPC standard precautions HCWs should be applied for all patients at all time d. IPC standard precautions HCWs should be applied for selected patients not to all. e. Standard precaution is not necessary for outpatient consultation. 12 / 58 12) 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 clean and disinfected area with alcohol c. To performs hand hygiene and wears disposable gloves d. To use safety box to collect the single used of needle and syringe 13 / 58 13) What is the potential risk factor of Surgical Site Infection(SSI)? a. Patientβs pre-disposed symptoms b. Long duration of the operation c. all of the above d. Antibiotic prophylaxis 14 / 58 14) 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. All of them are important c. Distance between each patient bed d. Route of the laundries being transported in the building e. Numbers and types of rooms 15 / 58 15) What is not considered during the IPC risk assessment? a. None of the above b. Risk of contacting body fluid c. Medical procedure to be performed d. Pre-diagnosed condition or symptoms e. Patientβs blood type 16 / 58 16) Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed? a. To prevent the nurses to contact patient b. To prevent the contamination of pathogens to other people c. To prevent the close contact people d. To prevent spreading the droplet-borne disease e. To prevent spreading the air-borne disease 17 / 58 17) Why is it important to prevent Nosocomial Infection? a. all of the above b. It increases the cost of healthcare facility management c. It can cause extra financial burden to patients d. It can be life-threatening to both patients and healthcare staffs 18 / 58 18) 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. Gown and apron c. Disposable Gloves d. Surgical mask e. Disposable glove and N 95 mask 19 / 58 19) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+): Enterococcus b. Bacteria Gram (+): Staphylococcus c. Bacteria Gram (+): Streptococcus d. Bacteria Gram (-): Pseudomonas e. Bacteria Gram (-): Anaerobia 20 / 58 20) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. b. All people who provided health care services, included patients and patient's family. c. All cleaners and nurses by washing your hands with soap and water. d. The doctors and nurses, but not for cleaning staffs. e. Patient and patient's member included visitor 21 / 58 21) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)? a. Cleaning skin with disinfectant before inserting the catheter b. Use of surgical drape to cover the insertion spot c. Use of gown and gloves for staffs performing insertion procedure d. Insertion of intravenous catheter for nutrition feeding when patient lost appetite e. None of the above 22 / 58 22) Choose the correct statement. a. None of the above. b. It is more effective to control Reservoir than to control portal of exit. c. Holistic IPC program is needed to effectively control the chain of infection. d. Chain of infection can be usually controlled well by tackling 1 of the 6 elements e. Chain of infection only exists in the hospital setting. 23 / 58 23) Choose the correct statement for safe handling of equipment and soiled linen. a. All of the above b. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. c. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. d. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse e. Thermometer can be shared between patients if it is wiped with wet tissue. 24 / 58 24) Choose the correct statement about HCF environment. a. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection b. Having a safe environment is crucial for the safety of patients, staffs and visitors c. Environmental cause is easily separable from other causes of Nosocomial Infection d. All of the above 25 / 58 25) What disease can be prevented by performing good respiratory hygiene? a. All of the above b. Tuberculosis c. HIV d. Hepatitis .C e. Hepatitis .B 26 / 58 26) 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. IPC aims to control the elements of the Chain of Infection. c. 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. 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. 27 / 58 27) 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. Remove the reservoir of micro-organism e. All of the above excepted (d) 28 / 58 28) What is the incorrect description of Injection Safety? a. Use of disposable glove b. Use of safety box with puncture-proof function c. Performing post-exposure prophylaxis when accidentally exposed to the risk d. Recapping of needles e. Immediate throw-away of disposable items after usage 29 / 58 29) Who should perform respiratory hygiene? a. Doctors when dealing with coughing patients b. Visitor who is sneezing c. All of the above d. Patient who is diagnosed with flu 30 / 58 30) What is the correct example of handling urinary catheter? a. Using urinary catheter for patients with flexible mobility b. Wearing gloves when connecting the catheter to patients c. Provide prophylactic antibiotics to all patients with urinary catheter d. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much 31 / 58 31) Choose the correct IPC standard precautions to apply: a. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. b. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. 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 and to select PPE to use e. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, 32 / 58 32) Why is it important to prevent SSI? a. It is an important cause of additional morbidity b. It can cause incremental cost to patients c. It is an immediate threat to patient mortality d. It may contributes to increased Antimicrobial Resistance (AMR) e. All of the above 33 / 58 33) Who is exposed to the risk factor of Nosocomial Pneumonia? a. Patient in the same ward as pneumonia patient b. Patient who is aided with mechanical ventilation c. All of the above d. Post-operation patient who stays in bed without mobility 34 / 58 34) Choose the correct example of HCF ventilation. a. Isolation room has a ceiling fan to make air circulate to outside b. Window is open and mosquito net is installed in the patient room c. Window is blocked with TV screen in the patient room d. None of the above 35 / 58 35) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)? a. It provides the safe environment for patients b. All of the above c. Poorly managed HCF environment could raise the Nosocomial Infection rate d. It provides the safe environment for caregivers and visitors e. It provides the safe workplace for HCF staffs 36 / 58 36) Choose the correct example of clean healthcare facility environment. a. Cleaning staff cleans the operation room at least twice a day b. None of the above c. Water sink in the shared bathroom is broke d. One trash can is shared by all patients in the ward e. Cleaning staff cleans the floor with the broom only 37 / 58 37) What describes the incorrect way to prevent CABSI? a. Plug needle directly into infusion bottle to avoid using unnecessary equipment b. Protect the insertion site with a sterile dressing c. Remove the catheter as early as possible d. None of the above e. Do not perform CABSI when alternative oral feeding method is possible 38 / 58 38) 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. Itβs not a big problem to store raw fruit and cooked food together c. None of the above d. All food for patients must be prepared by authorized hospital kitchen e. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator 39 / 58 39) Choose the correct linkage of microorganism and its examples a. Fungi β Streptococcus b. Virus β Hepatitis .B c. All of the above d. Parasite β Escheria coli e. Bacteria β Plasmodium falciparum 40 / 58 40) 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. Surgical mask and disposable glove b. Eyes protection c. Disposable Gloves d. Gown e. Surgical mask 41 / 58 41) Choose the correct linkage of microorganism and its description. a. Fungi β has no nucleus b. Virus β multicellular organism c. Parasites β lives inside the cell d. Bacteria β reproduces by replication and cellular fusion 42 / 58 42) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Staphylococcus b. Bacteria Gram (-): Pseudomonas c. Bacteria Gram (+): Enterococcus d. Bacteria Gram (-): E-coli e. Bacteria Gram (+): Streptococcus 43 / 58 43) 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. Patients who have been with chronic diseases d. Children under age 5 e. People who have a multiple history of infection to microorganisms, especially elderly people 44 / 58 44) Choose the correct statement about additional precautions. a. None of the above b. When necessary, HCWs staff must change from standard precaution to additional precautions. c. Needs of additional precaution dependent on pathogenβs mode of transmission. d. Additional precaution is not necessary for general outpatient consultation. e. To use additional precaution is better than standard precaution 45 / 58 45) 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 46 / 58 46) What is the most common pathogen of nosocomial infection in HCFs? a. Parasites b. Bacteria c. Fungi d. Virus e. Mix bacteria and virus 47 / 58 47) How can HCF ensure the quality of water? a. All of the above b. Regular monitoring and evaluation of water treatment process c. Regular monitoring and evaluation of water supply d. Regular monitoring and evaluation of water quality 48 / 58 48) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Eyes protection b. Gown c. Apron d. Disposable Gloves only e. Surgical mask 49 / 58 49) Choose the correct example of safe HCF environment. a. Hospital corridor is full of people b. Window is closed in the operation room c. Sink in the bathroom is broken and water is leaking d. None of the above e. Paint on the wall is scratched and removed 50 / 58 50) What is definition of pathogens? a. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. b. Toxic chemicals c. Microorganisms that produces toxic chemicals d. None of the above e. Microorganisms that damage the human host by direct invasion or by toxic products 51 / 58 51) What is Nosocomial Infection (NI)? a. All of the above b. NI includes the infections that were acquired outside the hospital, but appeared after the admission c. NI is a part of HAI (Healthcare Associated Infection) d. NI is only applicable for infections acquired by patients e. NI is defined as infections acquired within 24 hours after hospital admission 52 / 58 52) Choose the correct example of performing respiratory hygiene. a. Doctor shaking hands with all the patients to be friendly b. All of the above c. None of the above d. Visitor who came to see the flu patient, not wearing any mask e. Patient using a box of tissue while coughing and sneezing 53 / 58 53) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Pseudomonas b. Escherichia coli (E-coli) c. Staphylococcus d. Anaerobia e. Klebsiella pneumoniae 54 / 58 54) Choose incorrect statement about ventilation in HCF. a. It should be designed to reduce microbial contamination b. Mosquito screen or mosquito net should be provided when window is open c. Every patient room has to have window directly connected to outside d. Window should be always open for natural ventilation e. None of the above 55 / 58 55) Choose incorrect example of respiratory hygiene practice. a. Washing hands regularly b. Throwing away the used tissue to the trash bin c. Wiping nose with hand when sneezing d. Covering nose when coughing 56 / 58 56) What is not relevant to HCF environment? a. Building design and construction b. Safe commuting route c. Safe water d. Food safety e. Ventilation 57 / 58 57) Who could be the βSusceptible hostβ of micro-organism? a. Nurses and physicians who performs regular injection task and examination people b. People who are working in healthcare facilities c. Elderly people with chronic diseases d. Pregnant women, children < 5 Years and elderly people e. Pregnant women and children under 5 years of age 58 / 58 58) Choose the correct statement. a. Any virus, once entered human body, causes immediate symptoms. b. Normal flora does not cause any nosocomial infection in any case. c. Any bacteria, once entered human body, is pathogenic. d. None of the above e. Fungi infection can be easily treated by antimicrobiotics Your score isThe average score is 66% Facebook 0% Restart quiz Any comments? Send feedback
