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