/58 8 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+): Enterococcus b. Bacteria Gram (-): Anaerobia c. Bacteria Gram (+): Streptococcus d. Bacteria Gram (-): Pseudomonas e. Bacteria Gram (+): Staphylococcus 2 / 58 2) What is the correct example of handling urinary catheter? a. Provide prophylactic antibiotics to all patients with urinary catheter b. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much c. Wearing gloves when connecting the catheter to patients d. Using urinary catheter for patients with flexible mobility 3 / 58 3) Choose the correct linkage of microorganism and its description. a. Parasites β lives inside the cell b. Fungi β has no nucleus c. Virus β multicellular organism d. Bacteria β reproduces by replication and cellular fusion 4 / 58 4) 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. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection d. All of the above 5 / 58 5) Choose the incorrect statement about Pressure Ulcer a. None of the above b. It is caused by the constant pressure applied to skin exposed to source of infection c. It can spread further infection to the deeper skin layer d. It can be avoided by regularly mobilizing the patient e. It can be avoided by regularly washing the patient at least twice a day 6 / 58 6) What describes the incorrect way to prevent CABSI? a. Protect the insertion site with a sterile dressing 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. Remove the catheter as early as possible e. None of the above 7 / 58 7) 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. Pre-diagnosed condition or symptoms e. Risk of contacting body fluid 8 / 58 8) 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 IPC implement properly and also cut it b. IPC aims to cut the pathways in the Chain of Infection. c. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken. d. IPC aims to control the elements of the Chain of Infection. 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. 9 / 58 9) 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. Reservoir, fungus, mode of transmission, place of entry, host, and environment c. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. d. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism e. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. 10 / 58 10) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Escherichia coli (E-coli) b. Klebsiella pneumoniae c. Pseudomonas d. Staphylococcus e. Anaerobia 11 / 58 11) Choose the common site of Nosocomial Infection. a. Surgical Site Infection (SSI) b. All of the above c. Catheter-Associated Blood Stream Infection (CABSI) d. Urinary Tract Infection (UTI) 12 / 58 12) Choose incorrect statement about ventilation in HCF. a. Every patient room has to have window directly connected to outside b. Window should be always open for natural ventilation c. Mosquito screen or mosquito net should be provided when window is open d. None of the above e. It should be designed to reduce microbial contamination 13 / 58 13) 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. Surgical mask c. Eyes protection d. Disposable Gloves e. Gown 14 / 58 14) What is the most common pathogen of nosocomial infection in HCFs? a. Mix bacteria and virus b. Parasites c. Virus d. Bacteria e. Fungi 15 / 58 15) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Gloves b. Disposable glove and surgical mask c. Gown d. Surgical mask e. Mask 16 / 58 16) What describes the right prevention of Nosocomial Pneumonia? 16) 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, 5 c. 1, 2, 3, 4, 5 d. 1, 2, 3, 5 e. 1, 3, 5 17 / 58 17) What is the entry germs or micro-organism to βSusceptible hostβ are? a. Patients who gets stress with TB and AIDS more easily than others b. People who have a multiple history of infection to microorganisms, especially elderly people c. Patients who have been with chronic diseases d. Children under age 5 e. People who have a low resistance against pathogen included pregnant women 18 / 58 18) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Apron b. Disposable Gloves only c. Eyes protection d. Surgical mask e. Gown 19 / 58 19) Choose incorrect example of respiratory hygiene practice. a. Washing hands regularly b. Covering nose when coughing c. Throwing away the used tissue to the trash bin d. Wiping nose with hand when sneezing 20 / 58 20) 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. None of the above 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 21 / 58 21) 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 supply d. Regular monitoring and evaluation of water treatment process 22 / 58 22) What is not relevant to HCF environment? a. Safe commuting route b. Food safety c. Safe water d. Ventilation e. Building design and construction 23 / 58 23) 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 use safety box to collect the single used of needle and syringe c. To performs hand hygiene and wears disposable gloves d. To clean hand, used disposable gloves, safety book to collect the syringe & needle 24 / 58 24) 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 25 / 58 25) 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. NI is defined as infections acquired within 24 hours after hospital admission d. NI is a part of HAI (Healthcare Associated Infection) e. All of the above 26 / 58 26) Choose the correct example of HCF ventilation. a. Window is blocked with TV screen in the patient room b. None of the above c. Window is open and mosquito net is installed in the patient room d. Isolation room has a ceiling fan to make air circulate to outside 27 / 58 27) Choose the correct statement. a. Chain of infection can be usually controlled well by tackling 1 of the 6 elements 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. None of the above. e. Chain of infection only exists in the hospital setting. 28 / 58 28) 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. Disposable Gloves b. Disposable glove and N 95 mask c. Eyes protection d. Gown and apron e. Surgical mask 29 / 58 29) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from? a. Patients to environment and crossed environment to patient and HCWs b. Patients to health care workers (HCWs) and HCWs to patients c. Patient to visitors and HCWs d. People who has contacted, included soil material and environment e. Patients to patients 30 / 58 30) 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 contamination of pathogens to other people c. To prevent spreading the droplet-borne disease d. To prevent the close contact people e. To prevent the nurses to contact patient 31 / 58 31) 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 32 / 58 32) 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. Poorly managed HCF environment could raise the Nosocomial Infection rate d. All of the above e. It provides the safe environment for patients 33 / 58 33) What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind? a. Distance between each patient bed b. Numbers and types of rooms c. Materials used for floor, type of furnitures d. Route of the laundries being transported in the building e. All of them are important 34 / 58 34) infection prevention and control (IPC) measures can break the chain of infection by a. Block the mode of transmission b. Remove the reservoir of micro-organism c. All of the above excepted (d) d. Remove the reservoir of micro-organism and block the mode of transmission e. Remove all risky micro-organisms 35 / 58 35) Who is exposed to the risk factor of Nosocomial Pneumonia? a. All of the above b. Patient in the same ward as pneumonia patient c. Patient who is aided with mechanical ventilation d. Post-operation patient who stays in bed without mobility 36 / 58 36) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (-): Pseudomonas b. Bacteria Gram (+): Streptococcus c. Bacteria Gram (+): Enterococcus d. Bacteria Gram (+): Staphylococcus e. Bacteria Gram (-): E-coli 37 / 58 37) How can we avoid/combat AMR? a. Revise the antibiotic guidelines and protocols whenever the new AMR is detected 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. All of the above 38 / 58 38) What is the safe source of water for HCF? a. Main city water supply b. Open pond c. Rain water stored in tanks , Main city water supply d. Rain water stored in tanks e. All of the above 39 / 58 39) Who could be the βSusceptible hostβ of micro-organism? a. People who are working in healthcare facilities b. Elderly people with chronic diseases c. Pregnant women and children under 5 years of age d. Nurses and physicians who performs regular injection task and examination people e. Pregnant women, children < 5 Years and elderly people 40 / 58 40) What is the definition of Antimicrobial Resistance (AMR)? a. It is the ability for chemicals to resist microorganism b. It is the ability for human to resist microorganism c. It is the ability for microorganism to resist human immune system 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 41 / 58 41) Choose the correct linkage of microorganism and its examples a. Virus β Hepatitis .B b. Fungi β Streptococcus c. Parasite β Escheria coli d. Bacteria β Plasmodium falciparum e. All of the above 42 / 58 42) Choose the correct example of clean healthcare facility environment. a. Cleaning staff cleans the floor with the broom only b. Water sink in the shared bathroom is broke c. None of the above d. One trash can is shared by all patients in the ward e. Cleaning staff cleans the operation room at least twice a day 43 / 58 43) Choose the correct IPC standard precautions to apply: a. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, b. Hand hygiene and to select PPE to use c. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. d. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette e. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. 44 / 58 44) What is definition of pathogens? a. Toxic chemicals b. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. c. Microorganisms that produces toxic chemicals d. Microorganisms that damage the human host by direct invasion or by toxic products e. None of the above 45 / 58 45) 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. Use of surgical drape to cover the insertion spot c. Cleaning skin with disinfectant before inserting the catheter d. None of the above e. Use of gown and gloves for staffs performing insertion procedure 46 / 58 46) Choose the correct statement about additional precautions. a. Additional precaution is not necessary for general outpatient consultation. b. None of the above 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. To use additional precaution is better than standard precaution 47 / 58 47) Choose the correct example of performing respiratory hygiene. a. All of the above b. Doctor shaking hands with all the patients to be friendly c. Patient using a box of tissue while coughing and sneezing d. None of the above e. Visitor who came to see the flu patient, not wearing any mask 48 / 58 48) Choose the correct statement. a. Normal flora does not cause any nosocomial infection in any case. b. Any virus, once entered human body, causes immediate symptoms. c. Fungi infection can be easily treated by antimicrobiotics d. Any bacteria, once entered human body, is pathogenic. e. None of the above 49 / 58 49) Choose the correct example of safe HCF environment. a. Window is closed in the operation room b. Hospital corridor is full of people 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) Why is it important to prevent SSI? a. All of the above b. It is an important cause of additional morbidity c. It is an immediate threat to patient mortality d. It can cause incremental cost to patients e. It may contributes to increased Antimicrobial Resistance (AMR) 51 / 58 51) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury. a. Doctor is wearing a mask, but not the gloves when injecting b. Safety box or sharp box container and AD syringes. c. None of the above d. Nurse close the cap of the needle after the injection procedure e. Needles are thrown away in the trash can without lid 52 / 58 52) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. All cleaners and nurses by washing your hands with soap and water. b. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. c. Patient and patient's member included visitor d. The doctors and nurses, but not for cleaning staffs. e. All people who provided health care services, included patients and patient's family. 53 / 58 53) Choose the correct statement for safe handling of equipment and soiled linen. a. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. b. Thermometer can be shared between patients if it is wiped with wet tissue. 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. All of the above 54 / 58 54) What is the potential risk factor of Surgical Site Infection(SSI)? a. Long duration of the operation b. Patientβs pre-disposed symptoms c. Antibiotic prophylaxis d. all of the above 55 / 58 55) Choose the correct prevention practice against SSI. a. Perform a surgical scrub with antiseptic product immediately before the operation b. All of the above c. Always administer prophylactic antimicrobial agent d. Always remove hair on the surgical site before the operation 56 / 58 56) What is the incorrect description of Injection Safety? a. Use of safety box with puncture-proof function b. Immediate throw-away of disposable items after usage c. Recapping of needles d. Use of disposable glove e. Performing post-exposure prophylaxis when accidentally exposed to the risk 57 / 58 57) Why is it important to prevent Nosocomial Infection? a. It increases the cost of healthcare facility management b. It can be life-threatening to both patients and healthcare staffs c. all of the above d. It can cause extra financial burden to patients 58 / 58 58) What disease can be prevented by performing good respiratory hygiene? a. Tuberculosis b. HIV c. All of the above d. Hepatitis .B e. Hepatitis .C Your score isThe average score is 83% Facebook 0% Restart quiz Any comments? Send feedback
