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