/58 114 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) 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. Immediate throw-away of disposable items after usage e. Performing post-exposure prophylaxis when accidentally exposed to the risk 2 / 58 2) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)? a. Use of gown and gloves for staffs performing insertion procedure b. Cleaning skin with disinfectant before inserting the catheter c. Use of surgical drape to cover the insertion spot d. None of the above e. Insertion of intravenous catheter for nutrition feeding when patient lost appetite 3 / 58 3) What is not considered during the IPC risk assessment? a. Pre-diagnosed condition or symptoms b. Risk of contacting body fluid c. None of the above d. Patientβs blood type e. Medical procedure to be performed 4 / 58 4) 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 5 / 58 5) Choose the correct statement about additional precautions. a. To use additional precaution is better than standard precaution b. Needs of additional precaution dependent on pathogenβs mode of transmission. c. When necessary, HCWs staff must change from standard precaution to additional precautions. d. None of the above e. Additional precaution is not necessary for general outpatient consultation. 6 / 58 6) Why is it important to prevent SSI? a. All of the above b. It is an immediate threat to patient mortality c. It can cause incremental cost to patients d. It is an important cause of additional morbidity e. It may contributes to increased Antimicrobial Resistance (AMR) 7 / 58 7) Choose the common site of Nosocomial Infection. a. Surgical Site Infection (SSI) b. Urinary Tract Infection (UTI) c. Catheter-Associated Blood Stream Infection (CABSI) d. All of the above 8 / 58 8) 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 9 / 58 9) 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 have been with chronic diseases c. Patients who gets stress with TB and AIDS more easily than others d. People who have a multiple history of infection to microorganisms, especially elderly people e. Children under age 5 10 / 58 10) 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 be life-threatening to both patients and healthcare staffs d. It can cause extra financial burden to patients 11 / 58 11) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from? a. Patients to patients b. Patients to environment and crossed environment to patient and HCWs c. Patients to health care workers (HCWs) and HCWs to patients d. Patient to visitors and HCWs e. People who has contacted, included soil material and environment 12 / 58 12) Choose the correct statement for safe handling of equipment and soiled linen. a. All of the above 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. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. 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. Eyes protection b. Surgical mask c. Gown d. Disposable Gloves e. Surgical mask and disposable glove 14 / 58 14) Choose the correct linkage of microorganism and its examples a. Bacteria β Plasmodium falciparum b. Parasite β Escheria coli c. Virus β Hepatitis .B d. All of the above e. Fungi β Streptococcus 15 / 58 15) Choose the correct statement. a. None of the above b. Any bacteria, once entered human body, is pathogenic. c. Normal flora does not cause any nosocomial infection in any case. d. Any virus, once entered human body, causes immediate symptoms. e. Fungi infection can be easily treated by antimicrobiotics 16 / 58 16) Choose the correct example of clean healthcare facility environment. a. Water sink in the shared bathroom is broke b. One trash can is shared by all patients in the ward c. Cleaning staff cleans the floor with the broom only d. Cleaning staff cleans the operation room at least twice a day e. None of the above 17 / 58 17) 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. All of them are important d. Route of the laundries being transported in the building e. Materials used for floor, type of furnitures 18 / 58 18) 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. All people who provided health care services, included patients and patient's family. d. Patient and patient's member included visitor e. The doctors and nurses, but not for cleaning staffs. 19 / 58 19) What is the correct example of handling urinary catheter? a. Wearing gloves when connecting the catheter to patients b. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much c. Provide prophylactic antibiotics to all patients with urinary catheter d. Using urinary catheter for patients with flexible mobility 20 / 58 20) What describes the incorrect way to prevent CABSI? a. Protect the insertion site with a sterile dressing b. Remove the catheter as early as possible c. Do not perform CABSI when alternative oral feeding method is possible d. Plug needle directly into infusion bottle to avoid using unnecessary equipment e. None of the above 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. It provides the safe workplace for HCF staffs c. Poorly managed HCF environment could raise the Nosocomial Infection rate d. All of the above e. It provides the safe environment for patients 22 / 58 22) Choose the incorrect statement about Pressure Ulcer a. It can be avoided by regularly washing the patient at least twice a day b. It can be avoided by regularly mobilizing the patient c. None of the above d. It can spread further infection to the deeper skin layer e. It is caused by the constant pressure applied to skin exposed to source of infection 23 / 58 23) infection prevention and control (IPC) measures can break the chain of infection by a. Block the mode of transmission b. Remove all risky micro-organisms c. Remove the reservoir of micro-organism d. Remove the reservoir of micro-organism and block the mode of transmission e. All of the above excepted (d) 24 / 58 24) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+): Staphylococcus b. Bacteria Gram (-): Pseudomonas c. Bacteria Gram (+): Streptococcus d. Bacteria Gram (+): Enterococcus e. Bacteria Gram (-): Anaerobia 25 / 58 25) 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 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. 3, 5 b. 1, 2, 3, 4, 5 c. 1, 5 d. 1, 2, 3, 5 e. 1, 3, 5 27 / 58 27) 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, safe handling of equipment, environment cleaning, health care waste management, c. Hand hygiene and to select PPE to use d. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette e. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. 28 / 58 28) 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 spreading the droplet-borne disease c. To prevent spreading the air-borne disease d. To prevent the contamination of pathogens to other people e. To prevent the close contact people 29 / 58 29) What is Nosocomial Infection (NI)? a. NI includes the infections that were acquired outside the hospital, but appeared after the admission b. NI is a part of HAI (Healthcare Associated Infection) c. NI is only applicable for infections acquired by patients d. NI is defined as infections acquired within 24 hours after hospital admission e. All of the above 30 / 58 30) How can HCF ensure the quality of water? a. Regular monitoring and evaluation of water supply b. Regular monitoring and evaluation of water quality c. Regular monitoring and evaluation of water treatment process d. All of the above 31 / 58 31) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury. a. Safety box or sharp box container and AD syringes. b. Needles are thrown away in the trash can without lid c. None of the above d. Nurse close the cap of the needle after the injection procedure e. Doctor is wearing a mask, but not the gloves when injecting 32 / 58 32) Choose the correct example of safe HCF environment. a. None of the above b. Paint on the wall is scratched and removed c. Sink in the bathroom is broken and water is leaking d. Window is closed in the operation room e. Hospital corridor is full of people 33 / 58 33) 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 remove hair on the surgical site before the operation d. Always administer prophylactic antimicrobial agent 34 / 58 34) What is the correct statement about food safety at HCF? a. All food for patients must be prepared by authorized hospital kitchen b. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator c. If visitor brings food from outside, itβs better to share the food with others d. None of the above e. Itβs not a big problem to store raw fruit and cooked food together 35 / 58 35) 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. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism c. Reservoir, fungus, mode of transmission, place of entry, host, and environment d. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host e. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. 36 / 58 36) 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 37 / 58 37) Who should perform respiratory hygiene? a. Patient who is diagnosed with flu b. All of the above c. Visitor who is sneezing d. Doctors when dealing with coughing patients 38 / 58 38) Who could be the βSusceptible hostβ of micro-organism? a. Pregnant women, children < 5 Years and elderly people b. Elderly people with chronic diseases c. Nurses and physicians who performs regular injection task and examination people d. People who are working in healthcare facilities e. Pregnant women and children under 5 years of age 39 / 58 39) 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 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. d. IPC aims to cut the pathways in 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. 40 / 58 40) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Eyes protection b. Disposable Gloves only c. Apron d. Gown e. Surgical mask 41 / 58 41) What disease can be prevented by performing good respiratory hygiene? a. Hepatitis .C b. Hepatitis .B c. All of the above d. HIV e. Tuberculosis 42 / 58 42) What is not relevant to HCF environment? a. Safe water b. Building design and construction c. Ventilation d. Food safety e. Safe commuting route 43 / 58 43) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Klebsiella pneumoniae b. Staphylococcus c. Anaerobia d. Escherichia coli (E-coli) e. Pseudomonas 44 / 58 44) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (-): Pseudomonas b. Bacteria Gram (-): E-coli c. Bacteria Gram (+): Enterococcus d. Bacteria Gram (+): Staphylococcus e. Bacteria Gram (+): Streptococcus 45 / 58 45) Choose the correct statement about standard precautions. a. Risk assessment should be performed only for susceptible host. b. IPC standard precautions HCWs should be applied for selected patients not to all. c. Standard precaution is not necessary for outpatient consultation. d. IPC standard precautions HCWs should be applied for all patients at all time e. To clean hand and selected PPE to use 46 / 58 46) What is definition of pathogens? a. Microorganisms that produces toxic chemicals b. Toxic chemicals c. Microorganisms that damage the human host by direct invasion or by toxic products d. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. e. None of the above 47 / 58 47) Who is exposed to the risk factor of Nosocomial Pneumonia? a. Patient who is aided with mechanical ventilation b. All of the above c. Patient in the same ward as pneumonia patient d. Post-operation patient who stays in bed without mobility 48 / 58 48) What is the most common pathogen of nosocomial infection in HCFs? a. Virus b. Bacteria c. Fungi d. Parasites e. Mix bacteria and virus 49 / 58 49) Choose incorrect statement about ventilation in HCF. a. None of the above b. Window should be always open for natural ventilation c. It should be designed to reduce microbial contamination d. Mosquito screen or mosquito net should be provided when window is open e. Every patient room has to have window directly connected to outside 50 / 58 50) 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. Gown and apron d. Eyes protection e. Surgical mask 51 / 58 51) What is the safe source of water for HCF? a. Main city water supply b. Rain water stored in tanks c. Open pond d. All of the above e. Rain water stored in tanks , Main city water supply 52 / 58 52) How can we avoid/combat AMR? a. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear b. Revise the antibiotic guidelines and protocols whenever the new AMR is detected c. All of the above d. Use routine prophylactic antibiotics before operation e. Prescribe antibiotics whenever possible to avoid infection 53 / 58 53) Choose the correct example of performing respiratory hygiene. a. Visitor who came to see the flu patient, not wearing any mask b. Doctor shaking hands with all the patients to be friendly c. None of the above d. All of the above e. Patient using a box of tissue while coughing and sneezing 54 / 58 54) Choose the correct statement. a. Chain of infection can be usually controlled well by tackling 1 of the 6 elements b. None of the above. c. It is more effective to control Reservoir than to control portal of exit. d. Chain of infection only exists in the hospital setting. e. Holistic IPC program is needed to effectively control the chain of infection. 55 / 58 55) 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 clean and disinfected area with alcohol d. To performs hand hygiene and wears disposable gloves 56 / 58 56) What is the potential risk factor of Surgical Site Infection(SSI)? a. all of the above b. Patientβs pre-disposed symptoms c. Antibiotic prophylaxis d. Long duration of the operation 57 / 58 57) Choose the correct example of HCF ventilation. a. Window is blocked with TV screen in the patient room b. Window is open and mosquito net is installed in the patient room c. None of the above d. Isolation room has a ceiling fan to make air circulate to outside 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. Virus β multicellular organism d. Bacteria β reproduces by replication and cellular fusion Your score isThe average score is 80% Facebook 0% Restart quiz Any comments? Send feedback
