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