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