/58 8 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Escherichia coli (E-coli) b. Pseudomonas c. Anaerobia d. Klebsiella pneumoniae e. Staphylococcus 2 / 58 2) How can we avoid/combat AMR? a. Prescribe antibiotics whenever possible to avoid infection b. Use routine prophylactic antibiotics before operation c. Revise the antibiotic guidelines and protocols whenever the new AMR is detected d. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear e. All of the above 3 / 58 3) 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 4 / 58 4) What is the safe source of water for HCF? a. Main city water supply b. Rain water stored in tanks , Main city water supply c. Open pond d. Rain water stored in tanks e. All of the above 5 / 58 5) 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 d. Remove the reservoir of micro-organism and block the mode of transmission e. Block the mode of transmission 6 / 58 6) What is the most common pathogen of nosocomial infection in HCFs? a. Virus b. Fungi c. Parasites d. Mix bacteria and virus e. Bacteria 7 / 58 7) 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. Performing post-exposure prophylaxis when accidentally exposed to the risk e. Use of safety box with puncture-proof function 8 / 58 8) Who could be the βSusceptible hostβ of micro-organism? a. Nurses and physicians who performs regular injection task and examination people b. Pregnant women, children < 5 Years and elderly people c. People who are working in healthcare facilities d. Elderly people with chronic diseases e. Pregnant women and children under 5 years of age 9 / 58 9) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Streptococcus b. Bacteria Gram (+): Enterococcus c. Bacteria Gram (-): Pseudomonas d. Bacteria Gram (+): Staphylococcus e. Bacteria Gram (-): E-coli 10 / 58 10) Choose the correct IPC standard precautions to apply: a. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. b. Hand hygiene and to select PPE to use c. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, d. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. e. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette 11 / 58 11) What is definition of pathogens? a. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. b. Toxic chemicals c. Microorganisms that damage the human host by direct invasion or by toxic products d. Microorganisms that produces toxic chemicals e. None of the above 12 / 58 12) Choose the correct statement for safe handling of equipment and soiled linen. a. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. b. Thermometer can be shared between patients if it is wiped with wet tissue. c. All of the above 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) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)? a. It provides the safe environment for patients b. Poorly managed HCF environment could raise the Nosocomial Infection rate c. It provides the safe workplace for HCF staffs d. All of the above e. It provides the safe environment for caregivers and visitors 14 / 58 14) Choose the correct statement about additional precautions. a. When necessary, HCWs staff must change from standard precaution to additional precautions. b. Needs of additional precaution dependent on pathogenβs mode of transmission. c. Additional precaution is not necessary for general outpatient consultation. d. To use additional precaution is better than standard precaution e. None of the above 15 / 58 15) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Gown b. Disposable glove and surgical mask c. Surgical mask d. Mask e. Gloves 16 / 58 16) Choose the correct statement about standard precautions. a. To clean hand and selected PPE to use 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. Standard precaution is not necessary for outpatient consultation. 17 / 58 17) What is not considered during the IPC risk assessment? a. Medical procedure to be performed b. Pre-diagnosed condition or symptoms c. Risk of contacting body fluid d. Patientβs blood type e. None of the above 18 / 58 18) 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. The doctors and nurses, but not for cleaning staffs. c. All people who provided health care services, included patients and patient's family. d. All cleaners and nurses by washing your hands with soap and water. e. Patient and patient's member included visitor 19 / 58 19) 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. Disposable Gloves c. Surgical mask d. Disposable glove and N 95 mask e. Gown and apron 20 / 58 20) Choose the correct example of HCF ventilation. a. None of the above b. Window is blocked with TV screen in the patient room 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 21 / 58 21) Choose the correct example of performing respiratory hygiene. a. Doctor shaking hands with all the patients to be friendly b. Visitor who came to see the flu patient, not wearing any mask c. Patient using a box of tissue while coughing and sneezing d. None of the above e. All of the above 22 / 58 22) Choose the correct prevention practice against SSI. a. Perform a surgical scrub with antiseptic product immediately before the operation b. Always administer prophylactic antimicrobial agent c. All of the above d. Always remove hair on the surgical site before the operation 23 / 58 23) 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, IPC aims to control the elements of the Chain of Infection. b. IPC aims to cut the pathways in the Chain of Infection. c. Chain of Infection can be completely eliminated when IPC implement properly and also cut it d. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken. e. IPC aims to control the elements of the Chain of Infection. 24 / 58 24) 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. All of them are important c. Numbers and types of rooms d. Materials used for floor, type of furnitures e. Route of the laundries being transported in the building 25 / 58 25) 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 and disposable glove c. Gown d. Disposable Gloves e. Surgical mask 26 / 58 26) 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. People who has contacted, included soil material and environment c. Patient to visitors and HCWs d. Patients to health care workers (HCWs) and HCWs to patients e. Patients to patients 27 / 58 27) Choose the correct statement. a. Any bacteria, once entered human body, is pathogenic. b. None of the above c. Fungi infection can be easily treated by antimicrobiotics d. Any virus, once entered human body, causes immediate symptoms. e. Normal flora does not cause any nosocomial infection in any case. 28 / 58 28) 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 29 / 58 29) How can HCF ensure the quality of water? a. All of the above b. Regular monitoring and evaluation of water supply c. Regular monitoring and evaluation of water quality d. Regular monitoring and evaluation of water treatment process 30 / 58 30) 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. Provide prophylactic antibiotics to all patients with urinary catheter d. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much 31 / 58 31) 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 performs hand hygiene and wears disposable gloves c. To clean and disinfected area with alcohol d. To use safety box to collect the single used of needle and syringe 32 / 58 32) Choose the correct linkage of microorganism and its examples a. Fungi β Streptococcus b. Parasite β Escheria coli c. Bacteria β Plasmodium falciparum d. All of the above e. Virus β Hepatitis .B 33 / 58 33) What is the correct statement about food safety at HCF? a. None of the above b. All food for patients must be prepared by authorized hospital kitchen c. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator d. If visitor brings food from outside, itβs better to share the food with others e. Itβs not a big problem to store raw fruit and cooked food together 34 / 58 34) Who should perform respiratory hygiene? a. Doctors when dealing with coughing patients b. Patient who is diagnosed with flu c. All of the above d. Visitor who is sneezing 35 / 58 35) Choose the correct example of clean healthcare facility environment. a. Cleaning staff cleans the operation room at least twice a day b. Water sink in the shared bathroom is broke c. Cleaning staff cleans the floor with the broom only d. None of the above e. One trash can is shared by all patients in the ward 36 / 58 36) 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 in the same ward as pneumonia patient d. Patient who is aided with mechanical ventilation 37 / 58 37) What describes the right prevention of Nosocomial Pneumonia? 37) 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, 2, 3, 5 b. 1, 2, 3, 4, 5 c. 1, 3, 5 d. 3, 5 e. 1, 5 38 / 58 38) To select the correct answer one below, the six components of the chain of infection are: a. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism b. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. 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. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. 39 / 58 39) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Disposable Gloves only b. Gown c. Surgical mask d. Apron e. Eyes protection 40 / 58 40) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury. a. Needles are thrown away in the trash can without lid b. Doctor is wearing a mask, but not the gloves when injecting c. Safety box or sharp box container and AD syringes. d. None of the above e. Nurse close the cap of the needle after the injection procedure 41 / 58 41) What is not relevant to HCF environment? a. Ventilation b. Safe water c. Food safety d. Safe commuting route e. Building design and construction 42 / 58 42) What is the definition of Antimicrobial Resistance (AMR)? a. It is the ability for human to resist microorganism b. It is the ability for microorganism to resist human immune system c. It is the ability for chemicals to resist microorganism 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 43 / 58 43) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+): Enterococcus b. Bacteria Gram (-): Anaerobia c. Bacteria Gram (-): Pseudomonas d. Bacteria Gram (+): Streptococcus e. Bacteria Gram (+): Staphylococcus 44 / 58 44) Choose the correct statement. a. Holistic IPC program is needed to effectively control the chain of infection. b. Chain of infection can be usually controlled well by tackling 1 of the 6 elements c. Chain of infection only exists in the hospital setting. d. It is more effective to control Reservoir than to control portal of exit. e. None of the above. 45 / 58 45) Choose the common site of Nosocomial Infection. a. All of the above b. Surgical Site Infection (SSI) c. Urinary Tract Infection (UTI) d. Catheter-Associated Blood Stream Infection (CABSI) 46 / 58 46) What is Nosocomial Infection (NI)? a. NI is a part of HAI (Healthcare Associated Infection) b. NI is only applicable for infections acquired by patients c. NI is defined as infections acquired within 24 hours after hospital admission d. All of the above e. NI includes the infections that were acquired outside the hospital, but appeared after the admission 47 / 58 47) What is the potential risk factor of Surgical Site Infection(SSI)? a. all of the above b. Long duration of the operation c. Patientβs pre-disposed symptoms d. Antibiotic prophylaxis 48 / 58 48) 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. It can spread further infection to the deeper skin layer d. None of the above e. It is caused by the constant pressure applied to skin exposed to source of infection 49 / 58 49) 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. Insertion of intravenous catheter for nutrition feeding when patient lost appetite d. Use of surgical drape to cover the insertion spot e. None of the above 50 / 58 50) 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. It increases the cost of healthcare facility management d. all of the above 51 / 58 51) Choose the correct statement about HCF environment. a. All of the above b. Environmental cause is easily separable from other causes of Nosocomial Infection 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 52 / 58 52) 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. Remove the catheter as early as possible d. Protect the insertion site with a sterile dressing e. Plug needle directly into infusion bottle to avoid using unnecessary equipment 53 / 58 53) Choose the correct example of safe HCF environment. a. Paint on the wall is scratched and removed b. Hospital corridor is full of people c. None of the above d. Sink in the bathroom is broken and water is leaking e. Window is closed in the operation room 54 / 58 54) What is the entry germs or micro-organism to βSusceptible hostβ are? a. People who have a multiple history of infection to microorganisms, especially elderly people b. Patients who gets stress with TB and AIDS more easily than others c. People who have a low resistance against pathogen included pregnant women d. Children under age 5 e. Patients who have been with chronic diseases 55 / 58 55) Choose incorrect statement about ventilation in HCF. a. None of the above b. Every patient room has to have window directly connected to outside c. It should be designed to reduce microbial contamination d. Window should be always open for natural ventilation e. Mosquito screen or mosquito net should be provided when window is open 56 / 58 56) What disease can be prevented by performing good respiratory hygiene? a. Hepatitis .B b. All of the above c. Hepatitis .C d. HIV e. Tuberculosis 57 / 58 57) 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 nurses to contact patient c. To prevent spreading the air-borne disease d. To prevent spreading the droplet-borne disease e. To prevent the close contact people 58 / 58 58) Choose the correct linkage of microorganism and its description. a. Fungi β has no nucleus b. Bacteria β reproduces by replication and cellular fusion c. Virus β multicellular organism d. Parasites β lives inside the cell Your score isThe average score is 66% Facebook 0% Restart quiz Any comments? Send feedback
