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