/58 296 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) infection prevention and control (IPC) measures can break the chain of infection by a. Remove all risky micro-organisms b. Block the mode of transmission c. Remove the reservoir of micro-organism d. All of the above excepted (d) e. Remove the reservoir of micro-organism and block the mode of transmission 2 / 58 2) Choose the incorrect statement about Pressure Ulcer a. None of the above b. It can be avoided by regularly mobilizing the patient c. It is caused by the constant pressure applied to skin exposed to source of infection d. It can spread further infection to the deeper skin layer e. It can be avoided by regularly washing the patient at least twice a day 3 / 58 3) Who could be the βSusceptible hostβ of micro-organism? a. Nurses and physicians who performs regular injection task and examination people b. People who are working in healthcare facilities c. Pregnant women and children under 5 years of age d. Elderly people with chronic diseases e. Pregnant women, children < 5 Years and elderly people 4 / 58 4) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Gown b. Disposable Gloves only c. Surgical mask d. Apron e. Eyes protection 5 / 58 5) 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. Immediate throw-away of disposable items after usage d. Recapping of needles e. Use of disposable glove 6 / 58 6) How can we avoid/combat AMR? a. Use routine prophylactic antibiotics before operation b. Revise the antibiotic guidelines and protocols whenever the new AMR is detected c. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear d. All of the above e. Prescribe antibiotics whenever possible to avoid infection 7 / 58 7) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)? a. It provides the safe environment for caregivers and visitors b. Poorly managed HCF environment could raise the Nosocomial Infection rate c. All of the above d. It provides the safe workplace for HCF staffs e. It provides the safe environment for patients 8 / 58 8) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)? a. Use of surgical drape to cover the insertion spot b. Insertion of intravenous catheter for nutrition feeding when patient lost appetite c. Cleaning skin with disinfectant before inserting the catheter d. Use of gown and gloves for staffs performing insertion procedure e. None of the above 9 / 58 9) Who should perform respiratory hygiene? a. Visitor who is sneezing b. Doctors when dealing with coughing patients c. Patient who is diagnosed with flu d. All of the above 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) Choose the correct example of safe HCF environment. a. None of the above b. Window is closed in the operation room c. Sink in the bathroom is broken and water is leaking d. Paint on the wall is scratched and removed e. Hospital corridor is full of people 12 / 58 12) 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. Distance between each patient bed c. All of them are important d. Numbers and types of rooms e. Materials used for floor, type of furnitures 13 / 58 13) Choose the correct statement about standard precautions. a. Standard precaution is not necessary for outpatient consultation. b. IPC standard precautions HCWs should be applied for all patients at all time c. Risk assessment should be performed only for susceptible host. d. To clean hand and selected PPE to use e. IPC standard precautions HCWs should be applied for selected patients not to all. 14 / 58 14) Choose the correct statement for safe handling of equipment and soiled linen. a. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse b. Thermometer can be shared between patients if it is wiped with wet tissue. c. All of the above d. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. e. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. 15 / 58 15) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+): Streptococcus b. Bacteria Gram (+): Staphylococcus c. Bacteria Gram (+): Enterococcus d. Bacteria Gram (-): Anaerobia e. Bacteria Gram (-): Pseudomonas 16 / 58 16) How can HCF ensure the quality of water? a. Regular monitoring and evaluation of water treatment process b. Regular monitoring and evaluation of water quality c. Regular monitoring and evaluation of water supply d. All of the above 17 / 58 17) Choose the common site of Nosocomial Infection. a. All of the above b. Catheter-Associated Blood Stream Infection (CABSI) c. Surgical Site Infection (SSI) d. Urinary Tract Infection (UTI) 18 / 58 18) What is the safe source of water for HCF? a. All of the above b. Rain water stored in tanks , Main city water supply c. Open pond d. Main city water supply e. Rain water stored in tanks 19 / 58 19) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Gloves b. Surgical mask c. Disposable glove and surgical mask d. Mask e. Gown 20 / 58 20) 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 21 / 58 21) 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. Gown and apron e. Disposable glove and N 95 mask 22 / 58 22) Choose the correct statement. a. None of the above. b. It is more effective to control Reservoir than to control portal of exit. c. Holistic IPC program is needed to effectively control the chain of infection. d. Chain of infection can be usually controlled well by tackling 1 of the 6 elements e. Chain of infection only exists in the hospital setting. 23 / 58 23) What is the definition of Antimicrobial Resistance (AMR)? a. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth b. It is the ability for human to resist chemicals c. It is the ability for human to resist microorganism d. It is the ability for microorganism to resist human immune system e. It is the ability for chemicals to resist microorganism 24 / 58 24) Choose the correct example of clean healthcare facility environment. a. None of the above b. Cleaning staff cleans the floor with the broom only c. One trash can is shared by all patients in the ward d. Cleaning staff cleans the operation room at least twice a day e. Water sink in the shared bathroom is broke 25 / 58 25) What is the entry germs or micro-organism to βSusceptible hostβ are? a. Children under age 5 b. Patients who have been with chronic diseases c. People who have a low resistance against pathogen included pregnant women d. Patients who gets stress with TB and AIDS more easily than others e. People who have a multiple history of infection to microorganisms, especially elderly people 26 / 58 26) 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. All people who provided health care services, included patients and patient's family. c. Patient and patient's member included visitor d. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. e. The doctors and nurses, but not for cleaning staffs. 27 / 58 27) Choose the correct example of performing respiratory hygiene. a. None of the above b. Doctor shaking hands with all the patients to be friendly c. Visitor who came to see the flu patient, not wearing any mask d. Patient using a box of tissue while coughing and sneezing e. All of the above 28 / 58 28) 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. 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. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism e. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host 29 / 58 29) What is not relevant to HCF environment? a. Safe water b. Ventilation c. Building design and construction d. Safe commuting route e. Food safety 30 / 58 30) 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 performs hand hygiene and wears disposable gloves b. To clean hand, used disposable gloves, safety book to collect the syringe & needle c. To clean and disinfected area with alcohol d. To use safety box to collect the single used of needle and syringe 31 / 58 31) What is the correct statement about food safety at HCF? a. Itβs not a big problem to store raw fruit and cooked food together b. None of the above c. If visitor brings food from outside, itβs better to share the food with others d. All food for patients must be prepared by authorized hospital kitchen e. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator 32 / 58 32) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Enterococcus b. Bacteria Gram (-): E-coli c. Bacteria Gram (-): Pseudomonas d. Bacteria Gram (+): Staphylococcus e. Bacteria Gram (+): Streptococcus 33 / 58 33) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Staphylococcus b. Klebsiella pneumoniae c. Pseudomonas d. Escherichia coli (E-coli) e. Anaerobia 34 / 58 34) Choose incorrect statement about ventilation in HCF. a. Every patient room has to have window directly connected to outside b. Mosquito screen or mosquito net should be provided when window is open c. None of the above d. It should be designed to reduce microbial contamination e. Window should be always open for natural ventilation 35 / 58 35) What is Nosocomial Infection (NI)? a. All of the above b. NI is a part of HAI (Healthcare Associated Infection) c. NI includes the infections that were acquired outside the hospital, but appeared after the admission d. NI is defined as infections acquired within 24 hours after hospital admission e. NI is only applicable for infections acquired by patients 36 / 58 36) 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. Nurse close the cap of the needle after the injection procedure c. Safety box or sharp box container and AD syringes. d. Needles are thrown away in the trash can without lid e. None of the above 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, 5 b. 1, 2, 3, 5 c. 1, 3, 5 d. 1, 2, 3, 4, 5 e. 3, 5 38 / 58 38) Choose the correct statement about additional precautions. a. To use additional precaution is better than standard precaution b. When necessary, HCWs staff must change from standard precaution to additional precautions. c. None of the above d. Additional precaution is not necessary for general outpatient consultation. e. Needs of additional precaution dependent on pathogenβs mode of transmission. 39 / 58 39) Choose the correct statement. a. Any virus, once entered human body, causes immediate symptoms. b. Normal flora does not cause any nosocomial infection in any case. c. Any bacteria, once entered human body, is pathogenic. d. Fungi infection can be easily treated by antimicrobiotics e. None of the above 40 / 58 40) Choose the correct linkage of microorganism and its description. a. Parasites β lives inside the cell b. Virus β multicellular organism c. Bacteria β reproduces by replication and cellular fusion d. Fungi β has no nucleus 41 / 58 41) What is not considered during the IPC risk assessment? a. Risk of contacting body fluid b. Patientβs blood type c. Medical procedure to be performed d. None of the above e. Pre-diagnosed condition or symptoms 42 / 58 42) What is the potential risk factor of Surgical Site Infection(SSI)? a. Antibiotic prophylaxis b. Long duration of the operation c. all of the above d. Patientβs pre-disposed symptoms 43 / 58 43) Choose the correct prevention practice against SSI. a. Always administer prophylactic antimicrobial agent b. Perform a surgical scrub with antiseptic product immediately before the operation c. Always remove hair on the surgical site before the operation d. All of the above 44 / 58 44) Choose the correct example of HCF ventilation. a. Window is open and mosquito net is installed in the patient room b. Window is blocked with TV screen in the patient room c. Isolation room has a ceiling fan to make air circulate to outside d. None of the above 45 / 58 45) Why is it important to prevent SSI? a. It is an important cause of additional morbidity b. It can cause incremental cost to patients c. It is an immediate threat to patient mortality d. It may contributes to increased Antimicrobial Resistance (AMR) e. All of the above 46 / 58 46) 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. Using urinary catheter for patients with flexible mobility d. Wearing gloves when connecting the catheter to patients 47 / 58 47) What is definition of pathogens? a. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. b. Microorganisms that damage the human host by direct invasion or by toxic products c. Toxic chemicals d. Microorganisms that produces toxic chemicals e. None of the above 48 / 58 48) 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 49 / 58 49) Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed? a. To prevent the close contact people 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 nurses to contact patient 50 / 58 50) Choose the correct IPC standard precautions to apply: a. Hand hygiene and to select PPE to use b. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. 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 equipment, environment cleaning, health care waste management, e. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette 51 / 58 51) What is the most common pathogen of nosocomial infection in HCFs? a. Mix bacteria and virus b. Fungi c. Virus d. Parasites e. Bacteria 52 / 58 52) 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. Gown c. Disposable Gloves d. Surgical mask e. Eyes protection 53 / 58 53) What describes the incorrect way to prevent CABSI? a. Plug needle directly into infusion bottle to avoid using unnecessary equipment b. Do not perform CABSI when alternative oral feeding method is possible c. Protect the insertion site with a sterile dressing d. None of the above e. Remove the catheter as early as possible 54 / 58 54) Choose the correct linkage of microorganism and its examples a. Virus β Hepatitis .B b. All of the above c. Bacteria β Plasmodium falciparum d. Fungi β Streptococcus e. Parasite β Escheria coli 55 / 58 55) 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 56 / 58 56) 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. IPC aims to control the elements of the Chain of Infection. c. IPC aims to cut the pathways in 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 57 / 58 57) What disease can be prevented by performing good respiratory hygiene? a. Hepatitis .B b. All of the above c. HIV d. Tuberculosis e. Hepatitis .C 58 / 58 58) 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 Your score isThe average score is 82% Facebook 0% Restart quiz Any comments? Send feedback
