/58 0 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) 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. All of them are important c. Numbers and types of rooms d. Distance between each patient bed e. Materials used for floor, type of furnitures 2 / 58 2) 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 b. Gown c. Disposable Gloves d. Eyes protection e. Surgical mask and disposable glove 3 / 58 3) 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 4 / 58 4) What describes the right prevention of Nosocomial Pneumonia? 4) 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. 3, 5 b. 1, 3, 5 c. 1, 5 d. 1, 2, 3, 4, 5 e. 1, 2, 3, 5 5 / 58 5) Choose the correct example of HCF ventilation. a. Isolation room has a ceiling fan to make air circulate to outside b. Window is open and mosquito net is installed in the patient room c. Window is blocked with TV screen in the patient room d. None of the above 6 / 58 6) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Surgical mask b. Gown c. Eyes protection d. Disposable Gloves only e. Apron 7 / 58 7) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Mask b. Gloves c. Surgical mask d. Gown e. Disposable glove and surgical mask 8 / 58 8) Who should perform respiratory hygiene? a. Visitor who is sneezing b. All of the above c. Doctors when dealing with coughing patients d. Patient who is diagnosed with flu 9 / 58 9) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)? a. It provides the safe environment for caregivers and visitors b. All of the above c. It provides the safe workplace for HCF staffs d. Poorly managed HCF environment could raise the Nosocomial Infection rate e. It provides the safe environment for patients 10 / 58 10) 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 includes the infections that were acquired outside the hospital, but appeared after the admission d. All of the above e. NI is defined as infections acquired within 24 hours after hospital admission 11 / 58 11) What is the potential risk factor of Surgical Site Infection(SSI)? a. all of the above b. Antibiotic prophylaxis c. Patientβs pre-disposed symptoms d. Long duration of the operation 12 / 58 12) Choose the correct linkage of microorganism and its examples a. Virus β Hepatitis .B b. Bacteria β Plasmodium falciparum c. Fungi β Streptococcus d. All of the above e. Parasite β Escheria coli 13 / 58 13) 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 chemicals to resist microorganism c. It is the ability for human to resist chemicals d. It is the ability for human to resist microorganism e. It is the ability for microorganism to resist human immune system 14 / 58 14) Choose the incorrect statement about Pressure Ulcer a. It is caused by the constant pressure applied to skin exposed to source of infection b. None of the above c. It can be avoided by regularly washing the patient at least twice a day d. It can be avoided by regularly mobilizing the patient e. It can spread further infection to the deeper skin layer 15 / 58 15) 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. Patient using a box of tissue while coughing and sneezing d. Doctor shaking hands with all the patients to be friendly e. All of the above 16 / 58 16) What is the incorrect description of Injection Safety? a. Recapping of needles b. Immediate throw-away of disposable items after usage c. Performing post-exposure prophylaxis when accidentally exposed to the risk d. Use of disposable glove e. Use of safety box with puncture-proof function 17 / 58 17) What is not relevant to HCF environment? a. Ventilation b. Safe commuting route c. Building design and construction d. Safe water e. Food safety 18 / 58 18) Choose the correct prevention practice against SSI. a. All of the above b. Perform a surgical scrub with antiseptic product immediately before the operation c. Always remove hair on the surgical site before the operation d. Always administer prophylactic antimicrobial agent 19 / 58 19) What describes the incorrect way to prevent CABSI? a. Do not perform CABSI when alternative oral feeding method is possible b. Plug needle directly into infusion bottle to avoid using unnecessary equipment c. None of the above d. Protect the insertion site with a sterile dressing e. Remove the catheter as early as possible 20 / 58 20) 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. Gown and apron c. Disposable Gloves d. Eyes protection e. Surgical mask 21 / 58 21) 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. Doctor is wearing a mask, but not the gloves when injecting c. Needles are thrown away in the trash can without lid d. Nurse close the cap of the needle after the injection procedure e. Safety box or sharp box container and AD syringes. 22 / 58 22) Choose incorrect example of respiratory hygiene practice. a. Wiping nose with hand when sneezing b. Washing hands regularly c. Covering nose when coughing d. Throwing away the used tissue to the trash bin 23 / 58 23) 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. Having a safe environment is crucial for the safety of patients, staffs and visitors d. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection 24 / 58 24) Choose the common site of Nosocomial Infection. a. All of the above b. Surgical Site Infection (SSI) c. Catheter-Associated Blood Stream Infection (CABSI) d. Urinary Tract Infection (UTI) 25 / 58 25) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Staphylococcus b. Klebsiella pneumoniae c. Escherichia coli (E-coli) d. Anaerobia e. Pseudomonas 26 / 58 26) 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 the nurses to contact patient d. To prevent spreading the droplet-borne disease e. To prevent spreading the air-borne disease 27 / 58 27) 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 28 / 58 28) Why is it important to prevent SSI? a. It may contributes to increased Antimicrobial Resistance (AMR) b. It can cause incremental cost to patients c. It is an immediate threat to patient mortality d. All of the above e. It is an important cause of additional morbidity 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 disease can be prevented by performing good respiratory hygiene? a. Hepatitis .B b. HIV c. All of the above d. Tuberculosis e. Hepatitis .C 31 / 58 31) 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. 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 IPC implement properly and also cut it e. IPC aims to cut the pathways in the Chain of Infection. 32 / 58 32) Choose the correct statement. a. Any virus, once entered human body, causes immediate symptoms. b. Any bacteria, once entered human body, is pathogenic. c. None of the above d. Normal flora does not cause any nosocomial infection in any case. e. Fungi infection can be easily treated by antimicrobiotics 33 / 58 33) Choose the correct example of clean healthcare facility environment. a. Cleaning staff cleans the operation room at least twice a day b. Cleaning staff cleans the floor with the broom only c. One trash can is shared by all patients in the ward d. None of the above e. Water sink in the shared bathroom is broke 34 / 58 34) What is not considered during the IPC risk assessment? a. Risk of contacting body fluid b. Patientβs blood type c. Pre-diagnosed condition or symptoms d. None of the above e. Medical procedure to be performed 35 / 58 35) Choose the correct example of safe HCF environment. a. Paint on the wall is scratched and removed b. Sink in the bathroom is broken and water is leaking c. Window is closed in the operation room d. None of the above e. Hospital corridor is full of people 36 / 58 36) Why is it important to prevent Nosocomial Infection? a. It increases the cost of healthcare facility management b. It can be life-threatening to both patients and healthcare staffs c. all of the above d. It can cause extra financial burden to patients 37 / 58 37) 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. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse c. Thermometer can be shared between patients if it is wiped with wet tissue. d. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. e. All of the above 38 / 58 38) 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. Patients who gets stress with TB and AIDS more easily than others d. People who have a multiple history of infection to microorganisms, especially elderly people e. People who have a low resistance against pathogen included pregnant women 39 / 58 39) 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. Chain of infection only exists in the hospital setting. d. None of the above. e. Holistic IPC program is needed to effectively control the chain of infection. 40 / 58 40) 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 use safety box to collect the single used of needle and syringe d. To clean and disinfected area with alcohol 41 / 58 41) 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. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. c. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. d. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism e. Reservoir, fungus, mode of transmission, place of entry, host, and environment 42 / 58 42) 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 and to select PPE to use d. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. e. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. 43 / 58 43) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. Patient and patient's member included visitor b. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. 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. The doctors and nurses, but not for cleaning staffs. 44 / 58 44) What is the most common pathogen of nosocomial infection in HCFs? a. Bacteria b. Mix bacteria and virus c. Virus d. Fungi e. Parasites 45 / 58 45) 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. All of the above d. Rain water stored in tanks e. Open pond 46 / 58 46) 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. IPC standard precautions HCWs should be applied for selected patients not to all. d. Risk assessment should be performed only for susceptible host. e. To clean hand and selected PPE to use 47 / 58 47) Choose incorrect statement about ventilation in HCF. a. None of the above b. Window should be always open for natural ventilation c. It should be designed to reduce microbial contamination d. Every patient room has to have window directly connected to outside e. Mosquito screen or mosquito net should be provided when window is open 48 / 58 48) What is definition of pathogens? a. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. b. Microorganisms that produces toxic chemicals c. Toxic chemicals d. None of the above e. Microorganisms that damage the human host by direct invasion or by toxic products 49 / 58 49) 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. None of the above 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 50 / 58 50) Who is exposed to the risk factor of Nosocomial Pneumonia? a. Patient who is aided with mechanical ventilation b. All of the above c. Patient in the same ward as pneumonia patient d. Post-operation patient who stays in bed without mobility 51 / 58 51) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+): Enterococcus b. Bacteria Gram (+): Streptococcus c. Bacteria Gram (-): Anaerobia d. Bacteria Gram (+): Staphylococcus e. Bacteria Gram (-): Pseudomonas 52 / 58 52) 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. Cleaning skin with disinfectant before inserting the catheter d. Use of gown and gloves for staffs performing insertion procedure e. Insertion of intravenous catheter for nutrition feeding when patient lost appetite 53 / 58 53) Who could be the βSusceptible hostβ of micro-organism? a. Elderly people with chronic diseases b. Nurses and physicians who performs regular injection task and examination people c. Pregnant women and children under 5 years of age d. Pregnant women, children < 5 Years and elderly people e. People who are working in healthcare facilities 54 / 58 54) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (-): Pseudomonas b. Bacteria Gram (+): Enterococcus c. Bacteria Gram (+): Streptococcus d. Bacteria Gram (+): Staphylococcus e. Bacteria Gram (-): E-coli 55 / 58 55) 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. Patients to patients c. Patient to visitors and HCWs d. People who has contacted, included soil material and environment e. Patients to health care workers (HCWs) and HCWs to patients 56 / 58 56) Choose the correct statement about additional precautions. a. When necessary, HCWs staff must change from standard precaution to additional precautions. b. None of the above c. Additional precaution is not necessary for general outpatient consultation. d. To use additional precaution is better than standard precaution e. Needs of additional precaution dependent on pathogenβs mode of transmission. 57 / 58 57) 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 58 / 58 58) How can we avoid/combat AMR? a. Use routine prophylactic antibiotics before operation b. All of the above c. Prescribe antibiotics whenever possible to avoid infection d. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear e. Revise the antibiotic guidelines and protocols whenever the new AMR is detected Your score isThe average score is 0% Facebook 0% Restart quiz Any comments? Send feedback
