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