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