/58 0 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) 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 2 / 58 2) What is the definition of Antimicrobial Resistance (AMR)? a. It is the ability for human to resist microorganism b. It is the ability for human to resist chemicals c. It is the ability for microorganism to resist human immune system d. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth e. It is the ability for chemicals to resist microorganism 3 / 58 3) infection prevention and control (IPC) measures can break the chain of infection by a. Remove the reservoir of micro-organism b. Remove all risky micro-organisms c. All of the above excepted (d) d. Block the mode of transmission e. Remove the reservoir of micro-organism and block the mode of transmission 4 / 58 4) What describes the incorrect way to prevent CABSI? a. Remove the catheter as early as possible b. Protect the insertion site with a sterile dressing c. Plug needle directly into infusion bottle to avoid using unnecessary equipment d. Do not perform CABSI when alternative oral feeding method is possible e. None of the above 5 / 58 5) Choose the correct example of performing respiratory hygiene. a. Doctor shaking hands with all the patients to be friendly b. All of the above c. Patient using a box of tissue while coughing and sneezing d. Visitor who came to see the flu patient, not wearing any mask e. None of the above 6 / 58 6) How can we avoid/combat AMR? a. Prescribe antibiotics whenever possible to avoid infection b. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear c. Use routine prophylactic antibiotics before operation d. Revise the antibiotic guidelines and protocols whenever the new AMR is detected e. All of the above 7 / 58 7) 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 8 / 58 8) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. The doctors and nurses, but not for cleaning staffs. b. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. c. All cleaners and nurses by washing your hands with soap and water. d. All people who provided health care services, included patients and patient's family. e. Patient and patient's member included visitor 9 / 58 9) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Streptococcus b. Bacteria Gram (+): Staphylococcus c. Bacteria Gram (-): E-coli d. Bacteria Gram (-): Pseudomonas e. Bacteria Gram (+): Enterococcus 10 / 58 10) Choose the correct linkage of microorganism and its description. a. Fungi β has no nucleus b. Parasites β lives inside the cell c. Virus β multicellular organism d. Bacteria β reproduces by replication and cellular fusion 11 / 58 11) 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. Poorly managed HCF environment could raise the Nosocomial Infection rate d. It provides the safe environment for patients e. It provides the safe workplace for HCF staffs 12 / 58 12) Why is it important to prevent SSI? a. All of the above 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. It is an important cause of additional morbidity 13 / 58 13) 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. Itβs not a big problem to store raw fruit and cooked food together 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. None of the above 14 / 58 14) 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. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host c. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. d. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism e. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. 15 / 58 15) What is the incorrect description of Injection Safety? a. Recapping of needles b. Performing post-exposure prophylaxis when accidentally exposed to the risk c. Immediate throw-away of disposable items after usage d. Use of safety box with puncture-proof function e. Use of disposable glove 16 / 58 16) 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 17 / 58 17) What is the correct example of handling urinary catheter? a. Using urinary catheter for patients with flexible mobility b. Provide prophylactic antibiotics to all patients with urinary catheter c. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much d. Wearing gloves when connecting the catheter to patients 18 / 58 18) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (-): Pseudomonas b. Bacteria Gram (+): Enterococcus c. Bacteria Gram (-): Anaerobia d. Bacteria Gram (+): Staphylococcus e. Bacteria Gram (+): Streptococcus 19 / 58 19) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)? a. Insertion of intravenous catheter for nutrition feeding when patient lost appetite b. Cleaning skin with disinfectant before inserting the catheter c. None of the above d. Use of surgical drape to cover the insertion spot e. Use of gown and gloves for staffs performing insertion procedure 20 / 58 20) Choose the correct example of clean healthcare facility environment. a. Water sink in the shared bathroom is broke 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. Cleaning staff cleans the operation room at least twice a day 21 / 58 21) 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 22 / 58 22) Who is exposed to the risk factor of Nosocomial Pneumonia? a. Patient in the same ward as pneumonia patient b. All of the above c. Patient who is aided with mechanical ventilation d. Post-operation patient who stays in bed without mobility 23 / 58 23) What is the entry germs or micro-organism to βSusceptible hostβ are? a. People who have a low resistance against pathogen included pregnant women b. Children under age 5 c. Patients who gets stress with TB and AIDS more easily than others d. Patients who have been with chronic diseases e. People who have a multiple history of infection to microorganisms, especially elderly people 24 / 58 24) Choose the correct statement for the relationship between infection prevention and control (IPC) and the Chain of Infection. a. IPC aims to cut the pathways in 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. IPC aims to control the elements of the Chain of Infection. d. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken. e. Chain of Infection can be completely eliminated when IPC implement properly and also cut it 25 / 58 25) 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 26 / 58 26) Choose the correct statement about additional precautions. a. Additional precaution is not necessary for general outpatient consultation. b. When necessary, HCWs staff must change from standard precaution to additional precautions. c. None of the above d. Needs of additional precaution dependent on pathogenβs mode of transmission. e. To use additional precaution is better than standard precaution 27 / 58 27) 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. Numbers and types of rooms d. Materials used for floor, type of furnitures e. Route of the laundries being transported in the building 28 / 58 28) 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 29 / 58 29) What is the safe source of water for HCF? a. Main city water supply b. All of the above c. Rain water stored in tanks d. Rain water stored in tanks , Main city water supply e. Open pond 30 / 58 30) Choose the correct statement about standard precautions. a. Risk assessment should be performed only for susceptible host. b. To clean hand and selected PPE to use c. Standard precaution is not necessary for outpatient consultation. d. IPC standard precautions HCWs should be applied for selected patients not to all. e. IPC standard precautions HCWs should be applied for all patients at all time 31 / 58 31) 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. None of the above. d. Chain of infection only exists in the hospital setting. e. Chain of infection can be usually controlled well by tackling 1 of the 6 elements 32 / 58 32) 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 equipment, environment cleaning, health care waste management, d. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. e. Hand hygiene and to select PPE to use 33 / 58 33) Choose incorrect statement about ventilation in HCF. a. Window should be always open for natural ventilation b. It should be designed to reduce microbial contamination c. None of the above d. Mosquito screen or mosquito net should be provided when window is open e. Every patient room has to have window directly connected to outside 34 / 58 34) Choose the common site of Nosocomial Infection. a. All of the above b. Urinary Tract Infection (UTI) c. Catheter-Associated Blood Stream Infection (CABSI) d. Surgical Site Infection (SSI) 35 / 58 35) What is definition of pathogens? a. Toxic chemicals 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. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. 36 / 58 36) Who could be the βSusceptible hostβ of micro-organism? a. Pregnant women, children < 5 Years and elderly people b. Nurses and physicians who performs regular injection task and examination people c. Pregnant women and children under 5 years of age d. Elderly people with chronic diseases e. People who are working in healthcare facilities 37 / 58 37) 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. Gown and apron d. Surgical mask e. Disposable Gloves 38 / 58 38) What disease can be prevented by performing good respiratory hygiene? a. HIV b. Hepatitis .B c. Hepatitis .C d. All of the above e. Tuberculosis 39 / 58 39) What is not relevant to HCF environment? a. Safe commuting route b. Food safety c. Safe water d. Ventilation e. Building design and construction 40 / 58 40) What is not considered during the IPC risk assessment? a. Risk of contacting body fluid b. Medical procedure to be performed c. None of the above d. Patientβs blood type e. Pre-diagnosed condition or symptoms 41 / 58 41) How can HCF ensure the quality of water? a. Regular monitoring and evaluation of water treatment process b. Regular monitoring and evaluation of water supply c. All of the above d. Regular monitoring and evaluation of water quality 42 / 58 42) What describes the right prevention of Nosocomial Pneumonia? 42) 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, 5 b. 3, 5 c. 1, 2, 3, 4, 5 d. 1, 5 e. 1, 3, 5 43 / 58 43) Choose the correct prevention practice against SSI. a. Perform a surgical scrub with antiseptic product immediately before the operation b. All of the above c. Always remove hair on the surgical site before the operation d. Always administer prophylactic antimicrobial agent 44 / 58 44) 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 a part of HAI (Healthcare Associated Infection) d. NI is only applicable for infections acquired by patients e. NI is defined as infections acquired within 24 hours after hospital admission 45 / 58 45) Choose the correct statement. a. None of the above b. Normal flora does not cause any nosocomial infection in any case. c. Fungi infection can be easily treated by antimicrobiotics d. Any virus, once entered human body, causes immediate symptoms. e. Any bacteria, once entered human body, is pathogenic. 46 / 58 46) 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 47 / 58 47) Choose the incorrect statement about Pressure Ulcer a. It can spread further infection to the deeper skin layer b. It can be avoided by regularly washing the patient at least twice a day c. None of the above d. It can be avoided by regularly mobilizing the patient e. It is caused by the constant pressure applied to skin exposed to source of infection 48 / 58 48) Choose the correct linkage of microorganism and its examples a. Bacteria β Plasmodium falciparum b. Virus β Hepatitis .B c. All of the above d. Fungi β Streptococcus e. Parasite β Escheria coli 49 / 58 49) 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. Eyes protection c. Disposable Gloves d. Surgical mask and disposable glove e. Gown 50 / 58 50) Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed? a. To prevent spreading the air-borne disease b. To prevent the nurses to contact patient c. To prevent the close contact people d. To prevent spreading the droplet-borne disease e. To prevent the contamination of pathogens to other people 51 / 58 51) 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. Patient to visitors and HCWs d. Patients to environment and crossed environment to patient and HCWs e. Patients to health care workers (HCWs) and HCWs to patients 52 / 58 52) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury. a. Safety box or sharp box container and AD syringes. 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. None of the above 53 / 58 53) 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 54 / 58 54) Choose the correct statement for safe handling of equipment and soiled linen. a. All of the above b. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. c. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. d. Thermometer can be shared between patients if it is wiped with wet tissue. e. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse 55 / 58 55) 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) 56 / 58 56) Choose the correct example of HCF ventilation. a. None of the above 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. Window is open and mosquito net is installed in the patient room 57 / 58 57) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Gloves b. Gown c. Disposable glove and surgical mask d. Mask e. Surgical mask 58 / 58 58) What is the most common pathogen of nosocomial infection in HCFs? a. Parasites b. Bacteria c. Virus d. Mix bacteria and virus e. Fungi Your score isThe average score is 0% Facebook 0% Restart quiz Any comments? Send feedback
