/58 0 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) Choose the correct statement about additional precautions. a. When necessary, HCWs staff must change from standard precaution to additional precautions. b. Additional precaution is not necessary for general outpatient consultation. c. To use additional precaution is better than standard precaution d. Needs of additional precaution dependent on pathogenβs mode of transmission. e. None of the above 2 / 58 2) 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 3 / 58 3) Choose the correct example of safe HCF environment. a. None of the above b. Sink in the bathroom is broken and water is leaking c. Hospital corridor is full of people d. Window is closed in the operation room e. Paint on the wall is scratched and removed 4 / 58 4) 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, pathogen virulence, 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, Place of exit, mode of transmission, place of entry and host 5 / 58 5) 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. All of the above d. Use routine prophylactic antibiotics before operation e. Revise the antibiotic guidelines and protocols whenever the new AMR is detected 6 / 58 6) What describes the incorrect way to prevent CABSI? a. Protect the insertion site with a sterile dressing b. Remove the catheter as early as possible c. Plug needle directly into infusion bottle to avoid using unnecessary equipment d. None of the above e. Do not perform CABSI when alternative oral feeding method is possible 7 / 58 7) Why is it important to prevent SSI? a. It may contributes to increased Antimicrobial Resistance (AMR) b. All of the above c. It is an important cause of additional morbidity d. It is an immediate threat to patient mortality e. It can cause incremental cost to patients 8 / 58 8) Choose the correct statement about standard precautions. a. To clean hand and selected PPE to use b. IPC standard precautions HCWs should be applied for selected patients not to all. c. IPC standard precautions HCWs should be applied for all patients at all time d. Risk assessment should be performed only for susceptible host. e. Standard precaution is not necessary for outpatient consultation. 9 / 58 9) 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 10 / 58 10) Choose the correct statement. a. None of the above. b. Chain of infection only exists in the hospital setting. c. It is more effective to control Reservoir than to control portal of exit. d. Chain of infection can be usually controlled well by tackling 1 of the 6 elements e. Holistic IPC program is needed to effectively control the chain of infection. 11 / 58 11) 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. Route of the laundries being transported in the building d. Materials used for floor, type of furnitures e. Numbers and types of rooms 12 / 58 12) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (-): Anaerobia b. Bacteria Gram (-): Pseudomonas c. Bacteria Gram (+): Enterococcus d. Bacteria Gram (+): Streptococcus e. Bacteria Gram (+): Staphylococcus 13 / 58 13) What describes the right prevention of Nosocomial Pneumonia? 13) 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, 2, 3, 5 d. 1, 2, 3, 4, 5 e. 1, 5 14 / 58 14) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from? a. Patient to visitors and HCWs b. Patients to environment and crossed environment to patient and HCWs c. Patients to health care workers (HCWs) and HCWs to patients d. People who has contacted, included soil material and environment e. Patients to patients 15 / 58 15) What is the safe source of water for HCF? a. Rain water stored in tanks , Main city water supply b. Main city water supply c. Open pond d. Rain water stored in tanks e. All of the above 16 / 58 16) Choose the common site of Nosocomial Infection. a. Catheter-Associated Blood Stream Infection (CABSI) b. All of the above c. Urinary Tract Infection (UTI) d. Surgical Site Infection (SSI) 17 / 58 17) 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 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 microorganism to resist human immune system 18 / 58 18) 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. Disposable Gloves c. Eyes protection d. Surgical mask e. Gown 19 / 58 19) What is the incorrect description of Injection Safety? a. Use of disposable glove b. Performing post-exposure prophylaxis when accidentally exposed to the risk c. Recapping of needles d. Immediate throw-away of disposable items after usage e. Use of safety box with puncture-proof function 20 / 58 20) What is not relevant to HCF environment? a. Ventilation b. Food safety c. Safe commuting route d. Building design and construction e. Safe water 21 / 58 21) Choose the correct statement about HCF environment. a. All of the above b. Having a safe environment is crucial for the safety of patients, staffs and visitors c. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection d. Environmental cause is easily separable from other causes of Nosocomial Infection 22 / 58 22) Choose the correct IPC standard precautions to apply: a. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, b. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. c. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette d. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. e. Hand hygiene and to select PPE to use 23 / 58 23) 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 performs hand hygiene and wears disposable gloves c. To clean hand, used disposable gloves, safety book to collect the syringe & needle d. To clean and disinfected area with alcohol 24 / 58 24) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Disposable glove and surgical mask b. Gown c. Surgical mask d. Gloves e. Mask 25 / 58 25) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Staphylococcus b. Bacteria Gram (-): E-coli c. Bacteria Gram (-): Pseudomonas d. Bacteria Gram (+): Enterococcus e. Bacteria Gram (+): Streptococcus 26 / 58 26) What is not considered during the IPC risk assessment? a. Pre-diagnosed condition or symptoms b. None of the above c. Medical procedure to be performed d. Risk of contacting body fluid e. Patientβs blood type 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) 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 infection prevention and control (IPC) measures are taken, IPC aims to control the elements of the Chain of Infection. c. IPC aims to cut the pathways in the Chain of Infection. d. 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 29 / 58 29) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. Patient and patient's member included visitor b. All people who provided health care services, included patients and patient's family. c. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. d. All cleaners and nurses by washing your hands with soap and water. e. The doctors and nurses, but not for cleaning staffs. 30 / 58 30) Choose the correct statement for safe handling of equipment and soiled linen. a. All of the above b. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. c. Thermometer can be shared between patients if it is wiped with wet tissue. d. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse e. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. 31 / 58 31) 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. Surgical mask c. Gown and apron d. Disposable Gloves e. Disposable glove and N 95 mask 32 / 58 32) 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. Patients who gets stress with TB and AIDS more easily than others c. Children under age 5 d. People who have a multiple history of infection to microorganisms, especially elderly people e. Patients who have been with chronic diseases 33 / 58 33) How can HCF ensure the quality of water? a. Regular monitoring and evaluation of water supply b. All of the above c. Regular monitoring and evaluation of water treatment process d. Regular monitoring and evaluation of water quality 34 / 58 34) Why is it important to prevent Nosocomial Infection? a. all of the above b. It can cause extra financial burden to patients c. It increases the cost of healthcare facility management d. It can be life-threatening to both patients and healthcare staffs 35 / 58 35) Choose incorrect statement about ventilation in HCF. a. Every patient room has to have window directly connected to outside 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. Window should be always open for natural ventilation 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. People who are working in healthcare facilities e. Elderly people with chronic diseases 37 / 58 37) Choose the incorrect statement about Pressure Ulcer a. It can be avoided by regularly mobilizing the patient b. It can be avoided by regularly washing the patient at least twice a day c. None of the above d. It can spread further infection to the deeper skin layer e. It is caused by the constant pressure applied to skin exposed to source of infection 38 / 58 38) 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. All of the above d. Poorly managed HCF environment could raise the Nosocomial Infection rate e. It provides the safe environment for caregivers and visitors 39 / 58 39) What is the potential risk factor of Surgical Site Infection(SSI)? a. Long duration of the operation b. Antibiotic prophylaxis c. Patientβs pre-disposed symptoms d. all of the above 40 / 58 40) 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. Block the mode of transmission d. Remove the reservoir of micro-organism and block the mode of transmission e. Remove the reservoir of micro-organism 41 / 58 41) Choose incorrect example of respiratory hygiene practice. a. Throwing away the used tissue to the trash bin b. Wiping nose with hand when sneezing c. Washing hands regularly d. Covering nose when coughing 42 / 58 42) Who should perform respiratory hygiene? a. Doctors when dealing with coughing patients b. All of the above c. Visitor who is sneezing d. Patient who is diagnosed with flu 43 / 58 43) 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 44 / 58 44) What disease can be prevented by performing good respiratory hygiene? a. Hepatitis .C b. Tuberculosis c. All of the above d. HIV e. Hepatitis .B 45 / 58 45) What is the correct statement about food safety at HCF? a. If visitor brings food from outside, itβs better to share the food with others b. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator c. Itβs not a big problem to store raw fruit and cooked food together d. None of the above e. All food for patients must be prepared by authorized hospital kitchen 46 / 58 46) What is Nosocomial Infection (NI)? a. NI is defined as infections acquired within 24 hours after hospital admission 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. NI is a part of HAI (Healthcare Associated Infection) e. All of the above 47 / 58 47) Choose the correct linkage of microorganism and its examples a. Fungi β Streptococcus b. Bacteria β Plasmodium falciparum c. Virus β Hepatitis .B d. All of the above e. Parasite β Escheria coli 48 / 58 48) Choose the correct example of clean healthcare facility environment. a. One trash can is shared by all patients in the ward b. None of the above c. Water sink in the shared bathroom is broke d. Cleaning staff cleans the floor with the broom only e. Cleaning staff cleans the operation room at least twice a day 49 / 58 49) What is the most common pathogen of nosocomial infection in HCFs? a. Fungi b. Virus c. Bacteria d. Parasites e. Mix bacteria and virus 50 / 58 50) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Anaerobia b. Pseudomonas c. Escherichia coli (E-coli) d. Klebsiella pneumoniae e. Staphylococcus 51 / 58 51) 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. Safety box or sharp box container and AD syringes. c. Nurse close the cap of the needle after the injection procedure d. Doctor is wearing a mask, but not the gloves when injecting e. Needles are thrown away in the trash can without lid 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. Use of gown and gloves for staffs performing insertion procedure d. Cleaning skin with disinfectant before inserting the catheter e. Insertion of intravenous catheter for nutrition feeding when patient lost appetite 53 / 58 53) 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 the contamination of pathogens to other people d. To prevent spreading the air-borne disease e. To prevent the nurses to contact patient 54 / 58 54) 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. All of the above d. Always administer prophylactic antimicrobial agent 55 / 58 55) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Disposable Gloves only b. Eyes protection c. Apron d. Gown e. Surgical mask 56 / 58 56) 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. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. d. Toxic chemicals e. None of the above 57 / 58 57) Choose the correct statement. a. Any virus, once entered human body, causes immediate symptoms. b. None of the above c. Any bacteria, once entered human body, is pathogenic. d. Normal flora does not cause any nosocomial infection in any case. e. Fungi infection can be easily treated by antimicrobiotics 58 / 58 58) Who is exposed to the risk factor of Nosocomial Pneumonia? a. Post-operation patient who stays in bed without mobility b. Patient who is aided with mechanical ventilation c. Patient in the same ward as pneumonia patient d. All of the above Your score isThe average score is 0% Facebook 0% Restart quiz Any comments? Send feedback
