/58 8 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) What is the correct statement about food safety at HCF? a. All food for patients must be prepared by authorized hospital kitchen b. Itβs not a big problem to store raw fruit and cooked food together c. None of the above 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 2 / 58 2) Choose the incorrect statement about Pressure Ulcer a. It can be avoided by regularly mobilizing the patient b. None of the above c. It can spread further infection to the deeper skin layer d. It is caused by the constant pressure applied to skin exposed to source of infection e. It can be avoided by regularly washing the patient at least twice a day 3 / 58 3) 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. Route of the laundries being transported in the building c. Materials used for floor, type of furnitures d. All of them are important e. Numbers and types of rooms 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. 1, 2, 3, 4, 5 b. 1, 5 c. 1, 3, 5 d. 3, 5 e. 1, 2, 3, 5 5 / 58 5) What is the incorrect description of Injection Safety? a. Use of disposable glove b. Use of safety box with puncture-proof function c. Recapping of needles d. Immediate throw-away of disposable items after usage e. Performing post-exposure prophylaxis when accidentally exposed to the risk 6 / 58 6) 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. 7 / 58 7) Who could be the βSusceptible hostβ of micro-organism? a. Pregnant women and children under 5 years of age b. Pregnant women, children < 5 Years and elderly people c. Nurses and physicians who performs regular injection task and examination people d. People who are working in healthcare facilities e. Elderly people with chronic diseases 8 / 58 8) Why is it important to prevent Nosocomial Infection? a. It can cause extra financial burden to patients b. It can be life-threatening to both patients and healthcare staffs c. all of the above d. It increases the cost of healthcare facility management 9 / 58 9) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Enterococcus b. Bacteria Gram (+): Staphylococcus c. Bacteria Gram (-): Pseudomonas d. Bacteria Gram (+): Streptococcus e. Bacteria Gram (-): E-coli 10 / 58 10) 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. Window should be always open for natural ventilation d. None of the above e. Mosquito screen or mosquito net should be provided when window is open 11 / 58 11) 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. Nurse close the cap of the needle after the injection procedure d. Needles are thrown away in the trash can without lid e. None of the above 12 / 58 12) Who is exposed to the risk factor of Nosocomial Pneumonia? a. Patient who is aided with mechanical ventilation b. Post-operation patient who stays in bed without mobility c. All of the above d. Patient in the same ward as pneumonia patient 13 / 58 13) infection prevention and control (IPC) measures can break the chain of infection by a. Remove the reservoir of micro-organism b. Block the mode of transmission c. All of the above excepted (d) d. Remove all risky micro-organisms e. Remove the reservoir of micro-organism and block the mode of transmission 14 / 58 14) 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 and to select PPE to use c. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. d. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette e. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, 15 / 58 15) How can HCF ensure the quality of water? a. Regular monitoring and evaluation of water quality b. Regular monitoring and evaluation of water supply c. Regular monitoring and evaluation of water treatment process d. All of the above 16 / 58 16) 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) 17 / 58 17) Choose the correct linkage of microorganism and its description. a. Bacteria β reproduces by replication and cellular fusion b. Virus β multicellular organism c. Fungi β has no nucleus d. Parasites β lives inside the cell 18 / 58 18) 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 19 / 58 19) What is the potential risk factor of Surgical Site Infection(SSI)? a. all of the above b. Long duration of the operation c. Antibiotic prophylaxis d. Patientβs pre-disposed symptoms 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. Eyes protection b. Disposable glove and N 95 mask c. Surgical mask d. Disposable Gloves e. Gown and apron 21 / 58 21) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)? a. It provides the safe environment for patients b. Poorly managed HCF environment could raise the Nosocomial Infection rate c. It provides the safe workplace for HCF staffs d. All of the above e. It provides the safe environment for caregivers and visitors 22 / 58 22) 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. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism c. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host d. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. e. Reservoir, fungus, mode of transmission, place of entry, host, and environment 23 / 58 23) Choose the correct example of safe HCF environment. a. Hospital corridor is full of people b. Sink in the bathroom is broken and water is leaking c. Paint on the wall is scratched and removed d. None of the above e. Window is closed in the operation room 24 / 58 24) Choose the correct statement. a. Holistic IPC program is needed to effectively control the chain of infection. b. Chain of infection can be usually controlled well by tackling 1 of the 6 elements c. None of the above. d. Chain of infection only exists in the hospital setting. e. It is more effective to control Reservoir than to control portal of exit. 25 / 58 25) 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. None of the above c. Use of surgical drape to cover the insertion spot d. Cleaning skin with disinfectant before inserting the catheter e. Use of gown and gloves for staffs performing insertion procedure 26 / 58 26) Choose the correct example of clean healthcare facility environment. a. Cleaning staff cleans the operation room at least twice a day b. One trash can is shared by all patients in the ward c. Cleaning staff cleans the floor with the broom only d. None of the above e. Water sink in the shared bathroom is broke 27 / 58 27) 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 contamination of pathogens to other people d. To prevent spreading the droplet-borne disease e. To prevent the close contact people 28 / 58 28) Choose incorrect example of respiratory hygiene practice. a. Washing hands regularly b. Throwing away the used tissue to the trash bin c. Covering nose when coughing d. Wiping nose with hand when sneezing 29 / 58 29) 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 may contributes to increased Antimicrobial Resistance (AMR) e. It is an immediate threat to patient mortality 30 / 58 30) Choose the correct statement for safe handling of equipment and soiled linen. a. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse b. Thermometer can be shared between patients if it is wiped with wet tissue. c. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. d. All of the above e. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. 31 / 58 31) 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. People who have a multiple history of infection to microorganisms, especially elderly people c. Children under age 5 d. Patients who gets stress with TB and AIDS more easily than others e. Patients who have been with chronic diseases 32 / 58 32) 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. All of the above d. Always administer prophylactic antimicrobial agent 33 / 58 33) What disease can be prevented by performing good respiratory hygiene? a. Tuberculosis b. Hepatitis .C c. All of the above d. HIV e. Hepatitis .B 34 / 58 34) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from? a. Patients to patients b. Patient to visitors and HCWs c. People who has contacted, included soil material and environment d. Patients to health care workers (HCWs) and HCWs to patients e. Patients to environment and crossed environment to patient and HCWs 35 / 58 35) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Staphylococcus b. Pseudomonas c. Escherichia coli (E-coli) d. Anaerobia e. Klebsiella pneumoniae 36 / 58 36) Choose the correct statement about HCF environment. a. Having a safe environment is crucial for the safety of patients, staffs and visitors b. All of the above 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 37 / 58 37) What is definition of pathogens? a. Microorganisms that produces toxic chemicals b. None of the above c. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. d. Microorganisms that damage the human host by direct invasion or by toxic products e. Toxic chemicals 38 / 58 38) Who should perform respiratory hygiene? a. Patient who is diagnosed with flu b. All of the above c. Visitor who is sneezing d. Doctors when dealing with coughing patients 39 / 58 39) 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. Surgical mask and disposable glove c. Eyes protection d. Gown e. Disposable Gloves 40 / 58 40) 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. Gown d. Surgical mask e. Apron 41 / 58 41) Choose the correct linkage of microorganism and its examples a. All of the above b. Virus β Hepatitis .B c. Bacteria β Plasmodium falciparum d. Parasite β Escheria coli e. Fungi β Streptococcus 42 / 58 42) Choose the correct example of HCF ventilation. a. Window is open and mosquito net is installed in the patient room b. None of the above c. Isolation room has a ceiling fan to make air circulate to outside d. Window is blocked with TV screen in the patient room 43 / 58 43) 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 clean hand, used disposable gloves, safety book to collect the syringe & needle d. To use safety box to collect the single used of needle and syringe 44 / 58 44) What is not relevant to HCF environment? a. Building design and construction b. Ventilation c. Safe commuting route d. Food safety e. Safe water 45 / 58 45) 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. Gown d. Gloves e. Surgical mask 46 / 58 46) Choose the correct statement. a. Fungi infection can be easily treated by antimicrobiotics b. Any bacteria, once entered human body, is pathogenic. c. Any virus, once entered human body, causes immediate symptoms. d. Normal flora does not cause any nosocomial infection in any case. e. None of the above 47 / 58 47) What describes the incorrect way to prevent CABSI? a. Do not perform CABSI when alternative oral feeding method is possible b. Protect the insertion site with a sterile dressing c. Remove the catheter as early as possible d. None of the above e. Plug needle directly into infusion bottle to avoid using unnecessary equipment 48 / 58 48) 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 49 / 58 49) What is Nosocomial Infection (NI)? a. All of the above b. NI is a part of HAI (Healthcare Associated Infection) c. NI is only applicable for infections acquired by patients d. NI includes the infections that were acquired outside the hospital, but appeared after the admission e. NI is defined as infections acquired within 24 hours after hospital admission 50 / 58 50) 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 microorganism to resist human immune system e. It is the ability for chemicals to resist microorganism 51 / 58 51) Choose the correct statement about standard precautions. a. IPC standard precautions HCWs should be applied for selected patients not to all. b. To clean hand and selected PPE to use c. IPC standard precautions HCWs should be applied for all patients at all time d. Standard precaution is not necessary for outpatient consultation. e. Risk assessment should be performed only for susceptible host. 52 / 58 52) Choose the correct example of performing respiratory hygiene. a. Patient using a box of tissue while coughing and sneezing b. None of the above c. All of the above d. Visitor who came to see the flu patient, not wearing any mask e. Doctor shaking hands with all the patients to be friendly 53 / 58 53) 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. IPC aims to control the elements of the Chain of Infection. c. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken. 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. Chain of Infection can be completely eliminated when IPC implement properly and also cut it 54 / 58 54) What is not considered during the IPC risk assessment? a. Medical procedure to be performed b. Patientβs blood type c. None of the above d. Risk of contacting body fluid e. Pre-diagnosed condition or symptoms 55 / 58 55) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. All people who provided health care services, included patients and patient's family. b. All cleaners and nurses by washing your hands with soap and water. c. The doctors and nurses, but not for cleaning staffs. d. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. e. Patient and patient's member included visitor 56 / 58 56) What is the most common pathogen of nosocomial infection in HCFs? a. Virus b. Bacteria c. Mix bacteria and virus d. Parasites e. Fungi 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. Using urinary catheter for patients with flexible mobility c. Provide prophylactic antibiotics to all patients with urinary catheter d. Wearing gloves when connecting the catheter to patients 58 / 58 58) How can we avoid/combat AMR? a. Prescribe antibiotics whenever possible to avoid infection b. Revise the antibiotic guidelines and protocols whenever the new AMR is detected c. All of the above d. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear e. Use routine prophylactic antibiotics before operation Your score isThe average score is 66% Facebook 0% Restart quiz Any comments? Send feedback
