/58 14 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) 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. Disposable Gloves c. Eyes protection d. Gown and apron e. Surgical mask 2 / 58 2) 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. If visitor brings food from outside, itβs better to share the food with others c. All food for patients must be prepared by authorized hospital kitchen d. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator e. None of the above 3 / 58 3) What is not considered during the IPC risk assessment? a. Pre-diagnosed condition or symptoms b. Medical procedure to be performed c. None of the above d. Patientβs blood type e. Risk of contacting body fluid 4 / 58 4) 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. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. c. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host d. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism e. Reservoir, fungus, mode of transmission, place of entry, host, and environment 5 / 58 5) Choose incorrect example of respiratory hygiene practice. a. Covering nose when coughing b. Wiping nose with hand when sneezing c. Washing hands regularly d. Throwing away the used tissue to the trash bin 6 / 58 6) 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. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. e. Thermometer can be shared between patients if it is wiped with wet tissue. 7 / 58 7) 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. 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 8 / 58 8) Choose the correct linkage of microorganism and its description. a. Fungi β has no nucleus b. Parasites β lives inside the cell c. Bacteria β reproduces by replication and cellular fusion d. Virus β multicellular organism 9 / 58 9) 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 10 / 58 10) Choose the correct example of clean healthcare facility environment. a. One trash can is shared by all patients in the ward b. Cleaning staff cleans the operation room at least twice a day c. Water sink in the shared bathroom is broke d. None of the above e. Cleaning staff cleans the floor with the broom only 11 / 58 11) 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. Do not perform CABSI when alternative oral feeding method is possible d. Plug needle directly into infusion bottle to avoid using unnecessary equipment e. None of the above 12 / 58 12) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Staphylococcus b. Bacteria Gram (+): Streptococcus c. Bacteria Gram (+): Enterococcus d. Bacteria Gram (-): E-coli e. Bacteria Gram (-): Pseudomonas 13 / 58 13) Choose the correct example of HCF ventilation. a. None of the above b. Window is blocked with TV screen in the patient room c. Window is open and mosquito net is installed in the patient room d. Isolation room has a ceiling fan to make air circulate to outside 14 / 58 14) 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. Route of the laundries being transported in the building e. Materials used for floor, type of furnitures 15 / 58 15) What is the most common pathogen of nosocomial infection in HCFs? a. Virus b. Parasites c. Mix bacteria and virus d. Fungi e. Bacteria 16 / 58 16) Choose the correct linkage of microorganism and its examples a. All of the above b. Virus β Hepatitis .B c. Fungi β Streptococcus d. Parasite β Escheria coli e. Bacteria β Plasmodium falciparum 17 / 58 17) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)? a. Cleaning skin with disinfectant before inserting the catheter b. Use of gown and gloves for staffs performing insertion procedure c. None of the above d. Insertion of intravenous catheter for nutrition feeding when patient lost appetite e. Use of surgical drape to cover the insertion spot 18 / 58 18) Choose the correct IPC standard precautions to apply: a. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. b. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. c. Hand hygiene and to select PPE to use d. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, e. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette 19 / 58 19) What is the correct example of handling urinary catheter? a. Wearing gloves when connecting the catheter to patients b. Provide prophylactic antibiotics to all patients with urinary catheter c. Using urinary catheter for patients with flexible mobility d. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much 20 / 58 20) 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. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. c. Patient and patient's member included visitor d. All cleaners and nurses by washing your hands with soap and water. e. The doctors and nurses, but not for cleaning staffs. 21 / 58 21) What is not relevant to HCF environment? a. Safe commuting route b. Safe water c. Ventilation d. Building design and construction e. Food safety 22 / 58 22) What is the safe source of water for HCF? a. All of the above b. Rain water stored in tanks , Main city water supply c. Open pond d. Rain water stored in tanks e. Main city water supply 23 / 58 23) Who could be the βSusceptible hostβ of micro-organism? a. People who are working in healthcare facilities b. Nurses and physicians who performs regular injection task and examination people 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 24 / 58 24) Choose the correct statement. a. Chain of infection can be usually controlled well by tackling 1 of the 6 elements 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. It is more effective to control Reservoir than to control portal of exit. 25 / 58 25) What is the potential risk factor of Surgical Site Infection(SSI)? a. all of the above b. Patientβs pre-disposed symptoms c. Antibiotic prophylaxis d. Long duration of the operation 26 / 58 26) 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. Eyes protection c. Surgical mask d. Gown e. Disposable Gloves 27 / 58 27) 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 28 / 58 28) Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury. a. Doctor is wearing a mask, but not the gloves when injecting b. None of the above c. Needles are thrown away in the trash can without lid d. Nurse close the cap of the needle after the injection procedure e. Safety box or sharp box container and AD syringes. 29 / 58 29) What describes the right prevention of Nosocomial Pneumonia? 29) 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, 3, 5 b. 1, 5 c. 3, 5 d. 1, 2, 3, 5 e. 1, 2, 3, 4, 5 30 / 58 30) Why is it important to prevent Nosocomial Infection? a. It can cause extra financial burden to patients b. It increases the cost of healthcare facility management c. It can be life-threatening to both patients and healthcare staffs d. all of the above 31 / 58 31) 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 microorganism to resist human immune system c. It is the ability for chemicals to resist microorganism d. It is the ability for human to resist microorganism e. It is the ability for human to resist chemicals 32 / 58 32) 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. None of the above d. Patient using a box of tissue while coughing and sneezing e. Doctor shaking hands with all the patients to be friendly 33 / 58 33) 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 34 / 58 34) How can we avoid/combat AMR? a. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear b. Prescribe antibiotics whenever possible to avoid infection 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 35 / 58 35) infection prevention and control (IPC) measures can break the chain of infection by a. All of the above excepted (d) b. Remove the reservoir of micro-organism and block the mode of transmission c. Remove the reservoir of micro-organism d. Remove all risky micro-organisms e. Block the mode of transmission 36 / 58 36) How can HCF ensure the quality of water? a. Regular monitoring and evaluation of water quality b. All of the above c. Regular monitoring and evaluation of water supply d. Regular monitoring and evaluation of water treatment process 37 / 58 37) 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 38 / 58 38) Choose the correct example of safe HCF environment. a. Hospital corridor is full of people b. Paint on the wall is scratched and removed c. None of the above d. Sink in the bathroom is broken and water is leaking e. Window is closed in the operation room 39 / 58 39) 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 environment and crossed environment to patient and HCWs d. Patients to health care workers (HCWs) and HCWs to patients e. Patients to patients 40 / 58 40) Choose the common site of Nosocomial Infection. a. Surgical Site Infection (SSI) b. Catheter-Associated Blood Stream Infection (CABSI) c. Urinary Tract Infection (UTI) d. All of the above 41 / 58 41) Choose the correct statement about standard precautions. a. IPC standard precautions HCWs should be applied for selected patients not to all. b. Risk assessment should be performed only for susceptible host. c. To clean hand and selected PPE to use d. Standard precaution is not necessary for outpatient consultation. e. IPC standard precautions HCWs should be applied for all patients at all time 42 / 58 42) What disease can be prevented by performing good respiratory hygiene? a. HIV b. Hepatitis .C c. Tuberculosis d. All of the above e. Hepatitis .B 43 / 58 43) 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. c. Chain of Infection can be completely eliminated when IPC implement properly and also cut it d. IPC aims to control the elements of the Chain of Infection. e. 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. 44 / 58 44) 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. It provides the safe environment for caregivers and visitors c. All of the above d. It provides the safe environment for patients e. It provides the safe workplace for HCF staffs 45 / 58 45) Choose the correct statement. a. None of the above b. Any virus, once entered human body, causes immediate symptoms. c. Fungi infection can be easily treated by antimicrobiotics d. Any bacteria, once entered human body, is pathogenic. e. Normal flora does not cause any nosocomial infection in any case. 46 / 58 46) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Staphylococcus b. Klebsiella pneumoniae c. Escherichia coli (E-coli) d. Anaerobia e. Pseudomonas 47 / 58 47) What is the incorrect description of Injection Safety? a. Recapping of needles b. Use of disposable glove c. Immediate throw-away of disposable items after usage d. Use of safety box with puncture-proof function e. Performing post-exposure prophylaxis when accidentally exposed to the risk 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 clean and disinfected area with alcohol b. To use safety box to collect the single used of needle and syringe c. To performs hand hygiene and wears disposable gloves d. To clean hand, used disposable gloves, safety book to collect the syringe & needle 49 / 58 49) Why is it important to prevent SSI? a. It is an immediate threat to patient mortality 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. All of the above 50 / 58 50) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Eyes protection b. Surgical mask c. Gown d. Disposable Gloves only e. Apron 51 / 58 51) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+): Staphylococcus b. Bacteria Gram (-): Pseudomonas c. Bacteria Gram (+): Enterococcus d. Bacteria Gram (-): Anaerobia e. Bacteria Gram (+): Streptococcus 52 / 58 52) 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. Patients who have been with chronic diseases c. People who have a multiple history of infection to microorganisms, especially elderly people d. Children under age 5 e. People who have a low resistance against pathogen included pregnant women 53 / 58 53) Choose the incorrect statement about Pressure Ulcer a. It can spread further infection to the deeper skin layer b. It is caused by the constant pressure applied to skin exposed to source of infection c. It can be avoided by regularly washing the patient at least twice a day d. It can be avoided by regularly mobilizing the patient e. None of the above 54 / 58 54) What is definition of pathogens? a. Microorganisms that damage the human host by direct invasion or by toxic products b. None of the above c. Microorganisms that produces toxic chemicals d. Toxic chemicals e. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. 55 / 58 55) Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed? a. To prevent the nurses to contact patient b. To prevent spreading the air-borne disease c. To prevent spreading the droplet-borne disease d. To prevent the close contact people e. To prevent the contamination of pathogens to other people 56 / 58 56) Choose incorrect statement about ventilation in HCF. a. Mosquito screen or mosquito net should be provided when window is open b. Every patient room has to have window directly connected to outside c. Window should be always open for natural ventilation d. None of the above e. It should be designed to reduce microbial contamination 57 / 58 57) Choose the correct statement about HCF environment. a. Environmental cause is easily separable from other causes of Nosocomial Infection b. Having a safe environment is crucial for the safety of patients, staffs and visitors c. All of the above d. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection 58 / 58 58) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Gown b. Mask c. Surgical mask d. Gloves e. Disposable glove and surgical mask Your score isThe average score is 71% Facebook 0% Restart quiz Any comments? Send feedback
