/58 30 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) Choose the correct linkage of microorganism and its examples a. Parasite β Escheria coli b. Virus β Hepatitis .B c. Fungi β Streptococcus d. All of the above e. Bacteria β Plasmodium falciparum 2 / 58 2) 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. Patient and patient's member included visitor d. All people who provided health care services, included patients and patient's family. e. All cleaners and nurses by washing your hands with soap and water. 3 / 58 3) What is not considered during the IPC risk assessment? a. Pre-diagnosed condition or symptoms b. Risk of contacting body fluid c. Medical procedure to be performed d. Patientβs blood type e. None of the above 4 / 58 4) Choose the correct prevention practice against SSI. a. All of the above b. Perform a surgical scrub with antiseptic product immediately before the operation c. Always administer prophylactic antimicrobial agent d. Always remove hair on the surgical site before the operation 5 / 58 5) Choose the correct example of clean healthcare facility environment. a. None of the above b. Water sink in the shared bathroom is broke c. Cleaning staff cleans the operation room at least twice a day d. Cleaning staff cleans the floor with the broom only e. One trash can is shared by all patients in the ward 6 / 58 6) Choose the correct example of performing respiratory hygiene. a. None of the above b. Visitor who came to see the flu patient, not wearing any mask c. Patient using a box of tissue while coughing and sneezing d. All of the above e. Doctor shaking hands with all the patients to be friendly 7 / 58 7) What is not relevant to HCF environment? a. Safe water b. Safe commuting route c. Food safety d. Building design and construction e. Ventilation 8 / 58 8) 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. Environmental cause is easily separable from other causes of Nosocomial Infection d. Having a safe environment is crucial for the safety of patients, staffs and visitors 9 / 58 9) Why is it important to prevent SSI? a. It is an important cause of additional morbidity b. It may contributes to increased Antimicrobial Resistance (AMR) c. It is an immediate threat to patient mortality d. It can cause incremental cost to patients e. All of the above 10 / 58 10) Choose the correct IPC standard precautions to apply: a. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, b. Hand hygiene and to select PPE to use 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, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. 11 / 58 11) How can HCF ensure the quality of water? a. Regular monitoring and evaluation of water treatment process b. All of the above c. Regular monitoring and evaluation of water supply d. Regular monitoring and evaluation of water quality 12 / 58 12) What is definition of pathogens? a. Toxic chemicals b. Microorganisms that damage the human host by direct invasion or by toxic products c. None of the above d. Microorganisms that produces toxic chemicals e. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. 13 / 58 13) What is the safe source of water for HCF? a. Rain water stored in tanks , Main city water supply b. Rain water stored in tanks c. Main city water supply d. Open pond e. All of the above 14 / 58 14) 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 workplace for HCF staffs c. All of the above d. It provides the safe environment for patients e. It provides the safe environment for caregivers and visitors 15 / 58 15) What is the potential risk factor of Surgical Site Infection(SSI)? a. all of the above b. Antibiotic prophylaxis c. Patientβs pre-disposed symptoms d. Long duration of the operation 16 / 58 16) What is the most common pathogen of nosocomial infection in HCFs? a. Mix bacteria and virus b. Fungi c. Virus d. Bacteria e. Parasites 17 / 58 17) 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 18 / 58 18) What disease can be prevented by performing good respiratory hygiene? a. Hepatitis .B b. Hepatitis .C c. All of the above d. Tuberculosis e. HIV 19 / 58 19) 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. Window is open and mosquito net is installed in the patient room d. None of the above 20 / 58 20) What is the incorrect description of Injection Safety? a. Immediate throw-away of disposable items after usage b. Use of safety box with puncture-proof function c. Use of disposable glove d. Performing post-exposure prophylaxis when accidentally exposed to the risk e. Recapping of needles 21 / 58 21) 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 can be usually controlled well by tackling 1 of the 6 elements e. Chain of infection only exists in the hospital setting. 22 / 58 22) Choose the correct statement for the relationship between infection prevention and control (IPC) and the Chain of Infection. a. IPC aims to control the elements of 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. 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. 23 / 58 23) 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. Use of gown and gloves for staffs performing insertion procedure e. Cleaning skin with disinfectant before inserting the catheter 24 / 58 24) What describes the incorrect way to prevent CABSI? a. None of the above b. Protect the insertion site with a sterile dressing c. Plug needle directly into infusion bottle to avoid using unnecessary equipment d. Remove the catheter as early as possible e. Do not perform CABSI when alternative oral feeding method is possible 25 / 58 25) 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 26 / 58 26) 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. Window is closed in the operation room d. Paint on the wall is scratched and removed e. None of the above 27 / 58 27) 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. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. d. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. e. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism 28 / 58 28) Choose the correct statement about additional precautions. a. None of the above b. When necessary, HCWs staff must change from standard precaution to additional precautions. c. Additional precaution is not necessary for general outpatient consultation. d. Needs of additional precaution dependent on pathogenβs mode of transmission. e. To use additional precaution is better than standard precaution 29 / 58 29) 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. Gown b. Surgical mask and disposable glove c. Disposable Gloves d. Eyes protection e. Surgical mask 30 / 58 30) What is Nosocomial Infection (NI)? a. NI is only applicable for infections acquired by patients b. NI is defined as infections acquired within 24 hours after hospital admission c. NI is a part of HAI (Healthcare Associated Infection) d. NI includes the infections that were acquired outside the hospital, but appeared after the admission e. All of the above 31 / 58 31) Choose the incorrect statement about Pressure Ulcer a. It can be avoided by regularly washing the patient at least twice a day 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 mobilizing the patient 32 / 58 32) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Anaerobia b. Staphylococcus c. Pseudomonas d. Klebsiella pneumoniae e. Escherichia coli (E-coli) 33 / 58 33) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Enterococcus b. Bacteria Gram (+): Staphylococcus c. Bacteria Gram (-): E-coli d. Bacteria Gram (-): Pseudomonas e. Bacteria Gram (+): Streptococcus 34 / 58 34) 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. Doctor is wearing a mask, but not the gloves when injecting c. None of the above d. Safety box or sharp box container and AD syringes. e. Needles are thrown away in the trash can without lid 35 / 58 35) Choose the correct statement for safe handling of equipment and soiled linen. a. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again. b. All of the above 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. 36 / 58 36) What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind? a. Numbers and types of rooms b. Materials used for floor, type of furnitures c. All of them are important d. Route of the laundries being transported in the building e. Distance between each patient bed 37 / 58 37) What is the entry germs or micro-organism to βSusceptible hostβ are? a. Children under age 5 b. People who have a low resistance against pathogen included pregnant women c. Patients who have been with chronic diseases d. People who have a multiple history of infection to microorganisms, especially elderly people e. Patients who gets stress with TB and AIDS more easily than others 38 / 58 38) 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. all of the above d. It can be life-threatening to both patients and healthcare staffs 39 / 58 39) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (+): Enterococcus b. Bacteria Gram (-): Pseudomonas c. Bacteria Gram (+): Streptococcus d. Bacteria Gram (-): Anaerobia e. Bacteria Gram (+): Staphylococcus 40 / 58 40) Choose the correct linkage of microorganism and its description. a. Parasites β lives inside the cell b. Virus β multicellular organism c. Bacteria β reproduces by replication and cellular fusion d. Fungi β has no nucleus 41 / 58 41) Choose the common site of Nosocomial Infection. a. Catheter-Associated Blood Stream Infection (CABSI) b. Urinary Tract Infection (UTI) c. All of the above d. Surgical Site Infection (SSI) 42 / 58 42) Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed? a. To prevent spreading the droplet-borne disease b. To prevent the nurses to contact patient c. To prevent spreading the air-borne disease d. To prevent the close contact people e. To prevent the contamination of pathogens to other people 43 / 58 43) Who is exposed to the risk factor of Nosocomial Pneumonia? a. All of the above b. Post-operation patient who stays in bed without mobility c. Patient in the same ward as pneumonia patient d. Patient who is aided with mechanical ventilation 44 / 58 44) 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 clean hand, used disposable gloves, safety book to collect the syringe & needle c. To performs hand hygiene and wears disposable gloves d. To use safety box to collect the single used of needle and syringe 45 / 58 45) How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from? a. Patients to health care workers (HCWs) and HCWs to patients b. Patients to environment and crossed environment to patient and HCWs c. Patient to visitors and HCWs d. People who has contacted, included soil material and environment e. Patients to patients 46 / 58 46) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Surgical mask b. Gown c. Apron d. Eyes protection e. Disposable Gloves only 47 / 58 47) 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 48 / 58 48) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Disposable glove and surgical mask b. Mask c. Surgical mask d. Gloves e. Gown 49 / 58 49) What is the correct example of handling urinary catheter? a. Wearing gloves when connecting the catheter to patients b. Using urinary catheter for patients with flexible mobility c. Provide prophylactic antibiotics to all patients with urinary catheter d. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much 50 / 58 50) 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. Remove the reservoir of micro-organism and block the mode of transmission d. All of the above excepted (d) e. Remove all risky micro-organisms 51 / 58 51) 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. None of the above c. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator d. Itβs not a big problem to store raw fruit and cooked food together e. All food for patients must be prepared by authorized hospital kitchen 52 / 58 52) How can we avoid/combat AMR? a. Revise the antibiotic guidelines and protocols whenever the new AMR is detected b. Use routine prophylactic antibiotics before operation c. Prescribe antibiotics whenever possible to avoid infection d. All of the above e. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear 53 / 58 53) Choose incorrect statement about ventilation in HCF. a. Every patient room has to have window directly connected to outside b. None of the above c. Mosquito screen or mosquito net should be provided when window is open d. It should be designed to reduce microbial contamination e. Window should be always open for natural ventilation 54 / 58 54) 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. Gown and apron d. Surgical mask e. Eyes protection 55 / 58 55) What describes the right prevention of Nosocomial Pneumonia? 55) 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, 5 e. 1, 2, 3, 5 56 / 58 56) Choose the correct statement about standard precautions. a. IPC standard precautions HCWs should be applied for selected patients not to all. b. Standard precaution is not necessary for outpatient consultation. 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. To clean hand and selected PPE to use 57 / 58 57) Choose the correct statement. a. Normal flora does not cause any nosocomial infection in any case. 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. None of the above 58 / 58 58) Who could be the βSusceptible hostβ of micro-organism? a. Elderly people with chronic diseases b. Pregnant women, children < 5 Years and elderly people c. People who are working in healthcare facilities d. Nurses and physicians who performs regular injection task and examination people e. Pregnant women and children under 5 years of age Your score isThe average score is 74% Facebook 0% Restart quiz Any comments? Send feedback
