/58 0 SΓ©miologie Preparation (Dr. Sok Srun) 1 / 58 1) Who could be the βSusceptible hostβ of micro-organism? a. People who are working in healthcare facilities b. Elderly people with chronic diseases c. Nurses and physicians who performs regular injection task and examination people d. Pregnant women and children under 5 years of age e. Pregnant women, children < 5 Years and elderly people 2 / 58 2) What is the safe source of water for HCF? a. Rain water stored in tanks , Main city water supply b. All of the above c. Open pond d. Main city water supply e. Rain water stored in tanks 3 / 58 3) Choose the common site of Nosocomial Infection. a. Surgical Site Infection (SSI) b. Catheter-Associated Blood Stream Infection (CABSI) c. All of the above d. Urinary Tract Infection (UTI) 4 / 58 4) What is not relevant to HCF environment? a. Safe water b. Building design and construction c. Safe commuting route d. Ventilation e. Food safety 5 / 58 5) Who should perform respiratory hygiene? a. Doctors when dealing with coughing patients b. Patient who is diagnosed with flu c. All of the above d. Visitor who is sneezing 6 / 58 6) How can we avoid/combat AMR? a. Use routine prophylactic antibiotics before operation b. All of the above c. Prescribe antibiotics whenever possible to avoid infection d. Revise the antibiotic guidelines and protocols whenever the new AMR is detected e. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear 7 / 58 7) 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 who is aided with mechanical ventilation d. Patient in the same ward as pneumonia patient 8 / 58 8) 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. Environmental cause is easily separable from other causes of Nosocomial Infection d. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection 9 / 58 9) Choose the correct linkage of microorganism and its examples a. Parasite β Escheria coli b. Fungi β Streptococcus c. Bacteria β Plasmodium falciparum d. Virus β Hepatitis .B e. All of the above 10 / 58 10) 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. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. d. Microorganisms that produces toxic chemicals e. Toxic chemicals 11 / 58 11) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)? a. All of the above b. Poorly managed HCF environment could raise the Nosocomial Infection rate c. It provides the safe environment for patients d. It provides the safe environment for caregivers and visitors e. It provides the safe workplace for HCF staffs 12 / 58 12) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Anaerobia b. Pseudomonas c. Staphylococcus d. Escherichia coli (E-coli) e. Klebsiella pneumoniae 13 / 58 13) 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 gets stress with TB and AIDS more easily than others d. People who have a multiple history of infection to microorganisms, especially elderly people e. Patients who have been with chronic diseases 14 / 58 14) What puts the patient at the unnecessary risk of Catheter Associated Blood Stream Infection (CABSI)? a. Use of gown and gloves for staffs performing insertion procedure b. Insertion of intravenous catheter for nutrition feeding when patient lost appetite c. Use of surgical drape to cover the insertion spot d. None of the above e. Cleaning skin with disinfectant before inserting the catheter 15 / 58 15) Why is it important to prevent Nosocomial Infection? a. all of the above b. It increases the cost of healthcare facility management c. It can cause extra financial burden to patients d. It can be life-threatening to both patients and healthcare staffs 16 / 58 16) 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. Eyes protection b. Surgical mask and disposable glove c. Surgical mask d. Disposable Gloves e. Gown 17 / 58 17) Choose the correct example of HCF ventilation. a. Isolation room has a ceiling fan to make air circulate to outside b. None of the above c. Window is blocked with TV screen in the patient room d. Window is open and mosquito net is installed in the patient room 18 / 58 18) What is the incorrect description of Injection Safety? a. Performing post-exposure prophylaxis when accidentally exposed to the risk b. Use of safety box with puncture-proof function c. Recapping of needles d. Use of disposable glove e. Immediate throw-away of disposable items after usage 19 / 58 19) Choose the correct prevention practice against SSI. a. Always administer prophylactic antimicrobial agent b. Always remove hair on the surgical site before the operation c. All of the above d. Perform a surgical scrub with antiseptic product immediately before the operation 20 / 58 20) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Mask b. Gown c. Gloves d. Disposable glove and surgical mask e. Surgical mask 21 / 58 21) Choose incorrect example of respiratory hygiene practice. a. Wiping nose with hand when sneezing b. Throwing away the used tissue to the trash bin c. Washing hands regularly d. Covering nose when coughing 22 / 58 22) Why is it important to prevent SSI? a. It is an important cause of additional morbidity 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. All of the above 23 / 58 23) 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. Needles are thrown away in the trash can without lid c. None of the above d. Nurse close the cap of the needle after the injection procedure e. Safety box or sharp box container and AD syringes. 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. c. 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. 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 25 / 58 25) What is not considered during the IPC risk assessment? a. Patientβs blood type b. Pre-diagnosed condition or symptoms c. None of the above d. Medical procedure to be performed e. Risk of contacting body fluid 26 / 58 26) Choose the correct statement about additional precautions. a. None of the above b. Needs of additional precaution dependent on pathogenβs mode of transmission. c. Additional precaution is not necessary for general outpatient consultation. d. When necessary, HCWs staff must change from standard precaution to additional precautions. e. To use additional precaution is better than standard precaution 27 / 58 27) Choose the correct linkage of microorganism and its description. a. Parasites β lives inside the cell b. Fungi β has no nucleus c. Bacteria β reproduces by replication and cellular fusion d. Virus β multicellular organism 28 / 58 28) 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. None of the above e. Normal flora does not cause any nosocomial infection in any case. 29 / 58 29) What disease can be prevented by performing good respiratory hygiene? a. Hepatitis .C b. HIV c. Tuberculosis d. All of the above e. Hepatitis .B 30 / 58 30) Choose the correct example of safe HCF environment. a. Paint on the wall is scratched and removed b. Sink in the bathroom is broken and water is leaking c. Hospital corridor is full of people d. None of the above e. Window is closed in the operation room 31 / 58 31) 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 close contact people c. To prevent the nurses to contact patient d. To prevent the contamination of pathogens to other people e. To prevent spreading the droplet-borne disease 32 / 58 32) Choose incorrect statement about ventilation in HCF. a. Every patient room has to have window directly connected to outside b. Window should be always open for natural ventilation c. It should be designed to reduce microbial contamination d. Mosquito screen or mosquito net should be provided when window is open e. None of the above 33 / 58 33) 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. Eyes protection c. Gown and apron d. Surgical mask e. Disposable Gloves 34 / 58 34) What describes the right prevention of Nosocomial Pneumonia? 34) 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. 1, 2, 3, 4, 5 d. 1, 2, 3, 5 e. 3, 5 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. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. e. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse 36 / 58 36) What is Nosocomial Infection (NI)? a. NI is a part of HAI (Healthcare Associated Infection) 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 defined as infections acquired within 24 hours after hospital admission e. All of the above 37 / 58 37) Choose the correct statement about standard precautions. a. Risk assessment should be performed only for susceptible host. b. IPC standard precautions HCWs should be applied for all patients at all time 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 selected patients not to all. 38 / 58 38) 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. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. e. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. 39 / 58 39) What is the most common pathogen of nosocomial infection in HCFs? a. Fungi b. Bacteria c. Virus d. Parasites e. Mix bacteria and virus 40 / 58 40) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (-): E-coli b. Bacteria Gram (-): Pseudomonas c. Bacteria Gram (+): Staphylococcus d. Bacteria Gram (+): Enterococcus e. Bacteria Gram (+): Streptococcus 41 / 58 41) 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 42 / 58 42) 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 performs hand hygiene and wears disposable gloves 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 43 / 58 43) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (-): Anaerobia b. Bacteria Gram (+): Enterococcus c. Bacteria Gram (+): Staphylococcus d. Bacteria Gram (-): Pseudomonas e. Bacteria Gram (+): Streptococcus 44 / 58 44) What is the definition of Antimicrobial Resistance (AMR)? a. It is the ability for human to resist microorganism b. It is the ability for chemicals to resist microorganism c. It is the ability for human to resist chemicals d. It is the ability for microorganism to resist human immune system e. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth 45 / 58 45) Choose the correct example of clean healthcare facility environment. a. Cleaning staff cleans the floor with the broom only b. None of the above c. Cleaning staff cleans the operation room at least twice a day d. Water sink in the shared bathroom is broke e. One trash can is shared by all patients in the ward 46 / 58 46) 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. Reservoir, fungus, mode of transmission, place of entry, host, and environment e. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism 47 / 58 47) Choose the correct statement. a. None of the above. b. It is more effective to control Reservoir than to control portal of exit. c. Chain of infection can be usually controlled well by tackling 1 of the 6 elements d. Chain of infection only exists in the hospital setting. e. Holistic IPC program is needed to effectively control the chain of infection. 48 / 58 48) What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind? a. All of them are important b. Route of the laundries being transported in the building c. Distance between each patient bed d. Numbers and types of rooms e. Materials used for floor, type of furnitures 49 / 58 49) Choose the incorrect statement about Pressure Ulcer a. None of the above b. It can be avoided by regularly washing the patient at least twice a day c. It can be avoided by regularly mobilizing the patient 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 50 / 58 50) 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. All of the above d. Doctor shaking hands with all the patients to be friendly e. Patient using a box of tissue while coughing and sneezing 51 / 58 51) What is the potential risk factor of Surgical Site Infection(SSI)? a. Antibiotic prophylaxis b. Patientβs pre-disposed symptoms c. Long duration of the operation d. all of the above 52 / 58 52) 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. All food for patients must be prepared by authorized hospital kitchen d. None of the above e. Itβs not a big problem to store raw fruit and cooked food together 53 / 58 53) Choose the correct statement for hand hygiene with soap and water and alcohol apply to: a. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. b. All people who provided health care services, included patients and patient's family. c. The doctors and nurses, but not for cleaning staffs. d. Patient and patient's member included visitor e. All cleaners and nurses by washing your hands with soap and water. 54 / 58 54) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Surgical mask b. Disposable Gloves only c. Apron d. Eyes protection e. Gown 55 / 58 55) What is the correct example of handling urinary catheter? a. Wearing gloves when connecting the catheter to patients 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. Using urinary catheter for patients with flexible mobility 56 / 58 56) What describes the incorrect way to prevent CABSI? a. None of the above b. Plug needle directly into infusion bottle to avoid using unnecessary equipment c. Protect the insertion site with a sterile dressing d. Do not perform CABSI when alternative oral feeding method is possible e. Remove the catheter as early as possible 57 / 58 57) 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. Patients to health care workers (HCWs) and HCWs to patients d. Patient to visitors and HCWs e. Patients to environment and crossed environment to patient and HCWs 58 / 58 58) infection prevention and control (IPC) measures can break the chain of infection by a. Remove the reservoir of micro-organism b. Remove the reservoir of micro-organism and block the mode of transmission c. All of the above excepted (d) d. Block the mode of transmission e. Remove all risky micro-organisms Your score isThe average score is 0% Facebook 0% Restart quiz Any comments? Send feedback
