/58 2063 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 patient with a fever include cough and sneeze? a. Gown b. Surgical mask and disposable glove c. Eyes protection d. Disposable Gloves e. Surgical mask 2 / 58 2) Choose the correct linkage of microorganism and its examples a. Virus β Hepatitis .B b. Bacteria β Plasmodium falciparum c. Parasite β Escheria coli d. All of the above e. Fungi β Streptococcus 3 / 58 3) Choose the correct statement bacteria to comment infection gangrene: a. Bacteria Gram (-): Anaerobia b. Bacteria Gram (+): Staphylococcus c. Bacteria Gram (+): Streptococcus d. Bacteria Gram (-): Pseudomonas e. Bacteria Gram (+): Enterococcus 4 / 58 4) What is the correct example of handling urinary catheter? a. Provide prophylactic antibiotics to all patients with urinary catheter b. Wearing gloves when connecting the catheter to patients 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 5 / 58 5) Choose the common site of Nosocomial Infection. a. Urinary Tract Infection (UTI) b. Surgical Site Infection (SSI) c. All of the above d. Catheter-Associated Blood Stream Infection (CABSI) 6 / 58 6) Choose the correct linkage of microorganism and its description. a. Bacteria β reproduces by replication and cellular fusion b. Virus β multicellular organism c. Parasites β lives inside the cell d. Fungi β has no nucleus 7 / 58 7) 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. Children under age 5 c. People who have a low resistance against pathogen included pregnant women d. Patients who have been with chronic diseases e. People who have a multiple history of infection to microorganisms, especially elderly people 8 / 58 8) What is the potential risk factor of Surgical Site Infection(SSI)? a. all of the above b. Long duration of the operation c. Patientβs pre-disposed symptoms d. Antibiotic prophylaxis 9 / 58 9) Choose incorrect statement about ventilation in HCF. a. None of the above b. Every patient room has to have window directly connected to outside c. It should be designed to reduce microbial contamination d. Mosquito screen or mosquito net should be provided when window is open e. Window should be always open for natural ventilation 10 / 58 10) 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. None of the above d. Patient using a box of tissue while coughing and sneezing e. Visitor who came to see the flu patient, not wearing any mask 11 / 58 11) Choose the correct statement about additional precautions. a. None of the above b. Needs of additional precaution dependent on pathogenβs mode of transmission. c. When necessary, HCWs staff must change from standard precaution to additional precautions. d. Additional precaution is not necessary for general outpatient consultation. e. To use additional precaution is better than standard precaution 12 / 58 12) What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind? a. Route of the laundries being transported in the building b. All of them are important c. Materials used for floor, type of furnitures d. Distance between each patient bed e. Numbers and types of rooms 13 / 58 13) 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. The doctors and nurses, but not for cleaning staffs. c. Patient and patient's member included visitor d. All cleaners and nurses by washing your hands with soap and water. e. Technical laboratory, pharmacist and people concern by washing your hands with soap & water. 14 / 58 14) Choose the correct statement. a. Chain of infection can be usually controlled well by tackling 1 of the 6 elements b. None of the above. c. It is more effective to control Reservoir than to control portal of exit. d. Chain of infection only exists in the hospital setting. e. Holistic IPC program is needed to effectively control the chain of infection. 15 / 58 15) 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. Cleaning skin with disinfectant before inserting the catheter c. Insertion of intravenous catheter for nutrition feeding when patient lost appetite d. Use of surgical drape to cover the insertion spot e. None of the above 16 / 58 16) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Staphylococcus b. Klebsiella pneumoniae c. Pseudomonas d. Anaerobia e. Escherichia coli (E-coli) 17 / 58 17) What describes the incorrect way to prevent CABSI? a. Protect the insertion site with a sterile dressing b. None of the above c. Remove the catheter as early as possible d. Plug needle directly into infusion bottle to avoid using unnecessary equipment e. Do not perform CABSI when alternative oral feeding method is possible 18 / 58 18) Choose the correct prevention practice against SSI. a. All of the above b. Always administer prophylactic antimicrobial agent c. Always remove hair on the surgical site before the operation d. Perform a surgical scrub with antiseptic product immediately before the operation 19 / 58 19) Why is it important to prevent SSI? a. It can cause incremental cost to patients b. It is an immediate threat to patient mortality c. It is an important cause of additional morbidity d. All of the above e. It may contributes to increased Antimicrobial Resistance (AMR) 20 / 58 20) Choose the correct example of HCF ventilation. a. None of the above 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. Window is blocked with TV screen in the patient room 21 / 58 21) Choose the correct example of clean healthcare facility environment. a. Water sink in the shared bathroom is broke b. Cleaning staff cleans the floor with the broom only c. One trash can is shared by all patients in the ward d. Cleaning staff cleans the operation room at least twice a day e. None of the above 22 / 58 22) What is the correct statement about food safety at HCF? a. None of the above b. If visitor brings food from outside, itβs better to share the food with others c. If the risk of going wrong is small, itβs ok to keep the food outside the refrigerator d. All food for patients must be prepared by authorized hospital kitchen e. Itβs not a big problem to store raw fruit and cooked food together 23 / 58 23) What is the most common pathogen of nosocomial infection in HCFs? a. Virus b. Bacteria c. Parasites d. Fungi e. Mix bacteria and virus 24 / 58 24) How can we avoid/combat AMR? a. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear b. Use routine prophylactic antibiotics before operation c. All of the above d. Prescribe antibiotics whenever possible to avoid infection e. Revise the antibiotic guidelines and protocols whenever the new AMR is detected 25 / 58 25) 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. Patients to patients d. People who has contacted, included soil material and environment e. Patient to visitors and HCWs 26 / 58 26) infection prevention and control (IPC) measures can break the chain of infection by a. Block the mode of transmission b. Remove all risky micro-organisms c. All of the above excepted (d) d. Remove the reservoir of micro-organism and block the mode of transmission e. Remove the reservoir of micro-organism 27 / 58 27) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Gown b. Apron c. Surgical mask d. Eyes protection e. Disposable Gloves only 28 / 58 28) Who is exposed to the risk factor of Nosocomial Pneumonia? a. Patient in the same ward as pneumonia patient b. Post-operation patient who stays in bed without mobility c. Patient who is aided with mechanical ventilation d. All of the above 29 / 58 29) 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 30 / 58 30) 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 31 / 58 31) Choose the correct statement about standard precautions. a. Standard precaution is not necessary for outpatient consultation. b. Risk assessment should be performed only for susceptible host. c. IPC standard precautions HCWs should be applied for all patients at all time d. IPC standard precautions HCWs should be applied for selected patients not to all. e. To clean hand and selected PPE to use 32 / 58 32) 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. Nurse close the cap of the needle after the injection procedure c. None of the above d. Needles are thrown away in the trash can without lid e. Safety box or sharp box container and AD syringes. 33 / 58 33) What describes the right prevention of Nosocomial Pneumonia? 33) 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, 5 b. 1, 3, 5 c. 1, 5 d. 3, 5 e. 1, 2, 3, 4, 5 34 / 58 34) What is the definition of Antimicrobial Resistance (AMR)? a. It is the ability for chemicals 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 human to resist microorganism e. It is the ability for microorganism to resist human immune system 35 / 58 35) Choose the correct IPC standard precautions to apply: a. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette b. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management. c. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. d. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management, e. Hand hygiene and to select PPE to use 36 / 58 36) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Mask b. Gown c. Surgical mask d. Gloves e. Disposable glove and surgical mask 37 / 58 37) 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, IPC aims to control the elements of 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 IPC implement properly and also cut it e. IPC aims to cut the pathways in the Chain of Infection. 38 / 58 38) What is not relevant to HCF environment? a. Ventilation b. Safe commuting route c. Food safety d. Building design and construction e. Safe water 39 / 58 39) Who should perform respiratory hygiene? a. Patient who is diagnosed with flu b. All of the above c. Doctors when dealing with coughing patients d. Visitor who is sneezing 40 / 58 40) 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 41 / 58 41) What is definition of pathogens? a. Toxic chemicals b. Microorganisms that produces toxic chemicals 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. None of the above 42 / 58 42) Choose the correct example of safe HCF environment. a. Sink in the bathroom is broken and water is leaking b. Window is closed in the operation room c. Hospital corridor is full of people d. None of the above e. Paint on the wall is scratched and removed 43 / 58 43) 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 workplace for HCF staffs d. It provides the safe environment for patients e. It provides the safe environment for caregivers and visitors 44 / 58 44) What disease can be prevented by performing good respiratory hygiene? a. All of the above b. Tuberculosis c. HIV d. Hepatitis .B e. Hepatitis .C 45 / 58 45) 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 the contamination of pathogens to other people d. To prevent spreading the air-borne disease e. To prevent the close contact people 46 / 58 46) What is not considered during the IPC risk assessment? a. Medical procedure to be performed b. None of the above c. Patientβs blood type d. Risk of contacting body fluid e. Pre-diagnosed condition or symptoms 47 / 58 47) To select the correct answer one below, the six components of the chain of infection are: a. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. b. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism c. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host d. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host. e. Reservoir, fungus, mode of transmission, place of entry, host, and environment 48 / 58 48) 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 49 / 58 49) What is Nosocomial Infection (NI)? a. NI is a part of HAI (Healthcare Associated Infection) b. NI is defined as infections acquired within 24 hours after hospital admission c. NI includes the infections that were acquired outside the hospital, but appeared after the admission d. All of the above e. NI is only applicable for infections acquired by patients 50 / 58 50) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Staphylococcus b. Bacteria Gram (+): Enterococcus c. Bacteria Gram (-): E-coli d. Bacteria Gram (+): Streptococcus e. Bacteria Gram (-): Pseudomonas 51 / 58 51) 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 hand, used disposable gloves, safety book to collect the syringe & needle c. To clean and disinfected area with alcohol d. To use safety box to collect the single used of needle and syringe 52 / 58 52) 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. 53 / 58 53) Choose the correct statement for safe handling of equipment and soiled linen. a. It is ok not to change the bed linen in between patients if the previous one didnβt bleed. b. All of the above c. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse 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. 54 / 58 54) Choose the incorrect statement about Pressure Ulcer a. It can spread further infection to the deeper skin layer b. It can be avoided by regularly washing the patient at least twice a day c. It is caused by the constant pressure applied to skin exposed to source of infection d. It can be avoided by regularly mobilizing the patient e. None of the above 55 / 58 55) 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 Gloves c. Surgical mask d. Disposable glove and N 95 mask e. Gown and apron 56 / 58 56) Choose incorrect example of respiratory hygiene practice. a. Throwing away the used tissue to the trash bin b. Covering nose when coughing c. Wiping nose with hand when sneezing d. Washing hands regularly 57 / 58 57) Choose the correct statement about HCF environment. a. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection b. Having a safe environment is crucial for the safety of patients, staffs and visitors c. All of the above d. Environmental cause is easily separable from other causes of Nosocomial Infection 58 / 58 58) What is the safe source of water for HCF? a. Open pond b. Main city water supply c. Rain water stored in tanks , Main city water supply d. All of the above e. Rain water stored in tanks Your score isThe average score is 88% Facebook 0% Restart quiz Any comments? Send feedback
