/58 2063 Sémiologie Preparation (Dr. Sok Srun) 1 / 58 1) What disease can be prevented by performing good respiratory hygiene? a. Tuberculosis b. HIV c. Hepatitis .C d. All of the above e. Hepatitis .B 2 / 58 2) 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. Insertion of intravenous catheter for nutrition feeding when patient lost appetite c. Use of gown and gloves for staffs performing insertion procedure d. Use of surgical drape to cover the insertion spot e. None of the above 3 / 58 3) How can HCF ensure the quality of water? a. Regular monitoring and evaluation of water supply b. Regular monitoring and evaluation of water quality c. All of the above d. Regular monitoring and evaluation of water treatment process 4 / 58 4) What is definition of pathogens? a. None of the above b. Microorganisms that produces toxic chemicals c. Any agent, including chemicals, microorganisms and heavy metals that damage the human host. d. Toxic chemicals e. Microorganisms that damage the human host by direct invasion or by toxic products 5 / 58 5) What is Nosocomial Infection (NI)? a. NI is only applicable for infections acquired by patients b. All of the above 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. NI is defined as infections acquired within 24 hours after hospital admission 6 / 58 6) Choose the correct IPC standard precautions to apply: a. Hand hygiene and to select PPE to use 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 equipment, environment cleaning, health care waste management, d. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene. e. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette 7 / 58 7) 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. Window should be always open for natural ventilation e. It should be designed to reduce microbial contamination 8 / 58 8) 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. Cleaning staff cleans the floor with the broom only d. Water sink in the shared bathroom is broke e. None of the above 9 / 58 9) What is the correct statement about food safety at HCF? a. If visitor brings food from outside, it’s better to share the food with others b. All food for patients must be prepared by authorized hospital kitchen c. If the risk of going wrong is small, it’s ok to keep the food outside the refrigerator d. It’s not a big problem to store raw fruit and cooked food together e. None of the above 10 / 58 10) Choose the correct example of safe HCF environment. a. Paint on the wall is scratched and removed b. None of the above c. Window is closed in the operation room d. Hospital corridor is full of people e. Sink in the bathroom is broken and water is leaking 11 / 58 11) Choose the correct statement bacteria to comment skin infection and also prothesis infection: a. Bacteria Gram (+): Staphylococcus b. Bacteria Gram (-): Pseudomonas c. Bacteria Gram (+): Enterococcus d. Bacteria Gram (-): E-coli e. Bacteria Gram (+): Streptococcus 12 / 58 12) Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Pseudomonas b. Escherichia coli (E-coli) c. Klebsiella pneumoniae d. Staphylococcus e. Anaerobia 13 / 58 13) Why is it important to prevent Nosocomial Infection? a. It can be life-threatening to both patients and healthcare staffs b. all of the above c. It can cause extra financial burden to patients d. It increases the cost of healthcare facility management 14 / 58 14) Choose the correct linkage of microorganism and its description. a. Fungi – has no nucleus b. Bacteria – reproduces by replication and cellular fusion c. Parasites – lives inside the cell d. Virus – multicellular organism 15 / 58 15) 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 16 / 58 16) 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 hand, used disposable gloves, safety book to collect the syringe & needle b. To performs hand hygiene and wears disposable gloves c. To clean and disinfected area with alcohol d. To use safety box to collect the single used of needle and syringe 17 / 58 17) To select the correct answer one below, the six components of the chain of infection are: a. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism 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. Reservoir, fungus, mode of transmission, place of entry, host, and environment e. Bacteria, reservoir, mode of transmission, place of entry, host, and environment. 18 / 58 18) Choose the correct statement. a. Any bacteria, once entered human body, is pathogenic. b. None of the above c. Fungi infection can be easily treated by antimicrobiotics d. Any virus, once entered human body, causes immediate symptoms. e. Normal flora does not cause any nosocomial infection in any case. 19 / 58 19) Who should perform respiratory hygiene? a. Doctors when dealing with coughing patients b. Visitor who is sneezing c. All of the above d. Patient who is diagnosed with flu 20 / 58 20) 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. All of the above d. Patient who is aided with mechanical ventilation 21 / 58 21) 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. Gown d. Surgical mask e. Disposable Gloves 22 / 58 22) Choose the correct linkage of microorganism and its examples a. Virus – Hepatitis .B b. All of the above c. Bacteria – Plasmodium falciparum d. Parasite – Escheria coli e. Fungi – Streptococcus 23 / 58 23) 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 spreading the air-borne disease c. To prevent the contamination of pathogens to other people d. To prevent the nurses to contact patient e. To prevent the close contact people 24 / 58 24) Who could be the “Susceptible host” of micro-organism? a. People who are working in healthcare facilities b. Nurses and physicians who performs regular injection task and examination people c. Pregnant women, children < 5 Years and elderly people d. Pregnant women and children under 5 years of age e. Elderly people with chronic diseases 25 / 58 25) 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. 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. All people who provided health care services, included patients and patient's family. 26 / 58 26) 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. Materials used for floor, type of furnitures c. Numbers and types of rooms d. All of them are important e. Route of the laundries being transported in the building 27 / 58 27) Choose the correct statement about HCF environment. a. Environmental cause is easily separable from other causes of Nosocomial Infection b. All of the above c. Having a safe environment is crucial for the safety of patients, staffs and visitors d. It is important to accurately quantify the impact of HCF environment to Nosocomial Infection 28 / 58 28) 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 all risky micro-organisms d. Block the mode of transmission e. Remove the reservoir of micro-organism 29 / 58 29) Choose the correct example of performing respiratory hygiene. a. Visitor who came to see the flu patient, not wearing any mask b. None of the above c. Doctor shaking hands with all the patients to be friendly d. All of the above e. Patient using a box of tissue while coughing and sneezing 30 / 58 30) Choose the correct statement about additional precautions. a. To use additional precaution is better than standard precaution b. When necessary, HCWs staff must change from standard precaution to additional precautions. c. Additional precaution is not necessary for general outpatient consultation. d. None of the above e. Needs of additional precaution dependent on pathogen’s mode of transmission. 31 / 58 31) 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. b. Chain of Infection can be completely eliminated when IPC implement properly and also cut it 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. IPC aims to cut the pathways in the Chain of Infection. 32 / 58 32) 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 33 / 58 33) What is the most common pathogen of nosocomial infection in HCFs? a. Fungi b. Mix bacteria and virus c. Parasites d. Bacteria e. Virus 34 / 58 34) Why is it important to prevent SSI? a. It can cause incremental cost to patients b. It is an important cause of additional morbidity c. It is an immediate threat to patient mortality d. It may contributes to increased Antimicrobial Resistance (AMR) e. All of the above 35 / 58 35) 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 patients d. Patients to health care workers (HCWs) and HCWs to patients e. Patients to environment and crossed environment to patient and HCWs 36 / 58 36) Choose the correct statement about standard precautions. a. To clean hand and selected PPE to use b. IPC standard precautions HCWs should be applied for all patients at all time c. Risk assessment should be performed only for susceptible host. d. Standard precaution is not necessary for outpatient consultation. e. IPC standard precautions HCWs should be applied for selected patients not to all. 37 / 58 37) 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. It is ok not to change the bed linen in between patients if the previous one didn’t bleed. c. All of the above 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. 38 / 58 38) What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Eyes protection b. Apron c. Surgical mask d. Gown e. Disposable Gloves only 39 / 58 39) What describes the right prevention of Nosocomial Pneumonia?1.Perform hand hygiene procedure2.Elevation of bed heat to 80~90° so that patient can sit up straight 3.Regular change of humidifier4.Post-operation patient try to move as much as possible when not recommended 5.Disinfection of respiratory equipment a. 1, 2, 3, 5 b. 3, 5 c. 1, 2, 3, 4, 5 d. 1, 3, 5 e. 1, 5 40 / 58 40) Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Mask b. Gown c. Disposable glove and surgical mask d. Surgical mask e. Gloves 41 / 58 41) 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 42 / 58 42) Choose the correct statement. a. Holistic IPC program is needed to effectively control the chain of infection. 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. Chain of infection can be usually controlled well by tackling 1 of the 6 elements 43 / 58 43) What is not relevant to HCF environment? a. Safe water b. Ventilation c. Building design and construction d. Safe commuting route e. Food safety 44 / 58 44) 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. Perform a surgical scrub with antiseptic product immediately before the operation d. All of the above 45 / 58 45) What is the potential risk factor of Surgical Site Infection(SSI)? a. all of the above b. Patient’s pre-disposed symptoms c. Antibiotic prophylaxis d. Long duration of the operation 46 / 58 46) Choose incorrect example of respiratory hygiene practice. a. Wiping nose with hand when sneezing b. Washing hands regularly c. Throwing away the used tissue to the trash bin d. Covering nose when coughing 47 / 58 47) What is the safe source of water for HCF? a. Rain water stored in tanks , Main city water supply b. Main city water supply c. All of the above d. Rain water stored in tanks e. Open pond 48 / 58 48) Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)? a. It provides the safe environment for caregivers and visitors b. It provides the safe workplace for HCF staffs c. All of the above d. It provides the safe environment for patients e. Poorly managed HCF environment could raise the Nosocomial Infection rate 49 / 58 49) What is the entry germs or micro-organism to “Susceptible host” are? a. People who have a multiple history of infection to microorganisms, especially elderly people b. Children under age 5 c. People who have a low resistance against pathogen included pregnant women d. Patients who gets stress with TB and AIDS more easily than others e. Patients who have been with chronic diseases 50 / 58 50) Choose the incorrect statement about Pressure Ulcer a. It can be avoided by regularly washing the patient at least twice a day b. It can be avoided by regularly mobilizing the patient c. It can spread further infection to the deeper skin layer d. None of the above e. It is caused by the constant pressure applied to skin exposed to source of infection 51 / 58 51) What describes the incorrect way to prevent CABSI? a. Remove the catheter as early as possible b. Plug needle directly into infusion bottle to avoid using unnecessary equipment c. Protect the insertion site with a sterile dressing d. None of the above e. Do not perform CABSI when alternative oral feeding method is possible 52 / 58 52) Choose the correct example of HCF ventilation. a. Window is open and mosquito net is installed in the patient room b. Window is blocked with TV screen in the patient room c. Isolation room has a ceiling fan to make air circulate to outside d. None of the above 53 / 58 53) Choose the common site of Nosocomial Infection. a. All of the above b. Surgical Site Infection (SSI) c. Catheter-Associated Blood Stream Infection (CABSI) d. Urinary Tract Infection (UTI) 54 / 58 54) How can we avoid/combat AMR? a. Revise the antibiotic guidelines and protocols whenever the new AMR is detected b. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear c. Prescribe antibiotics whenever possible to avoid infection d. Use routine prophylactic antibiotics before operation e. All of the above 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. Using urinary catheter for patients with flexible mobility d. Provide prophylactic antibiotics to all patients with urinary catheter 56 / 58 56) What is not considered during the IPC risk assessment? a. Risk of contacting body fluid b. None of the above c. Patient’s blood type d. Medical procedure to be performed e. Pre-diagnosed condition or symptoms 57 / 58 57) 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. 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. Doctor is wearing a mask, but not the gloves when injecting 58 / 58 58) What is the incorrect description of Injection Safety? a. Performing post-exposure prophylaxis when accidentally exposed to the risk b. Immediate throw-away of disposable items after usage c. Recapping of needles d. Use of disposable glove e. Use of safety box with puncture-proof function Your score isThe average score is 88% Facebook 0% Restart quiz Any comments? Send feedback
