Sémiologie Preparation (Dr. Sok Srun)

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1072

1 / 58

What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid:

a. Eyes protection

b. Gown

c. Apron

d. Surgical mask

e. Disposable Gloves only

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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. All of the above

e. NI includes the infections that were acquired outside the hospital, but appeared after the admission

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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 IPC implement properly and also cut it

c. IPC aims to control the elements of the Chain of Infection.

d. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken.

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.

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Choose the correct example of clean healthcare facility environment.

a. Water sink in the shared bathroom is broke

b. One trash can is shared by all patients in the ward

c. Cleaning staff cleans the floor with the broom only

d. None of the above

e. Cleaning staff cleans the operation room at least twice a day

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How can we avoid/combat AMR?

a. Prescribe antibiotics whenever possible to avoid infection

b. All of the above

c. Use routine prophylactic antibiotics before operation

d. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear

e. Revise the antibiotic guidelines and protocols whenever the new AMR is detected

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Why is it important to prevent Nosocomial Infection?

a. It can cause extra financial burden to patients

b. It can be life-threatening to both patients and healthcare staffs

c. It increases the cost of healthcare facility management

d. all of the above

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What is the most common pathogen of nosocomial infection in HCFs?

a. Mix bacteria and virus

b. Parasites

c. Bacteria

d. Fungi

e. Virus

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What disease can be prevented by performing good respiratory hygiene?

a. Tuberculosis

b. All of the above

c. Hepatitis .B

d. HIV

e. Hepatitis .C

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What is definition of pathogens?

a. Microorganisms that damage the human host by direct invasion or by toxic products

b. Microorganisms that produces toxic chemicals

c. Toxic chemicals

d. None of the above

e. Any agent, including chemicals, microorganisms and heavy metals that damage the human host.

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10)

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. Always administer prophylactic antimicrobial agent

d. All of the above

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11)

What is the correct statement about food safety at HCF?

a. If the risk of going wrong is small, it’s ok to keep the food outside the refrigerator

b. If visitor brings food from outside, it’s better to share the food with others

c. All food for patients must be prepared by authorized hospital kitchen

d. It’s not a big problem to store raw fruit and cooked food together

e. None of the above

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12)

Choose the correct statement bacteria to comment infection gangrene:

a. Bacteria Gram (-): Pseudomonas

b. Bacteria Gram (+): Enterococcus

c. Bacteria Gram (+): Streptococcus

d. Bacteria Gram (-): Anaerobia

e. Bacteria Gram (+): Staphylococcus

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13)

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

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14)

Choose the correct statement about standard precautions.

a. To clean hand and selected PPE to use

b. Risk assessment should be performed only for susceptible host.

c. IPC standard precautions HCWs should be applied for selected patients not to all.

d. IPC standard precautions HCWs should be applied for all patients at all time

e. Standard precaution is not necessary for outpatient consultation.

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15)

What is the entry germs or micro-organism to “Susceptible host” are?

a. People who have a low resistance against pathogen included pregnant women

b. People who have a multiple history of infection to microorganisms, especially elderly people

c. Patients who have been with chronic diseases

d. Patients who gets stress with TB and AIDS more easily than others

e. Children under age 5

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16)

What is the incorrect description of Injection Safety?

a. Use of disposable glove

b. Recapping of needles

c. Use of safety box with puncture-proof function

d. Performing post-exposure prophylaxis when accidentally exposed to the risk

e. Immediate throw-away of disposable items after usage

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17)

To select the correct answer one below, the six components of the chain of infection are:

a. Micro-organism, Reservoir, Place of exit, mode of transmission, place of entry and host

b. Reservoir, fungus, mode of transmission, place of entry, host, and environment

c. Bacteria, reservoir, mode of transmission, place of entry, host, and environment.

d. Virus, Bacteria, Fungi, Protozoa, Parasite, Microorganism

e. Micro-organism, reservoir, pathogen virulence, mode of transmission, place of entry and host.

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18)

What describes the incorrect way to prevent CABSI?

a. Plug needle directly into infusion bottle to avoid using unnecessary equipment

b. Protect the insertion site with a sterile dressing

c. Remove the catheter as early as possible

d. None of the above

e. Do not perform CABSI when alternative oral feeding method is possible

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19)

How can the germ or pathogen have contaminated to human in healthcare facilities (HCFs) from?

a. Patients to environment and crossed environment to patient and HCWs

b. Patients to health care workers (HCWs) and HCWs to patients

c. Patient to visitors and HCWs

d. People who has contacted, included soil material and environment

e. Patients to patients

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20)

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. Needles are thrown away in the trash can without lid

c. Doctor is wearing a mask, but not the gloves when injecting

d. None of the above

e. Safety box or sharp box container and AD syringes.

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21)

Choose the correct statement.

a. It is more effective to control Reservoir than to control portal of exit.

b. Chain of infection only exists in the hospital setting.

c. Chain of infection can be usually controlled well by tackling 1 of the 6 elements

d. None of the above.

e. Holistic IPC program is needed to effectively control the chain of infection.

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22)

infection prevention and control (IPC) measures can break the chain of infection by

a. Remove the reservoir of micro-organism

b. Remove all risky micro-organisms

c. Remove the reservoir of micro-organism and block the mode of transmission

d. Block the mode of transmission

e. All of the above excepted (d)

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23)

Choose the correct statement bacteria to comment skin infection and also prothesis infection:

a. Bacteria Gram (+): Enterococcus

b. Bacteria Gram (-): Pseudomonas

c. Bacteria Gram (+): Streptococcus

d. Bacteria Gram (-): E-coli

e. Bacteria Gram (+): Staphylococcus

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24)

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. Gloves

d. Gown

e. Surgical mask

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25)

Choose the correct statement bacteria gram (-) to common infection as urinary tract infection:

a. Anaerobia

b. Klebsiella pneumoniae

c. Escherichia coli (E-coli)

d. Staphylococcus

e. Pseudomonas

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26)

Choose the correct statement for hand hygiene with soap and water and alcohol apply to:

a. Patient and patient’s member included visitor

b. All cleaners and nurses by washing your hands with soap and water.

c. All people who provided health care services, included patients and patient’s family.

d. The doctors and nurses, but not for cleaning staffs.

e. Technical laboratory, pharmacist and people concern by washing your hands with soap & water.

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27)

What is not relevant to HCF environment?

a. Safe commuting route

b. Building design and construction

c. Food safety

d. Ventilation

e. Safe water

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28)

How can HCF ensure the quality of water?

a. Regular monitoring and evaluation of water quality

b. Regular monitoring and evaluation of water treatment process

c. Regular monitoring and evaluation of water supply

d. All of the above

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29)

Choose the correct example of performing respiratory hygiene.

a. Doctor shaking hands with all the patients to be friendly

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. All of the above

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30)

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. Distance between each patient bed

c. Route of the laundries being transported in the building

d. Materials used for floor, type of furnitures

e. Numbers and types of rooms

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31)

Choose the correct example of safe HCF environment.

a. Sink in the bathroom is broken and water is leaking

b. Hospital corridor is full of people

c. Window is closed in the operation room

d. Paint on the wall is scratched and removed

e. None of the above

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32)

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. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much

d. Using urinary catheter for patients with flexible mobility

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33)

Choose the incorrect statement about Pressure Ulcer

a. It can be avoided by regularly mobilizing the patient

b. It can spread further infection to the deeper skin layer

c. None of the above

d. It can be avoided by regularly washing the patient at least twice a day

e. It is caused by the constant pressure applied to skin exposed to source of infection

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34)

Choose incorrect statement about ventilation in HCF.

a. It should be designed to reduce microbial contamination

b. Mosquito screen or mosquito net should be provided when window is open

c. None of the above

d. Window should be always open for natural ventilation

e. Every patient room has to have window directly connected to outside

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35)

Choose the correct linkage of microorganism and its examples

a. All of the above

b. Parasite – Escheria coli

c. Virus – Hepatitis .B

d. Fungi – Streptococcus

e. Bacteria – Plasmodium falciparum

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36)

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 surgical drape to cover the insertion spot

c. Insertion of intravenous catheter for nutrition feeding when patient lost appetite

d. None of the above

e. Use of gown and gloves for staffs performing insertion procedure

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37)

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 human to resist chemicals

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 microorganism to resist human immune system

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38)

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)

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39)

What describes the right prevention of Nosocomial Pneumonia?

1.Perform hand hygiene procedure
2.Elevation of bed heat to 80~90° 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, 5

b. 3, 5

c. 1, 2, 3, 5

d. 1, 3, 5

e. 1, 2, 3, 4, 5

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40)

Who could be the “Susceptible host” of micro-organism?

a. Elderly people with chronic diseases

b. People who are working in healthcare facilities

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

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41)

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 contamination of pathogens to other people

c. To prevent spreading the air-borne disease

d. To prevent the nurses to contact patient

e. To prevent the close contact people

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42)

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

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43)

What is not considered during the IPC risk assessment?

a. Risk of contacting body fluid

b. Medical procedure to be performed

c. Pre-diagnosed condition or symptoms

d. None of the above

e. Patient’s blood type

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44)

What is the potential risk factor of Surgical Site Infection(SSI)?

a. Antibiotic prophylaxis

b. all of the above

c. Patient’s pre-disposed symptoms

d. Long duration of the operation

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45)

Why is it important to prevent SSI?

a. It can cause incremental cost to patients

b. All of the above

c. It is an important cause of additional morbidity

d. It may contributes to increased Antimicrobial Resistance (AMR)

e. It is an immediate threat to patient mortality

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46)

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

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47)

Choose the correct linkage of microorganism and its description.

a. Virus – multicellular organism

b. Fungi – has no nucleus

c. Parasites – lives inside the cell

d. Bacteria – reproduces by replication and cellular fusion

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48)

Choose incorrect example of respiratory hygiene practice.

a. Throwing away the used tissue to the trash bin

b. Washing hands regularly

c. Covering nose when coughing

d. Wiping nose with hand when sneezing

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49)

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. Patient in the same ward as pneumonia patient

d. All of the above

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50)

Who should perform respiratory hygiene?

a. Visitor who is sneezing

b. Patient who is diagnosed with flu

c. All of the above

d. Doctors when dealing with coughing patients

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51)

Choose the correct statement.

a. Any virus, once entered human body, causes immediate symptoms.

b. Normal flora does not cause any nosocomial infection in any case.

c. Any bacteria, once entered human body, is pathogenic.

d. None of the above

e. Fungi infection can be easily treated by antimicrobiotics

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52)

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

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53)

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. Hand hygiene and to select PPE to use

c. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management,

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.

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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. Eyes protection

b. Gown and apron

c. Disposable Gloves

d. Surgical mask

e. Disposable glove and N 95 mask

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55)

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. All of the above

c. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again.

d. Thermometer can be shared between patients if it is wiped with wet tissue.

e. It is ok not to change the bed linen in between patients if the previous one didn’t bleed.

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56)

What is the safe source of water for HCF?

a. Open pond

b. Rain water stored in tanks

c. Rain water stored in tanks , Main city water supply

d. Main city water supply

e. All of the above

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57)

Choose the correct example of HCF ventilation.

a. Window is blocked with TV screen in the patient room

b. Window is open and mosquito net is installed in the patient room

c. Isolation room has a ceiling fan to make air circulate to outside

d. None of the above

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58)

Choose the correct statement about additional precautions.

a. None of the above

b. To use additional precaution is better than standard precaution

c. When necessary, HCWs staff must change from standard precaution to additional precautions.

d. Needs of additional precaution dependent on pathogen’s mode of transmission.

e. Additional precaution is not necessary for general outpatient consultation.

Your score is

The average score is 87%

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