Questions Flashcards

1
Q

Counting the number of bacteria present in a sample can be useful for differentiating between colonization and significant infection in which specimen?

A

Urine

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2
Q

How many patients are estimated to die of Health-care associated infection every year?

A

5,000

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3
Q

What IS NOT a part of the standard precautions that should be used for infection prevention in a hospital setting?

A

Regular change of uniform

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4
Q

Which items of personal protective equipment (PPE) are required when caring for a patient infected with Clostridium difficile?

A

Aprons and gloves

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5
Q

What structure is unique to gram negative bacteria?

A

Outer membrane

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6
Q

What percentage of patients are likely to acquire an infection while in hospital?

A

10%

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7
Q

Which bacterial pathogen is the main cause of antibiotic associated diarrhoea?

A

Clostridium difficile

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8
Q

What are the structural features of E. coli and neisseria meningitidis?

A

E. coli is rod shaped, neisseria meningitidis is coccus shaped

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9
Q

Which part of the body is most heavily colonized by bacteria?

A

GI tract

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10
Q

What is the most appropriate method to decontaminate hands when caring for patients suffering Clostridium difficile infection?

A

Wash hands with soap and water after patient contact

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11
Q

The herpes virus is NOT…

A

Small and round

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12
Q

What cell type is mainly depleted during HIV/AIDS?

A

CD4+ T-Lymphocytes

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13
Q

Which antibiotic act on the bacterial cell wall?

A

Vancomycin

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14
Q

Which specimen should be collected using a swab?

A

Urethral discharge

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15
Q

Which virus is associated with causing cancer?

A

Epstein Barr Virus

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16
Q

What is the MAIN route of spread for hepatitis A virus?

A

Faecal/oral

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17
Q

Which organism is commonly associated with meningitis in young babies (one week old)?

A

Group B streptococcus

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18
Q

What is the leading cause of community acquired pneumonia?

A

Streptococcus pneumonia

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19
Q

What virus family does the mumps virus belong to?

A

Paramyoxoviruses

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20
Q

Which enteric organism is associated with hemolytic uremic syndrome (HUS)?

A

E. coli

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21
Q

Name a sample that needs to be taken from a patient with suspected Shigella infection

A

Faecal

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22
Q

Name a sample that has to be taken from an elderly patient from a care home being admitted for a hip replacement

A

Nasal swab

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23
Q

Name a sample that has to be taken from a patient who has been on long term antibiotics and presents with diarrhoea

A

Faecal

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24
Q

Name a sample that has to be taken from a 22 yr old student with suspected meningitis

A

Cerebrospinal fluid

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25
Name a sample that has to be taken from a hospitalized female patient who develops pyelonephritis
Clean catch urine
26
Which organism is the leading cause of tonsillitis?
Streptococcus pyogenes (group A streptococcus)
27
Which organism is the main cause of impetigo?
Staphylococcus aureus
28
Which organism is a common cause of medical device related infection?
Staphylococcus epidermidis
29
Which organism is one of the two most important causes of bacterial meningitis?
Steptococcus pneumoniae
30
What condition causes urgency, pain and frequency associated with urination, blood in the urine and lower back pain?
Pyelonephritis
31
What condition causes sudden onset of development of painful, red generalised area of skin that is hot and tender?
Cellulitis
32
What condition causes nausea, vomiting and diarrhoea?
Salmonella enterica infection
33
What condition causes purulent sputum, shortness of breath, cyanosis, chest pain and fever?
Pneumonia
34
What condition causes fever, abdominal cramps and bloody diarrhoea that is full of mucous?
Bacillary dysentery
35
An elderly patient in your care has been bedridden for three weeks and has developed pressure sores. These are now red and painful. What car pathway would you take?
Admit to general medical ward, initiate use of personal protective equipment (PPE), take a wound swab
36
A baby arrives on your neonatal care unit presenting with fever, drowsiness and is very irritable. The mother is positive for group B streptococcus. What care pathway would you take?
Initiate use of personal protective equipment (PPE), take a cerebrospinal fluid (CSF) sample
37
An elderly patient arrives who has faecal incontinence and complains of pain that is limited to the bladder region. What care pathway would you take?
Admit to general medical ward, initiate use of personal protective equipment (PPE), take a urine sample
38
An elderly patient in your care had emergency heart surgery and the wound is red, swollen and painful with a purulent exudate visible. The patient has been admitted to hospital four times in the last six months and has been taking antibiotics for a chest infection. What care pathway would you take?
Isolate patient in a side room, initiate use of personal protective equipment (PPE), take a blood sample and nasal swab, inform the Infection Prevention and Control Team
39
40. An elderly homeless man has been bought in with chest pain, fever and a high respiratory rate. He has a productive cough and his lips are a little blue. What care pathway would you take?
Admit to general medical ward, take blood and sputum samples, inform the Ward Sister
40
When making up disinfectants by adding water, after how long should the solution made be thrown away?
24 hours
41
Name the two most common causes of urinary tract infection
Staphylococcus saprophyticus and Escherichia coli
42
What IS NOT part of the standard precautions that should be used for infection prevention in a hospital setting?
Prophylactic antibiotics
43
Which antibiotic acts on the bacterial cell walls?
Penicillin
44
Items in contact with intact mucous membranes are considered, in terms of decontamination risks, to be
Medium risk
45
In which infection can cohort nursing not be undertaken?
Pulmonary TB
46
What proportion of health-care associated infections could be prevented by the use of good practice?
15-35
47
In which situations can alcohol hand rub be used?
Before aseptic procedures where hands are visibly clean
48
Which items of personal protective equipment (PPE) are required when caring for a patient infected with MRSA?
Apron and gloves
49
Escherichia coli...
Is a gram negative rod-shaped organism
50
What is NOT a link in the chain of infection?
Method of decontamination
51
What is the most appropriate method to decontaminate physically soiled hands?
Wash hands with soap and water and then use an alcohol hand gel
52
Which viral infection is associated with life-long persistence in the host?
Herpes simplex virus type 1
53
What sample should be taken from a patient with a case of suspected shigella infection?
Faecal sample
54
Name an organism associated with resistance to vancomycin
Enterococcus faecalis
55
What method of hand decontamination would be recommended after caring for a patient with Clostridium difficile?
Liquid soap and water
56
What method of hand decontamination would be recommended during an aseptic wound dressing after opening the sterile equipment?
Alcohol hand rub
57
What method of hand decontamination would be recommended after removing gloves following catheter insertion?
Liquid soap and water
58
What method of hand decontamination would be recommended before a surgical procedure as scrub nurse?
2 minute surgical scrub
59
What method of hand decontamination would be recommended after changing soiled bed linen?
Liquid soap and water
60
What PPE should be used when obtaining a blood sample from an MRSA positive patient?
Disposable plastic apron and non-sterile gloves
61
What PPE should be used when inserting a urinary catheter?
Disposable plastic apron and sterile gloves
62
What PPE should be used when using disinfectants?
Disposable plastic apron and non-sterile gloves
63
What PPE should be used when caring for a patient with suspected multi-drug resistant pulmonary TB?
Non-sterile gloves, disposable plastic apron and face mask
64
What PPE should be used when cleaning up a blood spill?
Disposable plastic apron and non-sterile gloves
65
Streptococcus pyogenes...
Is gram positive and forms chains of cocci
66
What PPE should be used when providing airway management to a patient admitted with meningococcal meningitis?
Gloves, disposable plastic apron, face mask and goggles/face shield