Quiz: Lec. Qs — AUA MCQ

1- All of the following are significant lymphadenopathy exceot:

A A- Inguinal < 2 cm. B- Cervical < 1 cm. B B- Cervical < 1 cm C C- Supraclavicular any size. D E- All of the above

2- All of the following are cause of hyperpyrexia except

A A- p.malria B B- hyperthyroid crisis C C- Heat stroke D D- none of above

3- all of the following is infectious Agent except

A A- Bacteria B B- Virus C C- some proteins D E- None of the above

4- Drugs used in ttt of heat stroke

A A- Dexamethazone B B- Paracetamol C C- Vonaspire D D- Diazepam

5- Heat tetany is duo to

A A- hypocapnia B B- hypocalcemia C C- hypercalcemia D D- hyponatremia

6- Neuroleptic malignant syndrome

A A- idiosyncrasy or overdose of certain drugs like halothane B B- idiosyncrasy or overdose of certain drugs like thiazide C C- idiosyncrasy or overdose of certain drugs like haloperido D D- idiosyncrasy or overdose of certain drugs like succinylcholine

7- cooling of the patient is the ttt of the following except

A A- heat stork B B- heat exhaustion C C- hypothermia D D- hyperpyrexia

8- In heat exhaustion

A A- Pupil constricted B B- Pupils dilated C C- None of the above D D- All of the above

9- what is the most accurate way to measure temperature

A A- Oral B B- Rectal C C- Axillary D D- Tympanic

10- ABG in heat stroke is

A A- Normal B B- Acidosis C C- Alkalosis D D- All of the above

11- Remittant fever

A A- Elevation of body temperature 1 with durinal varions less than 1 degree B B- Elevation of body temperature & with durinal varions more than 1 degree and not reach normal C C- Elevation of body temperature with durinal varions more than 1degree and reach normal D D- None of the above

12- In heat Stoke the pt loss the following mechanism of heat loss Response recorded

A A- Evaporation B B- Convection C C- Conduction D D- All of the above

13- which of the following is infectious disease

A A- coronary artery disease B B- SLE C C- prion disease D D- Lymphoma

14- All of the following can be used as confirmation for eradication of H. pylori EXCEPT:

A A. urea breath test B B. fecal antigen test C C. biopsy-based testing D D. serology

15. Which of the following is true regarding H. pylori

A A. Gram positive B B. Non-motile C C. carcinogenic effect via the CagA protein D D. Levofloxacin based therapy are not used for treatment

17- A 20-month-old child presents to Aswan health care office with a mild viral infection. The results of examination are normal except for a temperature of 37.2°C and clear nasal discharge. Review of her vaccination records reveals that she received only two doses of polio vaccine and Penta vaccine, and that she did not receive the MMR vaccine. The mother is 20 weeks pregnant. Her old brother is undergoing chemotherapy for leukemia. ▪ Which of the following is the most appropriate intervention?

A A- Schedule a visit in two weeks for Penta B B- Administer inactivated polio vac- cine (IPV) and Penta C C- Administer Penta, oral polio vaccine (OPV), and MMR D D- Administer Penta, IPV, and MMR

1- Which of the following is an example of direct contact transmission?

A a- Patient to patient through hands of healthcare workers B b- Fomites (e.g., IV fluids) C c- Biological vector, e.g., salmonella and shigella by flies. D d- Patient to patient through inadequately decontaminated equipment/instrument.

2. All of the following are true regarding airborne transmission except:

A a- Infections transmitted by airborne droplet nuclei (small-particle residue {5 um or smaller in size} B b- respiratory syncytial virus and group A streptococci are examples of airborne transmitted infections C c- Evaporated droplets containing microorganisms that remain suspended in the air. D d- Can be dispersed widely by air currents within a room over long distance

3. All of the following are true regarding guidelines for Discontinuing Isolation in patients with VRE (E. faecalis) except:

A a- 3 sets of negative paired screens: perirectal plus either original wound (if present) or axilla or inguinal area. B b- Obtain each paired set at least 7 days apart C c- Resolution of symptoms D d- Patient must be off Tigecycline, Daptomycin or Linezolid at least 48 hours.

4. Which of the following is an example of airborne transmission?

A a- Homophiles influenza type b disease B b- Varicella (chickenpox) C c- Neisseria meningitides disease. D d- Diphtheria (pharyngeal)

5. All of the following are aerosol-generating procedures except:

A a- Tracheal intubation B b- Coughing C c- Non-invasive ventilation D d- Tracheotomy.

6- Safe Injection Practices are part of:

A a- Standard Precautions B b- Isolation Precautions C c- CMS Guidelines D d- WHO Guidelines

7- Safe injection practices reduce the risk to patients and healthcare workers from the spread of:

A a- Blood borne pathogen such an Hepatitis B virus, Hepatitis C virus and HIV B b- Bacterial infection C c- Viral infection D d- All of the above

8- Transmission of pathogens can occur during the following procedures:

A a- The administration of anesthetics B b- Whenever flushing IV lines or catheter C c-The administration of other IV medication such as chemotherapy and alternative medicines D d- All of the above

9- The spread of bloodborne infections from unsafe injection practices is an example of indirect contact transmission. The following can be said about indirect transmission except:

A a- An infectious patient spreads pathogen by coughing on a susceptible patient B b- It can occur from the hands of healthcare professionals C c- It can occur from patient care device such as glucometers D d- It can occur from injection equipment or medication

10- Practices that have contributed to outbreaks and the transmission of pathogens include:

A a- Using the same syringe to administer medication to more than one patient, even if the needle was changed B b- Using the same syringe more than once in the same patient C c- Contaminating a multi-dose medication bag or vial by accessing with a syringe already used to administer medication to a patient D d- All of the above

11- Other practices that have contributed to outbreaks and the transmission of pathogens include:

A a- Using a common bag of saline or other IV fluid for more than one patient B b- Accessing the bag with a syringe already used to flush an IV or catheter C c- Leaving an IV set in place for dispensing fluid to multiple patients D d- All of the above

12- Examples of aseptic technique and safe injection practices that can be used to prevent the spread of microorganisms includes all the following except:

A a- Use sterile, single-use, disposable needles, syringes and cannulas only once, every time B b- Use 70% alcohol or a CHG/alcohol mixture, according to manufacturer recommendation, to scrub the catheter hub and port for at least 15 seconds and allow to air dry C c- If administering medication with a syringe to more than one patient, change the needle or cannula first D d- Use fluid infusion and administration sets such as IV bags, tubing and connectors for one person only

13- Which of the following is an example of personal protective equipment?

A a-gloves B b- rubber dam C c-mask D d-Both a and c

14- The following materials are considered potentially infectious materials except:

A a- Blood B b- Sweat C c- Pleural fluid D d- Cerebrospinal fluid

15- A health care worker exposed to accidental needle stick injury while drawing a patient's blood sample, the patient is known to be HBs Ag positive, but unfortunately the health care worker is non-responder to HB vaccine. What is the best management?

A a- Measure anti HBs Ab and receive booster dose of HB vaccine B b- Measure anti HBs Ab and receive single injection of HBIG C c-Receive one injection of HBIG and another injection after one month D d-Receive one injection of HBIG and one dose of vaccine at different injection sites.

16- If a non-vaccinated health care worker exposed to accidental needle stick injury while drawing a patient's blood sample, the patient is known to be HBs Ag positive. What is the best management?

A a- Measure anti HBs Ab and doesn’t need HB vaccination B b- Receive one injection of HBIG and one dose of vaccine at the same injection site then continue vaccination. C c- Receive one injection of HBIG and one dose of vaccine at different injection sites then continue vaccination. D d- Receive one injection of HBIG and another injection after one month

17- To effectively reduce the growth of germs on hands:

A a- Hand washing must last 40–60 secs B b- Hand washing must last 40–60 hours C c- Hand washing must last 60–120secs D d- Hand washing must last 20-40 secs

18- To effectively reduce the growth of germs on hands:

A a- A-hand rubbing takes only 20–30 seconds B b- B-hand rubbing takes only 10-20 seconds C c- C-hand rubbing takes only 20–60 seconds D d- D-hand rubbing takes only 10–30 seconds

19- The most important way to prevent the spread of infection is

A a. antibiotics B b. Personal protective equipments C c. Hand washings D d. Vaccination

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