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SEMEY STATE MEDICAL UNIVERSITY
INSTRUMENTATION TOOLS
FOR EVALUATION OF KNOWLEDGES, KNOW-HOWS ON DISCIPLINE
1. Tests
1. Reasons of nosocomial infections are not
1. increase of hospitalized patients
2. development of big hospitals
3. wide use of antibiotics
4. frequent use of immune depressants
5. increase of ambulatory patients
5
2. Reasons of nosocomial infections are not
1. increase of hospitalized patients
2. development of polyclinics
3. wide use of antibiotics
4. frequent use of immune depressants
5. frequent use of enteral manipulations
2
3. Reasons of nosocomial infections are not
1. increase of hospitalized patients
2. development of big hospitals
3. wide use of antibiotics
4. frequent use of immune depressants
5. frequent use vitamins
5
4. Reasons of nosocomial infections are not
1. increase of hospitalized patients
2. development of big hospitals
3. wide use of antibiotics
4. frequent use of lessinvasive operations
5. frequent use of parenteral manipulations
4
5. Who can suffer from nosocomial infections?
1. hospitalized patients
2. ambulatory patients
3. medical personal of hospitals
4. medical personal of polyclinics
5. puerperal
4
6. Who cant suffer from nosocomial infections?
1. hospitalized patients
2. ambulatory patients
3. medical personal of hospitals
4. medical personal of polyclinics
5. visitors
5
7. Who cant suffer from nosocomial infections?
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1. accountants of hospital
2. ambulatory patients
3. medical personal of hospitals
4. medical personal of polyclinics
5. puerperal
1
8. Signs are not characteristic for hospital strains of nosocomial infections
1. phagoresistance
2. antibioticoresistance
3. resistance to disinfection
4. resistance to UV radiation
5. phagosensitivity
5
9. Signs are not characteristic for hospital strains of nosocomial infections
1. phagoresistance
2. antibioticoresistance
3. resistance to UV radiation
4. antibioticosensitivity
5. resistance to disinfection
4
10. Causative agents of nosocomial infections are not
1. pathogenic flora
2. conventially pathogenic flora
3. saprobacteria
4. protozoa
5. helminthes
5
11. Causative agents of nosocomial infections are not
1. pathogenic flora
2. conventially pathogenic flora
3. dust
4. protozoa
5. fungia
3
12. Which causative agent not transmit trough air
1. shigella
2. flu
3. pneumocyst
4. staphylococcus
5. streptococcus
1
13. Which causative agent not transmit trough fecal oral mechanism
1. shigella
2. salmonella
3. pneumocyst
4. staphylococcus
5. enterococcus
3
14. Which departments are not characteristic for development of nosocomial infections
1. surgical
2. radiation
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3. burn
4. child
5. therapeutic
5
15. Which departments are not characteristic for development of nosocomial infections
1. urological
2. radiation
3. neurological
4. child
5. burn
3
16. Which departments are not characteristic for development of nosocomial infections
1. nerosurgical
2. radiation
3. burn
4. childborn
5. gastroenterological
5
17. Which measures are not conducted for prevention of nosocomial infections
1. health control of personal
2. disinfection of toilets
3. wide use of antibiotics with prevention aim
4. sanitary hygienic regimen in hospital
5. disinfection of bed linen
3
18. Which measures are not conducted for prevention of nosocomial infections
1. health control of personal
2. disinfection of toilets
3. wide use of vitamins with prevention aim
4. sanitary hygienic regimen in hospital
5. disinfection of bed linen
3
19. Which manipulations are not dangerous nosocomial contamination
1. surgical
2. injections
3. urological
4. endoscopy
5. USI
5
20. Which manipulations are not dangerous nosocomial contamination
1. surgical
2. infusions
3. urological
4. endoscopy
5. ECG
5
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2. Questions of examination
1. The main terms of nosocomial infections
2. Features of epidemic process at nosocomial infections
3. Infectious control is base of nosocomial infections prevention
4. Principles of preventive and anti epidemic measures at nosocomial infections
5. The common characteristic of purulent septic nosocomial infections with lesion of skin
and mucosal membrabes
6. Streptococcal infection. Staphylococcal infection. Characteristic of epidemic process and
principles of early diagnosis and prevention
7. Respiratory infections. ARVI (flu, paraflu, adenovirus infection). Characteristic of
epidemic process and principles of early diagnosis and prevention
8. Intestinal infections. Salmonellosis. Characteristic of epidemic process and principles of
early diagnosis and prevention
9. The common characteristic of parenteral infections. Virus hepatitis. Characteristic of
epidemic process and principles of early diagnosis and prevention
10. HIV-infection. Characteristic of epidemic process and principles of early diagnosis and
prevention
11. Anti epidemic measures in focus of septic purulent nosocomial infections with lesion of
skin and mucosal membranes
12. Anti epidemic measures in focus of streptococcal infection
13. Anti epidemic measures in focus of staphylococcal infection
14. Anti epidemic measures in focus of respiratory infections
15. Anti epidemic measures in focus of child respiratory infections
16. Anti epidemic measures in focus of intestinal infections
17. Anti epidemic measures in focus of salmonellosis
18. Anti epidemic measures in focus of food poisoning and dysentery
19. Anti epidemic measures in focus of virus hepatitis
20. Anti epidemic measures in focus of HIV-infection
21. Structure of nosocomial infections
22. Anti epidemic regimen in therapy preventive institutions
23. Principles of organization of preventive measures in different groups of nosocomial
infections
24. Bases of disinfection and sterilization
25. Prevention of septic purulent nosocomial infections with lesion of skin and mucosal
membranes
26. Pseudomonas aeroginosa. Characteristic of epidemic process and principles of early
diagnosis and prevention
27. Prevention of respiratory infections. Child respiratory infections. Characteristic of
epidemic process and principles of early diagnosis and prevention
28. Prevention of intestinal infections. Virus gastroenteritis, food poisonings, dysentery.
Characteristic of epidemic process and principles of early diagnosis and prevention
29. Prevention of virus hepatitis
30. Prevention of HIV-infection
3. Situational tasks
1. Patient C., is treated in gastroenterological department with acute acute cholecystitis. On
5th day of hospitalization patient complained on high temperature, nausea, vomiting,
abdominal pain, diarrhea 5 times per day. Bacteriological test of faeces is Salmonella typhus.
Which measures must be conducted?
(reveal of contact people, prophylactic medical observation of contact people during
incubation period).
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2. In reception department 2 parents with diseased child for 40 min stayed together. First
child was diagnosed acute dysentery, second child was diagnosed measles (prodromal
period). Patients with measles is hospitalized to box. Where patient with dysentery is directed
(child 7 years, not vaccinated, didn’t have measles)?
(dysentery wards for first 7 days, then to box)
3. In the ward of patients with acute respiratory diseases 3 patients are stayed. One from
them on the 2 day of hospitalization measles (rash on the face) is diagnosed. One 40 years
patient in the ward had measles in childhood, the second 18 years patient didn’t have
measles. What will you do with patient with measles, 40 years patient, 18 years patient, is it
nosocomial infection?
(patient with measles is isolated to box, 40 years patient is stayed in the ward, 18 years
patient is injected Ig, this is drift of infection to hospital).
4. Patient with chronic cholecystitis is treated in gastroenterology department. I exam of bile
Salmonella typhi is revealed. In anamnesis – 10 years ago patient had typhoid fever. In the
ward there are 3 patients, 2 patients are discharged. There are 60 patients in gastroenterology
department. Which measures must be conducted?
(to inform polyclinic about contact of discharging patients with chronic carrier of typhoid
fever for organization of prophylactic medical observation, patients of department are
observed for 21 days, taking of faeces for bac.test from contact people, giving phagotype. To
discharge patients and write about contact with chronic carrier).
5. At patient with arterial hypertension on 15th day of hospitalization diarrhea developed and
in bac.exam of faeces Shigella Sonnei is detected. What you will do?
(this is nosocomial infection, to check personal of food block, to check product from visitors,
to transfer patient to infectious hospital, to conduct disinfection, to observe patients for 7
days, to continue entrance and discharge of patients).
4. Check list of practical skills
1. Planning of preventive and anti-epidemic measures at nosocomial infecions;
2. Timely and methodically information of medical personnel in the organization and
prevention tactics at nosocomial infections;
3. Possession of disinfection and sterilization methods.