Seth Gordhandas Sunderdas Medical College

Acharya Donde Marg, Parel,
Mumbai 400 012. India.
Tel.: 91-22-2410 7000 Fax: 91-22-2414 3435


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Q1. The term nosocomial is derived from two Greek words, nosus and komeion. What is the meaning of each of these words?

Q2. Which amongst the following corresponds to a nosocomial infection?

A. A patient undergoes hernia repair on 15 th June 2008 . On 20 th June 2008 , he is reported to be suffering from enteric fever.
A patient undergoes valve replacement in Jan 2008. In Jan 2009 he presents with endocarditis of the prosthetic valve.
A patient is admitted for complicated UTI . He is started on antimicrobial therapy after sending urine for culture. Culture reveals growth of E.coli sensitive to 3 rd gen cephalosporins and quinolones. Patient is started on quinolones, is catheterised for measuring urine output. He shows clinical signs of improvement. A repeat culture on the 7 th day reveals growth ofP.aeruginosa resistant to 3 GC.
A patient undergoes hernia repair on 15 th June 2008 . His wound begins to heal and he is discharged on 22 nd June 2008 . On 10 th July 2008 , he observes pain ,wound gape and purulent discharge.


Q 3. Whichof the following defines laboratory confirmed BSI in a 26 year old male?

A. Fever 39.2 ° C, Dysuria, C.albicans growth in blood
BP 90/60 mm Hg, CoNS in two blood cultures drawn on two different occasions
Fever 38.6 ° C, productive cough, K.pneumoniae grown from blood
None of the above


Q 4. Which of the following does not contribute to ‘Prevention of CLABSI’? (write all that are appropriate)

A. Hand hygiene with antimicrobial soap
B. Use of cap, masks, sterile gowns, sterile gloves
C. Large sterile drape over the patient
D. Disinfection of catheter hubs
E. Assessment of the need on a daily basis
F. Routine use of antimicrobial ointment at catheter insertion site
G. Replace catheters every 72-96 hrs
H. Routine use of antimicrobial impregnated CVCs
I. Short term antimicrobial prophylaxis during and after insertion


Q 5. For PEP to be effective, it should be started within _________ hrs of exposure.

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