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Infection Control
| Question | Answer |
|---|---|
| Why is hand hygiene so important? A. Most common mode of transmission of germs is via hands B. Increasing number of infections acquired in healthcare setting C. Antimicrobial resistance is increasing D. all of the above | D. all of the above |
| When cleaning and disinfecting the dental unit, utility gloves should be worn to protect who from what? | Protect the operator from sharps and chemicals |
| Standard precautions are to be utilized: -On patients who show active signs of infection -Uniformly and consistently on all patients -On patients who have a complicated medical history -Standard precautions should be applied on an individual basis | Uniformly and consistently on all patients |
| What PPE is required for pt care? | safety glasses, over gown, surgical mask |
| Who is responsible for setting and enforcing compliances to regulations to ensure safe and healthy working conditions? | OSHA |
| All of the following represent the basic expectations for all of us to stop the spread of infection EXCEPT: -Hand washing/respiratory hygiene -Wearing PPE correctly -Safe injection practices -Come to school/work regardless of symptoms. | -Come to school/work regardless of symptoms. |
| You arrive to clinic with your bag and coffee. What should you do first? -Store your belongs and wash your hands for 20 seconds -Check out your instruments from the dispensary. -Flush the water lines -Go to the supply closet and gather your supplies | -Store your belongs and wash your hands for 20 seconds |
| The chain of infection includes which of the following: High fevers Portal of entry Non-pathogenic microbes All of the above | portal of entry |
| Which of the following increase the risk of an individual becoming a susceptible host for transmission of disease: Age Comorbidities Nutritional status All factors influence susceptibility | All factors influence susceptibility |
| What is the US federal agency that makes evidence-based recommendations related to prevention and control of disease FDA OSAP CDC OSHA | CDC |
| Respiratory hygiene practices include which of the following: Cover your mouth and nose with a tissue or elbow when coughing or sneezing ...with your hands when coughing or sneezing Use a wipe or towelette to cleanse hands after ... All of the above | Cover your mouth and nose with a tissue or elbow when coughing or sneezing |
| A phone used without a barrier is likely to be contaminated with pathogens. What is this acting as? A host A fomite A vector | A fomite |
| All of the following are ways we can reduce aerosols in dentistry EXCEPT: Using a rubber dam High volume evacuation HEPA filter system Wearing safety goggles | Wearing safety goggles |
| A spore test is an example of what type of indicator of sterilization Chemical indicator Mechanical indicator Biological indicator Physical indicator | Biological Indicator |
| Having a policy or procedure in place to minimize an employee’s risk of exposure is an example of: Engineering control Work place control Administrative control None of the above | Administrative Control |
| Which of the following shows that the sterilization process was successfully completed? Readings on autoclave gauges Visual examination of heat indicating strip Spore test (biological indicator) Timer indicating a fully completed cycle | Spore test (biological indicator) |
| T/F, Don a new pair of gloves for each patient. Remove them promptly after use, and wash hands immediately | True |
| Why is the medical and reporting follow-up time frame 6 months in the event of an exposure incident? 6 months for paperwork Before an employee quits To allow time for the person to heal The average time frame for HIV conversion from - to + | This is the average time frame for HIV conversion from - to + |
| Dental instruments and equipment that only contact skin have low risk of disease transmission and are classified as Critical items Semi-critical items Non-critical items None of the above | Non-critical Items |
| Why should disinfectants used on clinical contact surfaces have tuberculocidal activity? TB is common and needs to be controlled TB is spread most commonly by contaminated contact There is no need TB is one of the hardest microbes to kill. | TB is one of the hardest microbes to kill. Killing TB marks strong potency |
| The dental unit water lines are flushed for all of the following reasons EXCEPT: To ensure the dental unit water contains >500 CFUs per mL To monitor the water quality To disrupt the biofilm formation To prevent stagnation of water in the lines | To ensure the dental unit water contains >500 CFUs per mL |
| Which of the following disease have a vaccine that has proven to be effective Influenza Measles Hepatitis B All of the above | All of the Above |
| The one hand scoop technique is an example of what type of control Engineering control Workplace control Administrative control None of the above | Workplace Control |
| Monitoring sterilization processes for time, temperature, and pressure are called: Routine maintenance Mechanical or physical indicators Biological indicators Chemical indicators | Mechanical or physical indicators |
| T/F, it is appropriate to heat sterilize or use cold sterile high level disinfectant on disposable products to reuse them | False |
| T/F, when disinfecting your operatory surfaces, one wipe with a disinfecting wipe is adequate for infection control | False |
| Why do we perform pre-procedural rinses For the patient to have minty fresh breath To reduce microbes in aerosol production To encourage the patient to rinse daily To promote products sold in your office, it’s a sample for the patient! | To reduce microbes in aerosol production |
| When donning your PPE the first thing you should do is Perform hand hygiene Put on your safety glasses Don your gloves Gather all your supplies | Perform Hand Hygiene |
| What is the last thing you should do in your sequence of donning your PPE Don your mask Perform a pre-procedural rinse Don your face shield Perform hand hygiene and don gloves | Perform hand hygiene and don gloves |
| T/F, the specific amount of time needed to assure complete disinfection is known as “contact time” | True (or "kill time") |
| All of the following are important to remember when doffing your mask EXCEPT: Reach being your head to grasp ties The front of your mask is contaminated Dispose of the mask touching only the ties Keep your clinic mask in your pocket for later use | Keep your clinic mask in your pocket for later use |
| Flushing of the dental unit water lines should be done: At the beginning of the day for 10 seconds Once a week for 5 min After the office has been closed for a period of time Before the day starts, between each patient and at the end of the day | Before the day starts, between each patient and at the end of the day |
| T/F, surface disinfection is acceptable for processing dental handpieces and ultrasonic scaler inserts | False |
| You can protect yourself from transmission of Hepatitis B, Hepatitis C and HIV by: Practicing standard precautions Using appropriate PPE and engineering controls Having accurate information about blood-borne pathogens All of the above | All of the Above |
| It is estimated that the main causes of antibiotic resistance include all of the following EXCEPT: Inappropriate prescribing Patient demand Inadequate compliance by patients Use of antibiotics in livestock farming and environmentally | Patient demand |
| Microorganisms from an infected source become suspended in air and are inhaled by another are known as Direct transmission Indirect transmission Blood Borne Transmission Airborne Transmission | Airborne Transmission |
| Which of the following is an example of engineering control? Uncluttered workspace One-handed scoop method needle recapping Sharps container Training for proper use of hazardous materials | Sharps container |
| T/F, PPE is very effective in reducing or preventing exposure to blood and other bodily fluid if chosen correctly | True |
| Regulated Medical Waste generated in oral healthcare settings may include all of the following EXCEPT: An extracted tooth Blood and saliva soaked gauze Used anesthetic needles Used barrier wraps | Used barrier wraps |
| T/F, Regulated medical waste is defined as blood/OPIM of enough volume/virulence to place susceptible host at risk | True |
| T/F, OSHA’s bloodborne pathogens standard identified HIV, Hep B as bloodborne pathogens | True |
| T/F, A combination of PPE, engineering controls and safe work practices enhances the effectiveness of infection control | True |
| What is the most common adverse skin reaction that occurs among HCP due to frequent handwashing? Latent hypersensitivity Allergic contact dermatitis Irritant contact dermatitis None of the above | Irritant contact dermatitis |
| T/F, Under the BBP standard the employer is responsible for cleaning; laundering, and disposing of required PPE | True |
| Which of the following is considered an appropriate preprocedural rinse? Hydrogen peroxide rinse Povidone iodine rinse ACT fluoride rinse Peroxide and iodine rinses are appropriate | Peroxide and iodine rinses are appropriate |
| The highest levels of aerosol and splatter emission has been shown to occur with the use of: Ultrasonic scalers High speed handpiece used with a rubber dam Intraoral radiograph capture Low speed handpiece | Ultrasonic scalers |
| T/F, sterilization is the elimination of all microbial organism including spore formers | True |
| T/F, OPIM includes all body fluids (including saliva), and anatomical and microbiological wastes | True |
| T/F, aerosols are defined as extremely small (< 50 micrometers in diameter) liquid or solid particles | True |
| Indirection protection achieved due to majority of population becoming immune to disease due to past infection/vaccination Herd immunity Antibiotic resistance Host susceptibility Resistance syndrome | Herd Immunity |
| T/F, housekeeping surfaces (floors, counters, walls) should be cleaned with the same disinfectants used for clinical surfaces | False |
| T/F, In order to protect human health and the environment, the EPA regulates surface disinfectants as pesticide | True |
| T/F, aerosol particles are small enough to stay airborne for a long period but can only travel limited distances (< 3 feet) | False |
| T/F, the term “pesticide” is broad, encompassing any chemical used to destroy or inactivate disease producing microorganisms | True |
| Once you have donned your gloves and are ready to begin patient care, what can you touch? Your patients, your instruments, barriers Your hair, your light, anything on you is okay! Your cell phone Gloves on, good to go - No limits! | Your patients, your instruments, barriers |
| When should post-vaccination testing (titer) be completed following Hep B vaccine 1 week after 3rd vaccine dose 1-2 months after 3rd vaccine dose 6 months after 3rd dose No need to test | 1-2 months after 3rd vaccine dose |
| T/F, disinfection is the destruction of disease-causing microorganisms not including spore formers | True |
| All of the following steps should be taken after a sharps exposure EXCEPT: Notify faculty Wash the area with soap and water or flush with cool water for 15 minutes Contact medical professional for triage / evaluation Complete the procedure first | Complete the procedure first |
| Which statements are true/false? 1. Bacteremia occurs from chewing and brushing your teeth. 2. Healthy patients should be considered for antibiotic premed | The first statement is true, the second statement is false |
| All of the following should be done to prepare the dental operatory for the patient EXCEPT? Clean and disinfect the dental operatory Flush the water lines Using clean hands to gather materials Open instrument packets before patient is seated | Open instrument packets before patient is seated |
Created by:
toothfairymeg
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