Chapter 19-20
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Mistlike aerosols are: | Capable of remaining airborne for extended periods and can be inhaled. |
Which of the following is the most common route of disease transmission in the dental office? | Direct contact with the patient’s blood or saliva. |
Which of the following is true regarding the role of the CDC in infection control? | The CDC issues specific recommendations on health-related matters, based on sound scientific evidence. |
The law designed to protect employees against occupational exposure to bloodborne disease-causing organisms such as HBV, HIV, and HCV is: | The OSHA Bloodborne Pathogens (BBP) Standard. |
The CDC term Standard Precautions applies to contact with which of the following? | All body fluids, secretions, and excretions except sweat, regardless of whether they contain blood |
Which of the following is the first procedural step after an exposure incident? | Stop operations immediately. |
The BBP Standard requires the dentist or employer to provide training in infection-control and safety issues to which of the following groups of people? | All personnel who might come in contact with blood, saliva, or contaminated instruments or surfaces |
Which of the following is recommended by the CDC after administration of the HBV vaccine? | A blood test to ensure that the individual has developed immunity |
Which of the following is the correct sequence for handwashing and gloving? | Wash your hands before you put on gloves and immediately after you remove gloves. |
Which of the following statements about reducing microbial flora is true? | Alcohol-based hand rubs are more effective at reducing microbial flora than plain soap or antimicrobial handwashes. |
Which of the following is considered personal protective equipment (PPE) that the employer should provide free of charge to the employee? | Protective eyewear |
The Bloodborne Pathogens Standard states that contaminated protective clothing: | Can be picked up by a laundry service. |
The BBP Standard requires use of protective eyewear: | With front and side protection (solid side shields) during exposure-prone procedures. |
Exam gloves used during dental treatment can be made of which of the following materials? | Latex or vinyl |
Which of the following is the most common type of latex allergy? | Type IV allergic reaction |
CDC guidelines and the OSHA Bloodborne Pathogen Standard consider saliva to be which of the following? | A potentially infectious body fluid |
Infectious waste is defined as which of the following? | It is contaminated waste that is capable of transmitting an infectious disease. |
When is the best time to clean and disinfect dental prostheses or impressions that will be handled in the in-office laboratory? | As soon as possible after removal from the patient’s mouth |
Which of the following is true of Creutzfeldt-Jakob disease? | It belongs to a group of neurologic disorders. |
A person who is unable to resist infection by a particular pathogen is known as _______ in the chain of infection. | A susceptible host |
What type of disease transmission refers to the spread of disease through droplets of moisture that contain bacteria or viruses? | Airborne transmission |
Pathogens transmitted by means of cuts or punctures are an example of _______ transmission. | Parenteral |
Tuberculosis, botulism, and streptococcal infections can be spread by which of the following? | Food and water transmission |
The type of immunity acquired when the body has previously contracted a disease and recovered is called ________ immunity. | Naturally acquired |
Immunization or vaccination is known as ________ immunity. | Artificially acquired |
Which type of transmission of infection occurs through the mucosal surfaces of the eyes, nose, and mouth? | Patient-to–dental team infection |
Infection control measures that help to prevent disease transmission to the dental professional include: | All of the above. |
Which infection control measures must be practiced to avoid patient-to-patient disease transmission? | All of the above |
Which dental professional falls under category II of the Occupational Exposure Determination? | Receptionist who might occasionally clean a treatment room or handle instruments or impressions |
Under the Occupational Exposure Determination, which members of the dental staff fall under category I? | Sterilization assistant and laboratory technician |
Who is responsible for training employees to respond properly to an exposure incident in the dental office? | The employer |
All of the following are descriptions of a sharps disposal container except: | Manufactured to be shredded in a paper shredder. |
The CDC established guidelines for needle recapping. These guideline include: | Using the single-handed scoop method or a recapping device. |
Protective Clothing Requirement Standards do not include: | Disposable jackets or gowns with long sleeves and high neckline. |
Protective masks are worn over the nose and mouth to protect dental personnel from all of the following except: | Revealing emotions. |
The environmental surfaces that must be cleaned and decontaminated more rigorously than the others are: | Clinical contact surfaces. |
Following OSAP protocol, surface barriers: | Should be removed and discarded between patients while hands are still gloved. |
The appropriate disinfection protocol to follow when a surface has been covered with a barrier is: | Clean and disinfect the surface at the beginning and end of each workday. |
If the surface below the barrier is inadvertently touched when removing a contaminated barrier, the protocol to follow indicates: | The surface needs to be cleaned and disinfected. |
The purpose of precleaning a surface is: | Do both a and b. |
Precleaning can be accomplished using: | Both a and b. |
Chemicals that destroy or inactivate most species of pathogenic microorganisms on inanimate surfaces are called: | Disinfectants. |
Disinfectants used in dentistry must be: | Both a and b. |
To effectively clean and disinfect dental treatment rooms: | The surface should remain moist for the manufacturer’s recommended time for tuberculocidal action, usually 10 minutes. |
Precautions when using glutaraldehyde include: | All of the above. |
The high-level disinfectant that does not require activation or mixing and has little odor is: | Ortho-phthalaldehyde (OPA). |
Housekeeping surfaces: | Need to be cleaned with only a detergent or low-level disinfectant. |
Recommendations for mixing solutions of detergents or disinfectants include: | Making fresh cleaning solution each day and discarding any unused solution at the end of the treatment day. |
Carpet in dental treatment areas: | Harbors both bacteria and fungi. |
To avoid contamination in a dental treatment area, the best approach is to: | Assume all surfaces have been contaminated. |
The protocol to follow to minimize contamination of touch and transfer surfaces from splash, spatter, and surface droplets is to: | Apply an acceptable barrier following precleaning and disinfection. |
Under the CDC Guidelines for Infection Control in Dental Healthcare Settings—2003, housekeeping surfaces include: | All of the above. |
Acceptable barriers include: | All of the above. |
All of the following surfaces should be protected from contamination with barriers except: | Counter tops in the reception area. |
One difference between a disinfectant and sterilant is: | A disinfectant kills disease-causing microorganisms remaining on surfaces after precleaning |
A product capable of killing spores is: | Sporicidal. |
Which of the following is found on the label of a chemical agent? | All of the above. |
According to the EPA, synthetic phenol compounds are categorized as intermediate-level hospital disinfectants. Phenols can be used on: | All of the above. |
The chemical disinfectant classified as an intermediate-level agent that is no longer recommended for use in dentistry is: | Sodium hypochlorite. |
One reason for taking precautions when using complex phenols for disinfection is that they: | Can degrade some plastics or etch the surface of glass |
Instability, daily preparation, strong odor, and corrosion are some of the disadvantages of: | Sodium hypochlorite. |
“Green” infection control protocols can be implemented in all of the following except: | Using recyclable product packaging. |
The following are considered single-use items except: | Metal impression trays. |
One of the benefits of using a complex phenol solution for disinfection is that they: | Are compatible with metal, glass, rubber, and plastic. |