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Guidelines for Infection Control in Dental Health Care Settings

Sharon K. Dickinson, CDA, CDPMA, RDA, CRFDA; Richard D. Bebermeyer, DDS, MBA

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  1. An example of an engineering control is _______________.

    • the one-handed scoop technique for recapping needles
    • postponement of routine dental treatment for patients suspected of having active TB
    • instrument cassettes used to process instruments for reuse
    • replacing sharps containers when they are full
  2. An example of a work practice control is _______________.

    • the one-handed scoop technique for recapping needles
    • postponement of routine dental treatment for patients suspected of having active TB
    • instrument cassettes used to process instruments for reuse
    • a color-coded, puncture-resistant sharps container
  3. An example of an administrative control is _______________.

    • the one-handed scoop technique for recapping needles
    • postponement of routine dental treatment for patients suspected of having active TB
    • instrument cassettes used to process instruments for reuse
    • a color-coded, puncture-resistant sharps container
  4. According to the CDC ____________ carry the highest risk of disease transmission.

    • non-critical items
    • critical items
    • semi-critical items
    • None of the above.
  5. To protect the mucous membranes of the nose and mouth, a mask should be changed _____________.

    • between patients and when it becomes wet
    • at 10 minute intervals
    • only at the lunch break
    • None of the above.
  6. Standard precautions minimize the risk of exposure to _____________.

    • blood and bloody fluids
    • all body fluids except sweat
    • all body secretions and excretions
    • All of the above.
  7. Vaccines are recommended for healthcare workers to protect against ____________.

    • HBV
    • influenza
    • MMR (measles, mumps, and rubella)
    • All of the above.
  8. ____________ contact surfaces are those surfaces that are directly contacted by contaminated instruments, devices, hands or gloves.

    • Clinical
    • Housekeeping
    • Environmental
    • All of the above.
  9. According to OSHA regulations and CDC guidelines, employees who decline vaccination against ____________ must sign a declination form that the employer keeps on file.

    • HBV
    • HCV
    • influenza
    • MMR (measles, mumps, and rubella)
  10. Sharps containers should be located _______________.

    • at the front desk
    • near all exits from the facility
    • as close to the point of use as possible
    • All of the above.
  11. CDC guidelines specifically recommend against _______________.

    • two-handed needle recapping
    • handling needles with the sharp end pointed toward a team member's body
    • bending, breaking, or removing needles before disposal
    • All of the above.
  12. Occupational injuries should be reported, evaluated, and otherwise managed _______________.

    • as soon as it happens
    • after all the patients of the day have been treated and sent home
    • on the first day the practice is closed for business so the employee won't miss work
    • immediately before office hours the next morning
  13. If hands are not visibly dirty or contaminated with blood or other potentially infectious materials, ________________.

    • wash hands with an antimicrobial soap and water
    • wash hands with a non-antimicrobial soap and water
    • use an alcohol-based hand rub according to the manufacturer’s instructions
    • Any of the above.
  14. When assisting during a cavity preparation using a high-speed handpiece, _______________ constitute appropriate personal protective equipment.

    • utility gloves, face mask, protective eyewear, and gown
    • sterile surgeon's gloves, face mask, protective eyewear, gown, and shoe covers
    • exam gloves, face mask, protective eyewear, and gown
    • exam gloves, face mask, and gown
  15. _______________ is a common skin condition among dental healthcare personnel that is often mistaken for an allergic reaction.

    • Type I hypersensitivity
    • Type IV hypersensitivity
    • Irritant contact dermatitis
    • Anaphylaxis
  16. _______________ is reaction to allergens such as methacrylates, glutaraldehydes, and chemicals used in the manufacturing of gloves.

    • Type I hypersensitivity
    • Type IV hypersensitivity
    • Irritant contact dermatitis
    • Anaphylaxis
  17. The “dirty” side of the instrument processing area is used for _______________.

    • receiving, cleaning, and decontamination
    • sterilizing
    • recording entries in the sterilizer monitoring log
    • storing instruments before distribution to chairside
  18. Immediate-use steam sterilization cycles are considered acceptable for _______________.

    • routine instrument sterilization
    • processing implantable devices
    • faster sterilization of a device that will be used immediately
    • critical instruments that will be stored indefinitely before use
  19. Use a biological indicator _______________.

    • weekly
    • to monitor every load that contains an implantable device
    • to retest a sterilizer that failed its previous spore test
    • All of the above.
  20. For clinical contact surfaces that are visibly contaminated with blood, clean the surfaces and disinfect using a _______________.

    • a low-level disinfectant
    • a hospital disinfectant
    • an intermediate-level hospital disinfectant with tuberculocidal activity
    • a high-level disinfectant/sterilant
  21. With regard to parenteral medications, CDC recommends _______________.

    • using single-dose vials whenever possible
    • using multi-dose vials whenever possible
    • combining leftover contents of vials to save money
    • changing needles so an anesthetic syringe can be reused on another patient
  22. Surgical hand antisepsis involves handwashing using an antimicrobial soap and water.  Surgical hand antisepsis can also be accomplished with plain (non-antimicrobial) soap and water, followed by application of an alcohol-based hand rub.

    • Both statements are true.
    • Both statements are false.
    • The first statement is true. The second statement is false.
    • The first statement is false. The second statement is true.
  23. Extracted teeth containing amalgam should be disposed of _______________.

    • in a sharps container
    • according to state and local regulations
    • in a waste container
    • after soaking for one hour in a high level disinfection
  24. Routinely evaluating the practice setting’s infection control program ensures _______________.

    • compliance with OSHA's Hazard Communication Standard
    • that it remains effective and up to date with current technology
    • that new regulations need not be incorporated
    • that disinfectant inventories do not contain expired products
  25. Within the dental setting, reducing risk of disease transmission entails _______________.

    • avoiding contact with blood and body fluids
    • limiting the number of “high-risk” patients treated in the practice
    • double gloving
    • ensuring that most patients are vaccinated against infectious diseases

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