Deck 8: Infection Control Rationale and Regulations

Question 1

The Bloodborne Pathogens Standard was designed to:

A)protect patients from getting diseases in health care facilities like the dental office.
B)make all patients divulge their HIV status to their health care workers.
C)ensure the safety and effectiveness of medical devices.
D)require employers to do certain things to prevent employees from being exposed to human body fluids.

Answer 1

require employers to do certain things to prevent employees from being exposed to human body fluids.

Question 2

Which of the following pathways of cross-contamination is the main pathway prevented when protective eyeglasses are worn by members of the dental team?

A)Patient to dental team
B)Dental team to patient
C)Patient to patient
D)Office to community

Answer 2

Patient to dental team

Question 3

Wearing gloves when treating a patient prevents which of the following modes of entry of the patient's microbes into your body?

A)Inhalation
B)Ingestion
C)Mucous membranes
D)Percutaneous through breaks in the skin

Answer 3

Percutaneous through breaks in the skin

Question 4

If you are working in a private dental office and your employer says that you must buy your own gloves, where is the best place to go to complain?

A)CDC
B)OSHA
C)The local school of dentistry
D)Another dental office

Question 5

The goal of infection control is to:

A)reduce the number of microbes that are shared between individuals.
B)sterilize all surfaces in the dental operatory.
C)increase the body's resistance to all microbes.
D)decrease the virulence of all microbes.

Question 6

The Bloodborne Pathogens Standard requires action by whom?

A)Dental patients
B)Dentist employers
C)Dental office employees
D)Dental sales representatives

Question 7

Which U.S.government agency helps ensure the safety and effectiveness of surface disinfectants?

A)CDC
B)FDA
C)EPA
D)OSHA

Question 8

According to the Bloodborne Pathogens Standard, who must provide gloves, masks, eyeglasses, and protective clothing to the dental assistant in the office?

A)The dental assistant must supply his or her own protective equipment.
B)The employing dentist must supply this protective equipment.
C)OSHA must supply this protective equipment.
D)A dental sales representative of a protective equipment manufacturer must provide the protective equipment to the office free of charge.

Question 9

Which of the following is a part of the CDC infection control recommendations for dental facilities rather than OSHA's Bloodborne Pathogens Standard?

A)Written exposure control plan
B)Sterilizing all instruments before they are reused
C)Hepatitis B vaccination
D)Postexposure medical evaluation

Question 10

The manufacturing of medical devices like sterilizers is regulated by what U.S.agency?

A)EPA
B)OSHA
C)CDC
D)FDA

Question 11

Which of the following infection control procedures is not mentioned in the Bloodborne Pathogens Standard?

A)Wearing gloves and protective clothing to prevent contact with blood or saliva
B)Wearing masks to prevent contact with oral spatter
C)Sterilizing instruments before they are reused on another patient
D)Cleaning and disinfecting contaminated surfaces

Question 12

The rule that requires employers to do certain things to prevent employees from being exposed to human body fluids at work is called the _____ Standard.

A)Universal Precautions
B)Hazard Communications
C)Bloodborne Pathogens
D)Medical Device

Question 13

Which of the following can involve patient to dental team cross-contamination?

A)Not wearing protective eyewear
B)Not using biological indicators
C)Not sterilizing instruments before reuse
D)Not cleaning and disinfecting operatory surfaces before the next appointment

Question 14

How can we best prevent disease, considering the dose of the microbe and body resistance?

A)Increase the dose and decrease body resistance.
B)Decrease the dose and increase body resistance.
C)Increase the dose and increase body resistance.
D)Decrease the dose and decrease body resistance.

Question 15

Which of the following pathways of cross-contamination is the main pathway prevented when instruments are cleaned and sterilized?

A)Patient to dental team
B)Dental team to patient
C)Patient to patient
D)Office to community

Question 16

Which of the following pathways for cross-contamination is the most difficult to control?

A)Patient to dental team
B)Dental team to patient
C)Patient to patient
D)Office to community

Question 17

Which governmental agency regulates disinfectants?

A)Department of Labor
B)Occupational Health and Safety Administration
C)Centers for Disease Control and Prevention
D)Environmental Protection Agency

Question 18

Which governmental agency sets the standard for drinking water?

A)Occupational Safety and Health Administration
B)Food and Drug Administration
C)Environmental Protection Agency
D)Centers for Disease Control and Prevention

Question 19

What is required by the postexposure evaluation part of the Bloodborne Pathogens Standard?

A)That all patients exposed to an HIV-positive or hepatitis B-positive dental office employee be evaluated for their bloodborne disease status
B)That all employees exposed to a patient's blood or saliva be evaluated for their bloodborne disease status
C)That an OSHA inspector evaluate employers and employees exposed to a patient's blood or saliva for their bloodborne disease status
D)That employees get hepatitis A and tetanus vaccinations

Question 20

Use of high-volume evacuation, preprocedure mouth rinsing, and _____ are designed to reduce the spread of patient's microbes in dental aerosols and spatter.

A)the dry heat sterilizer
B)a disinfectant
C)wearing latex gloves
D)the rubber dam

Question 21

The CDC recommends that dental unit water should have no more than _____ colony-forming units (CFUs) of heterotropic bacteria per milliliter.

A)5
B)50
C)500
D)5000

Question 22

Which of the following is a not-for-profit nongovernmental organization involved with infection control in dentistry?

A)CDC
B)OSAP
C)EPA
D)OSHA

Question 23

The difference between universal precautions and standard precautions is that universal precautions relate only to:

A)blood and body fluids containing blood.
B)respiratory diseases.
C)contaminated saliva.
D)skin diseases.

Question 24

Which of the following will reduce the chances for cross-contamination from patient to dental team?

A)Using good quality treatment water
B)Using a preprocedure mouth rinse
C)Using disposable items
D)Heat sterilizing high- and low-speed hand pieces

Question 25

When does the required OSHA training on bloodborne pathogens have to be given to employees who have a potential for exposure to human body fluids?

A)When an employee is initially hired and at least annually thereafter
B)Only when an employee is initially hired
C)Within 1 month of hiring the employee and every 6 months thereafter
D)After the employee has received the hepatitis B vaccination series

Question 26

The employer must give to the physician who is evaluating an employee exposed to a patient's saliva five pieces of information: (1) past written physician's opinions on the employee's hepatitis B vaccination status and any past exposure incidents; (2) an incident report describing circumstances surrounding the exposure; (3) the employee's job description related to the exposure incident; (4) results of the source individual's blood testing, if available; and (5):

A)the names and addresses of all patients seen in the office that day.
B)the office's spore testing records for the past 6 months.
C)a copy of OSHA's Bloodborne Pathogens Standard.
D)the names and hepatitis B vaccination status of all the employees in the office.

Question 27

According to the CDC, extracted teeth that do not contain amalgam and will be used by schools for educational purposes need to be:

A)disinfected with bleach.
B)ultrasonically cleaned.
C)soaked in alcohol.
D)heat sterilized.

Question 28

According to OSHA, employers of health care workers must offer their employees the hepatitis B vaccination series (1) free of charge, (2) within 10 days of their employment, and (3) after they have:

A)been prescreened for immunity to hepatitis B.
B)received the required training on bloodborne pathogens.
C)agreed to practice universal precautions.
D)been fitted for protective clothing and gloves.

Question 29

The seven sections of the Bloodborne Pathogens Standard are written exposure control plan, exposure prevention methods, hepatitis B vaccinations, postexposure medical evaluation, hazard communication, training, and:

A)new office construction.
B)instrument sterilization.
C)patient protection.
D)recordkeeping.

Question 30

The correct name for the dental infection control guidelines issued by the CDC is:

A)regulations.
B)suggestions.
C)recommendations.
D)laws.

Question 31

A total office infection control program is designed to prevent the spread of disease agents to patients and the dental team.