Deck 40: Legal Issues, Quality Assurance, and Infection Prevention

Question 1

According to the Centers for Disease Control (CDC) Guidelines for Infection Control in Dental Healthcare Settings-2003,digital radiography sensors:

A)are single-use items and should be disposed of between patients.
B)do not require a barrier; they should be wiped down with disinfectant between patients.
C)should use FDA-cleared barriers.
D)should be heat sterilized.

Answer 1

should use FDA-cleared barriers.

Question 2

The safelight in the darkroom can be tested by:

A)using the coin test.
B)turning off all the lights in the darkroom and looking for any white light.
C)using a step wedge.
D)taking a reference image.

Answer 2

using the coin test.

Question 3

Which is not true regarding the transfer of dental images?

A)A reasonable fee may be charged.
B)The originals are sent.
C)The dentist should be informed of the patient's request.
D)When and where the images were sent need to be recorded on the patient's chart.

Answer 3

The originals are sent.

Question 4

Who can be held legally responsible for dental assistant's actions?

A)The dentist
B)The dental assistant
C)Both the dentist and assistant
D)The patient

Question 5

Developer strength can be checked by using a:

A)reference image.
B)stepwedge image.
C)test strip to check the solution.
D)both a and b.

Question 6

In order for a film to be properly processed,it should be left in a fixer solution,at full strength,for how long?

A)30 seconds
B)1 minute
C)2 minutes
D)5 minutes

Question 7

Which of the following must be disclosed to the patient before obtaining informed consent?

A)Risks and benefits of the images
B)Person who will be exposing
C)Consequences of not having images
D)All of the above

Question 8

The process of informing the patient about the nature and purpose of dental imaging is termed:

A)informed consent.
B)disclosure.
C)respondeat superior.
D)quality control test.

Question 9

According to the test for x-ray film freshness,if the processed film appears _____,the film is fresh and has been properly stored and handled.

A)solid black
B)clean with a slight green tint
C)clean with a slight blue tint
D)fogged

Question 10

The most critical component in film processing quality control is:

A)processing two test films each day.
B)maintaining the freshness of the processing solutions.
C)maintaining the darkroom.
D)checking the safelight.

Question 11

Who is responsible for overall quality assurance in a dental practice?

A)Dentist
B)Dental assistant
C)Dental hygienist
D)Office manager

Question 12

It is the responsibility of the ____ to discuss the need for dental imaging.

A)dental assistant
B)dental hygienist
C)dentist
D)both b and c

Question 13

Dental images are the property of the:

A)dentist.
B)patient.
C)patient's insurance company.
D)both a and b.

Question 14

Regulations regarding certification for dental assistants in radiography:

A)are not required by federal law.
B)vary from state to state.
C)do not exist.
D)both a and b.

Question 15

The Consumer-Patient Radiation Health and Safety Act is a federal law that requires all:

A)persons who use x-rays to take dental images to be properly trained.
B)persons who use x-rays to take dental images to be certified.
C)dental x-ray machines to be registered.
D)both a and b.

Question 16

What should be done after removing each exposed film or PSP from the patient's mouth?

A)It should be sterilized in a heat sterilizer.
B)Immerse the packet in disinfecting solution.
C)Wipe saliva from the film packet using a dry 2 × 2-inch gauze sponge or paper towel.
D)Rinse the films off in the sink and then place them in the ultrasonic cleaner.

Question 17

Dental records must contain documentation of the ______ of dental images taken.

A)number
B)type
C)quality
D)all of the above

Question 18

Quality assurance is a way of ensuring that everything possible is being done to produce high-quality diagnostic images and includes quality:

A)administration procedures.
B)control of dental staff credentials.
C)control tests.
D)both a and c.

Question 19

What should the dental assistant do if a patient refuses dental imaging?

A)Document in the patient's record the fact that he or she refused recommended dental imaging.
B)Explain to the patient the importance of dental imaging.
C)Take the dental images anyway.
D)Both a and b should be done.

Question 20

Which of the following statements is true regarding federal and state regulations on the use of dental x-ray equipment?

A)All dental x-ray machines manufactured or sold in the United States after 1934 must meet federal regulations.
B)The use of dental x-ray equipment is regulated by federal but not state regulations.
C)The federal government requires x-ray machines to be registered and charges a fee for this registration.
D)Most states have laws that require inspections of dental x-ray equipment on a regular basis.

Question 21

Quality control for the darkroom should include:

A)checking for light leaks every six months.
B)safelight testing.
C)equipment testing.
D)all of the above.

Question 22

PSPs:

A)are a major source of cross-contamination.
B)should be wiped with a cotton ball after being removed from the patient's mouth.
C)should be heat sterilized.
D)should be immersed in disinfecting solution.

Question 23

With normal usage,processing solutions should be changed:

A)once a day.
B)once a week.
C)every 3 to 4 weeks.
D)annually.

Question 24

Which is the following is correct for decreasing contamination of dental imaging equipment and supplies?

A)Gather all supplies needed before beginning the procedure.
B)Use overgloves if additional supplies are needed during a procedure.
C)Ask for help.
D)All of the above are correct.

Question 25

Transporting PSP films should be done by placing them in:

A)your lab coat pocket.
B)a black transfer box.
C)a paper cup.
D)a baggy with disinfecting solution.

Question 26

The daily radiograph is lighter than the reference radiograph.This indicates the developer is too:

A)weak.
B)strong.
C)hot.
D)either a or c.

Question 27

Which of the following is not true regarding the preparation of the operatory for dental imaging?

A)Barriers should be used on all surfaces that cannot be easily cleaned and disinfected.
B)Barriers are preferred over switches to prevent electrical shorts.
C)Barriers do not need to be used because spatter of blood and saliva is unlikely.
D)All of the above are not true.

Question 28

Once films are removed from the mouth,they are considered contaminated and should be:

A)given to the patient to hold.
B)handled only with gloved hands.
C)left on the counter in the operatory to accelerate exposure.
D)heat-sterilized.

Question 29

An administrative quality control plan:

A)ensures that each individual is trained to perform assigned duties.
B)maintains a written description of the quality insurance plan.
C)maintains records of control tests.
D)all of the above.

Question 30

Which is not true regarding the care of intensifying screens?

A)Screens should be cleaned with a commercial cleaner after each use.
B)An antistatic solution should be applied after cleaning.
C)Screens that are scratched should be replaced.
D)All of the above are not true.

Question 31

Sterilized positioning instruments should be removed from the packages:

A)before the patient is seated.
B)after the patient is seated.
C)at any time.
D)in the sterilization area.

Question 32

A record-keeping log for processing solution does not need to include:

A)date of solution replacement.
B)date the tanks were cleaned.
C)date of solution replenishment.
D)what the tanks were cleaned with.

Question 33

The simplest method for ensuring that each box of film is fresh is to:

A)check the expiration date.
B)process one film from each box with fresh chemicals.
C)use the clearing test.
D)all of the above.

Question 34

Calibration of dental x-ray equipment should be performed by:

A)a dental assistant.
B)a qualified technician.
C)the dentist.
D)all of the above.

Question 35

After performing the film-screen contact test,areas of good film-screen contact will:

A)be uniform.
B)be darker.
C)vary in densities.
D)all of the above.