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

Question 1

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 1

using the coin test.

Question 2

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 are correct.

Answer 2

vary from state to state.

Question 3

Developer strength can be checked by using:

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

Answer 3

both a and b

Question 4

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 are correct.

Question 5

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

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 6

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.

Question 7

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

A)number
B)type
C)quality
D)All of the above are correct.

Question 8

For a film to be properly processed,it should be left in a fixer solution,at full strength,for:

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

Question 9

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 10

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 are correct.

Question 11

Dental images are the property of the:

A)dentist.
B)patient.
C)patient's insurance company.
D)dentist and the patient.

Question 12

All the following are true regarding the transfer of dental images except:

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.

Question 13

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 14

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

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

Question 15

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

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

Question 16

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

A)dental assistant
B)dental hygienist
C)dentist
D)dental hygienist and dentist

Question 17

Following removal of an exposed film or PSP from a patient's mouth,the film/PSP should be:

A)sterilized in a heat sterilizer.
B)immersed disinfecting solution.
C)wiped free of saliva using a dry 2 * 2-inch gauze sponge or paper towel.
D)rinsed off in the sink and placed in an ultrasonic cleaner.

Question 18

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

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

Question 19

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 20

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 are correct.

Question 21

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 22

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 23

Given normal use,processing solutions should be changed:

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

Question 24

Following the completion of 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 are correct.

Question 25

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 26

When a daily radiograph is lighter than the reference radiograph,it indicates the developer is too:

A)weak.
B)strong.
C)hot.
D)weak or hot.

Question 27

The simplest method for ensuring the freshness of each box of film is to:

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

Question 28

All the following statements are true regarding the care of intensifying screens except:

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 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)does all of the above.

Question 30

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

A)date of solution replacement.
B)date the tanks were cleaned.
C)date of solution replenishment.
D)name of the solution used to clean the tanks.

Question 31

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 32

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 33

All the following are true statements regarding the preparation of the operatory for dental imaging except:

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 34

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 35

A good protocol to follow for decreasing the contamination of dental imaging equipment and supplies is to:

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.