Deck 19: A Clinical Asepsis Protocol

Question 1

What should be done to the contaminated high-speed handpiece after a patient appointment?

A)Flush water through it for 30 seconds, remove from the hose, and proceed with proper cleaning and heat sterilization.
B)Remove it from the hose, wipe it off with alcohol, put it in a sterilization bag, and place it with the items that are ready for use with the next patient.
C)Wipe it off with alcohol, cover it and the first 6 inches of the hose with a plastic cover, and place it back in the holder.
D)Remove it from the hose, wipe it off with alcohol, and proceed with heat sterilization.

Answer 1

Flush water through it for 30 seconds, remove from the hose, and proceed with proper cleaning and heat sterilization.

Question 2

Aseptic retrieval means to:

A)escort the patient from the waiting room to the dental chair while wearing gloves.
B)remove contaminated gloves before picking up dropped items from the floor at chairside to avoid spreading patient materials to the floor.
C)use an alcohol hand rub on your gloves before touching surfaces away from the dental patient (e.g., telephone, door knobs).
D)obtain a single item from a container without contaminating the other items in the container.

Answer 2

obtain a single item from a container without contaminating the other items in the container.

Question 3

What should be done if an instrument is dropped on the floor during patient treatment?

A)Pick it up, wipe it off with alcohol, and continue using it.
B)Use tongs to pick it up, wipe it off with alcohol, and continue using it.
C)Put on heavy utility gloves, pick it up, wipe it off with alcohol, and continue using it.
D)Obtain a sterile replacement and continue.

Answer 3

Obtain a sterile replacement and continue.

Question 4

What should be done if exposed to a patient's saliva?

A)Wait until after the patient leaves and thoroughly wash the exposed area.
B)Immediately contact the supervisor to institute the post-exposure medical evaluation.
C)At the end of that half-day clinic session, immediately report to the nearest hospital for evaluation.
D)Stop, wash the exposed area, and continue with patient treatment.

Question 5

What type of gloves should be worn for instrument processing?

A)Heavy utility gloves
B)Nitrile exam gloves
C)Powder-free latex gloves
D)Vinyl exam gloves

Question 6

Where should used needles be placed for disposal?

A)In the regular trash in the clinic area
B)In the instrument tray to be taken to the sterilizing room for disposal
C)In a sharps container at chairside
D)In a red bag marked with a biohazard symbol

Question 7

Environmental surface covers on clinical touch surfaces should be replaced:

A)after every 2 or 3 patients.
B)just before lunch and at the end of the day.
C)at the end of the day.
D)after every patient.

Question 8

After seating the patient, what personal protective barrier should be put on last?

A)Mask
B)Eyewear
C)Gloves
D)Gown

Question 9

What personal protective equipment needs to be worn when placing fresh surface covers on previously cleaned and disinfected surfaces?

A)Gloves, mask, protective eyewear
B)Mask, protective clothing, protective eyewear
C)Gloves, mask, protective eyewear, protective clothing
D)None

Question 10

Which of the following needs to be at chairside?

A)Sterilizer
B)Sharps container
C)X-ray unit
D)Daylight loader

Question 11

What personal protective equipment should be worn when preparing the operatory for a patient?

A)Gloves and protective clothing
B)Protective eyewear, mask, and protective clothing
C)Gloves, protective eyewear, and protective clothing
D)Protective clothing, protective eyewear, mask, and gloves

Question 12

What should be done to equipment that is brought to chairside (e.g., a curing light) during patient treatment?

A)Remove the exam gloves, put on fresh gloves, use the equipment, and continue with patient treatment.
B)Make sure the equipment has been cleaned and disinfected or protected with a fresh surface cover before using it.
C)Keep the exam gloves on, use the equipment, and then wipe it down with alcohol.
D)Remove the exam gloves, use the equipment, put on fresh gloves, wipe the equipment with alcohol, and resume patient treatment.

Question 13

After exposing x-ray films covered with plastic protective barriers, how should one handle the films before darkroom processing?

A)Put on fresh gloves, remove the plastic barriers dropping the film packets into a paper cup, and proceed to the darkroom.
B)Remove the plastic barriers dropping the film packets into a paper cup and proceed to the darkroom.
C)Remove the plastic barriers dropping the film packets into a paper cup, re-glove, and proceed to the darkroom.
D)Remove the gloves, remove the plastic barriers dropping the film packets into a paper cup, and proceed to the darkroom.

Question 14

The fit of a lower denture is being adjusted at chairside.After adjustment what should be done to the denture before taking it into the laboratory for final polishing?

A)Rinse it off with warm water.
B)Heat sterilize it.
C)Soak it in soapy water for 10 minutes.
D)Disinfect it.

Question 15

When leaving chairside to obtain a forgotten supply item, what barrier should be removed and then replaced upon returning to the patient?

A)Gloves
B)Mask
C)Eyeglasses
D)Protective clothing

Question 16

Torn gloves should be replaced:

A)immediately.
B)after the patient leaves.
C)at the end of the day.
D)before going to lunch or leaving the office.

Question 17

How should the covered operatory surfaces be managed after a patient appointment?

A)Remove your gloves, remove the surface covers, and place them in the regular trash.
B)Keep your gloves on, remove the surface covers, and place them in the regular trash.
C)Put on fresh gloves, remove the surface covers, and place them in a biohazard bag.
D)Put on fresh gloves, remove the surface covers, clean and disinfect those surfaces, and discard the covers in the regular trash.

Question 18

What is the correct procedure for placing fresh surface covers on previously covered operatory surfaces between patients?

A)Remove the old covers without touching the underlying surface and place the fresh covers.
B)Remove the old covers without touching the underlying surface, remove the gloves, perform hand hygiene, and place the fresh covers.
C)Remove the gloves, perform hand hygiene, remove the old covers without touching the underlying surface, and place the fresh covers.
D)Remove the gloves, perform hand hygiene, remove the old covers without touching the underlying surface, perform hand hygiene, don fresh gloves, and place the fresh covers.