Infection Control Certification Examination.docx

Infection Control Certification Examination (A) Based on the DBC Infection Control Regulations Handout ***Directions: Use a scantron form to answer the following multiple-choice questions, matching, and true/false statements selecting the correct answer. Only one correct answer per item.*** 1\. W...

Infection Control Certification Examination (A) Based on the DBC Infection Control Regulations Handout ***Directions: Use a scantron form to answer the following multiple-choice questions, matching, and true/false statements selecting the correct answer. Only one correct answer per item.*** 1\. What does the acronym DHCP represent in the infection control regulations? a. Dental healthcare people b. Dental healthcare properties c. Detailed healthcare properties d. Dental healthcare personnel 2\. \_\_\_\_\_\_\_\_\_\_\_ is the process that kills all microorganisms. a. Cleaning b. Disinfection c. High-level disinfection d. Sterilization 3\. Disposable items such as items soaked with blood and saliva should be placed in \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. a. A puncture resistant container b. A plastic lined trash container c. A properly labeled leak-proof biohazard bag d. A double lined trash container 4\. Clean and disinfect all clinical contact surfaces that are NOT protected by an impervious barrier using a Cal EPA registered, hospital-grade \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ after each patient. a. Low level disinfectant b. Low-to intermediate level disinfectant c. Intermediate level disinfectant d. High level disinfectant 5\. \_\_\_\_\_\_\_\_\_\_\_\_ are instruments, devices and other items that are not used to penetrate soft tissue or bone, but contact oral mucous membranes and non-intact skin. a. Critical items b. Semi-critical items c. Non-critical items d. Laboratory devices (continued) 6\. \_\_\_\_\_\_\_\_\_\_\_\_\_\_ are instruments, devices, equipment and surfaces that come in contact with soil, debris, saliva, blood, OPIM and intact skin. a. Critical items b. Semi-critical items c. Non-critical items d. Impervious barrier items ***For items 7 - 11: Match the correct definition from the right column to the correct terms in the left column.*** 7 Germicide A Instruments, items and other devices used to penetrate soft tissue or bone ---- ---------------- -- --- ------------------------------------------------------------------------------------------------------- 8 OPIM B The removal of visible soil, debris and OPIM from objects or surfaces either manually or mechanically 9 Cleaning C Requires time, heat and pressure in a sterilization device such as a steam autoclave 10 Critical Items D Chemical agent that can be used to disinfect items and surfaces based on the level of contamination 11 Sterilization E Human body fluids such as saliva in dental procedures, unfixed tissue, cells, blood or other tissues ***For items 12 -- 17: Answer (A) True or (B) False on the scantron form for the following statements.*** 12\. All DHCP shall wear heavy-duty utility gloves to prevent puncture wounds when processing contaminated instruments. 13\. Reusable or disposable gowns must be changed after each patient and may not be worn outside of the treatment area. 14\. All operatories must be cleaned and sterilized between each patient including the changing of all barriers whether used or not. 15\. All DHCP shall wear reusable or disposable protective attire whenever there is a potential for aerosol spray, splashing or spattering of blood, OPIM or chemicals. 16\. Clean all housekeeping surfaces (ex: floors, walls, sinks) with a high level disinfectant. 17\. Proper functioning of the sterilization cycle of all sterilization devices shall be verified at least monthly through the use of a biological monitor. (continued) 18\. Personal Protective Equipment (PPE) includes all of the following except\_\_\_\_\_\_\_ while assisting during a dental procedure. a. exam gloves b. protective eyewear c. utility gloves d. protective attire 19\. Germicides are categorized into three (3) primary categories: low-level, intermediate-level, and high-level disinfectant. The rating of a germicide is based on \_\_\_\_\_\_\_\_\_\_\_\_. a. its ability to kill certain microorganisms b. its ability to work quickly c. its ability to disgrateful d. its ability to clean and sterilize at the same time 20\. Impressions and bite-registrations shall be cleaned prior to and disinfected with a \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ before manipulation in a dental lab. a. Low level disinfectant b. Low-to intermediate level disinfectant c. Intermediate level disinfectant d. High level disinfectant 21\. Standard precautions are used \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ a. When the patient's health history indicates an infectious disease b. Only with dental laboratory procedures c. In the care of all patients d. When cleaning and disinfecting the operatory 22\. The ultrasonic cleaner should be covered during operation to: a. Prevent droplet contamination b. Prevent contamination of the ultrasonic cleaner c. Ensure proper cleaning d. Keep the noise level down 24\. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is the least effective disinfection process; it kills some bacteria some viruses and fungi. a. Low level disinfectant b. Low-to intermediate level disinfectant c. Intermediate level disinfectant d. High level disinfectant 25\. If hands are not visibly soiled or contaminated, a/an \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ may be used as an alternative to soap and water. a. Glycerin-based hand rub b. Alcohol-based hand rub c. Ammonia rub d. Nothing can replace soap and water 26\. Sharps are defined as any contaminated object that can penetrate the skin such as \_\_\_\_\_\_\_\_\_\_\_\_\_\_. a. dental burs b. orthodontic wires c. needles d. all of the above 27\. At the beginning of each workday, dental unit waterlines and devices shall be purged with air and flushed with water for at least \_\_\_\_\_\_ minutes prior to attaching handpieces or other devices. a. Four b. Three c. Two d. One e. None of the above are correct 28\. The dental unit waterlines and devices shall be flushed between each patient for a minimum of \_\_\_\_\_\_\_\_\_. a. one minute b. two minutes c. twenty seconds d. twenty minutes 29\. All high-speed handpieces, low-speed handpiece attachments, rotary components and dental unit attachments shall be \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_: a. packaged, labeled and heat-sterilized in a manner consistent with a semi-critical instrument b. cleaned and disinfected in a manner consistent with a non-critical instrument c. packaged and labeled in a manner consistent with a semi-critical instrument d. disinfected using an intermediate level disinfectant and stored so as to prevent contamination e. none of the above are correct ***For items 30 - 39: Answer (A) True or (B) False on the scantron form for the following statements.*** 30\. The use of a heat indicator device shall be used at least weekly to test the proper functioning of the sterilization cycle. 31\. Endospores are easily killed with an intermediate-level disinfectant. 32\. Standard precautions are a group of infection prevention practices that apply only to patients who are infected with an emerging disease. 33\. Chemical-resistant utility gloves and appropriate, task specific PPE shall be worn when handling hazardous chemicals. 34\. Products used to clean items and surfaces prior to disinfection procedures shall be used according to all label instructions. 35\. Puncture-resistant utility gloves must be worn whenever there is contact with mucous membranes, blood, OPIM and during all pre-clinical, clinical and post-clinical procedures. 36\. Sterilization is the process that destroys all biologic material capable of reproduction. In other words, an item that has no living bacteria, viruses, yeast, or other biologically active material in or on its surfaces is sterile. 37\. Over time, the CDC expanded the concept of "Universal Precautions" and changed the term to "Standard Precautions" which includes all diseases, not just those transmitted by blood. 38\. Disposable needles, syringes, scalpel blades, or other sharp items and instruments shall be placed into sharps containers for disposal as close as possible to the point of use according to all applicable local, state, and federal regulations. 39\. All lab burs and rotary devices must be cleaned and sterilized in accordance with the same procedures used for non-critical instruments. 40\. According to regulations, all water lines are to be flushed with water for two (2) minutes at the beginning of each workday and again for 20 seconds between each patient. When the dental procedure is completed, all disposable and plastic barriers are disposed of properly and the handpiece tubing is disinfectant with an intermediate level disinfectant.