Quizlet Ch. 5 & 6 Pre-Clinic

A Particulate Respirator Mask (PRM) would be needed when providing dental hygiene care to a patient with which infectious disease?

A. Pneumonia

B. Hepatitis

C. Rubella

D. Active tuberculosis

E. HIV/AIDS

D. Active tuberculosis

Which of the following is not a basic immunization recommended for healthcare workers?

A. Varicella-zoster

B. MMR (Measles, mumps and rubella)

C. Influenza

D. Hepatitis B

E. (HSV-2) Herpes Simplex Virus-2

E. (HSV-2) Herpes Simplex Virus-2

Which of the following are important procedures for the proper use of personal protection equipment?

A. Place mask and protective eyewear before hand hygiene and gloving.

B. Use an antiseptic hand wash or hand rub before gloving.

C. Develop a procedure whereby gloves can be removed without contaminating the hands from the exposed external surfaces of the gloves.

D. a,b,and d only

a,b,and d only

Which of the following is transmitted via a droplet infection?

A. HAV

B. TB

C. HCV

D. HEV

b. TB

Which of the following types of hepatitis viruses do NOT have a carrier state?

A. HBV

B. HCV

C. HDV

D. HAV

d. HAV

For which of the following is active immunization NOT available?

A. HCV

B. HBV

C. HDV

D. HAV

a. HCV

A redness and induration is noted at the injection site within 78 hours after the injection. The dental hygiene student is most likely testing positive for ______________.

A. Hepatitis B

B. Tuberculosis

C. Varicella-zoster

D. MMR E. Influenza

B. Tuberculosis

When should standard precautions be practiced?

A. With patients known to be HIV positive

B. WIth patients suspected to be positive for HBV or HIV

C. For most patients, family members, and some others you just know do not have communicable diseases

D. At all times for all patients

At all times for all patients

When should standard precautions be practiced?

A. With patients known to be HIV positive

B. With patients suspected to be positive for HBV or HIV

C. For most patients, family members, and some others you just know do not have communicable diseases

D. At all times for all patients

D. At all times for all patients

What is the best way to break the chain of transmission of Hepatitis B?

A. Handwashing

B. Not sharing contaminated needles

C. Practicing safe sex

D. Avoiding blood-to-blood contact with an infected individual

E. Wearing a mask and protective eye wear while treating patients

F. All of these are correct

All of these are correct

(1) HIV is an attack on the body's immune system. (2) The incubation period for HIV is typically no longer than 2 years from establishment of infection to appearance of symptoms of AIDS.

A. Statement A is true and statement B is false

B. Both statements are true.

C. Statement A is true and statement B is false.

D. Statement A is false and statement B is true. E. Both statements are false.

Statement A is true and statement B is false

Resident bacteria are relatively stable bacteria that inhabit the surface epithelium or deeper areas of the ducts of skin glands or hair follicles. They are shed with the exfoliated surface cells. The flora may be reduced by handwashing. Transient bacteria, not resident bacteria, may cause an autogenous infection in the event that a skin break exists.

A. True

B. False

B) False

Chickenpox (varicella) and shingles (herpes zoster) are both caused by what virus?

A. VZV (varicella zoster virus)

B. Hepatitis B

C. HIV

D. Tuberculosis

VZV (varicella zoster virus)

Which virus type is associated with lesions on hands and eyes?

A. HSV 1 and 2

B. HBV

C. HCMV

D. HSV 1 only

a. HSV 1 and 2

Droplet nuclei (Mycobacterium tuberculosis) range up to what size micron?

A. 1

B. 5

C. 10

D. 50

A. 1

Which of the following items typically found in the dental office would definitely not contain latex?

A. Masks

B. Gloves

C. Disposable fluoride trays

D. Suction adapter

E. Mixing bowls

C. Disposable fluoride trays

Which article of PPE is placed on last before patient treatment?

A. safety glasses

B. mask

C. face shield

D. gloves

d. gloves

Which types of hepatitis have immunizations available?

A. Hepatitis A and B

B. Hepatitis B and C

C. Hepatitis C and D

D. Hepatitis D and E

Hepatitis A and B

Which types of hepatitis have immunizations available?

A. Hepatitis A and B

B. Hepatitis B and C

C. Hepatitis C and D

D. Hepatitis D and E

Hepatitis A and B

Your patient may have a contagious disease and you are performing a surgical antisepsis handwash when the patient is dismissed. How long should you perform the handwash?

A. 7 minutes

B. 15 minutes

C. 5 minutes

D. 10 minutes

E. 1 minute

5 minutes

You are working in a dental office that uses latex products. What protocols should be put in place when planning an appointment for the patient with a latex allergy?

A. Thoroughly clean the operatory with non-latex gloves

B. Inform the dental team of a possible emergency

C. Prepare a latex-free emergency cart

D. Ask the patient to take an anti-histamine prior to the appointment

E. Schedule the patient early in the day

A. Thoroughly clean the operatory with non-latex gloves

Which of the following would not be a benefit to having short nails for a hygienist?

A. Decreases patient discomfort

B. Allows greater dexterity during instrumentation

C. Increases the effectiveness of handwashing

D. Permits a better fitting glove

E. All of the above are benefits to having short nails

E. All of the above are benefits to having short nails

Which of the following is the primary transmission route for tuberculosis (TB)?

A. Inhalation

B. Inoculation (blood to blood)

C. Mucous Membranes

D. Vector

Inhalation

Which two infections are caused by the varicella-zoster virus?

A. Chickenpox and shingles

B. Herpes labialis and herpetic whitlow

C. Mononucleosis and oral hairy leukoplakia

D. Hepatitis and cirrhosis

Chickenpox and shingles

Which standard precaution or precautions may be used to inactivate an infectious agent and break the chain of disease transmission?

A. Handwashing and disinfection

B. Standard precautions

C. Airborne precautions

D. Contact precautions

Handwashing and disinfection

Which of the following are basic immunizations recommended for healthcare workers?

A. Measles, mumps, and rubella vaccines

B. Influenza vaccine

C. Hepatitis B vaccine

D. Hepatitis B vaccine; measles, mumps, and rubella vaccines; and influenza vaccine

D. Hepatitis B vaccine; measles, mumps, and rubella vaccines; and influenza vaccine

Which of the following chemicals does not break down the integrity of latex gloves?

A. Alcohol

B. Petroleum jelly (Vaseline)

C. Antiseptic hand rubs

D. Nitrile

D. Nitrile

Which of the following is the primary transmission route for tuberculosis (TB)?

A. Inhalation

B. Blood and body fluids

C. Fecal-oral transmission

D. Direct contact

Inhalation

Which two infections are caused by the varicella-zoster virus?

A. Chickenpox and shingles

B. Herpes labialis and herpetic whitlow

C. Mononucleosis and oral hairy leukoplakia

D. Hepatitis and cirrhosis

Chickenpox and shingles

When would the use of a scrub brush be appropriate?

A. During the first handwash of the day

B. As part of an antiseptic handwash

C. During all routine handwashing

D. As part of a surgical antisepsis handwashing

E. Anytime the nails are unclean

As part of a surgical antisepsis handwashing

Exposure to latex can occur through all except which method?

A. Ingestion

B. Mucosal contact

C. Donning gloves

D. Inhalation

Ingestion

Prior to donning gloves at the start of the day, the hygienist should follow all but which procedure?

A. Avoid contamination such as touching the hair or face

B. Place gloves over the cuff of the long-sleeved outwear

C. Glove in front of the patient

D. Perform an antiseptic handwash prior to gloving

E. Quickly remove at least the majority of moisture on the hands prior to gloving

Quickly remove at least the majority of moisture on the hands prior to gloving

LIs the correct order of donning personal protective equipment for the dental hygienist?

A. Gown, gloves, glasses, mask

B. Glasses, mask, gown, gloves

C. Gloves, gown, mask, glasses

D. Gown, mask, glasses gloves

Gown, mask, glasses, gloves

Which of the following is an incorrect statement regarding resident bacteria found on the skin?

A. The flora may be reduced by handwashing

B. Many resident bacteria are shed with exfoliated cells

C. May cause an autogenous infection in a skin break

D. Tends to be less susceptible to destruction by disinfection procedures

E. Many relatively stable bacteria inhabit the epithelium

C. May cause an autogenous infection in a skin break

(1) Particles 1-5 micrometers can remain suspended for hours and can be inhaled directly into terminal lung alveoli. (2) Removal of a mask in the treatment room immediately following the use of aerosol-producing procedures permits direct exposure to airborne organisms.

A. The first statement is true; the second statement is false.

B. The first statement is false; the second statement is true.

C. Both statements are true.

D. Both statements are false.

C) Both statements are true.

Of the six essential links in the chain of disease transmission, hands may serve as which three?

A. A means of transmission, a reservoir, and a port of entry

B. An infectious agent, a reservoir, and a port of exit

C. A port of entry, a means of transmission, and a susceptible host

D. A means of transmission, a port of exit, and a port of entry

E. A reservoir, a means of transmission, and an infectious agent

A. A means of transmission, a reservoir, and a port of entry

Mycobacterium tuberculosis is transmitted by which of the following?

A. Airborne droplet nuclei

B. Inhalation

C. Blood and body fluids

D. Fecal-oral transmission

E. Direct contact

A. Airborne droplet nuclei

In which case is deferral of dental treatment illegal?

A. When patient has active tuberculosis

B. when patient presents with herpetic lesion on the lip

C. when a patient states that he or she has HIV on the health history

D. when a patient presents with a herpetic lesion on the fingers

C. When a patient states that he or she has HIV on the health history

Which of the following is herpetic whitlow?

A. Herpes of the finger

B. Herpes of the eye

C. Shingles

D. Hepatitis that has settled in the lungs

A. Herpes of the finger

The Varicella-Zoster virus is most commonly related with what?

A. Chickenpox (Varicella) and shingles (herpes zoster) are caused by VSV.

B. Chickenpox and shingles

C. Herpes labialis and herpetic whitlow

D. Mononucleosis and oral hairy leukoplakia

E. Hepatitis and cirrhosis

A. Chickenpox (Varicella) and shingles (herpes zoster) are caused by VSV.

Which of the following diseases is caused by bacterial agents?

A. candidiasis, hepatitis, legionella

B. influenza, pneumonia, tuberculosis

C. legionella, pneumonia, tuberculosis

D. candidiasis, legionella, tuberculosis

c. legionella, pneumonia, tuberculosis

Herpes simplex I, also known as HHV-1 or HSV-1, can occur in which of the following areas?

A. Eyes and fingers only

B. Lips and genitals only

C. Lips, fingers, and eyes

D. Lips only

E. Genitals only

C. Lips, fingers, and eyes

Herpes simplex I, also known as HHV-1 or HSV-1, can occur in which of the following areas?

A. Lips, fingers, and eyes

B. Hepatitis B

C. HIV

D. Tuberculosis

Lips, fingers, and eyes

If contact dermatitis develops immediately after contact with latex gloves, the clinician has what type of sensitivity?

A. Type I

B. Type II

C. Type III

D. Type IV

Type I

Which factor is of least importance when determining glove integrity?

A. The latex composition of the glove

B. Complexity of the procedure

C. Size of the glove

D. Agents used when wearing the gloves

E. Storage of gloves

A. The latex composition of the glove

Which of the following would not be included when documenting a latex allergy?

A. An entry in the computer record noting a medical alert for latex allergy

B. How special needs of the patient with a latex allergy were addressed

C. A medical alert sticker affixed to the outside of the dental chart

D. Irregularities related to personal protection protocol

C. A medical alert sticker affixed to the outside of the dental chart

The most commonly used product in the dental office that contains latex is ______________________.

A. the rubber cup prophy angle

B. the dental dam

C. the saliva ejector

D. the color code grips on instruments

E. a pair of gloves

E. a pair of gloves

The new dental assistant in the office shows you the rash she is developing on her hands from the gloves. What type of latex sensitivity is she experiencing?

A. Type II

B. Type IV

C. Type V

D. Type I

E. Type III

D. Type I

Which of the following materials are common in a non-latex glove?

A. N-Nitrile

B. Neoprene

C. Block copolymer

D. Vinyl

E. All of the above are non-latex glove materials

E. All of the above are non-latex glove materials

Which of the following questions should be asked to determine if an individual is at high risk for latex sensitivity?

A. What types of medical surgeries or treatments have you experienced?

B. Do you suffer from seasonal allergies?

C. What type of jobs have you had?

D. Are you allergic to bananas, avocados, or peanuts?

E. Have you had an allergic reaction to latex in the past?

A. What types of medical surgeries or treatments have you experienced?

Which types of hepatitis are spread through blood transmission?

A. Hepatitis A

B. Hepatitis A and B

C. Hepatitis B, C, and D

D. Hepatitis E

Hepatitis B, C, and D

What is the main transmission route for Tuberculosis?

A. Transmission of TB occurs from inhalation of droplets through coughing, sneezing, or use of ultrasonic, air/water spray, and polishing.

B. Inhalation

C. Blood and body fluids

D. Fecal-oral transmission

E. Direct contact

Transmission of TB occurs from inhalation of droplets through coughing, sneezing, or use of ultrasonic, air/water spray, and polishing.

Considering recommendations to protect the dental health care worker, which of the following is NOT an immunization ?

A. MMR

B. Influenza

C. Hepatitis B

D. Tuberculin Mantoux test

d. Tuberculin Mantoux test

Which of the following items could be eliminated as a PPE when wearing a face shield?

A. safety glasses

B. no item can be eliminated

C. mask

b. no item can be eliminated

Which of the following is NOT a herpes related virus?

A. HHV4

B. HHV3

C. HHV5

D. HEV

d. HEV

What is the best way to break the chain of transmission of hepatitis B?

A. Not sharing contaminated needles, Avoiding blood-to-blood contact with an infected individual, Wearing a mask and protective eye wear while treating patients, Handwashing

B. Hepatitis A

C. Hepatitis B

D. Hepatitis C

A. Not sharing contaminated needles, Avoiding blood-to-blood contact with an infected individual, Wearing a mask and protective eye wear while treating patients, Handwashing

Immunization for which disease is particularly important for female employees of childbearing age?

A. Rubella

B. Tetanus

C. Hepatitis B

D. Measles

A. Rubella

Best way to break chain of transmission of hepatitis B?

A. All of these are correct

B. Hepatitis A

C. Hepatitis B

D. Hepatitis C

All of these are correct

Hepatitis spread through blood transmission?

A. B, C, and D

B. Hepatitis A

C. Hepatitis B

D. Hepatitis C

B, C, and D

What is the transmission of Tuberculosis?

A. Inhalation

B. Blood and body fluids

C. Fecal-oral transmission

D. Direct contact

inhalation

What is the best way to break the chain of transmission of hepatitis B?

A. All of these are correct.

B. Hepatitis A

C. Hepatitis B

D. Hepatitis C

All of these are correct.

Which types of hepatitis are spread through blood transmission?

A. Hepatitis B and C

B. Hepatitis A

C. Hepatitis B

D. Hepatitis C

Hepatitis B and C

To ensure glove integrity, which of the following would be the least critical factor?

A. Avoid storage of gloves in fluorescent light

B. Wear no rings

C. Avoid the gloves at the bottom of the box as they may have more tears due to packaging stress

D. Wear a properly fitted glove

E. Keep nails short

C. Avoid the gloves at the bottom of the box as they may have more tears due to packaging stress

Toxoids are toxins that have been heated or treated by chemical agents to destroy the deleterious properties of an antitoxin without destroying its ability to combine with, or stimulate the formation of antitoxins. Toxoids are used for active immunizations for the tetanus and diphtheria vaccinations.

A. Both statements are true.

B. Statement A is true and statement B is false.

C. Statement A is false and statement B is true.

D. Both statements are false.

Both statements are true.

What would be the least effective personal protective barrier to prevent cross-contamination?

A. Securing hair with a head scarf

B. Securing long hair and wearing it off the shoulders

C. Covering facial hair with a mask or face shield

D. Donning a disposable head covering

A. Securing hair with a head scarf

Which of the following agents would have the least affect on glove integrity?

A. Alcohol

B. Hand lotion

C. Petroleum jelly

D. Glutaraldehydes

E. Oil-based products

B. Hand lotion

What steps would not be included in a surgical antisepsis handwash?

A. When completed, hands should be held up and clasped together.

B. Hands and arms should be rinsed starting at the fingertips and letting water pass down over the arms.

C. The scrub should be in an ordered sequence without returning to areas already scrubbed.

D. A towel should be applied from the arms to the fingers.

E. A preliminary wash should include 10 strong rubbing motions on each side of hands, wrists, and arms.

D. A towel should be applied from the arms to the fingers.

When a surgical antisepsis handwashing is performed at the start of the day, the handwash should be performed for how many minutes?

A. 3 minutes

B. 5 minutes

C. 7 minutes

D. 10 minutes

E. 15 minutes

D. 10 minutes

Which of the following chemical agents would have the least effect on glove integrity?

A. Water-based lotion

B. Gluteraldehyde

C. Petroleum-based products

D. Products containing alcohol

E. Oil emollients

A. Water-based lotion

The face mask must be placed following the donning of eyewear to ensure the lens of the eyewear does not fog.

A. True

B. False

FALSE

Which of the following patients would NOT be high-risk for HBV?

A. casual contacts of HBV carriers

B. patients sharing needles for IV drug use

C. heterosexual persons with multiple sexual partners

D. dental health care workers without the vaccine

a. casual contacts of HBV carriers

If a patient touches his lip where he has a cold sore and then rubs his eye, what type of disease transmission may occur?

A. indirect

B. direct

C. autogenous

D. cross-contamination

c. autogenous

Handwashing is considered the most important single procedure for the prevention of cross-contamination.

A. True

B. False

True

(1) Tuberculosis is a drug-resistant illness. (2) Extensive drug-resistant TB means that it is only resistant to first-line drugs.

A. Statement A is true and statement B is false

B. Both statements are true.

C. Statement A is true and statement B is false.

D. Statement A is false and statement B is true.

E. Both statements are false.

Statement A is true and statement B is false

When performing an antiseptic handwash, the water temperature should be _______.

A. Cool

B. Hot

C. Very hot

D. Ice cold

cool

Which of the following is least effective when performing an antiseptic handwash?

A. Use a liquid antimicrobial soap

B. Repeat the lathering procedure three times

C. Use paper towels for drying

D. Turn off faucet with paper towel

E. Lather and rinse for 2 minutes

E. Lather and rinse for 2 minutes

According to the Wilkins textbook, TB particles are a risk in healthcare settings. A surgical mask with increased protection should be worn and has a BFE of > 95%.

A. both statements are true

B. first statement is true, second is false

C. first statement is false, second is true

D. both statements are false

a. both statements are true

The herpes virus remains latent in the nerves after the initial infection and may reoccur when triggered by which of the following?

A. Neither stress nor dental trauma

B. Dental treatment (trauma) only

C. Stress only

D. Stress and dental trauma

Stress and dental trauma

Which of the following is not a criterion for selecting an appropriate glove for use in the dental operatory?

A. Impermeable to patient's saliva, blood, and bacteria

B. Strength and durability to resist tears and punctures

C. No tight pull over palm or between thumb and index finger

D. Nonirritating or harmful to skin E. Length of glove cuff meets cuff of long-sleeve gown

E. Length of glove cuff meets cuff of long-sleeve gown

The herpes virus remains latent in the nerves after the initial infection and may reoccur when triggered by which of the following?

A. Stress and dental trauma

B. Hepatitis B

C. HIV

D. Tuberculosis

Stress and dental trauma

Which of the following is the primary transmission route for TB?

A. Inhalation

B. Blood and body fluids

C. Fecal-oral transmission

D. Direct contact

A. Inhalation

Which statement about transient bacteria is true?

A. Most cannot be washed away with soap and water.

B. They reflect continuous contamination by routine contacts.

C. They are relatively stable and will not cause an autogenous infection.

D. They are shed with excretions of the skin glands.

E. They are found only in and around the fingernails.

B) They reflect continuous contamination by routine contacts.

T/F Preprocedural rinsing with antiseptic or antimicrobial mouth rinse can reduce the number of microorganisms contained in aerosols

A. True

B. False

True

Which of the follow is not true concerning resident bacteria?

A. They shed with exfoliated surface cells.

B. They are relatively unstable bacteria.

C. They are less susceptible to destruction by disinfection procedures.

D. They inhabit deeper areas in the ducts of skin glands.

B. They are less susceptible to destruction by disinfection procedures.

Wearing clinic gowns over street clothes is an acceptable way to control for exposure from contaminants in the dental office.

A. True

B. False

False

Which of the following is NOT considered a significant occupational exposure?

A. percutaneous or permucosal stick or wound with sharp, body fluid contaminated object

B. contamination of any obviously open wound, nonintact skin or mucous membrane with body fluid

C. unbroken skin exposed to patient body fluids

C. unbroken skin exposed to patient body fluids

(1) The incubation period is the interval between inoculation by an infectious agent and the first clinical signs or symptoms of the disease. (2) The window period is the time between exposure and the presence of detectable serum antibodies.

A. Both statements are true.

B. Statement A is true and statement B is false.

C. Statement A is false and statement B is true.

D. Both statements are false.

Both statements are true.

Which of the food products noted below would not be associated with a higher risk for a latex allergy?

A. Banana

B. Apple

C. Avocado

D. Kiwi fruit

E. Peanuts

Apple

Which of the following foods would be least likely to be associated with a high risk for a latex allergy?

A. Wheat

B. Kiwi fruit

C. Peanuts

D. Chestnut

E. Avocado

Wheat

A patient begins sneezing, his eyes start watering, and a rash begins around his mouth. The patient is experiencing what type of latex sensitivity?

A. Type I

B. Type II

C. Type III

D. Type IV

A. Type I

Examples of allergies associated with atopy include all except which of the following?

A. Eczema

B. Latex

C. Asthma

D. Rhinitis

E. Hay fever

B. Latex

The Mantoux test is a test to determine the presence of active or inactive tuberculosis.

A. True

B. False

TRUE

Hepatitis involves inflammation of which organ?

A. Liver

B. Kidneys

C. Lungs

D. Heart

Liver

Which type of hepatitis is present only when the person has hepatitis B also?

A. Hepatitis A

B. Hepatitis B

C. Hepatitis C

D. Hepatitis D

D. Hepatitis D

Which of the following groups are at high risk of developing a latex allergy?

A. People with spina bifida

B. Healthcare workers

C. People with banana allergies

D. All of these people are at high risk of developing a latex allergy

D. All of these people are at high risk of developing a latex allergy

What type of hepatitis only presents with another type of hepatitis? What are those two types?

A. Hepatitis D Virus (HDV) can not cause infectious except in the presence of Hepatitis B Virus (HBV) infection.

B. Hepatitis A

C. Hepatitis B

D. Hepatitis C

A. Hepatitis D Virus (HDV) can not cause infectious except in the presence of Hepatitis B Virus (HBV) infection.

When do we practice standard precautions?

A. Standard precautions represent a standard of care to protect healthcare providers and their patients from pathogens spread by bodily fluids. You want to apply to ALL PATIENTS.

B. Standard precautions

C. Airborne precautions

D. Contact precautions

A. Standard precautions represent a standard of care to protect healthcare providers and their patients from pathogens spread by bodily fluids. You want to apply to ALL PATIENTS.

HIV affects which of the following cells in the infected individual?

A. AZT cells

B. CD4+ or T- Helper lymphocyte

C. host mitochondria

D. host lysosomes

b. CD4+ or T- Helper lymphocyte

Standard Precautions apply to contact with all of the following EXCEPT one. Which is that exception?

A. tears

B. sweat

C. blood

D. saliva

b. sweat

Which of the following is true of HSV-1?

A. in every patient's saliva

B. genetically inherited

C. cured with acyclovir

D. in saliva of carriers without lesions

d. in saliva of carriers without lesions