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DANB Chemical Disinfectants & Sterilants Flashcards

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  1. What is the recommended concentration of sodium hypochlorite (bleach) for disinfection of clinical contact surfaces in dental settings?

    Answer: 1:10 dilution (1,000–5,000 ppm)

    A 1:10 dilution of household bleach (approximately 1,000–5,000 ppm available chlorine) is recommended for disinfecting dental clinical contact surfaces.

  2. Ortho-phthalaldehyde (OPA) is considered advantageous over glutaraldehyde primarily because:

    Answer: It is less irritating to eyes and nasal passages

    OPA produces less vapor and is less irritating to mucous membranes than glutaraldehyde, making it safer for clinical use while still providing high-level disinfection.

  3. Alcohol-based disinfectants (e.g., 70% isopropyl alcohol) are most effective against which category of microorganisms?

    Answer: Lipid-enveloped viruses and vegetative bacteria

    Alcohols are effective against lipid-enveloped viruses (e.g., HIV, HBV) and vegetative bacteria but are not sporicidal and have limited activity against non-enveloped viruses.

  4. Which statement correctly distinguishes a disinfectant from a sterilant?

    Answer: Sterilants destroy all microbial life including spores; disinfectants do not

    Sterilants destroy all forms of microbial life including highly resistant bacterial spores, while disinfectants reduce microbial load but may not eliminate spores.

  5. EPA-registered hospital disinfectants used on clinical contact surfaces in dental offices must carry which specific label claim?

    Answer: Tuberculocidal

    CDC guidelines specify that EPA-registered hospital disinfectants with a tuberculocidal claim are appropriate for clinical contact surfaces because M. tuberculosis serves as a benchmark for intermediate-level disinfection.

  6. What is the primary purpose of pre-cleaning instruments and surfaces before applying a disinfectant?

    Answer: To remove organic matter that inactivates disinfectants

    Organic matter such as blood, saliva, and biofilm can inactivate or significantly reduce the effectiveness of disinfectants, so pre-cleaning is essential before disinfection.

  7. Phenolic compounds used as disinfectants in dental settings are classified at which level?

    Answer: Intermediate-level

    Phenolic compounds are intermediate-level disinfectants effective against mycobacteria, bacteria, most viruses, and fungi, making them suitable for clinical contact surfaces.

DANB Chemical Disinfectants & Sterilants Flashcards — DANB Study Cards with Answers