Dental Infection Control 2 — Questions and Answers
Question 1: Which CDC document is the primary infection control guideline for dental settings?
- Guidelines for Infection Control in Dental Health-Care Settings, 2003 (Correct answer)
- Bloodborne Pathogens Standard, 1991
- Hand Hygiene in Healthcare, 2002
- Universal Precautions Manual, 1987
Correct answer: Guidelines for Infection Control in Dental Health-Care Settings, 2003
The CDC's 2003 guideline is the foundational reference for infection control specifically in dental health-care settings.
Question 2: What is the recommended minimum contact time for an EPA-registered intermediate-level surface disinfectant?
- As stated on the product label (Correct answer)
- 5 seconds
- Always exactly 30 minutes
- 1 hour
Correct answer: As stated on the product label
Contact time must follow the manufacturer's label instructions, which the EPA has validated for that product.
Question 3: Which type of waste is considered regulated medical waste in dentistry?
- Blood-soaked gauze that drips when compressed (Correct answer)
- Used paper patient bibs
- Empty anesthetic carpules
- Disposable saliva ejectors
Correct answer: Blood-soaked gauze that drips when compressed
Items saturated with blood that can release it when compressed are classified as regulated medical waste.
Question 4: What does the term 'critical instrument' refer to in the Spaulding classification?
- An instrument that penetrates soft tissue or bone (Correct answer)
- An instrument that touches intact skin only
- An instrument that contacts mucous membranes only
- An instrument used outside the mouth
Correct answer: An instrument that penetrates soft tissue or bone
Critical instruments penetrate soft tissue or bone and must be heat sterilized.
Question 5: When should personal protective equipment be removed after a procedure?
- Before leaving the patient treatment area (Correct answer)
- After walking to the staff lounge
- Only at the end of the workday
- After the next patient is seated
Correct answer: Before leaving the patient treatment area
PPE must be removed before leaving the treatment area to prevent spreading contamination.
Question 6: Which agent is most appropriate for surgical hand antisepsis before an oral surgery procedure?
- An antimicrobial soap or alcohol-based surgical hand scrub (Correct answer)
- Plain water only
- Plain non-antimicrobial soap
- An EPA surface disinfectant
Correct answer: An antimicrobial soap or alcohol-based surgical hand scrub
Surgical hand antisepsis requires an antimicrobial product or alcohol-based surgical scrub with persistent activity.
Question 7: What is the purpose of a biological indicator (spore test) in a dental sterilizer?
- To confirm the sterilizer kills highly resistant bacterial spores (Correct answer)
- To measure the water hardness
- To check the room temperature
- To time the instrument cleaning cycle
Correct answer: To confirm the sterilizer kills highly resistant bacterial spores
Biological indicators use resistant spores to verify the sterilizer achieves true sterilization.
Which CDC document is the primary infection control guideline for dental settings?