Infection Control and Management of Hazardous Materials for the Dental Team 5th Edition by Chris H. Miller – Test Bank

Chapter 11: Personal Protective Equipment

Test Bank

MULTIPLE CHOICE

Heavy latex utility gloves are used:
A. during an oral examination.
B. to clean the unit after dental treatment.
C. to set up the clean unit.
D. as an overglove.

ANS:  B

Feedback
A Regular exam gloves are used during an oral examination.
B Heavy latex utility gloves are used when preparing and using chemicals, precleaning and disinfecting contaminated surfaces and equipment, and handling contaminated items during instrument processing.
C Gloves are not required when setting up a clean unit.
D Heavy gloves are too cumbersome to be used as overgloves.

REF:   Operatory Cleanup and Instrument Processing, page 109    OBJ:   1

When leaving a patient to retrieve supplies, which barrier(s) should be removed and replaced when you return to the patient?
A. Mask
B. Protective clothing
C. Gloves
D. Protective eyewear

ANS:  C

Feedback
A Does not need to be removed because it usually does not come into contact with other surfaces.
B Does not need to be removed because it usually does not come into contact with other surfaces.
C Gloves should be removed when the dental professional leaves the treatment area during patient care to prevent contamination of environmental surfaces touched. This also protects the patient from being contaminated with environmental microbes on the gloves. A fresh pair should be used upon returning to the chairside.
D Does not need to be removed because it usually does not come into contact with other surfaces.

REF:   Patient Care Activities, page 109      OBJ:   3

Which reaction to gloves is like the reaction to poison ivy?
A. Irritant contact dermatitis
B. Allergic contact dermatitis
C. Latex allergy
D. Anaphylaxis

ANS:  B

Feedback
A This is a chemical irritation rather than an allergic reaction.
B Allergic contact dermatitis is a type IV hypersensitivity (as is poison ivy), which is characterized by itching, redness, and vesicles within 24 to 48 hours, followed by dry skin, fissures, and sores.
C This is an antibody-mediated allergy, and the poison ivy reaction is a cell-mediated allergic response.
D This is an antibody-mediated allergy, and the poison ivy reaction is a cell-mediated allergic response.

REF:   Allergic Contact Dermatitis, page 111                                OBJ:   4

Which of the following glove types can be washed and reused?
A. Latex exam gloves
B. Sterile surgeon’s gloves
C. Vinyl exam gloves
D. Heavy utility gloves

ANS:  D

Feedback
A These should never be washed for reuse.
B These should never be washed for reuse.
C These should never be washed for reuse.
D These gloves are never used on patients so it’s okay to wash them for reuse. These gloves should never be shared with other office personnel.

REF:   Operatory Cleanup and Instrument Processing, page 109    OBJ:   4

According to the Bloodborne Pathogens Standard, protective eyewear must have:
A. tinted lenses.
B. an elastic headband to hold them on tightly.
C. solid side shields.
D. scratch-proof lenses.

ANS:  C

Feedback
A These are not required by the standard.
B This is not required by the standard.
C The standard requires solid side shields to give the eyes better protection from spatter droplets.
D This is not required by the standard.

REF:   Limitations, page 115                       OBJ:   2

When putting on your protective barriers, which barrier should be put on last just before patient care begins?
A. Mask
B. Protective eyewear
C. Protective clothing
D. Gloves

ANS:  D

Feedback
A This is put on third when putting on protective barriers.
B This is put on second when putting on protective barriers.
C This is put on first when putting on protective barriers.
D Gloves should be on last, as hands will have direct contact with the patient, and you want to transfer as few microbes to the patient as possible.

REF:   Putting on and Removing Equipment, Box 11-5, page 117

OBJ:   5

What is the most common form of skin reaction to gloves?
A. Irritant contact dermatitis
B. Allergic contact dermatitis
C. Latex allergy
D. Anaphylaxis

ANS:  A

Feedback
A Irritant contact dermatitis is the most common reaction to wearing gloves.
B This is the second most common form of skin reaction to gloves, after irritant contact dermatitis.
C This is a rarer reaction to wearing latex gloves than either irritant contact dermatitis or allergic contact dermatitis.
D This is the least common type of reaction to gloves.

REF:   Irritant Contact Dermatitis, page 111                                 OBJ:   4

Protective clothing should be changed over the lunch hour because it is not to be worn outside the building or into a lunch room. What other time is it to be changed?
A. After every patient
B. After every three patients
C. When it is visibly soiled
D. Only after a high-speed hand piece is used on a patient

ANS:  C

Feedback
A This is not necessary unless the clothing is visibly soiled.
B This is not necessary unless the clothing is visibly soiled.
C According to OSHA’s Bloodborne Pathogens Standard, protective clothing should be changed whenever it becomes visibly soiled.
D This is not the only procedure that may cause visible soiling.

REF:   Uses and Types, page 117                OBJ:   3

Which of the following protective barriers are to be worn when processing contaminated instruments?
A. Gloves
B. Gloves and mask
C. Gloves, mask, and protective clothing
D. Gloves, mask, protective clothing, and protective eyewear

ANS:  D

Feedback
A These will protect only the hands.
B These will protect only the hands and respiratory tract.
C These will protect only the hands and respiratory tract and clothes/skin.
D These will protect the hands, respiratory tract, clothes/skin, and the eyes.

REF:   CHAPTER INTRODUCTION, page 107                           OBJ:   1

Wearing gloves when working at chairside protects:
A. the dental team members.
B. the patient.
C. the dental team members and the patient.
D. neither the dental team members nor the patient.

ANS:  C

Feedback
A Gloves protect both the dental team members and the patient from microbes.
B Gloves protect both the dental team members and the patient from microbes.
C The gloves protect the patient from microbes that may be present on team members’ hands and protects the dental team members from the patient’s microbes.
D Gloves protect both the dental team members and the patient from microbes.

REF:   Protective Value, page 108               OBJ:   1