Hardest Trivia Quiz On Clean Needle Technique!

These are not a natural barrier against pathogens.

• A.

  Skin and mucous membrames of nose, throat, urethra, rectum

• B.

  Stomach acid, tears urine

• C.

  Nails

• D.

  Acidity of vaginal secretions

_____________ infections are infections caused by pathogens that the patient is already carrying (puncutre the peritoneum and the intestine.  On the other hand, ___________________ infections are infections caused by pathogens acquired form antoher or by the environment

This is not a subtype of the hepatitis virus

• A.

  Hepatitis A

• B.

  Hepatitis C

• C.

  Hepatitis X

• D.

  Hepatis B

• E.

  Hepatitis E

Hepatitis A and E are transmitted via fecal contaminated food and water.

• A.

  True

• B.

  False

Hepatitis BCD are trasnmitted by

• A.

  Fecal-contamination

• B.

  Blood

• C.

  Sexual exposure

• D.

  A and b

• E.

  B and c

Bloodborne pathogens are bacteria, viruses and other microorganisms that are carried in the tears and sweats.

• A.

  True

• B.

  False

Bloodborne pathogens that causes the great risk to health care workers are: ___,  ____ and _______ virus

This is a common symptom of hepatitis.

• A.

  Loss of appetite, fatigue

• B.

  Mild fever, nausea and vomiting, abdominal pain

• C.

  Muscle or joint aches

• D.

  All of of the above

Persons who come into frequent contact with blood and blood products, such as administrative assistants, a person without any sexual contact and no IV drug users are at great risk of HBV.

• A.

  T ruee

• B.

  False

This is the HBV infection process

• A.

  Incubation period from 50 to 180 days, begins with midl flu-like sings and symptoms followed by a period of extreme fatige and depression, which can extend for several months; symptoms last 2-6 weeks

• B.

  Last from a few weeks to several months, it does not lead to chronic infection, transmission is mainly via-fecal-contaminated food and water.

• C.

  Symtoms are less severe; symptoms usually begin 7 weeks following infection; onset of symptoms may range from 2 to 24 weeks

• D.

  Acute state 1 - 2 weeks massive replication patient may asymptomatic or have a flu like syndrome

In some cases, an injection with Hep C immune globulin (HBIG) immediately after exposure may provide protection from the disease in addition to offering the HCV vaccine series.

• A.

  True

• B.

  False

People at greatest risk fo HCV are

• A.

  People who recieved a blood tranfusion before 1990

• B.

  IV drug users who share needles

• C.

  Household members and sexual partners of infected person

• D.

  Person in medical fields exposed to infected blood

• E.

  All of the above

Antiviral medication for HCV is now available that has been shown to be helpful for some people with HCV.

• A.

  True

• B.

  False

Hepatitis      incubation      transmission     onset     vaccine  chronic

• A.

  15-50 dyas, fecal-oral, abrupt, yes, no

• B.

  20 90 days, bloodborne, insidiuos , yes, 5 to 10%

• C.

  50- 180 days, bloodborne, isidious-slowly, no, 60 to 70%

• D.

  15-60 days, fecal-oral, abrupt, no no

• E.

  Unknown, unknown, unknown, no, unknown

Hepatitis      incubation      transmission     onset     vaccine  chronic

• A.

  50- 180 days, bloodborne, isidious-slowly, no, 5% to 10%

• B.

  Unknown, unknown, unknown, no, unknown

• C.

  15-50 days, fecal-oral, abrupt, yes, no

• D.

  20 90 days, bloodborne, insidiuos , yes, 60% to 70%

• E.

  15-60 days, fecal-oral, abrupt, no no

Hepatitis      incubation      transmission     onset     vaccine  chronic

• A.

  15-50 days, fecal-oral, abrupt, yes, no

• B.

  50- 180 days, bloodborne, isidious-slowly, no, 5% to 10%

• C.

  20 90 days, bloodborne, insidiuos , yes, 60 to 70%

• D.

  Unknown, unknown, unknown, no, unknown

• E.

  15-60 days, fecal-oral, abrupt, no no

Hepatitis      incubation      transmission     onset     vaccine  chronic

• A.

  Unknown, unknown, unknown, no, unknown

• B.

  15-60 days, fecal-oral, abrupt, no no

• C.

  15-50 days, fecal-oral, abrupt, yes, no

• D.

  20 90 days, bloodborne, insidiuos , yes, 5 to 10%

Stages of HIV infections _________stage: 1 to 2 weeks massive replication patient may be asymptomatidc or have a flu-like syndrome __________________ HIV: 10 to ______ years __________________HIV: ______________ cells below ____________late stages _________________ HIV : ______________ cells below ______________

Two types of HIV virus have been identified _______ and ________

HIV lifecycle 1) HIV binds to the cell 2) Viral DNA is released into the host cell 3) Viral DNA into viral RNA 4) Viral RNA enters the T-cell's nucleus and inserts itself into the T-cell's RNA 5) The T-cell begins to make copies of the HIV components 6) Protease (an enzyme) helps create new virus particles ) the new HIV virion is releases form the T-cell

• A.

  True

• B.

  False

Unlike HBV, there is no evidence to prove HIV is spread by any form of casual contact (exchange of body fluids, blood, semen, or vaginal secretions) and the adherence to CDCP recommended procedures for universal precautions reduces the risk of HIV transmission to negligible levels

• A.

  True

• B.

  False

Anyone in a profession with a low risk of blood exposure is in danger of contracting the virus which causes AIDS.

• A.

  True

• B.

  False

Testing for HIV-Aids is voluntrary for

• A.

  Persons in professions with a high-risk exposure

• B.

  Persons who have had sexually transmitted disease

• C.

  Men who have had sex with men

• D.

  Any woman thinking of becoming preganant

• E.

  All of the above

In the health care workplace, the risk of infection from exposure to contaminated blood is much grater for ________________and __________ 

The risk of contracting HBV and HIV is extremely low if universal precautions are followed

• A.

  True

• B.

  False

This is not included in the Universal precautions defined by CDCP.

• A.

  Use gloves, mask gowns

• B.

  Use of goggles

• C.

  Use of prevetion techniques appropriates to the healthcare setting

• D.

  Share drinking glass

Indicate the basic steps of the basic needle technique.

• A.

  A) always wash hands between patients, b) always immediately isolate used needles c) always establish a clean field e) always use sterile needles f) always wash hands just prior to inserting needles if hand have been contaminated

• B.

  A) always wash hands between patients, e) always use sterile needles c) always establish a clean field f) always wash hands just prior to inserting needles if hand have been contaminated b) always immediately isolate used needles

• C.

  E) always use sterile needles a) always wash hands between patients, b) always immediately isolate used needles c) always establish a clean field f) always wash hands just prior to inserting needles if hand have been contaminated

• D.

  A) always wash hands between patients, b) always immediately isolate used needles e) always use sterile needles f) always wash hands just prior to inserting needles if hand have been contaminated c) always establish a clean field

Beside using sterile needles, public health agencies identify hand washing as the single most important action in preventing cross-infections

• A.

  True

• B.

  False

Sterilization

• A.

  The introduction of disease-causing agents into or onto previously clean or sterile objects, making them impure or unclean

• B.

  The use of procedures that destory all microbial, including viruses

• C.

  Techniques for preventing infection during invasive procedures such as surgical operations, dressing wounds, or procedures involving a puncture of the skin

• D.

  Products designed to reduce the density of microbial life oon living tissue, particularly on the skin of the patient or practitioner.

• E.

  The use of chemical and procedures designed to destroy or reduce the number of pathogens on inanimate objects such as equipment and clinic surfaces.

The introduction of disease-causing agents into or onto previously clean or sterile objects, making them impure or unclean

The use of procedures that  destroys all microbial, including viruses

Techniques for preventing infection during invasive procedures such as surgical operations, dressing wounds, or procedures involving a puncture of the skin.

Products designed to reduce the density of microbial life on living tissue, particularly on the skin of the patient or practitioner.

The uses of chemical and procedures designed to destroy or reduce the number of pathogens on inanimate objects such as equipment and clinic surfaces.

The use of techniques (antisepsis, disinfection, sterilization, washing, etc) designed to reduce the risk of infection of patients, practitioners, and office personnel by killing or reducing the strength of pathogens, thereby reducing the chances for the contact between the pathogens and the patients and personnel.

The chemical employed in disinfection.  They should only be used on inanimated objects, and are not to be confused with antiseptics that are applied to the body.

The area that has been prepared to contain the equipment necessary for acupuncture, in such a way as to protect the sterility of the needles. By extension, this includes not only the clean surface or which equipment will be placed, but also the patient's skin around the selected acupuncture points, and anything that touches the skin.

These are recommendationf for parctitioners yearly physical including PPD test (TB) Clothing: lab coat Hand care Personal health testing for ________, _________,_________, and ______

This is not recommended equipment for acupuncture practitioners

• A.

  Acupuncture needle

• B.

  Needle guide tube and needle tray

• C.

  Seringe

• D.

  Sevr stra or plum-blossom needle

• E.

  Cupping device

These are the basic steps when applying CNT  in an acupuncture treatment

• A.

  Position the patient establishing a clean work area, handwashing, preparing the needle insertion site, using sterile needle and guide tubes palpating the point

• B.

  Position the patient, handwashing, preparing the needle insertion site, palpating the point using sterile needle and guide tubes

• C.

  Establishing a clean work area, position the patient, handwashing, preparing the needle insertion site, palpating the point using sterile needle and guide tubes

• D.

  Palpating the point establishing a clean work area, position the patient, preparing the needle insertion site, using sterile needle and guide tubes handwashing,

Handwashing a) warm water at least 10 seconds with a fraction wash the entire surface of the hands run water over the hands again to clean them dry hands carefully using a clean paper towel liquid soap and thoroughly b) warm water at least 10 seconds with a fraction liquid soap and thoroughly run water over the hands again to clean them dry hands carefully using a clean paper towel wash the entire surface of the hands c) warm water at least 10 seconds with a fraction liquid soap and thoroughly dry hands carefully using a clean paper towel wash the entire surface of the hands run water over the hands again to clean them d) warm water at least 10 seconds with a fraction liquid soap and thoroughly wash the entire surface of the hands run water over the hands again to clean them dry hands carefully using a clean paper towel.

• A.

  A

• B.

  B

• C.

  C

• D.

  D

This is not recommended as equipment for acupuncture.

• A.

  Needles, cupping devices

• B.

  Spatula

• C.

  Seven-star or plum blosson needles

• D.

  Guide tubes

It is strongly recommended that acupuncturist always wash their hands a) immediately before the acupuncture procedure b) after contact with blood or body fluids or obvious environmental contaminants. c) at the end of treatment. d)whenever their hands become contaminated during treatment.

• A.

  True

• B.

  False

According to CDCP _____ isopropyl alcohol is adequate for preparing a patient's skin for inserting a needle.

• A.

  60%

• B.

  50%

• C.

  45%

• D.

  70%

This is not a recommended swab technique when cleaning point area with an alcohol swab.

• A.

  One way swab

• B.

  Back and forth swab

• C.

  Rotary scrubbing motion, spirilaling out form the center

• D.

  None of the above

It is critical that the needle shaft is maintained in a sterile state prior to insertion.  After removal from the package, nothing must touch the shaft.

• A.

  True

• B.

  False

It is strongly recommended that if bleeding does occur during cupping, practitioners take the following steps a) gather gloves and cleaning materials remove the cups, taking care to prevent body fluids from spreading or splashing clean up any bleeding that has occurred stop the bleeding through the use of appropriate pressure put on gloves b) gather gloves and cleaning materials remove the cups, taking care to prevent body fluids from spreading or splashing stop the bleeding through the use of appropriate pressure put on gloves clean up any bleeding that has occurred c)remove the cups, taking care to prevent body fluids from spreading or splashing gather gloves and cleaning materials stop the bleeding through the use of appropriate pressure put on gloves clean up any bleeding that has occurred d) gather gloves and cleaning materials put on gloves remove the cups, taking care to prevent body fluids from spreading or splashing stop the bleeding through the use of appropriate pressure clean up any bleeding that has occurred isolate the cups handle and dispose of all materials used as biohazardous waste sterilize the cups using a double sterilization procedure.

• A.

  A

• B.

  B

• C.

  C

• D.

  D

Cleaning of spills of blood or body fluids requires a one-step procedure.  Using rubber gloves, the spill should be cleaned once with soap and water.

• A.

  True

• B.

  False

Match the correct definition a) delivers moist heat in the form of saturated steam under pressure.  The sudden drop of pressure at the end of the cycle breaks down the cell walls of resistant spores.  it is critical that a pressurized steam bath is maintained at 250 degrees F, 15 pounds pressure for 30 min.  The pressure must be released quickly at the end of the sterilization process b) sterilizers provide heat air without steam pressure.  They requiere a longer sterilization time, 2 hous of exposure at 338 degrees F. c) For the protection of the practitioners and staff, used needles and other contaminated equipment should have preliminary sterilization immediately after use.  Instruments should be soaked in a chemical disinfectant for the preliminary sterilization.  Final sterilization must be done after reusable and other equipment be inspected carefully following the first sterilization, glove should be worm during this procedure, and instruments should be soaked in water with or without detergent to loosen any material that may remain, wiped carefully and rinsed thoroughly.

• A.

  A) double sterilization, b) dry sterilization c) autoclave

• B.

  A) autoclave, b) double sterilization, c) dry sterilization

• C.

  A) autoclave, b) dry sterilzation, c) double sterilization

• D.

  Non of the above