North Carolina Dental Hygiene Regulations, Exams of Nursing

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No (False) - ANSWER Does the NC Board of Dentistry have the power to grant licensure by reciprocity? 8 total members, 6 dentists, 1 hygienist, 1 civilian - ANSWER Total number of Board members? How many Dentists, RDH's, Citizen members? Hygienist cannot vote for dental licensing matters, consumer cannot vote for dental or dental hygiene licensing matters - ANSWER Restrictions placed on the dentist, dental hygienist, and consumer members: member is selected and appointed by the governor and must be an NC state resident and not hold a license in dentistry or hygiene - ANSWER What is the selection criteria for the consumer member? How is this member chosen? Must hold a current nc license and reside in or practice in NC - ANSWER What are the qualifications for the dental hygienist board member? No less than 10 signatures - ANSWER How many signatures are needed on the petition to nominate a RDH to the board Every hygienist holding a current license in NC and residing in or practicing in NC - ANSWER Who can vote in the general election to elect RDH members to the board One term of three years - ANSWER What is the term limit for a board member Granting revocation suspension of license and renewal, conduct examination for licensure, provide for programs for impaired hygienist and dentist - ANSWER What is the purpose and duty of the board of Dental Examiners? list three functions A majority of the members of said board - ANSWER What constitutes a quorum of the board The power to administer oaths and issue subpoenas - ANSWER Name the judicial power granted to the board president and/or secretary-treasurer

$100 per day - ANSWER Compensation / per diem for a board member is fixed by the board and not to exceed License shall at all times be displayed in a conspicuous place in the office of the holder, duplicate license is issued to holder upon receipt of application for duplicate and fee - ANSWER Describe the criteria for the display of your license. What do you do if you work in more than one office? Any person who is licensed to practice hygiene anywhere in the US or in any country territory or other recognized jurisdiction, applicant may not have previously failed in examination conducted by the NC State Board of Dental Examiners - ANSWER Two criteria for a provisional hygiene license The date of the announcement of the results of the next succeeding board examination of candidates for licensure to practice dental hygiene - ANSWER A provisional hygiene license shall be valid until Dentist with out-of-state current or expired license, expired license in NC State, or are authorized to treat veterans or US Service members, and has actively practice dentistry within the last 5 yrs - ANSWER Who is eligible for a volunteer license Class 2 misdemeanor - ANSWER What type of offense is a violation of board rules regulations or bylaws Yes (true) - ANSWER Does the board have authority to develop programs for impaired Dental hygiene - ANSWER Performing complete oral prophylaxis, application of preventive agents to oral structures, exposure and processing of radiographs, administration of medicaments, preparation of diagnostic aids, written records of oral conditions as may be permitted by rules and regulations of the board Dental hygienist - ANSWER Any person who is a graduate of a board accredited school of dental hygiene, who has been licensed by the board and who practices dental hygiene as prescribed by the board Board - ANSWER The North Carolina State Board of Dental Examiners created by Chapter 139 Public Laws of 1879 and Chapter 178 Public Laws of 1915 as continued in existence by GS 90 - 22 Direct supervision - ANSWER Acts are deemed to be under the supervision of a licensed dentist when performed in a locale where a licensed dentist is physically present during the performance of such acts and such acts are being performed pursuant to the dentist order $81 - ANSWER North Carolina State RDH licensure renewal fee

$25 - ANSWER Contribution to the NC caring dental professionals $25 - ANSWER Duplicate license fee $50 - ANSWER Late fee for licensure Jan 31 - ANSWER RDH licensure renewal is due on March 31st - ANSWER When does the license renewal become void if not paid $50 late fee after January 31st, voided license after March 31st - ANSWER What are the consequences for late renewal of RDH license Class 1 misdemeanor - ANSWER Practicing hygiene without a license is considered to be what type of offense Individual licensed to practice hygiene in any state or territory and produces satisfactory evidence, is in good standing with the licensing jurisdiction, has passed the National Board dental hygiene examination - ANSWER Three criteria for eligibility of licensure by credentials Convicted of or entered a plea of guilty to any felony charge or misdemeanor involving moral turpitude, has engaged in any acts of fraud deceit or misrepresentation in obtaining a license or renewal - ANSWER 2 reasons why the board might refuse to issue, renew, or revoke/ suspend a license Yes (true) - ANSWER Once notified by the Board of misconduct do applicants have a right to a hearing Yes (true) - ANSWER Can the board conduct the investigation issue subpoenas and take depositions Direct supervision under one or more dentists - ANSWER What supervision is required for a private practice RDH 3 years of experience in clinical dental hygiene or min of 2,000 hrs of prophy or perio debridement under supervision of licensed dentist, CPR cert, 6 hrs of CE in med emerg, other required hrs of yearly CE, designation by employing dentist as being capable of performing procedures without direct supervision - ANSWER Criteria for an RDH to practice in a nursing home Complete and sign a notarized application from the Board, submit $265 application fee, provide written evidence of military spouse status and hold a current DH license from another jurisdiction whose standards are equivalent to NC - ANSWER Requirements for a military spouse to receive a dental hygiene license

5 years experience in clinical hygiene CPR cert updated annually 6 hours of CE in med emerg yearly - ANSWER Qualifications for an RDH to become a public health rdh 2 - ANSWER How many Rdh's can a 1 DDS supervise Enjoin from practice revocation of license and initiation of appropriate legal proceedings

• ANSWER Practicing hygiene without a license is punishable by Each RDH must complete a minimum of 6 clock hours of CE each calendar year - ANSWER List the criteria to renew a dental hygiene license how many hours of CE are required Must be directly related to clinical patient care, hours spent reviewing publications or videos shall not count with the exception of self studies approved and sponsored by the Board - ANSWER Restrictions on correspondence and online CE courses are No CPR hours are in addition to mandatory CE hours - ANSWER Do CPR hours count toward CE requirements Hours completed toward CE requirements are indicated on the renewal application form at the time of renewal - ANSWER How and when are CE hours reported? At least 2 years - ANSWER How long must a RDH maintain CE records Title, number of instruction hours, date of course attended, name of instructor, name of organization or sponsor offering the course - ANSWER What is required if a RDH uses home study courses for CE credits Board may refuse to issue renewal certificate - ANSWER Penalty for non compliant with the CE requirements 7 hours of instruction in production & use, and 7 hours of clinical radiology - ANSWER How many hours of training does a DA need to expose radiographs Assist dentist chairside, OHI, topical fluoride or topical anesthetic, expose radiographs - ANSWER Three duties of a DA 1 Insert matrix band and wedges, place cavity bases and liners, place or remove rubber dams - ANSWER Three duties of a DA 2 Minimum of 7 clock hours - ANSWER How many hours of nitrous training is a DA 2 required to obtain Presenting false or misleading testimony statements or records to the board, any act which would constitute sexual assault or battery, violating a lawful order of the Board, acquiring any controlled substance by misrepresentation, having connection with illegal

practice of dental hygiene - ANSWER 5 acts that are considered unprofessional conduct of an RDH 10 years - ANSWER Patient records must be maintained for how long Upon patient request provide original or copies of radiographs and summary of tx record to patient or licensed dentist of patient's choice, fee may be charged for duplication, record shall be provided within 30 days of request and not be contingent upon outstanding balances/fees owed - ANSWER What are the requirements for transfer of patient records bioburden - ANSWER Name of organic material found on instrument surfaces prior to decontamination sterilization - ANSWER Use of physical or chemical procedures to destroy all microbes including spores workplace devices and procedures controls - ANSWER what are controls that remove a hazard from the workplace called? hazardous exposure - ANSWER Workplace procedures & devices help to reduce Standard precaution - ANSWER What is it called when all pt's are treated as if they have an infectious disease? viruses - ANSWER These are the smallest of all microbes sharps or approved waste container - ANSWER Regulated medical waste in the office is disposed of in disposal or treatment site - ANSWER Once containers are full, regulated medical waste is taken to extracted teeth, needles - ANSWER 2 examples of regulated medical waste cavitron, ultrasonic bath, dental hand piece - ANSWER list 3 examples of dental equipment that produce aerosols Rubber dam, HVE, saliva ejector, close lid over ultrasonic bath - ANSWER What can be done/used to minimize spray, spatter, and aerosols? true - ANSWER Any surface in the operatory not covered by a barrier is considered contaminated (T/F) latex, non-latex, or vinyl exam gloves - ANSWER What type of gloves are used for routine dental tx?

Utility gloves - ANSWER What type of gloves are used for operatory clean-up? op clean up, handling contaminated instruments - ANSWER When would you wear "heavy" gloves? wash/sanitize hands - ANSWER What should be done immediately after gloves are removed? true - ANSWER If a clinician does not immediately wash/sanitize hands after glove removal a latex allergy could occur due to particles in the air. (T/F) stop tx, remove gloves, check skin for stick, wash hands, re-glove - ANSWER What should you do if a glove becomes punctured during tx? mask, face-shield, eyewear, gloves, protective clothing (lab gown) - ANSWER What PPE is necessary when spray, spatter, and aerosols are anticipated? transient - ANSWER What microbes can be completely removed/greatly reduced with hand wash 15 sec, rinse 10 sec - ANSWER How long should you wash hands for? After each patient or when wet/soiled during tx - ANSWER How often should masks be changed? Protective eyewear, side shields - ANSWER What does a face-shield replace? When wearing one you don't need to wear______ Some surfaces are difficult to disinfect/clean (A/W syringe, hoses) - ANSWER Why are barriers used on surfaces? Beginning of day, when contaminated during barrier removal, end of day - ANSWER How often are surfaces covered with barriers disinfected? Chair, keyboard, light handle, tray - ANSWER 4 surfaces in operatory that should be covered by barriers semi-critical items - ANSWER Items that touch oral mucosa but do not penetrate the body are classified as fully sterilized - ANSWER How are critical and semi-critical items handled? semi-critical - ANSWER Mouth mirror is an example of that type of item

pre-clean, spray-wipe-spray or wipe-discard-wipe - ANSWER What should be done prior to DISINFECTING environmental surfaces intermediate level - ANSWER What product level is approved for surface and equipment disinfection? tuberculosis - ANSWER what organism must an intermediate level disinfectant kill 10 min - ANSWER how long must surfaces remain wet when disinfecting 5 days - ANSWER Amount of time it takes for biofilm to form in a new dental unit 2-3 mins at start of each day, 20-30 seconds in between patients - ANSWER How long are waterlines flushed at start of each day and in between pt's? after long breaks, after unit fails water test - ANSWER At CCCC when is water system shocked with Sterilex? Use 1 ICX tablet in bottle water, flush 2-3 mins at start of day, flush 20-30 secs between pt's - ANSWER At CCCC how are waterlines maintained daily? At end of semester or before a long break - ANSWER At CCCC when are waterlines purged? end of each day with enzymax cleaner - ANSWER When are HVE and vacuum lines cleaned? sharps container - ANSWER Where are ext teeth disposed of? facultative microbes - ANSWER Microbes that grow in presence or absence of oxygen smaller than bacteria, obligate intracellular parasite, nucleic acid core (DNA or RNA), capsid and envelope - ANSWER Structure of a virus replication stage - ANSWER In what stage of the virus life does the host cell synthesize new viral DNA/RNA? prions and endospores - ANSWER These microbes are most resistant to chemicals Ethylene oxide gas, gluteraldehyde liquid - ANSWER List 2 high level disinfectants 10 hrs - ANSWER How long does it take to sterilize instruments in gluteraldehyde? when sterilizing liquid items - ANSWER When would you not use a steam autoclave?

evaporates quickly, corrosive, not sporicidal - ANSWER Why is alcohol not used as a surface disinfectant? Iodophors, hypochlorites, synthetic phenols, chlorine compounds - ANSWER Which chemical disinfectants have to be mixed daily? gluteraldehyde and hydrogen peroxide - ANSWER Which disinfectants are used for immersion ultrasonic bath - ANSWER what method of cleaning instruments is most effective 15 mins - ANSWER How long are cassettes placed in ultrasonic for daily or when soiled - ANSWER How often is ultrasonic bath drained and disinfected prevent aerosols - ANSWER Why is it important to cover ultrasonic bath before operating? prevent debris from drying to instruments, easy cleaning - ANSWER Purpose of holding solution is to steam autoclave - ANSWER This sterilization method dulls instruments 20-30 mins, 15 psi, 250F (121C) - ANSWER Time-temp-pressure and cycle for steam autoclave Long cycle, discolors fabrics, not for heat sensitive items - ANSWER Disadvantage of dry heat sterilization Close, allow oven to reach proper sterile temp, re-start cycle - ANSWER What must be done if dry heat oven is open during cycle 1x/week, when training new employees, after repair, when running implantable devices, using new packaging or new sterilizer - ANSWER How often are sterilizers biologically monitored? gluteralderhyde - ANSWER Sterilization method that cannot be biologically monitored Hep A, Hep E - ANSWER Which type of Hep does not have a carrier Hep A, Hep E - ANSWER Which type of Hep is not bloodborne immunoglobulin or Hep B vaccine - ANSWER What is given to a non-immunized healthcare worker who has been exposed?

notify supervisor, get consent from clinician to perform HIV serolytic test - ANSWER If clinician is exposed but pt source is unknown what should be done? coughing, night sweats, fever - ANSWER 3 symptoms of TB economically depressed population - ANSWER What segment of the population is at an increased risk for TB Airborne/Droplet transmission of active respiratory infection from person to person - ANSWER How is TB spread? False - ANSWER If a person has been diagnosed with TB they will always test positive for TB with a skin test (T/F) oral candidiasis - ANSWER Fungal infection sometimes seen intraorally 3-6 weeks after exposure mono-like symptoms - ANSWER How long after exposure to HIV would you expect to see acute HIV? male to male sexual contact - ANSWER What group has the highest prevalence of HIV? IV drug users, unprotected sex, substance abuse - ANSWER 3 high risk behaviors for HIV yes - ANSWER Is an employer responsible for offering Hep B immunizations? eating, drinking, smoking, applying cosmetics - ANSWER What things should not be done in treatment areas stop sterilizer, allow to cool, re-sterilize instruments - ANSWER What should be done if sterilization cycle is interrupted before completion manufacturing and labeling of med devices, safety of drugs and devices, safety and efficacy of disinfectants, medical waste, worker safety, instrument sterilizing - ANSWER What is regulated by fed govt probing, scaling, root planing - ANSWER If a pt requires pre-med but did not take it prior to apt, what cannot be done at the pt's apt? What is the composition of the NC State Board of Dental Examiners? - ANSWER 6 dentists who are licensed to practice dentistry in NC 1 dental hygienist who is licensed to practice dental hygiene in NC 1 person who shall be a citizen and resident of NC and who shall be licensed to practice neither dentistry nor dental hygiene

What are the voting powers of each member of the Board? - ANSWER The dental hygienist or the consumer member cannot participate or vote in any matters of the Board which involves the issuance, renewal or revocation of the license to practice dentistry in the State of North Carolina. The consumer member cannot participate or vote in any matters of the Board which involve the issuance, renewal or revocation of the license to practice dental hygiene in the State of North Carolina. Members of the Board licensed to practice dentistry in North Carolina shall have been elected in an election held as hereinafter provided in which every person licensed to practice dentistry in North Carolina and residing or practicing in North Carolina shall be entitled to vote. Who is eligible to vote in the election of dentists and dental hygienists to serve on the Board? - ANSWER Every dentist with a current North Carolina license residing or practicing in North Carolina shall be eligible to vote in elections of dentists to the Board. Every dental hygienist with a current North Carolina license residing or practicing in North Carolina shall be eligible to vote in elections of dental hygienists to the Board. The holding of such a license to practice dentistry or dental hygiene in North Carolina shall constitute registration to vote in such elections. The list of licensed dentists and dental hygienists shall constitute the registration list for elections to the appropriate seats on the Board. What is the term of office for Board members? - ANSWER Each member of said Board shall be elected for a term of three years and until his successor shall be elected and shall qualify. Each year there shall be elected two dentists for such terms of three years each. Every three years there shall be elected one dental hygienist for a term of three years. Dental hygienists shall be elected to the Board in an election held in accordance with the procedures hereinafter provided in which those persons licensed to practice dental hygiene in North Carolina and residing or practicing in North Carolina shall be entitled to vote. Every three years a person who is a citizen and resident of North Carolina and licensed to practice neither dentistry nor dental hygiene shall be appointed to the Board for a term of three years by the Governor of North Carolina. KNOW Article 16- The Dental Hygiene Practice Act. - ANSWER Printed What are the rules that apply to dental hygienists? - ANSWER Printed What are the rules that apply to dental assistants? - ANSWER Printed What are the regulations concerning conscious sedation? - ANSWER Printed "Monitoring" means observation of the patient during the flow of sedation agents and includes reducing the flow of sedation or shutting off equipment controlling such flow. Monitoring does not include increasing the flow of sedation agents. We can increase oxygen and lower nitrous as well as shut the machine off which will lower the oxygen.

North Carolina Laws Governing Nitrous Oxide / Rules of the NC State Board of Dental Examiners

• a DA I or DA II may aid and assist a licensed dentist in the administration of nitrous oxide-oxygen inhalant conscious sedation after a completion of a Board-approved course.....
• "monitoring" means observation of the patient during the flow of sedation agents and includes reducing the flow of sedation or shutting off equipment controlling such flow.
• monitoring does not include increasing the flow of sedation agents
• dentist initiates use of nitrous
• auxiliary can turn oxygen up
• auxiliary can turn nitrous down / off List and know the dates involved in the licensure renewal process. - ANSWER A renewal application shall be completed and received in the Board's office before midnight on January 31 of each year. Any renewal applications received after that date will require a late fee. If the application for a renewal certificate, accompanied by the fee required, is not received in the Board's office before the close of business on January 31 of each year, an additional fee of fifty dollars ($50.00) shall be charged for the renewal certificate. A fee of twenty five dollars ($25.00) shall be charged for each duplicate of any license or certificate issued by the Board. If an application for a renewal certificate, accompanied by the renewal fee and the additional late filing fee, is not received in the Board's office before midnight on March 31 of each year, the license becomes void and the hygienist must petition the Board for reinstatement. Understand the law regarding reciprocity. - ANSWER The Board does not grant any licenses by reciprocity for dental hygiene nor dentists.North Carolina does NOT have reciprocity with any other state nor does it conduct specialty examinations. reciprocity is a mutual agreement to exchange privileges, dependence, or relationships, as in an agreement between two governing bodies to accept the credentials of a physician, dentist, licensed dental professional, or other health professional licensed in either jurisdiction. Describe what credentials must be displayed by a dental hygienist. - ANSWER The license and current certificate of renewal of license shall at all times be displayed in a conspicuous place at the office where the dental hygienist is employed, and whenever requested the license and the current certificate of renewal shall be exhibited to or produced before the North Carolina State Board of Dental Examiners or its authorized agents.

What constitutes professional misconduct by a dental hygienist? - ANSWER Printed Define supervision for dental hygienists and dental assistants. - ANSWER "Supervision" means that acts are deemed to be under the supervision of a licensed dentist when performed in a locale where a licensed dentist is physically present during the performance of such acts, and such acts are being performed pursuant to the dentist's order, control and approval. A dental hygienist may practice only under the supervision of one or more licensed dentists. Direct Supervision Levels-dentist needs to be present Indirect Supervision Levels-dentist must authorize procedure and be in the dental office while the procedure is performed General Supervision Levels-dentist needs to authorize prior to services, but need not be present: limited for community with certain qualifications such as 6 hours in cont ed for med emergencies, CPR, 3 years experienced under a direct dentist What are the CE requirements for dental hygiene license renewal? - ANSWER Printed All dental hygienists licensed shall be required to attend Board-approved courses of study in subjects relating to dental hygiene. The Board shall have authority to consider and approve courses, or providers of courses, to the end that those attending will gain information on existing and new methods and procedures used by dental hygienists, information leading to increased safety and competence in their dealings with patients and supervising dentists, and information on other matters, as they develop, that are of continuing importance to the practice of dental hygiene as a part of the practice of dentistry. The Board shall determine the number of hours of study within a particular period and the nature of course work required. Failure to comply with continuing education requirements adopted under the authority of this section shall be grounds for the Board to decline to issue a renewal certificate. 21 NCAC 16I. CONTINUING EDUCATION REQUIRED (a) As a condition of license renewal, each dental hygienist shall complete six clock hours of continuing education each calendar year. Any or all the hours may be acquired through self study courses. To count toward the mandatory continuing education requirement, self study courses shall be related to clinical patient care and offered by a board approved sponsor. The hygienist shall pass a test following the course and obtain a certificate of completion. (b) Current certification in CPR is required in addition to the mandatory continuing education hours.

Continuing education became mandatory January 1, 1995. Every year, dentists must complete 15 hours and hygienists must complete 6 hours. The one-year period spans one calendar year (January to December being a calendar year). New licensees are not required to get CE the first year they are licensed, but need to The NC board of Dental Examiners consist of: - ANSWER 6 dentist who are licensed to practice dentistry in NC, 1 Hygienist licensed in NC, 1 consumer member. A Dental hygiene license application needs to be submitted to the board's office before - ANSWER January 1st In NC the following functions may not be delegated to a dental assistant II - ANSWER Intramural use of high speed handpiece A dental hygienist would not qualify for licensure by credentials in NC if he/she: - ANSWER Has previously failed the NC state board dental hygiene examination. The board has the right to deny a provisional license to a dental hygienist is he/she: - ANSWER has been disciplined by another dental licensing agency. As a dental hygienist in NC, you may perform all of the following functions except: - ANSWER Place of remove sulcular nonresorbable agents The board has the authority to decline to issue a renewal certificate if a dental hygienist:

• ANSWER Fails to comply with continuing education requirements. You can be charged with practicing without a license if you do not renew your license by: - ANSWER March 31st A dental hygienist licensed and practicing in NC may perform all of the following functions except: - ANSWER Placement of sutures A dental assistant I or II may take radiographs only after successfully completing a radiology course that is based on at least - ANSWER 7 hours instructional in the production and use of dental X-rays and educational program of not less than 7 hours in clinical dental radiology. A dental hygienist licensed in NC may receive four hours of continuing education if he/she is employed full time and practicing dental hygiene at a: - ANSWER federal, state, or county government agency. If you renew your license after January 31st, you must: - ANSWER pay the renewal fee plus a penalty fee a dental assistant II may monitor patients under nitrous oxide if: - ANSWER the dentist is in the room supervising the procedure.

You may take (10) hours of CE during the year. Six of those hours are obtained through home study course work for which you have successfully completed the post-tests and obtained certificated validating completion. One of the six hours, how many may be counted toward fulfilling the mandatory CE requirement? - ANSWER ALL OF THEM The NC state board of dental examiners investigattive panel is composed of all of the following members EXCEPT: - ANSWER Boards consumer member Thickest materials for gloves to be made from? - ANSWER polyurethane How long to wash hands; routine hand washing? - ANSWER 15 seconds Answering the phone in the operatory - ANSWER wear overgloves If you have -open cuts -abrasions -etc -etc you should wear gloves? - ANSWER All of the above Which of the following has no restrictions and can still work as a hygienist - ANSWER hep c Washing hands kills what percentage of bacteria - ANSWER 70% kills ALL bacteria and spores - ANSWER sterilization tape changing on sterilized instruments means? - ANSWER Exposed to heat, not instruments were sterilized If you have or have been exposed to tuberculosis, you will always show a positive TB reading - ANSWER true change gloves after every patient, if torn, and or punctured - ANSWER true purpose of medical history - ANSWER monitor patients vitals If it cannot be exposed to heat use: - ANSWER soaked gauze, not gluteraldehyde something about aerosols and splatter all over operatory - ANSWER true Hep B vaccines are recommended for employees; not required - ANSWER true blood pressure cuff - ANSWER occupational

blood in your eye requires follow up - ANSWER true Surgical hand washing - ANSWER required by law which of the following would be considered blood borne pathogen exposure incident - ANSWER blood splash in the eye minimum time to flush out handpiece - ANSWER 30 seconds all ideal overgarment would consist of - ANSWER all of the above when instruments cannot be exposed to heat, hot to sterilize? - ANSWER immerse in gluteraldehyde; dry heat; 10 hours. there is a recommendation regarding effectiveness of wearing two pairs of gloves - ANSWER false minimum time required to remove all transient organisms by handwashing - ANSWER 15 seconds effective hand washing removes what percent of transient microorganisms - ANSWER 100% any time there are choices of infectious diseases - ANSWER hep b prevent transmission of infectious disease in the work area - ANSWER refrain from eating, drinking, applying cosmetic lip balm Blood borne pathogens may enter your system through A. open cuts B. skin abrasions C. mucous membranes D. All of the above - ANSWER All of the above When must heavy gloves be worn? A. When gathering and cleaning used instruments B. Until dirty instruments are soaked in a disinfectant C. For all scrubbing and ultrasonic cleaning procedures D. All of the above - ANSWER All of the above Which of the following is an exposure incident requiring evaluation and follow-up? A. A patient's blood or saliva contacts a clinician's intact skin B. A patient's blood or saliva contacts a clinician's oral mucous membrane.

C. A sterile needle punctures a clinician's skin. D. Saliva from an HIV positive patient contacts a clinician's intact skin. - ANSWER A patient's blood or saliva contacts a clinician's oral mucous membrane With proper and frequent hand washing, the spread of microorganisms can be reduced by up to A. 30% B. 50% C. 70% D 100% - ANSWER 70% It is recommended but not required for the owner of a dental practice to offer the HBV vaccination series to all dental health care professionals with potential occupational exposure to blood or other potentially infectious material. A. True B. False - ANSWER False While it is wise for dental personnel to keep immunizations up to date, which immunization must be provided by the employer to all employees? A. Measles B. Influenza C. Hepatitis A D. Hepatitis B - ANSWER Hepatitis B Which of the following, according to federal and or state regulations or standards is REQUIRED for hand hygiene techniques? A. Do not add soap or lotion to a partially empty dispenser B. Do not wear hand or nail jewelry if it makes donning gloves more difficult or compromises the fit and integrity of the glove. C. For oral surgical procedures, perform surgical hand antisepsis before donning sterile surgeon's gloves. D. Hand washing should occur immediately after removing gloves. - ANSWER For oral surgical procedures, perform surgical hand antisepsis before donning sterile surgeon's gloves. It is suggested that health care personnel should restrict their practice (or exclude themselves from duty) if infected with any of the following conditions EXCEPT: A. Conjunctivitis B. Hepatitis A C. Hepatitis B D. Active Tuberculosis - ANSWER Hepatitis B or Hepatitis C An ideal overgarment is one that A. Has no pockets to hold instruments or other sharp instruments that must be removed before laundering

B. Ties in the back and can be left somewhat open for ventilation C. Covers up the collar area to protect against splatter D. All of the above - ANSWER Covers up the collar area to protect against splatter Which is an enforcement agency that regularly inspects dental offices at random or in response to an employee complaint? A. FDA (Food and Drug Administration) B. CDC (Center for Disease Control) C. OSHA (Occupational Safety and Health Administration) D. DEHNR (Dept. of Environment, Health, and Nat. Resources) - ANSWER OSHA The process by which all forms of life are completely destroyed is: A. chemical disinfection B. sterilization C. ultrasonic cleaning D. bio-burden disinfection - ANSWER Sterilization If an autoclave bag is found to have punctured, the A. hole should be sealed with autoclave tape B. expiration date should be changed C. instruments should be cleaned, wrapped, and re-sterilized D. instruments should be re-packaged using transfer forceps - ANSWER Instruments should be cleaned, wrapped, and re-sterilized What is the best way to prevent disease transmission between patients? A. Scrub instruments with soap and water B. Sterilize instruments in the autoclave C. Sterilize instruments in special immersion solution D. Disinfect instruments in disinfectant solution - ANSWER Sterilize instruments in the autoclave As a result of aerosols and splatter from procedures all operatory surfaces are subject to contamination A. True B. False - ANSWER True All instruments are autoclaved unless: A. you have too few, then disinfection is sufficient B. instruments cannot withstand heat sterilization C. you are not sure

D. manufacturer tells you it is not necessary - ANSWER Instruments cannot withstand heat sterilization If you are exposed to potentially infectious materials on the job, you may request a vaccine for which blood borne disease? A. HIV B. Syphillis C. Hepatitis B D. Brucellosis - ANSWER Hepatitis B Which of the following is not a disinfectant accepted by the CDC? A. Alcohol (ie. 60-70% ethanol) B. Benzalkonium (Zephiran) chloride C. Sodium Hypochlorite (approximately 5% diluted from 1 to 10 to 1 to 100 depending on the amount of soil) D. Complex phenols (.3% total concentrate of phenyl phenols and benzylchlorophenol in water) - ANSWER Alcohol (ie. 60-70% ethanol) After use on a patient, handpieces must be flushed to discharge water and air for a minimum of A. ten seconds B. thirty seconds C. one minute D. five minutes - ANSWER Thirty seconds The tape or indicator on the instrument pack, that turns color in the sterilizer, indicates that the contents were A. disinfected B. exposed to heat C. sterilized D. washed before processing - ANSWER Sterilized Because it kills all microorganisms, the best method for preventing disease transmission is: A. disinfection B. glutaraldehyde C. ultrasonic cleaning D. sterilization - ANSWER Sterilization According to the CDC, once successfully vaccinated against HBV, how often is a booster shot recommended? A. Every 5 years B. Every 10 years

C. After possible HBV exposure D. No booster is recommended - ANSWER No booster shot is recommended Universal precautions specify which of the following: A. Wearing protective eyewear for infectious patients B. Taking a careful, thorough medical history for every patient to determine which patients are infectious and require the most precautions C. Treating all patients, all human blood and body fluids from all persons as infectious D. Having the Hepatitis B vaccine to protect personnel from all infectious patients - ANSWER Treating all patients, all human blood and body fluids from all persons as infectious Hepatitis B is found in which of the following body fluids: A. Saliva B. Blood C. Semen and vaginal secretions D. All of the above - ANSWER All of the above What do you do if you have an exposure incident? A. Continue to treat the patient, then report the incident B. Express blood from the wound, wash, cover the wound and report the incident C. Report the incident at the end of day D. Do nothing, and hope for the best - ANSWER Express blood from the wound, wash, cover the wound and report the incident When there is a likelihood of occupational exposure, health care workers should refrain from: A. Washing hands too frequently B. Singing and whistling C. Eating, drinking, and applying cosmetics or lip balms D. All of the above - ANSWER Eating, drinking, and applying cosmetics or lip balms Containers for holding and transporting discarded sharps and re-usable sharps shall be A. Puncture resistant B. Leak-proof on the sides and bottom C. Biohazard labeled D. All of the above - ANSWER All of the above All of the following commercially available glove materials are likely to have enhanced chemical or puncture resistance except A. Nitrile

B. Nitrile and Chloroprene blends C. Butadiene Methyl Methacrylate D. Polyurethane - ANSWER Polyurethane According to CDC guidelines, which of the following are acceptable to disinfect? A. Critical items that touch broken or unbroken mucosa B. Semi-critical items that contact mucosa C. Non-critical items, environmental surfaces D. None of the above - ANSWER Non-critical items, environmental surfaces There is no recommendation regarding the effectiveness of wearing two pairs of gloves to prevent disease transmission during oral surgical procedures A. True B. False - ANSWER True Hand hygiene methods for health professionals include, but are not limited to, antiseptic hand wash. What is the minimum time required to destroy transient microorganisms in this method of hand washing? A. 10 seconds B. 15 seconds C. 30 seconds D. 45 seconds - ANSWER 15 seconds A comprehensive medical history is necessary for A. determining how many barriers to apply to the treatment area B. assessing the need to double-glove during a procedure C. monitoring a patient's known medical conditions D. determining the need for transferring a patient to an isolated treatment area - ANSWER monitoring a patient's known medical conditions -serial number of envelope -signature of voter -address of voter - ANSWER What information is listed on the official envelope that is mailed to each registered voter? False - ANSWER If there is a tie between candidates, then a second election will be required True - ANSWER Any person who shall neglect or refuse to obey a subpoena from the board shall be guilty of a Class 1 misdemeanor 10 - ANSWER How many signatures must be obtained for a nominee to run in a dental or dental hygiene election to the Board?

*President *Secretary-Treasurer - ANSWER What two officers are elected by the board members? Two - ANSWER How many consecutive terms can a board member serve? False - ANSWER Serving on the board is strictly voluntary which means that board members will not receive compensation Three years - ANSWER What is the term duration of the elected dental hygienist board member? 6 months - ANSWER How long are the ballots and envelopes held by the board after the election? One - ANSWER How many dental hygienists are permitted to serve on the board? Annually - ANSWER The Board, by law, must meet how often? False - ANSWER The dental hygiene board member is permitted to vote on matters regarding licensure True - ANSWER When a quorum is not present, the Board may adjourn the meeting False - ANSWER The NC licensed dentists who are voting on board members have to be Both residing And practicing dentistry in NC All dental hygienists licensed in practice in NC - ANSWER Who is entitled to vote for the dental hygiene board member? Governor of NC - ANSWER Who is responsible for appointing the consumer member to the board? 10 days - ANSWER Notice of a board meeting must be given to a member how many days in advance? True - ANSWER If you hold a current license to practice in NC as a dentist or hygienist, then you are considered registered to vote in the election True - ANSWER When preparing to count the ballots all of the envelopes are displayed and anyone present can challenge the signature or validity of the envelope False - ANSWER After counting the votes it is concluded that neither of the 3 nominees received a majority of the votes to fill a single seat on the Board; therefore, the current board members will decide the winner

4 days - ANSWER The canvassing (counting) of the ballots shall occurs within not more than how many days following the closing of the balloting? True - ANSWER If the voter fails to sign the ballot envelope, then the enclosed ballot is not valid Two - ANSWER How many dentists are elected each year to the board? State Gov't - ANSWER The NC Board of Dental Examiners is an agency of the: True - ANSWER Consumer members cannot vote on matters regarding dental hygiene licensure True - ANSWER The NC State Board if Dental Examiners may refuse to grant a license to any person addicted to the use of alcoholic liquors or narcotic drugs to such an extent as, in the opinion of the Board, renders the alplicant unfit to practice dentistry. Class 1 misdemeanor - ANSWER Should a licensed dentist fail to keep a copy of the work order, fail to write a work order, or refuse to allow inspection of files by the state board said dentist shall be guilty of: March 31st - ANSWER If you fail to renew your certificate by the following date, but continue to practice dentistry, then you will be guilty of the unauthorized practice of dentistry. True - ANSWER A dental intern permit shall be valid for no more than one year from the date it was issued False - ANSWER Dentists practicing with an intern permit are paid according to each case treated True - ANSWER The board my refuse to issue a renewal certificate if a licensed dentist fails to comply with continuing education requirements adopted by the board 2 years - ANSWER A lab work order or subwork must be retained for: True - ANSWER The Department of Public Safety may charge, each applicant who has applied for a license through the Board, a fee for conducting the checks of criminal history records False - ANSWER The serial number on the certificate of renewal of the license has to be the same as the serial number on the original license True - ANSWER A person, firm, or corporation may be employed to construct of repair dentures, bridges, etc. provided there is a work order from the licensed dentist

True - ANSWER A provisional license may be granted to a dentist from outside of NC provided that they have a dental license in another state False - ANSWER A dentist must be licensed in NC to be eligible for an instructors license Until the results of the next exam are announced - ANSWER A provisional license is valid for what time frame (how long)? False - ANSWER If a candidate has failed the CITA examination, he/she can still obtain a provisional license while waiting to take the exam again True - ANSWER The signature of the dentist and his/her license number is required information that must be included on a work order False - ANSWER Duplicate licenses for the practice of dentistry are no longer issued by the Board because dentists are not required to display their original license January 31st - ANSWER To avoid additional fees, you should renew your license before the following date: True - ANSWER Both the license and the current certificate of renewal of license to practice dentistry must be displayed at all times True - ANSWER A person who is a graduate of an approved dental school but who is not licensed to practice dentistry in this state may practice dentistry provided they are issued an intern permit and practice under the supervision or direction of a dentist duly licensed in this state True - ANSWER No person shall practice dentistry in this state who does not have a valid license or certificate of renewal from the NC State Board of Dental Examiners True - ANSWER The license of a dentist can be revoked or suspended if the dentist knowingly allows the dental hygienist in his office to practice outside of her scope of practice True - ANSWER The punishment for practicing dentistry illegally is a class I misdemeanor with each day's violation being a separate offense False - ANSWER The Board does not have a right to refuse, revoke, or suspend a license just because a dentist has a mental disability that could affect the care of his patients One year from the date the license is issued - ANSWER Dr. Picasso has practiced dentistry in New York for 10 years. He comes to NC and has met the requirements and

receives his license by credentials from the NC State Board of Dentistry. How long does Dr. Picasso have to establish a practice location and actively practice dentistry in NC? -withholding renewal of a license -suspending a license -denying a license after examination All of the above - ANSWER Why shall an individual be afforded an opportunity to be heard before the Board? $100 - ANSWER Board members shall receive compensation for Board services; however, the daily per diem must not exceed: NC Caring Dental Professionals - ANSWER The impaired dentist and hygienist peer organization in North Carolina is called: False - ANSWER Holders of a limited volunteer dental license shall comply with CPR training as established by the Board, but they have no continuing education requirements to be met Applicants for reinstatement after revocation - ANSWER Who is not given the opportunity for a hearing before the NC State Board of Dental Examiners? The dentist and the management company - ANSWER The Board requires the statement "WARNING- YOU HAVE THE RIGHT AND ARE ENCOURAGED TO HAVE THIS CONTRACT REVIEWED BY YOUR OWN LEGAL COUNSEL PRIOR TO SIGNING" to be on an agreement document between: True - ANSWER The North Carolina State Board of Dental Examiners shall have the power and authority to revoke or suspend a license to practice dentistry. -be of good moral character -pay the required fee -provide proof of proficiency All of the above - ANSWER A dentist was previously licensed to practice in North Carolina; however, decided to let her license lapse when she moved to another state to practice. The dentist now wants to return to North Carolina to practice dentistry. What must the dentist do? February 15th - ANSWER The Board shall submit an annual report on or before: False - ANSWER The holder of a temporary volunteer permit shall receive monetary compensation for any dental service performed. True - ANSWER Rules and regulations governing the practice of dentistry with the State of NC become effective 30 days after passage

-NC State Board of Dentistry -UNC School of Dentistry -NC Dental Society All of the above - ANSWER The Statewide supervisory committee for the impaired dentists program is made up of representatives from which of the following organization(s): The governor of NC - ANSWER The annual report from the board is to be filed with: True - ANSWER If a person practices dentistry while their license is suspended, the license to practice dentistry may be permanently revoked: $75 - ANSWER The NC State Board of Dentistry will provide a certificate to license a resident dentist desiring to change to another state or territory. The fee for the issuance of each certificate is: -is still impaired after treatment -poses an imminent danger to the public -exhibits professional incompetence All of the above - ANSWER An impaired dentist peer review organization shall immediately report to the Board detailed information about any dentist licensed by the board, if the dentist being reviewed: Direct - ANSWER Define "supervision" as it relates to dental hygiene in NC: NOT Approved: -Developing Your Dental Hygiene Career Path: Negotiations and Salary. Approved: -Periodontal instrumentation for the Advanced Practitioner -2016/2017 Infection Control Updates for the dental setting -The magic of air: a subgingival air polishing workshop - ANSWER All of the following topics are considered Board approved for continuing education courses, EXCEPT: True - ANSWER The teaching of dental hygiene in a school or college by an individual dental hygienist who is licensed in any state in the United States SHALL NOT constitute the practice of dental hygiene: -be of good moral character -be a graduate of an accredited high school or have a GED -be a graduate of an accredited dental hygiene school ALL of the above - ANSWER When applying for a dental hygiene license, you must: Exception: -private practice - ANSWER Under 90-233 (a1), a dental hygienist who meets certain required qualifications as listed in this section, may be designated by an employing dentist as capable of providing dental hygiene services w/o the physical presence of the