North Carolina Dental Hygiene Regulations, Exams of Nursing

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23Dental Laws and Infection Control

Final, Jurisprudence Exam Study Guide,

NC Laws, NC, STUDY, Laws Quiz 1-

Questions & Answers 100% Correct

(RATED A)

No (False) - ANSWERDoes the NC Board of Dentistry have the power to grant licensure by reciprocity? 8 total members, 6 dentists, 1 hygienist, 1 civilian - ANSWERTotal 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 - ANSWERRestrictions 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 - ANSWERWhat 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 - ANSWERWhat are the qualifications for the dental hygienist board member? No less than 10 signatures - ANSWERHow 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 - ANSWERWho can vote in the general election to elect RDH members to the board One term of three years - ANSWERWhat 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 - ANSWERWhat is the purpose and duty of the board of Dental Examiners? list three functions A majority of the members of said board - ANSWERWhat constitutes a quorum of the board The power to administer oaths and issue subpoenas - ANSWERName the judicial power granted to the board president and/or secretary-treasurer

$100 per day - ANSWERCompensation / 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 - ANSWERDescribe 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 - ANSWERTwo 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 - ANSWERA 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 - ANSWERWho is eligible for a volunteer license Class 2 misdemeanor - ANSWERWhat type of offense is a violation of board rules regulations or bylaws Yes (true) - ANSWERDoes the board have authority to develop programs for impaired Dental hygiene - ANSWERPerforming 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 - ANSWERAny 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 - ANSWERThe 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 - ANSWERActs 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 - ANSWERNorth Carolina State RDH licensure renewal fee

$25 - ANSWERContribution to the NC caring dental professionals $25 - ANSWERDuplicate license fee $50 - ANSWERLate fee for licensure Jan 31 - ANSWERRDH licensure renewal is due on March 31st - ANSWERWhen does the license renewal become void if not paid $50 late fee after January 31st, voided license after March 31st - ANSWERWhat are the consequences for late renewal of RDH license Class 1 misdemeanor - ANSWERPracticing 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 - ANSWERThree 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 - ANSWER2 reasons why the board might refuse to issue, renew, or revoke/ suspend a license Yes (true) - ANSWEROnce notified by the Board of misconduct do applicants have a right to a hearing Yes (true) - ANSWERCan the board conduct the investigation issue subpoenas and take depositions Direct supervision under one or more dentists - ANSWERWhat 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 - ANSWERCriteria 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 - ANSWERRequirements 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 - ANSWERQualifications for an RDH to become a public health rdh 2 - ANSWERHow many Rdh's can a 1 DDS supervise Enjoin from practice revocation of license and initiation of appropriate legal proceedings

• ANSWERPracticing hygiene without a license is punishable by Each RDH must complete a minimum of 6 clock hours of CE each calendar year - ANSWERList 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 - ANSWERRestrictions on correspondence and online CE courses are No CPR hours are in addition to mandatory CE hours - ANSWERDo CPR hours count toward CE requirements Hours completed toward CE requirements are indicated on the renewal application form at the time of renewal - ANSWERHow and when are CE hours reported? At least 2 years - ANSWERHow 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 - ANSWERWhat is required if a RDH uses home study courses for CE credits Board may refuse to issue renewal certificate - ANSWERPenalty for non compliant with the CE requirements 7 hours of instruction in production & use, and 7 hours of clinical radiology - ANSWERHow many hours of training does a DA need to expose radiographs Assist dentist chairside, OHI, topical fluoride or topical anesthetic, expose radiographs - ANSWERThree duties of a DA 1 Insert matrix band and wedges, place cavity bases and liners, place or remove rubber dams - ANSWERThree duties of a DA 2 Minimum of 7 clock hours - ANSWERHow 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 - ANSWER5 acts that are considered unprofessional conduct of an RDH 10 years - ANSWERPatient 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 - ANSWERWhat are the requirements for transfer of patient records bioburden - ANSWERName of organic material found on instrument surfaces prior to decontamination sterilization - ANSWERUse of physical or chemical procedures to destroy all microbes including spores workplace devices and procedures controls - ANSWERwhat are controls that remove a hazard from the workplace called? hazardous exposure - ANSWERWorkplace procedures & devices help to reduce Standard precaution - ANSWERWhat is it called when all pt's are treated as if they have an infectious disease? viruses - ANSWERThese are the smallest of all microbes sharps or approved waste container - ANSWERRegulated medical waste in the office is disposed of in disposal or treatment site - ANSWEROnce containers are full, regulated medical waste is taken to extracted teeth, needles - ANSWER2 examples of regulated medical waste cavitron, ultrasonic bath, dental hand piece - ANSWERlist 3 examples of dental equipment that produce aerosols Rubber dam, HVE, saliva ejector, close lid over ultrasonic bath - ANSWERWhat can be done/used to minimize spray, spatter, and aerosols? true - ANSWERAny surface in the operatory not covered by a barrier is considered contaminated (T/F) latex, non-latex, or vinyl exam gloves - ANSWERWhat type of gloves are used for routine dental tx?

Utility gloves - ANSWERWhat type of gloves are used for operatory clean-up? op clean up, handling contaminated instruments - ANSWERWhen would you wear "heavy" gloves? wash/sanitize hands - ANSWERWhat should be done immediately after gloves are removed? true - ANSWERIf 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 - ANSWERWhat should you do if a glove becomes punctured during tx? mask, face-shield, eyewear, gloves, protective clothing (lab gown) - ANSWERWhat PPE is necessary when spray, spatter, and aerosols are anticipated? transient - ANSWERWhat microbes can be completely removed/greatly reduced with hand wash 15 sec, rinse 10 sec - ANSWERHow long should you wash hands for? After each patient or when wet/soiled during tx - ANSWERHow often should masks be changed? Protective eyewear, side shields - ANSWERWhat 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) - ANSWERWhy are barriers used on surfaces? Beginning of day, when contaminated during barrier removal, end of day - ANSWERHow often are surfaces covered with barriers disinfected? Chair, keyboard, light handle, tray - ANSWER4 surfaces in operatory that should be covered by barriers semi-critical items - ANSWERItems that touch oral mucosa but do not penetrate the body are classified as fully sterilized - ANSWERHow are critical and semi-critical items handled? semi-critical - ANSWERMouth mirror is an example of that type of item

pre-clean, spray-wipe-spray or wipe-discard-wipe - ANSWERWhat should be done prior to DISINFECTING environmental surfaces intermediate level - ANSWERWhat product level is approved for surface and equipment disinfection? tuberculosis - ANSWERwhat organism must an intermediate level disinfectant kill 10 min - ANSWERhow long must surfaces remain wet when disinfecting 5 days - ANSWERAmount 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 - ANSWERHow long are waterlines flushed at start of each day and in between pt's? after long breaks, after unit fails water test - ANSWERAt 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 - ANSWERAt CCCC how are waterlines maintained daily? At end of semester or before a long break - ANSWERAt CCCC when are waterlines purged? end of each day with enzymax cleaner - ANSWERWhen are HVE and vacuum lines cleaned? sharps container - ANSWERWhere are ext teeth disposed of? facultative microbes - ANSWERMicrobes that grow in presence or absence of oxygen smaller than bacteria, obligate intracellular parasite, nucleic acid core (DNA or RNA), capsid and envelope - ANSWERStructure of a virus replication stage - ANSWERIn what stage of the virus life does the host cell synthesize new viral DNA/RNA? prions and endospores - ANSWERThese microbes are most resistant to chemicals Ethylene oxide gas, gluteraldehyde liquid - ANSWERList 2 high level disinfectants 10 hrs - ANSWERHow long does it take to sterilize instruments in gluteraldehyde? when sterilizing liquid items - ANSWERWhen would you not use a steam autoclave?

evaporates quickly, corrosive, not sporicidal - ANSWERWhy is alcohol not used as a surface disinfectant? Iodophors, hypochlorites, synthetic phenols, chlorine compounds - ANSWERWhich chemical disinfectants have to be mixed daily? gluteraldehyde and hydrogen peroxide - ANSWERWhich disinfectants are used for immersion ultrasonic bath - ANSWERwhat method of cleaning instruments is most effective 15 mins - ANSWERHow long are cassettes placed in ultrasonic for daily or when soiled - ANSWERHow often is ultrasonic bath drained and disinfected prevent aerosols - ANSWERWhy is it important to cover ultrasonic bath before operating? prevent debris from drying to instruments, easy cleaning - ANSWERPurpose of holding solution is to steam autoclave - ANSWERThis sterilization method dulls instruments 20-30 mins, 15 psi, 250F (121C) - ANSWERTime-temp-pressure and cycle for steam autoclave Long cycle, discolors fabrics, not for heat sensitive items - ANSWERDisadvantage of dry heat sterilization Close, allow oven to reach proper sterile temp, re-start cycle - ANSWERWhat 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 - ANSWERHow often are sterilizers biologically monitored? gluteralderhyde - ANSWERSterilization method that cannot be biologically monitored Hep A, Hep E - ANSWERWhich type of Hep does not have a carrier Hep A, Hep E - ANSWERWhich type of Hep is not bloodborne immunoglobulin or Hep B vaccine - ANSWERWhat is given to a non-immunized healthcare worker who has been exposed?

notify supervisor, get consent from clinician to perform HIV serolytic test - ANSWERIf clinician is exposed but pt source is unknown what should be done? coughing, night sweats, fever - ANSWER3 symptoms of TB economically depressed population - ANSWERWhat segment of the population is at an increased risk for TB Airborne/Droplet transmission of active respiratory infection from person to person - ANSWERHow is TB spread? False - ANSWERIf a person has been diagnosed with TB they will always test positive for TB with a skin test (T/F) oral candidiasis - ANSWERFungal infection sometimes seen intraorally 3-6 weeks after exposure mono-like symptoms - ANSWERHow long after exposure to HIV would you expect to see acute HIV? male to male sexual contact - ANSWERWhat group has the highest prevalence of HIV? IV drug users, unprotected sex, substance abuse - ANSWER3 high risk behaviors for HIV yes - ANSWERIs an employer responsible for offering Hep B immunizations? eating, drinking, smoking, applying cosmetics - ANSWERWhat things should not be done in treatment areas stop sterilizer, allow to cool, re-sterilize instruments - ANSWERWhat 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 - ANSWERWhat is regulated by fed govt probing, scaling, root planing - ANSWERIf 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 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? - ANSWERThe 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? - ANSWEREvery 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? - ANSWEREach 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. - ANSWERPrinted What are the rules that apply to dental hygienists? - ANSWERPrinted What are the rules that apply to dental assistants? - ANSWERPrinted What are the regulations concerning conscious sedation? - ANSWERPrinted "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. - ANSWERA 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. - ANSWERThe 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. - ANSWERThe 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? - ANSWERPrinted 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? - ANSWERPrinted 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 obtain the appropriate hours the following years (therefore if you were initially licensed in 2006 you will not need to take CE in 2006, but will be required to do so beginning in 2007). In addition to the mandatory CE, both dentists and hygienists are required to maintain current CPR. The number of CE hours completed each year is reported on the license renewal form. No documentation of course work will be sent to the Board's office. Each person is responsible for maintaining his/her own documentation of CE courses completed "for at least two years and shall be produced upon request of the Board." The NC board of Dental Examiners consist of: - ANSWER6 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 - ANSWERJanuary 1st In NC the following functions may not be delegated to a dental assistant II - ANSWERIntramural use of high speed handpiece A dental hygienist would not qualify for licensure by credentials in NC if he/she: - ANSWERHas 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: - ANSWERhas been disciplined by another dental licensing agency. As a dental hygienist in NC, you may perform all of the following functions except: - ANSWERPlace of remove sulcular nonresorbable agents The board has the authority to decline to issue a renewal certificate if a dental hygienist:

• ANSWERFails to comply with continuing education requirements. You can be charged with practicing without a license if you do not renew your license by: - ANSWERMarch 31st A dental hygienist licensed and practicing in NC may perform all of the following functions except: - ANSWERPlacement of sutures A dental assistant I or II may take radiographs only after successfully completing a radiology course that is based on at least - ANSWER7 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: - ANSWERfederal, state, or county government agency. If you renew your license after January 31st, you must: - ANSWERpay the renewal fee plus a penalty fee a dental assistant II may monitor patients under nitrous oxide if: - ANSWERthe 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? - ANSWERALL OF THEM The NC state board of dental examiners investigattive panel is composed of all of the following members EXCEPT: - ANSWERBoards consumer member Thickest materials for gloves to be made from? - ANSWERpolyurethane How long to wash hands; routine hand washing? - ANSWER15 seconds Answering the phone in the operatory - ANSWERwear overgloves If you have -open cuts -abrasions -etc -etc you should wear gloves? - ANSWERAll of the above Which of the following has no restrictions and can still work as a hygienist - ANSWERhep c Washing hands kills what percentage of bacteria - ANSWER70% kills ALL bacteria and spores - ANSWERsterilization tape changing on sterilized instruments means? - ANSWERExposed to heat, not instruments were sterilized If you have or have been exposed to tuberculosis, you will always show a positive TB reading - ANSWERtrue change gloves after every patient, if torn, and or punctured - ANSWERtrue

purpose of medical history - ANSWERmonitor patients vitals If it cannot be exposed to heat use: - ANSWERsoaked gauze, not gluteraldehyde something about aerosols and splatter all over operatory - ANSWERtrue Hep B vaccines are recommended for employees; not required - ANSWERtrue blood pressure cuff - ANSWERoccupational blood in your eye requires follow up - ANSWERtrue Surgical hand washing - ANSWERrequired by law which of the following would be considered blood borne pathogen exposure incident - ANSWERblood splash in the eye minimum time to flush out handpiece - ANSWER30 seconds all ideal overgarment would consist of - ANSWERall of the above when instruments cannot be exposed to heat, hot to sterilize? - ANSWERimmerse in gluteraldehyde; dry heat; 10 hours. there is a recommendation regarding effectiveness of wearing two pairs of gloves - ANSWERfalse minimum time required to remove all transient organisms by handwashing - ANSWER15 seconds effective hand washing removes what percent of transient microorganisms - ANSWER100% any time there are choices of infectious diseases - ANSWERhep b prevent transmission of infectious disease in the work area - ANSWERrefrain 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 - ANSWERAll 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 - ANSWERAll 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. - ANSWERA 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% - ANSWER70% 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 - ANSWERFalse 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 - ANSWERHepatitis 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. - ANSWERFor 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 - ANSWERHepatitis 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 - ANSWERCovers 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) - ANSWEROSHA The process by which all forms of life are completely destroyed is: A. chemical disinfection B. sterilization C. ultrasonic cleaning D. bio-burden disinfection - ANSWERSterilization 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 - ANSWERInstruments 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 - ANSWERSterilize instruments in the autoclave As a result of aerosols and splatter from procedures all operatory surfaces are subject to contamination

A. True B. False - ANSWERTrue 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 - ANSWERInstruments 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 - ANSWERHepatitis 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) - ANSWERAlcohol (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 - ANSWERThirty 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 - ANSWERSterilized Because it kills all microorganisms, the best method for preventing disease transmission is:

A. disinfection B. glutaraldehyde C. ultrasonic cleaning D. sterilization - ANSWERSterilization 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 - ANSWERNo 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 - ANSWERTreating 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 - ANSWERAll 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 - ANSWERExpress 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 - ANSWEREating, 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 - ANSWERAll 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 - ANSWERPolyurethane 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 - ANSWERNon-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 - ANSWERTrue 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 - ANSWER15 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 - ANSWERmonitoring a patient's known medical conditions -serial number of envelope -signature of voter -address of voter - ANSWERWhat information is listed on the official envelope that is mailed to each registered voter?

False - ANSWERIf there is a tie between candidates, then a second election will be required True - ANSWERAny person who shall neglect or refuse to obey a subpoena from the board shall be guilty of a Class 1 misdemeanor 10 - ANSWERHow many signatures must be obtained for a nominee to run in a dental or dental hygiene election to the Board? *President *Secretary-Treasurer - ANSWERWhat two officers are elected by the board members? Two - ANSWERHow many consecutive terms can a board member serve? False - ANSWERServing on the board is strictly voluntary which means that board members will not receive compensation Three years - ANSWERWhat is the term duration of the elected dental hygienist board member? 6 months - ANSWERHow long are the ballots and envelopes held by the board after the election? One - ANSWERHow many dental hygienists are permitted to serve on the board? Annually - ANSWERThe Board, by law, must meet how often? False - ANSWERThe dental hygiene board member is permitted to vote on matters regarding licensure True - ANSWERWhen a quorum is not present, the Board may adjourn the meeting False - ANSWERThe 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 - ANSWERWho is entitled to vote for the dental hygiene board member? Governor of NC - ANSWERWho is responsible for appointing the consumer member to the board? 10 days - ANSWERNotice of a board meeting must be given to a member how many days in advance?

True - ANSWERIf 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 - ANSWERWhen preparing to count the ballots all of the envelopes are displayed and anyone present can challenge the signature or validity of the envelope False - ANSWERAfter 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 - ANSWERThe canvassing (counting) of the ballots shall occurs within not more than how many days following the closing of the balloting? True - ANSWERIf the voter fails to sign the ballot envelope, then the enclosed ballot is not valid Two - ANSWERHow many dentists are elected each year to the board? State Gov't - ANSWERThe NC Board of Dental Examiners is an agency of the: True - ANSWERConsumer members cannot vote on matters regarding dental hygiene licensure True - ANSWERThe 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 - ANSWERShould 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 - ANSWERIf 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 - ANSWERA dental intern permit shall be valid for no more than one year from the date it was issued False - ANSWERDentists practicing with an intern permit are paid according to each case treated True - ANSWERThe 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 - ANSWERA lab work order or subwork must be retained for:

True - ANSWERThe 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 - ANSWERThe serial number on the certificate of renewal of the license has to be the same as the serial number on the original license True - ANSWERA 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 - ANSWERA provisional license may be granted to a dentist from outside of NC provided that they have a dental license in another state False - ANSWERA dentist must be licensed in NC to be eligible for an instructors license Until the results of the next exam are announced - ANSWERA provisional license is valid for what time frame (how long)? False - ANSWERIf a candidate has failed the CITA examination, he/she can still obtain a provisional license while waiting to take the exam again True - ANSWERThe signature of the dentist and his/her license number is required information that must be included on a work order False - ANSWERDuplicate 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 - ANSWERTo avoid additional fees, you should renew your license before the following date: True - ANSWERBoth the license and the current certificate of renewal of license to practice dentistry must be displayed at all times True - ANSWERA 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 - ANSWERNo 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 - ANSWERThe 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 - ANSWERThe punishment for practicing dentistry illegally is a class I misdemeanor with each day's violation being a separate offense False - ANSWERThe 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 - ANSWERDr. 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 - ANSWERWhy shall an individual be afforded an opportunity to be heard before the Board? $100 - ANSWERBoard members shall receive compensation for Board services; however, the daily per diem must not exceed: NC Caring Dental Professionals - ANSWERThe impaired dentist and hygienist peer organization in North Carolina is called: False - ANSWERHolders 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 - ANSWERWho is not given the opportunity for a hearing before the NC State Board of Dental Examiners? The dentist and the management company - ANSWERThe 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 - ANSWERThe 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 - ANSWERA 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 - ANSWERThe Board shall submit an annual report on or before: False - ANSWERThe holder of a temporary volunteer permit shall receive monetary compensation for any dental service performed. True - ANSWERRules 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 - ANSWERThe Statewide supervisory committee for the impaired dentists program is made up of representatives from which of the following organization(s): The governor of NC - ANSWERThe annual report from the board is to be filed with: True - ANSWERIf a person practices dentistry while their license is suspended, the license to practice dentistry may be permanently revoked: $75 - ANSWERThe 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 - ANSWERAn 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 - ANSWERDefine "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 - ANSWERAll of the following topics are considered Board approved for continuing education courses, EXCEPT: True - ANSWERThe 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: