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45 Cards in this Set

  • Front
  • Back
1. What is the acceptable and safe storage time for needles kept in heat-sealed
paper or plastic pouches?
a. 3 months
b. 6 months
c. 9 months
d. one year
b. 6 months
2. Which of the following is the most reliable source to show that a sterilizer is
working correctly?
a. indicator strips
b. pH of the internal environment
c. biological indicators
d. glass beads
c. biological indicators
3. What type of microorganism does regular soap clean?
a. transient
b. resident
c. permanent
d. viral
a. transient
4. Which pathogen is found on the skin and many surfaces, and is a cause for
proper cleaning procedures in a clinical setting?
a. streptococcus
b. e-coli
c. prions
d. staphylococcus
d. staphylococcus
5. What percentage of alcohol need we use to prep an acupuncture point?
a. 30%
b. 50%
c. 60%
d. 70%
d. 70%
6. Spills that involve blood or body fluid on a smooth surface should be cleaned
with what ratio of a solution of bleach (sodium hypochlorite) and water?
a. 1:10
b. 1:20
c. 1:50
d. 1:100
d. 1:100
7. Spills that involve blood or body fluid on a porous surface should be cleaned
with what ratio of solution of bleach (sodium hypochlorite) and water?
a. 1:10
b. 1:20
c. 1:50
d. 1:100
a. 1:10
8. Which test will NOT help confirm a diagnosis of HIV?
a. ELISA (enzyme test - antibody)
b. western blot (antibodies)
c. IFA (antibodies)
d. ANA (anti-nuclear antibody)
d. ANA (Lupus)
9. Which is NOT an opportunistic infection in an AIDS patient?
a. cytomegalovirus
b. pneumocystis carinii pneumonia
c. systemic lupus
d. Kaposi’s sarcoma
c. systemic lupus
10. One of your employees incurred a needlestick accident. Which of the following
is required by OSHA?
a. Hep B vaccination status must be on file for the duration of the employment
b. medical evaluation records must be retained for the duration of the employment plus 30
years
c. Hep B vaccination plus medical records must be on file for the duration of the
employment plus 20 years
d. the accident must be reported to the local hospital
b. medical evaluation records must be retained for the duration of the employment plus 30
years
11. If a patient is burned by moxa, what is the primary concern?
a. that they will sue you
b. infection
c. there will be a scar
d. they won’t come back
b. infection
12. You are doing so well in your 5th year of practice, you decide to open a second
office. What do you need to do in order to display your license in your second
location as well as your current one?
a. obtain a duplicate certificate
b. make a photocopy to hang in the office until you can receive a duplicate
c. you don’t need one in both offices
d. you borrow the license of a friend that is not using it right now
a. obtain a duplicate certificate
13. Which of the following is NOT a modality that is part of the practice of
acupuncture?
a. oriental massage
b. magnets
c. dispensing of controlled substances
d. breathing techniques
c. dispensing of controlled substances
14. What is true about guest acupuncturists from another state or country?
a. they may practice out of their residence for less than one year, after obtaining
appropriate business licenses
b. they may hold lectures and demonstrations for up to six months
c. they may set up a private phone line with which to set up appointments with local
patients
d. they are not allowed to engage in any practice of acupuncture, including lectures and
demonstrations, in a state they are not licensed in
b. they may hold lectures and demonstrations for up to six months
15. When using bleeding techniques, what is recommended?
a. that cups are not used because they are hard to clean
b. that a plastic bag should be right next to the table
c. that two layers of gloves are used
d. that only a lancet be used
c. that two layers of gloves are used
16. If mild bleeding occurs after removal of a needle, what is proper to do?
a. send the patient home with a bandaid
b. clean it with alcohol
c. apply ice to the area immediately
d. apply direct pressure with a cotton ball for 30 seconds to one minute
d. apply direct pressure with a cotton ball for 30 seconds to one minute
17. What is true about guide tubes?
a. they need to be sterile for each patient
b. you can use the same tube on multiple patients
c. you should boil the tubes after the day’s use
d. you should wipe them with alcohol between patients
a. they need to be sterile for each patient
18. True or false: HBV is easier to catch than HIV because it is over 100 times
more concentrated in an infected person’s blood and it can exist on surfaces
outside the body.
True
19. Where must you post your license?
a. in your private office
b. in a conspicuous location in your place of practice
c. in an inconsipicuous location in your place of practice
d. outside your office
b. in a conspicuous location in your place of practice
20. In sterilizing needles, why are needles cleaned before the second sterilization?
a. to keep the sterilizing equipment clean
b. to make sure they are strong enough for the second sterilization
c. to keep them looking new and without rust
d. to remove organic materials
d. to remove organic materials
21. How often do you need to sterilize plum blossom needles?
a. after each patient
b. only after blood is drawn from the skin
c. between treating the upper and lower body
d. at the end of each day
a. after each patient
22. For a practitioner that works in an inner city clinic with AIDS and drug addicts,
the CDC recommends that they test themselves for TB how often?
a. once per year
b. every six months
c. every three months
d. only when they have possible symptoms
b. every six months
23. How long can Hep B survive on surfaces at room temperature?
a. 3 hours
b. 5 days
c. at least one week
d. 2 months
c. at least one week
24. Which type of hepatitis does the CDC recommend acupuncturists and other
health care professionals who are at risk for exposure get vaccinated for?
a. Hep A
b. Hep B
c. Hep C
d. Hep D
b. Hep B
25. How long is the latent period for Hep B?
a. from 7 weeks up to 6 months
b. 6-8 months
c. 2-5 months
d. 1-2 years
a. from 7 weeks up to 6 months
26. What type of container must you use for your contaminated needles?
a. one that is transparent so that you can monitor how full it is
b. one that is made out of plastic
c. one that has a proper sealing lid
d. one that can be hung on the wall and out of the way
c. one that has a proper sealing lid
27. Which sentence regarding dry heat sterilization is true?
a. it must be temperature of 388 degrees F, and for three hours
b. it must be temperature of 338 degrees F, and for two hours
c. it is not an acceptable form of sterilization
d. it must exceed 400 degrees F, and for one hour
b. it must be temperature of 338 degrees F, and for two hours
28. When you are handwashing, what is acceptable?
a. using bar soap over liquid soap
b. leaving on a wedding band
c. shaking the hands dry in the air
d. both b and c
d. both b and c
29. When preparing a travel kit, which of the following is FALSE:
a. cotton balls must be clean
b. the hard-sided container must be washed in hot, soapy water
c. the waste bag and opened receptacle for contaminated needles should be placed inside
the clean field
d. if the practioner wishes to close the hole, a wet cotton ball should be used
c. the waste bag and opened receptacle for contaminated needles should be placed inside
the clean field
30. At what point can HBV immunity begin to diminish after receiving vaccination?
a. after 3 years
b. after 5 years
c. after 7 years
d. it is good for life
b. after 5 years
31. When do you need to use germicidal soap other than regular soap?
a. before and after all treatments
b. before treating a patient undergoing chemotherapy
c. before treating pregnant women
d. when washing your dog
b. before treating a patient undergoing chemotherapy
32. True or false, cotton balls used for closing the acupuncture hole need to be
sterile.
false
33. What type of record keeping is required by acupuncturists?
a. treatments given and progress made as a result of the treatments
b. notation of all referrals made to other doctors
c. information reported by the patient
d. lifestyle recommendations
e. all of the above
e. all of the above
34. Which is true about steam heat sterilization?
a. 50 minutes at 15 psi
b. 25 minutes at 10 psi
c. 30 minutes at 15 psi
d. 40 minutes at 20 psi
c. 30 minutes at 15 psi
35. Please match the term with the definition:
a. sterilization
b. disinfection
c. antiseptic
d. clean technique

e. includes antisepsis, disinfection, sterilization, and washing
f. designed to reduce density of microbial life on living tissue
g. destroys pathogens on inanimate objects
h. destroys all microbial life, including viruses
a. sterilization; h. destroys all microbial life, including viruses
b. disinfection; g. destroys pathogens on inanimate objects
c. antiseptic; f. designed to reduce density of microbial life on living tissue
d. clean technique; includes antisepsis, disinfection, sterilization, and washing
36. If a needle is broken, but you can see part of it sticking up from the skin, you
should:
a. remove it with forceps
b. send the patient to the ER for extraction
c. use warming moxibustion
d. never use those type of needles again
a. remove it with forceps
37. An unmarried couple comes into your office for treatment. You do a complete
history on each of them individually. You learn from the male patient that he is
HIV positive. But he tells you not to tell his girlfriend, because he wants to
propose to her. What do you do?
a. nothing, you cannot release medical information about him without his consent
b. take both of them into your office after treatment to discuss the situation
c. tell the girlfriend in confidence what he has told you
d. send the girlfriend an anonymous letter
a. nothing, you cannot release medical information about him without his consent
38. Which of the following is NOT a contagious disease from a needle stick?
a. AIDS
b. Hep B
c. hemophilia
d. all of the above
c. hemophilia
39. Which of the following is NOT recommended to use for immunocompromised
patients?
a. iodophor followed by alcohol swab
b. betadyne followed by alcohol swab
c. benzylconium chloride
d. 99% isopropyl alcohol
d. 99% isopropyl alcohol
40. Which of the following statements is TRUE:
a. after swabbing a point, the needle should be inserted immediately, while the point is still
wet
b. 32 gauge Chinese needles, or #5 Japanese needles are advised to be used for electrical
simulation
c. if a pneumothorax is suspected, you must leave the needle in and call 911
d. it is OK to insert needles up to the handle
b. 32 gauge Chinese needles, or #5 Japanese needles are advised to be used for electrical
simulation
41. If needles are accidentally spilled, what is the protocol?
a. use gloves and tweezers, clean area with soap and water, wipe with germicide, discard
materials in double wrapping, wash hands
b. wash hands, use gloves and tweezers, clean with germicide, wash with soap, wash
hands
c. use gloves and tweezers, wash area with bleach, discard all materials in double
wrapping, wash hands
d. wash hands, use gloves and tweezers, clean with bleach, follow with only water, discard
gloves and towels in biohazard, wash hands
a. use gloves and tweezers, clean area with soap and water, wipe with germicide, discard
materials in double wrapping, wash hands
42. If you fail to wash your hands between patients, you may put them at risk for:
a. autogenous infection
b. streptococcal infection
c. cross-infection
d. they are at no risk
c. cross-infection
43. Which of the following is NOT considered an unacceptable sterilization
procedure?
a. pressure cookers
b. glass beads
c. soaking in alcohol
d. autoclave
d. autoclave
44. Which is NOT something you should do in the case of a stuck needle?
a. massage or tap the skin around the point
b. give another puncture nearby
c. elevate the area
d. turn it slightly in the opposite direction
c. elevate the area
45. Sodium hypochlorite is:
a. household bleach
b. used to clean smooth surfaces in a 1:10 ratio
c. used to clean porous surfaces in a 1:100 ratio
d. never used to clean blood
e. all of the above
a. household bleach