Health Promotion

/Population/Oral Health 2013 Pg. 350 – 3722012 Pag 352-370

2013 Pag355 # 9

The form of hepatitis that poses the greatest risk of transmission from patient to dental health care worker is

A. hepatitis A.

B. hepatitis B.

C. hepatitis C.

D. hepatitis D.

Immunization: All members of the dental team (who are exposed to blood or blood contaminated articles) should be vaccinated against hepatitis B.

Text book of Operative Dentistry

2013 Pag356 # 1

The risk of a health care worker contracting hepatitis B through a needlestick injury from a chronic hepatitis B carrier is increased when the patient’s serology report indicates the presence of

A.HBsAg.

B. anti-HBcAg.

C. HBeAg.

D. anti-HBsAg.

Pag358 # 1

An adult female patient presents to the dental office with fractured teeth, a lacerated lip and a black eye. She is with her 6 year old son, who is crying and upset. The dentist’s receptionist discretely reports that the child was asking his mother “Why was Daddy hurting you?” Upon questioning, the patient confides that her husband was the source of her injuries and indicates that she would not be pursuing any action. She is referred to a specialist due to the complexity of her dental injuries, but she requests that the source of her injuries not be disclosed. What is the dentist’s obligation?

A. Respect the patient’s request regarding confidentiality.

B. Report her injuries to an adult protection agency.

C. Forward all information, including the source of the injuries, to the specialist.

D. Report the situation to a relevant child protection agency.

Dental health professionals continue to under-report child abuse, despite growing awareness of their potential role in detecting this crime. This article presents an overview of child abuse and neglect and outlines the indicators that may alert dental professionals to possible maltreatment of child patients. Documentation protocols are also pro- vided to aid in reporting child abuse identified in the dental office.

J Can Dent Assoc 1999; 65:387-91

Pag360 # 3

Which of the following statements regarding Informed Consent is FALSE? It is

A. always necessary.

B. given only by the person receiving the treatment.

C. able to be withdrawn.

D. procedure specific.

Failure to obtain the informed consent of the patient by not informing the patient of the risk of failure and its consequences (particularly endodontic and orthodontics)

Voluntary informed consent must be obtained from all human subjects, or from their proxies, before any research is started.

dentistry, dental practice, and the community.

Pg 363#8

Which of the following statements is true?

A. Masks should always be worn when seeing a patient

B. A face shield is an appropriate replacement for a surgical mask

C. Surgical masks protect against exposure of spatter which is larger than 1μm

D. Masks should be changed when they become moist.

The barrier precautions (gloves, masks, and eyewear) and sterilization procedures for pre- venting HCV transmission are the same as those for preventing HBV transmission. Dentistry, dental practice, and the community. Pag145

371#2The purpose of hand hygiene in infection control is primarily to reduce the A. resident microflora in the deep tissue layers. B. quantity of transient microorganisms on the surface of the hands. C. dryness of the skin prior to donning gloves. D. risk of patient contamination

hand hygiene plays a central role in the reduction of cross-contamination and in

infection control. Hand hygiene significantly reduces potential pathogens on the hands

and is considered as the single most critical measure for reducing the risk of

transmitting organisms to patients and dentists. The microbial flora of the skin consist

of transient and resident microorganisms. Dentistry, dental practice, and the community. Pag 233

Hepatitis B Virus

Regarding the Dietary Reference Intake (DRI) for calcium,

A. adult men and women require the same amount.

B. more calcium is required during pregnancy and lactation.

C. women over 70 years require more than men over 70 years.

D. under the age of 18, boys require more calcium than girls.Age group Recommended Dietary Allowance (RDA) per dayTolerable Upper Intake Level (UL) per dayInfants 0-6 months 400 IU  (10 mcg) 1000 IU (25 mcg)Infants 7-12 months 400 IU  (10 mcg) 1500 IU (38 mcg)Children 1-3 years 600 IU (15 mcg) 2500 IU (63 mcg)Children 4-8 years 600 IU (15 mcg) 3000 IU (75 mcg)Children and Adults 9-70 years 600 IU (15 mcg) 4000 IU (100 mcg)Adults > 70 years 800 IU (20 mcg) 4000 IU (100 mcg)Pregnancy & Lactation 600 IU (15 mcg) 4000 IU (100 mcg)

http://www.hc-sc.gc.ca/fn-an/nutrition/vitamin/vita-d-eng.php#a10

2012 Pag 361 #2

The risk of transmission of Hepatitis B Virus (HBV) is greater than that of

Human Immunodeficiency Virus (HIV) because HBV is

1. more resistant than HIV .

2. transmissible through saliva.

3. in higher numbers in blood than HIV.

4. autoclave resistant.

A. (1) (2) (3)

B. (1) and (3)

C. (2) and (4)

D. (4) only

E. All of the above.