CNT.txt

12) Acupuncture points shall be cleaned with which one of the following before insertion?

A) A germicide
B) A disinfectant
C) A cleanser
D) An antiseptic

41) After cupping a patient with no bleeding occurring, clean need technique states that cups should be:

A) Washed with soap and water between patients
B) Sterilized after each patient
C) Autoclaved after each patient
D) Washed with an antimicrobial soap and then sterilized after each patient

146) After needling one of your patients they start to experience headache, nausea, vomiting or disorientation. This may be the first indications for which one of the following?

A) Puncturing the Spinal Cord
B) Puncturing the Medulla Oblongata
C) Puncturing the Perineum
D) Puncturing the Stomach

73) After treating one of your patient's with an active case of HBV you realize that you have accidentally hit two veins. There is blood all over the floor and the treatment table. Using a dilution of sodium hypochlorite, how should you clean this up?

A) For smooth surfaces 1:100 concentration. For porous surfaces or organic material: 1:10concentration for 1 hour. B) For smooth surfaces 1: 50 concentration. For porous surfaces or organic material 1: 200 for 1 hour.
C) For smooth surfaces 1:25 concentration. For porous surfaces or organic material 1: 5 concentration for 2 hours.
D) For smooth surfaces: 1:10 concentration. For porous surfaces or organic material 1:100concentration for 1 hour.

27) All of the following are key signs and symptoms that a patient may faint except:

A) An oppressive feeling in the chest with palpitations
B) Dizziness and vertigo
C) Pain radiating down the left arm
D) Cold extremities and cold sweating

92) All of the following personal health conditions can prevent you from seeing and treating patients EXCEPT:

A) Staphylococcal furuncle
B) Viral infections of the upper respiratory tract
C) Streptococcal pharyngitis
D) Active Influenza

96) As you take a needle out you see that you have punctured a blood vessel. The blood that is coming out is generally more rapid and brighter-red in color. How long do you need to apply pressure?

A) 2 minutes
B) 1 minute
C) A minimum of 5 minutes
D) A minimum of 3 minutes

27) As you take a needle out you see that you have punctured a blood vessel. The blood that is coming out is generally slow and has a darker hemorrhage. How long do you need to apply pressure?

A) A minimum of 3 minutes
B) 2 minutes
C) 1 minute
D) A minimum of 5 minutes

82) Health care workers (HCWs) who are infected with HIV or HBV should not perform exposure prone procedures unless which one of the following has happened:

A) They have received extensive treatment and are currently undergoing active therapy for their infection
B) They have received counseling from an expert review panel regarding the circumstances under which they may continue to perform these procedures
C) They have signed and notarized a form swearing that they will always follow universal precautions.
D) They have signed and notarized a form swearing that under all conditions, whether the procedures are exposure prone or not, that they will wear gloves and always follow universal precautions.

61) How long can tuberculosis survive and remain infectious outside of the body?

A) 6 to 8 hours
B) 6 to 8 weeks
C) 6 to 8 days
D) 6 to 8 months

72) If after needling a patient they experience abdominal pain, rigidity of the abdominal muscles, and/or rebound pain upon pressure, you may have punctured which one of the following organs?

A) Spleen only
B) Liver or Spleen
C) Spleen or Stomach
D) Liver only

21) If you have accidentally needled an artery, you may need to apply direct pressure for up to how many minutes?

A) 5 minutes
B) 3 minutes
C) 7 minutes
D) 1 minute

91) If you accidentally puncture a vein, how long is sufficient for you to directly apply pressure?

A) 1 to 5 minutes
B) 10 to 20 seconds
C) Up to 5 minutes
D) 30 seconds to 1 minute

28) In order to protect the practitioner, the use of gloves is strongly recommended in all of the following instances EXCEPT:

A) When the practitioner has cuts abrasions, chapped skin, hang nails or broken cuticles on his or her hand and the lesions are located in a location where they pose a hazard.
B) When working with patients who have open lesions or weeping exudates from their skin.
C) When palpating or needling in or around the eyes and ears.
D) During procedures such as bleeding where there is a greater risk of contact with larger amounts of blood.

30) In which one of the following pairs of points, if needled too deeply, or if there is inappropriate manipulation, may result in bleeding and other severe consequences such as convulsions, paralysis, and coma?

A) Du 14 and Du 15
B) Du 15 and Du 16
C) Du 17 and Du 18
D) Du 16 and Du 17

57) It is strongly recommended that if a pneumothorax is suspected that that which of the following should be done:

A) Encourage the patient to lie calmly and leave the needle in while you call for emergency help
B) Leave the needle in and cover it with tape so as to seal the hole in the pleural cavity
C) Only remove the needle if you do not have to adjust the patient's current position
D) Carefully withdraw the needle immediately

96) In addition to a yearly physical, the CDCP suggests that practitioners who work in an inner city clinic, with AIDS patients or drug addicts, have a PPD test how often:

A) Every three months
B) Once every two years
C) Every six months
D) Every year

43) In compliance with clean needle technique, if you need to support the needle shaft, what should you use to do it?

A) Brushed scrubbed fingers
B) A clean latex glove
C) A clean gauze pad or cotton ball
D) A sterile gauze pad or cotton ball

41) In order to prevent broken needles, the needles should be:

A) Carefully inspected prior to treatment
B) Press the tissues around the site gently until the broken end is exposed
C) Advise the pain not to move so as to avoid the broken part of the needle to sink deeper
D) Remove the exposed needle with forceps

53) One of your patients faints! All of the following could be the cause, except:

A) Being tired
B) They skipped lunch and are now hungry
C) Not enough needle stimulation
D) Nervous tension

19) Practitioners should wash their hands immediately with soap and water after critical instances such as all of the following EXCEPT:

A) Break in the clean field between treatments
B) Break in the clean field during treatments
C) Contact with Blood
D) Contact with skin

6) The California Acupuncture Board require that you brush scrub your hands in all instances EXCEPT:

A) Immediately before examining patients
B) Immediately after examining patients
C) Between patients
D) Handling acupuncture needles and other instruments

24) The Center for Disease Control and Prevention states the highest risk of contracting Hepatitis B occurs during:

A) After five years or more of practice
B) During the professional training period
C) The first year of practice
D) It depends on how many patients the practitioner sees

47) The greatest risk of blood-borne pathogen transmission comes from which one of the following?

A) Cups right after bleeding cupping
B) Needle stick injuries
C) Blood soaked cotton balls
D) Open wounds on the practitioner's skin

32) What does disinfection mean?

A) Techniques for preventing infection during invasive procedures
B) Products designed to reduce the density of microbial life on living tissue, particularly on the skin of the patient or practitioner.
C) The use of procedure that destroy all microbial life, including viruses.
D) The use of chemicals and procedures designed to destroy or reduce the number of pathogens on inanimate objects such as equipment and clinic surfaces.

23) What is the definition of a "Chronic Active" carrier?

A) A person that is asymptomatic or has very minimal symptoms but can continue to infect others.
B) A person that is asymptomatic or has very minimal symptoms but can no longer infect others.
C) A person that has a progressive symptomatic disease that continues to damage the liver but can no longer infect others.
D) A person that has a progressive symptomatic diseasethat continues to damage the liver and they can continue to infect others.

40) What is the definition of a "Chronic Persistent" carrier?

A) A person that has a progressive symptomatic disease that continues to damage the liver but can no longer infect others.
B) A person that is asymptomatic or has very minimal symptoms but can continue to infect others.
C) A person that is asymptomatic or has very minimal symptoms but can no longer infect others.
D) A person that has a progressive symptomatic disease that continues to damage the liver and they can continue to infect others.

127) What should you do if the burn is severe, or if there are any signs of infection?

A) Apply a burn ointment with a clean cotton ball
B) Apply sterile gauze over a burn ointment
C) Refer the patient to a physician
D) Apply clean gauze over a burn ointment

94) What should you do if you burn your patient with moxa but it is very small in area and a first or second-degree burn?

A) Apply clean gauze over a burn ointment
B) Apply sterile gauze over a burn ointment
C) Refer the patient to a physician
D) Apply sterile gauze only and then refer the patient to a physician

147) When a practitioner bleeds an acupuncture point using a lancet or acupuncture needle, it is suggested that two layers of gloves be used. Which one of the following reasons best describes why?

A) This allows for the practitioner to feel safer especially if the practitioner suspects that the patient is infected with such blood borne pathogens such as Hepatitis B, Hepatitis C, or HIV.
B) This allows an extra layer of protection in case the practitioner accidently pricks themselves with a needle or lancet giving a squeegee effect to the needle and thus reducing the chance of being infected with a blood borne pathogen.
C) This allows the practitioner to remove a glove and reglove if the glove becomes blood during the procedure, without concern about direct contact with blood.
D) This allows for a extra protection in case there is a manufacturers defect in one of the gloves and thus protects the practitioner in case there is a defective glove.

99) Which one of the following cleaning procedures is recommended for immunocompromised patients?

A) Glutaraldehyde followed by alcohol swab
B) Betadyne followed by alcohol swab
C) 90% isopropyl alcohol followed by alcohol swab
D) Sodium hypochlorite followed by alcohol swab

21) Which one of the following contents in a travel kit is not necessary?

A) Sterile Cotton Balls
B) Bag or containers to isolate equipment
C) Antiseptic towelettes
D) Sterile gauze

44) Which one of the following is a topically applied agent that inhibits the growth of bacteria, thus preventing infections in cuts, scratches, and surgical incisions?

A) Antiseptics
B) Germicide
C) Disinfectants
D) Sterilizer

94) Which one of the following is correct in regards to dilutions of sodium hypochlorite for smooth and porous surfaces?

A) For smooth surfaces 1: 50 concentration. For porous surfaces or organic material 1: 200 for 1 hour.
B) For smooth surfaces 1:25 concentration. For porous surfaces or organic material 1: 5 concentration for 2 hours.
C) For smooth surfaces: 1:10 concentration. For porous surfaces or organic material 1:100concentration for 1 hour.
D) For smooth surfaces 1:100 concentration. For porous surfaces or organic material:1:10concentration for 1 hour.

37) Which one of the following is the correct definition of antiseptic?

A) The chemical employed in disinfection. They should only be used on inanimate objects.
B) The use of procedures that destroy all microbial life, including viruses.
C) Products designed to reduce the density of microbial life on living tissue, particularly on the skin of the patient or practitioner.
D) The use of chemicals and procedures designed to destroy or reduce the number of pathogens on inanimate objects such as equipment and clinic surfaces.

157) Which one of the following is the most effective form of hand washing?

A) Hand washing with disposable antiseptic towelette such as benzalkonium chloride
B) Hand washing with glutaraldehyde formulations and running water
C) Hand washing with a germicidal hand scrub
D) Hand washing with disinfecting soap and running water

50) Which one of the following statements are true?

A) It is critical that needle guide tubes be sterile for each patient.
B) It is strongly recommended that needle guide tubes be sterile for each patient.
C) It is recommended that needle guide tubes be sterile for each patient.
D) It is not recommended that needle guide tubes be sterile for each patient.

14) Which pair of points is common for relief of faintness or actual resuscitation?

A) Puncture P-6 and LI-4
B) Puncture LI-4 and G-34
C) Puncture Du-26 and P-6
D) Puncture P-6 and G-34

43) You are calling around different acupuncturists to treat one of your patients that has moved. The first acupuncturists that you call apparently has a staphylococcal furuncle, the second acupuncturists that you call has a viral infection of the upper respiratory tract. The third acupuncturist that you call apparently has streptococcal pharyngitis and the last acupuncturist that you call apparently has active influenza. You decided that you're not sending you patient to a sick acupuncturists, however, which one is legally allowed to practice despite their illness?

A) The acupuncturists with the staphylococcal furuncle as long as it is bandaged up and hidden from view.
B) The acupuncturists with the viral infection of the upper respiratory tract.
C) The acupuncturists with active influenza as long as they wash their hands continuously throughout the day and wear a face mask.
D) The acupuncturists with streptococcal pharyngitis provided that they wear a face mask.

172) You are currently working in a clinic that predominantly treats patients with Hepatitis C. A new volunteer intern comes in to help out and you are responsible for training the new intern. When it comes time to talk about avoiding needle stick injuries you explain that all of the following are best for preventing needle stick injuries except:

A) Strict adherence to CNT protocols by practitioners
B) The need to always use gloves when removing needles and handling cotton balls with blood on them.
C) The need to train all staff in clean needle protocols and universal precautions.
D) Continuing recognition of the need to handle ALL patients as if they were potential infectious.

27) You are giving your patient a treatment and you also use moxa. However, you accidentally burn them. Fortunately it is in a very small area and no more than a second degree burn. What is the correct thing for you to do?

A) Refer the patient to a physician
B) Apply burn ointment and then refer them to a physician
C) Apply burn ointment and then apply sterile gauze
D) Apply burn ointment and the apply clean gauze

80) You have been told over and over again that hand washing is the best way to prevent the spread of germs and diseases. What is the most effective form of hand washing?

A) Hand washing with disinfecting soap and running water immediately after leaving each patient and just prior to inserting needles in patients
B) Hand washing with disposable antiseptic towelette such as benzalkonium chloride immediately after leaving each patient and just prior to the insertion of a needle
C) Hand washing with glutaraldehyde formulations and running water immediately before seeing a patient and just after the insertion of a needle
D) Hand washing with a germicidal hand scrub immediately before seeing a patient and just after the insertion of a needle