CNT Written Exam, Clean Needle
Technique Review
T/F: You should avoid being in direct patient care when you are acutely ill and until you
are fever free for at least 24 hours without the use of NSAIDS - ANSWER-True
T/F: Gloves protect the practitioner against needlestick accidents - ANSWER-False
T/F: The first step in cleaning and disinfecting cups and gua sha tools is to rinse with a
strong disinfecting solution then wash with soap and water. - ANSWER-False
T/F: High level disinfectants are used to disinfect only reusable medical equipment -
ANSWER-True
T/F: It is recommended that clinicians have an annual physical exam - ANSWER-True
T/F: Standard of care is defined as what a minimally competent clinician in the same
field with the same level of training would do in a similar situation - ANSWER-True
T/F: Best practices need to be modified as new evidence in safety becomes available -
ANSWER-True
T/F: One example of the acupuncture Standard of Care is to follow the five steps of
CNT - ANSWER-True
T/F: In the CNT Manual, only some of the items listed as critical make up the standard
of care. - ANSWER-False
T/F: The standard of care is different for people with differing levels of training. -
ANSWER-True
Herpes viruses can live on common surfaces for up to: - ANSWER-24 hours
One in three people are carriers of what pathogen on their skin? - ANSWER-Staph
aureus 金黄色葡萄球菌
Large outbreaks of this infection have been reported in clusters associated with
acupuncture clinics: - ANSWER-Mycobacterium other than tuberculosis
T/F: Standard Precautions require that you treat patients as if all patients carry
infections and are immunocompromised. - ANSWER-True
,To prevent the spread of gastrointestinal pathogens, it is best to: - ANSWER-Wash
hands with soap and water.
A....infection is an infection that is acquired in a healthcare setting. - ANSWER-
Nosocomial
T/F: Hep B vaccine is required to be offered to all healthcare workers by their employer.
- ANSWER-True
Which bloodborne pathogen is most easily passed through sharing a razor? -
ANSWER-HBV
What is the most common bloodborne pathogen in the United States? - ANSWER-HCV
Seroconversion 血清转化 to positive to this pathogen after a needlestick from a known
carrier of the disease is less than 1%. - ANSWER-HIV
T/F: HIV infection can only happen through unprotected sex with same sex partners. -
ANSWER-False
What are the five steps of Clean Needle Technique (CNT)? - ANSWER-1. Wash hands.
2. Use single use needles 3. Set up a clean field for each patient. 4. Immediately isolate
used sharps. 5. Follow Standard Precautions.
In all acupuncture locations, a clean field, needles, and guide tubes can be used for one
patient only. T/F - ANSWER-True
T/F: In some settings, infection control requirements may be different than what is
described in the CNT manual. - ANSWER-True
T/F: Because NADA protocol involves only ear needles, NADA practitioners can skip
handwashing or setting up a clean field for each patient when that is not convenient. -
ANSWER-False
T/F: In a group acupuncture setting, it is OK to put used needles in a reusable container
in a central location, and then after the group of patients leave, the used needles can be
placed into the sharps container. - ANSWER-False
symptom of hep B - ANSWER-early: fever, general malaise or insidious onset of
anorexia and abdominal pain. other sx: chills nausea joint pain, Rash and diarrhea
followed by severe *deoresison 脱脂 and fatigue*
is there a vaccine for HEP B - ANSWER-Yes
, chronic carriers may develop CIRRHOSIS 肝硬化 and LIVER CANCER
70% infectious for 3 + months
HEP C - ANSWER-blood borne (blood transfusion, IV drug use), sexual contact mostly
found in adults*
incubation period for HEB C - ANSWER-14-180 days
insidious onset
HEP C. Symptom - ANSWER-most occur 5-10 weeks after exposure
N/v anorexia JAUNDICE flu like sx, joint pain
vaccine for hep C - ANSWER-NOPE
15-20 % clear HCV
75-80 develop chronic infection
70% develop chronic hepatitis
Hep D. Character - ANSWER-requires HEP B to have it
blood borne from IV drug users and hemophiliacs
incubation period for hep D - ANSWER-unknown
symptom hep D - ANSWER-more severe symptom than HBV alone
is there vaccine hep D - ANSWER-no
hep E - ANSWER-fecal oral water borne contaminated food, only found in
underdeveloped countries
15-60 days, average *40 days*
*Abrupt onset*
Hep E transmission - ANSWER-fecal-oral route,chronic : sudden onset of fever nausea
malaise anorexia
last 7-14 days or could last 7 months
when is HEP B contagious? - ANSWER-only during incubation period up to 6 months,
patients shed virus up to 3 months after symptoms have subsided 症状已消退
Technique Review
T/F: You should avoid being in direct patient care when you are acutely ill and until you
are fever free for at least 24 hours without the use of NSAIDS - ANSWER-True
T/F: Gloves protect the practitioner against needlestick accidents - ANSWER-False
T/F: The first step in cleaning and disinfecting cups and gua sha tools is to rinse with a
strong disinfecting solution then wash with soap and water. - ANSWER-False
T/F: High level disinfectants are used to disinfect only reusable medical equipment -
ANSWER-True
T/F: It is recommended that clinicians have an annual physical exam - ANSWER-True
T/F: Standard of care is defined as what a minimally competent clinician in the same
field with the same level of training would do in a similar situation - ANSWER-True
T/F: Best practices need to be modified as new evidence in safety becomes available -
ANSWER-True
T/F: One example of the acupuncture Standard of Care is to follow the five steps of
CNT - ANSWER-True
T/F: In the CNT Manual, only some of the items listed as critical make up the standard
of care. - ANSWER-False
T/F: The standard of care is different for people with differing levels of training. -
ANSWER-True
Herpes viruses can live on common surfaces for up to: - ANSWER-24 hours
One in three people are carriers of what pathogen on their skin? - ANSWER-Staph
aureus 金黄色葡萄球菌
Large outbreaks of this infection have been reported in clusters associated with
acupuncture clinics: - ANSWER-Mycobacterium other than tuberculosis
T/F: Standard Precautions require that you treat patients as if all patients carry
infections and are immunocompromised. - ANSWER-True
,To prevent the spread of gastrointestinal pathogens, it is best to: - ANSWER-Wash
hands with soap and water.
A....infection is an infection that is acquired in a healthcare setting. - ANSWER-
Nosocomial
T/F: Hep B vaccine is required to be offered to all healthcare workers by their employer.
- ANSWER-True
Which bloodborne pathogen is most easily passed through sharing a razor? -
ANSWER-HBV
What is the most common bloodborne pathogen in the United States? - ANSWER-HCV
Seroconversion 血清转化 to positive to this pathogen after a needlestick from a known
carrier of the disease is less than 1%. - ANSWER-HIV
T/F: HIV infection can only happen through unprotected sex with same sex partners. -
ANSWER-False
What are the five steps of Clean Needle Technique (CNT)? - ANSWER-1. Wash hands.
2. Use single use needles 3. Set up a clean field for each patient. 4. Immediately isolate
used sharps. 5. Follow Standard Precautions.
In all acupuncture locations, a clean field, needles, and guide tubes can be used for one
patient only. T/F - ANSWER-True
T/F: In some settings, infection control requirements may be different than what is
described in the CNT manual. - ANSWER-True
T/F: Because NADA protocol involves only ear needles, NADA practitioners can skip
handwashing or setting up a clean field for each patient when that is not convenient. -
ANSWER-False
T/F: In a group acupuncture setting, it is OK to put used needles in a reusable container
in a central location, and then after the group of patients leave, the used needles can be
placed into the sharps container. - ANSWER-False
symptom of hep B - ANSWER-early: fever, general malaise or insidious onset of
anorexia and abdominal pain. other sx: chills nausea joint pain, Rash and diarrhea
followed by severe *deoresison 脱脂 and fatigue*
is there a vaccine for HEP B - ANSWER-Yes
, chronic carriers may develop CIRRHOSIS 肝硬化 and LIVER CANCER
70% infectious for 3 + months
HEP C - ANSWER-blood borne (blood transfusion, IV drug use), sexual contact mostly
found in adults*
incubation period for HEB C - ANSWER-14-180 days
insidious onset
HEP C. Symptom - ANSWER-most occur 5-10 weeks after exposure
N/v anorexia JAUNDICE flu like sx, joint pain
vaccine for hep C - ANSWER-NOPE
15-20 % clear HCV
75-80 develop chronic infection
70% develop chronic hepatitis
Hep D. Character - ANSWER-requires HEP B to have it
blood borne from IV drug users and hemophiliacs
incubation period for hep D - ANSWER-unknown
symptom hep D - ANSWER-more severe symptom than HBV alone
is there vaccine hep D - ANSWER-no
hep E - ANSWER-fecal oral water borne contaminated food, only found in
underdeveloped countries
15-60 days, average *40 days*
*Abrupt onset*
Hep E transmission - ANSWER-fecal-oral route,chronic : sudden onset of fever nausea
malaise anorexia
last 7-14 days or could last 7 months
when is HEP B contagious? - ANSWER-only during incubation period up to 6 months,
patients shed virus up to 3 months after symptoms have subsided 症状已消退
