DANB ICE EXAM AND ANSWERS
OPIM: - answer-other potential infectious material
When Should Masks be Worn: - answer-during all times when splash, splatter,
spray and aerosols may occur
OSHA Regulations Mandates that Lab Coats be Laundered by who - answer-clinic
or outside facility hired by clinic
Bioburden: - answer-debris, microorganisms left on surfaces, (such as saliva and
blood)
Antibiotics: - answer-kills microbes in our body
Antiseptics: - answer-kills microbes on skin or body surface
Disinfectants: - answer-kills microbes on inanimate surfaces, prevent future growth
Sterilants: - answer-kills ALL microbes on inanimate surfaces
Sterilant/HIGH LEVEL Disinfectant: - answer-kills all microbes on inanimate
objects, (heat resistant object)
Intermediate Level Disinfectant: - answer-kills vegetative bacteria, fungi, virus,
M., tuberculosis
Low-Level Disinfectant: - answer-kills most vegetative bacteria, some fungi &
some viruses, NOT tuberculosis
Virucidal: - answer-kills some virsues
Suffix-cidal: - answer-to kill
Bactericidal: - answer-kills some bacteria
Fungicidal: - answer-kills some fungi
Tuberculocidal: - answer-kills tuberculosis bacterium
Sporcidal: - answer-kills high level bacterial endospores, (for non-heat resistant
items)
Hospital Disinfectant: - answer-kills 3 main bacteria
,Chlorine Compounds: - answer-bleach=sodium hypochlorite, Intermediate level
disinfectant at 1:10 to 1:100 dilution, mix fresh daily
Iodophors: - answer-iodine based, most are intermediate level disinfectant, prepare
daily, NOT used anymore
Alcohols: - answer-Isopropyl/ethyl- antiseptic and disinfect, rapid evaporation,
poor cleaners, NOT used as a surface disinfectant, used as a component in
disinfectants
Phenols: - answer-aka- carbolic acid, first widely used disinfectant, intermediate
level disinfectant, detergent added to aid w/cleaning, dilute & mix fresh daily
Sterilization: - answer-process intended to kill all microorganisms and is the
highest level of microbial kill that can be achieved
Disinfection: - answer-less lethal, kills disease-producing microorganisms but
NOT bacterial endospores
Types of Sterilization: (3) - answer-heat, gas, liquid chemical
Categories of Pt Care Items: (3) - answer-critical, semi-critical, non-critical
Critical: - answer-penetrates soft tissue, contacts bone, enters into blood stream, ex.
surgical instruments, scalers, scalpels- MUST be cleaned and sterilized by heat
Semi-critical: - answer-contacts mucous membranes, does not penetrate, ex. mouth
mirror, impression trays, amalgam condensor- heat resistant items must be cleaned
& treated w/ high-level disinfectants
Non-critical: - answer-contacts the skin, ex. blood pressure cuff, stethoscope- items
are cleaned and treated with a low-level disinfectant, intermediate-level
disinfectant if visible blood
Universal Sterilization: - answer-all reusable instruments and handpieces are
sterilized, NOT disinfected, between use on patients
Steps of Sterilization: (7) - answer-transport, cleaning, packaging, sterilization,
storage, delivery, quality
Monitoring: (3) - answer-biological, chemical, mechanical
Biological Monitoring: - answer-aka- spore testing, place spore strip into
sterilizers, if spores are killed sterilizers are working
, Biological spores: (2) - answer-geobacillus stearothermophilus, bacillus atropheus
CDC, ADA Recommend that Testing be Done: - answer-weekly
Employee training on Hazard communication program - staff training is required
when? - answer-upon hire, when new chemical is introduced, and once a year
thereafter - records of training kept for 5 years
Chemical Monitoring: - answer-use of heat sensitive indicators, pouches w/ dots
that change color, tape that change color, colored liquid, NOT an indication of
sterilization
Mechanical Monitoring: - answer-use of visible means, watching gauges, recording
temps, pressure, exposure times, does NOT indicate sterilization
Microorganisms: (5) - answer-bacteria, viruses, fungi, protozoa, prions
Endogenous: - answer-originate within body, not transmitted to another
Exogenous: - answer-orignate outside individuals body, body is invaded; radiation,
chemical agents, trauma, extreme temps
Nosocomial: - answer-acquired in a hospital setting
Opportunistic: - answer-occur when body is at weakened state
Asymptomatic Carrier: - answer-persons who have disease agent on or in their
system but have no recognizable symptoms of disease
Disease Stages: (4) - answer-incubation, prodromal, acute, convalescent
Types of Transmission: (4) - answer-direct contact, indirect, droplet, airborne,
bloodborne
Direct Contact: - answer-by touching an infected person (wiping kids nose)
Indirect Contact: - answer-agents left on surfaces (sneeze, then touch the table)
Droplet Contact: - answer-splash, splatter, spray aerosals (sneeze in hallway, toilet)
Airborne Contact: - answer-agent is inhaled into respiratory system
Bloodborne Contact: - answer-infected blood enters host (blood to blood)
Types of Immunity: (4) - answer-acquried immunity, artificial active immunity,
congenital passive immunity, passive
OPIM: - answer-other potential infectious material
When Should Masks be Worn: - answer-during all times when splash, splatter,
spray and aerosols may occur
OSHA Regulations Mandates that Lab Coats be Laundered by who - answer-clinic
or outside facility hired by clinic
Bioburden: - answer-debris, microorganisms left on surfaces, (such as saliva and
blood)
Antibiotics: - answer-kills microbes in our body
Antiseptics: - answer-kills microbes on skin or body surface
Disinfectants: - answer-kills microbes on inanimate surfaces, prevent future growth
Sterilants: - answer-kills ALL microbes on inanimate surfaces
Sterilant/HIGH LEVEL Disinfectant: - answer-kills all microbes on inanimate
objects, (heat resistant object)
Intermediate Level Disinfectant: - answer-kills vegetative bacteria, fungi, virus,
M., tuberculosis
Low-Level Disinfectant: - answer-kills most vegetative bacteria, some fungi &
some viruses, NOT tuberculosis
Virucidal: - answer-kills some virsues
Suffix-cidal: - answer-to kill
Bactericidal: - answer-kills some bacteria
Fungicidal: - answer-kills some fungi
Tuberculocidal: - answer-kills tuberculosis bacterium
Sporcidal: - answer-kills high level bacterial endospores, (for non-heat resistant
items)
Hospital Disinfectant: - answer-kills 3 main bacteria
,Chlorine Compounds: - answer-bleach=sodium hypochlorite, Intermediate level
disinfectant at 1:10 to 1:100 dilution, mix fresh daily
Iodophors: - answer-iodine based, most are intermediate level disinfectant, prepare
daily, NOT used anymore
Alcohols: - answer-Isopropyl/ethyl- antiseptic and disinfect, rapid evaporation,
poor cleaners, NOT used as a surface disinfectant, used as a component in
disinfectants
Phenols: - answer-aka- carbolic acid, first widely used disinfectant, intermediate
level disinfectant, detergent added to aid w/cleaning, dilute & mix fresh daily
Sterilization: - answer-process intended to kill all microorganisms and is the
highest level of microbial kill that can be achieved
Disinfection: - answer-less lethal, kills disease-producing microorganisms but
NOT bacterial endospores
Types of Sterilization: (3) - answer-heat, gas, liquid chemical
Categories of Pt Care Items: (3) - answer-critical, semi-critical, non-critical
Critical: - answer-penetrates soft tissue, contacts bone, enters into blood stream, ex.
surgical instruments, scalers, scalpels- MUST be cleaned and sterilized by heat
Semi-critical: - answer-contacts mucous membranes, does not penetrate, ex. mouth
mirror, impression trays, amalgam condensor- heat resistant items must be cleaned
& treated w/ high-level disinfectants
Non-critical: - answer-contacts the skin, ex. blood pressure cuff, stethoscope- items
are cleaned and treated with a low-level disinfectant, intermediate-level
disinfectant if visible blood
Universal Sterilization: - answer-all reusable instruments and handpieces are
sterilized, NOT disinfected, between use on patients
Steps of Sterilization: (7) - answer-transport, cleaning, packaging, sterilization,
storage, delivery, quality
Monitoring: (3) - answer-biological, chemical, mechanical
Biological Monitoring: - answer-aka- spore testing, place spore strip into
sterilizers, if spores are killed sterilizers are working
, Biological spores: (2) - answer-geobacillus stearothermophilus, bacillus atropheus
CDC, ADA Recommend that Testing be Done: - answer-weekly
Employee training on Hazard communication program - staff training is required
when? - answer-upon hire, when new chemical is introduced, and once a year
thereafter - records of training kept for 5 years
Chemical Monitoring: - answer-use of heat sensitive indicators, pouches w/ dots
that change color, tape that change color, colored liquid, NOT an indication of
sterilization
Mechanical Monitoring: - answer-use of visible means, watching gauges, recording
temps, pressure, exposure times, does NOT indicate sterilization
Microorganisms: (5) - answer-bacteria, viruses, fungi, protozoa, prions
Endogenous: - answer-originate within body, not transmitted to another
Exogenous: - answer-orignate outside individuals body, body is invaded; radiation,
chemical agents, trauma, extreme temps
Nosocomial: - answer-acquired in a hospital setting
Opportunistic: - answer-occur when body is at weakened state
Asymptomatic Carrier: - answer-persons who have disease agent on or in their
system but have no recognizable symptoms of disease
Disease Stages: (4) - answer-incubation, prodromal, acute, convalescent
Types of Transmission: (4) - answer-direct contact, indirect, droplet, airborne,
bloodborne
Direct Contact: - answer-by touching an infected person (wiping kids nose)
Indirect Contact: - answer-agents left on surfaces (sneeze, then touch the table)
Droplet Contact: - answer-splash, splatter, spray aerosals (sneeze in hallway, toilet)
Airborne Contact: - answer-agent is inhaled into respiratory system
Bloodborne Contact: - answer-infected blood enters host (blood to blood)
Types of Immunity: (4) - answer-acquried immunity, artificial active immunity,
congenital passive immunity, passive
