Download CNT WRITTEN EXAM, CLEAN NEEDLE TECHNIQUE REVIEW QUESTIONS WITH 100% ACCURATE ANSWERS and more Exams Public Health in PDF only on Docsity!
CNT WRITTEN EXAM, CLEAN NEEDLE
TECHNIQUE REVIEW QUESTIONS WITH 100%
ACCURATE ANSWERS
T/F: One example of the acupuncture Standard of Care is to follow the five steps of CNT - Accurate answers True T/F: In the CNT Manual, only some of the items listed as critical make up the standard of care. - Accurate answers False T/F: The standard of care is different for people with differing levels of training. - Accurate answers True Herpes viruses can live on common surfaces for up to: - Accurate answers 24 hours One in three people are carriers of what pathogen on their skin? - Accurate answers Staph aureus ้้ป่ฒ่ก่็่ Large outbreaks of this infection have been reported in clusters associated with acupuncture clinics: - Accurate answers Mycobacterium other than tuberculosis T/F: Standard Precautions require that you treat patients as if all patients carry infections and are immunocompromised. - Accurate answers True To prevent the spread of gastrointestinal pathogens, it is best to: - Accurate answers Wash hands with soap and water. A....infection is an infection that is acquired in a healthcare setting. - Accurate answers Nosocomial T/F: Hep B vaccine is required to be offered to all healthcare workers by their employer. - Accurate answers True Which bloodborne pathogen is most easily passed through sharing a razor? - Accurate answers HBV What is the most common bloodborne pathogen in the United States? - Accurate answers HCV Seroconversion ่กๆธ
่ฝฌๅ to positive to this pathogen after a needlestick from a known carrier of the disease is less than 1%. - Accurate answers HIV T/F: HIV infection can only happen through unprotected sex with same sex partners. - Accurate answers False
What are the five steps of Clean Needle Technique (CNT)? - Accurate answers 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
- Accurate answers True T/F: In some settings, infection control requirements may be different than what is described in the CNT manual. - Accurate answers 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. - Accurate answers 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. - Accurate answers False The most extensively used PPE in the acupuncturist's office is: - Accurate answers Closed toe shoes T/F: Gloves must be used when there is any broken skin on the acupuncturist's hands. - Accurate answers True If assisting a dentist with oral pain control during a dental procedure, an acupuncturist would need to use gloves, a procedure mask, and what other PPE? - Accurate answers A face shield T/F: It is important to know how to properly put on and take off PPE. - Accurate answers True T/F: Because needle removal includes exposure to blood occassionally, all acupuncturists must wear gloves when removing needles. - Accurate answers False If hands are visibly soiled, use this method to clean them. - Accurate answers Wash hands with soap and water. 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 - Accurate answers True T/F: Gloves protect the practitioner against needlestick accidents - Accurate answers 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. - Accurate answers False T/F: High level disinfectants are used to disinfect only reusable medical equipment - Accurate answers True T/F: It is recommended that clinicians have an annual physical exam - Accurate answers 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 - Accurate answers True
T/F: It is appropriate to turn up the amperage of an estim machine until there are significant muscle spasms at the insertion points. - Accurate answers False T/F: Misuse of electroacupuncture is associated with avulsion fractures. - Accurate answers True T/F: An important consideration when using moxa is to have sufficient room ventilation. - Accurate answers True T/F: Important considerations in preventing burns from moxa include staying attentive to the patient and preventing ash from falling onto the patient's skin and clothing. - Accurate answers True T/F: Patients more likely to be at risk for moxa burns include those with neuropathies due to excess conditions. - Accurate answers False T/F: To treat moxa burns from any form of moxibustion, the FIRST step is to cool the burned area with water regardless of where the burn is located. - Accurate answers True T/F: the minimum safe distance from the skin a heat lamp should be placed is 12 inches. - Accurate answers True T/F: Severe adverse events to acupuncture are very rare. - Accurate answers True T/F: Pneumothorax occurs at a rate of approximately 1 per 1,000 acupuncture visits in the US - Accurate answers False T/F: Insertion site pain may occur because alcohol was not allowed to dry before needle insertion - Accurate answers True T/F: Someone taking anticoagulant medications should never be needled because the risk of bleeding is too high. - Accurate answers False The first step to respond to needle faintness: - Accurate answers Remove the needles! To reduce the risk of pneumothorax, needles inserted in points on the upper back and chest points should be: - Accurate answers inserted obliquely T/F: Washing your hands immediately before needle insertion is a critical step in clean needle technique
- Accurate answers True T/F: CNT requires that new table paper and new table drapes/sheets (if used) are replaced for every patient visit. - Accurate answers True T/F: Needles from multipacks can be used for more than one patient as long as they are used within 30 minutes of opening the package. - Accurate answers False HEP A - Accurate answers fecal oral contaminated food, water or blood borne
most common in children or young adults incubation period for HEP A - Accurate answers 15- 50 days, average 28 days abrupt onset symptom of hep. A - Accurate answers abdominal discomfort loss of appetite fatigue FEVER muscle aches nausea and vomit dark urine and jaundice is there a vaccine for hep A - Accurate answers YES sx usually last less than 2 months HEP B - Accurate answers blood borne (needle stick, transfusion, IV drug use, sexual transmission). or body fluids, saliva, feces, urine, semen, tears sweat, contaminated food and water in conditions of poor sanitation and overcrowding incubation period for hep B - Accurate answers 45-160 days INSIDIOUS ONSET symptom of hep B - Accurate answers 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 ่ฑ่ and fatigue is there a vaccine for HEP B - Accurate answers Yes chronic carriers may develop CIRRHOSIS ่็กฌๅ and LIVER CANCER 70% infectious for 3 + months HEP C - Accurate answers blood borne (blood transfusion, IV drug use), sexual contact mostly found in adults incubation period for HEB C - Accurate answers 14-180 days insidious onset HEP C. Symptom - Accurate answers most occur 5-10 weeks after exposure N/v anorexia JAUNDICE flu like sx, joint pain vaccine for hep C - Accurate answers NOPE
which indirect moxa is used for yin cold syndrome? - Accurate answers fu zi / monkshood which indirect moxa is used for vomiting? - Accurate answers SALT which indirect moxa is for weak spleen /stomach? - Accurate answers ginger Which indirect moxa is used for abdominal pain? - Accurate answers ginger + salt which indirect moxa is used for diarrhea - Accurate answers ginger + salt which is used for painful joints? - Accurate answers ginger What to use for prolonged dysentery when moxa ้ฟๆ็ข็พ - Accurate answers salt this is used with moxa for acute abdominal pain, pain around the umbilicus and hernia. - Accurate answers SALT Which indirect moxa for premature ejaculation and impotence - Accurate answers fu zi/ monkdshood what do you use if there is a decline of mingmen fire? - Accurate answers fu zi/ monkshood what do you use for abandoned stroke ไธญ้ฃ? - Accurate answers SALT indirect moxa What is the best treatement for someone with skin ulcerations that resist healing or YIN abscesses and carbuncles ่ฟ๏ผ่ไธไผๆฃๅผ(pus will not disperse - Accurate answers monkshood indirect moxa What is the best treatment for scrofula, skin ulcers with boils, non culcerated ็่ฟ็ ดๆบ carbuncles(่ก่ ็่) - Accurate answers garlic indirect moxa What is the best treatment for poisonous insect bites - Accurate answers garlic indirect moxa What is the best treatment for abdominal masses - Accurate answers garlic indirect moxa What is the best treatment arthritic pain, local numbness and swelling - Accurate answers Pepper (white pepper with flour) What is the function of to apply onion or garlic juice before moxibustion on the body - Accurate answers (1) increase the adhesion of the moxa cone to the skin and (2) increase the amount of stimulation provided by the moxa cone during the procedure. A moxa cone is then placed on the desired site, ignited, and allowed to completely burn out. What is the best treatment for tuberculosis? - Accurate answers garlic with indirect moxa Which part of body that you never use direct moxa - Accurate answers face and breasts
what are the two types of direct moxa - Accurate answers scarring and non scarring moxa how long does scarring/pulsulating ่ๅจ็ moxa stay on the point for - Accurate answers until completely burnt out how many times is scarring moxa repeated? - Accurate answers 5-10 units or 7-9 cones what diseases is scarring ็ค็่พ moxa used for - Accurate answers asthma chronic GI problems general weakness of the body and developmental disorders non scarring ็ค็่พ moxa is left how long on the point? - Accurate answers when one half or two thirds is burnt or when patient feels discomfort, after this you put another cone on the same spot* where do you dispose moxa ash - Accurate answers container for ash or in water. How many cones do you do for non scarring moxa - Accurate answers 3-7 cones there should be no scarring or blister non scarring is used for - Accurate answers chronic diseases that are Deficient cold asthma indigestion chronic asthma grain of wheat moxa - Accurate answers 3-7 tiny cones on layer of petroleum jelly *burnt completely bc they burn so rapidly What does the grain of wheat moxa treat for ๅฐ้บฆ็ฑฝ็ฒ้ๅบ็ indications - Accurate answers deficient blood dizziness warts functions of moxa - Accurate answers expels COLD AND DAMP induces smooth flow of qi and blood strengthens yang from collapse maintains homeostasis (st36), prevents disease stops bleeding what types of conditions does moxa improve? - Accurate answers asthma, diarrhea, arthritic, RA, vomiting, abdominal pain, gynecological disorders
what areas can you not apply moxa? - Accurate answers breasts face and head large blood vessels prominent tensons major creases in the skin What areas of the body should not use moxa - Accurate answers around sensory organs, mucous membranes, vital organs or arteries What points are not allowed for moxa - Accurate answers Ub 1 + St 1+ 2 +8 +9 + 17 Du 23 + 28 SJ 23 + GB 1 contraindicated for pregnancy - Accurate answers abdominal and lumbosacral region who is easily susceptible to get burns during the moxa or TDP lamp during the treatment? - Accurate answers patients with nueral injuries, diabetes or paralysis what type of blister should you puncture - Accurate answers large blisters punctured and drained (1 cm of involved skin) if there is second or first degree from the burn what do you apply - Accurate answers apply sterile gauze over an application of burn ointment how do small blisters heal? - Accurate answers they should heal on their own do not let them break when needling with reinforcing skill (deficient) - Accurate answers insert on exhale rapid or slow for insertion in reinforcing slow? - Accurate answers slowly how should you rotate the needle for reinforcing - Accurate answers rotate gently and slowly with small amplitude twirling and rotating? - Accurate answers rotate clockwise forcefully and rapidly in back turning *gently and slowly how do you thrust and lift for reinforcing - Accurate answers heavily and rapidly thrust (bringing qi into body) lift gently and slowly how do you withdraw for reinforcing needle skill? - Accurate answers rapidly on inhale, closed hole
insertion for reducing needle skill - Accurate answers on inhale and rapidly rotation and twirling for reducing needle skill - Accurate answers rotate rapidly with large amplitude reducing needle skill - Accurate answers rotate counterclockwise forcefully and rapidly in back turning go gently and slowly lifting and thrusting for reducing - Accurate answers thrust gently and slowly lift forcefully and rapidly when do you take out reducing - Accurate answers on exhale, slowly, hole open cutaneous dermal needles - Accurate answers plum blossom, 5 long needles seven star, seven short needles what are cutaneous dermal ็ฎ่ค็ needles used for? - Accurate answers nervous system disorders skin disease painful joints and paralysis what are three edge needles for? - Accurate answers *dispels blood stasis, eliminates heat, promotes smooth flow of qi and blood, high fever, loss of consciousness, sore throat, congestions or swelling three edge needle manipulation - Accurate answers spot pricking clumpy ็ฌจๆ็ pricking pricking What method can you treats gastrointestinal disorders, poisonous snake bites and non ulcerated furuncles - Accurate answers cupping this treats lung diseases such as cough asthma or common cold - Accurate answers cupping does cupping warm and promote the free flow of qi and blood - Accurate answers yes what else does cupping do - Accurate answers treats BI syndrome, w-d c-d and Arthritis T/f cupping is good for hypertension, and it can also improves Hypertension, right? - Accurate answers true Avoid cupping in - Accurate answers skin ulcers edema high fever, convulsions, cramps abdominal sacral ่
น้จ้ชจ and lumbar of prego ่
ฐๅ areas where skin is thin skin is not level with bony angles/depressions
what do you clean the skin with before wet cupping - Accurate answers soap and water OR alcohol when picked up bloody materials- discard to biohazard container lancet in *sharps container what do you apply if blisters from cupping are severe - Accurate answers gentian violet ้พ่็ดซ and cover the area with gauze to prevent infection if bruising ๆๆพ็ is very pronounced what is the plan for previous cupping treatment? - Accurate answers do not apply cups at this site a second time what are moxa and cupping both need to avoid for? - Accurate answers high fever, pricking is the best which part of the body you should not perform moxa on - Accurate answers over large blood vessels No direct moxa over LBV where should you avoid too much stimulation of moxa? - Accurate answers unconscious patients or over areas that are NUMB what is the function of a TDP INfrared lamp - Accurate answers therapeutic heat and stimulate blood flow directly into the areas that's exposed what can TDP infrared lamp aid in - Accurate answers visceral muscular ๅ
่่ and joint pain, skin conditions, cold and more how far from the body should the lamp be placed? - Accurate answers at least 12 inches 20-60 cm how long should the acupuncture treatment be? - Accurate answers 10-15 mins with 15-20 visits what should you avoid when using a heat lamp - Accurate answers avoid oil, lotions or creams before the treatment how do you know if TDP lamp is over heated for patient? - Accurate answers pay attention to patients skin reaction, making sure their skin is not too warm if you leave the room check frequently what kind of patients should you not use a heat lamp with? - Accurate answers patients with acute TB, cardiovascular disease, hemoorhagic ๅบ่ก็ conditions, sensory impairments, bleeding difficulties, ๆถๆง่ฟ็ค malignancies, surgical implants (silicone, metal)
do not use on infants children, snoozing patients or on area of 24 hours after injury functions of gua sha - Accurate answers food poisoning contagious infections (epidemic febrile diseases) sunstroke or HIGH Fever toxic heat or wind heat fire condition clears heat, regulates qi and bld circ, opens orifices, removes damp and turbidity what is gua sha made out of - Accurate answers water buffalo, shui niu jiao what does sha mean? - Accurate answers underneath the skin bleeding when should you apply oil to skin for gua sha treatment - Accurate answers after cleaning area with alcohol how long do you gua sha? - Accurate answers 10-20 times over one spot or until you see red dots/rash form only go in /one direction not too heavy not too light what kind of tools can you use to perform gua sha - Accurate answers anything with a smooth edge (wrap button or coin in cloth how should you clean your gua sha tool? - Accurate answers with alochol can you perform gua sha on babies - Accurate answers no not direct gua sha. Device should be covered in fabric like silk they have very sensitive skin what are the symptom of needle shock in gua sha - Accurate answers palpitations, dizzy, sweating, feel faint patient should be lieing down and offered water when should you call 911 - Accurate answers severe symptom of cold limbs, extreme sweating and fainting call 911 safety in Moxa - Accurate answers no GS if sunburn rashes or broken skin, none 48 hrs before or 24 hrs after chemo, make sure room is ventilated patient is comfortable and warm
vein- deep pressure for 30sec- 1 min high frequency with constant stimulation - Accurate answers drain excess alleviate pain and stop spasm What does the lower frequency with alter quick and slow in Electro Stimulation do? - Accurate answers strengthens deficiency, prefered method for paralysis numbness- neuralgia and nervous paralysis What types of needles to use for Electro stimulation - Accurate answers NOT SILVER, stainless steel with 32 gauge or Japanese # 5 can you e stim on prego? - Accurate answers never e stim their lower body or leg points dense continuous fast wave - Accurate answers stops pain, trauma ,used for electro anesthesia ็ต ้บป้ dispersing low frequency and continuous wave - Accurate answers paralysis, early stroke and numbness bells palsy right after it happens mixed Electro stimulation - Accurate answers combo of dense and dispersing waves ๅฏ้ๆณขๅๅๆฃ ๆณข็็ปๅ what is mixed used for? - Accurate answers chronic pain, muscle weakness, stroke, tissue regeneration, inflammation, edema MS chronic cases of bells palsy discontinuous electro stimulation - Accurate answers combo of dd/mixed or slow frequency waves, best known for its effect on : severe paralysis, spinal nerve injury, trauma, severe motor nerve injury
