clean needle

Question 1

Which 2 body areas is bleeding more common from acu needling

a) scalp and feet
b) feet and hands
c) ear and hands
d) ear and scalp

Answer 1

d) ear and scalp

Question 2

Which of the following doesn’t need to be in a plastic bag in an acu travel kit?

a) single use sterile acupuncture needles, alocohol swabs
b) one pair of commercially sealed gloves
c) hemostat, alcohol hand sanitizer

Answer 2

c) hemostat, alcohol hand sanitizer

Question 3

What is the recommended method for needle removal?

a) use different hands for needle removal and covering the point w/cotton ball
b) there is no specific recommended method for needle removal

Answer 3

b) there is no specific recommended method for needle removal

Question 4

Pneumothorax as a result of a an acu treatment is an example of?

a) Primary pneumo
b) secondary pneumo
c) Iatrogenic pneumo
d) accidental pneumo

Answer 4

c) Iatrogenic pneumo

Question 5

Which of the following acpuncture points is over or next to a major blood vessel?

a) ST 42
b) LU 3
c) KD 1
d) LI 9

Answer 5

a) ST 42

dorsalis pedis artery

Question 6

A source of infection in acupuncture practice is

a) ear acu
b) bleeding technique
c) wet cupping
d) contaminated gel

Answer 6

d) contaminated gel

Question 7

Which body type is more at risk for a pneumo from acu?

a) Tall and thin
b) Short necks
c) barrel chest
d) all body types

Answer 7

a) Tall and thin

Question 8

Which of the following disease are more predisposed to acu pneumo?

a) Atrial Flutter
b) Marfan Syndrome
c) GERD
d) Cholecystitits

Answer 8

b) Marfan Syndrome

Question 9

What is the significance of the points ST 9, ST 13, ST 12, SP 11, LV 12, HT 1?

Answer 9

They are all located over major vessels

Question 10

Puncturing the heart during acupuncture can immediately result in:

a) cardiac arryhthmia
b) congestive heart failure
c) cardiac tamponade
d) myocardial infarction

Answer 10

c) cardiac tamponade

cardiac tamponade incluses sx such as low blood pressure, anxiety, restlessness, chest pain, coughing, rapid breathing

Question 11

Which is false about wearing gloves in an acu practice?

a) when bleeding is likely
b) when needling the genitals
c) when inserting intradermals
d) when acu’s hand is cut

Answer 11

c) when inserting intradermals

Question 12

You are about to needle ST 36 when you get an emerg phone call. What is the correct action to take?

a) reswab the area
b) needle ST 36 w/previous needle
c) wash hands with soap
d) use a new needle

Answer 12

c) wash hands with soap

phone is not sterile, must wash hands

Question 13

When locating an acu point, the insertion point can be palpated

a) after an antibacterial used on the skin
b) after the skin is swabbed with alcohol
c) with a gauze barrier
d) with the washed finger

Answer 13

d) with the washed finger

Question 14

What is the best way to clean the skin w/an alcohol swab?

a) single direction motion
b) it is unclear
c) circular motion
d) back and forth motion

Answer 14

b) it is unclear

Question 15

In regard to guide tubes, which is false?

a) betw use the guide tube should be placed on the clean field
b) a guide tube must be clean at the beginning of treatment
c) a different guide tuibe need not be used on different body areas

Answer 15

b) a guide tube must be clean at the beginning of treatment

It needs to be sterile

Question 16

When doing wet cupping, how long should the cup be left in place after breaking teh seal to avoid aerosolizing the drawn blood?

a) 30-35 secs
b) 20-25 secs
c) n/a
d) 10-15 secs

Answer 16

c) n/a

Question 17

In regard to standard precautions, which of the following fluids are included?

a) vag secretions and vomit
b) semen, breast milk and feces
c) blood and vag secretions
d) sweat, sputum, blood

Answer 17

c) blood and vag secretions

Question 18

In regard to a clean field, which is false?

a) establish a new clean field for each patient
b) the clean field is disinfected after each patient

Answer 18

b) the clean field is disinfected after each patient

Question 19

Hands should be scrubbed and washed w/soap and water for at least

a) 10-20 secs
b) 30-40 secs
c) 1 minute
d) 5-10 secs

Answer 19

a) 10-20 secs

Question 20

How long should a moxa stick be retained in the moxa extinguisher after tx?

a) 1 hour
b) 2 hours
c) 30 mins
d) 15 mins

Answer 20

a) 1 hour

Question 21

a PT who is undergoing chemo should avoid cupping

a) 48 hours before and 24 hours after chemo
b) 24 hours before and 48 hours after chemo

Answer 21

a) 48 hours before and 24 hours after chemo

Question 22

gua sha uses a skin lubricant before the procedure is done. Which of the following is teh best for handling the lube?

a) put a portion of the lube on a paper towel
b) use a lube w/a pump and bring the gua sha tool to touch the spout
c) put a portion of the lube in a sterilized stainless steel container

Answer 22

a) put a portion of the lube on a paper towel

Question 23

a less common outcome of cupping is

a) fluid bullae
b) hemorrhagic bullae
c) ecchymosis
d) tumefaction

Answer 23

b) hemorrhagic bullae

a bullae is a cavity filled w/air or fluid

Question 24

The following are critical recommendations except one which is a recommendation. Which is the recommendation/

a) use disposable cups for wet cupping
b) do not cup over moles
c) screen pt for reactive skin lesions
d) wear protective equipment when using cupping over needles

Answer 24

a) use disposable cups for wet cupping

Question 25

what does the therapeutic reaction to cupping involve?

a) ecchymosis reaction, swelling, petechiae reaction
b) hypopigmentation, swelling, petechiae reaction
c) echhymosis reaction, petechiae reaction

Answer 25

a) ecchymosis reaction, swelling, petechiae reaction

Question 26

How can HBV spread?

a) sharing razors, sharing toothbrushes, infected mama giving birth
b) sharing razors, toothbrushes
c) sharing razors, toothbrushes, kissing

Answer 26

a) sharing razors, sharing toothbrushes, infected mama giving birth