ADC Practice Question — Gloves

Under what clinical circumstance could a critical RMD…

Infection control in the ADC exam tests decision-making around exposure incidents, instrument classification, and decontamination protocols. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

At Riverside Dental Clinic, dental hygienist Maria Santos is preparing instruments for different procedures. She needs to ensure proper classification and reprocessing of various RMDs including mouth mirrors, surgical forceps, and electrosurgery tips. The practice follows AS 5369:2023 guidelines for all reprocessing activities. Under what clinical circumstance could a critical RMD that is not in a sterile barrier system (SBS) be used?

A. During emergency procedures when time is limited
B. When the RMD has been soaked in high-level disinfectant
C. Only when a dropped RMD with no replacement undergoes 'flash' steam sterilisation and is used immediately after sterilisation
D. When the RMD has been cleaned and air-dried

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Sources cited

Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more

Show the answer and cited explanation

Correct answer: C

There is only one clinical situation where a critical RMD not in an SBS could arise - a dropped RMD with no replacement, where 'flash' steam sterilisation is used and the RMD can only be used immediately after steam sterilisation has occurred (ICG p.35)

Source: ICG Section 5: Critical RMDs

Remy's study tip — The differentiator is usually the Spaulding classification level or the step order in a protocol.

Exam preparation FAQ

How are Gloves questions structured in the ADC written exam?

ADC Gloves questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

Should I memorise guidelines word-for-word for Gloves?

Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.

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Under what clinical circumstance could a critical RMD…

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