MARM EXAM QUESTIONS WITH ALL CORRECT ANSWERS 2024/2025 LATEST UPDATE
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Course
MARM
Institution
MARM
MARM EXAM QUESTIONS WITH ALL CORRECT ANSWERS 2024/2025 LATEST UPDATE
What acupuncture instruments must be sterile? - Answer- Any instrument that pierce the skin...
-needles, plum-blossom hammers, bleeding lancets, press tacks, fire needles, etc.
-classified as critical instruments according to ...
MARM EXAM QUESTIONS WITH ALL
CORRECT ANSWERS 2024/2025
LATEST UPDATE
What acupuncture instruments must be sterile? - Answer- Any instrument that pierce
the skin...
-needles, plum-blossom hammers, bleeding lancets, press tacks, fire needles, etc.
-classified as critical instruments according to CDC
-as well as any instruments that some in contact with these (guide tubes, etc.)
Describe the only instruments approved for acupuncture by the FDA - Answer- Pre-
sterilized disposable needles that have passed rigid standards
Storage of sterile needles - Answer- Should have shelf life printed on package
Must be stored away from moisture
(Do not store in same area as contaminated equipment)
-some state require disposable needles: Illinois and Wisconsin (must offer the choice of
disposable to patient)
Clean use of lubricants - Answer- Lubricants in open-mouth jars become contaminated
by transient bacteria from practitioner's hands
-use pump or squeeze bottles of lubricants for use with cupping or gua sha
-decant a treatment-sized portion of lubricants into a small disposable container using
clean tongue depressor or other clean disposable devise prior to starting procedure
-dispose of leftover lubricants without returning lubricants to the primary container
Acupuncture Contraindications for pregnancy: - Answer- Sp 6
LI 4
, GB 21
UB 60
UB 67
abdomen
Lumbosacral region
-as well as: vertex of infants with unclosed fontanels and post-CVA recovery with "clot-
busters": TPA, streptokinase, urokinase, etc. or directly on skin lesions or in the vicinity
of active infection
-delay or use few needles for famished or overeaten, intoxicated, over-fatigued, dry
weak patients
Exercise caution when needling abdomen, especially shallow points: - Answer- REN 15
Liv 14
St 21 (right side)
REN 2
*oblique or horizontal insertion
*always needle transversely over sternum in case of foramen sternale..
General safety concerns: - Answer- -no gum chewing
-when sitting: both feet on floor
-no moving after insertion
-(usually) top to bottom insertion
Management if incident in office occurs: - Answer- -withdraw suspect needles
immediately
-encourage patient to lie calmly
-call 911
-monitor vital signs and administer CPR if needed
*If patient reports suspicious symptoms over the phone:
-if a family member is present, call 911
-if patient is alone, secure location and number, and call 911
Emergency equipment: - Answer- -mosquito hemostats
-CPR mask
-spill clean up instruments
-eye wash station
-AED machines
Legal definition of "Standard Care" - Answer- A diagnostic and treatment process that a
clinician should follow for a certain type of patient, illness, or clinical circumstance.
-based on modern science, not TCM medical theory
-American standards distinct from Asian
Government Agencies: Standard Care in Acupuncture: - Answer- Center for Disease
Control and Prevention (CDCP = CDC)
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