1
Q
what are soluble lubricants designed for surgical instruments were originally designed as which of the following?
A
rust inhibitors for drills
2
Q
Which of the following should be used as the free rinsing agent to minimize deposits of minerals when they dry?
A
deionized water (critical water)
3
Q
What is the best way to ensure getting the best results with the correct cleaning method?
A
instrument’s manufacturer (OEMIFU)
4
Q
Enzyme products are commonly used to clean heavily soiled items, emulaes enzymes catalyze which of the following?
A
Starch
5
Q
Enzymes used in detergents
A
proteas for proteins
lipase for fats
amulae for starches or carbohydrates
6
Q
If there is a possibility that a medical device will cause a temporary or reversible health problem this is considered which class of fda product recall??
A
Class 2
7
Q
Class i - immediate, permanent damage
Class ii- indicates less serious risk, temporary, reversible
A
8
Q
the removal of any residue of cleaning agents and chemicals remaining after the cleaning process is known as
A
Free rinsing
9
Q
final rinsing
A
has to do with detergents
10
Q
Only detergents that have been specially formulated for use in ultrasonic cleaners should be used in them, all of the following except
A
allow for slow controlled soil removal
11
Q
Assets turn litmus paper what color?
A
Red , acids turn litlus paper red, or blue
12
Q
Phenolics are recommended for use in the decontamination area for disinfection of which of the following?
A
Hard surfaces
13
Q
Surgical instruments come in contact with flowing blood
Cardiac catherers are embedded in2 flowing blood
Blood pressure cuff comes in contact intact skin
Endotrachial tube goes inside trachea
A
13
Q
which of the followng would be categorized as a semicritical item in terms of disinfection?
A
endotrachial tube
14
Q
Enzymes are specific in their action, a protein enzyme will recognize which of the following?
A
protein in its natural state
15
Q
Chalating or sequestering (close up dirt particles) agents help do all of the following except
A
measure alkalinity
16
Q
The method for testing different types of detergents to find out if one performs better or more effectively better than
A
collecting data and assessing results
17
Q
bed pans, blood pressure cuffs, and bed rails are examples of which spalding classification (system of classification and recalls of instruments)
A
Non critical devices
18
Q
Some products are more effective in hot water because molecules move more quickly, temperatures for water range from
A
120 to 165
19
Q
Which of the following packaging materials is unsuitable for packaging items to be sterilized in gas plasma (gas plasma gets absorbed by cellulose #1 ingredient in paper linen cotton)
A
textile products
20
Q
Modern wove textiles are suitable for use and sterilization packaging for all but which of the following reasons
A
they’re not reusable
21
Q
A chemical indicator is placed inside each pouch or package in which position
A
next to packaged instrument
22
Q
A minimum space of what size should be left between the item and the seals of a pouch
A
Minimum of one inch
23
Q
when the package wrappers are also being used to create a sterile field they must be large enough to extend how far below the edge on all four sides of the table
A
6 inches below
24
Which of the following statements about basin sets is least accurate?*
should be prepared so that basins are oriented to alternately face different directions
25
Which of the following would be an appropriate guideline for enhancing the drying of surgical instrument sets?
instruments need to be separated inside a set, may be wrapped in single ply material
26
Placing instrument sets which are in perforated trays or rigid sterilization containers in a flat position so that the bottom of the tray set touches the bottom of the shelf is done for what reason
all of the above
27
A chevron pouch is designed in a manner that
Makes the pouch easier to open
28
which of the following is not a proper guideline for packaging items for sterilization
hinged instruments should be closed
29
If an instrument has a sharp point it should be protected by means of all but
Adhesive covering
30
The device used to monitor one or more process parameters of the sterilization cycle is which one of the following
Chemical indicator
31
If an instrument has sharp points which of the following should never be used to protect instrument tips because it will inhibit sterilant penetration
Latex tubing
32
Which of the following is the indicator disinfection has occurred with the process of thermal disinfection
surface temperature of instrument
33
In terms of plastic paper pouches, each of the following should appear in the labeling of packaging except for
temperature and humidity
34
All packaging materials should be at what relative humidity for at least 2 hours before use
30-60%
35
Acceptable packaging materials must be specifically designed for sterilization packaging and approved by which of the following entities
FDA
36
Which of the following low temperature sterilization methods needs a longer exposure time than other alternatives
liquid chemicals (high level disinfectants)
37
Which of the following is the most crucial to steam sterilization process?
adequate air removal
38
The number of microorganisms on a contaminated object is known as which of the following
Bioburden
39
There are different methods of arranging sterile stock, which of the following is the least likely to be one of those methods
Departmentally
40
In terms of dry heat sterilization the quantity of a liquid or powder to be sterilized should be limited to that required for a single use application and should not exceed what
1 oz
41
Containerized packaging systems have one or more of the following components except
Internal instrument that nmeasures temperature of content
42
Hydrogen peroxide destroys microorganisms by which process
Oxydation
43
which of the following is a consequence of not maintaining a steam sterilizer
More difficult to sterilize and interfere with air steam
44
There are two types of sterile solutions: solution administered to patients intravenously is what
parenteral solution
45
The device that uses spores (bacteria with tough outer cell) in or on a carrier usually accompanied by incubation media is a what
Biological indicator
46
indicators are
class ii
47
all of the following information should be recorded and maintained for each item of patient care equipment except
Equipment cost if purchased
48
The decision whether to sterilize or high level disinfect an endoscope is based upon which of the following
use according to spalding classification system
49
flow and blood needs to be sterile
mucus membrane needs high level disinfection
50
which of the following should be the center of every quality concern (consistent delivery of goods and services to assure patient care)
Patient centered
51
Understanding the purpose of basic type of patient care equipment can improve customer service and reduce frustrations which of the following is patient care equipment that pumps heated or cooled water through a cool pad to therapeutically raise or lower body temperature
Hypothermia unit
52
which of the following pieces of equipment would not be considered patient care equipment
implantable devices
53
The packaging area is for inspecting, assembling, and packaging which of the following items
Clean items
54
As part of the job of a central service technician work related problems are identified and solved this is known as
Process improvement
55
The shelf life of packaged sterile items is
Event related or event based
56
In terms of patient care equipment which of the following would be an appropriate safety tip
cover contaminated equipment that is being transported to central service department for processing decontamination
57
The consistent delivery of products and services according to established standards is part of
Quality assurance
58
which of the following personnel is responsible for patient care equipment is readily available when needed
central service technicians
59
which of the following is the best way to clean electrical medical equipment
OEM IFU
original manufacturers instruction
60
Which of the following is a piece of patient care equipment that artificially stimulates the venus plantar plexus (foot)
Foot pump
61
The 300 series steel is used for all of the following but which of the following surgical instruments
needle holders
62
400 steel cut, clamp, sew
300 steel suck, blow, retract
63
Parallel grooves in the jaws of surgical instruments are also called what
serration
64
The system of healthcare providers and organizations which provide a coordinated range of services to specific population is which of the following
integrated delivery network idm
65
The largest operating channel of a flexible endoscope is which of the following
Insrrument channel (biopsy channel
66
A process used by an ultrasonic cleaner in which low pressure bubbles in a cleaning solution burst inward (implode)
cavitation (cavity, a hole)
67
The cost incurred by a facility to purchase a specific supply from the point of authorization through its disposal
total acquisition cosT
68
The distribution system iin which a cart is prepared and stored until it is needed for a procedure is delivered at which time to the customer
case cart system
69
The percentage of items available when an order is places is known as which of the following
Inventory service level
70
The standard barcode label system allow staff to know which of the following
last location of an instrument set or tray
71
rfid tracks movement radio frequency identification
72
Procedures to maintain appropriate quantities of supplies to support patient care activities are known as which of the following
inventory control
73
which of the following is not a common inventory replenishment system
Tote system
74
PAR periodic automated replenishment
75
Sterilized items which have come directly from sterilization must be
Cooled
76
when storing packages what measure of space should be left between the highest package and the ceiling?
8 to 10 inches
77
there are several considerations that must be accounted for to ensure that the sterility of the stored items do not become compromised, which of the following statements is least accurate in regards to these considerations?
items should be stacked when being placed on the transport cart
78
The distribution system in which the user enters information into a computer which unlocks the cabinet door where the supply is kept is which of the following
automated dispensing system
79
there are different types of fires which require different types of extinguishers the type of extinguisher needed for trash, wood, paper is which of the following
a= basic (paper, wood, etc) **********************
b= complex (liquids)
c= more complex (electrical or electric equipment's)
80
all of the following information should be included in the sharp's injury log except
location on the body where injury occurred
81
the guidelines designed for use by industrial hygienist in making decisions regarding safe levels of exposure to various agents in the workplace are called what
threshold limit values tlv
82
the probability of viable microorganism being present on a product until after sterilization is which of the following
sterility assurance level (sal)
83
external chemical indicators for sterilization indicate which of the following
the packaged item has been in the sterilizer and exposed to the sterilization process
84
each of the following should appear in the labeling of the paper plastic peel pouch except
manufacturer's name
85
the conductivity of water is an important measurement that indicates which of the following
ionic charge (tds, total dissolve meter measures concentration of charged particles in water)
86
which of the following is not necessary for documentation relating to a sterilizer cycle
humidity level in the room
87
general central service technicians must be familiar with medical terminology the initials that stands for which of the following
total hip arthroplasty
88
the conflict resolutions tyle in which one person achieves his or her own goals at the expense of the other person is which of the following
force
89
central service technicians are familiar with the different body systems in terms of the several types the several types of joints in the skeletal system the type which allows a turning motion is which of the following
pivot joint
90
obstructing communication through non committal answers and generilization is which of the following
blocking
91
medical terminology involves understanding surgical roots base word elements that refer to the main body of medical word, the root herni indicates which of the following
rupture
92
there are many roadblocks to good communication one of these roadblocks is the halo effect which involves which of the following
favoring a person because he or she has a quality found to be attractive
93
the concept involving the development and maintenance of effective interpersonal relationship that enhances teamwork
human relations
94
the term that refers to how people interact and communicate as in meetings is which of the following
group dynamics
94
the barrier to good communication in which a member disagrees with every idea with every idea proposed is which of the following
blocking
95
the central service technicians should be familiar with which entities regulations on how to handle medical waste
EPA (environmental protection agency)
96
which of the following is the most likely source for cross contamination to occur
keyboards
97
when traveling through a biohazard area what attire is required
osha required ppe
98
it would be recommended that which of the following should be used as a disinfectant for lyringis scope blade (used on intact mucuous membrane-semi critical)
gluraldihyde
99
alcohol- low level disinfectant
phenolic- low to intermediate level
gluraldihyde- high level
ortho thelalydyhyde doesnt sterilize
fermaldyhyde sterlize
antiseptics are for living things
disinfectants for innanimate objects
100
the ventilation system in the decontamination area should allow for at least how many air exchanges per hour
10
101
most departments require 10 air exchange except sterile storage which is 4, operating room 20 air exchanges
102
which of the following statements about disinfection is accurate
disinfectant is used on innanimate objects to kill all organisms except spores
103
which type of disinfection removes or kills some types of vegetative bacteria and some fungi and lipid viruses
low level disinfectants
104
the term for the percentage of the total amount of vapor in atmosphere, or the atmosphere could hold without condensation (vapor turning into water--liquid state) is
relative humidity
105
the first step in maintaining environmental integrity is to control what
traffic that enters and passes through the central service department
106
the diffusion of water through a semi permeable membrane to eliminate impurities is which of the following
reverse osmosis
107
disinfectatnts kill microorganisms they can also do what?
be harmful to the cells of the human body
108
basic attire worn by central service technicians includes all but which of the following
gloves and masks
109
before any staff member is assigned to the decontamination area he or she must
receive thorough and comprehensive orientation
110
special attention must be given to house cleaning procedures in the decontamination area which of the following guidelines is least appropriate for accomplishing this
foors should be cleaned and disinfected weekly in the decon area
111
the medwatch program is used for which of the following reasons
for reporting for adverse events associated with drugs and medical devices
112
which of the following is an example of surgical asepsis (sterile) (vs medical asepsis reduces the number or organisms present)
sterilization
113
the average concentration of a chemical in the air to which a worker can be legally exposed over a particular period of time is the what
permissible exposure limit PEL
114
time weighted average = when you weigh the exposure over an eight hour shift
115
a solution which inhibits the growth of bacteria on skin is called what
antiseptic
116
in terms of marking instruments which of the following statements is least accurate
engraving is preferred in order to eliminate corrosion
117
sterile storage room temperature should be what
75
118
each of the following statements about the objectives of the packaging process is accurate except
packaging must not allow penetration of sterilant
119
the joint commission requires facilities to select at least one high risk process for proactive risk assessment each year, it also requires facilities to conduct root cause analysis on any sentinel event that has occurred, a sentinel event is best described as which of the following?
an unexpected occurrence involving death or serious injury or risk thereof
120
the instruments for large sets are placed in stainless steel anodized aluminum or heat tolerant plastic basket of appropriate size with which of the following bottoms
wire mesh
121
packaging should not be able to be opened and resealed and should be evident that it is which of the following
tamper resistant
122
when a wet pack occurs the package must be
reprocessed ; considered contaminated
123
there are many important factors to be considered when packaging system is required the major factor to consider when selecting a packaging system is which of the following
the method of sterilization
124
all packages must be labeled before sterilization labels must contain all of the following except
temperature at which item must be sterilized
124
which of the following organization regulates all sterilization packaging systems used by healthcare facilities to package and sterilize surgical instruments and medical devices and equipment
FDA
125
which of the following is not an advantage of using rigid sterilization containers
shorter cycle time
126
packs must be limited to proportions that will be compatible with all but which of the following
instrument use
Sterile Processing Tech Course
flashcards
Decks in class (5)
# Cards
