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Ethylene Oxide gas kills microorganisms by a process called - ✔✔Alkylation What is the process where a chromium oxide layer is placed on a surgical instrument - ✔✔Passivation What are the dark black Craters on a stainless steel instrument called - ✔✔Pitting What is the enzyme that breaks down fatty deposits like bone marrow and adipose tissue? - ✔✔Lipase What lubricant is recommended for use on surgical instruments? - ✔✔Water-based What can be used to remove severe stains on stainless steel instruments? - ✔✔Organic Acid Detergent Frequently used items are stored on - ✔✔Middle shelf What is another name for Healthcare Acquired Infection? - ✔✔Nosocomial Infection What is the principle route of HAI's? - ✔✔Direct Contact What is the use of physical or chemical means to remove, inactivate, destroy pathogens on the surface of an item? - ✔✔Decontamination A sterile item should not be handled more than____ times. - ✔✔ 4 Another name for the lowest amount of stock - ✔✔Reorder point
CBSPD Exam Prep 202 5/2026 Questions &
Answers | 100% Correct | Verified
In Sterile Storage area, the ventilation system must be under - ✔✔Positive pressure Influence is caused by a - ✔✔Virus Distal ends of rigid endoscopes should by cleaned with a - ✔✔Soft bristled brush Indicator (autoclave) tape is considered what type of CI? - ✔✔type 1 Indicators for a specific test like a Bowie-Dick test are what type of CI? - ✔✔Type 2 Single-Variable indicators like glass ampules are what type of CI? - ✔✔Type 3 Multi-Variable indicators designed to react to 2+ variables of the sterilization process are what type of CI? - ✔✔Type 4 Integrating Indicators that react to all critical variables of sterilization and can work parallel to a BI are what type of CI? - ✔✔Type 5 Emulating indicators That react to all critical variables of sterilization but are only used for the specific cycle which they are labels are what type of CI? - ✔✔Type 6 What is the nominal concentration of Hydrogen Peroxide in an LTGP sterilizer? - ✔✔59% In a non-table sterilizer, where is steam exhausted through? - ✔✔Chamber Drain Line What chemical is used to clean in animated environmental surfaces and floors? - ✔✔Quaternary Ammonium Compounds (QUATS) Final step of hand washing, fingers rinsed with fingertips pointing - ✔✔Up
What do black dots in a fiber optic cable during inspection indicate? - ✔✔Damage to glass rods Shelves are in from the floor and in from sprinklers - ✔✔ 8 - 10 18 When does the sterilization pack become contaminated? - ✔✔In the first hour temperature requires pressure - ✔✔Higher 3 major portals of entry - ✔✔skin, mucous membranes, respiratory/gastrointestinal tract How are needs for reprocessing minimized and outdates prevented? - ✔✔Stock rotations and frequent evaluation of stock levels What pathogen causes tuberculosis? - ✔✔Mycobacterium tuberculosis Max weight for a textile pack - ✔✔ 12 lbs Max size fore a textile pack - ✔✔12x12x The fiber optic cord is attached to what part of a rigid endoscope? - ✔✔Light post Another name for par level inventory - ✔✔Fixed inventory level What does a multicolored/rainbow stain indicate - ✔✔Excessive heat in autoclave Optimum amount of a supply to order is the - ✔✔Economical Order Quantity Ortho-phthaldehyde is classified as a - ✔✔High level disinfectant
What gram positive coccus causes pneumonia and meningitis? - ✔✔Staphylococcus areus What do light/dark spots indicate? - ✔✔Water spots What microbe can survive adverse conditions by forming spores? - ✔✔Clostridium What must be made available to distribution personnel - ✔✔Policies and procedures What distribution system is not considered a specialty cart? - ✔✔Exchange Barcoding is part of what system? - ✔✔Tracking MAX humidity in sterile storage area - ✔✔70% Prevent biofilm is lumens by - ✔✔Rinse with critical water and dry well Sterile Processing should plan for what percent of total needs on units? - ✔✔90% Stocks must be rotated to reduce - ✔✔Outdates What is recommended alongside a high-alkaline detergent in a mechanical washer? - ✔✔Neutralizing Acid OSHA requires transport containers for potentially infectious materials be - ✔✔Leak-proof Opened and unused sets should be - ✔✔Reprocessed
critical parameters for heat sealing paper-plastic pouches - ✔✔Temperature, pressure, dwell time Instruments must NEVER be - ✔✔Engraved Damage to instruments are avoided by - ✔✔Avoiding temperature and humidity extremes Microbes resistant to heat and chemicals - ✔✔Capsulated bacterium Most efficient distribution system - ✔✔Total exchange cart First step when sterilizing an instrument - ✔✔Cleaning When sterilizing 2 large basins with smaller bowls in the same set, CI is placed - ✔✔Top and bottom of basins Barrier precautions, hand washing, and sharps precautions come under the umbrella of - ✔✔Standard precautions bluish-black stains - ✔✔reverse plating may occur; when two different types of metals are ultrasonically processed together(e.g. stainless steel and chrome processed together) Bluish-gray stains - ✔✔cold sterilization solution being used outside manufacturers guidelines Sterile Trays that may be subject to storage challenges should be - ✔✔Place in sterility maintenance cover Air exchange rate in sterile storage - ✔✔ 4
Disadvantage of Exchange Cart System - ✔✔Duplicate inventory Chamber size of tabletop sterilizers - ✔✔ 2 cubic ft Eyewash stations must - ✔✔Permit hands free use Items high-level disinfected in glutaraldehyde must be rinsed a minimum of - ✔✔ 2 times coldest location inside the steam sterilizer chamber - ✔✔Drain line part of the steam sterilizer that produces heat inside the chamber to prevent condensation from forming on the chamber walls - ✔✔Jacket In non-tabletop steam sterilizer, steam is generated in the - ✔✔Boiler What is important to include when placing loaner instruments inside rigid sterilization containers? - ✔✔Instructions When are laparoscopic instruments reassembled for sterilization? - ✔✔When recommended by manufacturer for manual lubrication, surgical instruments should be placed - ✔✔In a lubricator solution and room air dried Items are sterile when sterility assurance level reaches - ✔✔10^- 6 if a wrapper is used as a sterile field, How far does it need to extend over the edge? - ✔✔6" What may be affected by use of high-alkaline detergents? - ✔✔Anodized aluminum
hyster/o - ✔✔uterus Reno- - ✔✔kidney
- atresia - ✔✔closure
- malacia - ✔✔abnormal softening medical grade kraft paper can not be used with - ✔✔LTGP Waterless antiseptic contains what concentration of alcohol to be most effective? - ✔✔ 60 - 90% Which detergent works best in mechanical washers due to lack of friction? - ✔✔Alkaline What cleaner is used to wash laparoscopies? - ✔✔Ultrasonic lumen cleaner Multi step process in washer to avoid corrosion - ✔✔Alkaline detergent, wash, acid rinse, regular rinse The ceiling threshold limit value for Glutaraldehyde is - ✔✔0.05 ppm What type of clearance do rigid endoscopes require? - ✔✔FDA 510k How to avoid damage to items in receiving area? - ✔✔Remove from original cartons Sets intended for the days use are usually collected - ✔✔The day before they're used The largest customer of Central Service is: - ✔✔operating room
The movement of products from soiled areas to clean processing areas Within central service is also called - ✔✔One-way flow of materials ORIF - ✔✔Open Reduction and Internal Fixation (orthopedic surgery)
- tripsy - ✔✔crushing What term refers to instruments used to remove tissue around a bone - ✔✔Periosteal BKA - ✔✔below knee amputation Surgical procedure for treating fractured bone without incision - ✔✔CR (closed reduction) BSO - ✔✔bilateral salpingo-oophorectomy surgery to improve blood flow to the heart - ✔✔CABG (Coronary Artery Bypass Graft) Surgery to dilate uterine cervix and remove inner lining - ✔✔D&C (dilation and curettage) Treatment of fractured bone with an incision and use plates and screws to hold together - ✔✔ORIF (open reduction internal fixation) removal of the uterus through incision of abdomen - ✔✔TAH (total abdominal hysterectomy) hip joint reconstruction with plastic or metal - ✔✔tha (total hip arthroplasty) Removal of part of the prostate through the urethra - ✔✔TURP (transurethral resection of prostate)
A mode of bacterial transmission that would take place when an infectious agent was transmitted through an intem such as food or water is called: - ✔✔Common vehicle The mechanical action of pressurized water forced through spray jets to remove debris. - ✔✔Impingement Decon Temp/Humidity/Air - ✔✔ 60 - 65 F, 30 - 60%, 10 hr negative pressure Sterile storage temp/humidity/ air - ✔✔ 68 - 75/35-70/4 positive pressure prep/packaging temp/humidity/airl - ✔✔ 68 - 73/ 35 - 50/ 10 positive pressure A rule designed to govern behavior is called a: - ✔✔regulation An established norm which is based on theory is called a: - ✔✔Standard Statements of sound principals of practice that are based on scientific data and the opinions of experts. - ✔✔Recommended practices Decreases the likelihood of mineral scale deposits - ✔✔softened water Correct intubation temperature range for Biological Indicators in steam sterilization. - ✔✔ 131 - 140 What does a patient equipment processing area contain? - ✔✔Electric outlets, gloves, "clean" tags, clear bags for covering equipment The process performed by a manufacturer to ensure a product consistently yields results complying with predetermined specifications - ✔✔Validation Steam entering the sterilizer should have what percentage of entrained water? - ✔✔3%
To prevent biofilms in lumens: - ✔✔Use critical water and dry well What residue leaves bluish or rainbow-type stains on instruments - ✔✔Iron and silicates In table-top sterilizers, steam in generated from: - ✔✔Distilled/critical water poured in a reservoir in/on the machine Sterility type for reusable instruments processed within SPD - ✔✔Event related sterility Max weight when sterilizing 2 large basins with smaller bowls in the set - ✔✔7lb Thickness of a sterility maintenance cover should be - ✔✔ 2 - 3mils thick Excellent cleaning starts this process, disinfection continues this process, and sterilization eliminates bioburden. Proper performance of this task results in the scientific principle: - ✔✔Log reduction Spaulding Classification states non critical devices require - ✔✔Low level disinfection Equiptment is identified as nonfuctional on floor. The spd tech assigned to patient care should: - ✔✔Leave item "as is" and contact biomedical engineering Printouts and graphs that show sterilizer met proper parameters are examples of: - ✔✔Physical monitors/ mechanical indicators What property make mycobacteria hard to kill? - ✔✔Fatty protective sheath Medical grade kraft paper, moist instruments, implants, & long/narrow lumens can NEVER be used in this sterilizer: - ✔✔LTGP
HEART VALVES AND PACEMAKERS ARE EXAMPLES OF FDA MEDICAL DEVICES. -
✔✔Class III Under current regulations who is required to report suspected medical device-related deaths to the FDA? - ✔✔Hospitals and device manufacturers develop and publish International Standards - ✔✔ISO international standards institute NOT a requirement of the OSHA Bloodborne Pathogen Standard - ✔✔Keep biohazard areas locked Know what is dirty, know what is clean, know what is sterile, keep the three conditions separate, and remedy contamination immediately are: - ✔✔The principles of asepsis a system used to treat the final rinse water used for cleaning? - ✔✔Deionization Deionized water is used for: - ✔✔heating/cooling therapy units The ideal level of silicates in water used for cleaning is - ✔✔ 100 ppm Or less pH of purified water - ✔✔6.5-7. Tap water should ideally have a chloride concentration of - ✔✔ 100 ppm or less Turbid water is - ✔✔Cloudy Water purification involves - ✔✔Pre and post filter Water softeners are used to remove in the water - ✔✔Calcium and magnesium
reverse osomosis Removes in water: - ✔✔Bacteria pyrogens endotoxins Multi-enzymatic cleaning products containing lipase are useful for cleaning - ✔✔Fats Main purpose of manual cleaners: - ✔✔Remove soil Why does water need to be degassed in ultrasonic? - ✔✔Excess bubbles make detergent ineffective Top prevent coagulation of proteins, water temp must stay under - ✔✔ 110 When is instrument lubrication performed? - ✔✔Before sterilizing/ after cleaning How long must alcohol remain in wet contact with an item to achieve a reasonable level of disinfection - ✔✔3 min All liquid disinfectants are capable of sterilization if their exposure time is increaSed - ✔✔False Kerrison Laminectomy Rongeurs should be tested using : - ✔✔Rubber testing material Used for open heart surgery - ✔✔Sternal saw used to remove cement - ✔✔cebatome used to harvest skin grafts and reshape skin surfaces - ✔✔Dermatome Visualizes lower large intestine - ✔✔Sigmoidoscope Visualizes upper digestive tract - ✔✔Gastroscope
Example of reusable packing material - ✔✔Muslin a liquid oxidizing agent that effectively kills bacteria at low temps - ✔✔parecetic acid Flash sterilization can be accomplished with these three types of cycles: - ✔✔Gravity displacement, prevacuum, express the process by which a molecule, atom, or ion loses an electron. The act or process of oxidizing, chemical breakdown of nutrients for energy. - ✔✔Oxidation A material that removes debris from another substance - ✔✔Oxidizing agent A class of compounds that contain an additional atom of oxygen bound to oxygen and that uses oxidation to interrupt cell function. - ✔✔Oxidative chemistries Duration of exposure phase - ✔✔3, 4 or 10 min traditionally called "flash" cycles, and they must be pre-programmed into the control systems of steam sterilizers. - ✔✔Gravity cycles Duration and temperature for flash sterilization load consistIng of a single instrument comprised of metal and Without lumens - ✔✔3 min at 270 Duration of complex or lumened instruments, mixed materials, or multiple instruments - ✔✔ 10 min at 270 flash cycles are standard sterilization cycles with a limited drying time - ✔✔Prevacuum
Temp, duration and dry time for pre-vacuum load that consists of mixed materials or items with lumens - ✔✔ 4 min at 270, 12 min The incubation temp for Geobacillus stearothermophilus is - ✔✔ 122 - 140 A "control BI" should always be - ✔✔positive What is MIS? - ✔✔minimally invasive surgery How many people annually undergo rigid and flexible endoscopic procedures? - ✔✔ 20 million A liquid chemical sterile processing system uses - ✔✔a tabletop microprocessor-controlled unit, a single use cup of PA-based sterilant, and a variety of device trays and containers. With the proper temp for is 122 - 133 degrees and the exposure time to the sterilant is 12 minutes during the sterilization phase the system monitors and verifies concentration (175 or greater), temp ( 122 - 133 degrees), and exposure process (12 minutes - ✔✔Parametric monitoring steam enters the chamber as air is removed through the drain - ✔✔Conditioning phase begins when the thermocouple senses the constant pre-set cycle temp - ✔✔Exposure phase filtered air enters, steam is removed from the chamber, and the pressure inside the chamber returns to atmospheric pressure - ✔✔Exhaust phase In the event of a load recall, info about specific load contents can be obtained from: - ✔✔The sterilization log
