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CBSPD Exam Prep Questions With 100% Correct Answers 2024(A+ Graded Verified) Ethylene Oxide gas kills microorganisms by a process called - ANSWER Alkylation What is the process where a chromium oxide layer is placed on a surgical instrument - ANSWER Passivation What are the dark black Craters on a stainless steel instrument called - ANSWER Pitting What is the enzyme that breaks down fatty deposits like bone marrow and adipose tissue? - ANSWER Lipase What lubricant is recommended for use on surgical instruments? - ANSWER Water- based What can be used to remove severe stains on stainless steel instruments? - ANSWER Organic Acid Detergent Frequently used items are stored on - ANSWER Middle shelf What is another name for Healthcare Acquired Infection? - ANSWER Nosocomial Infection What is the principle route of HAI's? - ANSWER Direct Contact What is the use of physical or chemical means to remove, inactivate, destroy pathogens on the surface of an item? - ANSWER Decontamination A sterile item should not be handled more than times. - ANSWER 4 Another name for the lowest amount of stock - ANSWER Reorder point In Sterile Storage area, the ventilation system must be under - ANSWER Positive pressure Influence is caused by a - ANSWER Virus Distal ends of rigid endoscopes should by cleaned with a - ANSWER Soft bristled brush Indicator (autoclave) tape is considered what type of CI? - ANSWER type 1 Indicators for a specific test like a Bowie-Dick test are what type of CI? - CBSPD Exam Prep Questions With 100% Correct Answers 2024(A+ Graded Verified) Ethylene Oxide gas kills microorganisms by a process called - ANSWER Alkylation What is the process where a chromium oxide layer is placed on a surgical instrument - ANSWER Passivation What are the dark black Craters on a stainless steel instrument called - ANSWER Pitting What is the enzyme that breaks down fatty deposits like bone marrow and adipose tissue? - ANSWER Lipase What lubricant is recommended for use on surgical instruments? - ANSWER Water- based What can be used to remove severe stains on stainless steel instruments? - ANSWER Organic Acid Detergent Frequently used items are stored on - ANSWER Middle shelf What is another name for Healthcare Acquired Infection? - ANSWER Nosocomial Infection What is the principle route of HAI's? - ANSWER Direct Contact What is the use of physical or chemical means to remove, inactivate, destroy pathogens on the surface of an item? - ANSWER Decontamination A sterile item should not be handled more than times. - ANSWER 4 Another name for the lowest amount of stock - ANSWER Reorder point In Sterile Storage area, the ventilation system must be under - ANSWER Positive pressure Influence is caused by a - ANSWER Virus Distal ends of rigid endoscopes should by cleaned with a - ANSWER Soft bristled brush Indicator (autoclave) tape is considered what type of CI? - ANSWER type 1 Indicators for a specific test like a Bowie-Dick test are what type of CI? - ANSWER Type 2 Single-Variable indicators like glass ampules are what type of CI? - ANSWER Type 3 What microbe can survive adverse conditions by forming spores? - ANSWER Clostridium What must be made available to distribution personnel - ANSWER Policies and procedures What distribution system is not considered a specialty cart? - ANSWER Exchange Barcoding is part of what system? - ANSWER Tracking MAX humidity in sterile storage area - ANSWER 70% Prevent biofilm is lumens by - ANSWER Rinse with critical water and dry well Sterile Processing should plan for what percent of total needs on units? - ANSWER 90% Stocks must be rotated to reduce - ANSWER Outdates What is recommended alongside a high-alkaline detergent in a mechanical washer? - ANSWER Neutralizing Acid OSHA requires transport containers for potentially infectious materials be - ANSWER Leak-proof Opened and unused sets should be - ANSWER Reprocessed Sterilizer's ability to sterilize under actual use conditions - ANSWER Maximum-Load testing Incoming saturated steam needs a dryness range of - ANSWER 97-100% How often are Floors and work surfaces cleaned? - ANSWER Daily What is needed before a medical device is cleaned/processed? - ANSWER IFU Effective sterilization begins with - ANSWER thorough cleaning Outcome of high alkaline H2O when cleaning instruments - ANSWER Corrosion What phase of sterilization does gradual heating of packs occur? - ANSWER Conditioning What distribution system requires the use of a predetermined list? - ANSWER Par-level Labor intensive distribution system that requires the department to be responsible for maintaining inventory levels - ANSWER Demand Critical devices require - ANSWER Sterilization between uses Vancomycin Resistant Enterococcus are gram positive cocci that survive on surfaces - ANSWER 6-7 days Vancomycin Resistant Enterococcus are gram positive cocci that survive on hands - ANSWER Hours rigid sterilization containers mUst be biologically tested before - ANSWER Purchase How often do drain line baskets in a non-table top steam sterilizer need to be cleaned ? - ANSWER daily critical parameters for heat sealing paper-plastic pouches - ANSWER Temperature, pressure, dwell time Instruments must NEVER be - ANSWER Engraved Damage to instruments are avoided by - ANSWER Avoiding temperature and humidity extremes Microbes resistant to heat and chemicals - ANSWER Capsulated bacterium Most efficient distribution system - ANSWER Total exchange cart First step when sterilizing an instrument - ANSWER Cleaning When sterilizing 2 large basins with smaller bowls in the same set, CI is placed - ANSWER Top and bottom of basins Barrier precautions, hand washing, and sharps precautions come under the umbrella of - ANSWER Standard precautions bluish-black stains - ANSWER 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 - ANSWER cold sterilization solution being used outside manufacturers guidelines Sterile Trays that may be subject to storage challenges should be - ANSWER Place in sterility maintenance cover Air exchange rate in sterile storage - ANSWER 4 Disadvantage of Exchange Cart System - ANSWER Duplicate bladder -crine - ANSWER secretion blephar/o - ANSWER eyelid stomato - ANSWER mouth Ileo - ANSWER small intestine frenu- - ANSWER fold -cele - ANSWER swelling hyster/o - ANSWER uterus Reno- - ANSWER kidney -atresia - ANSWER closure -malacia - ANSWER abnormal softening medical grade kraft paper can not be used with - ANSWER LTGP Waterless antiseptic contains what concentration of alcohol to be most effective? - ANSWER 60-90% Which detergent works best in mechanical washers due to lack of friction? - ANSWER Alkaline What cleaner is used to wash laparoscopies? - ANSWER Ultrasonic lumen cleaner Multi step process in washer to avoid corrosion - ANSWER Alkaline detergent, wash, acid rinse, regular rinse The ceiling threshold limit value for Glutaraldehyde is - ANSWER 0.05 ppm What type of clearance do rigid endoscopes require? - ANSWER FDA 510k How to avoid damage to items in receiving area? - ANSWER Remove from original cartons Sets intended for the days use are usually collected - ANSWER The day before they're used The largest customer of Central Service is: - ANSWER operating room What does a patient equipment processing area contain? - ANSWER 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 - ANSWER Validation Steam entering the sterilizer should have what percentage of entrained water? - ANSWER 3% To prevent biofilms in lumens: - ANSWER Use critical water and dry well What residue leaves bluish or rainbow-type stains on instruments - ANSWER Iron and silicates In table-top sterilizers, steam in generated from: - ANSWER Distilled/critical water poured in a reservoir in/on the machine Sterility type for reusable instruments processed within SPD - ANSWER Event related sterility Max weight when sterilizing 2 large basins with smaller bowls in the set - ANSWER 7lb Thickness of a sterility maintenance cover should be - ANSWER 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: - ANSWER Log reduction Spaulding Classification states non critical devices require - ANSWER Low level disinfection Equiptment is identified as nonfuctional on floor. The spd tech assigned to patient care should: - ANSWER Leave item "as is" and contact biomedical engineering Printouts and graphs that show sterilizer met proper parameters are examples of: - ANSWER Physical monitors/ mechanical indicators What property make mycobacteria hard to kill? - ANSWER Fatty protective sheath Medical grade kraft paper, moist instruments, implants, & long/narrow lumens can NEVER be used in this sterilizer: - ANSWER LTGP What factor is critical to EO gas killing microbes? - ANSWER Humidity Minimal amount of IFUs spd techs should haveand where: - ANSWER 2, one at decontamination and the other at prep and packaging AMII Tir 34 establishes parameters and values for testing: - ANSWER Water quality Pathogens prefer these environmental conditions: - ANSWER Warm, dark and moist Visualize entire large intenstine - ANSWER Colonoscope 3 power sources for powered instruments - ANSWER Electricity, battery, air What protects powered surgical instruments from fluid invasion? - ANSWER Decontamination battery -Surgical instruments used to cut away at bone and tissue. - ANSWER Ronguers Another name for 400 series steel - ANSWER Martensitic the FDA classify sterilization packaging as what kind of medical device - ANSWER Class II Aluminum can only by sterilized through - ANSWER Dry heat Some Plastics including formulations of Spun bonded polyolefin are intended for use solely in these sterilization processes - ANSWER Low temperature Cellulose materials cannot be processed within a gas plasma sterilizer - ANSWER True Minimum amount of time that packaging materials should be held at room - ANSWER 2 hours Flat wrapping technique that applies one wrap on top of another to create a package within a package - ANSWER Sequential Example of reusable packing material - ANSWER Muslin a liquid oxidizing agent that effectively kills bacteria at low temps - ANSWER parecetic acid Flash sterilization can be accomplished with these three types of cycles: - ANSWER 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. - ANSWER Oxidation A material that removes debris from another substance - ANSWER Oxidizing agent A class of compounds that contain an additional atom of oxygen bound to oxygen and that uses oxidation to interrupt cell function. - ANSWER Oxidative chemistries Duration of exposure phase - ANSWER 3, 4 or 10 min traditionally called "flash" cycles, and they must be pre-programmed into the control systems of steam sterilizers. - ANSWER Gravity cycles Duration and temperature for flash sterilization load consistIng of a single instrument comprised of metal and Without lumens - ANSWER 3 min at 270 Duration of complex or lumened instruments, mixed materials, or multiple instruments - ANSWER 10 min at 270 flash cycles are standard sterilization cycles with a limited drying time - ANSWER Prevacuum Temp, duration and dry time for pre-vacuum load that consists of mixed materials or items with lumens - ANSWER 4 min at 270, 12 min The incubation temp for Geobacillus stearothermophilus is - ANSWER 122-140 A "control BI" should always be - ANSWER positive What is MIS? - ANSWER minimally invasive surgery How many people annually undergo rigid and flexible endoscopic procedures? - ANSWER 20 million A liquid chemical sterile processing system uses - ANSWER 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 - ANSWER Parametric monitoring steam enters the chamber as air is removed through the drain - ANSWER Conditioning phase begins when the thermocouple senses the constant pre-set cycle temp - ANSWER Exposure phase filtered air enters, steam is removed from the chamber, and the pressure inside the chamber returns to atmospheric pressure - ANSWER Exhaust phase In the event of a load recall, info about specific load contents can be obtained from: - ANSWER The sterilization log If the sterilizer successfully killed all the bacteria in a biological test, it will read as - ANSWER Negative exposure time be for a Dry Heat sterilizer that was run at 160C or 320F - ANSWER 2 hours The amount of time it takes to kill 90% of the microbes present on an object - ANSWER D-value Most efficient type of dry sterilizer - ANSWER Mechanical convection confirmation that sterilization recommendations from the manufacturer can be successfully undertaken in the hospital setting - ANSWER Verification portion of the steam sterilizer that measures steam temp and automatically controls the flow of air and condensate from the sterilizer chamber - ANSWER Thermostatic strap steam sterilization heats items within the load using a heat transfer process - ANSWER Convection Dry heat sterilization heats items within the load using a heat transfer process - ANSWER Conduction Cycle time for items sterilized using ozone sterilization_ - ANSWER 4 hours cycle time for items sterilized using hydrogen peroxide gas plasma - ANSWER <1hour The inventory system that stocks supplies by established stock levels - ANSWER Par level The number of times per year that consumable items are purchased, consumed, and replaced is called - ANSWER Inventory turnover rate items are owned by the vendor but stored at the healthcare facility - ANSWER Consignment The system where items are ordered in larger quantities to save money - ANSWER Economic order quantity consumable items that are stored in central service and other assigned storage systems can be counted as an asset on the facility's balance sheet - ANSWER Official inventory