Medical Terminology and Concepts in Healthcare, Exercises of General Surgery

Download Medical Terminology and Concepts in Healthcare and more Exercises General Surgery in PDF only on Docsity! Sterile Processing - Final Exam, IAHCSMM CENTRAL SUPPLY STUDY GUIDE, Sterile Processing Study Material for Certification Exam David Mungai [Date] [Course title] Sterile Processing - Final Exam, IAHCSMM CENTRAL SUPPLY STUDY GUIDE, Sterile Processing Study Material for Certification Exam Why is it important to evenly distribute large instruments in a set? A. The set is difficult to carry if the weight is unevenly distributed B. Extra condensation will make the set more difficult to dry C. It is easier for the end user to sort the instrument D. The overall weight of the set is affected - Answer>> B Which of the following BEST describes the overall role of the CS/SPD A. To provide dependable service to enhance patient care B. To provide sterilization services on a rigid schedule C. To provide delivery of supplies D. To provide direct patient care - Answer>> A Which of the following government agencies regulates environmental disinfectants? A. OSHA B. FDA C. EPA D. CDC - Answer>> C Medical-grade kraft paper CANNOT be used with which of the following sterilization processes ? A. Steam B. Ozone C. Ethylene oxide D. Low temperature gas plasma - Answer>> D During cycle counts, items that have a large dollar value but are NOT used frequently are classified as A microorganism that is resting and had a hard shell like outer covering is called a A. Prion B. Spore C. Flagella D. Capsule - Answer>> B Spongiform encephalopathy is caused by which of the following A. Prions B. Spores C. Viruses D. Pyrogens - Answer>> A Nails,tissues, and money are examples of A. Fomites B. Vehicles C. Vectors D. Flagellae - Answer>> A Cholera is transmitted by A. Droplets B. Vectors C. Direct contact D Contaminated food and water - Answer>> D In the FINAL step of hand washing, the fingers should be rinsed with the fingertips A. UP B. Left C. Right D. Down - Answer>> A Water less hand antiseptics contain what percentage concentration of alcohol make the MOST effective A. 25% to 49% B. 60% to 95% C. 50% to 100% D. 75% to 100% - Answer>> B All of the following play a role in how bones support other body systems EXCEPT A. Storage of minerals B. Growth of blood cells C. Distribution of hormones D. Protection of internal organs - Answer>> C OSHA requires that containers of potentially infectious materials be A. Leakproof B. Rubber C. Metal D. Glass - Answer>> A Round or spherical bacterial are called A. Cocci B. Bacilli C. Spiral D. Flagellae - Answer>> A The removal of contamination from an item to the extent necessary for further processing is called A. Snorting B. Sterilizing C. Cleaning D. Disinfection - Answer>> C Which of the following should be cleaned daily A. Floors and work surfaces B. Walls and vents C. Floor drains D. Ceilings - Answer>> A Which of the following is a TRUE statement regarding the use of personal protective equipment (PPE) in the decontamination area A. Its use is optional B. Vinyl gloves are all that is needed manual cleaning C. Failure to wear PPE can result in disciplinary action D. If the temperature in the room is too warm, gowns do not need to be worn - Answer>> C Before the medical device is cleaned and processed A. The manufacturer's instructions must be obtained B. Material compatibility testing must be preformed C. It must be approved by the electrician D. It must be checked for function - Answer>> A The MINIMUM time needed for effective handwashing is A. 5 seconds B. 10 seconds C. 15 seconds D. 20 seconds - Answer>> C Which of the following IS NOT s consideration when selecting a detergent? A. Quality of water B. Amount of soil C. Water temperature D. Cost of detergent - Answer>> D The relative acidity or alkalinity of a solution is referred to as its A. TMJ B. pH C. Fx D. B12 - Answer>> B D. Passivation layer on the item are changed - Answer>> B Which of the following chemicals are bactericidal and used for the cleaning inanimate environmental surfaces and floors? A. Halogen B. Peracetic acid solutions C. Glutaraldehyde solution D. Quaternary ammonium compounds - Answer>> D What is the ceiling threshold limit value for glutaraldehyde? A. 0.02ppm B. 0.05ppm C. 0.5 ppm D. 0.25 ppm - Answer>> B Which of the following pieces of equipment is used to regulate body temperature A. Hypo/hyperthermia machine B. Sequential compression device C. Continuous passive motion decive D. Patient controlled analgesis pump - Answer>> A Which of the following pieces of equipment is used to prevent the formation of blood clots? A. Continuous passive motion device B. Patient controlled anagesia pump C. Sequntial compression device D. Hypo/hyperthermia machine - Answer>> C Which series of stainless steel is used to manufacturer osteotomes? A. 200 B. 300 C. 400 D. 500 - Answer>> C For manual lubrication, surgical instruments should be placed in a lubricant solution and then A. Room air dried B. Rinsed with treated water C. Wiped off with a dry towel D. Blown dried with compressed air - Answer>> A Which of the following should be cut with dissecting scissors ? A. Suture B. Wire C. Tissue D. Dressing - Answer>> C What is the purpose of a tungsten carbide insert on a needle holder? A. To hold smaller needles B. To allow easier inspection for cleanliness C. To hold the suture needle better D. To provide more friction than stainless steel - Answer>> C When should laparoscopic instruments be reassembled for sterilization? A. Before ultrasonic cleaning B. When recommended by the manufacturer C. Immediately after ultrasonic cleaning D. If they are to be flashed sterilized - Answer>> B Which of the following types of instruments are used to view internal organs through very small openings? A. Endoscopic B. Powered C. Self retaining D. Micro - Answer>> A Instruments must NEVER be A. Engraved B. Etched C. Taped D. Color bonded - Answer>> A Which of the following is an example of a flexible endoscope? A. Bronchoscope B. Arthroscope C. Resectoscope D. Cystoscope - Answer>> A In the sterile storage area of CS/SPD, the temperature is 70° F (21°C) and the humidity is 69%. What should be done ? A. Continue with routine activities B. Inspect all packages for excessive moisture C. Contact engineering to lower the temperature D. Contact engineering to increase the humidity - Answer>> A Anyone entering the the preparation area MUST A. Sign in B. Be an employee C. Wear proper attire D. Be at least 21 years old - Answer>> C Where should the chemical indicator be placed when sterilizing two large basins with smaller basins in one set? A. In the top basin B. In the bottom basin C. In the center of the basins D. In the top and bottom basins - Answer>> D C. The inner pouch must lay flay inside the outer pouch D. The two pouches should be sealed together - Answer>> C. Which of the following BEST describes a MINIMUM exposure time, temperature , and pressure for prevaccum steam sterilization of wrapped items? A. 4 minutes at 270°F (132°C) and 28 to 30 pounds per square inch B. 3 minutes at 270°F (132°C) and 38 to 40 pounds per square inch C. 15 minutes at 250°F (121°C) and 28 to 30 pounds per square inch D. 30 minutes at 250°F ( 121°C) and 28 to 40 pounds per square inch - Answer>> A. What is the first step to take when an instrument needs to be sterilized for immediate use ? A. Place the item in a peal pouch and seal B. Place a biological indicator in the sterilizer C. Clean the instrument according to the manufacturer's instructions D. Wrap in double thickness non woven wrap - Answer>> C Incoming saturated steam should be within which of the following ranges of dryness A. 97% to 100% B. 51% to 55% C. 10% to 12% D. 5% to 6% - Answer>> A Failure to remove all air from a package within the steam sterilizer will result in A. Wet packs B. Poor steam penetration C. Drying out of the packaging material D. Poor adherence of the autoclave tape - Answer>> B Damage to medical/surgical supplies stored in the RECEIVING AREA can be avoided by A. Storing supplies no closer than 18 inches from the ceiling B. Storing supplies at least 8 inches from the floor C. Avoiding temperature and humidity extremes D. Removing supplies from the origional shipping cartons - Answer>> D Steam is exhausted from the sterilizer through the A. Door gasket B. Pressure gauge C. Chamber jacket D. Chamber drain line - Answer>> D Why MUST textile packs be placed on their sides for sterilization? A. To aid the drying process B. To facilitate air removal and stream penetration C. To allow as many packs as possible to fit on the rack D. To better the chemical indicator tape - Answer>> B The MOST unique feature of an integrating chemical indicator is its ability to A. To take the place of a biological indicator B. Be incubated and read within 3 hours C. Perform in parallel to a biological indicator D. Be suitable for all types of sterilization - Answer>> C EO kills microrganisms by a process called A. Condensation B. Maturation C. Oxidation D. Alkylation - Answer>> D The normal concentration of hydrogen peroxide in a low temperature gas plasma sterilizer is A. 30% B. 48% C. 59% D. 75% - Answer>> C Rigid sterilization containers should be biologically tested before A. Placement of the filters B. Purchasing C.Testing gaskets D. The first cycle of the day - Answer>> B In the sterile storage area, the ventilation system MUST be under A. The sprinklers B. The air conditioners C. Negative pressure D. Positive pressure - Answer>> D The hourly exchange rate in the sterile storage area should be AT LEAST A. 2 B. 4 C. 6 D. 8 - Answer>> B Which of the following is NOT a factor affecting the dry time in a steam sterilizer ? A. Type of packaging B. Weight of sets C. Selected sterilization time D. Configuration of the load - Answer>> C The optimum amount of a supply to order is called the Generally, incident reports should be filled A. within 24 hours of incident B. Only If there is a severe injury C. When requested by workman's compensation D. For employees injuries only - Answer>> A An exhaust hood over the EO sterilizer is an example of a(n) A. Regulated area B. Emission control C. Emergency plan D.Engineering control - Answer>> D Which of the following is the correct incubation temperature range for biological indicators used in steam sterilization? A. 131°F to 140°F B. 140°F to 183°F C. 250°F to 275°F D. 270°F to 275°F - Answer>> A Which is the largest part of the brain A. Cerebrum B. Cerebellum C. Brain stem D. Spinalcord - Answer>> A A chemical indicator responding to two or more critical parameters belongs to which class? A. Class 2 B. Class 3 C. Class 4 D. Class 5 - Answer>> C Ortho phtaldehyde is classified as a A. Low level disinfectant B. Immediate level disinfectant C. High level disinfectant D. Liquid sterilant - Answer>> C When placing paper plastic pouches in a sterilizer the pouches should be placed A. Paper to paper in a basket B. Plastic to plastic in a basket C. Paper facing plastic in a basket D. On their edge placed in between other packages - Answer>> C The study of microorganisms. The science which treats the nature, life and action of microorganisms. - Answer>> Microbiology The state of being soiled or infected by contact with infectious organisms or other material - Answer>> Contamination The functional center of a cell that governs activity and heredity. - Answer>> Nucleus A unit of measurement; 1/1000 of a millimeter or 1/25,000 of an inch; usually designated by the Greek letter "u". - Answer>> Microns The process by which some cells can ingest bacteria or other foreign particles. (process where white blood cells in the human body destroy bacteria by engulfing them). - Answer>> Phagotization Deoxyribonucleic Acid. The protein found in the chromosomes of a cell nucleus which is the basis of heredity.. - Answer>> DNA Describes all living materials in a cell. A thick mucous-like substance that is colorless and translucent that forms the biochemical basis of life within the cell nucleus. - Answer>> Protoplasm cell wall, cell membrane, cytoplasm, capsule, flagella, nucleus - Answer>> Components of a cell The living matter of a cell between the cell's membrane and nucleus. - Answer>> Cytoplasm A tough rigid structure that helps maintain the cell's shape. - Answer>> Cell wall This layer is located just beneath the cell wall which is semi- permeable. - Answer>> Cell membrane A mucus material that protects the bacteria from the host cells that try to destroy it. - Answer>> Capsule Thread-like tails attached to the cell that enable the bacteria to move through liquids. - Answer>> Flagella Mycobacterium tuberculosis (which causes tuberculosis) and Mycobacterium leprae (which cause leprosy). - Answer>> Acid- fast bacteria Microrganisms capable of forming a thick wall around themselves enabling them to survive in adverse conditions; a resistant form of bacterium. - Answer>> Spore A molecule in plants that absorbs sunlight, and converts it to energy in a process called photosynthesis. - Answer>> Chlorophyll Total Hip Arthroplasty - Answer>> THA A type of flexible connective tissue. - Answer>> Cartilage A group of organs that work together to carry out a specific activity. - Answer>> System A cord of fibrous tissue that attaches a muscle to a bone. - Answer>> Tendons A band of connective tissue that connects a bone to another bone. - Answer>> Ligaments The process by which cartilage is replaced by bone. - Answer>> Ossification Allow us to lower our head. - Answer>> Gliding Joint This joint make possible movements like swinging one's arm around in a circle. - Answer>> Ball and Socket Joint Allows turning and rotation motions. - Answer>> Pivot Joint Allows backward and forward motions. - Answer>> Hinge Joint The overall covering or lining of a joint. - Answer>> Synovial Membrane Outer material - is dense and strong, and consists of calcium and phosphorous. - Answer>> Cortical (Compact Bone) Inner section - is porous and is filled with material called marrow. - Answer>> Cancellous (Spongy) Is comprised of living tissue, and their strength and hardness come from chemical substances called minerals. - Answer>> Bones The basic unit of life; the smallest structural unit of living organisms capable of performing all basic functions of life. - Answer>> Cell A group of similar cells that perform a specialized function. - Answer>> Tissue Epithelial tissue, Connective tissue, Muscular tissue, & Nervous tissue. - Answer>> Four major primary tissues This tissue covers the body's external surface (skin), and the linings of the body cavities. - Answer>> Epithelial tissue This tissue provides support, stores energy, and connects other tissue and parts. - Answer>> Connective tissue This tissue shortens as it contracts. - Answer>> Muscular tissue This tissue of communication is located throughout the body. - Answer>> Nervous tissue A part of the body containing two or more tissues that function together for a specific purpose. - Answer>> Organ ribonucleic acid - translates the DNA messages, and guides the protein-making process. - Answer>> RNA These cell components are comprised of DNA, and pass on the traits of parents to new cells. - Answer>> Chromosomes consistent delivery of products and services according to established standards - Answer>> quality technical, statistical sampling method that measures production quality - Answer>> quality control process control measures used to assure planned conditions within sterilizers and aerators are met - Answer>> technical quality control indicators process designed to predict predict adverse outcomes of failures to prevent future adverse outcomes - Answer>> failure mode and effect analysis (FMEA) process that looks backwards at an event to prevent its future occurence - Answer>> root cause analysis (RCA) unexpected occurrence involving death, serious injury, or the risk thereof - Answer>> sentinel event comprehensive and measured effort to provide total quality - Answer>> quality assurance concept of measuring the current output of a process, then modifying it to increase the output - Answer>> total quality improvement (TQI) applies statistical methods to improve work processes - Answer>> continuous quality improvement (CQI) series of work activities which produce a product or service - Answer>> work processes all costs incurred to purchase a specific item from point of authorization through its disposal - Answer>> total acquisition costs number of times per year that inventory is purchased, consumed, and replaced - Answer>> inventory turnover rate percentage of items available when an order is placed - Answer>> inventory service level percentage of items unavailable when an order is placed - Answer>> inventory stock out rate chisel-like instruments used to cut or shave bone - Answer>> osteotomes wedge-shaped instruments used to cut or shape bone - Answer>> chisels used to cut or bite away at bone and tissue - Answer>> rongeurs metal also known as 400 series stainless steel; magnetic and can be heat hardened - Answer>> martensitic have a hollow barrel or lumen through their center; inserted for drainage - Answer>> cannulas known as 300 series stainless steel; non-magnetic; can't be heat hardened - Answer>> austentic parallel grooves in jaws of instruments - Answer>> serrations chemical process that forms a thin, anti-corrosive oxide film on an instrument - Answer>> passivation gold handles; have a harder, stronger cutting edge - Answer>> tungsten carbide bladed scissors black rings on handles; one sharp blade and one blunt to make a guillotine effect - Answer>> microgrind scissors used to remove the disc or lamina - Answer>> kerrison rongeurs chemical that kills most pathogenic organisms - Answer>> disinfectant completely devoid of living mcroorganisms - Answer>> sterile solution which inhibits the growth of bacteria - Answer>> antiseptics destruction of nearly all pathogenic organisms on an inanimate surface - Answer>> disinfection use of hot water to kill all organisms except spores - Answer>> thermal disinfection process by which all microbial life is completely destroyed - Answer>> sterilization group of chemicals that have similar characteristics - Answer>> families relating to the destruction of bacteria - Answer>> bactericidal virus whose nucleus is not surrounded by a lipid envelope - Answer>> nonlipid virus virus whose core is surrounded by a coat of lipoprotein - Answer>> lipid virus process that kills all microbes but not large numbers of spores - Answer>> high-level disinfection process that kills viruses, bacteria and fungi but not spores - Answer>> intermediate-level disinfection process that kills vegetative bacteria, some fungi, and lipid viruses - Answer>> low-level disinfection compounds that contain positive electrical charge on hydrophobic molecule; germicidal - Answer>> cationic compounds that have a negative charge on molecule that is hydrophobic and lipophilic - Answer>> anionic low-level disinfectants used as wetting agents - Answer>> quaternary ammonium compounds (quats) low- to intermediate-level disinfectants containing carbolic acid - Answer>> phenolics one of the most effective disinfectants with a wet contact time of 5 minutes - Answer>> alcohol intermediate-level disinfectants that include chlorine and iodophors - Answer>> halogens the largest blood vessel of the body - Answer>> aorta removing lymph tissue from the pharynx - Answer>> tonsillectomy removing tonsil tissue at the end of the soft palate - Answer>> adenoidectomy obliterating a weakened balloon-like area in the aorta and replacing it with a synthetic product - Answer>> abdominal aortic aneurysmectomy (AAA) suturing the radial artery and cephalic vein together in the lower arm to allow the dilated vein to be used for large bore needle insertion for renal dialysis - Answer>> arteriovenous (AV) fistula removing anal arteries - Answer>> hemorrhoidectomy removing a vein from the leg to bypass the blocked coronary artery - Answer>> CABG removing plaques from the carotid artery that cause lack of brain oxygenation - Answer>> carotid endarterectomy chews food to make it easier to pass through esophagus - Answer>> mouth create mucus to soften food and aid in digestion - Answer>> salivary glands (parotid) produces bile needed for digestion - Answer>> liver moves food to the stomach - Answer>> esophagus stores and breaks down ingested food - Answer>> stomach stores bile which aids in digesting lipids - Answer>> gall bladder produces digestive enzymes and assists with fat digestion - Answer>> pancreas digests carbohydrates, fats and proteins and absorbs nutrients - Answer>> small intestine absorbs water, electrolytes, and salts - Answer>> large intestine portions of the small intestine - Answer>> duodenum, jejunum, and ileum colon, transverse colon, descending colon, sigmoid colon, rectum, anus - Answer>> portions of the large intestine the pathway food takes through the digestive system; digestive tract - Answer>> alimentary canal removing the appendix - Answer>> appendectomy removing a salivary gland - Answer>> parotidectomy removing the stomach - Answer>> gastrectomy isolating a small portion of the stomach and suturing part of the small intestines to it - Answer>> gastric bypass removing the gall bladder - Answer>> cholecystectomy removing all or part of the large intestine - Answer>> colectomy removing the gall bladder with endoscopic instrumentation - Answer>> laparascopic cholecystectomy nasal cavity - Answer>> nose opening through which air, food and beverages enter the body - Answer>> mouth throat - Answer>> pharanyx voice box - Answer>> laranyx windpipe - Answer>> trachea tube that extends from the trachea into both sides of the lungs - Answer>> bronchi the two organs of respiration - Answer>> lungs inhaling air into lungs - Answer>> inspiration exhaling air from lungs - Answer>> expiration smaller tubes extending from the bronchi - Answer>> bronchioles small clusters of air sacs that comprise the lungs' tissue - Answer>> alveoli thin membrane that covers the lungs - Answer>> pleura duct that transfers sperm from epididymus to the seminal vesicle - Answer>> vas deferens gland that produces semen - Answer>> seminal vesicle duct formed by joining of seminal vesicles with vas deferens through which semen moves - Answer>> ejaculatory duct mixture of sperm cells and secretions - Answer>> semen tube that discharges urine and semen - Answer>> urethra produces a fluid element in semen that stimulates motility of sperm - Answer>> prostate gland muscular canal in female that extends from external opening to neck of uterus - Answer>> vagina female organ within which fetus develops - Answer>> uterus lining of uterus - Answer>> endometrium convey ova from ovaries to uterus - Answer>> fallopian tubes finger like projections that draw ova into fallopian tubes - Answer>> fimbriae female reproductive organs - Answer>> ovaries removing a testicle - Answer>> orchiectomy relocating a non-descended testicle - Answer>> orchiopexy removing part of prostate by inserting instruments across urethra - Answer>> transurethral resection of the prostate (TURP) removing prostate through abdominal incision - Answer>> radical prosatectomy removing uterus - Answer>> hysterectomy removing both fallopian tubes and ovaries - Answer>> bilateral salpinooophorectomy scarring or removing lining of uterus to treat abnormal bleeding - Answer>> endometrial ablation widening of cervix to permit evacuation of contents or scraping of the lining of the uterus - Answer>> dilation and curettage (D&C) removing a fertilzed ovum growing in the fallopian tube - Answer>> ectopic pregnancy visualizing pelvic cavity through endoscope - Answer>> pelviscopy cutting, burning, tying fallopian tubes to prevent pregnancy - Answer>> tubal ligation chemical messengers that travel through blood and act on target organs - Answer>> hormones chemical changes by which functional activities of an organism are maintained - Answer>> metabolism hormone that reduces blood sugar levels - Answer>> insulin hormone that can increase blood sugar levels - Answer>> glucagon master gland that controls activities of all other endocrine glands - Answer>> pituitary gland helps regulate rate of metabolism - Answer>> thyroid gland controls calcium levels - Answer>> parathyroid gland under stress releases adrenalin for 'fight or flight' - Answer>> adrenal glands produces insulin and glucagon to control blood suger levels - Answer>> pancreas produce estrogen and progesterone - Answer>> ovaries produce testosterone - Answer>> testes removing nodules and/or goiters - Answer>> thyroidectomy removing an ovary - Answer>> oopherectomy removing a testicle - Answer>> orchiectomy the part of the nervous system that includes the brain and spinal cord - Answer>> central nervous system (CNS) all nerve tissue outside the CNS - Answer>> peripheral nervous system main control unit of the CNS - Answer>> brain any place where two bones meet - Answer>> joint allows bones to slide over one another - Answer>> gliding joint bone with rounded head fits into rounded cup socket of another bone - Answer>> ball and socket joint allows a turning motion - Answer>> pivot joint allows backward and forward bending motion - Answer>> hinge joint covering or lining of a joint - Answer>> synovial membrane lubricates joint surfaces - Answer>> synovial fluid hard outer surface of bone - Answer>> cortical or compact bone tough membrane that contains bone forming cells and blood vessels - Answer>> periosteum inner section of bone - Answer>> cancellous or spongy bone basic unit of life - Answer>> cell outer covering of cell - Answer>> cell membrane lining between cell membrane and nucleus - Answer>> cytoplasm center of cell that governs activity and heredity - Answer>> nucleus group of similar cells that perform a specialized function - Answer>> tissue body part containing two or more tissues that function together for a specific purpose - Answer>> organ covers body's external surface and body cavity linings - Answer>> epithelial tissue provides support, stores energy and connects other tissues and parts - Answer>> connective tissue shortens as it contracts providing movement - Answer>> muscular tissue tissue of communication carries messages - Answer>> nervous tissue stores info needed to build proteins and passes genetic info from parent to offspring - Answer>> DNA translates DNA and guides making of proteins - Answer>> RNA cell components comprised of DNA that pass on traits of parent cells to new cells - Answer>> chromosomes incision into an organ - Answer>> -otomy surgical fixation - Answer>> -pexy to suture - Answer>> -rrhaphy a cutting instrument - Answer>> -tome bile - Answer>> chole uterus/womb - Answer>> hyster stone - Answer>> litho Bilateral Salpingoophorectomy - Answer>> BSO Coronary Artery Bypass Graft - Answer>> CABG Colostomy - Answer>> forming an opening into the colon Dermatome - Answer>> instrument to cut skin Hemorrhoidectomy - Answer>> excision of hemorrhoids surgical removal of the leg below the knee - Answer>> The term, "BKA," refers to a surgical procedure involving: Lithotripsy - Answer>> crushing of a stone Rhinoplasty - Answer>> surgical repair of the nose Tympanoplasty - Answer>> surgical repair of the tympanic membrane an instrument used to remove tissue around the bone - Answer>> The term, "periosteal elevator," refers to: Root word element - Answer>> Which of the following tells a primary meaning of a word? between the ribs - Answer>> The term "intercosto" means Communication of workplace hazards - Answer>> OSHA has a great effect on CS/SPD by its regulation of occupational exposure to airborne contaminants, exposure from bloodborne pathogens, and which of the following: Healthcare facilities to report deaths or serious injuries from medical devices. - Answer>> The Medical Device Reporting regulation requires: Quality Assurance - Answer>> Collection of data and identification of issues are part of what kind of program? Standardized - Answer>> To ensure that all employees are learning the same information, training should be: Anatomy - Answer>> Which branch of science refers to the form and organization of body parts? Physiology - Answer>> Which branch of science refers to the function of specific body parts? Cells - Answer>> The smallest and most numerous structural units possessing the basic characteristics of life are called: Cold - Answer>> Which of the following is NOT an environmental factor required for the life of a cell? Nucleus - Answer>> DNA is found in which part of the cell? Organs - Answer>> Complex structures with specialized functions within the body are known as: Bone Marrow - Answer>> Red blood cells develop in which part of the body? Middle Ear - Answer>> The smallest bones of the body are found in the: Hyoid Bone - Answer>> Which of the following supports the tongue and the functions in swallowing? Axial Skeleton - Answer>> The skull, hyoid, vertebral column, and thoracic cage are part of the: 1/2 - Answer>> Muscles make up what part of the body's bulk? Sternum - Answer>> Which of the following bones can be found in the axial skeleton? Humerus - Answer>> Which of the following is part of the appendicular skeleton? Lower limbs - Answer>> The femur, tibia, and fibula are bones of the: Upper limbs - Answer>> The humerus, radius, and ulna are bones of the: Striations - Answer>> Smooth muscle cells lack: Tendons - Answer>> What connects muscle to bone? Muscles - Answer>> Specialized cells responsible for contractions in the body are called: Skin - Answer>> Which of the following is the largest organ OF the body? Dermis - Answer>> Nerves and blood supply are located in which layer of the skin? White Blood Cells - Answer>> Which of the following are responsible for providing immunity? Carbon Dioxide - Answer>> The breathing process removes which of the following gases from body cells? Respiratory - Answer>> pH is regulated through which system in the body? Esophagus - Answer>> Which of the following transports food to the stomach? Small Intestine - Answer>> The longest part of the GI tract is the: Liver - Answer>> Which organ produces bile? Bony Encasement - Answer>> The entire delicate central nervous system is protected by: Cerebrum - Answer>> The portion of the brain responsible for consciousness is the: Skeletal Muscle Contractions - Answer>> Which of the following is a function of the voluntary nervous system? Heart Rate - Answer>> Which of the following is a function of the autonomic nervous system? The Ear - Answer>> Where is the tympanic membrane located? An Abnormal Protein - Answer>> Which of the following BEST describes a prion? Gram-Positive Coccus - Answer>> Staphylococcus Aureus is a: Hours - Answer>> VRE can survive on the hands for: Nosocomial Infection - Answer>> A healthcare-acquired infection is generally termed a: 90,000 deaths annually - Answer>> Healthcare-acquired infections account for more than: The Human Body - Answer>> The principal living reservoir of human disease comes from: Gastrointestinal Disease - Answer>> Water that has been contaminated by the feces of humans and other animals is most notably responsible for: Direct Contact - Answer>> The principal route of nosocomial infections is: Fomite - Answer>> The general term for any inanimate object involved in the spread of infection is: Measles - Answer>> Which of the following is NOT a disease spread by droplets? Respiratory Tract - Answer>> The pathogens that cause tuberculosis, whooping cough, pneumonia, measles, mumps, and smallpox are discharged through the: Vectors - Answer>> Living things responsible for causing disease are called: The Respiratory Tract - Answer>> One of the most common portals of exit in disease transmission is: Parenteral Tissue - Answer>> An infection caused by a needle stick enters through which portal of entry? Wash Hands - Answer>> The single most effective way to prevent infection is to: 15 seconds - Answer>> The MINIMUM time needed for effective hand washing is: Turned off using a disposable towel - Answer>> Unless the water turns off automatically, the water should be: OSHA - Answer>> Bloodborne pathogen exposure is regulated by: 60% to 95% - Answer>> Which concentration is most effective in alcohol hand sanitizers? Hands are visually soiled - Answer>> Waterless hand antiseptics are NOT appropriate when: Handled as if they were infectious - Answer>> Under standard precautions, all blood and other potentially infectious materials are: An employee is exposed to blood or body fluid - Answer>> A confidential medical evaluation must be performed any time: Cleaning - Answer>> According to AAMI, "The removal of contamination from an item to the extent necessary for further processing or for the intended use" defines": Decontamination - Answer>> According to OSHA, the use of physical or chemical means to inactivate bloodborne pathogens from a surface is known as: Manual and/or automated, mechanical cleaning - Answer>> What is the first step in the decontamination process? Bioburden - Answer>> Microorganisms on contaminated items are referred to as: Pathogens - Answer>> Which of the following terms refers to disease-producing microorganisms? 10 - Answer>> The number of air exchanges in the decontamination area should be: Negative Pressure - Answer>> The ventilation system in the decontamination area must be maintained at: Laundered by the facility - Answer>> OSHA recommends that contaminated scrub attire be: Request written instructions for processing from the manufacturer - Answer>> When a new medical device is purchased and received into SPD, what information must the technician have before processing it? 7 - Answer>> A solution is considered neutral when the pH is: Alkaline - Answer>> A solution having a pH of 9 is: Blue-Stain - Answer>> Which of the following will be noted on an improperly cleaned instrument that has been disinfected in ortho-phthaldehyde? Whether the item was completely dry - Answer>> Which of the following areas of information is NOT necessary to be recorded on the high-level disinfectant record? Steam - Answer>> Which sterilization method is suitable for the following packaging materials: textiles, non-wovens, polyolefin wraps, paper-plastic pouches and rolls, and rigid sterilization containers Ethylene Oxide - Answer>> Which sterilization method is suitable for the following packaging materials: textiles, non- wovens, polyolefin wraps, paper-plastic pouches and rolls, Tyvek (all-plastic) pouches, polyethylene, and most rigid sterilization containers Low-Temperature Gas Plasma (LTGP) - Answer>> Which sterilization method is suitable for the following packaging materials: polyolefin wraps, Tyvek (all-plastic) pouches, and certain rigid sterilization containers Dry Heat - Answer>> Which sterilization method is suitable for the following packaging materials: Metal and glass containers, aluminum foil, glassine envelopes Ozone - Answer>> Which sterilization method is suitable for the following packaging materials: Non-woven cellulosic wrap (paper) and certain containers Low-Temperature Hydrogen Peroxide (V-Pro 1 Low Temperature Sterilization System) - Answer>> Which sterilization method is suitable for the following packaging materials: polyolefin wraps and Tyvek (all-plastic) pouches that have been validated for use with low-temperature hydrogen peroxide Hypo/Hyperthermia machine - Answer>> The unit calls for a patient-cooling machine. Which of the following would be sent? Sequential compression device - Answer>> Which of the following pieces of equipment is used in the prevention of blood clots? After each use - Answer>> Patient care equipment MUST be processed: Cleaned with detergent - Answer>> Before being disinfected, patient care equipment should be: In a covered cart or closed bag - Answer>> What is the BEST way to transport an IV Pump to CS/SPD after patient use? The disinfectant recommended by the device manufacturer - Answer>> Which disinfectant is to be used for patient care equipment? Placement of disassembled parts into a plastic bag - Answer>> Which of the following is NOT part of the FINAL preparation of patient care equipment for re-use? Send to the biomedical engineering department - Answer>> A small cut is noted in the cord of an IV Pump that has been disinfected. Which of the following steps should the CS/SPD technician take? Contained during transport - Answer>> Patient care equipment that is soiled needs to be: Have staff check the units more frequently - Answer>> There is a high patient census, and there are no IV Pumps available in the CS/SPD department for distribution. Which of the following steps should be taken? 300 - Answer>> Which series of stainless steel is used to manufacture malleable retractors? Retractor - Answer>> Which of the following would be used to hold back tissue or organs? Passivation - Answer>> What is the FINAL stage in manufacturing a surgical grade instrument? Super Sharps - Answer>> Scissors with black handles are often referred to as: Chromium oxide - Answer>> The layer of a surgical instrument created by the passivation process is called: Gold Handles - Answer>> How is an instrument with tungsten carbide inserts identified? Ebonized - Answer>> What type of finish on a surgical instrument is used for laser procedures? Water-based - Answer>> Which of the following lubricants is recommended for use on surgical instruments? Resistant to corrosion - Answer>> The chromium oxide layer is intended to make an instrument: The material must be acceptable for all types of sterilization - Answer>> Which of the following is NOT one of the basic principles of packaging? A wrapper that is too large - Answer>> Steriliant penetration can be inhibited by using: 1" - Answer>> Approximately how much space should be left between an item and the inside edges of a peel pouch? Non-woven wraps - Answer>> Which of the following packaging materials is acceptable for Steam sterilization? Tyvek - Answer>> Which of the following packaging materials is acceptable for Low-Temperature Gas Plasma (LTGP) and Ozone sterilization Latches and locks - Answer>> Tamper-evident seals on rigid containers include: Flat on the cart during sterilzation - Answer>> When rigid containers are processed in a steam sterilizer, they MUST be placed: Sterility - Answer>> The absence of all forms of microbial life, including spores, is known as: Drain line - Answer>> The sterilizer's heat-sensing thermometer is located in the: Over the drain - Answer>> In non-tabletop steam sterilizer's, where are PCDs (Process Challenge Devices or test packs) placed to present the greatest challenge to the steam sterilizer? Steam under pressure, time and temperature - Answer>> The three parameters of steam sterilization are: 3 minutes - Answer>> Which of the following is the minimum exposure time for wrapped goods in a prevac steam cycle at 275 deg F (135 deg C)? A one-of-a-kind instrument is dropped - Answer>> Immediate- use steam sterilization (flash) is appropriate when: Decontaminated as usual - Answer>> Unless otherwise specified by the device manufacturer, instruments used on patients with known or suspected CJD should be: 18 minutes, 273 deg F (134 deg C), prevac cycle - Answer>> Which of the following is the recommended cycle for processing decontaminated instruments from a suspected CJD case? Make direct contact with all surfaces - Answer>> For sterilization to occur, steam must: Reprocess the item - Answer>> Which step should be taken when a wet pack is noticed while unloading the sterilizer? Gravity steam - Answer>> Which method of sterilization is used to sterilize liquids? Bacteria can wick into the package - Answer>> Which of the following can occur if packages are moist at the end of the steam cycle? On their edge - Answer>> For sterilization, paper-plastic peel packages should be placed: On the top rack - Answer>> In a mixed load of textile and metal goods the textile packs should be placed: Tilted on their side - Answer>> For sterilization, basin sets should be positioned: The manufacturer provides technical data stating that is is acceptable - Answer>> Stacking of rigid sterilization containers on the autoclave rack is permitted when: Bowie Dick Test - Answer>> What is used to verify that the sterilizer air removal mechanism is functioning properly? Biological - Answer>> Which of the following monitoring methods verifies that conditions within the load were adequate to kill bacterial spores? Draw a line through the item and initial - Answer>> What is the correct action to take if a written item needs to be removed from the load record? Chemical - Answer>> The Bowie Dick test is considered which type of monitoring process? Integrator or Integrating Indicator - Answer>> A Class 5 indicator is called a(n)? Process Indicators or External CIs (Chemical Indicator) (example: Indicator Tape) - Answer>> A Class 1 indicator is also referred to as: The Bowie Dick test - Answer>> An example of a Class 2 indicator is: Geometric center of the load - Answer>> Generally, the EO biological test pack is placed in the: Permissible Exposure Limits (PELs) - Answer>> One or more air samples representing a full-shift exposure to EO are taken to comply with OSHA's: 0.5 ppm - Answer>> The Action Level for EO exposure is: Gauze sponges - Answer>> Which of the following should NOT be processed in a Low Temperature Gas Plasma (LTGP) sterilizer? Time, temperature, hydrogen peroxide gas plasma - Answer>> The parameters for Low Temperature Gas Plasma (LTGP) sterilization are: Non-cellulose-based material - Answer>> Items to be sterilized in Low Temperature Gas Plasma (LTGP) must be packaged in: Oxidation - Answer>> Microbial kill in the Ozone sterilizer is achieved through a process called: Stainless instruments - Answer>> Which of the following devices are compatible with Ozone sterilization? Geobacillus stearothermophilus - Answer>> Which of the following microorganisms is used to biologically monitor the Ozone sterilizer? Aluminum foil - Answer>> The packaging of choice for dry heat sterilization is: Bacillus atrophaeus - Answer>> Which of the following microorganisms is used to biologically monitor the dry heat sterilizer? Peracetic acid - Answer>> Which of the following is a wet sterilization system for unwrapped items? Indefinitely - Answer>> Sterile items that are protected from the environment have been proven to remain sterile: Shelf life - Answer>> The period of time during which a sterile item is considered safe to use is known as: Package degradation - Answer>> Which of the following factors is a reason for assigning an expiration date to a product? Every time it is handled - Answer>> A package must be visually inspected for integrity: Placed in a sterility maintenance cover - Answer>> Sterile trays that might be subjected to storage challenges should be: Hygrometer - Answer>> Humidity can be measure in the Sterile Storage area by using a: 4 - Answer>> The number of air exchanges per hour in the Sterile Storage areas should be at least: Positive pressure - Answer>> The Sterile Storage area should be maintained at: 8 to 10 - Answer>> All supplies in Sterile Storage must be how many inches from the floor? 70% - Answer>> The relative humidity in the Sterile Storage area should not exceed: 75 deg F (24 deg C) - Answer>> The temperature in the Sterile Storage area should not exceed: The growth of microorganisms - Answer>> It is important to control the humidity in the Sterile Storage area in order to prevent: Solid - Answer>> The bottom shelf of storage carts should be: 18 inches - Answer>> Sterile items stored on the top shelf must be how far from the fire sprinkler head? 2 inches - Answer>> Shelving in the Sterile Storage area must be how far from the outside walls? Harbor soil - Answer>> Shipping cartons are not acceptable storage containers in the Sterile Storage area because they: FIFO (First In, First Out) - Answer>> Rotating stock to ensure using the oldest supplies first is known as: Cost effectiveness data - Answer>> Before releasing an item to fill a sterile supply order, all of the following must be checked EXCEPT: Purchasing - Answer>> Which of the following is NOT an element of a distribution system? Receiving - Answer>> Which area is the first to accept responsibility for all supplies in the facility? On the floor - Answer>> Supplies should NEVER be stored: