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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 - correct 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 - correct answer A Which of the following government agencies regulates environmental disinfectants? A. OSHA B. FDA C. EPA D. CDC - correct 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 - correct answer D During cycle counts, items that have a large dollar value but are NOT used frequently are classified as A. A B. B C. C D. D - correct answer A Anatomy is the science that deals with the________ of the body parts A. Function B. Structure
C. Physiology D. Sociology - correct answer B Which of the following transports molecules within the cell A. Cilia B. Flagella C. Nucleus D. Cytoplasm - correct answer D Which of the following sets would be considered high risk for special prion processing? A. Open heart set B. Laparotomy set C. Abdominal set D. Craniotomy set - correct answer D Which of the following organs produces bile? A. Gallbladder B. Pancreas C. Stomach D. Liver - correct answer D Microorganisms are measured in A. Inches B. Microns C. Millimeters D. Centimeters - correct answer B With respect to rigid sterilization container testing, which term defines the sterilizer's ability to sterilize under actual conditions? A. Biological testing B. Small load testing C. Chemical testing D. Maximum load testing - correct answer D What is the ideal human body temperature? A. 96.8° F B. 97.8° F C. 98.6° F D. 99.0° F - correct answer C Which of the following is TRUE of capsules A. It is less difficult to kill than vegatitive bacteria B. It is more difficult to kill than a spore C. It is resistant to heat and chemicals D. It is easily killed by antibiotics - correct answer C
C. 50% to 100% D. 75% to 100% - correct 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 - correct answer C OSHA requires that containers of potentially infectious materials be A. Leakproof B. Rubber C. Metal D. Glass - correct answer A Round or spherical bacterial are called A. Cocci B. Bacilli C. Spiral D. Flagellae - correct 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 - correct answer C Which of the following should be cleaned daily A. Floors and work surfaces B. Walls and vents C. Floor drains D. Ceilings - correct 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 - correct 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 - correct answer A The MINIMUM time needed for effective handwashing is A. 5 seconds B. 10 seconds C. 15 seconds D. 20 seconds - correct 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 - correct answer D The relative acidity or alkalinity of a solution is referred to as its A. TMJ B. pH C. Fx D. B12 - correct answer B Clostridium botulinum is harbored in (the) A. Soil B. Air C. Water D. Body - correct answer A A solution with a pH of 3 is considered A. Concentrated B. Neutral C. Alkaline D. Acidic - correct answer D A solution with a pH of 13 is considered A. Acidic B. Neutral C. Alkaline D. Concentrated - correct answer C Which of the following are major non living reservois of infectious diseases A. Soil and water B. Oil and water C. Gas and oil D. Soil and gas - correct answer A Alkaline detergents are BEST for mechanical washers because of A. Extended dry cycles
D. Quaternary ammonium compounds - correct 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 - correct 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 - correct 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 - correct answer C Which series of stainless steel is used to manufacturer osteotomes? A. 200 B. 300 C. 400 D. 500 - correct 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 - correct answer A Which of the following should be cut with dissecting scissors? A. Suture B. Wire C. Tissue D. Dressing - correct 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 - correct 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 - correct 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 - correct answer A Instruments must NEVER be A. Engraved B. Etched C. Taped D. Color bonded - correct answer A Which of the following is an example of a flexible endoscope? A. Bronchoscope B. Arthroscope C. Resectoscope D. Cystoscope - correct 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 - correct 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 - correct 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 - correct answer D
B. Center C. Bottom back D. Drain line - correct answer D Gradual heating of packs occurs during which phase of the steam sterilizer cycle? A. Holding B. Exhaust C. Conditioning D. Exposure - correct answer C An emergency eye wash station MUST A. Provide 0.8 gallons of water per minute B. Supply the water continuously for 30 minutes C. Permit hands free operations D. Flush one eye at a time - correct answer C. What is the MOST important thing to remember when double peel pouching? A. The inner package must remain unsealed B. The inner package should be folded to fit inside the outer pouch C. The inner pouch must lay flay inside the outer pouch D. The two pouches should be sealed together - correct 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 - correct 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 - correct 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% - correct 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 - correct 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 - correct answer D Steam is exhausted from the sterilizer through the A. Door gasket B. Pressure gauge C. Chamber jacket D. Chamber drain line - correct 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 - correct 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 - correct answer C EO kills microrganisms by a process called A. Condensation B. Maturation C. Oxidation D. Alkylation - correct answer D The normal concentration of hydrogen peroxide in a low temperature gas plasma sterilizer is A. 30% B. 48% C. 59% D. 75% - correct 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 - correct answer B
B. OSHA ,CDC,EPA
C. OSHA,EPA,FDA
D. OSHA,AAMI,CDC - correct answer C Another name for par level inventory is A. Total exchange cart B. Demand distribution C. Just in time distribution D. Fixed inventory level - correct answer D Which of the following is considered a disadvantage of an exchange cart system? A. Inventory is duplicated B. Supplies must be requisitioned C. Patients are charged immediately D. Supplies can be potentially outdate - correct answer A Which distribution system is designed to reduce storeroom inventory? A. Just in time B. Exchange carts C. Par level stocking D. Demand distribution - correct answer A A biological indicator should contain how many spores? A. 10- 1 B. 10- 2 C.10- 4 D. 10- 6 - correct answer A The drain line basket in a steam sterilizer should be cleaned A. Weekly B. Daily C. Monthly D. Quarterly - correct answer B Effective sterilization starts with A. Proper handwashing B. Use of a germicide C. Through cleaning D. use of enzymatics - correct answer C 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 - correct 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 - correct 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 - correct answer A Which is the largest part of the brain A. Cerebrum B. Cerebellum C. Brain stem D. Spinalcord - correct 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 - correct answer C Ortho phtaldehyde is classified as a A. Low level disinfectant B. Immediate level disinfectant C. High level disinfectant D. Liquid sterilant - correct 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 - correct answer C The study of microorganisms. The science which treats the nature, life and action of microorganisms. - correct answer Microbiology The state of being soiled or infected by contact with infectious organisms or other material - correct answer Contamination The functional center of a cell that governs activity and heredity. - correct answer Nucleus
Bacteria which grow best at a temperatures (122-158 degrees F). - correct answer Thermophiles (bacteria) State of active growth of microorganisms (as apposed to the resting or spore stages) - correct answer Vegetative stage The typical method of bacterial reproduction in which a cell divides into equal parts. - correct answer Binary fission Staphylococcus aureus bacteria that have developed a resistance to Methicillin, the drug of choice. - correct answer Methicillin-Resistant Staphylococcus Aureus (MRSA) Enterococcus bacteria that are no longer sensitive to Vancomycin. - correct answer Vancomycin-Resistant Enterococcus (VRE) One of a group of minute infections agents that grow only in living tissues or cells. - correct answer Virus The animal, plant, or human that supports the growth of microorganisms. - correct answer Host Any one-celled animal-like microorganism of the sub-kingdom protozoa. - correct answer Protozoan A large group of plant-like organisms including molds, mushrooms, and yeasts without chlorophyll. - correct answer Fungi The microorganism that causes an infectious disease. - correct answer Causative agent (chain of infection) The place where an infectious agent (microorganism) can survive. - correct answer Reservoir of agent (chain of infection) An individual who harbors and disseminates specific pathogenic microorganisms without manifesting any clinical symptoms, and who serves as an intermediary in the transfer of diseases to a susceptible person. - correct answer Carrier The path by which an infectious agent leaves the reservoir. - correct answer Portal of exit (chain of infection) The method of transfer of an infectious agent from the reservoir to a susceptible host. - correct answer Mode of transmission (chain of infection) The path used by an infectious agent to enter a susceptible host. - correct answer Portal of entry (chain of infection)
A person or animal that lacks the ability to resist infection by an infectious agent. - correct answer Susceptible host (chain of infection) Posterior Lumbar Interbody Fusion - correct answer PLIF Open Reduction Internal Fixation - correct answer ORIF Total Knee Arthroplasty - correct answer TKA Total Hip Arthroplasty - correct answer THA A type of flexible connective tissue. - correct answer Cartilage A group of organs that work together to carry out a specific activity. - correct answer System A cord of fibrous tissue that attaches a muscle to a bone. - correct answer Tendons A band of connective tissue that connects a bone to another bone. - correct answer Ligaments The process by which cartilage is replaced by bone. - correct answer Ossification Allow us to lower our head. - correct answer Gliding Joint This joint make possible movements like swinging one's arm around in a circle. - correct answer Ball and Socket Joint Allows turning and rotation motions. - correct answer Pivot Joint Allows backward and forward motions. - correct answer Hinge Joint The overall covering or lining of a joint. - correct answer Synovial Membrane Outer material - is dense and strong, and consists of calcium and phosphorous. - correct answer Cortical (Compact Bone) Inner section - is porous and is filled with material called marrow. - correct answer Cancellous (Spongy) Is comprised of living tissue, and their strength and hardness come from chemical substances called minerals. - correct answer Bones The basic unit of life; the smallest structural unit of living organisms capable of performing all basic functions of life. - correct answer Cell
concept of measuring the current output of a process, then modifying it to increase the output - correct answer total quality improvement (TQI) applies statistical methods to improve work processes - correct answer continuous quality improvement (CQI) series of work activities which produce a product or service - correct answer work processes based on participation of all members aimed at long term success through satisfaction and benefits to all members of the organization or society - correct answer total quality management (TQM) quality process that focuses on developing and delivering near perfect products and services - correct answer six sigma international standard to help assure the consistent delivery of quality services and products - correct answer ISO 9000 something of value that is owned by an organization or individual - correct answer asset assets that are relatively expensive that require significant advance planning for their acquisition - correct answer equipment (capital) consumable products whose value is carried on the facility's balance sheet - correct answer official inventory consumable products stored in 'unofficial' locations and expensed to user departments - correct answer unofficial inventory financial summary of what a facility owns, owes, and is worth at a specific point in time - correct answer balance sheet an asset that is expected to be used within one year - correct answer current asset system by which desired level on hand is established and is returned to that level - correct answer periodic automatic replenishment (PAR) items removed are automatically identified and tracked; when reorder point is reached a pick list is generated and resupply occurs - correct answer automated supply replenishment system desired inventory is placed on a cart in a specific location; a second, identical cart is switched out daily - correct answer exchange cart system
items needed are requested by user department and transported to them by CS personnel - correct answer requisition system cart is prepared for one special surgical case with everything they need to perform procedure - correct answer case cart system system in which the serial number of an item is wirelessly transmitted with radio waves - correct answer radio frequency identification (RFID) system that keeps track of incoming and issued supplies so the quantity of supplies in storage is known - correct answer perpetual inventory system withdrawing supplies from storage for transfer to areas where they will be used - correct answer issue difference between what should be available and what is available in a a perpetual inventory system - correct answer variance strategy that imposes higher controls on relatively few items with greatest value and least on items with lowest value - correct answer ABC analysis all costs incurred to purchase a specific item from point of authorization through its disposal - correct answer total acquisition costs number of times per year that inventory is purchased, consumed, and replaced - correct answer inventory turnover rate percentage of items available when an order is placed - correct answer inventory service level percentage of items unavailable when an order is placed - correct answer inventory stock out rate chisel-like instruments used to cut or shave bone - correct answer osteotomes wedge-shaped instruments used to cut or shape bone - correct answer chisels used to cut or bite away at bone and tissue - correct answer rongeurs metal also known as 400 series stainless steel; magnetic and can be heat hardened - correct answer martensitic have a hollow barrel or lumen through their center; inserted for drainage - correct answer cannulas
