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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 - Answers :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 - Answers :A Anatomy is the science that deals with the________ of the body parts A. Function B. Structure C. Physiology D. Sociology - Answers :B Which of the following transports molecules within the cell A. Cilia B. Flagella C. Nucleus D. Cytoplasm - Answers :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 - Answers :D Which of the following organs produces bile? A. Gallbladder B. Pancreas C. Stomach D. Liver - Answers :D Microorganisms are measured in A. Inches B. Microns
C. Millimeters D. Centimeters - Answers :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 - Answers :D What is the ideal human body temperature? A. 96.8° F B. 97.8° F C. 98.6° F D. 99.0° F - Answers :C Which of the following government agencies regulates environmental disinfectants? A. OSHA B. FDA C. EPA D. CDC - Answers :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 - Answers :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 - Answers :A 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 - Answers :C Pulmonary capillaries are found in which system? A. Circulatory B. Respiratory C. Nervous
A. Storage of minerals B. Growth of blood cells C. Distribution of hormones D. Protection of internal organs - Answers :C OSHA requires that containers of potentially infectious materials be A. Leakproof B. Rubber C. Metal D. Glass - Answers :A Round or spherical bacterial are called A. Cocci B. Bacilli C. Spiral D. Flagellae - Answers :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 - Answers :C Which of the following should be cleaned daily A. Floors and work surfaces B. Walls and vents C. Floor drains D. Ceilings - Answers :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 - Answers :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 - Answers :A The MINIMUM time needed for effective handwashing is A. 5 seconds
B. 10 seconds C. 15 seconds D. 20 seconds - Answers :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 - Answers :D The relative acidity or alkalinity of a solution is referred to as its A. TMJ B. pH C. Fx D. B12 - Answers :B Clostridium botulinum is harbored in (the) A. Soil B. Air C. Water D. Body - Answers :A A solution with a pH of 3 is considered A. Concentrated B. Neutral C. Alkaline D. Acidic - Answers :D A solution with a pH of 13 is considered A. Acidic B. Neutral C. Alkaline D. Concentrated - Answers :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 - Answers :A Alkaline detergents are BEST for mechanical washers because of A. Extended dry cycles B. A lack of friction in washing C. The need to break down protein D. The high water temperature used - Answers :B
B. 0.05ppm C. 0.5 ppm D. 0.25 ppm - Answers :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 - Answers :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 - Answers :C Which series of stainless steel is used to manufacturer osteotomes? A. 200 B. 300 C. 400 D. 500 - Answers :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 - Answers :A Which of the following should be cut with dissecting scissors? A. Suture B. Wire C. Tissue D. Dressing - Answers :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 - Answers :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 - Answers :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 - Answers :A Instruments must NEVER be A. Engraved B. Etched C. Taped D. Color bonded - Answers :A Which of the following is an example of a flexible endoscope? A. Bronchoscope B. Arthroscope C. Resectoscope D. Cystoscope - Answers :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 - Answers :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 - Answers :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 - Answers :D If a wrapper will be used as a sterile field, how far over the edge of the table MUST it extend? A. 2 inches B. 4 inches C. 6 inches
A. Holding B. Exhaust C. Conditioning D. Exposure - Answers :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 - Answers :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 - Answers :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 - Answers :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 - Answers :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% - Answers :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 - Answers :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 - Answers :D Steam is exhausted from the sterilizer through the A. Door gasket B. Pressure gauge C. Chamber jacket D. Chamber drain line - Answers :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 - Answers :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 - Answers :C EO kills microrganisms by a process called A. Condensation B. Maturation C. Oxidation D. Alkylation - Answers :D The normal concentration of hydrogen peroxide in a low temperature gas plasma sterilizer is A. 30% B. 48% C. 59% D. 75% - Answers :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 - Answers :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 - Answers :D
B. Demand distribution C. Just in time distribution D. Fixed inventory level - Answers :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 - Answers :A Which distribution system is designed to reduce storeroom inventory? A. Just in time B. Exchange carts C. Par level stocking D. Demand distribution - Answers :A A biological indicator should contain how many spores? A. 10- 1 B. 10- 2 C.10- 4 D. 10- 6 - Answers :A The drain line basket in a steam sterilizer should be cleaned A. Weekly B. Daily C. Monthly D. Quarterly - Answers :B Effective sterilization starts with A. Proper handwashing B. Use of a germicide C. Through cleaning D. use of enzymatics - Answers :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 - Answers :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 - Answers :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 - Answers :A Which is the largest part of the brain A. Cerebrum B. Cerebellum C. Brain stem D. Spinalcord - Answers :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 - Answers :C Ortho phtaldehyde is classified as a A. Low level disinfectant B. Immediate level disinfectant C. High level disinfectant D. Liquid sterilant - Answers :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 - Answers :C The study of microorganisms. The science which treats the nature, life and action of microorganisms. - Answers :Microbiology The state of being soiled or infected by contact with infectious organisms or other material - Answers :Contamination The functional center of a cell that governs activity and heredity. - Answers :Nucleus A unit of measurement; 1/1000 of a millimeter or 1/25,000 of an inch; usually designated by the Greek letter "u". - Answers :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). - Answers :Phagotization
The typical method of bacterial reproduction in which a cell divides into equal parts. - Answers :Binary fission Staphylococcus aureus bacteria that have developed a resistance to Methicillin, the drug of choice. - Answers :Methicillin-Resistant Staphylococcus Aureus (MRSA) Enterococcus bacteria that are no longer sensitive to Vancomycin. - Answers :Vancomycin-Resistant Enterococcus (VRE) One of a group of minute infections agents that grow only in living tissues or cells. - Answers :Virus The animal, plant, or human that supports the growth of microorganisms. - Answers :Host Any one-celled animal-like microorganism of the sub-kingdom protozoa. - Answers :Protozoan A large group of plant-like organisms including molds, mushrooms, and yeasts without chlorophyll. - Answers :Fungi The microorganism that causes an infectious disease. - Answers :Causative agent (chain of infection) The place where an infectious agent (microorganism) can survive. - Answers :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. - Answers :Carrier The path by which an infectious agent leaves the reservoir. - Answers :Portal of exit (chain of infection) The method of transfer of an infectious agent from the reservoir to a susceptible host. - Answers :Mode of transmission (chain of infection) The path used by an infectious agent to enter a susceptible host. - Answers :Portal of entry (chain of infection) A person or animal that lacks the ability to resist infection by an infectious agent. - Answers :Susceptible host (chain of infection) Posterior Lumbar Interbody Fusion - Answers :PLIF Open Reduction Internal Fixation - Answers :ORIF
Total Knee Arthroplasty - Answers :TKA Total Hip Arthroplasty - Answers :THA A type of flexible connective tissue. - Answers :Cartilage A group of organs that work together to carry out a specific activity. - Answers :System A cord of fibrous tissue that attaches a muscle to a bone. - Answers :Tendons A band of connective tissue that connects a bone to another bone. - Answers :Ligaments The process by which cartilage is replaced by bone. - Answers :Ossification Allow us to lower our head. - Answers :Gliding Joint This joint make possible movements like swinging one's arm around in a circle. - Answers :Ball and Socket Joint Allows turning and rotation motions. - Answers :Pivot Joint Allows backward and forward motions. - Answers :Hinge Joint The overall covering or lining of a joint. - Answers :Synovial Membrane Outer material - is dense and strong, and consists of calcium and phosphorous. - Answers :Cortical (Compact Bone) Inner section - is porous and is filled with material called marrow. - Answers :Cancellous (Spongy) Is comprised of living tissue, and their strength and hardness come from chemical substances called minerals. - Answers :Bones The basic unit of life; the smallest structural unit of living organisms capable of performing all basic functions of life. - Answers :Cell A group of similar cells that perform a specialized function. - Answers :Tissue Epithelial tissue, Connective tissue, Muscular tissue, & Nervous tissue. - Answers :Four major primary tissues This tissue covers the body's external surface (skin), and the linings of the body cavities. - Answers :Epithelial tissue
based on participation of all members aimed at long term success through satisfaction and benefits to all members of the organization or society - Answers :total quality management (TQM) quality process that focuses on developing and delivering near perfect products and services - Answers :six sigma international standard to help assure the consistent delivery of quality services and products - Answers :ISO 9000 something of value that is owned by an organization or individual - Answers :asset assets that are relatively expensive that require significant advance planning for their acquisition - Answers :equipment (capital) consumable products whose value is carried on the facility's balance sheet - Answers :official inventory consumable products stored in 'unofficial' locations and expensed to user departments - Answers :unofficial inventory financial summary of what a facility owns, owes, and is worth at a specific point in time - Answers :balance sheet an asset that is expected to be used within one year - Answers :current asset system by which desired level on hand is established and is returned to that level - Answers :periodic automatic replenishment (PAR) items removed are automatically identified and tracked; when reorder point is reached a pick list is generated and resupply occurs - Answers :automated supply replenishment system desired inventory is placed on a cart in a specific location; a second, identical cart is switched out daily - Answers :exchange cart system items needed are requested by user department and transported to them by CS personnel - Answers :requisition system cart is prepared for one special surgical case with everything they need to perform procedure - Answers :case cart system system in which the serial number of an item is wirelessly transmitted with radio waves - Answers :radio frequency identification (RFID)
system that keeps track of incoming and issued supplies so the quantity of supplies in storage is known - Answers :perpetual inventory system withdrawing supplies from storage for transfer to areas where they will be used - Answers :issue difference between what should be available and what is available in a a perpetual inventory system - Answers :variance strategy that imposes higher controls on relatively few items with greatest value and least on items with lowest value - Answers :ABC analysis all costs incurred to purchase a specific item from point of authorization through its disposal - Answers :total acquisition costs number of times per year that inventory is purchased, consumed, and replaced - Answers :inventory turnover rate percentage of items available when an order is placed - Answers :inventory service level percentage of items unavailable when an order is placed - Answers :inventory stock out rate chisel-like instruments used to cut or shave bone - Answers :osteotomes wedge-shaped instruments used to cut or shape bone - Answers :chisels used to cut or bite away at bone and tissue - Answers :rongeurs metal also known as 400 series stainless steel; magnetic and can be heat hardened - Answers :martensitic have a hollow barrel or lumen through their center; inserted for drainage - Answers :cannulas known as 300 series stainless steel; non-magnetic; can't be heat hardened - Answers :austentic parallel grooves in jaws of instruments - Answers :serrations chemical process that forms a thin, anti-corrosive oxide film on an instrument - Answers :passivation gold handles; have a harder, stronger cutting edge - Answers :tungsten carbide bladed scissors
