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CHP 33 Comprehensive Medical Assisting Study Guide

Total questions: 78

Worksheet time: 39mins

Name
Class
Date
1.

Microorganisms are larger, living organisms that can be seen with the naked eye.


p. 769

a)

True

b)

False

2.

The largest natural barrier to infection is the intact skin.


p. 773

a)

True

b)

False

3.

Mucous membranes lining the body's orifices and respiratory, digestive, reproductive, and urinary tracts assist in attracting microorganisms.


p. 773

a)

True

b)

False

4.

Mucous membranes lining the body's orifices and respiratory, digestive, reproductive, and urinary tracts assist in attracting microorganisms.


p. 773

a)

True

b)

False

5.

Antibodies have the ability to neutralize antigens.


p. 773-774

a)

True

b)

False

6.

Innate immunity involves antibodies that are passed from a mother to an infant through breast milk.


p. 774

a)

True

b)

False

7.

The Centers for Disease Control and Prevention's (CDC) Universal Precautions are used in hospitals, whereas Standard Precautions are used in the medical office.


p. 774

a)

True

b)

False

8.

Ordinary hygiene habits of everyday life are a form of medical asepsis.


p. 779

a)

True

b)

False

9.

Frequent and diligent hand washing provides the first defense against the spread of disease and should be done often.


p. 779, 781

a)

True

b)

False

10.

The CDC guidelines suggest that alcohol-based hand rubs can be used at the times usually required for hand washing.


p. 782

a)

True

b)

False

11.

When removing personal protective equipment (PPE), the gloves are removed last to prevent contamination.


p. 784

a)

True

b)

False

12.

Although NOT effective for viruses (such as hepatitis) or for destroying spores, boiling water can be used as a means of disinfection.


p. 789

a)

True

b)

False

13.

Autoclaving is steam under pressure that destroys organisms by causing their cells to explode.


p. 789

a)

True

b)

False

14.

The first and most important tier, or level, of the CDC guidelines is focused on the patients who are either suspected of carrying an infectious disease or already infected.


p. 777

a)

True

b)

False

15.

Active immunity provides only temporary immunity because the body produces its own antibodies.


p. 774

a)

True

b)

False

16.

Infants, especially those under three months of age, and the elderly are more prone to infection than other age groups.


p. 775

a)

True

b)

False

17.

A medical assistant may use his or her bare hands to remove unwrapped cleaned instruments from an autoclave.


p. 793

a)

True

b)

False

18.

Before an instrument may be chemically sterilized, it must first be sanitized properly.


p. 794

a)

True

b)

False

19.

Methicillin-resistant Staphylococcus aureus (MRSA) is an infection that is highly resistant to antimicrobial drugs.


p. 770

a)

True

b)

False

20.

A serious MRSA infection is generally treated with one strong antibiotic.


p. 770-771

a)

True

b)

False

21.

A MRSA infection can occur through cuts, sores, catheters, and breathing tubes.


p. 771

a)

True

b)

False

22.

Good hygiene practices are the best way to avoid contracting or spreading MRSA infection.


p. 771

a)

True

b)

False

23.

Where is normal flora located?


p. 770

a)

In the respiratory tract

b)

On the skin

c)

In the urinary and gastrointestinal tract

d)

All of the above

24.

A micrometer is one ________ part of a meter.


p. 769

a)

hundredth

b)

thousandth

c)

millionth

d)

billionth

25.

Which is the study of fungi?


p. 770

a)

Bacteriology

b)

Mycology

c)

Protozoology

d)

Virology

26.

Microorganisms occur everywhere in nature and have several requirements in order to grow. Which is one of those requirements?


p. 770

a)

Food

b)

Moisture and darkness

c)

Suitable temperature

d)

All of the above

27.

________ is the destruction of all microorganisms, both pathogenic and nonpathogenic.


p. 789

a)

Disinfection

b)

Sterlization

c)

Sanitization

d)

Friction

28.

Hepatitis ________ is transmitted by fecal waste contamination of food and the water supply.


p. 775

a)

A

b)

B

c)

C

d)

D

29.

The incubation period for HIV and AIDS can vary by individual and can be ________.


p. 775

a)

up to 6 months

b)

up to 18 months

c)

up to 8 months

d)

many years

30.

Which is NOT one of the symptoms of HIV?


p. 775

a)

Headache

b)

Loss of appetite

c)

Swelling of lymph glands

d)

Diarrhea

31.

In order to keep the skin free of harmful organisms, there must be frequent hand washing using all of the following, EXCEPT ________.


p. 782

a)

cold distilled water

b)

disinfectant soap

c)

friction

d)

warm running water

32.

Which can the process of disinfection destroy or inhibit its activity?


p. 787

a)

All spores

b)

All viruses

c)

Spore-forming bacteria

d)

Disease-causing organisms

33.

Chemical disinfectants used for soaking and wiping include all of the following, EXCEPT ________.


p. 788

a)

phenol

b)

alcohol

c)

baking soda

d)

soap

34.

The incubation period for hepatitis C is ________ weeks.


p. 775

a)

2 to 4

b)

4 to 6

c)

6 to 10

d)

10 to 15

35.

Caregivers of a person with AIDS may do which of the following?


p. 776

a)

Call on clergy, counselors, and other health care professionals to help cope with feelings of frustration and stress.

b)

Be comfortable touching the patient.

c)

Encourage the patient to become involved in his or her own care.

d)

All of the above

36.

Standard precautions issued by the CDC involve all of the following, EXCEPT ________.


p. 776-777

a)

dietary restrictions

b)

hand hygiene

c)

personal protective equipment

d)

respiratory hygiene/cough etiquette

37.

Personal protective equipment includes ________.


p. 776

a)

gloves

b)

face masks

c)

protective eyewear

d)

all of the above

38.

A(n) ________ uses steam and pressure, dry heat, dry gas, or radiation for sterilization.


p. 789

a)

incubator

b)

microwave oven

c)

echo chamber

d)

autoclave

39.

The sterilization time for unassembled syringes, individually wrapped in gauze or glass tubes, is ________.


p. 790

a)

15 minutes

b)

30 minutes

c)

one hour

d)

three hours

40.

When wrapping and labeling instruments for autoclaving, the medical assistant should place the sterility indicator strip ________.


p. 791

a)

next to the packet

b)

under the packet

c)

in the center of the packet

d)

on the top of the packet

41.

After use, non-sterile gloves that have come in contact with blood or bodily fluid should be disposed of in a ________.


p. 777

a)

biohazard container

b)

recycle bin

c)

laundry hamper

d)

trash can

42.

Which provides barrier protection for caregivers to prevent the spread of infectious disease?


p. 783

a)

Sterile gloves

b)

Nonsterile gloves

c)

Gowns

d)

All of the above

43.

All of the following are methods of surgical asepsis, EXCEPT ________.


p. 786-789

a)

incubation

b)

disinfection

c)

sterilization

d)

sanitization

44.

What is the required sterilization time requirements for metal instruments on an open tray?


p. 790

a)

15 minutes

b)

20 minutes

c)

30 minutes

d)

60 minutes

45.

Infants are especially susceptible to infection because ________.


p. 775

a)

their immune systems are underdeveloped

b)

they are unable to practice personal hygiene

c)

their small size makes them vulnerable

d)

their dirty diapers contain pathogens

46.

Which can cause contamination?


p. 777

a)

Excessive jewlery

b)

Long fingernails

c)

Long hair

d)

All of the above

47.

All of the following are pathogens, EXCEPT ________.


p. 769

a)

mosquitos

b)

fungi

c)

bacteria

d)

viruses

48.

Pathogens that are capable of producing disease grow best at a temperature of ________°F.


p. 770

a)

50.5

b)

98.6

c)

77.7

d)

104.3

49.

Low temperatures of ________°F and below retard, but do not kill bacterial growth.


p. 770

a)

23

b)

32

c)

43

d)

54

50.

The body's largest natural barrier to infection is ________.


p. 773

a)

the respiratory system

b)

the intestines

c)

membranes

d)

intact skin

51.

Infections acquired in a health care facility are called ________ infections.


p. 771

a)

acute

b)

chronic

c)

opportunistic

d)

nosocomial

52.

Which is the first link in the chain of infection that harbors and nourishes a pathogen?


p. 777

a)

Reservoir host

b)

Means of transmission

c)

Portal of entry

d)

Portal of exit

53.

The first mild signs and symptoms of an infection begin to appear in the ________ period.


p. 772

a)

incubation

b)

acute

c)

prodromal

d)

chronic

54.

________ is the most effective practice for preventing the spread of microorganisms in a health care facility or at home.


p. 772

a)

Wearing a facial mask

b)

Disinfecting equipment

c)

Sterilizing equipment

d)

Hand sanitizing

55.

The incubation period for a hepatitis B liver infection is ________ days.


p. 775

a)

15 to 30

b)

30 to 60

c)

60 to 90

d)

90 to 120

56.

Which type of hepatitis is transmitted via the fecal or oral route?


p. 775

a)

A

b)

B

c)

C

d)

F

57.

________ is an infection of the liver.

a)

Cancer

b)

HIV

c)

Hepatitis

d)

AIDS

58.

Instruments are considered sterile for ________ days.


p. 793

a)

3 to 12

b)

12 to 21

c)

21 to 30

d)

30 to 39

59.

Which is NOT a condition of sterility?


p. 791

a)

Correct temperature

b)

Correct time

c)

Exposure to moisture

d)

Correct color

60.

Which is NOT considered wrapping material when dealing with an autoclave?


p. 790

a)

Aluminum foil

b)

Heavy paper

c)

Plastic

d)

Stainless steel containers

61.

Regardless of the model, which gauge is NOT on an autoclave?


p. 789

a)

Jacket pressure

b)

Chamber pressure

c)

Radiation

d)

Temperature

62.

Which is NOT one of the types of autoclaving?


p. 789

a)

Steam under pressure

b)

Wet gas

c)

Dry hear (320 degrees for one hour)

d)

Radiation

63.

Moist heat in an autoclave of ________°F will kill most diseases that are airborne.


p. 789

a)

150-170

b)

250-270

c)

350-370

d)

more than 400

64.

Which is NOT one of the chemical disinfectants used for soaking and wiping?


p. 788

a)

soap

b)

alcohol

c)

bicarbonate

d)

chlorine

65.

Which disinfection method is used for broad spectrum of microorganisms but has a corrosive effect?


p. 788

a)

Alcohol

b)

Formaldehyde

c)

Glutaraldehyde

d)

Chlorine

66.

The second tier of infection control requires extra precautions in addition to the Standard Precautions and is known as transmission-based precautions. It includes all of the following categories, EXCEPT ________ precautions.


p. 777-778

a)

touch

b)

airborne

c)

droplet

d)

contact

67.

Which is NOT one of the four cardinal signs of inflammation?


p. 773

a)

cold

b)

redness

c)

swelling

d)

pain

68.

Which natural barrier to infection plays a key preventive and protective role by producing antibodies?


p. 773

a)

The skin

b)

The gastrointestinal tract

c)

The mucous membranes

d)

The lymphatic system

69.

Microorganisms that are capable of producing disease (pathogens) grow best at a body temperature of ________°C.


p. 770

a)

26

b)

37

c)

89.9

d)

98.6

70.

Which natural barrier to infection contains hydrochloric acid?


p. 773

a)

Mucous membranes

b)

Respiratory tract

c)

Skin surfaces

d)

Gastrointestinal tract

71.

Which of statement about MRSA is TRUE?


p. 770-771

a)

t can be treated easily with antibiotics.

b)

It is one of the most common agents responsible for nosocomial infections.

c)

It occurs only in health care facilities.

d)

It can only be transmitted through saliva.

72.

An infection is classified as being caused by MRSA if it ________.


p. 771

a)

comes from bacteria found in the groin

b)

grows in the presence of vancomycin

c)

does not grow in the presence methicillin

d)

grows in the presence of methicillin

73.

What is a good way to avoid MRSA infection?


p. 771

a)

Perform hand hygiene.

b)

Use an antiseptic cream and bandage to cover cuts.

c)

Wear gloves and other personal protective equipment.

d)

All of the above

74.

For which disease that can be airborne is the use of a special mask recommended?


p. 777

a)

Tuberculosis

b)

Hepatitis

c)

MRSA

d)

HIV

75.

Which procedure should be practiced when disposing of infectious waste?


p. 780

a)

Line the infectious waste container with a brown paper bag.

b)

Label glass that is being disposed of in an infectious waste bag.

c)

Make sure that all liquid waste is already contained in a closable device or container before putting it into the infectious waste container.

d)

Recap needles and syringes before placing them in an infectious waste container.

76.

Which is a correct technique when performing hand washing?


p. 782

a)

Vigorously shake excess water off hands.

b)

Avoid using any hand lotion.

c)

Keep hands pointed down below the elbow level.

d)

Wash both sides of hands for 10—15 seconds.

77.

When wearing more than one piece of personal protective equipment (PPE), which is removed last?


p. 784

a)

Gown

b)

Gloves

c)

Goggles

d)

Mask

78.

During the inflammatory process, blood vessels dilate to increase blood flow, watery fluids are produced, and neutrophils invade the site of injury.


p. 773

a)

True

b)

False