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Sterilization processing 1-4

Total questions: 75

Worksheet time: 38mins

Name
Class
Date
1.

A pick list contains information that

a)

Assist the surgeon during the procedure

b)

Is used to assemble surgery instrument sets

c)

Assist the Central service technician in selecting the correct supplies for sterile storage area

d)

Identifies the supplies and instruments needed for a specific doctor and procedure

2.

The basic unit of a living organism

a)

Cell

b)

Cytoplasm

c)

Nucleus

d)

Organ

3.

What is the name of the surgical procedure where an opening is made into the skull

a)

Burr holes

b)

Craniotomy

c)

Craniectomy

d)

Open reduction of the skull

4.

The decontamination area of the central service department is where instruments are carefully checked for cleanliness and function

a)

True

b)

False

5.

The term periosteal elevator means

a)

Surgical removal of tissue near the thyroid

b)

Surgical removal of 1/2 of the stomach

c)

An instrument for cutting skin

d)

An instrument used to remove tissue around the bone

6.

Viruses

a)

Move by a droplet method of transportation

b)

Move by a direct contact method of transportation

c)

Move by an airborne method of transportation

d)

Have no means of movement on their own

7.

The sterile storage area and a central service department should be restricted to

a)

Central service managers and supervisors

b)

Operating room personnel

c)

Central service employees only

d)

Properly attired personnel meaning back with your requirements

8.

The abbreviation BKA refers to a surgical procedure involving

a)

Treatment of a fractured bone without a surgical incision

b)

Surgical removal of both the fallopian tubes and ovaries

c)

Surgical removal of the leg below the knee

d)

A type of hip joint reconstruction

9.

The body‘s control center is the

a)

The brain stem

b)

Central nervous system

c)

Cerebrum

d)

Meninges

10.

The prefix word element

a)

Comes immediately before the suffix

b)

Comes before the root

c)

Comes before the suffix and describes the word meaning

d)

Comes after the suffix

11.

The muscular system

a)

Assist with movement

b)

Produce heat for the body

c)

Pumps blood throughout the body

d)

Is all of the above

12.

Microbes

a)

Can be found on hair and skin

b)

Are useful to break down sewage

c)

Can produce toxins

d)

Are all of the above

13.

Prefix, suffix and roots are called word elements and are contained in all medical terms.

a)

True

b)

False

14.

The pupil of the eye is the

a)

Middle layer of the eye

b)

Colored portion of the eye

c)

White portion of the eye

d)

Circular opening that controls the amount of light entering the eye

15.

Skin is a type of connective tissue

a)

True

b)

False

16.

An advantage of centralizing central service management is

a)

Payroll cost are lower

b)

More instruments can be processed faster than decentralized department

c)

Allows for maximization of people and services

d)

There are no real advantages to centralization

17.

Prions are

a)

abnormal forms of protein

b)

Gram-positive bacillus

c)

A type of virus

d)

An acid fast microorganism

18.

A herniorrhaphy is a surgical procedure which

a)

Repairs a shoulder muscle

b)

Repair is a muscle layer that is allowing all or part of an organ to project through an opening

c)

remove the sample of disease or infected muscle

d)

Repairs for fibrous membranes that cover a muscle

19.

The abbreviation CR release to a surgical procedure for

a)

Treating a fractured bone without a surgical incision

b)

Creating a new blood supply to an area of the heart

c)

Surgical removal of the uterus

d)

Surgical removal of part of the prostate gland

20.

Bacteria which caused disease are called

a)

Gram-positive

b)

Gram-negative

c)

Pathogens

d)

Potentially infections

21.

Staphylococcus is classified as a gram-positive bacteria

a)

True

b)

False

22.

Micro organisms reproduce by a process called

a)

Re-populating

b)

Binary fission

c)

Bilateral reproduction

d)

Replication

23.

When cleaning prion contaminated instruments no special cleaning procedures are required, only following standard cleaning protocols and the manufactures instructions for uses is necessary

a)

True

b)

False

24.

Most bacteria are approximately______ microns in size

a)

One to two

b)

Two to three

c)

Three to four

d)

None of the above

25.

Staphylococcus are she like a circle or spear(coccus)

a)

True

b)

False

26.

Mesophiles bacteria are often pathogenic to humans because they grow best at body temperature

a)

True

b)

False

27.

Spores micro organisms are capable of forming a thick wall around them to survive in adverse conditions

a)

True

b)

False

28.

How many people do not harbor or transmit bacteria

a)

True

b)

False

29.

The virus that causes that causes hepatitis B is transmitted by

a)

Contact

b)

Blood

c)

Airborne

d)

Vector borne

30.

Psychrophiles grow best in warm temperatures

a)

True

b)

False

31.

_______ is an example of fungus

a)

Herpes simplex

b)

Pneumonia

c)

Tuberculosis

d)

Athletes foot

32.

Viruses are larger than bacteria

a)

True

b)

False

33.

Anaerobic bacteria require oxygen to live

a)

True

b)

False

34.

The spore is the control unit of the cell

a)

True

b)

False

35.

All bacteria require the same conditions to live and grow

a)

True

b)

False

36.

Bacteria are divided into three main shape classification

a)

Straight, rod and spiral

b)

Spherical, rod and spiral

c)

Straight, rod and spherical

d)

Spherical, Spiral and straight

37.

The agency which imposes very strict labeling requirements on manufactures of disinfectants use but ral service department

a)

Association for the advancement of medical instrumentation

b)

US food and drug administration

c)

Environment toll protection agency

d)

Occupation safety and health administration

38.

Sometimes state or local regulations differ from federal regulations and when that happens, the most stringent regulations apply

a)

True

b)

False

39.

Healthcare regulations and standards establish

a)

Minimal levels of quality and safety

b)

Equal pay practices

c)

Productivity timelines

d)

All of the above

40.

Third party reprocessesors are regulated by US food and drug administration

a)

True

b)

False

41.

Chemical indicators are classified as

a)

FDA I medical devices

b)

FDA II medical devices

c)

FDA III Medical devices

d)

None, not regulated by FDA

e)

Idk

42.

Recommendations regarding sterilization practices are provided by the association for the advancement of medical instrumentation

a)

True

b)

False

43.

Under certain who is required to report suspect medical device related death to the US food and drug administration?

a)

Hospital

b)

Device manufacture

c)

All of the above

d)

None of the above

44.

Failure to receive acceditation from the joint commission can result in the loss of Medicare and Medicaid payments.

a)

True

b)

False

45.

Medical device reporting is regulated by the

a)

National fire protection association

b)

Environmental protection agency

c)

World health organization

d)

US food and drug administration

46.

Class III medical devices are identified as high risk

a)

True

b)

False

47.

Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation

a)

occupational safety and health administration

b)

US food and drug administration

c)

Environmental protection agency

d)

Association for the advancement of medical instrumentation

48.

Heart valves and plays markers are examples of

a)

FDA class I medical device

b)

FDA class II medical device

c)

FDA class III medical devices

d)

None, not regulated by FAD

49.

The department of transportation enforces statutes regulating to the

a)

Transportation of clean and spoiled instruments between facilities

b)

transportation of medical supplies for emergency use

c)

Transportation of equipment for decontamination area

d)

Transportation of instrumentation across state lines

50.

it is optional to allow the occupational safety and health administration regulation for wearing personal protection equipment in the central service

a)

True

b)

False

51.

Standards and regulations help set levels of_________ in our departments

a)

Quality

b)

Safety

c)

Efficiency

d)

Both quality and safety

52.

The Occupational Safety and Health Administration is a voluntary association dedicated to infection control and prevention

a)

True

b)

False

53.

What is Society of Gastroenterology nurses and associates is a source for information about the proper processing of flexible endoscopes

a)

True

b)

False

54.

Reviews of single use medical devices is less regulated now than it was in the 1900s

a)

True

b)

False

55.

Do US food and drug administration recalls may be either mandatory or voluntary

a)

True

b)

False

56.

What is the preferred pH for detergent used for most cleaning processes

a)

Low pH

b)

High pH

c)

Neutral pH

d)

It depends on the water temperature an exposure time

57.

Which of the following statements about the use of mechanical washers is not true?

a)

Multilevel tray's should be separated

b)

Trays with lid should be opened

c)

Instruments should be disassembled and opened

d)

All items should be washed on the same cycle

58.

Water must be degassed each time the ultrasonic cleaners tank is changed, because

a)

Excess bubbles from filling reduced energy of the cavitation process

b)

Excess bubbles reduce effectiveness of the detergent

c)

Access bubbles decrease the temperature of the tank

d)

Excess bubbles make it difficult to see items being cleaned

59.

Pyrogens

a)

Cause Creutzfeldt-Jakob disease

b)

Are fever producing substances

c)

Are soil particles

d)

Are microrganisms that have survived sterilization

60.

Untreated water

a)

Increases the likelihood of mineral scale deposits

b)

Decrease the likelihood of mineral scale deposits

c)

Is recommended to be used during the detergent cycle

d)

Is used for final rinse process

61.

These are used to breakdown fatty tissue of instruments

a)

Neutral pH cleaners

b)

Protease enzyme

c)

Lipase enzymes

d)

Amylase enzymes

62.

Instrumental lubrication is performed

a)

Immediately before use

b)

After sterilization

c)

After cleaning

d)

Before cleaning

63.

To prevent coagulating of proteins, instrument should be pre-rinsed using

a)

Cool water

b)

Warm water

c)

Disinfectant rinse

d)

A neutral detergent

64.

Instrument should be clean using a

a)

Circular motion

b)

To and fro motion

c)

Steph metal brush

d)

Water spray

65.

Detergent used in mechanical cleaners should be

a)

Low acid

b)

Low temperature

c)

Low foaming

d)

Low alkaline

66.

Rigid container filter retention plate should be

a)

Remove from the container and lid and clean separately

b)

manually cleaned and attached to the lid for mechanical cleaning

c)

Left attached to the lid during the cleaning process

d)

None of the above

67.

Written cleaning instructions for surgical instruments should be provided by

a)

The machine washer manufacture

b)

The device manufacturer

c)

The detergent manufacturer

d)

The healthcare facility

68.

Power surgical instruments

a)

Cannot be immersed

b)

Can be immersed

c)

Should be cleaned at the point of use

d)

Should be cleaned using a mechanical washer

69.

The deacomination area should have

a)

Negative airflow in relation to the other areas of the department

b)

Positive airflow in relation to the other area of department

c)

15 air exchange per hour

d)

Positive airflow with 15 air exchange per hour

70.

Automatic washers clean using a spray force action called impingement

a)

True

b)

False

71.

The temperature in the decontamination area should be between

a)

55° to 60°F

b)

58° to 62°F

c)

60° to 65°F

d)

65° to 70°F

72.

The mechanical process by which an ultrasound cleaner works in called cavitation

a)

True

b)

False

73.

there are currently no methods available to verify and cleaning process outcomes

a)

True

b)

False

74.

To prevent aerosols, items should be brushed below the surface of the water

a)

True

b)

False

75.

all sonic cleaners have a decontamination cycle

a)

True

b)

False