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2024 Practice Test #4

Total questions: 100

Worksheet time: 50mins

Name
Class
Date
1.

Refer to Diagram #4. The configuration of the medical gas components in Area B would be suitable for which of these areas?

a)

Anesthetizing location

b)

Dialysis room

c)

Intensive care unit

d)

Radiology room

2.

Identify the following definition: A drug-induced depression of consciousness during which patients respond purposefully to verbal commands.

a)

General Anesthesia

b)

Deep Sedation

c)

Moderate Sedation

d)

Minimal Sedation

3.

A vacuum receiver shall be capable of withstanding a gauge pressure of ______________.

a)

150 psi and 12 in. Hg

b)

60 psi and 12 in. Hg

c)

150 psi and 30 in. Hg

d)

60 psi and 30 in. Hg

4.

In those portions of the system intended to handle oxygen at pressures greater than 435 psi, the interconnecting hose shall not contain __________ materials.

a)

Brass

b)

Copper

c)

Polymeric

d)

Stainless steel

5.

Which of the following is a factory-assembled product designed for aesthetics or convenience that contains only the secondary valves of medical gas or vacuum outlets, piping or other devices related to medical gases?

a)

Manifold assembly

b)

Manufactured assembly

c)

Manufactured headwall assembly

d)

Manufactured rough-in assembly

6.

The master alarm system shall include an indication when the pressure in the main vacuum line drops to _______ in. HgV or below.

a)

5

b)

10

c)

12

d)

15

7.

A(n) __________ can be used as a substitute for the EOSC at a category 1 facility.

a)

Bulk oxygen source

b)

Emergency plan

c)

In-building emergency reserve

d)

Main line valve

8.

When vacuum systems are used to serve WAGD systems, the area alarm panel(s) used to monitor the area where WAGD is used, shall be labeled to indicate ______________.

a)

vacuum only

b)

WAGD only

c)

the system with the highest vacuum level

d)

both vacuum and WAGD

9.

Piping in medical gas and vacuum distribution systems, shall be blown clear by means of oil-free nitrogen NF. This is done after installation of distribution piping, but before installation of__________________.

a)

station outlet/inlet rough-in assemblies

b)

zone valve boxes

c)

service valves

d)

before any of the listed items

10.

An existing system that is not in strict compliance with provisions of this code shall be permitted to be continued in use, as long as the ___ has determined that such use does not constitute a distinct hazard to life.

a)

Engineer

b)

Architect

c)

Authority having jurisdiction

d)

Nursing staff

11.

Manifolds for gas cylinders shall consist of _____ equal headers; each with one average day’s supply,

but not fewer than _____ connections.

a)

Two - Two

b)

One - One

c)

Four - Four

d)

Three - Three

12.

When vacuum systems are used to serve WAGD systems, valves on the source side of the connection to WAGD, shall be labeled to indicate ______________.

a)

vacuum only

b)

WAGD only

c)

the system with the highest vacuum level

d)

both vacuum and WAGD

13.

The complete source of supply for a medical gas or vacuum system or a medical support gas system?

a)

Central supply system

b)

Compressed medical gases

c)

EOSC

d)

Medical air compressor

14.

A ________ is an extensive compilation of provisions covering broad subject matter, or that is suitable for adoption into law independently.

a)

Code

b)

Standard

c)

Guide

d)

None of the choices are correct

15.

Underground piping buried outside of buildings, shall be installed below the local level of frost penetration, and shall be protected from physical damage while being backfilled by a(n) _____________.

a)

Conduit

b)

Enclosure

c)

Cover

d)

Any of the methods listed are acceptable

16.

The control mechanisms on positive pressure supply system shall provide what percentage of the peak calculated demand?

a)

50%

b)

100%

c)

150%

d)

200%

17.

It is NOT permissible to pipe & utilize medical gases such as oxygen for which of these purposes?

a)

Direct respiration by patients

b)

General utility, such as moisture removal from instruments

c)

Operating medical equipment that is only intended for patient use

d)

Simulation centers for the assessment of healthcare specialists

18.

Final line regulators, when used for bulk cryogenic liquid systems shall be of a ________ design.

a)

Straight through

b)

Parallel

c)

Balanced

d)

None of the choices listed

19.

Brazing procedures and brazer performance for the installation of medical gas and vacuum piping shall be qualified in accordance with __________.

a)

ASME Section IX

b)

ASSE 6010

c)

AWS B31.3

d)

ASSE 6030

20.

What does it mean when equipment, material or services are shown as “listed”?

a)

They are identified and published by an organization that is acceptable to the authority having jurisdiction

b)

The have been found tolerable for the purpose described in the manufacturer’s specifications

c)

They have been tested and approved by the construction supervisor

d)

They have been tested by a medical gas verifier

21.

A vacuum exhaust shall NOT discharge __________.

a)

On a roof

b)

Outside

c)

In a place of public assembly

d)

At a different level from air intakes

22.

Cryogenic fluid central supply systems shall have a minimum work space clearance of____ feet, around the storage container, vaporizer(s), and cabinet opening, or the front side of the pressure-regulating manifold for maintenance.

a)

3

b)

4

c)

5

d)

6

23.

Central supply systems, located outdoors, shall meet all EXCEPT which of the following requirements?

a)

Allow for clear access for the management of cylinders

b)

Be greater than 200 square feet

c)

Be provided with an enclosure constructed of noncombustible material

d)

Be well drained

24.

A ________ system is an assembly of equipment such as storage containers, pressure regulators, pressure relief devices, vaporizers, manifolds, and interconnecting piping that has a storage capacity of more than 20,000 cubic feet (at normal temperature and pressure), including unconnected reserves on hand at the site.

a)

high pressure manifold

b)

micro bulk

c)

vacuum

d)

none of the answers listed are correct

25.

Which of the following is required of the check valves in an EOSC?

a)

Both valves are located downstream from the tee connection

b)

One valve is located downstream of the main line shutoff valve

c)

One valve is located upstream of the EOSC

d)

Both valves are located downstream from the tee connection and one valve is located downstream of the main line shutoff valve

26.

In compliance with NFPA 70, the new alarm wiring is being run installed underground, from the initiating device at the source to a junction box located where the wiring first enters the building. NFPA 99 permits what minimum number of sets of wires, to connect the initiating device with the junction box for each signal?

a)

1

b)

2

c)

3

d)

4

27.

For the initial pressure test for pressure gases and vacuum systems, the test pressure shall be maintained until _______________ have been examined for leakage.

a)

25 % of joints in each zone

b)

50 % of joints in each zone

c)

75 % of joints in each zone

d)

100 % of joints in each zone

28.

The exterior surface of tube ends shall be __________ prior to brazing.

a)

tinned

b)

annealed

c)

reamed

d)

cleaned

29.

A chemical element that, at normal atmospheric temperatures and pressures, exists as a colorless, odorless and tasteless gas and compromises about 21% of the earth’s atmosphere by volume.

a)

Oxygen

b)

Nitrogen

c)

Nitrous oxide

d)

Helium

30.

Who shall witness the installer perform the standing pressure test?

a)

The installing contractor superintendent

b)

The medical gas verifier

c)

The authority having jurisdiction or its designee

d)

The medical gas verifier or the authority having jurisdiction or its designee

31.

____________ copper fittings shall not be permitted in medical gas systems.

a)

Type L

b)

Wrought

c)

Cast

d)

Type K

32.

Which of the following is NOT a design or construction requirement for other than cryogenic positive-pressure central supply systems, located outdoors?

a)

Cylinders and containers shall be protected from prolonged contact with soil

b)

Shall be provided with accessible gates if greater than two-hundred (200) square feet

c)

Shall be provided with an enclosure of noncombustible material

d)

Be well drained

33.

The cryogenic fluid central supply system shall have a local signal that visibly indicates the operating status, and an indicator at all master alarms, when or at a predetermined set point before the reserve supply falls to an average day’s supply indicating ____________.

a)

system failure

b)

low reserve

c)

low contents

d)

secondary in use

34.

Local alarms shall be installed to monitor the_______________.

a)

main line

b)

bulk system

c)

reserve system

d)

source equipment

35.

Refer to Diagram #7. In this oxygen main installation, what is the name for the component at #5?

a)

Check valve

b)

Connection point

c)

Line pressure alarm

d)

Relief vent line

36.

Which of the following is NOT a requirement of a bulk oxygen system installed to supply compressed gas?

a)

Consists of stationary or movable storage containers

b)

Maximum storage capacity must be 25,000 cubic feet

c)

Cubed source gas is stored as a compressed gas or a cryogenic fluid

d)

Terminates where the gas, at service pressure, first enters the main line

37.

If underground piping is protected by a conduit, cover or other enclosure, access shall be provided at _________ prior to backfilling for visual inspection and leak checking.

a)

ends

b)

joints

c)

turns

d)

drops

38.

Station outlets/inlets shall be identified as to the __________ for the specific gas or vacuum provided.

a)

Name

b)

Chemical symbol

c)

Name or chemical symbol

d)

Piping type

39.

The vertical pipes connecting the system main line(s) with the branch lines on the various levels of the facility. This is the definition of which of the following?

a)

Risers

b)

Branch (lateral) lines

c)

Vent lines

d)

Main lines

40.

The interior surfaces of tube ends, fittings, and other components that were cleaned for oxygen service by the manufacturer, but became contaminated prior to being installed, shall be permitted to be recleaned on-site. The cleaning solution that is NOT against the approved method is __________________.

a)

GOOP hand cleaner with potable water

b)

gray water with potable water

c)

trisodium phosphate with potable water

d)

rubbing alcohol with potable water

41.

A tool is allowed to be used by the installer, to mechanically limit the make-up depth of the fitting to be brazed. Under what conditions is this method permitted, for the installation of medical gas piping?

a)

Where limited depth is not less than the minimum cup depth per ANSI/ASME B16.50

b)

Only on vacuum systems

c)

Only where BCuP 5 brazing rod is used

d)

Only on final line connections

42.

Refer to diagram 4. The sensor indicated at #5 is a __________.

a)

Master alarm sensor

b)

Area alarm sensor

c)

Local alarm sensor

d)

Emergency alarm sensor

43.

Manifolds for gas cylinders & manifolds for cryogenic liquid containers share which of these requirements?

a)

Each header shall have a minimum of 3 connections

b)

Each manifold shall be located indoors

c)

Primary & secondary headers shall be located in the same enclosure

d)

The reserve headers shall provide sufficiently for one average day

44.

In a facility where medical gas or vacuum systems are present, and the failure of such equipment or system is likely to cause imminent major injury or death to patients or caregivers, the system shall be designed to meet which Category requirements?

a)

1

b)

2

c)

3

d)

4

45.

Cylinder and cryogenic liquid container connections shall be affixed in such a manner as to be integral to the valve, unremovable with ordinary tools or so designed as to render the attachment point _________ when removal of the outlet connection is attempted.

a)

Universal

b)

Reusable

c)

Unusable

d)

Unsuitable

46.

The locations for medical gas central supply systems and storage of positive pressure gases, excluding cryogenic fluid central supply systems, requiring heating to maintain compliant enclosure temperatures, shall meet which of the following requirements?

a)

Compliant fuel-fired heating equipment permitted in the same room

b)

If in a secured location, racks and chains are not required

c)

In-room heating element maximum temperature of 266 degrees F

d)

Shall be under continuous surveillance

47.

The gas produced by evaporation from the secondary header in a cryogenic liquid container system, shall enter the supply system __________ of the final line regulator.

a)

Not required

b)

Downstream

c)

Upstream

d)

Upstream of the filter

48.

Application of the NFPA 99 shall apply to all EXCEPT which of the following?

a)

Healthcare facilities

b)

Hyperbaric chambers for veterinary care facilities

c)

Veterinary Facilities

d)

None of the above

49.

Identify the following definition: A drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation.

a)

General Anesthesia

b)

Deep Sedation

c)

Moderate Sedation

d)

Minimal Sedation

50.

Manifolds for cryogenic containers, if located outdoors, shall be installed so that a minimum ______ feet exists between portable cryogenic containers and room exits.

a)

3

b)

5

c)

10

d)

15

51.

Locations for central supply systems (excluding fluid central supply systems) shall meet which of the following requirements?

a)

If indoors shall have interior finishes of noncombustible or limited combustible materials

b)

Shall be constructed with access to move equipment and cylinders

c)

Shall be provided with lockable doors, gates or able to be secured

d)

Required to meet all that are listed

52.

Electrical installation and wiring for medical-surgical vacuum pumps,

shall conform to the requirements of______.

a)

NFPA 99

b)

NFPA 55

c)

NFPA 70

d)

NFPA 72

53.

Pressure relief valve shall meet which of the following requirements?

a)

Constructed of brass or bronze

b)

Shall have the pressure relief setting not more than 5 percent higher than the maximum allowable working pressure of the system served

c)

They may discharge in unoccupied rooms

d)

They shall be designed for the specific gas service

54.

Which of these is a requirement for area alarm panels?

a)

Located at a nurses station and in the engineering department

b)

Monitored 24/7 continuously

c)

Provide visual and audible indication

d)

Provide dew point sensors for the area monitored

55.

Which of the following filler metals shall be used to braze copper-to-copper joints in medical gas/vacuum distribution piping?

a)

BCuP series

b)

BNi series

c)

BAg series

d)

BAu series

56.

Vacuum producers designed for operation at vacuums below 5 in. Hg shall ______________ and not employed for other services.

a)

be used for WAGD service

b)

be used for medical-surgical vacuum

c)

be used for cleaning equipment

d)

not be allowed in a Category 1 facility

57.

The purpose of the NFPA 99 code is to provide minimum requirements for the __________ for facilities material, equipment, and appliances, including other hazards associated with primary hazards.

a)

Engineering and architecture

b)

Maintenance and testing

c)

Performance and safe practices

d)

Maintenance, testing, performance and safe practices

58.

Refer to Diagram 4, identify Area C.

a)

Category 1 space

b)

Category 4 space

c)

Emergency room space

d)

Future space

59.

Area alarm sensors shall be located on the _____________ of a zone valve for anesthetizing locations.

a)

patient or use side

b)

source side

c)

downstream side

d)

patient or use side, or the source side

60.

Compressed gas cylinders must meet which of the following criteria, in order to be acceptable for use in an acute health care facility?

a)

Be appropriately identified by labels or stencils in accordance with CGA C-7 criteria

b)

Utilize gas specific CGA connections

c)

Be appropriately color coded in accordance with U.S.D.A. requirements

d)

Be constructed in accordance with specifications and regulations of OSHA

61.

Hard-drawn seamless copper in medical gas systems shall be type L, except when the diameter exceeds NPS 3" (3.125" O.D.), ____________ shall be used.

a)

type K

b)

type M

c)

type DWV

d)

type ACR

62.

Under which of the following conditions is it permissible to perform work as an ASSE 6010 installer?

a)

When brazing specification and procedure qualification records meet the requirements of NFPA 99

b)

When working directly with a certified installer

c)

When working for a contractor who obtains a copy of jobsite brazing procedure specs in advance of work

d)

When workers, not certified in brazing procedures, are overseen by someone who is ASSE 6010 certified installer

63.

Final line pressure controls shall be sized to ________ of the peak calculated demand.

a)

50%

b)

100%

c)

150%

d)

200%

64.

The Emergency Oxygen Supply Connection (EOSC), shall consist of all EXCEPT which of the following requirements?

a)

A minimum of 3.5' of clearance around the exterior of the building being served

b)

4 alarm connection points installed to both master alarm panels

c)

A manual shutoff valve to isolate the EOSC when not in use

d)

Valves necessary to allow connection to the EOSC and isolation to the normal source supply

65.

____________ shall only be used when brazing dissimilar metals, such as copper and bronze or brass, using a BAg series filler metal.

a)

solder

b)

PVC cement

c)

ABS cement

d)

None of the listed materials are acceptable

66.

Which of the following is considered a medical support gas?

a)

Carbon dioxide

b)

Medical Air

c)

Nitrogen

d)

Nitrogen NF

67.

While brazing medical-gas copper joints, a purge gas shall flow continuously to prevent the formation of copper oxide on the inside surface of the joint. What shall be used as a purge gas?

a)

Oil-less, dry Nitrogen NF

b)

Oil-free, dry Argon MD

c)

Any inert gas

d)

Oil-free, dry Nitrogen NF

68.

The master alarm system shall include an indication from each WAGD site, when the vacuum level or flow is below effective operating limits indicating _______________.

a)

vacuum low

b)

system failure

c)

WAGD low

d)

no alarms are required

69.

When an installer installs products or devices not designated by code, the items shall have supporting technical documentation approved by which of the following?

a)

AHJ

b)

Design engineer

c)

Medical professional

d)

Quality control representative

70.

Bulk cryogenic liquid systems shall be installed in accordance with ________.

a)

CGA 50

b)

CGA 55

c)

NFPA 45

d)

NFPA 55

71.

The reserve header in a cryogenic liquid cylinder manifold system shall have sufficient cylinder connections for an average day’s supply, but not fewer than how many connections?

a)

2

b)

3

c)

4

d)

5

72.

Which category would a system be classified, where failure is unlikely to cause minor injury of patients, staff or visitors?

a)

Category 1

b)

Category 2

c)

Category 3

d)

Category 4

73.

Wooden racks for cylinder storage may be permitted under which conditions?

a)

The wood must be painted

b)

They are permitted with NO set conditions

c)

Wooden racks are no longer permitted

d)

They must be located in an area with a fire suppression system

74.

Branch connections made by mechanically formed, and extruded tee-branch connections, shall be prohibited in which systems?

a)

CMT

b)

ASTM B88

c)

ASTM B280

d)

ASTM B819

75.

The pressure in the main line of each medical gas system, the operation and condition of the source of supply, and the reserve source (if any) shall be monitored at the _________ alarm.

a)

Local

b)

Area

c)

Master

d)

All alarm locations

76.

Which of the following is NOT a requirement for manifolds for cryogenic liquid containers?

a)

Compliant reserve header shall have a minimum of three connections

b)

Compliant reserve header shall have sufficient number of gas cylinder connections for one average day supply

c)

Manifolds shall be required to be located indoors

d)

Primary and secondary headers shall be located in the same enclosure

77.

A facility is in the planning stages of installing an emergency oxygen supply connection (EOSC). How many feet is the minimum clearance around this connection?

a)

1

b)

3

c)

5

d)

1.5 x the width of the auxiliary source for service to the system

78.

For positive pressure medical gas systems, hard-drawn seamless copper

shall be used in accordance with ________.

a)

ASTM A312

b)

ASTM A269

c)

ASTM B280

d)

ASTM B819

79.

A gauge reading exceeding 200 psig in a piping system is defined as which type of pressure?

a)

Absolute

b)

Gauge

c)

High

d)

Positive

80.

What is the portion of the central supply system, supplying the piping system at the time of observation?

a)

Operating supply

b)

Primary supply

c)

Reserve supply

d)

Secondary supply

81.

For medical-surgical vacuum systems greater than 5 in. HgV, piping shall be stainless steel tube type _____.

a)

ASTM A269

b)

ASTM A312

c)

ASTM A312 TP

d)

Any of the listed types are acceptable

82.

Which of the following would describe an assembly of equipment for supplying compressed gas that terminates where the gas at service pressure first enters the mainline? The source gas is stored as a compressed gas or cryogenic fluid in storage containers that are either stationary or movable, and include unconnected reserves at the site.

a)

Bulk system

b)

Compact system

c)

Essential supply system

d)

Main supply pad

83.

Which of the following is labeled incorrectly?

a)

Medical-surgical vacuum with green background and white text

b)

Oxygen with green background and white text

c)

Medical air with yellow background and black text

d)

Medical-surgical vacuum with white background and black text

84.

In a cryogenic fluid supply system, when the reserve’s supply contents are reduced to one average day’s supply, which alarm system(s) shall be activated?

a)

Area

b)

Local

c)

Master

d)

Area and master

85.

Final line filters for instrument air shall be equipped with a __________ visual indicator showing the status of the filter element life.

a)

Optional

b)

Alternating

c)

Continuous

d)

Pulsating

86.

Metallic and nonmetallic flexible connectors used in the pipeline for vibration control. Which of the following is NOT required of such joints?

a)

Received on the jobsite with a certification of cleanliness

b)

Provided with extensions for brazing into the pipeline

c)

Able to withstand temperatures of 1000º F

d)

Suitable for service at 150 psig or above

87.

For medical-surgical vacuum systems greater than 5 in. HgV, piping shall be permitted to be CMT in accordance with __________.

a)

NFPA 55

b)

AWS B2.2

c)

NFPA 70

d)

None of the listed types are acceptable

88.

A central supply system with a storage capacity of more than 3200 pounds at normal temperature and pressure, best describes which system?

a)

Bulk Cryogenic Fluid Central Supply System

b)

Bulk Nitrous Oxide Central Supply System

c)

Cylinder System

d)

Micro Bulk Cryogenic Fluid Central Supply system

89.

Those sections or portions of the piping system, that serve a room or group of rooms on the same story of the facility. This is the definition of which of the following?

a)

Main lines

b)

Branch (lateral) lines

c)

Risers

d)

Vent lines

90.

Qualified individuals installing CMT shall do so in accordance with which of the following?

a)

ASSE 6010

b)

Facility Engineering

c)

Manufacturer’s instructions

d)

Qualified contractor

91.

Carbon dioxide cylinders shall NOT reach temperatures greater than how many degrees Fahrenheit?

a)

110

b)

120

c)

125

d)

135

92.

Refer to diagram 4. The valve labeled #1 is a __________.

a)

In-line Valve

b)

Service Valve

c)

Main line valve

d)

Emergency shutoff valve

93.

What is the standard gauge pressure (psi) for instrument air gas service?

a)

0 - 300

b)

50 - 55

c)

160 - 185

d)

It varies with system type

94.

Where existing, the portion of the supply equipment that automatically supplies the system, when the primary and secondary are unable.

a)

Back-up source

b)

Secondary source

c)

Emergency supply

d)

Reserve supply

95.

Pressure relief valves shall be constructed of which of the following materials?

a)

Brass, bronze or copper

b)

Brass, copper or stainless steel

c)

Brass, bronze or stainless steel

d)

Stainless steel or copper

96.

Cylinders in use and in storage shall be prevented from reaching temperatures in excess of ________.

a)

120º F

b)

125º F

c)

130º F

d)

150º F

97.

Materials used in a central supply system, if intended for outdoor installation, shall meet which of the following requirements?

a)

Be installed per manufacturer’s requirements

b)

If exposed to cryogenic temperatures, be designed for low temperatures

c)

If exposed to cryogenic temperatures, be designed for mixtures of gases containing no more than 23.5% oxygen

d)

Be installed per manufacturer’s requirements and if exposed to cryogenic temperatures, be designed for low temperatures

98.

Medical gas central supply systems are NOT permitted to be located where?

a)

Outdoors

b)

Remote from the medical gas use points

c)

In the same storage facility as gas cylinders

d)

In an unlocked location

99.

A low-pressure, vacuum-insulated vessel containing gases in liquid form. This is an NFPA 99 definition for which of the following?

a)

Container

b)

Safety can

c)

Appliance

d)

Cylinder

100.

Locations for central supply systems shall have electrical devices protected from __________.

a)

Unauthorized use

b)

Moisture

c)

Freezing temperatures

d)

Physical damage