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WorksheetsSPT 110 midterm
Total questions: 123
Worksheet time: 1hrs 4mins
According to the content, SP technicians must be able to adapt to change.
True
False
Personal Protection Equipment (PPE) is required in which areas?
Decontamination area only
Sterile storage only
Both decontamination and sterile storage
Neither area
What is one main service provided by the Sterile Processing Department (SPD)?
Diagnosing diseases
Dispensing supplies for patient procedures
Administering anesthesia
Monitoring patient recovery
The sterilization process is intended to:
Only remove visible dirt
Destroy all forms of microbial life including bacteria, viruses, spores, and fungi
Improve device operations
Destroy some forms of microbial life including bacteria, viruses, spores, and fungi
Cleaning in sterile processing refers to:
Removing only visible soil from medical devices
The process of testing instruments
The removal of all visible and non-visible soil and foreign material
Sterilizing equipment using chemicals
In which SPD area is it necessary for staff to wear full personal protective equipment (PPE)?
Unrestricted Area
Semi-Restricted Area
Restricted Area
Transitional Area
Which of the following is NOT a name commonly used for sterile processing departments?
Central Processing Department (CPD)
Sterile Processing Department (SPD)
Central Sterile Supply Department (CSSD)
Operating Room (OR)
SP workflow can be divided into the handling of three categories of items: soiled, clean, and sterile.
True
False
Soiled instruments are received in which area of the Sterile Processing Department (SPD)?
Preparation
Packaging
Decontamination
Sterilization
Healthcare associated infections (HAIs) are:
Most likely to occur during a surgical procedure
Caused by drug-resistant organisms
Infections without known cures
Infections that occur on or after day three of a hospitalization
SP workflow should move from
Clean to soiled
Unrestricted to semi-restricted
Soiled to clean
Clean to sterile
While items may be dispensed to all areas of a facility, the major focus of SPD is:
The ED
L&D
Supply chain management
The OR
Working in the decontamination area requires:
Knowledge of microbiology
Knowledge of cleaning and disinfection processes
Instrument identification
All the above
Knowledge of medical terminology helps Sterile processing technicians to:
Reduce the productivity of the OR
Understand manufacturers IFU
Understand what is asked when a request is made
Become proficient in Latin and French word elements
According to the content, the origin of most medical terms is either:
Greek or French
Greek or Latin
Latin or French
Latin or English
Which word element refers to the liver?
Cranio-
Arthro-
Hepato-
Bi-
Which abbreviation refers to "coronary artery bypass graft"?
CABG
AAA
DC
BKA
Which of the following gives the primary meaning of a word?
Prefix
Root word
Suffix
Combining vowel
The purpose of a combining vowel is to:
Give the primary meaning of the word
Identify the meaning of the root word element
Ease pronunciation of a word
Connect the prefix and suffix
The last word element in a medical term is the:
Combining vowel
Prefix
Suffix
Root
The suffix -itis means:
Illness
Inflammation
the study of
pain
The suffix -ectomy means:
To repair
Surgical removal
Inflammation
To cut
The suffix -oscopy means:
Visual examination
Disease
Surgical removal
Diagnosis of a medical condition
Arthroscopy means:
Visual examination of a joint
Surgical replacement of a joint
Inflammation of a joint
Surgical removement of a joint
The term ostomy:
Is a prefix
Is a suffix
Is a root
Means surgical removal
Which of the following abbreviations might be used relating to a fractured bone?
CABG
BSO
ORIF
TAH
What does the term intercostal mean:
Within the colon
Between the toes
Within the bladder
Between the ribs
Which of the following describes skilled SPTs?
They only clean instruments
They contribute to safe patient care and positive outcomes
They write surgical schedules
They do not need knowledge of anatomy
What term describes a position closer to the midline of the body?
Lateral
Distal
Medial
Inferior
Which anatomical plane divides the body into upper and lower sections?
Sagittal
Coronal
Transverse
Frontal
What organelle directs and controls all activities of the cell?
Cytoplasm
Nucleus
Cell membrane
Mitochondria
Which tissue shortens as it contracts to allow body movement?
Nervous
Epithelial
Connective
Muscular
Which part of the nervous system controls involuntary body processes?
Autonomic nervous system
Somatic nervous system
Peripheral nervous system
Central nervous system
Which gland is considered the “master gland” of the endocrine system?
Thyroid
Adrenal
Pituitary
Pancreas
According to the content, what is the main control unit of the central nervous system?
Cerebellum
Spinal cord
Brain stem
Cerebrum
What is the function of cartilage as described in the material?
Produces blood cells
Stores calcium
Serves as a cushion between bones
Protects vital organs
How many bones make up the human skeletal system?
126
206
306
406
Statement: "My knee is proximal to my hip." Choose True or False.
True
False
The largest part of the human brain is the:
Brain stem
Cerebellum
Cerebrum
Pituitary gland
Fill in the blank: The end of a body part that is closest to the point of origin or the end of an instrument that is closest to the operator is called the _______ end.
Lateral
Distal
Medial
Proximal
The hip joint is an example of which type of joint?
Gliding joint
Ball-and-socket joint
Pivot joint
Hinge joint
Which tissue covers the body’s external surface?
Epithelial tissue
Connective tissue
Muscular tissue
Nervous tissue
Which percentage of bacteria is not harmful to humans?
75%
80%
70%
95%
Anaerobic bacteria are able to survive:
Without oxygen
In high temperatures
Without water
In low temperatures
Viruses are:
Larger than bacteria
Smaller than bacteria
gram positive
gram negative
A spore is:
The control unit of the cell
Located in the cell nucleus
Very easy to kill
Very difficult to kill
The measure of alkalinity or acidity refers to:
PH
Temperature
Moisture
Humidity
Which is not a bacterial shape
Spherical
Cylindrical
Rod
Spiral
Microorganisms that cause disease are called
Gram positive
Gram negative
Potentially infectious
Pathogens
__________ is an example of a fungus
Pneumonia
Tuberculosis
Athletes foot
Herpes simplex
Which of the following has no means to move on its own:
Cocci
Bacillus
Aerobic bacteria
Viruses
The prefix word element comes:
immediately before the suffix.
Before the root.
Before the suffix and describes the word meaning.
After the suffix.
The Muscular system:
Assists with movement.
Produces heat for the body.
Pumps blood throughout the body.
All of the above.
This organ contains glands that, through the process of perspiration, produce sweat.
Liver
Skin
Kidneys
Pancreas
Prions are:
Abnormal pathogenic proteins
Gram-positive
A type of virus
Acid-fast microorganisms
Temperature and humidity parameters can be best established by reviewing which document?
ANSI/AAMI ST 79
OSHA 29 CFR 1910.1030
ANSI/ASHRAE/ASHE 170
ANSI/AAMI ST 91
During hand washing, hands should be lathered and scrubbed for at least:
10 seconds
20 seconds
1 minute
2 minutes
To protect themselves from splashes and spills, SP technicians assigned to the decontamination area should wear:
Double cloth gowns
Blue surgical scrubs
Fluid-resistant gown
Sterile operating room gowns
The main theory of standard precautions is that patients:
In high-risk categories may be infectious
Diagnosed with a specific disease may be infectious
Are generally healthy unless they show symptoms of an infectious disease
Must be treated as if their blood and bodily fluids are infectious
Which of the following is not a requirement of the OSHA Bloodborne Pathogen Standard
Provide hepatitis B vaccines to employees at no cost
Observe standard precautions
Keep medical records of exposure for 3 months
Use engineering controls to prevent biohazard exposures
The only way to interrupt the transmission of a causative agent is to
Sterilize the item
Wear appropriate PPE
Eliminate it
Involve OSHA
Departmental Dress codes apply to:
Everyone entering the SPD
Only hospital employees
only people spending 10 or more minutes in the SP work area
Only visitors like sales reps and maintenance
Inanimate objects that can transmit bacteria are called:
Transmission devices
Fomites
Carriers
Superspreaders
Floors in SPD should be:
Swept daily
Swept daily and wet mopped weekly
Wet mopped daily
Wet mopped weekly
The absence of microorganisms that cause disease is called:
Infection prevention
Infection control
Asepsis
Healthcare acquired infection control
“Know what is dirty, know what is clean, know what is sterile. Keep the conditions separate and remedy contamination immediately.” These are known as:
Basics of bloodborne pathogen standard
Principles of infection prevention and control
Basics of environmental control
Principals of asepsis
The decontamination area of SPD should have:
Negative airflow
Positive airflow
Filtered airflow
Neutral air flow
Which traffic control/dress code requirement applies to the clean area of SPD?
Biohazard
Unrestricted
Semi restricted
Restricted
Chemical indicators are classified as:
FDA class I medical devices
FDA class II medical devices
FDA class III medical devices
None of the above
Heart valves and pacemakers are examples of:
FDA class I medical devices
FDA class II medical devices
FDA class III medical devices
None of the above
Standards and regulations help set the levels of SPD’s:
Quality
Safety
Efficiency
Both quality and efficiency
Aseptic technique is knowing the
Chain of infection
Activities that prevent infection
Bloodborne pathogen standard
All the above
Decontamination of instruments and equipment starts:
During the manual cleaning process
As soon as the instruments are received in the decontamination area
At the point of use
When the instruments are placed back in their trays
Microgrind and Supercut scissors are usually identified by:
Black handles
Gold handles
Serrations
Silver rings
This type of needle holder insert (Jaw) is harder and lasts longer:
Stainless steel
Chromium oxide
Nickel
Tungsten carbide
The place where two parts of a ring handled instrument meet and pivot is called
Ratchet
Box lock
Shank
Ring
Tissue forceps have which feature?
Serrated tips
Serrated locks
Gold tips
Teeth
During instrument manufacturing, the process used to build a protective layer on instruments is called:
Passivation
Forging
Polishing
Milling
The part of a hemostat that locks and holds it in position is called:
Ratchet
Spring lock
Box lock
Jaw
Which of the following is an acceptable method for instrument identification?
Powder coating
Identification tape
Laser etching
All the above
Leak testing should be performed on each flexible endoscope on a yearly basis.
True
False
Laparoscopic instrument insulation can cause burns.
True
False
Loaned instruments should:
Be decontaminated if they appear solid upon arrival
Be sterilized using low temperature processes
Be decontaminated before use
Should not be used
The purpose of a decontamination hose or battery when cleaning powered surgical instruments is to:
Keep fluid from entering the unit
Increase rotational speed
Deliver enzymatic detergent
Provide electrical grounding
If an injury seems insignificant there is no need to report it
True
False
This diagram represents ___________________
Aseptic Technique
Chain of infection
Stages of Infection
Process of Colonization
What comes next in the chain of infection? Agent, reservoir, portal of exit,_________.
portal of entry
mode of transmission
susceptible host
bacteria
In the chain of infection, an instrument contaminated with blood acts as a
Portal of entry
Reservoir
Causative agent
Portal of exit
Which areas of SPD are semi-restricted
Break room, hallways, cafeteria
Decontamination and sterile storage
Preparation/packaging, sterile storage, and sterilization
Only Sterile storage
If an instrument is not (blank) it cannot be sterile.
(a)
True or false: Safety data sheets tell us how to sterilize an item.
true
false
Which of the following is not part of the processing cycle?
assemble
inspect
dispense
retrieve
What do we call microorganisms that are introduced into a body site they are not normally found?
pathogens
transient flora
resident flora
bacteria
What color do gram positive bacteria turn after the gram staining process?
red
pink
purple
blue
Which of the following links of the chain of infection is the method of transfer of an infectious agent from the reservoir to a susceptible host
portal of exit
portal of entry
reservoir
mode of transmission
How many air exchanges minimum must there be per hour in Clean Assembly and sterile storage areas?
4
6
10
15
True or false: Areas with negative air pressure have higher air pressure then other areas?
True
False
What is the best way to clean a lumen?
soaking in an enzymatic solution
using the appropriate stylet
using running warm water
Using the brush and flush technique
kerrison and laminectomy rongeurs are tested for sharpness using
a plastic dowel rod
latex test material
an index card
red test material
What happens if you clean a lumen with a brush that is too large?
nothing happens
the sides of the lumen can be damaged
the lumen does not get clean
the brush gets stuck
cartilage is replaced by bone through a process called
ossification
calcification
osmosis
cancellous formation
What is CJD caused by?
a virus
a bacterial infection
prions
endospores
Which agency performs in person surveys of hospitals to ensure they are meeting standards?
CDC
FDA
OSHA
TJC
Which agency regulates medical device reporting?
EPA
FDA
WHO
NFPA
Which is not a reason for point of use treatment?
it reduces SP workload
it helps reduce the likelihood of biofilm formation
it keeps soil moist
it helps prolong the life of the instruments
Which of the following is not an action in point of use cleaning?
Removing gross soil
spraying with enzymatic
removing sharps
soaking in saline
Automated washers clean using a spray motion called
(a)
Ultrasonic cleaners remove soil with a process called:
(a)
To prevent aerosolization, items should be brushed:
above the water surface
under running water
below the surface of the water
in the case cart
instrument lubrication should be performed:
immediately before use
after sterilization
after cleaning
before cleaning
The use of heat to kill all microorganisms, except spores
anticeptic
thermal disinfection
sterilization
bactericidal
Iodophors are a member of this chemical family
halogens
quats
alcohol
phenolics
which of the following are classified as high level disinfectants
glutaraldehyde's and phenolics
glutaraldehydes and OPA
Quats and Phenolics
Halogens and OPA
These chemicals are used on animate items to slow the growth of microorganisms
gluteraldehyde
OPA
disinfectants
antiseptics
Which example best reflects the ethical responsibility of a SP Tech as described by professional standards?
ignoring a coworkers repeated failures to wear PPE
rushing instrument inspection to keep up with a busy OR schedule
Refusing to process a tray when there is a clear deviation from the manufacturers IFU
skipping decontamination for a tray that appears clean
Why is thorough cleaning considered the most critical step before any disinfection or sterilization process?
because instrument cleaning ensures that all instruments become single-use items
cleaning reduces instrument weight for easier handling
organic and inorganic soils shield microorganisms from the disinfectant/sterilant
cleaning eliminates the need to follow the sterilizers validated cycle parameters
Which example best demonstrates correct workflow design in SPD?
used instrument trays are placed on a cart in the sterile area until they can be processed
the decontamination area and clean assembly are separated with one-way movement from dirty to clean
clean and sterile items are temporarily stored in the decontamination area to save space
technicians regularly carry wrapped sterile items through decontamination when the elevator is busy
Which description best differentiates HLD from sterilization for reusable medical devices?
HLD is only used for non critical items, while sterilization is only for environmental surfaces
HLD inactivates most microorganisms but may not reliably destroy all spores while sterilization destroys all forms of microbial life
there is no meaningful difference between HLD and sterilization in healthcare
HLD destroys all forms of microbial life while sterilization only reduced bioburden
According to spaulding's classification system, which device is considered critical and therefore usually require sterilization
stethoscope
blood pressure cuff
flexible endoscope
weitlaner retractor
which surgical specialty primarily works with bones?
ortho
neuro
vascular
plastics
Which surgical specialty would remove an appendix?
Podietry
vascular
general
OB-GYN
Which connective tissue attaches bone to muscle?
tendon
ligament
cartilage
muscle
