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Final Review

Total questions: 75

Worksheet time: 38mins

Name
Class
Date
1.
Identify the correct order of layers starting from superficial (top/outer) layer, to the deep (inner) layer of the skin:
a)
Hypodermis (subcutaneous), to Dermis, to Epidermis
b)
Epidermis, to Hypodermis (subcutaneous), to Dermis
c)
Dermis, to Epidermis, to Hypodermis (subcutaneous)
d)
Epidermis, to Dermis, to Hypodermis (subcutaneous)
e)
None of the above are in the correct anatomical order
2.
How many bones on average are in human body?
a)
206
b)
602
c)
306
d)
260
3.
The (4) basic types of Bones are
a)
Flat, Light, Squared, Epiphyseal
b)
Flat, Long, Short, Irregular
c)
Flat, Large, Small, Regular
d)
Fat, Shaped, Skinny, Rectangular
4.
For safe Infection Control practice, the proper neutralizing agent, if a High Level Disinfection spill were to occur, would be:
a)
Ammonia
b)
More High Level Disinfectant
c)
Enzymatic Detergent
d)
Instrument Lubrication "Milk"
e)
All of the abov
5.
Non-Infectious Medical Waste
a)
Are considerable "trash"; does not require special colored bags for disposal
b)
Are not soaked/grossly contaminated with blood or other potentially infectios materials
c)
Are soaked/saturated & dripping with blood
d)
Are mandates to be disposed
e)
Both a and b
6.
A proper full gallon chemical agent disposal (being expired, recalled, etc.) will more than likely need to be communicated with:
a)
Possibly FDA &/or EPA
b)
Possibly NFPA &/or CBSPD
c)
The custodial dept. of your HCF &/or their manager's expertise
d)
Neither A, B or C. It is safe to pour straight down the drain.
e)
Any of the abov
7.

There are an average of 3 types of Powered Surgical Instruments

(a)  

8.

saw attachmens: 1, ______________moves front to back, ___2___ moves side to side, & ___3.___ moves in a full continuous circle.

(a)  

9.

Spell out the Acronym/Abbreviation provided: AAA

(a)  

10.

Spell out: Ex Lap

(a)  

11.

Spell out the Acronym/Abbreviation provided: IM

(a)  

12.
The ability of a disinfectant to perform correctly depends on:
a)
How quickly it dries
b)
Making a stronger dilution
c)
How it is mixed w/ other cleaning agents
d)
Whether it remains wet (in contact) for the required stated amount of time
13.
Which of the following assists in the removal of calcium, magnesium, and certain other metal cations in hard water (resulting white & chalky) toward sinks, certain mechanical units involved in chemical processing, and the like in decon
a)
Descaler
b)
Low suds/foam Enzymatic Detergent
c)
Deionizer
d)
Silica
e)
Cidex OPA
14.
True or False. Automatic washers clean via thermal disinfection (- the use of heat to kill); & by using a spray-force action called cavitation. TWO PART
4 lines
15.

True or False. There are currently no commercial products or “household” methods available to verify the cleaning process outcomes for either an ultrasonic unit; or an automated washer.

(a)  

16.
AAMI recommends for sinks in the SPD decontamination room to have which of the following measurement parameters?
a)
8-10 inches from the floor; 36 inches deep
b)
38 inches from the floor; 6-10 inches deep
c)
36 inches from the floor; 8-10 inches deep
d)
30 inches from the floor; 10-18 inches deep
17.

Spell out the Acronym/Abbreviation provided: BKA

(a)  

18.
Biohazard rigid containers should be replaced once it gets ______ of the way full.
a)
2/3
b)
3/4
c)
1/2
d)
Option 4
19.

Due to the history & strength of the ultrasonic’s wave action and the washer/decontaminator’s splashing ability, a ratcheting instrument will still receive it’s entitled cleansing even if it’s left in the ratchet-locked position .

(a)  

20.

Despite an enzymatic detergent manufacturer’s guidelines, if the amount added to the water visually appears too weak, providing additional enzymatic detergent may ensure the instrument(s) receive a better clean .

(a)  

21.
What sets do you do fresh detergent every time?
a)
ophthalmology
b)
GYN
c)
Colon cases
22.

Spell out SAD

(a)  

23.

True or False. The serrations that come longitudinal on some ratcheting instruments may be referred to as “truckmelt”.

(a)  

24.
T/F A textile (soft) wrap’s edgtes can be cut to accommodate a smaller inst. set.
4 lines
25.

T/F The name on a stainless steel instrument to look out for due to it possibly being disposable is “Afghanistan”.

(a)  

26.

To ensure the end of a scope lens is not foggy/smudged, a recommended tested item to use would be an Alcohol wipe for glass lens or sapphire lens.

(a)  

27.

True or False. Usually, Titanium instrumentation can be identified via a bright gold color.

(a)  

28.
The maximum size and weight of a textile pack is:
a)
10"x15"x20" and 12lbs
b)
12"x15"x12" and 20lbs
c)
20"x10"x12" and 10lbs
d)
12"x12"x20" and 12lbs
29.
The two folding techniques of a soft-wrapped item are:
a)
Square for sm. to med. Items; and triangle – usually for larger items
b)
Envelope – usually for larger items; and square – for sm. to med. items
c)
Square – usually for larger items; and envelope – for sm. to med. items
d)
Envelope - usually for larger items; and rectangle – for sm. to med. items
e)
Accordion – for sm. to med. Items; and rectangle - usually for larger items
30.
The two type of wrapping methods are:
a)
Sequential – 2 (thin wraps) are used 1 after the other; Simultaneous- 1 time wrapping
b)
Sequential - 1 time wrapping; ; Simultaneous - 2 (thin wraps) are used 1 after the other
c)
Synchronized - 2 (thin wraps) are used 1 after the other; Sequential – 1 time wrapping
d)
Simultaneous - 2 (thin wraps) are used 1 after the other; Synchronized- 1 time wrapping
31.
A plastic (maintenance) dust cover is ___ to ___ mils [millimeters] in thickness.
a)
1 to 1 ½
b)
2 to 3
c)
4 to 5
d)
3 to 4
32.

Spell out the Acronym/Abbreviation provided: D&C

(a)  

33.

Spell out the Acronym/Abbreviation provided: EUA

(a)  

34.

Spell out the Acronym/Abbreviation provided: EEG

(a)  

35.

The three parameters that must be met involving steam (autoclave) sterilizers are: ____1.___, ____2.____, & ____3.___

(a)  

36.

True of False. The 2 types of steam sterilization methods under Dynamic-Air Removal are: Gravity Displacement & Ozone.

(a)  

37.

True of False. To avoid wet packs or condensation, a steam (autoclave) PPK item should be placed “face up” (w/the contents in view for the technician’s visualization) - just not “face down”

(a)  

38.
Which of the following spore microorganisms is used within a vial to biologically monitor dry heat & EtO sterilizers?
a)
Bacillus stearothermophilus
b)
Bacillus atrophaeus
c)
Geobacillus atrophaeus
d)
Geobacillus stearothermophilu
39.

The apparatus for maintaining a constant and suitable temperature for favorable growth for Biological Indicators is known as a(n)

(a)  

40.
The number of air exchanges in an SPS prep/assembly room are ____, under ____pressure
a)
10….Positive
b)
4….Positive
c)
8….Positive
d)
10….Negative
e)
4….Negativ
41.
The number of air exchanges in SPS’ Sterile Storage area should be_____; this air being under ______________ ventilation:
a)
4 …negative
b)
10…negative
c)
10…positive
d)
4…positive
42.

A typical Dynamic Steam Sterilizer has 4 phases under a pre vacuum cycle…name them in the correct order: dyring, exhaust, sterillization, conditioning

(a)  

43.
What is the approximate measure an instrument should have space within a PPK to include the measure of numerous PPKs being slotted side by side fr. each other on a rack?
a)
1"
b)
¼"
c)
3"
d)
cram as tight as possibl
44.

Spell out the Acronym/Abbreviation provided: I&D

(a)  

45.

True or False: A wide variety of plain-weave cotton or cotton/polyester fabrics used as a non-disposable (soft) wrap having approximately 140 threads per square inch is known as “canvas”

(a)  

46.

The inside walls/ceiling/floor area of the autoclave chamber should be cleaned weekly; to include the strainer drain of an autoclave steam sterilizer should be cleaned weekly

(a)  

47.

T/F: An exhaust hood for ETO is an example of a method for Administrative Control.

(a)  

48.

T/F: 3 parts: The disadvantages to EtO sterilization are: there are lumen restrictions to the device being processed; there is a long sterilization cycle; & it’s carcinogens requires critical monitoring for employees

(a)  

49.

The average cycle for EtO is between 4 to 5min. exposure; 30 to 45 min aeration

(a)  

50.
After completely used, at the end of the sterilization cycle, an empty disposable EtO canister is
a)
Incinerated once placed in biohazard
b)
Discarded as trash
c)
Disinfected via HLD
d)
Aerated, then Irradiate
51.

The amount (minor traces) of ETO that may remain inside materials after they are sterilized is known a

(a)  

52.

What is the designed steam sterilization container's name only authorized to have a small amount of water at the bottom good for a shelf-life of 48hrs

(a)  

53.

Spell this out: T&A

(a)  

54.

T/F: isolated from poss. infected contact; or, in the case of storage, possibly awaiting BI result that you can’t release a tray just yet, is known as being kept “sequestered”

(a)  

55.

The duration/length one must flush their eyes if exposed to any kind of exposure (i.e. blood; solution/chemicals; etc.) is 15 seconds.

(a)  

56.

The device used in Sterile Storage for measuring humidity within the work area is known as

(a)  

57.

Inventory replenishment system uses identical carts filled with supplies; one cart is dispensed to the user unit and the second cart is kept in standby

(a)  

58.

When items are needed immediately, or at once, Central Service Technicians may receive this instant order. (all caps - abbrev. onl)

(a)  

59.

Name the coined term TJC designed to use information from the HCF to follow the experience of care, treatment or services for a number of patients through the organization's entire health care delivery process

(a)  

60.

Spell out TURP

(a)  

61.

Spell out IOC

(a)  

62.
Which of the following is a “Multi-variable Indicator” meaning its parameter reacts to two or more of the critical variables?
a)
Class 1
b)
Class 2
c)
Class 3
d)
Class 4
63.
OSHA recommends the PEL of V-Pro to be _______ TWA.
a)
.01 ppm
b)
.1 ppm
c)
1 ppm
d)
10 ppm
64.
The type of monitoring of observation and documentation of charts, graphs and printouts & sterilizer operator (tech) should verify all parameters met are classified as:
a)
dministrative monitoring
b)
Chemical monitoring
c)
Physical monitoring
d)
None of the above
65.

Two regulatory agencies that are responsible for regulating EO.

a)

WHO and CDC

b)

CDC and EPA

c)

EPA and APIC

d)

JCO and DOT

66.

processing of flexible endoscopes

a)

SGNA

b)

EPIC

c)

ANSI

d)

EPA

67.

This voluntary organization provides standards and evaluations ....inspections ...... “Tracer Methodology”]

a)

Joint Commission

b)

WHO

c)

ANSI

d)

OSHA

68.

global competitiveness and quality of life by promoting standards and ensuring their integrity.

a)

ANSI

b)

CDC

c)

AAMI

d)

APIC

69.

protects workers from occupationally-caused illnesses and injuries

a)

OSHA

b)

CDC

c)

WHO

d)

APIC

70.

Establishes Sterilazation practices based on research, therory and opininion. Sets STANDARDs

a)

AAMI

b)

JCO

c)

APIC

d)

CDC

71.

cleaner water air and land

a)

EPA

b)

CDC

c)

JCO

d)

OSHA

72.

Agency improving health conditions

a)

OSHA

b)

CDC

c)

WHO

d)

EPA

73.

Preventing and controlling disease

a)

CDc

b)

WHO

c)

OSHa

d)

AORN

74.

Reccomended Practices for the Perioperative setting

a)

CDC

b)

SGNA

c)

DOT

d)

AORN

75.

global competitiveness and quality of life by promoting standards and ensuring their integrity.

a)

SGNI

b)

ANSI

c)

AAMI

d)

JCO