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Endoscope Reprocessing > CER Progress Test Four > Flashcards

CER Progress Test Four Flashcards

1
Q

Specific tasks to be done, time horizons for these tasks, and resource allocation are all part of an effective:
a. preventative maintenance program
b. leak testing policy
c. action plan
d. all the above

A

Action Plan

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2
Q

Quality management measures for endoscopes include repair cost per procedure for each endoscope: True or False

A

True

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3
Q

When receiving a loaned endoscope that is made by a different manufacturer than what the facility uses, competencies do not need to be done, as long as the endoscope is the same type as the one the facility sent out for repair: True or False

A

False

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4
Q

Surveyors may ask staff in the endoscope reprocessing area to demonstrate departmental protocols for damaged endoscopes: True or False

A

True

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5
Q

This department is responsible for providing input into the endoscope use and handling system:
a. reprocessing
b. infection prevention
c. User
d. all the above

A

All the above

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6
Q

Endoscope leak testing can identify the following problem with a flexible endoscope:
a. user neglect
b. O-rings that are not properly seated
c. damage due to using the wrong cleaning chemicals
d. all the above

A

O-Rings that are not properly seated

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7
Q

During leak testing, an increase in pressure when moving the elevator levers indicates a leak in the system: True or False

A

False

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8
Q

When sending a damaged endoscope out for repair, best practices require placing the endoscope in a reprocessing tray to protect it from further damage: True or False

A

False

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9
Q

Pressurizing a damaged endoscope for cleaning may prevent further damage to that endoscope: True or False

A

True

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10
Q

When preparing an endoscope for shipping, it is not necessary to include a description of the problem because the service company will inspect the entire endoscope after it is received:
True or False

A

False

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11
Q

Regulations and standards establish:
a. effective processing guidelines
b. minimum levels of quality and safety
c. a method that has consistently shown superior results
d. all the above

A

Minimum levels of quality and safety

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12
Q

This organization is responsible for promoting health and quality of life:
a. APIC and Epidemiology
b. US FDA
c. CDC
d. EPA

A

Centers for Disease Control and Prevention

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13
Q

This regulatory department issues registration numbers for disinfectants:
a. US FDA
b. EPA
c. APIC and Epidemiology
d. AAMI

A

Environmental Protection Agency

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14
Q

This agency is responsible for enforcing proper labeling of biohazardous material:
a. CMMS
b. US FDA
c. OSHA
d. DOT

A

Department of Transportation

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15
Q

Failure to follow this agency’s standards can result in loss of all federal funding:
a. OSHA
b. US FDA
c. CMMS
d. CDC

A

Centers for Medicare and Medicaid Services

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16
Q

The US FDA provides regulatory standards for employee safety:
True or False

A

False

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17
Q

This action is taken by the US FDA when a medical device is defective or poses a health risk:
a. validation
b. citation
c. 510K
d. recall

A

Recall

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18
Q

Violating Health Insurance Portability and Accountability (HIPAA) rules may result in job loss. True or False

A

True

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19
Q

This organization developed and released ST79 and ST91, two important documents that are important to endoscope reprocessing:
a. OSHA
b. USFDA
c. CMMS
d. AAMI

A

Association for the Advancement of Medical Instrumentation

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20
Q

Common pitfalls for endoscope reprocess include:
a. fatigue
b. misinformation
c. lack of prioritization
d. all the above

A

All the above

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21
Q

The responsibility for safe and successful reprocessing of endoscopes rests with the :
a. reprocessing technician
b. Instruction for use
c. People who manage the system
d. All the above

A

People who manage the system

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22
Q

When staff members are properly trained and competent with the process, there is no need for process audits: True or False

A

False

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23
Q

Information posts are a good way to quickly spread the word of an issue or process change: True or False

A

True

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24
Q

Delays in reprocessing endoscopes may result in the formation of biofilms and dried soil on/in the endoscope: True or False

A

True

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25
Q

Not wearing proper PPE when processing endoscopes can:
a. Be an OSHA violation
b. Expose the employee to infectious microorganisms
c. cause cross contamination
d. all the above

A

All the above

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26
Q

It is important to use enzymatic solution during leak testing of an endoscope because escaping air bubbles are easier to see:
True or False

A

False

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27
Q

Fluid invasion can occur when:
a. a water resistant cap is not fully on and locked
b. the detergent is mixed too strong
c. there are delays in reprocessing
d. all the above

A

A water-resistant cap is not fully on and locked

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28
Q

Storing endoscopes with valves and water caps in place may:
a. impede air circulation and trap moisture
b. cause black spots on the lens
c. damage the internal channels
d. cause cross contamination of other endoscopes

A

Impede air circulation and trap moisture

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29
Q

It is important to change endoscope procedures based on current printed articles: True or False

A

False

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30
Q

Endoscopes can be used for routine and therapeutic treatments.
True or False

A

True

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31
Q

The most complex type of endoscope is the:
a. semi-rigid endoscope
b. hysteroscope
c. laparoscope
d. flexible endoscope

A

Flexible endoscope

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32
Q

The insertion tube of a flexible endoscope can contain the:
a. instrument channel
b. control head
c. scope body
d. light guide connector

A

Instrument channel

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33
Q

Which of the following statements is true?
a. the average turnaround time for a flexible endoscope is 30 minutes
b. flexible endoscopes should be replaced every two months
c. more healthcare associated infections are linked to contaminated endoscopes than any other device
d. one million endoscopes are performed each year

A

More healthcare associated infections are linked to contaminated endoscopes than any other device.

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34
Q

An arthroscope is used to:
a. examine the inside of an endoscope
b. examine a joint
c. examine the bladder
d. examine the neck

A

Examine a joint

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35
Q

Operative (therapeutic) flexible endoscopes are used to identify possible disease. True or False

A

False

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36
Q

Flexible endoscopes can be used to remove small organs, such as the gallbladder: True or False

A

False

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37
Q

Which of the following is NOT a purpose of flexible endoscopes:
a. obtain tissue samples
b. search for causes of specific symptoms
c. remove some forms of cancer
d. implant stents

A

Implant stents

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38
Q

Information for reprocessing specific endoscopes can be found:
a. in the endoscope manufacturer’s IFU
b. on the CDC website
c. in the sterilizer’s IFU
d. in the endoscope manufacturer’s safety data sheet

A

In the endoscope manufacturer’s IFU

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39
Q

This endoscope has a movable elevator mechanism that has been linked to infection:
a. colonoscope
b. enteroscope
c. duodenoscope
d. choleodochoscope

A

Duodenoscope

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40
Q

The portion of the flexible endoscope that contains water/suction valves and angulation knobs is the:
a. light connector
b. universal cord
c. working channels
d. control body

A

Control body

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41
Q

Symbiotic bacteria are bacteria that are harmful to humans:
True or False

A

False

42
Q

Endoscopes can become contaminated from:
a. poor manufacturer’s processing instructions
b. using contaminated water
c. damage
d. all the above

A

All the above

43
Q

Bacteria spores are resistant to:
a. radiation
b. heat
c. chemicals
d. all the above

A

All the above

44
Q

Viruses are larger than bacteria. True or False

A

False

45
Q

While bacteria can be pathogenic, fungus and parasites cannot by pathogenic. True or False

A

False

46
Q

Endoscopes that have been high-level disinfected should be stored on open wire shelving. True or False

A

False

47
Q

When airflow is negative, that means air flows into that area. True or False

A

True

48
Q

Doors and pass through windows between the decontamination and disinfection area should remain closed, however, they may remain opened between the disinfection and sterilization area: True or False

A

False

49
Q

When sending endoscopes from the user area to the decontamination area, endoscopes and their accessories, such as forceps and wires, should be transported together in the same closed container:
True or False

A

False

50
Q

Physical barriers between soiled and clean area can prevent aerosols from entering the clean area. True or False

A

True

51
Q

When physical barriers between soiled and clean are not possible, the use of _____ can minimize the risk of cross contamination.
a. policies
b. procedures
c. training
d. all the above

A

All the above

52
Q

The process of rendering a clinically used device safe and ready for reuse is the definition of:
a. decontamination
b. disinfection
c. reprocessing
d. sterilization

A

Reprocessing

53
Q

Medical devices that have been improperly reprocessed may:
a. transmit disease
b. cause damage
c. cause device failure
d. all the above

A

All the above

54
Q

The words “cleaning” and “decontamination” mean the same thing:
True or False

A

False

55
Q

Standard dress code for the reprocessing area includes:
a. facility-cleaned uniform or scrub attire
b. hair cover
c. not wearing jewelry or watches
c. all the above

A

All the above

56
Q

Critical components of successful cleaning include:
a. following the manufacturer’s IFU
b. paying attention to detail
c. using good work practices
d. all the above

A

All the above

57
Q

The first step in leak testing is to check the endoscope for tears and holes. True or False

A

True

58
Q

The leak detector should be connected to the _____ portion of the endoscope:
a. air and water valves
b. biopsy valve
c. venting connection
d. insertion tube

A

Venting Connection

59
Q

Because endoscopes were pre-cleaned at the point of use, PPE is not required when cleaning flexible endoscopes: True or False

A

False

60
Q

Endoscopes with major leaks cannot be cleaned before being sent out for repair. True or False

A

False

61
Q

After pre-cleaning at the point of use, valves should be reattached to the endoscope for transport to the reprocessing area: True or False

A

False

62
Q

Leak testing should be performed:
a. after point of use pre-cleaning
b. before manual cleaning
c. after every procedure
d. all the above

A

All the above

63
Q

Reprocessing residues, such as detergent, can interfere with the patient’s healing process: True or False

A

True

64
Q

Many residues can be prevented by:
a. careful cleaning
b. copious rinsing
c. using lint free cloths
d. all the above

A

All the above

65
Q

Reusable cleaning brushes should be cleaned and disinfected at least once per shift. True or False

A

False

66
Q

Manual high-level disinfection has a greater risk of chemical exposure than high-level disinfection using an automated equipment reprocessor. True or False

A

True

67
Q

When manual cleaning endoscopes, the cleaning solution should be changed.
a. each shift or when debris is notice
b. for each endoscope
c. at least twice per shift
d. for every other endoscope

A

For each endoscope

68
Q

When cleaning the lumens of an endoscope, the brush should be rinsed before pulling it back through the channel.
True or False

A

True

69
Q

Early detection of endoscope damage can protect the patient and:
a. decrease the processing time
b. is required by the US FDA
c. Reduce repair costs
d. All the above

A

Reduce repair costs

70
Q

When preparing an endoscope for high-level disinfection, it is important to put the valve cover back on the endoscope to help ensure the disinfectant can get inside the lumens: True or False

A

False

71
Q

When inspecting an endoscope light cord, broken light fibers can be detected by:
a. using a borescope
b. small nicks in the sheath
c. black spots on the end of the cord
d. scratches in the lumens

A

Black spots on the end of the cord

72
Q

Visual inspection of flexible endoscopes should occur:
a. before the procedure
b. during the procedure
c. after cleaning
d. all the above

A

All the above

73
Q

The use of a _____ during the endoscope inspection process allows the technician to inspect the inner channels of the endoscope:
a. magnifying lens
b. borescope
c. microscope
d. all the above

A

Borescope

74
Q

Using a venting ca during sterilization will cause the endoscope sheath to rupture: True or False

A

False

75
Q

The following should be documented each time an item is high-level disinfected:
a. name or initials of the person performing the high level disinfection
b. Minimum effective concentration
c. date and time of the HLD process
d. all the above

A

All the above

76
Q

The high-level disinfectant solution in an AER should be tested for the minimum effective concentration:
a. daily
b. each shift
c. before each use
d. all the above

A

Before each use

77
Q

PPE should be changed before removing an endoscope from an AER or soak basin: True or False

A

True

78
Q

When using an AER with an automated cleaning cycle, it is still necessary to thoroughly manually clean the endoscope before using the automated cycle. True or False

A

True

79
Q

When manually rinsing an endoscope after high-level disinfection, the endoscope should be rinsed:
a. at least three times using fresh water for each rinse
b. once with sterile water
c. with a diluted disinfectant
d. per the manufacturer’s IFU

A

Per the manufacturer’s IFU

80
Q

All endoscopes should be high-level disinfected or sterilized between each patient: True or False

A

True

81
Q

Most multi-part flexible endoscopes and their accessories must be disassembled for sterilization: True or False

A

True

82
Q

When the color of chemical indicator tape used to seal flat wrap changes, it indicates that the item is sterile: True or False

A

False

83
Q

Gas plasma sterilizers must be in an area physically separated from all other work areas: True or False

A

False

84
Q

The OSHA requires a method to alert employees to emergency situations for this type of low-temperature sterilizer:
a. ethylene oxide
b. hydrogen peroxide gas plasma
c. vaporized hydrogen peroxide
d. all the above

A

Ethylene oxide

85
Q

All flexible endoscopes should have a ventilation adaptor or water-resistant cap in place when undergoing ethylene oxide sterilization:
True or False

A

False

86
Q

Peel pouches are an acceptable packaging material for ethylene oxide sterilization: True or False

A

True

87
Q

When carrying flexible endoscopes, they should always be held at the:
a. distal end
b. proximal end
c. light cable connection area
d. control head

A

Control Head

88
Q

Sterilized flexible endoscopes should be stored:
a. in the same manner as high level disinfected endoscopes
b. in closed cabinets
c. on solid wire shelving in the sterile storage area
d. in the same manner as other sterilized devices

A

In the same manner as other sterilized devices

89
Q

High level disinfected and stored flexible endoscopes should be reprocessed _____
a. after 72 hours
b. after seven days
c. every Monday
d. at a time interval determined by the facility

A

At a time interval determined by the facility

90
Q

When storing flexible endoscopes, the terms expiration date and hang time mean the same thing: True or False

A

True

91
Q

Cross contamination while handling contaminated endoscopes can be prevented by using:
a. directional workflow
b. personal protective equipment
c. proper signage
d. all the above

A

All the above

92
Q

When valves are placed back on a flexible endoscope for storage:
a. they can trap moisture and facilitate microbial growth
b. it keeps the valves with the proper endoscope
c. it keeps the valves from getting lost
d. all the above

A

They can trap moisture and facilitate microbial growth

93
Q

During inspection of a rigid endoscope, it is important to check the:
a. internal optics
b. image
c. distal end under magnification
d. all the above

A

All the above

94
Q

Rigid endoscopes that are approved for steam sterilization can also be IUSS : True or False

A

False

95
Q

The distal end of a rigid endoscope is the end closest to the eye:
True or False

A

False

96
Q

Using the wrong size light cable can cause damage to a rigid endoscope: True or False

A

True

97
Q

After manual cleaning, rigid endoscopes should be placed in an automated washer-disinfector for thorough cleaning: True or False

A

False

98
Q

Rigid endoscope lens damage can easily occur from:
a. dropping
b. bending
c. excessive heat
d. all the above

A

All the above

99
Q

If a flexible endoscope is properly reprocessed, it can have an indefinite shelf life: True or False

A

False

100
Q

Detergents used to clean endoscopes should be:
a. high foaming
b. non-foaming
c. alcohol-based
d. acid-based

A

Non-foaming

101
Q
A

Endoscope Reprocessing (20 decks)

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