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Endoscope Reprocessing > CER Progress Test Three > Flashcards

CER Progress Test Three Flashcards

1
Q

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

A

True

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2
Q

Not drying an endoscope properly after HLD and rinsing can allow for recontamination of the endoscope: True or False

A

True

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2
Q

Adding more high-level disinfectant to the soak basin or AER to bring the solution up to the desired level also extends the length of time the solution can be used. True or False

A
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3
Q

Automated endoscope reprocessor device connectors are designed to be used with any flexible endoscope: True or False

A
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4
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
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5
Q

The high level disinfectant solution in an AER should be tested for the minimum effective concentration: True or False

A

Before each use

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6
Q

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

A

True

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7
Q

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

A

True

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8
Q

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

A

False

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9
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

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10
Q

Packaging material approved for hydrogen peroxide plasma sterilization include:
a. paper plastic pouches
b. muslin
c. Tyvek pouches
d. all the above

A

Tyvek pouches

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11
Q

Routine personal and area monitoring of the work area is required when using hydrogen peroxide plasma and ethylene oxide sterilization methods. True or False

A

False

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12
Q

Biological indicator monitoring is required for each cycle run in:
a. ethylene oxide
b. hydrogen peroxide gas plasma
c. vaporized hydrogen peroxide
d. all the above

A

Ethylene oxide

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13
Q

A device’s design can present a challenge to the sterilization process. True or False

A

True

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14
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

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15
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

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16
Q

Flexible endoscope components that have been removed for cleaning should always be kept with the same endoscope because they will be easier to track. True or False

A

True

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17
Q

Filtered air is used to help reduce the risk for contamination during storage. True or False

A

True

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18
Q

High level disinfected 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

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19
Q

Arthroscopes are used for surgeries on:
a. sinus cavities
b. ureters
c. pelvic organs
d. joints

A

Joints

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20
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 high level disinfected endoscopes

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21
Q

The rod lenses of a rigid endoscope are made from:
a. fiber optics
b. reflective metal rods
c. glass
d. prisms

A

The rod lenses of a rigid endoscope are made from glass

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22
Q

When using a rigid endoscope, a dark image may be caused by damaged:
a. illumination fibers
b. coupler
c. camera
d. all the above

A

all the above

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23
Q

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

A

True

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24
Q

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

A

False

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25
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

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26
Q

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

A

False

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27
Q

Visual examination of the interior structures of the body is called:
a. visioscopy
b. endoscopy
c. fiberoscopy
d. botoscopy

A

Endoscopy

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28
Q

Along with benefits to the patient, endoscopic procedures benefit the facility by:
a. reducing procedure time
b. freeing up operating rooms
c. reducing operating costs
d. eliminating the need for surgery

A

reducing procedure time

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29
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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30
Q

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

A

Flexible endoscope

31
Q

It is important to understand the quality documentation requirements for endoscope reprocessing: True or False

A

True

32
Q

This endoscope is designed to examine upper airways:
a. bronchoscope
b. rhinolaryngoscope
c. duodenoscope
d. choledochoscope

A

Rhinolaryngoscope

33
Q

This endoscope is often used to treat kidney stones:
a. duodenoscope
b. hysteroscope
c. ureteroscope
d. cystoscope

A

Ureteroscope

34
Q

The endoscope universal cord:
a. contains the handheld controls
b. enables the physician to perform procedures, such as biopsies
c. connects the light connector to the control body
d. is the part inserted into the patient

A

Connect the light connector to the control body

35
Q

A bronchoscope can be used to examine the airways: True or False

A

True

36
Q

Ureteroscopes are used to view the tubes that connect the kidneys to the bladder. True or False

A

True

37
Q

Hysteroscopes are used to visualize the:
a. larynx
b. abnormalities of the urinary track
c. uterus
d. colon

A

Uterus

38
Q
  1. 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

39
Q

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

A

All the above

40
Q

Endospores are formed:
a. outside the bacteria cell
b. inside the bacteria cell
c. during the bacterial reproduction
d. after the bacteria has died

A

Inside the bacteria cell

41
Q

Biofilm is a colony of one type of bacteria that joins together.
True or False

A

False

42
Q

Biofilm and fungus can form underneath fingernails. True or False

A

True

43
Q

Sepsis has been associated with:
a. bronchoscopy
b. duodenoscopy
c. upper gastrointestinal endoscopy
d. All the above

A

All the above

44
Q

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

A

False

45
Q

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

A

True

46
Q

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

A

False

47
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

48
Q

When physical barriers between soiled and clean areas 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

49
Q

Low humidity in the work area can:
a. promote bacterial growth
b. cause absorbent materials to become excessively dry
c. increase the risk of cross contamination
d. all the above

A

Cause absorbent materials to become excessively dry

50
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

The process of rendering a clinically used device safe and ready for reuse in the definition of: reprocessing

51
Q

Household liquid dishwashing detergents are recommended as the detergent of choice to clean gastrointestinal endoscopes: True or False

A

False

52
Q

Personal protective equipment for the endoscope decontamination area includes:
a. full length face shield or a mask and eye protection
b. lightweight short-sleeved gown or jumpsuit
c. long-sleeve warm up jackets
d. All the above

A

Full length face shield or a mask and eye protection

53
Q

Detergents used to clean endoscopes should be:
a. low foaming
b. alkaline
c. non residue producing
d. all the above

A

low foaming

54
Q

Solutions that are mixed too strong will not be as effective as solutions mixed to the required strength: True or False

A

True

55
Q

The most common pH recommended for endoscope cleaning chemicals is:
a. low pH
b. High pH
c. Medium pH
d. Neutral pH

A

Neutral pH`

56
Q

Pre-cleaning at the point of use should occur before the endoscope is disconnected from the power source: True or False

A

True

57
Q

After removing the flexible endoscope from the patient, the first step in point-of-use pre-cleaning is to:
a. flush the insertion tube
b. pre-rinse the inner channels
c. remove the gross soil
d. attach the video cap

A

Remove the gross soil

58
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

59
Q

The purpose of leak testing is to:
a. ensure the cleaning solution will not leak out of the endoscope
b. ensure all the inner channels are full of cleaning solution
c. detect damage to the exterior and interior of the endoscope
d. all the above

A

Detect damage to the exterior and interior of the endoscope

60
Q

When performing a leak test, the water-resistant cap should be removed: True or False

A

False

61
Q

When cleaning an endoscope that has failed a leak test, it is important to first disconnect the leak tester: True or False

A

False

62
Q

The exterior of the endoscope should be cleaned using lint-free cloths or sponges: True or False

A

True

63
Q

All removable parts should be carefully cleaned using a stiff bristled brush. True or False

A

False

64
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

65
Q

Borescopes are used to visually inspect the channels of an endoscope: True or False

A

True

66
Q

Tests for cleaning efficacy of the manual cleaning process should be performed at least weekly; however, daily is recommended:
True or False

A

True

67
Q

Cleaning equipment should be tested for cleaning efficacy:
a. upon installation
b. after repair
c. on a routine basis
d. all the above

A

All the above

68
Q

Reusable accessories such as snare wires, water bottles and biopsy forceps should be placed in the same container as the endoscope to help ensure that all components from a procedure are kept together: True or False

A

False

69
Q

Using poor technique or skipping leak testing can cause harm to the patient: True or False

A

True

70
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

71
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

72
Q

Ethylene oxide sterilization of a flexible endoscope may result in a blown endoscope if:
a. the endoscope is not vented properly
b. the endoscope’s internal channels are moist when sterilized
c. the endoscope has a cracked lens
d. the distal tip is not protected

A

the endoscope is not vented properly

73
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

74
Q

Enzymatic cleaning solution used for endoscope cleaning should be discarded after each use: True or False

A

True

Endoscope Reprocessing (20 decks)

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