CER Progress Test Two Flashcards

1
Q

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

A

All the above

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2
Q

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

A

False

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3
Q

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

A

All the above

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4
Q

The first step in doffing personal protective equipment is removing:
a. cap and face cover
b. shoe covers
c. gown or apron
d. gloves

A

Shoe covers

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5
Q

Enzymes target specific soils. Which type of enzyme product is most helpful when cleaning endoscopes?
a. protease
b. amylase
c. lipase
d. multi-enzyme product

A

Multi-enzyme product

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6
Q

Using the wrong size brush when cleaning a flexible endoscope can cause damage to the endoscope. True or False

A

True

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7
Q

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

A

All the above

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8
Q

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

A

False

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9
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

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10
Q

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

A

False

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11
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

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12
Q

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

A

True

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13
Q

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

A

Venting connection

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14
Q

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

A

True

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15
Q

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

A

For each endoscope

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16
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

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17
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

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18
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

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19
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

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20
Q

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

A

True

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21
Q

Using a venting cap during sterilization will cause the endoscope sheath to rupture. True or False

A

False

22
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

23
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

24
Q

When preparing an endoscope for HLD, 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

25
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

26
Q

The portion of the flexible endoscope that enters the body is called the:
a. control body
b. monitor cable
c. channel canal
d. insertion tube

A

Insertion tube

27
Q

When using a flexible endoscope, instruments are introduced into the body through the:
a. air port
b. water port
c. channel canal
d. bendable tip

A

Biopsy port

28
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 endoscopies are performed each year

A

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

29
Q

A hysteroscope is an example of an:
a. ultrasonic endoscope
b. rigid endoscope
c. semi-rigid endoscope
d. flexible endoscope

A

Flexible endoscope

30
Q

Failure to provide a functional endoscope can result in an inaccurate diagnosis: True or False

A

True

31
Q

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

A

Flexible endoscope

32
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

33
Q

This endoscope is used to remove gallstones:
a. ureteroscope
b. choledochoscope
c. hysteroscope
d. enteroscope

A

Choledochoscope

34
Q

After pre-cleaning, the endoscope water bottle should be:
a. placed in the container with the soiled endoscope
b. placed in a separate container and sent to the decontam area
c. rinsed and flushed with a high-level disinfectant
d. emptied and air dried

A

Placed in a separate container and send to the decontamination area

35
Q

This organization uses applied scientific research to keep healthcare professionals abreast of challenges and concerns regarding medical devices:
a. ECRI Institute
b. DHHS
c. Medical Device Review Board
d. Centers for Medicare and Medicaid Services Device Performance

A

ECRI Institute

36
Q

An enteroscope is used to examine:
a. large intestine
b. small intestine
c. gallbladder and pancreas
d. lower airway

A

Small intestine

37
Q

A rhinolaryngoscope is used to examine the:
a. nasal passages
b. interior of the stomach
c. upper gastrointestinal area
d. small intestine

A

Nasal passages

38
Q

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

A

Uterus

39
Q

These bacteria are beneficial to humans:
a. symbiotic bacteria
b. viruses
c. gram positive bacteria
d. gram negative bacteria

A

Symbiotic bacteria

40
Q

The longer a used endoscope sits before reprocessing, the
a. easier it is to clean
b. more microorganisms will die
c. more biofilm will form
d. longer it will take to dry

A

More biofilm will form

41
Q

Enveloped viruses are easier to disable than non-envelope viruses:
True or False

A

True

42
Q

An opportunistic infection is one that is usually caused by a non-pathogenic bacteria. True or False

A

True

43
Q

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

A

False

44
Q

Sepsis has been associated with:
a. bronchoscopy
b. duodenoscopy
c. Upper GI endoscopy
d. all the above

A

All the above

45
Q

Effective work area design should incorporate:
a. an irrigating ultrasonic cleaner
b. multiple automated equipment reprocessors
c. storage for common endoscope replacement parts
d. one way flow

A

One way flow

46
Q

Inadequate workplace in the endoscope area can be a cause of:
a. poor airflow
b. aerosols entering the clean work area
c. Endoscope damage
d. all the above

A

Endoscope damage

47
Q

The recommended temperature for the endoscope clean processing area should be:
a. 70F or less
b. 60F to 65F
c. At least 70F
d. Can be found in ASHRA/ASHE I70

A

Can be found in ASHRAE/ASHE

48
Q

The relative humidity should not exceed _____ in all endoscope work areas:
a. 20%
b. 30%
c. 50%
d. 60%

A

60%

49
Q

The automated endoscope reprocessor should be placed in the decontamination area to ensure the endoscopes are clean before sending them through to the preparation area: True or False

A

False

50
Q

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

A

True