CER Progress Test Two Flashcards
Medical devices that have been improperly reprocessed may:
a. transmit disease
b. damage the medical device
c. cause device failure
d. all the above
All the above
The words “cleaning” and “decontamination” mean the same thing.
True or False
False
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
All the above
The first step in doffing personal protective equipment is removing:
a. cap and face cover
b. shoe covers
c. gown or apron
d. gloves
Shoe covers
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
Multi-enzyme product
Using the wrong size brush when cleaning a flexible endoscope can cause damage to the endoscope. True or False
True
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
All the above
Because endoscopes were pre-cleaned at the point of use, PPE is not required when cleaning flexible endoscopes: True or False
False
Leak testing should be performed:
a. after point of use pre-cleaning
b. before manual cleaning
c. after every procedure
d. all the above
All the above
Endoscopes with major leaks cannot be cleaned before being sent out for repair: True or False
False
After pre-cleaning at the point of use, valves should be reattached to the endoscope for transport to the reprocessing area: True or False
False
The first step in leak testing is to check the endoscope for tears and holes: True or False
True
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
Venting connection
Reprocessing residues, such as detergent, can interfere with the patient’s healing process: True or False
True
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
For each endoscope
When cleaning the lumens of an endoscope, the brush should be rinsed before pulling it back through the channel: True or False
True
Many residues can be prevented by:
a. careful cleaning
b. copious rinsing
c. using lint-free cloths
d. all the above
All the above
Tests for cleaning efficacy of the manual cleaning process should be performed at least weekly; however, daily is recommended: True or False
True
Cleaning equipment should be tested for cleaning efficacy:
a. upon installation
b. after repair
c. on a routine basis
d. all the above
All the above
Using poor technique or skipping leak testing can cause harm to a patient: True or False
True
Using a venting cap during sterilization will cause the endoscope sheath to rupture. True or False
False
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
Black spots on the end of the cord
Visual inspection of flexible endoscopes should occur:
a. before the procedure
b. during the procedure
c. after cleaning
d. all the above
All the above
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
False
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
Reduce repair costs
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
Insertion tube
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
Biopsy port
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
More healthcare associated infections are linked to contaminated endoscopes than any other device
A hysteroscope is an example of an:
a. ultrasonic endoscope
b. rigid endoscope
c. semi-rigid endoscope
d. flexible endoscope
Flexible endoscope
Failure to provide a functional endoscope can result in an inaccurate diagnosis: True or False
True
The most complex type of endoscope is the:
a. semi rigid endoscope
b. hysteroscope
c. laparoscope
d. flexible endoscope
Flexible endoscope
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
Control body
This endoscope is used to remove gallstones:
a. ureteroscope
b. choledochoscope
c. hysteroscope
d. enteroscope
Choledochoscope
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
Placed in a separate container and send to the decontamination area
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
ECRI Institute
An enteroscope is used to examine:
a. large intestine
b. small intestine
c. gallbladder and pancreas
d. lower airway
Small intestine
A rhinolaryngoscope is used to examine the:
a. nasal passages
b. interior of the stomach
c. upper gastrointestinal area
d. small intestine
Nasal passages
Hysteroscopes are used to visualize the:
a. larynx
b. abnormalities of the urinary tract
c. uterus
d. colon
Uterus
These bacteria are beneficial to humans:
a. symbiotic bacteria
b. viruses
c. gram positive bacteria
d. gram negative bacteria
Symbiotic bacteria
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
More biofilm will form
Enveloped viruses are easier to disable than non-envelope viruses:
True or False
True
An opportunistic infection is one that is usually caused by a non-pathogenic bacteria. True or False
True
While bacteria can be pathogenic, fungus and parasites cannot be pathogenic: True or False
False
Sepsis has been associated with:
a. bronchoscopy
b. duodenoscopy
c. Upper GI endoscopy
d. all the above
All the above
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
One way flow
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
Endoscope damage
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
Can be found in ASHRAE/ASHE
The relative humidity should not exceed _____ in all endoscope work areas:
a. 20%
b. 30%
c. 50%
d. 60%
60%
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
False
Physical barriers between soiled and clean areas can prevent aerosols from entering the clean area: True or False
True
