Exam Review Flashcards
Used to repair and reconstruct teeth and jawbones
Dental Drill
Used in ear surgery and for driving very small wires through bone:
Micro drill
Drill used in open heart surgery:
Sternal Drill
Drill used to removecement:
Cebatome
Allows for visual inspection of the lower part of the large intestine:
Sigmoidoscope
Allows for visual inspection of the upper digestive tract:
Gastroscope
Used to visualize the urethra and the bladder:
Cystoscope
Used to visualize the tracheobronchial tree:
Bronchoscope
Used to visualize the large intestine:
Colonoscope
Leak testing should be performed on each flexible endoscope annually:
False, should be performed during each processing cycle.
A method of stock rotation that ensures that older items are used first:
FIFO
Minimum amount of time that a packaging material should be held at room temperature and at 35-70% relative humidity
2 hours
Max density per cubic foot of a linen pack:
7.2 lbs
All soiled instruments and materials are received from the user units into this CS area:
Decontamination
Which gland is located at the base of the brain and is considered the master gland?
Pituitary
Which is the circular opening of the eye which controls light that enters the eye:
Pupil
What types of bacteria develops spores?
Grampositive
Bacteria that causes diesease
Pathogens
What type of hepatitis vaccine is strongly recommended for healthcare workers:
Hep B
The part of the cell that controls the function is:
Nucleus
Involuntary muscles:
Work without consciousness
Rod shaped bacteria:
Bacillus
Air pressure in the decon area should be negative:
True
Regulations under the clean air act are administered by:
EPA
Agency which imposes very strict labeling requirements on manufacturers of chemical used in cs dept:
FDA
What class device is a chemical indicator?
class II
What class device is a heart valve and pacemaker?
Class III
who do you report suspected medical device related deaths to?
hospital and device manufacturer
how many patients develop a hospital acquired infection each year?
2 million
Watches and jewelry should be avoided in cs because:
They harbor bacteria
Minimum time to wash hands is:
15 seconds
To be protected from splashes and spills, cs techs should wear:
fluid resistant gowns
The main theory of standard precautions is:
patients may pose risk of infection whether they have been diagnosed or not. Treat all bodily fluids as infectious.
what is NOT a requirement of OSHA regarding the bloodborne pathogen standard:
Keep biohazard areas locked
Following standard precautions is required by who?
OSHA
Department dress code applies to:
everyone in the cs department
Inanimate objects that can transmit bacteria are called:
Fomites
Floors in the department:
should be wet mopped daily
The absence of microorganisms that cause disease is called:
asepsis
“endo”
within
Hemi
half
Decon area temp and humidity:
60-65, negative pressure, 30-60% humidity
What is the air exchange rate and pressure type for decon?
Negative pressure, 10 air exchanges per hour
What is the area temp for the sterile storage area:
68-75 degrees, 35-70% humidity
What is the air exchange rate and pressure type for the sterile storage area?
Positive, 4 air exchanges per hour
What is the area temp and humidity for the prep area?
68-73 degrees, 35-70% humidity no lower than 35%
What is the air exchange rate and pressure type for the prep and pack area?
10 air exchanges under positive pressure
which establishes sterilization practice standards based on opinion, research, and or theory:
AAMI
epa, fda and osha primarily issue:
regulations
Standards for CS practices are written by:
AAMI
Hyper
above or excessive
hypo
below or deficient
para
beside or near
peri
around
inter
between
intra
within or inside
anti
against
ante
before
endo
within
neo
new
“-a”
without
post
after
supra
above
-ostomy
creation of an opening
-otomy
incision to an organ
-ectomy
surgical removal
-oscopy
visual examination
-cide
to kill
-cise
to cut
cysto
bladder
cranio
skull
gastro
stomach
cardio
heart
chole
bile
derma
skin
herni
rupture
litho
stone
hyster
uterus or womb
gyne
woman
arthro
joint
lipo
fat
Create a new opening in the colon
colostomy
removal of part of the large intestine
colectomy
visual exam of the uterus
hysteroscopy
removal of the uterus
hysterectomy
create an opening into the thoracic cavity to give surgeons access to the lungs and heart
thoracotomy
removing a salivary gland because of a tumor formation:
parotidectomy
removing plaque from the carotid artery that causes lack of brain oxygen:
carotid endartectomy
removing a vein from the lower limb to bypass a blocked coronary artery of the heart
coronary artery bypass graft
removal of a kidney
nephrectomy
making an incision into the tympanic membrane to permit fluid to drain and placing small tubes un the membrane to permit continuous drainage:
myringotomy
a repair to the muscles and ligaments of the shoulder joint
rotator cuff repair
removing disc tissue pressing on the lower spine area, inserting a pieceof bone between the vertebrae and fusing the area with plates and screws:
posterior lumbar interbody fusion
removing lymph tissue in the pharynx:
tonsillectomy
removal of the gallbladder
cholecystectomy
straightening or removing of cartilage in the nose when the septum is deformed
septoplasty
removing both fallopian tubes and ovaries
bilateral salpingo-oopherectomy
removing of tissue or displaced bone in the wrist area to release pressure:
carpal tunnel repair
moving an undescended testicle
orchiopexy
reconstructing the ear drum so sound waves can be sent to the middle and inner ear:
tympanoplasty
this organ pumps blood through the body
heart
the process by which cartilage is replaced by bone
ossification
anyplace where 2 bones meet
joint
the main control unit of the cns
brain
considered the master gland
pituitary
a somewhat flexible muscular tube that helps move food into the stomach
esophagus
a type of connective tissue fluid that moves through the body
blood
a cord of fibrous tissue that connescts a muscle to bone
tendon
largest organ of the body
skin
pseudomonas are sometimes called
water bug
bacteria that is often pathogenic to humans because they grow best at body temp
mesophiles
herpes simplex is a ___ disease
viral
bacteria that requires oxygen to grow
aerobic
bacteria are divided into three main shapes
coccus, bacillus, and spirilla
microorganisms that are capable of forming a thick wall to survive adverse conditions
spores
Match the surgery to the system: Thoracotomy
Respiratory
match the surgery to the body system: Parotidectomy
Digestive
Match the surgery to the body system: Carotid endarterectomy
circulatory
match the surgery to the body system: coronary artery bypass graft
circulatory
match the surgery to the body system: nephrectomy
urinary
match the surgery to the body system: myringotomy
nervous
match the surgery to the body system: rotator cuff repair
muscular
match the surgery to the body system: posterior lumbar interbody fusion
skeletal
match the surgery to the body system: tonsillectomy
circulatory
match the surgery to the body system: cholecystectomy
digestive
match the surgery to the body system: septoplasty
respiratory
match the surgery to the body system: bilateral salpingo oopherectomy
reproductive
match the surgery to the body system: carpal tunnel repair
nervous
match the surgery to the body system: orchiopexy
reproductive
match the surgery to the body system: tympanoplasty
nervous system
The bacterial reproductive process that takes place when a mother cell divides into 2 daughter cells :
binary fission
cjd is caused by this abnormal form of protein:
prions
___is defined as the state of being soiled or infected by contact with infectious organisms or other material:
Contamination
most bacteria are how big:
1-2 microns
sunlight is lethal to pathogens during this stage:
vegetative
a pick list contains information that:
identifies the supplies and instruments needed for a specific doctor or procedure
the basic unit of a living organism:
cell
what is the name of the surgical procedure where an opening is made into the skull:
craniotomy
the decontamination area of the cs department is where instruments are carefully checked for cleanliness and function:
False
the term periosteal elevator means:
an instrument to remove tissue around the bone
viruses:
have no means of movement on their own
Bka refers to:
removal of leg below the knee
the bodys main control center
brain/cns
the muscular system:
assists w movement, produces heat and pumps blood
Microbes:
can be found in hair and skin, are useful to break down sewage and can produce toxins
Prions are:
abnormal forms of protein
a herniorraphy is:
surgical procedure to repair a muscle layer that is allowing all of part of an organ to project through an opening
the abbreviation CR :
Treating a bone fracture without a surgical incision
this organization specializes in endoscopy issues and has established standards for the effective processing of flexible endoscopes:
society of gastrointestinal nurses and associates
furthers international cooperation in improving health conditions
WHO
Develops nationally recognized guidelines for the perioperative setting:
association of perioperative registered nurses
protects workers from occupationally caused illness and injury
osha
proposed standards are submitted from members such as the association for the advancement of medical instrumentation
ISO
Provides standards and evaluations for healthcare facilities every 3 years:
joint comission
Creates and enforces laws relating to transport of medical waste
dot
is considered one of the major resources for healthcare guidelines
association for the advancement of medical instrumentation
creates and revises standards for processing water irrigation
us pharmocopeia national formulary
creates and enforces laws relating to water air and land
epa
a voluntary international organization dedicated to the prevention and control of infections and its relasted outcomes
association for professionals in infection control and epidemiology
international standards to reduce the burden of fire and other hazards
national fire protection association
prevents and controls diseases
cdc
responsible for pre and post market medical device requirements, recalls and classifications
fda
enhances the global competitiveness and quality of life by promoting standards and ensuing their integrity
joint commission
Agencies responsible for regulating ethylene oxide
osha and epa
agency responcible for medwatch
fda
voluntary or involuntary? osha:
regulatory
Voluntary or regulatory: WHO:
voluntary
voluntary or regulatory: ANSI
voluntary
voluntary or regulatory: DOT
Regulatory
voluntary or regulatory: epa
regulatory
voluntary or regulatory:
Information technology is often the cornerstone of initiatives to transform healthcare
True
Disposable items increase combustible load in a healthcare facility
True
Enabling people to use information gained to interact with others is known as
Human relations
At this time, tracking systems are unable to track worker productivity information
True
A step in communication that occurs when a listener asks a question is called
Feedback
Improving professional development skills is an important part of
Career advancement
The US FDA Class II chemical indicator used for testing and ran daily in dynamic air removal sterilizers is called a
Bowie-dick test
Always wearing PPE in the Decon unit is a quality process
True
Where are product expiration dates located
There is no standard place for an expiration date
When patient equipment enters a facility, it must be safety checked by a
Biomedical technician
Used to break down fatty tissue on instruments
Lipase enzymes
Anaerobic bacteria require oxygen to live
False. Can survive with no oxygen
The absence of microorganisms that cause disease is called
Asepsis
Immediate use steam sterilization was developed to process items when the facility does not have enough instruments to perform a surgery
False
When an instrument has a shiny surface it is said to have a — Finish
Mirror
Lumens should be moist when using hydrogen peroxide
False
Most cs departments employ some sort of automated information management system
True
Ethylene oxide gas should be stored
In a containment locker
Knowing what is expected and consistently exceeding those expectations is a part of
Professional behavior
Sterile packages should be stored no lower than 8-10 inches from the floor
True
If soiled items are transported to an offsite facility for processing
They should be transported following the US or DOT guidelines
The decon area is where instruments are checked for cleanliness and function
False
Arthroscopy instruments are used during
Joint surgery
Some plastics including formulations of spun bonded polyolefin Are intended for use solely in these sterilization processes
Ozone and hydrogen peroxide
The amount of time an item must remain wet with a disinfectant is called
Wet contact time
The drain screen in the steam sterilizer should be cleaned
Daily
Removal of the uterus
Hysterectomy
Which is not a result of computer integration
Automatically provides critical updates to industry standards
A plane crash is an example of an external disaster
True
Movement of supplies throughout the healthcare facility is called
Distribution
All patient care equipment that was dispensed for use must be considered— and handled as such regardless of its appearance
Contaminated
What is the preferred ph for detergents used in most cleaning products
Neutral
All microorganisms are harmful
False
Inanimate objects that transmit bacteria
Fomites
All items that are sterilized or high level disinfected at point of use must be carefully monitored and logged
True
Instrument packing tape should be wrapped approximately this many times around the instrument
1.5
Hydrogen peroxide kills microorganisms by a process called
Oxidation
Event related shelf life means items are safe until open for use
False
Ectomy
Surgical removal
Proper handling of instrumentation is the responsibility of
All of those who handle the item
A pick list contains information that
Identifies the supplies and instruments needed for a specific doctor
Cellulose materials can not be processed with a hydrogen peroxide sterilizer
True must use bonded plastic specific for oxidation
Which would be the best choice for high level disinfection of instruments
Ortho phthalates
This organization is responsible for standards relating to flexible endoscopes
Sgna (society of gastroenterology nurses and associates )
Which of the following dress code requirements applies to the clean assembly area
Semi restricted
Computerized tracking systems are fast but manual tracking are more effective
False
Which is not included on a safety data sheet
Required inventory levels
Which of the following is not a feature of an instrument tracking system
Product updates and recalls
This process helps a person to understand one’s needs
Communication
Safety data sheets are provided by
Product manufacturers
Sterilizer load records should contain
Items and quantity sterilized
The quality method failure mode and effects analysis is a
Quality method to prevent problems before they occur
Disadvantage of exchange cart system
Requires duplicate inventory
Patient care equipment should be stored in a what condition
Ready to dispense
Cleaning brushes
Should have a larger diameter than the lumen, wire bristles and cleaned daily
Microbiology is the study of
Life, microorganisms, human immune systems
Basics of aseptic technique
Know chain of infection, prevent infection, follow blood borne pathogen standard
In order to flash sterilize an item, the manufacturer must state it is safe to do so
True
Are laser finished instruments coated with a durable protective finish that can’t be chipped or scratched
No, false.
Information regarding a devices compatibility with a certain sterilization process should be obtained from the device manufacturer
True
Temperature in sterile storage
64-75
The suffix -tome means
Cutting instrument
Is it acceptable to transport both clean and soiled items if they are kept on separate shelves
No. False.
Soiled instruments and other items are received in the —- area of the cs dept
Decon
Which of the following should be used to thoroughly rinse all traces of disinfectant from an endoscopes channels
Treated water
When placing instruments that open on an instrument tray
Unlock and open instrument
Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as
Critical items
Gravity steam sterilizer uses a pump or water injector to remove air from the chamber
False. Uses gravity
Failure to receive accreditation from the joint commission can cause loss of Medicaid and Medicare
True
Which provides real time tracking methods
Rfid radio frequency identification tags
Documentation for immediate use sterilization should include
Patient I’d and reason
Supplies like disposable wraps are considered
Consumable
Preventative maintenance
Designed to identify potential problems before they occur
Detergents should be
Low foaming
When cleaning prions, no special cleaning is required. Follow all standard cleaning protocols and manufacturers instructions of use
False. Additional cleaning
Oseotome
Used to cut or shave bone
Woven fabrics are ideal for ozone sterilization
True
Sterile items should be how many inches below sprinkler heads
18
When placing instruments in a peel pack, the point must face the plastic side
True
When combining loads hard goods should be placed on top to prevent condensate
False. Placed on bottom
When cleaning pseudomonas
There are no specific cleaning requirements
Before an item can be low temp sterilized it must be
Cleaned
Endoscope cameras are sealed instruments so fluid invasion is not a concern
True
What class device is a sterile pack
Class II
Humidity for assembly area
30/60
Tungsten carbide Jaws
Have gold handles
Pasteurizers disinfect using
Heated water
When loading steam sterilizer, basins should be
Placed on edge
which of the following is the agent used for sterilization for antibiotics and heat liable liquid substances in clinical labs?
Filtration
which one of the following is used in the manufacturing of bleach?
sodium hypochlorite
what is the required temperature range for pasteurization?
62-72 degrees Celsius
name some cleaning agents
detergents/degreasers
which of the following is not a disinfection method?
ionizing radiation is not a disinfecting method
you are cleaning your living room with a vacuum cleaner. Which statement below describes the correct order so that the room becomes clean?
dust and then vacuum
how often should the warehouse be disinfected?
annually
you are packaging heavy and light instruments in a truck. Which ones should go in first?
the heavy items should be on the bottom while the light items should be on top
what is the preferred exchange RATE of air in the prep room?
10%
what is the best temp for flowers in the prep room?
33-37 degrees farenheit
what is the oldest packaging material in the world?
glass
what type of pressure is used to package food and beverages?
high pressure
which of the following shows the processes of sterilization?
chemicals, irradiation and heat
which of the following options is used to mechanically sterilize medical equipment?
ultrasonic waves
microorganisms are destroyed using a steam reaction known as?
first order
which of the following processes only shows sterilization methods:
heat, radiation and chemical agents
i want to use batch sterilization for medical tools. What is the best temperature?
121 degrees celsius. the high temp has high pressure to kill microorganisms
sterilization deactivates different spores of organisms. Which one is referred to as control?
exospores
which item of clinical equipment can you use to stop a person’s bleeding?
hemostat clamp
a patient is brought to a hospital with a high fever. Which tool will you use to measure their temp?
clinical thermometer
Which tool is used to test pupil dilation?
penlight
which statement describes the minimum required spd sterile storage conditions?
controlled humidity and temperature
what is the substance inside the abc extinguisher?
ammonium phosphate
in inventory management, where are delivery and requisitions recorded?
Demand
which statement best describes the correct order of naming a file for easy accessibility to all parties?
department, date, serial number
which of the following documents is not useful to a companies staff?
product how to guides
why is it important to evenly distribute instruments in a set?
extra condensation will make the set more difficult to dry
which of the following best describes the overall role of the CS/SPD?
to provide dependable service to enhance patient care
which of the following regulates environmental disinfectants?
epa
medical grade kraft paper can not be used with which of the processes?
low temp gas palsma
during cycle counts, items that have a large dollar amount but arenot used frequently are classified as:
class a
anatomy is the science that deals with the ____ of body parts
structure
which of the following transports molecules within the cell:
cytoplasm
which of the following sets would be considered high risk for special prion processing?
craniotomy set
which of the following organs produces bile?
liver
microorganisms are measured in
microns
with respect to rigid sterilization container testing, which term defines the sterilizers ability to sterilize under actual conditions?
maximum load testing
what is the ideal human body temp?
98.6
which of the following is true of capsules?
it is resistant to heat and chemicals
pulmonary capillaries are found in which system?
respiratory
a microorganism that is testing and had a hard shell like outer covering is called:
spore
spongiform encephalopathy is caused by:
prions
nails, tissues, and money are examples of:
fomites
cholera is transmitted by
contaminated food and water
in the final step of hand washing, the fingers should be rinsed with the fingertips facing :
up
water less hand antiseptics contain what percentage of alcohol?
60-95
all of the following play a role in how bones support other body systems except:
distribution of hormones
osha requires that containers of potentially infectious materials be
leakproof
round or spherical bacteria are called:
cocci
the removal of contamination from an item to the extent necessary for further processing is called:
cleaning
which of the following should be cleaned daily:
floors and work surfaces
whcih of the following is a true statement regarding the use of ppe in decon
failure to wear ppe can result in disciplinary action
before the medical device is cleaned and processed:
the manufacturers instructions must be obtained
which is not a consideration when selecting a detergent?
cost
the relative acidity or alkalinity of a solution is referred to as:
pH
clostridium botulinum is harbored in the
soil
a solution with a pH of 3 is considered:
acidic
a solution with a pH of 13 is considered:
alkaline
which of the following are major non living reservoirs of infectious diseases?
soil and water
alkaline detergents are best for mechanical washers because of
lack of friction in washing
which of the following is used to remove severe stains on stainless steel instruments
organic acid detergent
one method of preventing biofilm formation on instruments is to:
rinse with distilled water and dry them out
an ultrasonic lumen cleaner is used to clean
laparascopic instruments
to reduce the potential for instrument corrosion, the multi step process is in a mechanical washer consists of:
alkaline, wash, acid, rinse, regular rinse
