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sterile processing > Final Exam > Flashcards

Final Exam Flashcards

1
Q

Package labeling should NOT include?

A

identification of washer/disinfector used during decontamination

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2
Q

True or False? Viruses can survive away from a host.

A

True

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3
Q

A hypothermia unit is:

A
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4
Q

These muscles control involuntary movements like breathing, digestion, etc.

A

smooth muscle

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5
Q

The biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning.

A

false

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6
Q

Which of the following is considered a process designed to predict the adverse outcomes of various human and machine failures to prevent adverse outcomes?

A

FMEA-Failure Mode and Effect Analysis

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7
Q

Humidity levels in the assembly and packaging area should be maintained between….?

A

30%-60%

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8
Q

When moving transport carts throughout the healthcare facility, Sterile Processing technicians must always yield right of way to patients and visitors.

A

true

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9
Q

can powered instruments be immersed

A

false

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10
Q

Knowing what is expected and consistently meeting those expectations is part of

A

professional behavior

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11
Q

All rigid sterilization containers have tamper-evident seals.

A

True

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12
Q

Straightening or removing cartilage and/or bone in the nose when the nasal septum is deformed, injured or fractured

A

septoplasty

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13
Q

Removing both fallopian tubes and ovaries

A

Bilateral salpingo-oopherectomy

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14
Q

Removing tissue or displaced bone in the wrist area to release pressure on the median nerve

A

carpal tunnel

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15
Q

Moving an undescended testicle

A

Orchiopexy

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16
Q

Reconstructing the ear drum so sound waves can be sent to the middle and inner ear

A

Tympanoplasty

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17
Q

Making an incision into the tympanic membrane to permit fluid to drain and placing small tubes in the membrane

A

Myringotomy

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18
Q

A repair to the muscles and ligaments of the shoulder joint

A

Muscular System

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19
Q

Removing lymph tissue in the pharynx

A

tonsillectomy

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20
Q

Removing the gallbladder

A

digestive system

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21
Q

Failure to receive accreditation from the The Joint Commission can result in the loss of Medicare and Medicaid payments.

A

True

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22
Q

One of the goals of point-of-use preparation and transport is to

A

prevent cross contamination

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23
Q

Cleaning chemicals must be used with the recommended _______ and will not function as designed with out it.

A

Water PH

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24
Q

The best way to clean a suction lumen is

A

using proper size brush

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25
Q

True or False? All packages have expiration dates.

A

false

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26
Q

The mechanical process by which an ultrasonic cleaner works is called cavitation.

A

true

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27
Q

An extended aeration cycle is required for items sterilized in ozone sterilization process.

A

false

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28
Q

The department that checks patient care equipment for safety and function is

A

Biomedical/Clinical Engineering

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29
Q

What are Prions?

A

Abnormal pathogenic agents that are able to induce abnormal folding of normal cellular proteins.

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30
Q

Once a tracking system is implemented, there is generally no need to update system information.

A

false

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31
Q

Surgical instruments are carefully inspected for cleanliness and function in the ________ area.

A

preparation and packaging

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32
Q

Which of the following common items of patient care equipment limits the development of deep vein thrombosis and peripheral edema in immobile patients?

A

Sequential compression unit

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33
Q

Loaner instrument trays that are received sterile from other facilities do not need to be decontaminated and re-sterilized before use.

A

false

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34
Q

When using a biological monitor, which of the following provides a feeding source for any remaining bacteria to live on after sterilization?

A

growth media

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34
Q

The use of heat to kill all microorganisms, except spores, is called

A

thermal disinfection

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34
Q

The largest part of the brain is the cerebellum.

A

false

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35
Q

Which of the following means beside or near?

A

Para

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35
Q

ue of False? The use of air pressure to control airborne bacteria is to have positive air pressure areas flow to negative air pressure areas.

A

true

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36
Q

Standard precautions apply to whom?

A

all patients

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37
Q

Intermediate-level disinfection is…

A

The destruction of viruses, mycobacteria, fungi and vegetative bacteria (but not bacterial spores)

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38
Q

Quality processes are limited to administration and the risk management department.

A

false

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39
Q

Instrument lubrication is performed

A

after cleaning

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40
Q

Quality requires the efforts and participation of everyone in the healthcare facility.

A

true

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41
Q

Customer complaints are best handled through which of the following approaches?

A

Being cheerful and courteous

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42
Q

Quality planning includes studying other facilities.

A

true

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43
Q

The term -ectomy means

A

surgical removal

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44
Q

To protect themselves from splashes and spills, Sterile Processing technicians assigned to the decontamination area should wear

A

fluid resistant gowns

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45
Q

Loss of the Sterile Processing department’s water supply would be an example of an internal disaster.

A

true

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46
Q

Which of the following sterilizers forces cooler air to the bottom of the chamber and out the drain?

A

gravity air displacement sterilizer

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47
Q

Packs that are improperly packaged or loaded on the sterilizer cart frequently become wet packs.

A

true

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48
Q

One important step in preparing for an interview is

A

anticipating possible interview question.

49
Q

Modern powered surgical instruments can be immersed.

A

true

50
Q

The minimum recommended practice for endoscope disinfection with an approved disinfectant is known as what?

A

HLD

51
Q

A one-way flow of materials from the _____ area to the _____ area, and then on to the sterile storage area, is required.

A

soiled area to the clean processing area

52
Q

In the future, which of the following will more frequently become a requirement for working in the Sterile Processing department?

A

formal education

53
Q

To make safe by removing or reducing contamination by infectious organisms, or other harmful substances; also the reduction of contamination to an acceptable level is..

A

decontamination

54
Q

Thermal disinfection is accomplished using

A

heat

55
Q

The purpose of using a decontamination (dummy) battery or hose when cleaning powered surgical instruments.

A

to keep the fluid from entering the unit

56
Q

In an automated washer the key source of disinfection is hydrogen peroxide.

A

false

57
Q

Ossification is the process by which cartilage is replaced by bone.

A

true

58
Q

Contaminated items may be returned to Sterile Processing

A

during scheduled soiled pick up rounds
by staff from user departments
in case carts

59
Q

The primary function of the dressing tissue forceps is to manipulate tissue and pack surgical wounds.

A

true

60
Q

the abbreviation BKA stands for

A

Below the knee

61
Q

package labeling should not include

A

identification of washer/disenfector used during decontam

62
Q

which of the following is the first link//element in the chain of infection?

A

Causative agent

63
Q

standard precautions apply to whom

A

all patients, regardless of their diagnosis

64
Q

what is cavitation?

A

when low pressure bubbles implode and dislodge soil from instruments

65
Q

which of the following would be the best choice for high level disinfection of instruments

A

ortho-phthaladehydes

66
Q

when using high-level disinfectants it is important to remember they may be deactivated by

A

organic matter

67
Q

temperature and humidity parameters in the SPD can best be established by reviewing which document?

A

ANSI/ASHRAE/ASHE 170

68
Q

rinsing instruments in the decontamination area should be done in

A

a sink dedicated to rinsing

69
Q

which of the following best describes organ(s)

A

a part of the body containing two or more tissues that function together for a specific purpose

70
Q

Microorganisms reproduce by a process called

A

binary fission

71
Q

asepsis can be defined as the

A

absence of microorganism

72
Q

in which part of a cell are genes and DNA located

A

nucleus

73
Q

Anaerobic bacteria are able to survive without

A

Oxygen

74
Q

reusable sharps should be ___ from other instruments and placed in a separated container so they can be ___ easily

A

separated–identified

75
Q

which of the following best describes “system” in the human body?

A

a group of organs that work together to carry out a specific activity

76
Q

the use of heat to kill all microorganism, except spores is called

A

thermal disinfection

77
Q

the abbreviation TURP stands for what type of surgical procedure

A

Transeruthral Resection of the Prostate

78
Q

basins set should be assembled in a way that allows for?

A

moisture to drain

79
Q

removal of all visible and non-visible soil and other foreign material from medical devices being processed is known as?

A

cleaning

80
Q

what is biohazardous waste?

A

waste containing infectious agents that present a risk or potential risk

81
Q

the process by which all forms of microorganisms are completely destroyed is

A

sterilization

82
Q

contaminated items may be returned to sterile processing

A
  • during schedule soiled pick up rounds
  • by staff from user departments
  • in case carts
83
Q

how are items that have undergone high-level disinfection (HLD) dried?

A

With HEPA-filtered air

84
Q

which of the following best decribes an inanimate object that transmits bacteria?

A

fomites

85
Q

which layer of bone is considered cancellous bone?

A

the spongy porous inner material

86
Q

which virus has an incubation period that ranges from 2-21 days after exposure?

A

ebola

87
Q

which intermediate to low - low level desinfectant did Dr. Joseph lister use to develop asptic surgical techniques

A

phenolics

88
Q

during manual cleaning, instruments should be brushed using a

A

to-and fro motion

89
Q

ultrasonics are used for

A

cleaning

90
Q

Staphylococcus is classified as a

A

Gram-positive bacteria

91
Q

which of the following best describes “time related sterility”

A

items considered sterile until a specific expiration date is reached

92
Q

“endo”

A

within-inside of

93
Q

decontamination of instruments and equipments starts

A

at the point of use

94
Q

the virus that causes hepatitis B is transmitted by

A

blood

95
Q

which of the following are classified as high level disinfectants

A

Glutaradehyde and ortho-phthaladehydes

95
Q

the word elements tells the primary meaning of medical word

A

root

95
Q

Microorganism that are capable of forming a thick wall around them to survive in adverse conditions are called ___

A

Spores

95
Q

tamper evident seals that are added to rigid containers include a ___ on them to know they’ve been processed

A

black dot

95
Q

ultrasonics irrigators are used to

A

clean devices with lumens

96
Q

why is it important to remove trapped air in peel pouches?

A

trapped air acts as a barrier to heat, moisture and sterilant penetration

97
Q

all items sterilized or high level disinfected at the point of use must

A

be carefully monitored and logged

98
Q

when combining loads

A

hard goods should be placed on the bottom

99
Q

satellite storage should

A

follow the same guidelines used in SP storage

100
Q

which of the following can cause a wet pack

A

heavy or dense instrument sets

101
Q

the part of the hemostat that locks and holds it in position is called the

A

ratchet

102
Q

a sterilizer can be unloaded when

A

an infrared device shows that the items have cooledto room temperature

103
Q

EO-sterilezed items are aerated to remove residual

A

EO

104
Q

The better choice for recommendations regarding sterilization practices are provided by

A

The association for the advancement of medical instruments

105
Q

powered surgical instrument attachments

A

can be peel packaged fro sterilization if approved by the manufacturer

106
Q

what solution can damage surgical instruments

A

betadanie

107
Q

endoscopes that have undergone high-level disinfection should be stored

A

completly dry

108
Q

one of the main rasons for powered surgical instruments repair is

A

lack of preventative maintanance

109
Q

which medical devices are identified as high risk by the FDA medwatch system

A

class lll

110
Q

powered surgical instrument batteries should be charged per manufactures instructions for use

A

before sterilization

111
Q

which of the following items can be sterilized by H2O2?

A

telescopes

112
Q

simi-rigid endoscopes

A

are used during urulogical procedures

113
Q

what instruments should SPS test using tissue paper?

A

Double-action rongeours should be tested for sharpness

114
Q

pneumatic hoses

A

should be pressurized for proper inspection

115
Q

endoscope channels should be cleaned

A

and rinsed with treated water as the last step

116
Q

___ is a toxic gas

A

Ethylene oxide

117
Q

during instruments manufacturing, the process used to build a protective layer on instruments is called?

A

passivation

118
Q

iodophors are a member of this chemical family

A

Phenolics

119
Q

which layer of bone is considered cancellous bone

A

the spongy porous inner material

120
Q
A

sterile processing (4 decks)

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