test questions Flashcards
Technicians on the ___________ department perform safety inspections and functional test on equipment
functional test on equipment
Material management
Infection control
Biomedical engineering
Facilities and manteniance
Biomedical engineering
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair.
True or False?
True
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair.
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair.
True or False?
True
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair.
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair.
True or False?
True
When moving transport carts throughout the healthcare facility, Central Service Techs must always yield right of way to patients and visitors.
When patient equipment enters a healthcare facility,it must be safety checked by a_________ before it is cleared for patient use
Biomedical technician
Infection control committee member
Central service technician
Central service director
Biomedical technician
Powered surgical instruments should be cleaned using a mechanical cleaning process.
T/F?
False
Recommendations regarding sterilization practices are provided by AAMI
T/F
True
“-oscopy” is :
Inflammation of a joint
Skin disease
Visual examination of an organ or joint.
Fluid-filled sack
Visual examination of an organ or joint.
Used to repair and reconstruct teeth and jawbones.
Dermabraider
Dental drill
Dental drill
The process of pre-cleaning should begin:
As soon as devices reach the Central Service area
Immediately after the completion of an invasive procedure
Immediately after instruments are inspected
Before items are sorted
Immediately after the completion of an invasive procedure
Disposable components should be removed at point-of-use.
T/F
TRUE
What instruments are cleaned by the sonic Irrigator?
Lummens in instruments
Power instruments
Case carts
Forceps
Lummens in instruments
For safety purposes, Central Service Technicians should consider all microorganisms in the decontamination area:
Gram-Positive
Gram-Negative
Manageable
Potentially Infectious
Potentially Infectious
Medical Device reporting is regulated by the
NFPA
EPA
WHO
FDA
FDA
Nosocomial infections are:
Most likely to accur during international travel
Caused by drug resistant organisms
Those without known cures
Those which occur in the course of being treated in the hospital
Those which occur in the course of being treated in the hospital
Microorganisms that are capable of forming a thick wall around themselves to survive in adverse conditions are called:
Spores
Flagella
Bacillus
Airborne
Spores
The moisture content of saturated steam should posses a relative humidity of:
88% to 100%
97% to 100%
99% to 100%
50% to 50%
97% to 100%
This gland stimulates body growth.
Adrenal Gland
Thyroid Gland
Pancreas
Pituitary Gland
Pituitary Gland
The intermediate number of items (in stock) and intermediate dollar value; consumed (used) the most
“A” Items in ABC Inventory Control System
“B” Items in ABC Inventory Control System
“C” Items in ABC Inventory Control System
None of the above
“B” Items in ABC Inventory Control System
The term “super heated steam” means:
The type of steam necessary for high temperature sterilization
Steam that has had chemicals added to it increase its temperature
Dry steam
Moist steam at sea level
Dry steam
Thread-like “tails” that help bacteria move through liquids are called:
Nucleus
Causative agent
Flagella
Spores
Flagella
The majority of medical terms are of either BLANK or BLANK origin.
Greek or French
Greek or Latin
Latin or French
Latin or English
Greek or Latin
PPE should be changed immediately if it becomes soaked with blood or other infectious material.
T/F
TRUE
The process by which cartilage is replaced by bone.
Joint
Ossification
Calcification
Ureters
Ossification
Water that has been treated and is acceptable for drinking.
Tap water
potable water
Tap water
What is the preferred pH of detergents used for most cleaning processes?
Low pH
High pH
Neutral pH
It depends on the water temperature and exposure time
Neutral pH
What is the coolest part of the sterilizer?
Drain line of the sterilizer
Center of the sterilizer
Bottom of the sterilizer
Side of the sterilizer
Drain line of the sterilizer
Used in open heart surgery.
Sternal Saw
Micro Drill
Sternal Saw
Agency which imposes very strict labeling requirements on manufacturers of chemicals used by Central Service departments.
OSHA
FDA
EPA
AAMI
EPA
Which of the following is not an example of communication?
The words you speak
The words you write
Non –verbal expressions you use
ALL OF THE ABOVE ARE EXAMPLES OF COMMUNICATION
ALL OF THE ABOVE ARE EXAMPLES OF COMMUNICATION
One goal of point of use preparation is to prevent instruments from being damaged.
T/F
TRUE
Flash sterilization of implants is NOT recommended by
AAMI and AORN
PETA
DOT
CDC
AAMI and AORN
This tissue covers the body’s external surface.
Epithelial Tissue
Connective Tissue
Muscular Tissue
Nervous Tissue
Epithelial Tissue
Which of the following can be removed from water when reverse osmosis process is used?
Bacteria
Pyrogens
Endotoxins
All of the above
All of the above
Central Service Technicians can protect patients by breaking the chain of infection.
T/F
TRUE
Third Party Reprocessors are regulated by the FDA
T/F
TRUE
These chemicals are used on animate (living tissue) to slow the growth of microorganisms:
Glutaraldehydes
Disinfectants
Halogens
Antiseptics
Antiseptics
This is where the digestive process begins.
Esophagus
Mouth
Stomach
Colon
Mouth
Following Standard Precautions protocols is required by:
The FDA
The NFPA
The EPA
OSHA
OSHA
Equipment should be inspected for obvious hazards such as cracked or frayed electrical cords:
Only by trained biomedical engineering technicians
Only during preventive maintenance activities
Only when there are complains from user department personnel
Whenever the equipment is cleaned
Whenever the equipment is cleaned
This tissue connects one bone to another.
Tendon
Muscle
Cartilage
Ligament
Ligament
The term “hypo” means
Quickly
Above
Below
Measured
Below
In a ABC inventory control system “A” items represent
The smallest number of items and the largest dollar value
The largest number of items and the smallest dollar value
The smallest number of items and the largest dollar value
Which of the following means “around or about’?
Para
Peri
Parta
Pana
Peri
The bacterial reproductive process that takes place when a mother cell divides into two daughter cells is called:
Reproduction
Binary Fission
Binary Fusion
Division
Binary Fission
The “throat”.
Esophagus
Larynx
Trachea
Pharnyx
Pharnyx
Before an item can be placed in a liquid chemical sterile processing system they must be:
Heated
Filled with air
Sterilized
Cleaned
Cleaned
Cretion of a new blood supply to an area of he heart with a clotted/blocked artery
TBA
ORIF
CABG
BKA
CABG
The purpose of using a decontamination battery or cord when cleaning powered surgical powered surgical instruments is:
To keep fluid from entering the unit
To keep functioning batteries and cords clean
To prevent electrial shock
To test the unit while cleaning
To keep fluid from entering the unit
Furthers international cooperation in improving health conditions.
WHO
AAMI
EPA
ANSI
WHO
Which of the following requires preventive maintenance standards be established for medical equipment?
OSHA
Joint Commission
AAMI
AORN
Joint Commission
When placing ring handled instruments in an instrument tray,you should:
Lock the handles to prevent damage during sterilization
Arrange the instruments in alphabetical order
Arrange the instruments in the order of their use
Unlock the handles and open the instruments
Unlock the handles and open the instruments
Anaerobic bacteria require free oxygen to live.
T/F
FALSE
Which of the following is NOT required for sharps safety?
Dispose of all single use sharps in an appropiate comtainer
Never use your fingers to remove a blade form scalpel
Wash all disposable sharps before discarding them
Separate reusable sharps from other instruments when processing
Wash all disposable sharps before discarding them
All flexible endoscopes have internal channels.
T/F
FALSE
An unexpected occurrence involving death, serious physical or psychological injury, or the risk thereof
Sentinal Event
Event
Major Event
None of the above
Sentinal Event
Autoclave sterilizer is a _____ class of device.
Class I
No class
Class III
Class II
Class I
In condition and exhuast phases, air and steam are mechanically injected and removed; standard sterilization cycle with a limited drying time
Sterilization
Gravity Flash Sterilization
Steam Sterilization
Pre-Vacuum Flash Sterilization
Pre-Vacuum Flash Sterilization
The term “ hemi “ is a
Prefix
Root
Suffix
Noun
Prefix
The hip joint is an example of a:
Gliding joint
Ball and socket joint
Pivot joint
Ball and socket joint
_________ is the first step in the sterilization process.
Receiving
Sorting
Soaking
Cleaning
Receiving
Considered the master gland because it helps control the activities of all other endocrine glands.
Prostate Gland
Pituitary Gland
Kidney
Brain Stem
Pituitary Gland
Which of the following steps happens first when processing flexible endoscopes?
Leak-testing
High-level disinfecting/sterilizing
Manual cleaning
Drying
Leak-testing
During instrument manufacture the process of passivation helps build a protective chromium oxide layer on each instrument’s surface.
True
False
True
Winch of the following statements about endoscopes is true?`
Not all endoscopes can be processed in the AER
Ultrasonic cleaning is the process of choice for endoscopes
Flexible endoscopes are not easily damaged
All endoscopes should be steam sterilized
Not all endoscopes can be processed in the AER
Soiled items that are held in user departments for pick up must be stored in designated areas labeled with BLANK signage.
Caution
Hazardous
Contagious
Biohazard
Biohazard
When attached to bone, this tissue makes body movement possible
Connective Tissue
Epithelial Tissue
Nervous Tissue
Muscular Tissue
Muscular Tissue
Automatic washers clean using a spray-force action called inpingement.
True
False
True
Chemical indicators:
Prove than an item is sterile
Provide a visual indication that an item was exposed to a sterilization process
Prove that the sterilizer did not damage heat sensitive items
Provide information about bacterial spore kill within the sterilizer
Provide a visual indication that an item was exposed to a sterilization process
Which of the following disinfectants is also known as a wetting agent
Formaldehyde
OPA
Phenolic
QUATs ( quaternary ammonium compounds )
QUATs ( quaternary ammonium compounds )
Career growth and progression is virtually non-existent for Central Service Technicians.
True
False
False
Surface-acting agent that lowers the surface tension of liquid so it can penetrate deeper and prevent debris from being re-deposited on item to which the soil was attached
Descaler
Surfactant
Wetting Agent
Softener
Surfactant
The inventory system that stocks supplies by established levels is called:
Par-level
Case cart
ADT system
Exchange system
Par-level
Ergonomic injuries:
Are not a concern for central service employees
Are rare in today’s work enviroment
Are risk factor for persons who perform repetitive or physical work
Happen only in the office setting
Are risk factor for persons who perform repetitive or physical work
This organization has established standards for the effective processing of flexible endoscopes.
CDC
AAMI
SGNA
APIC
SGNA
How frequently should a steam sterilizer’s door gasket be inspected and cleaned
Every hour
Daily
Monthy
Weekly
Daily
Patient care equipment should be stored in a________ condition
Ready to use
Ready to clean
Ready to inspect
Ready to sterilize
Ready to use
“Dermopathy” is a(an):
Skin disease
Inflammation of the liver
Fluid-filled sack
Inflammation of a joint
Skin disease
Why is important to evenly distribute large instruments i a set?
Extra condensation will make the set more difficult to dry
Because the sterilizer have big space
Follow procedures of the supervisor
Contact manufacturer for further instructions
Extra condensation will make the set more difficult to dry
Loaner instruments trays that are received sterile from other facilities do not need to be decontaminated and resterilized before use.
True
False
False
Used to visualize the entire large intestine.
Sigmoidoscope
Colonoscope
Colonoscope
What type of carts or baskets should be used in an ETO sterilizer
Plastic
Paper
Metal
Rubbermaid
Metal
What is burning in a class C fire?
Wood or paper
Cloth or plastic
Flammable liquid
Energized electrical equipment
Energized electrical equipment
Tap water should ideally have a chloride concentration of BLANK ppm or less.
200
150
100
50
100
Which of these traffic control/dress code requirements applies to the Operating Room?
Biohazard
Unrestricted
Semi-Restricted
Restricted
Restricted
Which of the following is NOT a feature of an instrument tracking system?
Productivity information
Financial data
Quality assurance information
Product updates and recall information
Product updates and recall information
“Pneumonectomy” is:
Inflammation of a joint
Surgical removal of the lung
Inflammation of the liver
Fluid-filled sack
Surgical removal of the lung
Secondary containers of chemicals
Must be labeled with a copy of the original manufacturer’s label of generic label that identifies hazard warnings and directions
Must be labeled with a permanent marker and must state the chemical’s name and designated storage location
Secondary containers of chemicals are not allowed in healthcare facilities
There are no restrictions for secondary container labels at this time
Must be labeled with a copy of the original manufacturer’s label of generic label that identifies hazard warnings and directions
Horziontal work surfaces in the decontamination area should be cleaned and disinfected once per day.
True
False
False
The physical method by which a ultrasonic units clean is called:
Bubbles
Cavitation
Captivation
Calibration
Cavitation
Test which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called
Chemical indicator tests
Chemical integrator tests
Ampulization tests
Biological tests
Biological tests
A succession of progressively more responsible professional positions that serves as the foundation of a professional development plan.
Overcome
Career Ladder
Standing up
Succession Career
Career Ladder
It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separated shelves.
True
False
False
This procedure is performed by healthcare facilities to confirm that the sterilization validation undertaken by the equipment manufacturer is applicable to the specific setting
Verification
Communication
Verification
Modern powered surgical instruments are immersible.
True
False
False
A voluntary international organization dedicated to the prevention and control of infections and related outcomes.
APIC
CDC
AORN
AAMI
APIC
Preventive maintenance:
Is performed when a piece of equipment injures apatient
Is designed to identify potential problems before occur
Is performed when a user unit notices a problem
Is done by central service equipment is dispensed
Is designed to identify potential problems before occur
Package condensation will occur when:
Placing hot or warm packages in cold surfaces
Wet packs
Because a water leak in the sterilizer
Open to soon the sterilizer door
Placing hot or warm packages in cold surfaces
Spiral shaped bacteria are classified as
Coccus
Rods
Spirillum
Flaggella
Spirillum
What is the concentration on an antiseptic liquid used in healthcare facilities?
60% to 95%
80% to 20%
100% to 70%
505 to 50%
60% to 95%
Thermal disinfection is accomplished using
Heated chemicals
Heated glurataldehyde
Prolonged high pressure steam
Heated water
Heated water
The decontamination area of the Central Service department should have:
10 air exchanges per hour
15 air exchanges per hour
20 air exchanges per hour
No air exchanges because it is a biohazard area
10 air exchanges per hour
The desired solution for cleaning instruments is:
Soap
Steam
A disinfectant
A detergent
A detergent
How long must alcohol remain in wet contact with an item to achieve a reasonable level of disinfection?
3 minutes
5 minutes
10 minutes
20 minutes
5 minutes
Regulations under the Clean Air Act are administered by
OSHA
FDA
EPA
AORN
EPA
The term, “periosteal elevator,” refers to”
Surgical removal of tissue near the thyroid
Surgical removal of one-half of the stomach
An instrument for cutting skin
An instrument used to remove tissue around the bone
An instrument used to remove tissue around the bone
Bowie dick tests should be run in:
Dynamic air removal steam sterilizers
Downward displacement sterilizers
Ethylene oxide sterilizers
Washers/sterilizers
Dynamic air removal steam sterilizers
-Rrhage” is:
Inflammation
Skin disease
Surgical fixation
Flow
Flow
The place where the two parts of a ring handled instrument meet and pivot is called the box lock.
True
False
True
Heat sensitive items:
Cannot be flash sterilized
Should be disposable
Must not be inmersed
Should not be used
Cannot be flash sterilized
This surgery uses implants, like screws & plates, to realign a fractured bone
ORIF
CR
CABG
BKA
ORIF
The FDA classifies sterilization packaging as a:
Class I medical device
Class II medical device
Class III medical device
Class IV medical device
Class II medical device
The sterile storage area in a Central Service department should be restricted to:
Central Service managers and supervisors
Operating Room personnel
Central Service employees only
Properly attired personnel meeting facility requirements
Properly attired personnel meeting facility requirements
Failure to receive accreditation from the Joint Commission can result in the loss of Medicare and Medicaid payments
True
False
True
A compound in which chlorine is combined with another element or radical (e.g., a salt or hydrochloric acid)
Silicate
Chloride
Chloride
A step in communication that occurs when a listener asks a question is called:
STEREOTYPING
Feedback
Communication looping
Halo interpretation
Feedback
This system gives the body shape and support.
Muscular System
Nervous System
Skeletal System
Circulatory System
Skeletal System
Instruments are heat treated to give their surface a mirror (shiny) finish.
True
False
False
Which the following steps happens first when proceeding flexible endoscopies?
Leak testing
Higth-level disinfecting/sterilizing
Manual cleaning
Drying
Leak testing
Point of use computing:
Is impossible in central service department because of infection control requirements
Provide no benefit to the central service department
Moves computers into central service department work areas
Eliminates data entry jobs
Moves computers into central service department work areas
Which of the following basic listening tactics is most useful?
Try to listen the specific facts
Ignore all non-verbal communication “sent “by the speaker
Focus on the delivery of the message rather than this content
None of the above tactics is useful listening tactics.
None of the above tactics is useful listening tactics.
When arranging plastic-paper pouches in the sterilizer,the pouches should be arranged:
Paper to plastic
Paper to paper
Plastic to plastic
The way in which the most packages can be placed in the sterilizer
Paper to plastic
The organization that conducts on-site surveys to evaluate healthcare organizations is the ISO
True
False
False
Tube-like structures that connect the kidneys to the urinary bladder.
Ureters
Fallopian Tubes
Esophagus
Intestines
Ureters
Female reproductive organs.
Uterus
Ovaries
Prostate Gland
Fallopian Tubes
Ovaries
Steam pressure on the chamber and jacket gauges should be equal, and at least 27 pounds per square inch gauge (psig)
Exhaust Phase of Steam Sterilization
Drying Phase of Steam Sterilization
Conditioning Phase of Steam Sterilization
Exposure Phase Pressure Reading
Exposure Phase Pressure Reading
The first step to inspect the insulation of a laparoscopic instrument is to:
Check the collar at the distal tip
Try to slide the insulation back
Check the handle for chipping or cracking
Visually check the instrument’s shaft
Check the collar at the distal tip
Specialized clothing or equipment worn by an employee for protection against a hazard is called:
Restricted Apparel
Safety Apparel
Hazard Equipment
Personal Protective Equipment
Personal Protective Equipment
Herpes Simplex is a BLANK disease.
Ziehl-Nielson Stain
Viral
Fungus
Susceptible host
Viral
Healthy people do not harbor or transmit bacteria.
True
False
False
Used to visualize the urethra and bladder.
Cystoscope
Hysteroscope
Cystoscope
This surgical procedure is the removal of a testicle.
Transurethral Resection
Prostatectomy
Orchiopexy
Orchiectomy
Orchiectomy
If soiled items are held in user units before pick up for processing, they must be kept at the patient’s bedside until Central Service collect them.
True
False
False
The endoscope that would be dispensed for a procedure that required visualization of the lower part of the large intestine would be a:
Colonoscope
Sigmoidoscope
Gastroscope
Ureteroscope
Sigmoidoscope
In a sterilization load containing 2 small basins, the chemicals indicators will be positioned.
On the middle of the basins
On the top of the basins
On the lowest par of the basin
On the handles to check proper identification
On the top of the basins
Powered surgical instruments have one of three power sources; electricity, air, or battery.
True
False
True
The desired flow of materials in a CS Dept; from soiled to clean to sterile.
Two-Way Workflow
Backwards
One-Way Workflow
Sideways
One-Way Workflow
Hyperglycemia” refers to:
A malignant tumor
Tissue death of an artery
High blood sugar
Enlargement of the heart
High blood sugar
When moving transport carts throughout the healthcare facility, Central Service Techs must always yield right of way to patients and visitors.
True
False
True
1005 ethylene oxide gas canisters should be stored:
In a chemical storage cabinet
Outside
In a refrigerator
In a chamber heated to 75°F
In a chemical storage cabinet
Disciplined, complex, and data-driven quality process that focuses on developing and delivering near-perfect products and services
Five Sigma
Six Sigma
Four Sigma
Ten Sigma
Six Sigma
Endoscopes are often processed in a mechanical unit called:
An ultrasonic cleaner
A washer-decontaminator
A flush-pulse endoscope reprocessor
An automatic endoscope reprocessor
An automatic endoscope reprocessor
The lining of the uterus.
Vagina
Endometrium
Fimbriae
Skin
Endometrium
Which of the following statements is true?
We only communicate when we want to
Words mean the same to everyone
message should contain all possible information
none of the above statements is true
none of the above statements is true
Scissors with tungsten carbide cutting edges are usually identified by:
Black handles
Silver handles
Gold handles
The letters “TC
Gold handles
These organs act as a filter to remove excess water & waste substances from the blood
Kidneys
Liver
Uterus
Small intestines
Kidneys
An organism, typically a biting insect or tick, that transmits a disease or parasite from one animal or plant to another
Droplet
Common Vehicle
Fomite
Vector
Vector
Bacillus” is:
Round or Spherical-Shaped Bacteria
Rod-Shaped Bacteria
Spiral-shaped Bacteria
Square-shaped Bacteria
Rod-Shaped Bacteria
Point-of-use preparation of soiled items is normally performed by the user department.
True
False
True
Enzymes that break down blood, mucous, feces, & albumin
Protease Enzymes
Lipase Enzymes
Protease Enzymes
Leak testing should be performed on each flexible endoscope annually.
True
False
False
To remove ions which are have an electrical charge.
Reverse Osmosis
Deionize
Deionize
Instrument lubrication is performed:
Immediately before use
After sterilization
After cleaning
Before cleaning
After cleaning
How frequently should a sterilizer’s strainer be removed and cleaned
Daily
After each use
Once weekly
Only when the machine’s operating control gauge indicates cleaning is necessary
Daily
Proposed standards are submitted from members such as AAMI.
ANSI
APIC
CDC
WHO
ANSI
Spores help some microorganisms survive in adverse conditions.
True
False
True
Instrument sets and other required instrumentation needed for all surgical procedures for an entire day are usually pulled (collected):
Two days before they will be used
The day or evening before they will be used
The morning of the planned surgery
Early morning (for morning procedures) and early afternoon (for afternoon procedures) on the day of surgery
The day or evening before they will be used
Both AORN and the joint commission recommend that::
The use of flash sterilization be minimized or decreased
Flash sterilization be performed in only one sterilizer per facility
Healthcare facility get FDA approval for flash sterilization
Only central service technicians operate flash sterilizers
The use of flash sterilization be minimized or decreased
The SGNA is a good source for information about the proper processing of flexible endoscopes
True
False
True
The “voice box”.
Pharynx
Larnyx
Mouth
Trachea
Larnyx
After use, loaner instrumentation must be decontaminated before it is shipped out.
True
False
True
Detergents used in mechanical cleaners should be:
Low alkaline
Low acid
Low temperature
Low foaming
Low foaming
Provides standards and evaluations for health care facilities. These evaluations are in the form of on-site surveys at least every three years.
DOT
FDA
Joint Commission
CDC
Joint Commission
To impede the growth of bacteria, soil on used instrument should be allowed to dry.
True
False
False
Tetanus and botulism do not require free oxygen to grow, so they are classified as BLANK bacteria
Aerobic
Vegetative
Anaerobic
Cytoplasm
Anaerobic
The human resources tool that identifies major tasks performed by persons in specific positions is called a:
Job duty list
Job specification
Task summary review
Job description
Job description
Items need to be cleaned before they are sterilized, but they do need to be cleaned before they are disinfected.
True
False
False
A solution having a 7 ph , mean?
To acidic
Neutral
To dense
To alkaline
Neutral
All patient care equipment dispensed for use must be considered __________ and handled as such , regardless of it’s appearance
Sterile
Clean
Contaminated
Defribilator
Contaminated
This part of the nervous system controls many automatic body functions like the heartbeat and breathing.
Cerebellum
Brain
Nerves
Brain Stem
Brain Stem
Instruments received from Surgery and tagged for repair do not need to be cleaned until they come back from repair.
True
False
False
Items that are introduced directly into the bloodsteam or other normally sterile areas of the body are classified as:
Critical Items
Semi-Critical Items
Non-Critical Items
Equipment
Critical Items
An international standard used by participating organizations to help assure that they consistently deliver quality services and products
Validation
Sterility Assurance Level (SAL)
Quality
ISO 9000
ISO 9000
Pre-vacuum steam sterilizers & steam flush pressure-pulse (SFPP)
Active Air Removal
Gas Removal
Air Removal
None of the above
Active Air Removal
Aluminum items should be cleaned:
Using a circular motion
Using a to and fro motion with the grain
Using a stiff metal brush
Using a water spray
Using a to and fro motion with the grain
Consistent delivery of products and services according to established standards; it “integrates” the concerns for the customers with those of the department and facility
Validation
Sterility Assurance Level (SAL)
Quality
ISO 9000
Quality
Paper/plastic sterilization pouches:
Are not suitable for steam sterilization processes
Should not be placed inside of wrapped sets or containers
Should be used only for dry heat sterilization processes
Are used to package wood and cork products for sterilization
Should not be placed inside of wrapped sets or containers
The term “excise” means
To repair
To open
To cut out
Examine
To cut out
Staphylococcus is classified as a gram-positive bacteria.
True
False
True
Which of the following is NOT a reason for tracking supplies, equipment and instruments.
Measure item usage
Ensure that items can be quickly located
Meet CDC and OSHA requirements
Assist with quality processes
Meet CDC and OSHA requirements
The root element, “gastro,” refers to the:
Colon
Heart
Muscles
Stomach
Stomach
The purpose of a decontamination battery is to protect PSIs from fluid invasion.
True
False
True
Which of the following techniques for brushing instruments should be used?
Brushing should be done under water
Brushing should be done above water
Brushing should be done against the grain of the device
Brushes made of wire are the best because of their exceptional cleaning ability
Brushing should be done under water
Cystectomy” is :
Inflammation of a joint
Skin disease
Visual examination of an organ or joint
Removal of a cyst
Removal of a cyst
Used to remove cement.
Dermatome
Cebatome
Cebatome
“-oscopy” is :
Inflammation of a joint
Skin disease
Visual examination of an organ or joint.
Fluid-filled sack
Visual examination of an organ or joint.
Maintenance insurance:
Can help manage costs
Is required by the FDA
Is the same as outsoursing
Can reduce equipment downtime
Can help manage costs
Departmental dress code apply to:
Everyone entering the Central Service department
Only hospital employees
Only persons who will be spending more than 10 minutes in the Central Service work area
Only visitors such as sales reps, maintenance personnel, etc
Everyone entering the Central Service department
Which of the following would be the best choice for high level disinfection of instruments?
Phenolics
Chlorine
Iodophors
OPA
OPA
Percentage of hospital patients that develop a health-care facility-associated infection
10%
20%
30%
40%
10%
The spore is the functional center of a cell.
True
False
False
Automatic endoscope reprocessors are not recommended for flexible endoscopes.
True
False
False
What would be the recommended exposure time for a dry heat sterilization load that was run at an exposure temperatue of 320 degrees fahrenheit (160 degrees celsius)
1 hour
1.5 hours
2 hours
2.5 hours
2 hours
Material safety data are provided by:
OSHA
The FDA
THE RISK MANAGEMENT DEPARTMENT
The product manufacturer
The product manufacturer
Pre-cleaning, leak testing, cleaning, high level disinfection, drying, and storing is the proper sequence for processing
All surgical trays
Flexible endoscopes
Rigid endoscopes
Suctions
Flexible endoscopes
Pyrogens:
Are fever-producing substances
Are microorganisms that have survived sterilization
Cause CJD
Are soiled particles
Are fever-producing substances
Enhances the global competitiveness and quality of life by promoting standards and ensuring their integrity.
ANSI
AORN
WHO
USP-NFR
ANSI
Is considered one of the major resources for healthcare guidelines.
AORN
AAMI
Joint Commission
WHO
AAMI
The ideal level of silicates in water used for cleaning is BLANK ppm or less
20
150
100
50
150
A voluntary international organization dedicated to the prevention and control of infections and related outcomes.
APIC
CDC
AORN
AAMI
APIC
The most efficient type of dry heat sterilizer is
The gravity convection sterilizer
The mechanical convection sterilizer
The dynamic air removal sterilizer
The special purpose dry heat oven
The mechanical convection sterilizer
Typically 1 min of drying time programmed into flash cycles–removes steam from chamber but doesn’t dry device completely
Exhaust Phase of Steam Sterilization
Drying Phase of Steam Sterilization
Conditioning Phase of Steam Sterilization
All of the above
Drying Phase of Steam Sterilization
The 4 R’s” : run, read, record, retain
Process Monitoring for High Temperature Sterilization
Process Monitoring for Low Temperature Sterilization
Process Monitoring for Water Temperature Sterilization
Process Monitoring for Sterilization
Process Monitoring for Low Temperature Sterilization
Procedures used by equipment manufacturers to obtain, record, and interpret test results required to establish that a process consistently produces a sterile product
Validation
Sterility Assurance Level (SAL)
Quality
ISO 9000
Validation
Creates and revises standards for processing water for irrigation.
EPA
FDA
ISO
USP-NFR
USP-NFR
The unit of measure used to describe the amount of EtO in the air is called:
TWA
STEL
PEL
PPM
PEL
ANSI is a voluntary association dedicated to infection control and prevention
True
False
False
This portion of the brain controls muscle coordination, body balance & posture
Cerebrum
Cerebellum
Brain Stem
Brain
Cerebellum
Begins when thermocouple senses the constant pre-set cycle temperature
Exposure Phase of Steam Sterilization
Exhaust Phase of Steam Sterilization
All of the above
None of the above
Exposure Phase of Steam Sterilization
Impregnated gauze strips may be sterilized using
Ethylene oxide sterilization
Hydrogen peroxide gas plasma sterilization
Dry heat sterilization
Steam sterilization
Dry heat sterilization
Which of the following kills microorganisms?
Soaps
Detergents
Germicidal presoaks
Enzyme presoaks
Germicidal presoaks
Liquid oxidizing agent that is an effective biocide at low temps. Used in sterilization system that processes immersible instruments for immediate use
OPA
Peracetic Acid
CIDEX
ETO
Peracetic Acid
The largest number of items and smallest dollar value
“A” Items in ABC Inventory Control System
“B” Items in ABC Inventory Control System
“C” Items in ABC Inventory Control System
None of the above
“C” Items in ABC Inventory Control System
Healthcare Regulations and Standards provide consistency of departmental activities by outlining.
Minimal performance standards
Equal pay practices
Productivity time lines
All of the above
None of the above
Minimal performance standards
The largest operating channel of an endoscope is the BLANK channel:
Lumen
Instrument
Cleaning
Water
Instrument
When liquid chemicals are labeled as both a high-level disinfectant and a sterilant, the time required to achieve sterilization is no longer than the time required to achieve high-level disinfection.
True
False
True
This tissue connects one bone to another.
Tendon
Muscle
Cartilage
Ligament
Ligament
Monitor all critical parameters of sterilization cycle: time, temperature, presence of steam (moisture), and correlation to outcome of biological indicator
Drying Phase of Steam Sterilization
Class 5 Integrators
Class 4 Integrators
Class 6 Integrators
Class 5 Integrators
Process of sterilizing an item that is packaged
Sterilization
Steam Sterilization
Terminal Sterilization
Dry Heat Sterilization
Terminal Sterilization
The part of a hemostat that locks and holds it in position is called the box lock.
True
False
False
Which is more corrosion-resistant Ausenitic or Martensitic Stainless Steel?
Martensitic
Ausenitic
Ausenitic
Iodophors are a member of this disinfectant family:
Halogens
Quaternary Ammonium Compounds
Alcohol
Phenolics
Halogens
Items need to be cleaned before they are sterilized, but they do need to be cleaned before they are disinfected.
True
False
False
Develops recommended Standards, Practices and Guidelines for care and processing of devices
DOT
FDA
AAMI
SGNA
AAMI
Recommended air exchanges for the clean/sterile storage area of CS Dept
4
5
6
10
4
Air exchanges in EtO Sterilizer Room
4
6
8
10
10
The pathway that food takes through the digestive system.
Alimentary Canal
Esophagus
Stomach
Veins
Alimentary Canal
Award given by the American Nurses Credentialing Center to hospitals that satisfy factors that measure the strength and quality of nursing care; viewed as one of the highest achievements a hospital can attain
ANCC Status
Magnet Status
BBB Status
Quality of Nursing Care
Magnet Status
Sunlight is lethal to the BLANK stage of pathogens.
Growth
Viral
Reproduction
Vegetative
Vegetative
Tissue of communication that is located throughout the body
Connective Tissue
Epithelial Tissue
Nervous Tissue
Muscular Tissue
Nervous Tissue
The part of the digestive system where the greatest absorption of nutrients into body cells takes place
Intestines
Large intestines
Small intestines
Stomach
Small intestines
The amount of time that it takes to kill 90% of the microorganisms present on an object is called:
Time weighted average
A D value
A sterilization cycle
Exposure time
A D value
Which type of fire extinguisher should be used on flammable liquids?
Type A
Type B
Type C
Type D
Type B
Water softeners are used to remove BLANK in the water
Iron and pyrogens
Silicates and pyrogens
Chloride and iron
Calcium and magnesium
Calcium and magnesium
Deionized water is used for:
Sterile irrigation
Heating/cooling therapy units
Injection
Steam sterilizers
Sterile irrigation
Psychrophiles grow best at warm temperatures.
True
False
False
The FDA classifies sterilization packaging as a:
Class I medical device
Class II medical device
Class III medical device
Class IV medical device
Class II medical device
Each year, approximately BLANK patients develop a Healthcare-associated infection
1 million
2 million
10 million
20 million
2 million
To prevent coagulation of proteins, water temperature should be:
Below 43°C (110°F)
Above 43°C (110°F)
Below 100°C (212°F)
Below 24°C (75°F)
Below 43°C (110°F)
This surgical procedure consists of removing an ear bone that has thickened and no longer transmits sound waves and replacing it with an artificial implant to improve hearing.
Tympanoplasty
Stapedectomy
Auditory Implantation
Myringotomy
Stapedectomy
The___________ requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury,and/or death to the manufacturer and the FDA.
OSHA patient safety act
Safe medical devices act
EPA patient security act
FDA equipment notification act
Safe medical devices act
Which of the following is NOT a requirement of the OSHA Bloodborne Pathogen Standard?
Provide hepatitis B vaccine to employees at no cost
Observe standard precautions
Keep biohazards areas locked
Use engineering controls to prevent biohazard exposures
Keep biohazards areas locked
Following Standard Precautions protocols is required by:
The FDA
The NFPA
The EPA
OSHA
OSHA
Instruments with lumens should be soaked in a horizontal position.
True
False
False
Vertical soaking cylinders are used to soak instruments with lumens so all surfaces will be contacted by the cleaning solution.
Phenolics are classified as:
Intermediate to low-level disinfectants
Intermediate to high-level disinfectants
High-level disinfectants
Sterilants
Intermediate to low-level disinfectants
Minimum Recommendations for EtO Aeration
8 hours at 140 F or 12 hours at 122 F
8 hours at 140 F or 10 hours at 122 F
6 hours at 140 F or 8 hours at 122 F
8 hours at 140 F or 12 hours at 122 F
Instrument washers sterilizers provide
Terminal sterilization
Dry heat sterilization
A decontamination process
Flash sterilization for immediate patient use
A decontamination process
Patient care equipment is typically stored:
In the biomedical engineering department
In the patient units “wards”
In the central service department
In sterile storage areas of the materiel management department
In the central service department
Heart valves and pacemakers are examples of FDA BLANK medical devices
Class I
Class II
Class III
Not regulated by FDA
Class III
A molecular reaction that created an uncontrolled release of energy is called:
Combustion
Polymerization
Vapor density
Fire
Polymerization
Mechanical washers and washer-decontaminators are regulated by the CDC.
True
False
False
Laser-finished instruments are coated with a durable protective finish that cannot be chipped or scratched.
True
False
False
BLANK are often pathogenic to humans because they grow best at body temperatures.
Gram-Stain
Spores
Bacillus
Mesophiles
Mesophiles
Inventory control method in which minimal stock is kept on-site, and most orders are delivered when needed (although some medically critical items must always be on-site); all facilities operate some form
Exchange cart
Just-In-Time System
Case cart
Automated Ordering
Just-In-Time System
Compounds that contain a positive electrical charge. They exhibit germicidal properties.
Cationic
Anionic
Cationic
Compounds that have a negative electrical charge. They form a large group of synthetic detergents.
Cationic
Anionic
Anionic
Biological test should be performed in an ethylene oxide sterilizer
Daily
Weekly
Monthly
Every load
Every load
Agency responsible for the MedWatch program
CDC
AORN
FDA
ISO
FDA
Established national emissions standards for EO used by hospitals are regulated
In all states
In Washington DC
In the western states
There are no established national emissions standards
There are no established national emissions standards
The main control unit of the central nervous system.
Brain
Cerebellum
Pituitary Gland
Cell
Brain
The largest part of the brain, it controls mental activities and movement.
Cerebrum
Cell
Cerebellum
Brain Stem
Cerebrum
Recommended temp. for Decontamination area of CS
68 to 75 F
60 to 65 F
63 to 70 F
62 to 65 F
60 to 65 F
Which of the following should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope’s channels?
Forced air
Water containing approved sterilant
Filtered water
A heated glutaraldehyde
Filtered water
All flexible endoscopes have internal channels.
True
False
False
A material that removes electrons from another substance is called:
An oxidizing agent
A demagnetizer
An atom
A molecule
An oxidizing agent
These carry blood back towards the heart
Arteries
Veins
Atria
Ventricles
Veins
When loading a steam sterilizer,items with solid bottoms should be:
Placed in a uprigth position
Loaded first
Placed on edge
Placed in a wire basket
Placed on edge
Which of the following is NOT an acceptable form of instrument marking?
Laser-etching
Acid0base etching
Electric etching (engraving)
Heat-fused nylon
Electric etching (engraving)
Probability of a viable microorganism being present on a product unit after sterilization
Validation
Sterility Assurance Level (SAL)
Quality
ISO 9000
Sterility Assurance Level (SAL)
Endotracheal tubes and anesthesia breathing circuits are examples of :
Critical devices
Semi-critical devices
Non-crtical devices
Surgical instruments
Semi-critical devices
The smallest number of items and largest dollar value; the items most closely monitored
“A” Items in ABC Inventory Control System
“B” Items in ABC Inventory Control System
“C” Items in ABC Inventory Control System
None of the above
“A” Items in ABC Inventory Control System
Chemical indicators are FDA BLANK devices
Class I
Class II
Class III
Not regulated by FDA
Class II
Relating to the destruction of bacteria.
Bactericidal
Sterilization
Bactericidal
The length of time (or number of uses) after which the efficiency of a disinfectant is diminished.
Shelf life
Use life
Use life
Used to visualize the tracheobronchial tree.
Tracheoscope
Bronchoscope
Bronchoscope
The relative humidity of the central service department should be:
Less than 75%
Less than 60%
Less than 50%
Less than 35%
Less than 75%
The largest part of the human brain is the:
Brain stem
Cerebellum
Cerebrum
Spinal cord
Cerebrum
International standards to reduce the burden of fire and other hazards.
OSHA
EPA
CDC
NFPA
NFPA
Blue stain on a scope ,what is the reason?
Improper cleaning
To much acidity of the water
Used a wrong detergent
Dry to sun
Improper cleaning
Water purification usually involves the use of a:
Pre-filter
Post-filter
Pre-filter or post-filter
Pre-and post-filter
Pre-and post-filter
Cellulosic materials(paper, cotton, and linen) cannot be processed in a/an
Steam
ETO
Hydrogen peroxide gas/plasma
Autoclave
Hydrogen peroxide gas/plasma
A unit of measure that measures the amount of resistance to an electrical current.
Conductivity
Ohm
Ohm
Which of the following is not a growing trend in Central Service?
Decentralization of Central Service responsibilities
The use of more reusable and more complex devices
Satellite-processing units with centralized management
Consolidation into entire integrated delivery networks
Decentralization of Central Service responsibilities
A chemical which kills most pathogenic organisms, but does not kill spores.
Antiseptic
Disinfectant
Disinfectant
The destruction of nearly all pathogenic microoganisms on an inanimate surface.
Sterilization
Disinfection
Disinfection
The use of heat to kill all microorganisms, except spores, is called:
Sterilization
Thermal Disinfection
High-Level Disinfection
Mechanical Disinfection
Thermal Disinfection
Most bacteria are approximately BLANK microns in size.
1 to 2
2 to 3
1 to 3
1
1 to 2
Which of the following is the most popular title for the central service department head?
Coordinator
Director
Manager
Supervisor
Director
Which of the following questions is open- ended?
How long have you worked here?
What is the name of the central service director?
Do you like your job?
What problems do you most frequently encounter on the job?
What problems do you most frequently encounter on the job?
Hands should be finished rinsed in what position?
Down
Up
Sideways
Not need be rinsed
Up
Bluish or rainbow-type stains are caused by BLANK in water.
Chlorides and solids
Iron and silicates
Calcium
Fluoride
Iron and silicates
A solution which inhibits the growth of bacteria. It is usually used topically and only on animate objects.
Antiseptic
Disinfectant
Antiseptic
Which of the following are classified as high-level disinfectants?
Glutaraldehyde and OPA
Glutaraldehyde and Phenolics
Quaternary Ammonium Compunds and Phenolics
Halogens and OPA
Glutaraldehyde and OPA
A somewhat flexible muscular tube that helps move food into the stomach.
Alimentary Canal
Ureters
Esophagus
Mouth
Esophagus
An iodopher is a
Quant chemical
Buffered iodine
Buffered iodine
Which of the following types of trash must be red bagged (biohazard)
Regulated medical waste
Unregulated medical waste
All items used in surgery
All patient use items
Regulated medical waste
Which of the following is NOT an acceptable sterilization packaging material?
Muslim
Barrier cloth
Canvas
Twills
Canvas
Wicking materials are used to:
Dry instruments before sterilization
Allow air removal,steam penetration and facilitate drying
Cushion instruments from the extreme force in steam sterilizer chambers
Hold water away from the bottom of instrument trays
Allow air removal,steam penetration and facilitate drying
Chemical messengers that travel through the body and act on larger organs.
Pheromones
Chems
Virus
Hormones
Hormones
7.2 pounds per cubic foot
Maximum Linen Pack Size
Maximum Density for Linen Packs
Maximum Density for Linen Packs
Develops nationally recognized Standards, Recommended Practices and Guidelines for the PeriOperative setting.
DOT
FDA
AORN
SGNA
AORN
Agency responsible for regulating EO.
DOT and FDA
FDA and CDC
OSHA and EPA
APIC and CDC
OSHA and EPA
If an equipment malfunction causes harm to patients,it should be:
Discarded inmediately
Sent to the manufacturer for repairs
Sequestered for inspection by OSHA personnel
Returned immediately to the biomedical department
Returned immediately to the biomedical department
Tissue, body fat, blood, and other body substances are examples of BLANK soil.
Gross
Infectious
Contagious
Biohazardous
Gross
Softened water:
Increases the likelihood of mineral scale deposits
Decreases the likelihood of mineral scale deposits
In not compatible with detergents
Can cause rusting of metal substances
Decreases the likelihood of mineral scale deposits
The length of time a disinfectant can be properly stored after which it must be discarded.
Use life
Shelf life
Shelf life
The term, “CR”, relates to a surgical procedure for:
Treating a fractured bone without a surgical incision
Creating a new blood supply to an area of the heart
Surgical removal of the uterus
Surgical removal of part of the prostate gland
Treating a fractured bone without a surgical incision
The lining matter of a cell between the cell membrane and the cell nucleus.
Derma
Wall
Cytoplasm
Plasma
Cytoplasm
Using Gram-Stain classifications, Staphylococcus, Enterococcus, and Streptococcus are examples of Gram-BLANK bacteria.
Negative
Positive
Positive
Dental Drills are used to remove cement.
True
False
False
12” (height) x 12” (width) x 20” (length)
Maximum Linen Pack Size
Maximum Density for Linen Packs
Maximum Linen Pack Size
Responsible for pre and post market medical device requirements, MedWatch, medical device classification, medical device recall.
Joint Commission
FDA
SGNA
AORN
FDA
Know what is dirty, know what is clean, know what is sterile, keep the three conditions separate, and remedy contamination immediately are:
The principles of asepsis
The basics of the bloodborne pathogen standard
The principles of infection prevention and control
The basics of environmental control
The principles of asepsis
Which of the following means “beside or near”?
Para
Peri
Parta
Pana
Para
Which of the following should not be processed in an ultrasonic cleaner
Stainless steel instruments
Instruments with box locks
Medicine cups
Plastic instruments
Plastic instruments
Anaerobic bacteria require free oxygen to live.
True
False
False
The transport of flash sterilized items is difficult because:
They have no protecting wrapping
They are wet
They are hot
Contained in heavy trays
They have no protecting wrapping
“Cocci” is:
Round or Spherical-Shaped Bacteria
Rod-Shaped Bacteria
Spiral-shaped Bacteria
Square-shaped Bacteria
Round or Spherical-Shaped Bacteria
Which of the following tracking methods provides real time information?
RFID
Laser etched bar codes
Standard bar code
Do matrix applications
RFID
Which of the following information is NOT included in the MSDS?
Special precautions
Physical data
Required inventory levels
Product identification
Required inventory levels
This organ filters blood to remove amino acids and neutralize some harmful toxins.
Liver
Kidney
Arteries
Heart
Liver
These carry blood away from the heart.
Arteries
Veins
Alimentary Canal
Liver
Arteries
These cell components are comprised of DNA and pass on traits of parent cells to new cells.
Chromosomes
Cell
Genetics
Sperm
Chromosomes
Allows for visual inspection of the upper digestive tract.
Gastroscope
Bronchoscope
Gastroscope
Bacteria that require free oxygen to grow are called BLANK bacteria.
Anaerobic
Aerobic
Viral
Vegetative
Aerobic
The use of analytical skills to solve problems and make decisions is a component of which of the following knowledge and skills dimensions?
Communication abilities
Facility system responsabilities
Employability skills
Safety practices
Employability skills
In a ABC inventory control system “A” items represent
The smallest number of items and the largest dollar value
The largest number of items and the smallest dollar value
The smallest number of items and the largest dollar value
A mode of bacterial transmission that would take place when an infectious agent was transmited through anitem such as food or water is called:
Contact
Common vehicle
Airborne
Vector-borne
Common vehicle
Official inventory:
Does nor exist in today’s modern healthcare facilities
Can be counted as an asset on the facility’s balance sheet
Is owned by the vendor but stored at the healthcare facility
Is owned by the healthcare facility but stored by the vendor
Can be counted as an asset on the facility’s balance sheet
“-Pexy” is:
Inflammation
Skin disease
Surgical fixation
Fluid-filled sack
Surgical fixation
“Dys-“ is:
Painful
Skin disease
Inflammation
Fluid-filled sack
Painful
Equipment leasing and the rental differ in that:
Leasing involves purchase:rental does not require ownership
Equipment rental is usually done on a shorter-term basis than equipment leasing
Equipment leasing involves the most expensive equipment;equipment rental involves less expensive equipment
Equipment leasing is an operating expense;equipment rental does not have cost implications
Equipment rental is usually done on a shorter-term basis than equipment leasing
Inanimate objects that can transmit bacteria are called:
Transmission devices
Fomites
Carriers
Framiseals
Fomites
Solution used to remove the white, hard-to-remove, substance that sometimes appears on sinks and equipment.
Silicate
Descaler
Descaler
Central Service Technicians must be able to identify approximately 100 surgical instruments in order to be proficient in their job.
True
False
False
Central Service Techs must be able to identify 100’s of instruments.
The use of positive and negative air pressure in the Central Service Department is designed to take the place of heating and air conditioning.
True
False
False
Positive and negative air pressure are used to control air movements and airborne particulates.
Infectious medical waste is regulated by the EPA
True
False
True
The desired solution for cleaning instruments is:
Soap
Steam
A disinfectant
A detergent
A detergent
Viruses are larger than bacteria.
True
False
False
Some plastics including formulations of spun-bonded polyolefin are intended for use solely in theses sterilization processes
High temperature
Low temperature
Liquid
Flash
Low temperature
In order to elevate the temperature in a steam sterilizer,you must:
Increase the steam pressure
Decrease the steam pressure
Archieve ambient pressure
Inject boiler amines
Increase the steam pressure
The spore used in the testing of steam sterilization is
Bacillus atrophaeus
Geobacillus stearothermophilus
Bacillus subtillus
Pseudomonas aeruginosa
Geobacillus stearothermophilus
Which of the following is the most important factor necessary for team work?
Attitude
Promptness
Loyalty
Cooperation
Attitude
Water must be degassed each time the ultrasonic cleaner’s tank is changed, because
Excess bubbles from filling reduce the energy of the cavitation process
Excess bubbles reduce the effectiveness of the detergent
Excess bubbles decreased the temperature of the tank
Excess bubbles make it difficult to see items being cleaned.
Excess bubbles from filling reduce the energy of the cavitation process
All liquid disinfectants are capable of sterilization if their exposure time is increased.
True
False
False
These muscles control involuntary movements like, breathing, digestion, etc.
Smooth Muscle
Cardiac Muscle
Skeletal Muscle
Fascia Muscle
Smooth Muscle
Inventory replenishment system in which items removed from inventory are automatically identified and tracked. when reorder point is reached, item information is generated on a supply pack list in central storeroom. items are then issued, and transferred to appropriate user area
Par-Level
Automated Supply Replenishment System
Requisition
None of the above
Automated Supply Replenishment System
“Dis-“ is:
Inflammation
Fluid-filled sack
Apart, away
Skin disease
Apart, away
The inventory system taht uses two identical carts to facilitate supply replenishment is called the:
Case cart system
Exchange cart system
Par-level system
Requisition system
Exchange cart system
Enforces laws relating the transportation of medical wastes.
CDC
APIC
DOT
OSHA
DOT
Promotes health by preventing and controlling disease.
CDC
APIC
AAMI
OSHA
CDC
Medical Device reporting is regulated by the
NFPA
EPA
WHO
FDA
FDA
The purpose of a combining vowel is to:
Tell the primary meaning of a word
Suggest the meaning of the root word element
Ease pronunciation
Ease spelling
Ease pronunciation
Produces a fluid element in semen that stimulates the motility of sperm.
Ovaries
Prostate Gland
Ureters
Chromosomes
Prostate Gland
Used in ear surgery and for driving very small wires through the bone.
Cebatome
Micro Drill
Micro Drill
The white portion of the eye is called the:
Retina
Iris
Pupil
Sclera
Sclera
Purified water should have a ph of ______
- 5 - 5.5
- 5 - 6.5
- 5 - 7.5
- 5 - 8.5
6.5 - 7.5
This surgery repairs muscles & ligaments of the shoulder joint
ORIF
Rotator Cuff Repair
CABG
BKA
Rotator Cuff Repair
Which of the following sterilization quality assurance measurements is designed to provide a written record of sterilizer cycle activity
Biological tests
Bowie dick tests
Mechanical recording charts/printouts
Chemical integrators
Mechanical recording charts/printouts
When processing flexible endoscopes in a liquid chemical sterile processing system you should:
Pressurize the scope before starting the machine
Use tap water as pre-rinse
Connect channels to special connectors that allow liquid to flow through them
Run the cycle twice to ensure that proper microbial kill has take place
Connect channels to special connectors that allow liquid to flow through them
The inventory system that stocks supplies by stablished stock levels is called:
Par-level
Case cart
ADT system
Exchange system
Par-level
Which of the following statements is correct?
Patient care equipment tracking requires a computer
Patient care equipment should only be tracked if it has a value in excess of an amount specified by the facility
Tracking patient care equipment can prevent equipment shortages
Patient care equipment must only be tracked if is usage will be charged will be charged to patients
Tracking patient care equipment can prevent equipment shortages
A compound in which chlorine is combined with another element or radical (e.g., a salt or hydrochloric acid)
Silicate
Chloride
Chloride
Because all Central Services Departments have the same structure, healthcare facilities use one standardized job description for all Central Service Technicians.
True
False
False
Feedback
Job descriptions differ from facility to facility.
Stainless Steel jaw needleholders last longer than Tungsten Carbide jaw needleholders.
True
False
False
Electronic testing of laparoscopic insulation should be done:
In the decontamination area prior to cleaning
In the clean assembly area prior to set assembly
At the faactory or onsite repair unit
In the operating room at the end of the procedure
In the clean assembly area prior to set assembly
The agency responsible for pre-market requirements of medical devices is
OSHA
CDC
FDA
EPA
FDA
The system where items are ordered in large quantities to save money is called:
Just-in-time
Min/max
Pick-n-pack
Economic order quantity
Economic order quantity
Re-use of single use medical devices is less regulated now than it was in the 1990s
True
False
False
The diffusion of water through semi-permeable membrane to eliminate impurities in the water.
Descaler
Reverse Osmosis
Reverse Osmosis
Having the sediment or solids stirred up to appear cloudy silicate - a mineral derived from silca which is from quartz, sand, opal, etc.
GAC
Turbidity
Turbidity
The main purpose of manual cleaners is to:
Kill microorganisms
Remove soil
Reduce cleaning costs
Provide back-ups if automated equipment is not working
Remove soil
This unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower the body temperature
PCA pump
Hypothermia unit
Feeding pump
Pump
Hypothermia unit
These are used to breakdown fatty tissue on instruments:
Protease enzymes
Lipase enzymes
Amylase enzymes
Neutral pH cleaners
Lipase enzymes
Which of the following tells a primary meaning of a word?
Prefix word element
Root word element
Suffix word element
Combining vowel
Root word element
The process by which all forms of microorganisms are completely destroyed is called:
High-level disinfection
Thermal disinfection
Sterilization
Chemical disinfection
Sterilization
Instrument marking tape should be wrapped approximately BLANK around the instrument.
1 to 1½
1½ to 2
2 to 2½
2½ to 3
1 to 1½
This procedure is the removal of the gall bladder.
Cholecystectomy
Colectomy
Parotidectomy
Gastrectomy
Cholecystectomy
Used to remove cement.
Dermatome
Cebatome
Cebatome
Information regarding cleaning processes for endoscopes should be provided by:
The SGNA
APIC
The instrument manufacturer
The operating room staff
The instrument manufacturer
Implantable devices:
Should be flash sterilized in extended cycles
Should only be sterilized using ethylene oxide
Should not be flash sterilized
Should be discarded if not used
Should not be flash sterilized
The part of a cell that controls cell function is the:
Cytoplasm
Nucleus
Cell membrane
Capsule
Nucleus
Financial summary of what a facility owns (assets), owes (liabilities), and is worth (equity) at a specific point in time
Time sheet
Money Sheet
Balance Sheet
Books
Balance Sheet
Two most common temperatures used in steam sterilization are
120° and 140° F
100° and 130° F
320° AND 350°- 355° F
250° AND 270° - 275° f
250° AND 270° - 275° f
In this system items are owned by the vendor,but stores at the healthcare facility
Just-in-time
Stockless
Min/max
Consignement
Consignement
Which of the following common items of patient care equipment limits the development of DVT deep vein thrombosis and peripheral edema in immobile patients?
Respirator
Intermittent suction device
Sequential compression unit
Defribilator
Sequential compression unit
Class III medical devices are identified as High Risk
True
False
True
During handwashing, hands should be lathered and scrubbed for at least:
10 seconds
15 seconds
1 minute
2 minutes
15 seconds
Surgical instruments should be inspected:
Before they are cleaned
After they are cleaned
After they are sterilized
During storage
After they are cleaned
The term “intercosto” means
Within the colon
Between the toes
Within the bladder
Between the ribs
Between the ribs
Body balance is regulated by fluid in
Inner Ear
Brain
Legs
Arms
Inner Ear
https://www.proprofs.com/api/ckeditor_images/forcep-1(2).jpg
parts of this surgical instrument?(forceps)
Rings,ratchet,shanks,box lock,jaw ,tips
When speaking, you should
Be influenced by the listeners emotions
Concentrate on the listener rather than oneself
Use technical jargon to impress the listener
Concentrates on yourself rather than the listener
Concentrate on the listener rather than oneself
The absence of microorganisms that cause disease is called:
Infection prevention
Infection control
Asepsis
HIA-control
Asepsis
In Central Service, the concept of “one-way flow of materials” refers to the movement of products:
From Central Service to surgical areas
From surgical areas to Central Service
From soiled areas to clean processing areas within Central Service
From clean processing areas to soiled areas in the Central Service
From soiled areas to clean processing areas within Central Service
The use of heat to kill microorganisms, expect spores.
Sterilization
Thermal Disinfection
Thermal Disinfection
A type of connective tissue fluid that moves throughout the circulatory system.
Blood
Veins
Arteries
Heart
Blood
Kerrison Laminectomy Ronguers should be tested using:
Tissue paper
A plastic dowel rod
Rubber testing material
An index card
An index card
BLANK is defined as the state of being soiled or infected by contact with infectious organisms or other material.
Decontaminate
Viral
Contamination
Airborne
Contamination
Microorganisms reproduce by a process called:
Repopulation
Binary Fission
Replication
Bilateral Reproduction
Binary Fission
Surgery that removes lymph tissue in the pharynx (throat)
Ectomy
Tonsillectomy
Cholecystectomy
Pneumonectomy
Tonsillectomy
