CER Progress Test Three

Question 1

All endoscopes should be high-level disinfected or sterilized between each patient: True or False

Answer 1

True

Question 2

Not drying an endoscope properly after HLD and rinsing can allow for recontamination of the endoscope: True or False

Answer 2

True

Question 2

Adding more high-level disinfectant to the soak basin or AER to bring the solution up to the desired level also extends the length of time the solution can be used. True or False

Question 3

Automated endoscope reprocessor device connectors are designed to be used with any flexible endoscope: True or False

Question 4

When using an AER with an automated cleaning cycle, it is still necessary to thoroughly manually clean the endoscope before using the automated cycle. True or False

Question 5

The high level disinfectant solution in an AER should be tested for the minimum effective concentration: True or False

Answer 5

Before each use

Question 6

PPE should be changed before removing an endoscope from an AER or soak basin. True or False

Answer 6

True

Question 7

Most multi-part flexible endoscopes and their accessories must be disassembled for sterilization. True or False

Answer 7

True

Question 8

When the color of chemical indicator tape used to seal flat wrap changes, it indicates that the item is sterile. True of False

Answer 8

False

Question 9

All flexible endoscopes should have a ventilation adaptor or water-resistant cap in place when undergoing ethylene oxide sterilization. True or False

Answer 9

False

Question 10

Packaging material approved for hydrogen peroxide plasma sterilization include:
a. paper plastic pouches
b. muslin
c. Tyvek pouches
d. all the above

Answer 10

Tyvek pouches

Question 11

Routine personal and area monitoring of the work area is required when using hydrogen peroxide plasma and ethylene oxide sterilization methods. True or False

Answer 11

False

Question 12

Biological indicator monitoring is required for each cycle run in:
a. ethylene oxide
b. hydrogen peroxide gas plasma
c. vaporized hydrogen peroxide
d. all the above

Answer 12

Ethylene oxide

Question 13

A device’s design can present a challenge to the sterilization process. True or False

Answer 13

True

Question 14

When carrying flexible endoscopes, they should always be held at the:
a. distal end
b. proximal end
c. light cable connection area
d. control head

Answer 14

Control head

Question 15

Cross contamination while handling contaminated endoscopes can be prevented by using:
a. directional workflow
b. personal protective equipment
c. proper signage
d. all the above

Answer 15

All the above

Question 16

Flexible endoscope components that have been removed for cleaning should always be kept with the same endoscope because they will be easier to track. True or False

Answer 16

True

Question 17

Filtered air is used to help reduce the risk for contamination during storage. True or False

Answer 17

True

Question 18

High level disinfected flexible endoscopes should be reprocessed:
a. after 72 hours
b. after seven days
c. every Monday
d. at a time interval determined by the facility

Answer 18

At a time interval determined by the facility

Question 19

Arthroscopes are used for surgeries on:
a. sinus cavities
b. ureters
c. pelvic organs
d. joints

Answer 19

Joints

Question 20

Sterilized flexible endoscopes should be stored:
a. in the same manner as high level disinfected endoscopes
b. in closed cabinets
c. on solid wire shelving in the sterile storage area
d. in the same manner as other sterilized devices

Answer 20

In the same manner as high level disinfected endoscopes

Question 21

The rod lenses of a rigid endoscope are made from:
a. fiber optics
b. reflective metal rods
c. glass
d. prisms

Answer 21

The rod lenses of a rigid endoscope are made from glass

Question 22

When using a rigid endoscope, a dark image may be caused by damaged:
a. illumination fibers
b. coupler
c. camera
d. all the above

Answer 22

all the above

Question 23

Using the wrong size light cable can cause damage to a rigid endoscope: True or False

Answer 23

True

Question 24

After manual cleaning, rigid endoscopes should be placed in an automated washer-disinfector for thorough cleaning: True or False

Answer 24

False

Question 25

During inspection of a rigid endoscope, it is important to check the: a. internal optics b. image c. distal end under magnification d. all the above

Answer 25

All the above

Question 26

Rigid endoscopes that are approved for steam sterilization can also be IUSS. True or False

Answer 26

False

Question 27

Visual examination of the interior structures of the body is called: a. visioscopy b. endoscopy c. fiberoscopy d. botoscopy

Answer 27

Endoscopy

Question 28

Along with benefits to the patient, endoscopic procedures benefit the facility by: a. reducing procedure time b. freeing up operating rooms c. reducing operating costs d. eliminating the need for surgery

Answer 28

reducing procedure time

Question 29

The insertion tube of a flexible endoscope can contain the: a. instrument channel b. control head c. scope body d. light guide connector

Answer 29

Instrument channel

Question 30

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

Answer 30

Flexible endoscope

Question 31

It is important to understand the quality documentation requirements for endoscope reprocessing: True or False

Answer 31

True

Question 32

This endoscope is designed to examine upper airways: a. bronchoscope b. rhinolaryngoscope c. duodenoscope d. choledochoscope

Answer 32

Rhinolaryngoscope

Question 33

This endoscope is often used to treat kidney stones: a. duodenoscope b. hysteroscope c. ureteroscope d. cystoscope

Answer 33

Ureteroscope

Question 34

The endoscope universal cord: a. contains the handheld controls b. enables the physician to perform procedures, such as biopsies c. connects the light connector to the control body d. is the part inserted into the patient

Answer 34

Connect the light connector to the control body

Question 35

A bronchoscope can be used to examine the airways: True or False

Answer 35

True

Question 36

Ureteroscopes are used to view the tubes that connect the kidneys to the bladder. True or False

Answer 36

True

Question 37

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

Answer 37

Uterus

Question 38

39. Endoscopes can become contaminated from: a. poor manufacturer's processing instructions b. using contaminated water c. damage d. all the above

Answer 38

All the above

Question 39

Bacteria spore are resistant to: a. radiation b. heat c. chemicals d. all the above

Answer 39

All the above

Question 40

Endospores are formed: a. outside the bacteria cell b. inside the bacteria cell c. during the bacterial reproduction d. after the bacteria has died

Answer 40

Inside the bacteria cell

Question 41

Biofilm is a colony of one type of bacteria that joins together. True or False

Answer 41

False

Question 42

Biofilm and fungus can form underneath fingernails. True or False

Answer 42

True

Question 43

Sepsis has been associated with: a. bronchoscopy b. duodenoscopy c. upper gastrointestinal endoscopy d. All the above

Answer 43

All the above

Question 44

Endoscopes that have been high-level disinfected should be stored on open wire shelving: True or False

Answer 44

False

Question 45

When airflow is negative, that means air flows into that area: True or False

Answer 45

True

Question 46

Doors and pass-through windows between the decontamination and disinfection area should remain closed, however, they may remain open between the disinfection and sterilization area: True or False

Answer 46

False

Question 47

When sending endoscopes from the user area to the decontamination area, endoscopes and their accessories, such as forceps and wires, should be transported together in the same closed container: True or False

Answer 47

False

Question 48

When physical barriers between soiled and clean areas are not possible, the use of ______ can minimize the risk of cross contamination. a. policies b. procedures c. training d. all the above

Answer 48

ALl the above

Question 49

Low humidity in the work area can: a. promote bacterial growth b. cause absorbent materials to become excessively dry c. increase the risk of cross contamination d. all the above

Answer 49

Cause absorbent materials to become excessively dry

Question 50

The process of rendering a clinically used device safe and ready for reuse is the definition of: a. decontamination b. disinfection c. reprocessing d. sterilization

Answer 50

The process of rendering a clinically used device safe and ready for reuse in the definition of: reprocessing

Question 51

Household liquid dishwashing detergents are recommended as the detergent of choice to clean gastrointestinal endoscopes: True or False

Answer 51

False

Question 52

Personal protective equipment for the endoscope decontamination area includes: a. full length face shield or a mask and eye protection b. lightweight short-sleeved gown or jumpsuit c. long-sleeve warm up jackets d. All the above

Answer 52

Full length face shield or a mask and eye protection

Question 53

Detergents used to clean endoscopes should be: a. low foaming b. alkaline c. non residue producing d. all the above

Answer 53

low foaming

Question 54

Solutions that are mixed too strong will not be as effective as solutions mixed to the required strength: True or False

Answer 54

True

Question 55

The most common pH recommended for endoscope cleaning chemicals is: a. low pH b. High pH c. Medium pH d. Neutral pH

Answer 55

Neutral pH`

Question 56

Pre-cleaning at the point of use should occur before the endoscope is disconnected from the power source: True or False

Answer 56

True

Question 57

After removing the flexible endoscope from the patient, the first step in point-of-use pre-cleaning is to: a. flush the insertion tube b. pre-rinse the inner channels c. remove the gross soil d. attach the video cap

Answer 57

Remove the gross soil

Question 58

Leak testing should be performed: a. after point of use pre-cleaning b. before manual cleaning c. after every procedure d. all the above

Answer 58

all the above

Question 59

The purpose of leak testing is to: a. ensure the cleaning solution will not leak out of the endoscope b. ensure all the inner channels are full of cleaning solution c. detect damage to the exterior and interior of the endoscope d. all the above

Answer 59

Detect damage to the exterior and interior of the endoscope

Question 60

When performing a leak test, the water-resistant cap should be removed: True or False

Answer 60

False

Question 61

When cleaning an endoscope that has failed a leak test, it is important to first disconnect the leak tester: True or False

Answer 61

False

Question 62

The exterior of the endoscope should be cleaned using lint-free cloths or sponges: True or False

Answer 62

True

Question 63

All removable parts should be carefully cleaned using a stiff bristled brush. True or False

Answer 63

False

Question 64

When cleaning the lumens of an endoscope, the brush should be rinsed before pulling it back through the channel. True or False

Answer 64

True

Question 65

Borescopes are used to visually inspect the channels of an endoscope: True or False

Answer 65

True

Question 66

Tests for cleaning efficacy of the manual cleaning process should be performed at least weekly; however, daily is recommended: True or False

Answer 66

True

Question 67

Cleaning equipment should be tested for cleaning efficacy: a. upon installation b. after repair c. on a routine basis d. all the above

Answer 67

All the above

Question 68

Reusable accessories such as snare wires, water bottles and biopsy forceps should be placed in the same container as the endoscope to help ensure that all components from a procedure are kept together: True or False

Answer 68

False

Question 69

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

Answer 69

True

Question 70

When inspecting an endoscope light cord, broken light fibers can be detected by: a. using a borescope b. small nicks in the sheath c. black spots on the end of the cord d. scratches in the lumens

Answer 70

Black spots on the end of the cord

Question 71

Visual inspection of flexible endoscopes should occur: a. before the procedure b. during the procedure c. after cleaning d. all the above

Answer 71

All the above

Question 72

Ethylene oxide sterilization of a flexible endoscope may result in a blown endoscope if: a. the endoscope is not vented properly b. the endoscope's internal channels are moist when sterilized c. the endoscope has a cracked lens d. the distal tip is not protected

Answer 72

the endoscope is not vented properly

Question 73

Early detection of endoscope damage can protect the patient and: a. decrease the processing time b. is required by the US FDA c. reduce repair costs d. all the above

Answer 73

Reduce repair costs

Question 74

Enzymatic cleaning solution used for endoscope cleaning should be discarded after each use: True or False

Answer 74

True