CER Progress Test Two

Question 1

Medical devices that have been improperly reprocessed may:
a. transmit disease
b. damage the medical device
c. cause device failure
d. all the above

Answer 1

All the above

Question 2

The words “cleaning” and “decontamination” mean the same thing.
True or False

Answer 2

False

Question 3

Standard dress code for the reprocessing area includes:
a. facility-cleaned uniform or scrub attire
b. hair cover
c. not wearing jewelry and watches
d. all the above

Answer 3

All the above

Question 4

The first step in doffing personal protective equipment is removing:
a. cap and face cover
b. shoe covers
c. gown or apron
d. gloves

Answer 4

Shoe covers

Question 5

Enzymes target specific soils. Which type of enzyme product is most helpful when cleaning endoscopes?
a. protease
b. amylase
c. lipase
d. multi-enzyme product

Answer 5

Multi-enzyme product

Question 6

Using the wrong size brush when cleaning a flexible endoscope can cause damage to the endoscope. True or False

Answer 6

True

Question 7

Critical components of successful cleaning include:
a. following the manufacturers IFU
b. paying attention to detail
c. using good work practices
d. all the above

Answer 7

All the above

Question 8

Because endoscopes were pre-cleaned at the point of use, PPE is not required when cleaning flexible endoscopes: True or False

Answer 8

False

Question 9

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 9

All the above

Question 10

Endoscopes with major leaks cannot be cleaned before being sent out for repair: True or False

Answer 10

False

Question 11

After pre-cleaning at the point of use, valves should be reattached to the endoscope for transport to the reprocessing area: True or False

Answer 11

False

Question 12

The first step in leak testing is to check the endoscope for tears and holes: True or False

Answer 12

True

Question 13

The leak detector should be connected to the _____ portion of the endoscope:
a. air/water valve
b. biopsy valve
c. venting connection
d. insertion tube

Answer 13

Venting connection

Question 14

Reprocessing residues, such as detergent, can interfere with the patient’s healing process: True or False

Answer 14

True

Question 15

When manually cleaning endoscopes, the cleaning solution should be changed:
a. each shift or when debris is noticed
b. for each endoscope
c. at least twice per shift
d. for every other endoscope

Answer 15

For each endoscope

Question 16

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

Answer 16

True

Question 17

Many residues can be prevented by:
a. careful cleaning
b. copious rinsing
c. using lint-free cloths
d. all the above

Answer 17

All the above

Question 18

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

Answer 18

True

Question 19

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

Answer 19

All the above

Question 20

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

Answer 20

True

Question 21

Using a venting cap during sterilization will cause the endoscope sheath to rupture. True or False

Answer 21

False

Question 22

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 22

Black spots on the end of the cord

Question 23

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

Answer 23

All the above

Question 24

When preparing an endoscope for HLD, it is important to put the valve cover back on the endoscope to help ensure the disinfectant can get inside the lumens. True or False

Answer 24

False

Question 25

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 25

Reduce repair costs

Question 26

The portion of the flexible endoscope that enters the body is called the: a. control body b. monitor cable c. channel canal d. insertion tube

Answer 26

Insertion tube

Question 27

When using a flexible endoscope, instruments are introduced into the body through the: a. air port b. water port c. channel canal d. bendable tip

Answer 27

Biopsy port

Question 28

Which of the following statements is true: a. the average turnaround time for a flexible endoscope is 30 minutes b. flexible endoscopes should be replaced every two months c. more healthcare associated infections are linked to contaminated endoscopes than any other device d. one million endoscopies are performed each year

Answer 28

More healthcare associated infections are linked to contaminated endoscopes than any other device

Question 29

A hysteroscope is an example of an: a. ultrasonic endoscope b. rigid endoscope c. semi-rigid endoscope d. flexible endoscope

Answer 29

Flexible endoscope

Question 30

Failure to provide a functional endoscope can result in an inaccurate diagnosis: True or False

Answer 30

True

Question 31

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

Answer 31

Flexible endoscope

Question 32

The portion of the flexible endoscope that contains water/suction valves and angulation knobs is the: a. light connector b. universal cord c. working channels d. control body

Answer 32

Control body

Question 33

This endoscope is used to remove gallstones: a. ureteroscope b. choledochoscope c. hysteroscope d. enteroscope

Answer 33

Choledochoscope

Question 34

After pre-cleaning, the endoscope water bottle should be: a. placed in the container with the soiled endoscope b. placed in a separate container and sent to the decontam area c. rinsed and flushed with a high-level disinfectant d. emptied and air dried

Answer 34

Placed in a separate container and send to the decontamination area

Question 35

This organization uses applied scientific research to keep healthcare professionals abreast of challenges and concerns regarding medical devices: a. ECRI Institute b. DHHS c. Medical Device Review Board d. Centers for Medicare and Medicaid Services Device Performance

Answer 35

ECRI Institute

Question 36

An enteroscope is used to examine: a. large intestine b. small intestine c. gallbladder and pancreas d. lower airway

Answer 36

Small intestine

Question 37

A rhinolaryngoscope is used to examine the: a. nasal passages b. interior of the stomach c. upper gastrointestinal area d. small intestine

Answer 37

Nasal passages

Question 38

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

Answer 38

Uterus

Question 39

These bacteria are beneficial to humans: a. symbiotic bacteria b. viruses c. gram positive bacteria d. gram negative bacteria

Answer 39

Symbiotic bacteria

Question 40

The longer a used endoscope sits before reprocessing, the a. easier it is to clean b. more microorganisms will die c. more biofilm will form d. longer it will take to dry

Answer 40

More biofilm will form

Question 41

Enveloped viruses are easier to disable than non-envelope viruses: True or False

Answer 41

True

Question 42

An opportunistic infection is one that is usually caused by a non-pathogenic bacteria. True or False

Answer 42

True

Question 43

While bacteria can be pathogenic, fungus and parasites cannot be pathogenic: True or False

Answer 43

False

Question 44

Sepsis has been associated with: a. bronchoscopy b. duodenoscopy c. Upper GI endoscopy d. all the above

Answer 44

All the above

Question 45

Effective work area design should incorporate: a. an irrigating ultrasonic cleaner b. multiple automated equipment reprocessors c. storage for common endoscope replacement parts d. one way flow

Answer 45

One way flow

Question 46

Inadequate workplace in the endoscope area can be a cause of: a. poor airflow b. aerosols entering the clean work area c. Endoscope damage d. all the above

Answer 46

Endoscope damage

Question 47

The recommended temperature for the endoscope clean processing area should be: a. 70F or less b. 60F to 65F c. At least 70F d. Can be found in ASHRA/ASHE I70

Answer 47

Can be found in ASHRAE/ASHE

Question 48

The relative humidity should not exceed _____ in all endoscope work areas: a. 20% b. 30% c. 50% d. 60%

Answer 48

60%

Question 49

The automated endoscope reprocessor should be placed in the decontamination area to ensure the endoscopes are clean before sending them through to the preparation area: True or False

Answer 49

False

Question 50

Physical barriers between soiled and clean areas can prevent aerosols from entering the clean area: True or False

Answer 50

True