Exam Review Flashcards
(323 cards)
1
Q
Used to repair and reconstruct teeth and jawbones
A
Dental Drill
2
Q
Used in ear surgery and for driving very small wires through bone:
A
Micro drill
3
Q
Drill used in open heart surgery:
A
Sternal Drill
4
Q
Drill used to removecement:
A
Cebatome
5
Q
Allows for visual inspection of the lower part of the large intestine:
A
Sigmoidoscope
6
Q
Allows for visual inspection of the upper digestive tract:
A
Gastroscope
7
Q
Used to visualize the urethra and the bladder:
A
Cystoscope
8
Q
Used to visualize the tracheobronchial tree:
A
Bronchoscope
9
Q
Used to visualize the large intestine:
A
Colonoscope
10
Q
Leak testing should be performed on each flexible endoscope annually:
A
False, should be performed during each processing cycle.
11
Q
A method of stock rotation that ensures that older items are used first:
A
FIFO
12
Q
Minimum amount of time that a packaging material should be held at room temperature and at 35-70% relative humidity
A
2 hours
13
Q
Max density per cubic foot of a linen pack:
A
7.2 lbs
14
Q
All soiled instruments and materials are received from the user units into this CS area:
A
Decontamination
15
Q
Which gland is located at the base of the brain and is considered the master gland?
A
Pituitary
16
Q
Which is the circular opening of the eye which controls light that enters the eye:
A
Pupil
17
Q
What types of bacteria develops spores?
A
Grampositive
18
Q
Bacteria that causes diesease
A
Pathogens
19
Q
What type of hepatitis vaccine is strongly recommended for healthcare workers:
A
Hep B
20
Q
The part of the cell that controls the function is:
A
Nucleus
21
Q
Involuntary muscles:
A
Work without consciousness
22
Q
Rod shaped bacteria:
A
Bacillus
23
Q
Air pressure in the decon area should be negative:
A
True
24
Q
Regulations under the clean air act are administered by:
A
EPA
25
Agency which imposes very strict labeling requirements on manufacturers of chemical used in cs dept:
FDA
26
What class device is a chemical indicator?
class II
27
What class device is a heart valve and pacemaker?
Class III
28
who do you report suspected medical device related deaths to?
hospital and device manufacturer
29
how many patients develop a hospital acquired infection each year?
2 million
30
Watches and jewelry should be avoided in cs because:
They harbor bacteria
31
Minimum time to wash hands is:
15 seconds
32
To be protected from splashes and spills, cs techs should wear:
fluid resistant gowns
33
The main theory of standard precautions is:
patients may pose risk of infection whether they have been diagnosed or not. Treat all bodily fluids as infectious.
34
what is NOT a requirement of OSHA regarding the bloodborne pathogen standard:
Keep biohazard areas locked
35
Following standard precautions is required by who?
OSHA
36
Department dress code applies to:
everyone in the cs department
37
Inanimate objects that can transmit bacteria are called:
Fomites
38
Floors in the department:
should be wet mopped daily
39
The absence of microorganisms that cause disease is called:
asepsis
40
"endo"
within
41
Hemi
half
42
Decon area temp and humidity:
60-65, negative pressure, 30-60% humidity
43
What is the air exchange rate and pressure type for decon?
Negative pressure, 10 air exchanges per hour
44
What is the area temp for the sterile storage area:
68-75 degrees, 35-70% humidity
45
What is the air exchange rate and pressure type for the sterile storage area?
Positive, 4 air exchanges per hour
46
What is the area temp and humidity for the prep area?
68-73 degrees, 35-70% humidity no lower than 35%
47
What is the air exchange rate and pressure type for the prep and pack area?
10 air exchanges under positive pressure
48
which establishes sterilization practice standards based on opinion, research, and or theory:
AAMI
49
epa, fda and osha primarily issue:
regulations
50
Standards for CS practices are written by:
AAMI
51
Hyper
above or excessive
52
hypo
below or deficient
53
para
beside or near
54
peri
around
55
inter
between
56
intra
within or inside
57
anti
against
58
ante
before
59
endo
within
60
neo
new
61
“-a”
without
62
post
after
63
supra
above
64
-ostomy
creation of an opening
65
-otomy
incision to an organ
66
-ectomy
surgical removal
67
-oscopy
visual examination
68
-cide
to kill
69
-cise
to cut
70
cysto
bladder
71
cranio
skull
72
gastro
stomach
73
cardio
heart
74
chole
bile
75
derma
skin
76
herni
rupture
77
litho
stone
78
hyster
uterus or womb
79
gyne
woman
80
arthro
joint
81
lipo
fat
82
Create a new opening in the colon
colostomy
83
removal of part of the large intestine
colectomy
84
visual exam of the uterus
hysteroscopy
85
removal of the uterus
hysterectomy
86
create an opening into the thoracic cavity to give surgeons access to the lungs and heart
thoracotomy
87
removing a salivary gland because of a tumor formation:
parotidectomy
88
removing plaque from the carotid artery that causes lack of brain oxygen:
carotid endartectomy
89
removing a vein from the lower limb to bypass a blocked coronary artery of the heart
coronary artery bypass graft
90
removal of a kidney
nephrectomy
91
making an incision into the tympanic membrane to permit fluid to drain and placing small tubes un the membrane to permit continuous drainage:
myringotomy
92
a repair to the muscles and ligaments of the shoulder joint
rotator cuff repair
93
removing disc tissue pressing on the lower spine area, inserting a pieceof bone between the vertebrae and fusing the area with plates and screws:
posterior lumbar interbody fusion
94
removing lymph tissue in the pharynx:
tonsillectomy
95
removal of the gallbladder
cholecystectomy
96
straightening or removing of cartilage in the nose when the septum is deformed
septoplasty
97
removing both fallopian tubes and ovaries
bilateral salpingo-oopherectomy
98
removing of tissue or displaced bone in the wrist area to release pressure:
carpal tunnel repair
99
moving an undescended testicle
orchiopexy
100
reconstructing the ear drum so sound waves can be sent to the middle and inner ear:
tympanoplasty
101
this organ pumps blood through the body
heart
102
the process by which cartilage is replaced by bone
ossification
103
anyplace where 2 bones meet
joint
104
the main control unit of the cns
brain
105
considered the master gland
pituitary
106
a somewhat flexible muscular tube that helps move food into the stomach
esophagus
107
a type of connective tissue fluid that moves through the body
blood
108
a cord of fibrous tissue that connescts a muscle to bone
tendon
109
largest organ of the body
skin
110
pseudomonas are sometimes called
water bug
111
bacteria that is often pathogenic to humans because they grow best at body temp
mesophiles
112
herpes simplex is a ___ disease
viral
113
bacteria that requires oxygen to grow
aerobic
114
bacteria are divided into three main shapes
coccus, bacillus, and spirilla
115
microorganisms that are capable of forming a thick wall to survive adverse conditions
spores
116
Match the surgery to the system: Thoracotomy
Respiratory
117
match the surgery to the body system: Parotidectomy
Digestive
118
Match the surgery to the body system: Carotid endarterectomy
circulatory
119
match the surgery to the body system: coronary artery bypass graft
circulatory
120
match the surgery to the body system: nephrectomy
urinary
121
match the surgery to the body system: myringotomy
nervous
122
match the surgery to the body system: rotator cuff repair
muscular
123
match the surgery to the body system: posterior lumbar interbody fusion
skeletal
124
match the surgery to the body system: tonsillectomy
circulatory
125
match the surgery to the body system: cholecystectomy
digestive
126
match the surgery to the body system: septoplasty
respiratory
127
match the surgery to the body system: bilateral salpingo oopherectomy
reproductive
128
match the surgery to the body system: carpal tunnel repair
nervous
129
match the surgery to the body system: orchiopexy
reproductive
130
match the surgery to the body system: tympanoplasty
nervous system
131
The bacterial reproductive process that takes place when a mother cell divides into 2 daughter cells :
binary fission
132
cjd is caused by this abnormal form of protein:
prions
133
___is defined as the state of being soiled or infected by contact with infectious organisms or other material:
Contamination
134
most bacteria are how big:
1-2 microns
135
sunlight is lethal to pathogens during this stage:
vegetative
136
a pick list contains information that:
identifies the supplies and instruments needed for a specific doctor or procedure
137
the basic unit of a living organism:
cell
138
what is the name of the surgical procedure where an opening is made into the skull:
craniotomy
139
the decontamination area of the cs department is where instruments are carefully checked for cleanliness and function:
False
140
the term periosteal elevator means:
an instrument to remove tissue around the bone
141
viruses:
have no means of movement on their own
142
Bka refers to:
removal of leg below the knee
143
the bodys main control center
brain/cns
144
the muscular system:
assists w movement, produces heat and pumps blood
145
Microbes:
can be found in hair and skin, are useful to break down sewage and can produce toxins
146
Prions are:
abnormal forms of protein
147
a herniorraphy is:
surgical procedure to repair a muscle layer that is allowing all of part of an organ to project through an opening
148
the abbreviation CR :
Treating a bone fracture without a surgical incision
149
this organization specializes in endoscopy issues and has established standards for the effective processing of flexible endoscopes:
society of gastrointestinal nurses and associates
150
furthers international cooperation in improving health conditions
WHO
151
Develops nationally recognized guidelines for the perioperative setting:
association of perioperative registered nurses
152
protects workers from occupationally caused illness and injury
osha
153
proposed standards are submitted from members such as the association for the advancement of medical instrumentation
ISO
154
Provides standards and evaluations for healthcare facilities every 3 years:
joint comission
155
Creates and enforces laws relating to transport of medical waste
dot
156
is considered one of the major resources for healthcare guidelines
association for the advancement of medical instrumentation
157
creates and revises standards for processing water irrigation
us pharmocopeia national formulary
158
creates and enforces laws relating to water air and land
epa
159
a voluntary international organization dedicated to the prevention and control of infections and its relasted outcomes
association for professionals in infection control and epidemiology
160
international standards to reduce the burden of fire and other hazards
national fire protection association
161
prevents and controls diseases
cdc
162
responsible for pre and post market medical device requirements, recalls and classifications
fda
163
enhances the global competitiveness and quality of life by promoting standards and ensuing their integrity
joint commission
164
Agencies responsible for regulating ethylene oxide
osha and epa
165
agency responcible for medwatch
fda
166
voluntary or involuntary? osha:
regulatory
167
Voluntary or regulatory: WHO:
voluntary
168
voluntary or regulatory: ANSI
voluntary
169
voluntary or regulatory: DOT
Regulatory
170
voluntary or regulatory: epa
regulatory
171
voluntary or regulatory:
172
Information technology is often the cornerstone of initiatives to transform healthcare
True
173
Disposable items increase combustible load in a healthcare facility
True
174
Enabling people to use information gained to interact with others is known as
Human relations
175
At this time, tracking systems are unable to track worker productivity information
True
176
A step in communication that occurs when a listener asks a question is called
Feedback
177
Improving professional development skills is an important part of
Career advancement
178
The US FDA Class II chemical indicator used for testing and ran daily in dynamic air removal sterilizers is called a
Bowie-dick test
179
Always wearing PPE in the Decon unit is a quality process
True
180
Where are product expiration dates located
There is no standard place for an expiration date
181
When patient equipment enters a facility, it must be safety checked by a
Biomedical technician
182
Used to break down fatty tissue on instruments
Lipase enzymes
183
Anaerobic bacteria require oxygen to live
False. Can survive with no oxygen
184
The absence of microorganisms that cause disease is called
Asepsis
185
Immediate use steam sterilization was developed to process items when the facility does not have enough instruments to perform a surgery
False
186
When an instrument has a shiny surface it is said to have a — Finish
Mirror
187
Lumens should be moist when using hydrogen peroxide
False
188
Most cs departments employ some sort of automated information management system
True
189
Ethylene oxide gas should be stored
In a containment locker
190
Knowing what is expected and consistently exceeding those expectations is a part of
Professional behavior
191
Sterile packages should be stored no lower than 8-10 inches from the floor
True
192
If soiled items are transported to an offsite facility for processing
They should be transported following the US or DOT guidelines
193
The decon area is where instruments are checked for cleanliness and function
False
194
Arthroscopy instruments are used during
Joint surgery
195
Some plastics including formulations of spun bonded polyolefin Are intended for use solely in these sterilization processes
Ozone and hydrogen peroxide
196
The amount of time an item must remain wet with a disinfectant is called
Wet contact time
197
The drain screen in the steam sterilizer should be cleaned
Daily
198
Removal of the uterus
Hysterectomy
199
Which is not a result of computer integration
Automatically provides critical updates to industry standards
200
A plane crash is an example of an external disaster
True
201
Movement of supplies throughout the healthcare facility is called
Distribution
202
All patient care equipment that was dispensed for use must be considered— and handled as such regardless of its appearance
Contaminated
203
What is the preferred ph for detergents used in most cleaning products
Neutral
204
All microorganisms are harmful
False
205
Inanimate objects that transmit bacteria
Fomites
206
All items that are sterilized or high level disinfected at point of use must be carefully monitored and logged
True
207
Instrument packing tape should be wrapped approximately this many times around the instrument
1.5
208
Hydrogen peroxide kills microorganisms by a process called
Oxidation
209
Event related shelf life means items are safe until open for use
False
210
Ectomy
Surgical removal
211
Proper handling of instrumentation is the responsibility of
All of those who handle the item
212
A pick list contains information that
Identifies the supplies and instruments needed for a specific doctor
213
Cellulose materials can not be processed with a hydrogen peroxide sterilizer
True must use bonded plastic specific for oxidation
214
Which would be the best choice for high level disinfection of instruments
Ortho phthalates
215
This organization is responsible for standards relating to flexible endoscopes
Sgna (society of gastroenterology nurses and associates )
216
Which of the following dress code requirements applies to the clean assembly area
Semi restricted
217
Computerized tracking systems are fast but manual tracking are more effective
False
218
Which is not included on a safety data sheet
Required inventory levels
219
Which of the following is not a feature of an instrument tracking system
Product updates and recalls
220
This process helps a person to understand one’s needs
Communication
221
Safety data sheets are provided by
Product manufacturers
222
Sterilizer load records should contain
Items and quantity sterilized
223
The quality method failure mode and effects analysis is a
Quality method to prevent problems before they occur
224
Disadvantage of exchange cart system
Requires duplicate inventory
225
Patient care equipment should be stored in a what condition
Ready to dispense
226
Cleaning brushes
Should have a larger diameter than the lumen, wire bristles and cleaned daily
227
Microbiology is the study of
Life, microorganisms, human immune systems
228
Basics of aseptic technique
Know chain of infection, prevent infection, follow blood borne pathogen standard
229
In order to flash sterilize an item, the manufacturer must state it is safe to do so
True
230
Are laser finished instruments coated with a durable protective finish that can’t be chipped or scratched
No, false.
231
Information regarding a devices compatibility with a certain sterilization process should be obtained from the device manufacturer
True
232
Temperature in sterile storage
64-75
233
The suffix -tome means
Cutting instrument
234
Is it acceptable to transport both clean and soiled items if they are kept on separate shelves
No. False.
235
Soiled instruments and other items are received in the —- area of the cs dept
Decon
236
Which of the following should be used to thoroughly rinse all traces of disinfectant from an endoscopes channels
Treated water
237
When placing instruments that open on an instrument tray
Unlock and open instrument
238
Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as
Critical items
239
Gravity steam sterilizer uses a pump or water injector to remove air from the chamber
False. Uses gravity
240
Failure to receive accreditation from the joint commission can cause loss of Medicaid and Medicare
True
241
Which provides real time tracking methods
Rfid radio frequency identification tags
242
Documentation for immediate use sterilization should include
Patient I’d and reason
243
Supplies like disposable wraps are considered
Consumable
244
Preventative maintenance
Designed to identify potential problems before they occur
245
Detergents should be
Low foaming
246
When cleaning prions, no special cleaning is required. Follow all standard cleaning protocols and manufacturers instructions of use
False. Additional cleaning
247
Oseotome
Used to cut or shave bone
248
Woven fabrics are ideal for ozone sterilization
True
249
Sterile items should be how many inches below sprinkler heads
18
250
When placing instruments in a peel pack, the point must face the plastic side
True
251
When combining loads hard goods should be placed on top to prevent condensate
False. Placed on bottom
252
When cleaning pseudomonas
There are no specific cleaning requirements
253
Before an item can be low temp sterilized it must be
Cleaned
254
Endoscope cameras are sealed instruments so fluid invasion is not a concern
True
255
What class device is a sterile pack
Class II
256
Humidity for assembly area
30/60
257
Tungsten carbide Jaws
Have gold handles
258
Pasteurizers disinfect using
Heated water
259
When loading steam sterilizer, basins should be
Placed on edge
260
which of the following is the agent used for sterilization for antibiotics and heat liable liquid substances in clinical labs?
Filtration
261
which one of the following is used in the manufacturing of bleach?
sodium hypochlorite
262
what is the required temperature range for pasteurization?
62-72 degrees Celsius
263
name some cleaning agents
detergents/degreasers
264
which of the following is not a disinfection method?
ionizing radiation is not a disinfecting method
265
you are cleaning your living room with a vacuum cleaner. Which statement below describes the correct order so that the room becomes clean?
dust and then vacuum
266
how often should the warehouse be disinfected?
annually
267
you are packaging heavy and light instruments in a truck. Which ones should go in first?
the heavy items should be on the bottom while the light items should be on top
268
what is the preferred exchange RATE of air in the prep room?
10%
269
what is the best temp for flowers in the prep room?
33-37 degrees farenheit
270
what is the oldest packaging material in the world?
glass
271
what type of pressure is used to package food and beverages?
high pressure
272
which of the following shows the processes of sterilization?
chemicals, irradiation and heat
273
which of the following options is used to mechanically sterilize medical equipment?
ultrasonic waves
274
microorganisms are destroyed using a steam reaction known as?
first order
275
which of the following processes only shows sterilization methods:
heat, radiation and chemical agents
276
i want to use batch sterilization for medical tools. What is the best temperature?
121 degrees celsius. the high temp has high pressure to kill microorganisms
277
sterilization deactivates different spores of organisms. Which one is referred to as control?
exospores
278
which item of clinical equipment can you use to stop a person's bleeding?
hemostat clamp
279
a patient is brought to a hospital with a high fever. Which tool will you use to measure their temp?
clinical thermometer
280
Which tool is used to test pupil dilation?
penlight
281
which statement describes the minimum required spd sterile storage conditions?
controlled humidity and temperature
282
what is the substance inside the abc extinguisher?
ammonium phosphate
283
in inventory management, where are delivery and requisitions recorded?
Demand
284
which statement best describes the correct order of naming a file for easy accessibility to all parties?
department, date, serial number
285
which of the following documents is not useful to a companies staff?
product how to guides
286
why is it important to evenly distribute instruments in a set?
extra condensation will make the set more difficult to dry
287
which of the following best describes the overall role of the CS/SPD?
to provide dependable service to enhance patient care
288
which of the following regulates environmental disinfectants?
epa
289
medical grade kraft paper can not be used with which of the processes?
low temp gas palsma
290
during cycle counts, items that have a large dollar amount but arenot used frequently are classified as:
class a
291
anatomy is the science that deals with the ____ of body parts
structure
292
which of the following transports molecules within the cell:
cytoplasm
293
which of the following sets would be considered high risk for special prion processing?
craniotomy set
294
which of the following organs produces bile?
liver
295
microorganisms are measured in
microns
296
with respect to rigid sterilization container testing, which term defines the sterilizers ability to sterilize under actual conditions?
maximum load testing
297
what is the ideal human body temp?
98.6
298
which of the following is true of capsules?
it is resistant to heat and chemicals
299
pulmonary capillaries are found in which system?
respiratory
300
a microorganism that is testing and had a hard shell like outer covering is called:
spore
301
spongiform encephalopathy is caused by:
prions
302
nails, tissues, and money are examples of:
fomites
303
cholera is transmitted by
contaminated food and water
304
in the final step of hand washing, the fingers should be rinsed with the fingertips facing :
up
305
water less hand antiseptics contain what percentage of alcohol?
60-95
306
all of the following play a role in how bones support other body systems except:
distribution of hormones
307
osha requires that containers of potentially infectious materials be
leakproof
308
round or spherical bacteria are called:
cocci
309
the removal of contamination from an item to the extent necessary for further processing is called:
cleaning
310
which of the following should be cleaned daily:
floors and work surfaces
311
whcih of the following is a true statement regarding the use of ppe in decon
failure to wear ppe can result in disciplinary action
312
before the medical device is cleaned and processed:
the manufacturers instructions must be obtained
313
which is not a consideration when selecting a detergent?
cost
314
the relative acidity or alkalinity of a solution is referred to as:
pH
315
clostridium botulinum is harbored in the
soil
316
a solution with a pH of 3 is considered:
acidic
317
a solution with a pH of 13 is considered:
alkaline
318
which of the following are major non living reservoirs of infectious diseases?
soil and water
319
alkaline detergents are best for mechanical washers because of
lack of friction in washing
320
which of the following is used to remove severe stains on stainless steel instruments
organic acid detergent
321
one method of preventing biofilm formation on instruments is to:
rinse with distilled water and dry them out
322
an ultrasonic lumen cleaner is used to clean
laparascopic instruments
323
to reduce the potential for instrument corrosion, the multi step process is in a mechanical washer consists of:
alkaline, wash, acid, rinse, regular rinse
