Final Exam

Question 1

After sterile scrub surgeons are considered_

Answer 1

Surgically Clean

Question 2

When all bacteria and spores are killed

Answer 2

Sterile

Question 3

Scopes in mouths are _

Answer 3

Semi critical

Question 4

Scopes where incision is made are _

Answer 4

Critical

Question 5

How long for glutaraldehyde to disinfect vs sterlize

Answer 5

20 min disinfect 10 hours sterilize

Question 6

When is terminal clean preformed

Answer 6

At the end of the day or after dirty case

Question 7

Why do we not use saline when disinfecting

Answer 7

It is corrosive

Question 8

What do we use to break down bioburden

Answer 8

enzymatic solution

Question 9

Hot water can _ bioburden

Answer 9

Flashbake

Question 10

Ultrasonic uses what to clean

Answer 10

Cavitation- small bubbles

Question 11

What step is after ultrasonic cleaner

Answer 11

Lubrication (milking)

Question 12

What do we do to clean suction tubes

Answer 12

Brushes and syringes of distilled water

Question 13

What disease is related to spores

Answer 13

CJD

Question 14

Polymethyl methacrylate is a gas used to sterilize heat-sensitive surgical instruments, but must be aerated from items before use on the patient.

Answer 14

False

Question 15

Locker rooms, administrative offices, and the departmental main desk are examples of semirestricted areas in the OR suite.

Answer 15

True

Question 16

What is the recommended weight of an instrument set according to AAMI Guidelines?

Answer 16

25 lbs

Question 17

Which of the following is NOT part of a three-prong plug?

Answer 17

bipolar wire/prongs

Question 18

Which of the following is the acronym used to remember the steps to take in the event of a surgical fire?

Answer 18

RACE

Question 19

The part of the complete ESU circuit that delivers alternating current back from exposed tissue to the ESU generator is the

Answer 19

patient return electrode (grounding pad)

Question 20

What distance from the impact site of a bovie on tissue should the smoke evacuator be positioned to capture 98% of the plume?

Answer 20

2 cm

Question 21

Which of the following is the large piece of OR furniture onto which most sterile supplies are opened and organized for use during a case?

Answer 21

Back table

Question 22

What are the Centers for Disease Control and Prevention (CDC) guidelines for OR air exchanges per hour?

Answer 22

20-25 , 20% fresh air

Question 23

Which of the following national agencies is an arm of the CDC and functions under the U.S. Department of Health and Human Services to research and establish permissible exposure limits for chemical vapors and gases?

Answer 23

NIOSH

Question 24

Which of the following organizations sets standards for sterilization, and use of medical devices?

Answer 24

AAMI

Question 25

What is Ethylene Oxide used for in the healthcare field?

Answer 25

Sterilizing agent

Question 26

What is the abbreviation for the sets of references that provide information about all potentially hazardous chemicals used in the perioperative setting and must be accessible to health care workers?

Answer 26

MSDS (medical saftey data sheet)

Question 27

What regulatory agency defined standard precautions in 1996?

Answer 27

CDC

Question 28

Which governmental agency mandates regulation on noise levels and laser safety standards?

Answer 28

OSHA

Question 29

Another name for glutereldyhyde

Answer 29

Cidex

Question 30

BI for low temp sterilization

Answer 30

Bacillus atrophaeus

Question 31

BI for steam sterilization

Answer 31

Geobacillus stearothermophilis

Question 32

Packaging should include

Answer 32

Product name, initials, Julien date, department, load cycle

Question 33

Example of event related sterility

Answer 33

Dropping something in the OR

Question 34

Packaged items that fall on the ground are sterile

Answer 34

False

Question 35

Bowie Dick test

Answer 35

preformed before airvac test

Question 36

Levels of cleaning

Answer 36

Cleaning - removes gross debris (bioburden) low level disinfectent - kills most bacteria high level disinfectant- kills all microorganisms except spores and prions Sterilization- kills all microorganisms

Question 37

IUSS

Answer 37

Immediate use steam sterilization

Question 38

#1 reason for SSI

Answer 38

Staphylococcus aureus

Question 39

Nosocomial infection

Answer 39

Acquired within the facility

Question 40

Times for steam sterilization instrument wrapped

Answer 40

gravity - 30 mins displacement- 4 minutes

Question 41

time for steam sterilization unwrapped

Answer 41

gravity - 3 mins displacement- 3 mins

Question 42

Time for steam sterilization with Lumens

Answer 42

gravity - 10 mins displacement- 4 mins

Question 43

Bowie Dick test

Answer 43

used everyday to test prevac sterilizer cycle (air removal)

Question 44

Chemical indicatiors

Answer 44

Change colors to verify sterilization

Question 45

EtO

Answer 45

Ethylene oxide- for materials that cannot handle high temp steam (rubber), most popular chemical agent

Question 46

High level disinfectant compounds

Answer 46

Glutaraldehyde, sodium hypochlorite (bleach),

Question 47

Intermediate level disinfectant compounds

Answer 47

Phenol (carbolic acid), quats, alcohol,

Question 48

What to do with used CJD instruments

Answer 48

Destruct

Question 49

What should never be used in IUSS

Answer 49

implants

Question 50

What is used to describe wrappers that do not let water through

Answer 50

impervious