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  • 1. 
    Why is it important to evenly distribute large instuments in a set
    • A. 

      The set is difficult to carry if the wight is unevenly distributed

    • B. 

      It is easier for the end user to sort the instruments

    • C. 

      Extra condensation will make the set more difficult to dry


  • 2. 
    Which of the following best describes the overall role of the SPD
    • A. 

      TO PROVIDE DIRECT PATIENT CARE

    • B. 

      To provide dependable service to enhance patient care

    • C. 

      To provide delivery of supplies


  • 3. 
    Which of the following government agencies regulates environmental disinfectants
    • A. 

      OSHA

    • B. 

      FDA

    • C. 

      EPA

    • D. 

      CDC


  • 4. 
    MEDICAL GRADE kRAFT PAPER CANNOT BE USED WITH WHICH OF THE FOLLOWING STERILIZATION PROCESSES
    • A. 

      Steam

    • B. 

      Ethylene oxide

    • C. 

      Low temprature gas plasma

    • D. 

      Peracetic acid


  • 5. 
    During cycle counts items that have a large dollar value but are not used frequently are classified as
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D


  • 6. 
    Anatomy is the science that deals with the ___ of body parts
    • A. 

      Functions

    • B. 

      Structure

    • C. 

      Physiology


  • 7. 
    Which of the following transports molicules within the cell
    • A. 

      Flagella

    • B. 

      Cilia

    • C. 

      Cytoplasm


  • 8. 
    Which of the following sets are considered high risk for special prion processing
    • A. 

      Open heart set

    • B. 

      Lapartotomy set

    • C. 

      Craniotomy set


  • 9. 
    Which of the following organs produces biles
    • A. 

      Liver

    • B. 

      Gallbladder

    • C. 

      Pancreas


  • 10. 
    Microorganisms are measured in
    • A. 

      Millimeters

    • B. 

      Microns

    • C. 

      Inches


  • 11. 
    With respect to righid sterilization container testing which term defines the sterilizer ability to sterilize under actual use conditions
    • A. 

      Bilogical testing

    • B. 

      Chemical monitoring

    • C. 

      Maximum load testing


  • 12. 
    What is the ideal human body temperature
    • A. 

      96.8F

    • B. 

      97.8F

    • C. 

      99.0F


  • 13. 
    What may be the cause of a blue stain on a scope in ortho phthaldehyde
    • A. 

      Improper cleaning

    • B. 

      Wrong temperature of the soulution

    • C. 

      Inadequate soak time


  • 14. 
    Which of the following is true of a capsule
    • A. 

      It is more difficult to kill than a spore

    • B. 

      It is resistant to heat and chemicals

    • C. 

      It is easily killed by antibiotics


  • 15. 
    Pulmonary capillaries are found in which system
    • A. 

      Circulatory

    • B. 

      Respiratiory

    • C. 

      Nervous


  • 16. 
    Ethics is the practice of
    • A. 

      Dealing with what is bad

    • B. 

      Doing the righ thing

    • C. 

      Discussing patient issues with friends


  • 17. 
    A microorganism that is resting and has a hard shell like outer covering is
    • A. 

      Flagella

    • B. 

      Spore

    • C. 

      Capsule


  • 18. 
    Spongiform encephalopathy is caused by which of the following
    • A. 

      Spores

    • B. 

      Virus

    • C. 

      Prions

    • D. 

      Pyrongens


  • 19. 
    Nails, tissues, and money are examples of
    • A. 

      Formites

    • B. 

      Vehicles

    • C. 

      Flagellae


  • 20. 
    Cholera is transmitted by
    • A. 

      Direct contact

    • B. 

      Contaminated food and water

    • C. 

      Droplet


  • 21. 
    In the final step of handwashing the finger should be rinsed with the fingertips
    • A. 

      Downward

    • B. 

      Up

    • C. 

      Right


  • 22. 
    Waterless hand antiseptics dontain what percentage concentration of alcohol to make them most effective
    • A. 

      25% to 49%

    • B. 

      60% to 95%

    • C. 

      50% to 100%


  • 23. 
    All of the following play a role in how bones support other body system except
    • A. 

      Storage of minerals

    • B. 

      Growth of blood cells

    • C. 

      Distribution of hormones

    • D. 

      Protection of internal organs


  • 24. 
    OSHA requires that containers of potentially infectious materials be
    • A. 

      Leakproof

    • B. 

      Metal

    • C. 

      Glass


  • 25. 
    Round or spherical bacteria are called
    • A. 

      Cocci

    • B. 

      Bacilli

    • C. 

      Flagellae


  • 26. 
    The removal of contamination from an item to the extent necessary for further processing is called
    • A. 

      Sorting

    • B. 

      Sterilizing

    • C. 

      Cleaning

    • D. 

      Disinfection


  • 27. 
    Ventilation in the decontamination area should be
    • A. 

      Positive pressure with 10 air changes per hour

    • B. 

      Negative pressure with 10 air changes per hour

    • C. 

      Negative pressure with 10 air changes per minute


  • 28. 
    Which of the following should be cleaned daily
    • A. 

      Floors and work surfaces

    • B. 

      Walls and vents

    • C. 

      Floor drains


  • 29. 
    Whcih of the following is a true statement regarding the use of PPE in the decontamination area
    • A. 

      Its use is optional

    • B. 

      Failure to wear PPE can result in discilplinary action

    • C. 

      Vinyl gloves are all that is needed for manual cleaning


  • 30. 
    Before a medical device is cleaned and processed
    • A. 

      The manufactures instructions must be obtained

    • B. 

      It must be checked for function

    • C. 

      It must be approved by the electrician


  • 31. 
    The minimum time needed for effective handwashing is
    • A. 

      5 seconds

    • B. 

      10 seconds

    • C. 

      20 seconds


  • 32. 
    Which of the following is not a consideration when selecting a detergent
    • A. 

      Quality of water

    • B. 

      Water temperature

    • C. 

      Cost of detergent


  • 33. 
    The relative acidity of alkalinity of a soulution is referred to as its
    • A. 

      PH

    • B. 

      Fx

    • C. 

      TMJ


  • 34. 
    Clostridium botulinum is harbored in
    • A. 

      Air

    • B. 

      Soil

    • C. 

      Water


  • 35. 
    The solution with a pH of 3 is
    • A. 

      Neutral

    • B. 

      Acidic

    • C. 

      Alkaline


  • 36. 
    A solution with a pH of 7 is
    • A. 

      Concentrated

    • B. 

      Neutral

    • C. 

      Acidic


  • 37. 
    Which of the following are major non living reseroirs of infectious diseases
    • A. 

      Oil and water

    • B. 

      Soil and water

    • C. 

      Gas and oil


  • 38. 
    Alkaline detergents are best for mechanical washers because of
    • A. 

      The high water temperature used

    • B. 

      A lack of friction in washing

    • C. 

      The need to break down protein


  • 39. 
    Which of the following is used to remove severe stains on stainless steel instruments
    • A. 

      Proteolytic enzyme detergent

    • B. 

      Organic acid detergent

    • C. 

      Organic alkaline detergent


  • 40. 
    One method of preventing biofilm formation on instruments is to
    • A. 

      Soak the instruments overning in an enzyme soulution

    • B. 

      Rinse the instruments with distilled water and dry them well

    • C. 

      Use a chlorine based cleaner


  • 41. 
    A sonic irrigator is used to clean
    • A. 

      Hinged instruments

    • B. 

      Lumenend instruments

    • C. 

      Sharp instruments


  • 42. 
    To reduce the potential for instrument corrosion the multi step process in a mechanical washer consists of
    • A. 

      Regular rinse, alkaline wash, acid rinse

    • B. 

      Alkaline wash, acid rinse, regular rinse

    • C. 

      Acid rinse, alkaline wash, regular rinse


  • 43. 
    Opened but unused instrument sets should be
    • A. 

      Re-sterilized

    • B. 

      Completly reprocessed

    • C. 

      Repackaged and re-sterilized


  • 44. 
    If too many micrroorganisms remain on an item after the cleaning process
    • A. 

      Disinfection process may not be effective

    • B. 

      Disinfection process will not vary

    • C. 

      Item will need to be sterilized and recleaned


  • 45. 
    Which of the following are bacteriostatic and used for cleaning inanimate environmental surface and floors
    • A. 

      Quaternary ammonium compounds

    • B. 

      Halogen compounds

    • C. 

      Glutaraldehyde formulations


  • 46. 
    What is the ceiling threshold limit value for glutaraldehyde
    • A. 

      0.02 ppm

    • B. 

      0.05 ppm

    • C. 

      0.5 ppm


  • 47. 
    Which of the following pieces of equipment is used to regulate body temperature
    • A. 

      Continuous passive motion device

    • B. 

      Hypo/hyperthermia machine

    • C. 

      Patient controlled analgesia pimp


  • 48. 
    Which of the following pieces of equipment is used to prevent the formation of blood clots
    • A. 

      Continuous passive motion device

    • B. 

      sequential compression device

    • C. 

      Patient controlled analgesia pimp


  • 49. 
    Which series of stainless steel is used to manufactue osteotomes
    • A. 

      200

    • B. 

      300

    • C. 

      400

    • D. 

      500


  • 50. 
    Instrument should be placed in the lubricant solution and then
    • A. 

      Room air dried

    • B. 

      Wiped off with a dry towel

    • C. 

      Rinsed with treated water


  • 51. 
    Which of the fololowing should be cut with dissecting scissors
    • A. 

      Suture

    • B. 

      Wire

    • C. 

      Tissue

    • D. 

      Dressing


  • 52. 
    What is the purpose of a tungsten carbide insert on a needle holder
    • A. 

      To hold smaller needles

    • B. 

      To allow easier inspection for cleanliness

    • C. 

      To hold the sutere needle better


  • 53. 
    When should laparoscopic instrument be reassembled for sterilization
    • A. 

      Before ultrasonic cleaing

    • B. 

      When recommended by manufacture

    • C. 

      Immediately after ultrasonic cleaning


  • 54. 
    Which of the following types of instrument is used to view internal organs through very small opening
    • A. 

      Endoscopic

    • B. 

      Powered

    • C. 

      Micro

    • D. 

      Self retaining


  • 55. 
    Instruments should never be
    • A. 

      Engraved

    • B. 

      Taped

    • C. 

      Color bonded


  • 56. 
    Which of the following is an example of a flexible endoscope
    • A. 

      Colonoscope

    • B. 

      Arthroscope

    • C. 

      Resectoscope


  • 57. 
    The temperature and humidity in sterile processing area should be checked
    • A. 

      Each shift

    • B. 

      Daily

    • C. 

      Weekly


  • 58. 
    Anyone entering the preparation area must
    • A. 

      Sign in

    • B. 

      Wear proper attire

    • C. 

      Be an employer


  • 59. 
    Where should the chemical indicator be placed when sterilizing two large basins
    • A. 

      In the top basin

    • B. 

      In the top and bottom basins

    • C. 

      In the bottom


  • 60. 
    If a wrapper will be used as a sterile field, how far over the edge of the table must it extend
    • A. 

      2 inch

    • B. 

      4 inch

    • C. 

      6 inch

    • D. 

      8 inch


  • 61. 
    Rigid containers are a medical device and must have a 510k clearance from the
    • A. 

      CDC

    • B. 

      FDA

    • C. 

      JCAHO

    • D. 

      EPA


  • 62. 
    THE three basic shapes of microbes are round, spiral, and
    • A. 

      Straight

    • B. 

      Square

    • C. 

      Rod

    • D. 

      Oval


  • 63. 
    In non table top stean sterilizer steam is generated in
    • A. 

      The sterilizer jacket

    • B. 

      A boiler

    • C. 

      Steam line


  • 64. 
    Autoclave tape is considered which class of indicator
    • A. 

      Class 1

    • B. 

      Class 2

    • C. 

      Class 3


  • 65. 
    Which part of the sterilizer produces heat inside the chamber to prevent condensation from forming on the chamber walls
    • A. 

      The jacket

    • B. 

      The steam gauge

    • C. 

      The door gasket


  • 66. 
    The need for frequent reprocessing can be minimized by
    • A. 

      Proper stock rotation

    • B. 

      Ordering more supplies

    • C. 

      Using plastic bags for dust covers


  • 67. 
    What is the coldest part of the sterilizer
    • A. 

      Drain line

    • B. 

      Back top

    • C. 

      Center


  • 68. 
    Gradual heating of packs occurs during which phase of th esteam sterilization
    • A. 

      Holding

    • B. 

      Exhaust

    • C. 

      Conditioning


  • 69. 
    All of the following appply to eyewash station except
    • A. 

      They must flush one eye at a time

    • B. 

      They must permit hands free operation


  • 70. 
    What is the most important thing to remember when double peel pouching
    • A. 

      The inner package must remain unsealed

    • B. 

      The inner package should be folded to fit inside the outer pouch

    • C. 

      The inner pouch must lay flat inside the outer pouch


  • 71. 
    Which of the following best describes a minimum exposure time, temperature, and pressure for prevacuum steam sterilization of wrapped item
    • A. 

      4 min @ 270 deg F (132 deg C) and 28 -30 pounds square inch

    • B. 

      3 min @ 270 deg F (132 deg C) amd 38-40 pounds square inch


  • 72. 
    What is the first step to take when a instrument needs to be falsh sterilized
    • A. 

      Place the item in a peel pouch and seal

    • B. 

      Clean the instrument according to the manufacturer instruction

    • C. 

      Place a biological indicator in the sterilizer


  • 73. 
    Saturated steam entering the sterilizer should have what percentage of entrained water
    • A. 

      1%

    • B. 

      3%

    • C. 

      5%


  • 74. 
    Faliure to remove all air from a package within the steam sterilizer will result in
    • A. 

      Wet packs

    • B. 

      Poor steam penetration

    • C. 

      Drying out of the packaging material


  • 75. 
    Damage to medical/surgical supplies stored in the receiving area can be avoided by
    • A. 

      Storing supplies no closer than 18 inch from the ceiling

    • B. 

      Avoiding temperature and humidity extremes

    • C. 

      Storing supplies at least 8 inch from the floor


  • 76. 
    The purpose of pre conditioning a steam load is to
    • A. 

      Decrease the exposure time needed

    • B. 

      Increase the entire cycle time

    • C. 

      Reduce the amount of condensate that forms


  • 77. 
    Why must textile packs be place on their sides for sterilization
    • A. 

      To aid the drying process

    • B. 

      To facilitate air removal and steam penetration

    • C. 

      To allow as many packs as possible to fit on the rack

    • D. 

      To better expose the chemical indicator tape


  • 78. 
    The most unique feature of a chemical integrator is tis ability to
    • A. 

      Take the place of a biological indicator

    • B. 

      Perform in parallel to a biological indicator

    • C. 

      Be incubated and read with 3 hours


  • 79. 
    EO kills microorganisms by a process called
    • A. 

      Condensation

    • B. 

      Maturation

    • C. 

      Alkylation


  • 80. 
    The nominal concentration of hydrogen peroxide in a low temperature gas plasma sterilizer is
    • A. 

      30%

    • B. 

      48%

    • C. 

      59%

    • D. 

      75%


  • 81. 
    Condensation on a sterile set can be prevented by
    • A. 

      Cooling the set under air condition vent

    • B. 

      Not placing it on a cool surface

    • C. 

      Storing it on the top shelf

    • D. 

      Storing it against an outside wall


  • 82. 
    In the sterile storage area the ventilation system must be under
    • A. 

      The sprinklers

    • B. 

      Positive pressure

    • C. 

      Negative pressure

    • D. 

      The air conditioner


  • 83. 
    The hourly air exchange rate in the sterile storage area should be at least
    • A. 

      2

    • B. 

      4

    • C. 

      6

    • D. 

      8


  • 84. 
    Which of the following is not a factor affecting the dry time in a steam sterilizer
    • A. 

      Type of packaging

    • B. 

      Selected sterilization time

    • C. 

      Weight of sets

    • D. 

      Configuration of the load


  • 85. 
    Which of the following has no impact on turnover rates
    • A. 

      Number of times the item was purchased

    • B. 

      Number of times the item was requested

    • C. 

      Number of times the item was replaced


  • 86. 
    The cochlea is part of the
    • A. 

      Middle ear

    • B. 

      External ear

    • C. 

      Inner ear


  • 87. 
    SPD should be capable of planning for approximately what percentage of the total needs of a unit
    • A. 

      50%

    • B. 

      75%

    • C. 

      90%

    • D. 

      10%


  • 88. 
    Which of the following must be made available to distribution personnel
    • A. 

      A map of the facility

    • B. 

      Dedicated locker rooms

    • C. 

      Policies and procedures for correct handling of sterile supplies

    • D. 

      Computerized inventory and distribution system


  • 89. 
    Which of the following agencies regulate EO
    • A. 

      OSHA, JCAHO, CDC

    • B. 

      OSHA, CDC, EPA

    • C. 

      OSHA, EPA, FDA

    • D. 

      OSHA, AAMI, CDC


  • 90. 
    ANOTHER name for par level inventory is
    • A. 

      Total exchange cart

    • B. 

      Demand distribution

    • C. 

      Fixed inventory level

    • D. 

      Just in time distribution


  • 91. 
    Which of the following is considered a disadvantage of an exchange cart system
    • A. 

      Inventory is duplicated

    • B. 

      Supplies must be requisitioned

    • C. 

      Patients are charged immediately


  • 92. 
    Which distributin system is designed to  reduce storeroom inventory
    • A. 

      Just in time

    • B. 

      Exchange cart

    • C. 

      Par level stocking


  • 93. 
    A bilogical indicator should contain how many spores
    • A. 

      10 6

    • B. 

      10 4

    • C. 

      10 2


  • 94. 
    The drain line basket in a stem sterilizer should be cleaned
    • A. 

      Weekly

    • B. 

      Daily

    • C. 

      Monthly

    • D. 

      Quarterly


  • 95. 
    Effective sterilization begins with
    • A. 

      Through cleaning

    • B. 

      Early transportation

    • C. 

      Enzymatics


  • 96. 
    What must be done daily before using a peracetic acid sterilzer
    • A. 

      A diagnostic test

    • B. 

      A dynamic air removal test

    • C. 

      A leak test

    • D. 

      A biological test


  • 97. 
    An exhaust hood over the EO sterilizer is an example of a
    • A. 

      Regulated area

    • B. 

      Emission control

    • C. 

      Engineering control


  • 98. 
    What must be done daily before using aperacetic acid sterilizer
    • A. 

      A diagnostic test

    • B. 

      A dynamic air removal test

    • C. 

      A leak test

    • D. 

      A biologial test


  • 99. 
    Which of the following is the correct incubation temp range for biological indicator used in steam sterilization
    • A. 

      55C-60 deg C (131 deg F-140 F)

    • B. 

      60C-84 deg C (140 deg F - 183F)


  • 100. 
    What is largest part of the brain
    • A. 

      Cerebrum

    • B. 

      Cerebellum

    • C. 

      Brain stem

    • D. 

      Spainal cord


  • 101. 
    A chemical indicator responding to two or more critical parameters belongs to which class
    • A. 

      Class 2

    • B. 

      Class 3

    • C. 

      Class 4

    • D. 

      Class 5


  • 102. 
    Which of the following is not an element of a distribution sytem
    • A. 

      Purchasing

    • B. 

      Receiving

    • C. 

      Storage


  • 103. 
    Which area is the first to accept responsibility for all supplies in the facility
    • A. 

      Receiving

    • B. 

      Requisitioning

    • C. 

      Distribution


  • 104. 
    Supplies should never be stored
    • A. 

      On wire carts

    • B. 

      In closed cabinet

    • C. 

      On the floor


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