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- 1.
- 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.
- 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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