Sterlie Processing Quiz Questions

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Sterlie Processing Quiz Questions - Quiz

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Questions and Answers
  • 1. 

    Soiled instruments ans other items are received in the ________________ area of the central service department.

    • A.

      Preparation

    • B.

      Packaging

    • C.

      Decontamination

    • D.

      Sterilization

    Correct Answer
    C. Decontamination
    Explanation
    Soiled instruments and other items are received in the decontamination area of the central service department. This area is responsible for cleaning and removing any contaminants from the instruments and items before they can be further processed or sterilized. Decontamination is a crucial step in ensuring that these items are safe to use and free from any potential pathogens or infectious materials.

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  • 2. 

    _____________ is the first step in the sterilization process.

    • A.

      Receiving

    • B.

      Sorting

    • C.

      Soaking

    • D.

      Cleaning

    Correct Answer
    D. Cleaning
    Explanation
    Cleaning is the first step in the sterilization process because it is important to remove any visible dirt, debris, or organic material from the items being sterilized. This helps to ensure that the sterilization process is effective and that all microorganisms are killed. Cleaning may involve scrubbing, rinsing, or using detergents or disinfectants to remove contaminants. Once the items are cleaned, they can then proceed to the next steps in the sterilization process, such as disinfection or autoclaving.

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  • 3. 

    Central Service Teachnicians must wear special attire referred to as ____________ to minimize their exposure to bloodborne pathogens and other contaminants.

    • A.

      OSHA

    • B.

      Scrubs

    • C.

      PEE

    • D.

      PPE

    Correct Answer
    D. PPE
    Explanation
    Central Service Technicians must wear special attire referred to as PPE (Personal Protective Equipment) to minimize their exposure to bloodborne pathogens and other contaminants. PPE includes items such as gloves, masks, gowns, and goggles that create a barrier between the technician and potentially harmful substances. Wearing PPE is essential in maintaining a safe and hygienic environment while handling medical equipment and supplies.

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  • 4. 

    Insturment set and other required instrumentation needs for all surgical procedures for an entre day are usually pulled (collected):

    • A.

      Two days before they will be used

    • B.

      The day or evening before they will be used

    • C.

      The morning of the planned surgery

    • D.

      Early morning(for morning procedures) and early day for (afternoon procedures) on the day for the surgery

    Correct Answer
    B. The day or evening before they will be used
    Explanation
    The correct answer is "the day or evening before they will be used." This means that the instrument set and other required instrumentation for surgical procedures are usually collected the day or evening before they will be used. This allows for adequate preparation and ensures that all necessary instruments are available for the surgery. Collecting them two days before or on the morning of the surgery may not allow enough time for proper organization and preparation. Collecting them early in the morning or early in the day on the day of the surgery may also be too late, as it may not leave enough time to address any issues or make any necessary adjustments. Therefore, the day or evening before is the most appropriate time to pull the instruments.

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  • 5. 

    What type of air pressure is required for decontamination areas?

    • A.

      Neutral

    • B.

      Negative

    • C.

      Forced air

    • D.

      Positive

    Correct Answer
    B. Negative
    Explanation
    Negative air pressure is required for decontamination areas to prevent the spread of contaminants. This means that the pressure inside the decontamination area is lower than the pressure outside, causing air to flow into the area rather than outwards. This helps to ensure that any airborne contaminants are contained within the decontamination area and do not escape into the surrounding environment.

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  • 6. 

    The use of analytical skill to solve problems and make decisions is a copmonent of which of the following knowledge and skills dimensions?

    • A.

      Empolyability skills

    • B.

      Communication abilities

    • C.

      Safety practices

    • D.

      Faciliy system reponsibilities

    Correct Answer
    A. Empolyability skills
    Explanation
    The use of analytical skills to solve problems and make decisions is a component of employability skills. Employability skills refer to a set of skills and qualities that make an individual more likely to gain employment and be successful in their chosen career. Analytical skills are highly valued by employers as they demonstrate the ability to think critically, analyze information, and make informed decisions. These skills are essential in various professional settings and contribute to an individual's overall employability.

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  • 7. 

    Nosocomial infections are:

    • A.

      Most lilely to occur during international travel

    • B.

      Those which occur in the course of being treated in a hospital

    • C.

      Those without known cures

    • D.

      Caused by durg resistant organisms

    Correct Answer
    B. Those which occur in the course of being treated in a hospital
    Explanation
    Nosocomial infections are infections that occur during the process of receiving medical treatment in a hospital. These infections are specifically acquired within the healthcare setting and are not present or incubating at the time of admission. They can be caused by various factors such as bacteria, viruses, fungi, or other pathogens. Nosocomial infections are a significant concern in healthcare settings as they can lead to prolonged hospital stays, increased healthcare costs, and even mortality. Implementing proper infection control measures is crucial in preventing the spread of nosocomial infections.

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  • 8. 

    The human resources tool that identifies major tasks performed by persons in specific position is called a:

    • A.

      Job duty list

    • B.

      Job specification

    • C.

      Task summary review

    Correct Answer
    B. Job specification
    Explanation
    A job specification is a human resources tool that identifies the major tasks performed by individuals in a specific position. It outlines the qualifications, skills, and experience required for the job, as well as the responsibilities and duties involved. This document helps in recruitment, selection, and evaluation processes by providing a clear understanding of the job requirements and expectations. It serves as a guide for both employers and employees in ensuring that the right person is hired for the job and that they are aware of their roles and responsibilities.

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  • 9. 

    The term "hemi" is a

    • A.

      Prefix

    • B.

      Root

    • C.

      Suffix

    • D.

      Noun

    Correct Answer
    A. Prefix
    Explanation
    The term "hemi" is considered a prefix because it is added to the beginning of a word to modify its meaning. In this case, "hemi" is commonly used to indicate half or partial, such as in words like "hemisphere" (half of a sphere) or "hemiplegia" (paralysis affecting one side of the body). Prefixes are used to change the meaning of a word and are typically added before the root of the word.

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  • 10. 

    The term "excise" means

    • A.

      To repair

    • B.

      To open

    • C.

      To cut open

    • D.

      Examine

    Correct Answer
    C. To cut open
    Explanation
    The term "excise" refers to the act of cutting open or removing a part of something, especially in a surgical or medical context. This can involve removing a tumor, an organ, or a diseased tissue. Therefore, the correct answer is "to cut open."

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  • 11. 

    Which of the following means "beside or near"

    • A.

      Para

    • B.

      Peri

    • C.

      Parta

    • D.

      Pana

    Correct Answer
    A. Para
    Explanation
    The word "para" means "beside or near" in this context.

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  • 12. 

    Whick of the following surgical abbreviations might be used relating to a fractured bone?

    • A.

      CABG

    • B.

      BSO

    • C.

      ORIF

    • D.

      TAH

    Correct Answer
    C. ORIF
    Explanation
    ORIF stands for Open Reduction Internal Fixation, which is a surgical procedure used to treat a fractured bone. It involves making an incision to access the fractured bone, reducing the fracture by realigning the bone fragments, and then fixing them in place using internal fixation devices such as screws, plates, or rods. This abbreviation is commonly used in medical contexts to refer to this specific surgical technique.

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  • 13. 

    THE TERM "INTERCOSTO" MEANS

    • A.

      Within the colon

    • B.

      Between the toes

    • C.

      Within the bladder

    • D.

      Beteen the ribs

    Correct Answer
    D. Beteen the ribs
    Explanation
    The term "intercosto" refers to the area or space between the ribs. It is derived from the Latin words "inter" meaning between and "costa" meaning rib. This term is commonly used in medical anatomy to describe the anatomical structures, nerves, blood vessels, and muscles that are located between the ribs.

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  • 14. 

    The last word element in a medical term is the

    • A.

      Prefix

    • B.

      Suffix

    • C.

      Root

    • D.

      Analog

    Correct Answer
    B. Suffix
    Explanation
    In medical terminology, the last word element is typically the suffix. A suffix is a word part that is attached to the end of a root word to modify its meaning. It can indicate a condition, procedure, or disease, among other things. By understanding the suffix of a medical term, healthcare professionals can gain insights into the specific meaning or context of the term. Therefore, it is important to identify the suffix when analyzing medical terms.

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  • 15. 

    These muscles control involuntary movements like, breathing,digestion, etc.

    • A.

      Smooth muscle

    • B.

      Cardiac muscle

    • C.

      Skeletal muscle

    • D.

      Fascia muscle

    Correct Answer
    A. Smooth muscle
    Explanation
    Smooth muscles are responsible for controlling involuntary movements in the body, such as breathing and digestion. Unlike skeletal muscles, which are under conscious control, smooth muscles work automatically and are found in the walls of organs, blood vessels, and other internal structures. Cardiac muscles, on the other hand, specifically control the contraction and relaxation of the heart. Fascia muscles are not a recognized type of muscle, so the correct answer is smooth muscle.

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  • 16. 

    Rod-shaped bacteria are classified as

    • A.

      Coccus

    • B.

      Bacillus

    • C.

      Anhydrous

    • D.

      Anerobic

    Correct Answer
    B. Bacillus
    Explanation
    Rod-shaped bacteria are classified as bacillus because bacillus refers to bacteria that have a cylindrical or rod-like shape. This classification is based on the morphology or physical appearance of the bacteria. Bacillus bacteria are typically elongated and can be found singly or in chains. They are different from coccus bacteria, which are spherical in shape. Anhydrous and anaerobic are not relevant classifications for bacteria morphology.

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  • 17. 

    Round-shaped bacteria are classified as

    • A.

      Coccus

    • B.

      Bacillus

    • C.

      Anhydrous

    • D.

      Anerobic

    Correct Answer
    A. Coccus
    Explanation
    Round-shaped bacteria are classified as cocci. This term is derived from the Greek word "kokkos," meaning berry or seed, which accurately describes the shape of these bacteria. Cocci bacteria can occur in various arrangements, such as single cells, pairs (diplococci), chains (streptococci), or clusters (staphylococci). This classification is important in microbiology as it helps to identify and differentiate different types of bacteria based on their morphology.

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  • 18. 

    Creates and enforces law relating to cleaner water, air and land.

    • A.

      APIC

    • B.

      EPA

    • C.

      DOT

    • D.

      FPA

    Correct Answer
    B. EPA
    Explanation
    The correct answer is EPA. EPA stands for the Environmental Protection Agency, which is an agency of the United States federal government. It is responsible for creating and enforcing laws and regulations that aim to protect the environment, including cleaner water, air, and land. The EPA plays a crucial role in monitoring and reducing pollution, promoting sustainable practices, and ensuring the health and safety of the environment and the public.

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  • 19. 

    A voluntary international organization dedicated to the prevention and control of infections and related outcomes.

    • A.

      CDC

    • B.

      AAMI

    • C.

      APIC

    • D.

      AORN

    Correct Answer
    C. APIC
    Explanation
    APIC stands for the Association for Professionals in Infection Control and Epidemiology. It is a voluntary international organization that is dedicated to the prevention and control of infections and related outcomes. APIC provides education, resources, and support to healthcare professionals in order to promote best practices in infection prevention and control. This organization plays a crucial role in improving patient safety and reducing the spread of infections in healthcare settings.

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  • 20. 

    Chemical indicators are FDA _______ devices

    • A.

      Class 1

    • B.

      Class 2

    • C.

      Class 3

    • D.

      Not regulated by FDA

    Correct Answer
    B. Class 2
    Explanation
    Chemical indicators are classified as Class 2 devices by the FDA. This means that they are considered to have a moderate risk to the patient or user. Class 2 devices require special controls to ensure their safety and effectiveness. They may also need to go through a premarket notification process known as 510(k) clearance, where the FDA evaluates the device's safety and performance before it can be marketed. This classification indicates that chemical indicators are regulated by the FDA to ensure their proper use and functionality.

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  • 21. 

    Inanimte objects that can transmit bacteria are called

    • A.

      Transmission devices

    • B.

      Fomites

    • C.

      Carriers

    • D.

      Framiseals

    Correct Answer
    B. Fomites
    Explanation
    Fomites are inanimate objects that can transmit bacteria. These objects can become contaminated with bacteria and serve as a reservoir for the pathogens. When people come into contact with fomites, they can unknowingly pick up the bacteria and become infected. Examples of fomites include doorknobs, countertops, and clothing. By understanding the role of fomites in bacterial transmission, proper hygiene practices can be implemented to prevent the spread of infections.

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  • 22. 

     which of the following is a system used to treat the final rinse water used for cleaning?

    • A.

      Water conductivity

    • B.

      Sanitization

    • C.

      Deionization

    • D.

      Sterilization

    Correct Answer
    C. Deionization
    Explanation
    Deionization is a system used to treat the final rinse water used for cleaning. It involves removing ions from the water through a process called ion exchange, where the water passes through a resin bed that attracts and removes the ions. This process helps to remove impurities and minerals from the water, resulting in purified water that is suitable for final rinsing in cleaning processes.

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  • 23. 

    Host susceptiblity is affected by

    • A.

      Age, disease, nutritional status, aerobic organisms

    • B.

      Age, disease, nutritional status, anaerobic organisms

    • C.

      Age, disease, nutritional status, trauma

    • D.

      Age, disease, nutritional status, gender

    Correct Answer
    C. Age, disease, nutritional status, trauma
    Explanation
    The host susceptibility is affected by various factors including age, disease, nutritional status, and trauma. Age plays a significant role as both the very young and the elderly are generally more susceptible to infections. Disease weakens the immune system, making the host more vulnerable to infections. Nutritional status also affects susceptibility as malnutrition can impair the immune response. Trauma, such as injuries or surgeries, can lower the body's defenses and increase the risk of infection.

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  • 24. 

    Microorganisms reproduce by a process called

    • A.

      Repopulation

    • B.

      Binary fission

    • C.

      Replication

    • D.

      Bilateral reproduction

    Correct Answer
    B. Binary fission
    Explanation
    Microorganisms reproduce by a process called binary fission. This is a form of asexual reproduction where a single organism divides into two identical daughter cells. During binary fission, the genetic material of the organism is replicated and then divided equally between the two daughter cells. This process allows microorganisms to rapidly increase their population size and colonize new environments. Repopulation, replication, and bilateral reproduction are not accurate terms for the process of microorganism reproduction.

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  • 25. 

    What is the preferred PH for detergents used for most cleaning processes?

    • A.

      Low PH

    • B.

      Hight PH

    • C.

      Neutral pH

    • D.

      It depends on the water temperature and exposure time

    Correct Answer
    C. Neutral pH
    Explanation
    The preferred pH for detergents used for most cleaning processes is neutral pH. This is because a neutral pH is neither too acidic nor too alkaline, making it safe and effective for cleaning various surfaces and materials. Detergents with a neutral pH can effectively remove dirt, grease, and stains without causing damage or leaving residue behind. Additionally, a neutral pH ensures that the detergent is gentle on the skin and does not cause irritation or allergic reactions.

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  • 26. 

    Pyrogen

    • A.

      Are fever-producing substances

    • B.

      Are microoganisms that have survived steriliztion

    • C.

      Cause CJD

    • D.

      Are soil particles

    Correct Answer
    A. Are fever-producing substances
    Explanation
    Pyrogens are substances that can cause fever in the body. They can be either endogenous, produced by the body itself during an immune response, or exogenous, introduced from external sources such as bacteria or viruses. Pyrogens stimulate the release of certain chemicals in the body, which in turn raise the body temperature, leading to fever. This physiological response is a defense mechanism aimed at fighting off infections or other harmful agents. Therefore, the correct answer is that pyrogens are fever-producing substances.

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  • 27. 

    The use of heat to kill all microorganisms, except spores,  is called

    • A.

      Sterilization

    • B.

      Thermal disinfection

    • C.

      Hight-level

    • D.

      Mechanical disinfection

    Correct Answer
    B. Thermal disinfection
    Explanation
    Thermal disinfection refers to the use of heat to eliminate all microorganisms, except spores. This process involves subjecting the objects or surfaces to high temperatures for a specific period of time, which effectively kills the majority of bacteria, viruses, and fungi. However, it may not be able to eliminate spores, which are highly resistant to heat. This method is commonly used in healthcare settings to ensure the cleanliness and safety of medical equipment and supplies.

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  • 28. 

    These chemicals are used on animate (living tissuse) to show the growth of microorganismas

    • A.

      Glutaraldehydes

    • B.

      Disinfectants

    • C.

      Halogens

    • D.

      Antiseptics

    Correct Answer
    D. Antiseptics
    Explanation
    Antiseptics are used on living tissues to prevent the growth of microorganisms. They are different from disinfectants, which are used on inanimate objects. Glutaraldehydes and halogens can also be used as disinfectants, but the question specifically mentions the use on animate tissues, which suggests the correct answer is antiseptics.

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  • 29. 

    Items that are introduced directly into bloodstream or other normally sterile areas of the body are classified as :

    • A.

      Critial items

    • B.

      Semi-critial items

    • C.

      Non-critial items

    • D.

      Equipment

    Correct Answer
    A. Critial items
    Explanation
    Critical items are classified as items that are introduced directly into the bloodstream or other normally sterile areas of the body. These items must be sterile and free from any microorganisms to prevent infection or other complications. Examples of critical items include surgical instruments, catheters, and needles. These items require strict sterilization procedures and must be handled with care to ensure patient safety.

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  • 30. 

    The process by which all forms of microorganisms are completely destroyed is called

    • A.

      High-level disinfection

    • B.

      Thermal disinfection

    • C.

      Sterilization

    • D.

      Chemical disinfection

    Correct Answer
    C. Sterilization
    Explanation
    Sterilization is the correct answer because it refers to the complete destruction or elimination of all forms of microorganisms, including bacteria, viruses, fungi, and spores. This process ensures the highest level of cleanliness and is commonly used in medical and laboratory settings where absolute microbial control is required. High-level disinfection refers to the elimination of most microorganisms but not necessarily all, while thermal disinfection and chemical disinfection are less effective in completely destroying all forms of microorganisms.

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  • 31. 

    Iodophors are a member of this disinfectant family

    • A.

      Halogens

    • B.

      Quaternary ammonium compounds

    • C.

      Alcohol

    • D.

      Phenolics

    Correct Answer
    A. Halogens
    Explanation
    Iodophors are a member of the disinfectant family known as halogens. Halogens are a group of chemical elements that include chlorine, bromine, iodine, and fluorine. Iodophors, as the name suggests, contain iodine as the active ingredient and are commonly used as disinfectants in various settings, including healthcare facilities. They are effective against a wide range of microorganisms and have a broad spectrum of antimicrobial activity.

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  • 32. 

    Phenolics are classified as

    • A.

      Intermediate to low-level disinfectant

    • B.

      Intermediate to high-level disinfectant

    • C.

      High-level disinfectant

    • D.

      Sterilants

    Correct Answer
    A. Intermediate to low-level disinfectant
    Explanation
    Phenolics are classified as intermediate to low-level disinfectants because they have a broad spectrum of antimicrobial activity and can effectively kill a wide range of microorganisms, including bacteria, viruses, and fungi. However, they are not as potent as high-level disinfectants or sterilants, which can completely eliminate all forms of microbial life. Therefore, phenolics are considered suitable for disinfecting surfaces and medical equipment that do not come into direct contact with sterile tissues or bodily fluids.

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  • 33. 

    Which of the following are classified  as high-level disinfectants

    • A.

      Glutaraldehyde and OPA

    • B.

      Glutaraldehyde and phenolics

    • C.

      Halogens and OPA

    • D.

      Quateray ammonium compounds and phenolics

    Correct Answer
    A. Glutaraldehyde and OPA
    Explanation
    High-level disinfectants are capable of killing all microorganisms, including bacterial spores. Glutaraldehyde and OPA are examples of high-level disinfectants commonly used in healthcare settings for sterilization of medical equipment and instruments.

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  • 34. 

    Thermal disinfectant is accomolished using

    • A.

      Heated chemicals

    • B.

      Heated glurataldehyde

    • C.

      Prolonged high pressure steam

    • D.

      Heated water

    Correct Answer
    D. Heated water
    Explanation
    Thermal disinfection refers to the process of using heat to kill or inactivate microorganisms. Among the options provided, heated water is the most commonly used method for thermal disinfection. By heating the water to a specific temperature, usually above 70 degrees Celsius, it effectively eliminates harmful bacteria and other pathogens. This method is widely used in various settings, including hospitals, laboratories, and food processing industries, as it is a simple and cost-effective way to ensure cleanliness and safety.

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  • 35. 

    How long must alcohol remain in wet contact with an  item to achieve a reasonable level of disinection

    • A.

      3 min

    • B.

      5 min

    • C.

      10 min

    • D.

      20 min

    Correct Answer
    B. 5 min
    Explanation
    Alcohol needs to remain in wet contact with an item for at least 5 minutes to achieve a reasonable level of disinfection. This duration allows enough time for the alcohol to effectively kill the majority of microorganisms present on the surface.

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  • 36. 

    Which of the folloing would be the best choice for high level disinfection of instruments

    • A.

      Phenolics

    • B.

      Chlorine

    • C.

      Iodophors

    • D.

      OPA

    Correct Answer
    D. OPA
    Explanation
    OPA (ortho-phthalaldehyde) would be the best choice for high-level disinfection of instruments. OPA is a powerful disinfectant that is effective against a wide range of microorganisms, including bacteria, viruses, fungi, and mycobacteria. It has a fast-acting and broad-spectrum antimicrobial activity, making it suitable for high-level disinfection. OPA is also non-corrosive to instruments, has a low odor, and does not require activation or mixing. Therefore, OPA is a preferred choice for disinfecting instruments in healthcare settings.

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  • 37. 

    Instrument marking tape should be wraped approximately around the instrument

    • A.

      1 to 1 1/2

    • B.

      1 1/2 to 2

    • C.

      2 to 2 1/2

    • D.

      2 1/2 to 3

    Correct Answer
    A. 1 to 1 1/2
    Explanation
    The correct answer is 1 to 1 1/2 because wrapping the instrument marking tape around the instrument within this range ensures that it is securely fastened and easily visible. Wrapping the tape too tightly or loosely may cause it to come off or become difficult to see, respectively. Therefore, wrapping the tape within the range of 1 to 1 1/2 is the most appropriate option.

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  • 38. 

    Which of the following is NOT an acceptable form of insturument making

    • A.

      Laser-etching

    • B.

      Acid-base etching

    • C.

      Elctric etching (engraving)

    • D.

      Heat-fused nylon

    Correct Answer
    C. Elctric etching (engraving)
    Explanation
    Electric etching (engraving) is not an acceptable form of instrument making because it does not involve the use of etching or carving techniques. Electric etching (engraving) typically uses a high-powered electric tool to engrave or etch designs onto various materials. In contrast, laser-etching, acid-base etching, and heat-fused nylon all involve specific methods of creating instruments through etching or fusion processes.

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  • 39. 

    The  purpose of  a suction stylet is to

    • A.

      Unclog the suction during surgery

    • B.

      Clean the suction in the decontamination area

    • C.

      Faciliate the sterilation process

    • D.

      Provide a measuring guide for the surgeon

    Correct Answer
    A. Unclog the suction during surgery
    Explanation
    A suction stylet is a medical instrument used to unclog the suction during surgery. During surgical procedures, it is common for fluids and debris to accumulate in the suction system, which can obstruct its function. The suction stylet is designed to effectively remove these blockages and ensure that the suction system remains clear and functional throughout the surgery. This helps maintain a clear surgical field and allows the surgeon to perform the procedure without any interruptions or complications caused by a clogged suction system.

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  • 40. 

    Kerrison laminectomy rongeurs should be teated using

    • A.

      Tissue paper

    • B.

      A plastic dowel rod

    • C.

      Rubber testing material

    • D.

      An index card

    Correct Answer
    D. An index card
    Explanation
    An index card should be used to treat Kerrison laminectomy rongeurs. This is because Kerrison laminectomy rongeurs are delicate surgical instruments used to remove bone during spinal surgery. Using tissue paper, a plastic dowel rod, or rubber testing material could potentially damage or scratch the rongeurs, compromising their effectiveness and potentially causing harm to the patient. An index card, on the other hand, provides a smooth and firm surface for cleaning and maintaining the rongeurs without causing any damage.

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  • 41. 

    Scissors with tungsten carbide cutting edges are  usually identified by

    • A.

      Black handles

    • B.

      Silver handles

    • C.

      Gold handles

    • D.

      The letters "TC"

    Correct Answer
    C. Gold handles
    Explanation
    Scissors with tungsten carbide cutting edges are usually identified by gold handles. This is because tungsten carbide is a very hard and durable material, and gold is often used to represent luxury and high quality. Therefore, using gold handles for scissors with tungsten carbide cutting edges helps to indicate that they are of superior quality and can withstand heavy use.

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  • 42. 

    The frist step to inspect the insulation of a laparoscopic intstument is to

    • A.

      Check the collar at the distal tip

    • B.

      Try to slide the insulation back

    • C.

      Check the handle for chipping or cracking

    • D.

      Visually check the instument's shaft

    Correct Answer
    A. Check the collar at the distal tip
    Explanation
    The correct answer is to check the collar at the distal tip. This is because the collar is the part of the instrument that is closest to the area being treated, and any damage or wear to the insulation can potentially cause harm to the patient. By inspecting the collar, one can ensure that the insulation is intact and there are no signs of damage or wear that could compromise the safety of the procedure.

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  • 43. 

    Which of the following  steps happens first when processing flexible endoscopes

    • A.

      High-level disinfecting/sterillzing

    • B.

      Leak-testing

    • C.

      Manual cleaning

    • D.

      Drying

    Correct Answer
    B. Leak-testing
    Explanation
    Leak testing is the first step when processing flexible endoscopes. This is done to ensure that there are no leaks or damages in the endoscope that could compromise its functionality or cause contamination. By conducting leak testing first, any issues can be identified and addressed before proceeding with the rest of the processing steps, such as high-level disinfecting/sterilizing, manual cleaning, and drying. This helps to maintain the safety and effectiveness of the endoscope during its use.

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  • 44. 

    Which of the following should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope's channels

    • A.

      Forced air

    • B.

      Water containing approved sterilant

    • C.

      A heated glutaraldehyde

    • D.

      Filered water

    Correct Answer
    D. Filered water
    Explanation
    Filtered water should be used to thoroughly rinse all traces of disinfectant from an endoscope's channels. This is because filtered water is free from impurities and contaminants, ensuring a clean and thorough rinse. Using forced air may not effectively remove all traces of disinfectant, while water containing approved sterilant and heated glutaraldehyde are disinfectants themselves and should not be used for rinsing.

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  • 45. 

    The purpose of using a decontamination battery or cord when cleaning powered surgical instruments is

    • A.

      To keep fluid from entering the unit

    • B.

      To keep functioning batteries and cords clean

    • C.

      To prevent electrical shock

    • D.

      An automatic endoscope reprocessor

    Correct Answer
    A. To keep fluid from entering the unit
    Explanation
    The purpose of using a decontamination battery or cord when cleaning powered surgical instruments is to keep fluid from entering the unit. This is important because fluid can cause damage to the internal components of the instrument and potentially compromise its functionality. By using a decontamination battery or cord, which is designed to prevent fluid from entering the unit, the instrument can be safely cleaned without the risk of damage.

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  • 46. 

    Endoscoped are often processed  in a mechanical unit called

    • A.

      An ultrasonic cleaner

    • B.

      A washer-decontaminator

    • C.

      A flush-pulse endoscope reprocessor

    • D.

      An automatic endoscopes reprocessor

    Correct Answer
    D. An automatic endoscopes reprocessor
    Explanation
    An automatic endoscopes reprocessor is a mechanical unit used for processing endoscopes. It is designed to clean, disinfect, and dry the endoscopes using automated processes. This unit ensures that the endoscopes are thoroughly cleaned and free from any contaminants before they are used again. It is an essential tool in maintaining the hygiene and safety standards in endoscopy procedures.

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  • 47. 

    The endoscopes that would be dispensed  for a procedure that required visualiztion of the lower part of the larger intestine would be

    • A.

      Colonoscope

    • B.

      Sigmoidoscope

    • C.

      Gastroscopes

    • D.

      Ureteroscope

    Correct Answer
    B. Sigmoidoscope
    Explanation
    The correct answer is sigmoidoscope. A sigmoidoscope is a type of endoscope that is specifically designed for visualizing the lower part of the larger intestine, known as the sigmoid colon. It is a flexible tube with a light and a camera at the end, allowing doctors to examine the sigmoid colon for any abnormalities or diseases. This procedure is commonly used for diagnosing conditions such as colorectal cancer, polyps, and inflammatory bowel disease.

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  • 48. 

    Loaner instruments should

    • A.

      Be decontaminated if they apper soiled upon arrival

    • B.

      Be sterillized useing a low temperature process

    • C.

      Be decontaminated before use

    • D.

      Not be used

    Correct Answer
    C. Be decontaminated before use
    Explanation
    Loaner instruments should be decontaminated before use to ensure that they are free from any potential contamination or pathogens. This is important for the safety and well-being of patients and healthcare professionals. Decontamination helps to prevent the spread of infections and maintain a clean and sterile environment. By decontaminating loaner instruments before use, any potential risks can be minimized, ensuring the highest standards of hygiene and safety in healthcare settings.

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  • 49. 

    Which of the following statements about endoscopes is ture 

    • A.

      Not all endoscopes can be processed in an AER

    • B.

      Ultasonic cleaning is the process of choice for endoscopes

    • C.

      Flexible endoscopes are not easily damaged

    • D.

      All endoscopes should be steam sterilized

    Correct Answer
    A. Not all endoscopes can be processed in an AER
    Explanation
    The statement "not all endoscopes can be processed in an AER" is true because not all endoscopes are compatible with Automated Endoscope Reprocessors (AERs). AERs are machines used for cleaning and disinfecting endoscopes, but some endoscopes may have delicate components or materials that are not suitable for AER processing. Therefore, manual cleaning or alternative reprocessing methods may be required for certain types of endoscopes.

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  • 50. 

    Electronic teating of laparoscopic insulation should be done

    • A.

      In the decontamintion ares prior to cleaning

    • B.

      In the clean assembly area prior to set assembly

    • C.

      At the factory or onsite repair unit

    • D.

      In the operating room at the end of the proceure

    Correct Answer
    B. In the clean assembly area prior to set assembly
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