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Chapter 7
| Question | Answer |
|---|---|
| Which term means the number of microbes or amount of organic debris on an object at any given time? | Bioburden |
| Which of the following chemicals is a high level disinfectant when items are emerged for 20-30 minutes and a sterilants if it remains emerged for 10 hours? | Glutaraldehyde |
| Which part of the instrument reprocessing cycle is performed intraoperatively? | Wiping with sterile water |
| Which type of packaging system has filters and removable locking devices? | Rigid containers |
| What is the weight that AAMI has recommended instrument sets not to exceed? | 25 pounds |
| Which of the following is a type of dating system that denotes the number of calendar days 1-365 or 366? | Julian date |
| Which sterilization method is most commonly used, safest, least expensive, and appropriate for majority of surgical instruments? | Saturated steam |
| The biological indicator for steam sterilization method is what? | Geobacillius |
| Contamination used by passage of microorganisms through a sterile package by the way of moisture leaking is termed as? | Strike through |
| Which sterilization method presents the greatest exposure risks to CSPD personnel is very expensive and requires the longest total cycle time | Ethylene oxide |
| Cidex is the trade name for which of the following methods of sterilization? | Glutaraldehyde |
| When opening a wrapped item such as a gown or a mayo stand the content and wrapper are considered sterile up until what distance from the edge of the wrapper? | 1 inch from the edge |
| Which term refers to a various such as a plastic back table covering that does not allow for the passage liquid through it is called what? | Impervious |
| Which type of wrap or peel pack material is compatible with the hydrogen peroxide gas plasma sterilization method? | Tyvak |
| How should air hoses of powered instruments or life cords be placed in a rigid container tray for sterilization? | Cooled loosely in perforated is mesh basket |
| What is the relationship of steam pressure to temperature in a steam sterilizer? | Increased pressure increases temperature |
| The physical or chemical process by which all living microorganisms including spores are killed is what? | Sterilization |
| When nested basins sets are being sterilized how should it be placed on the steam sterilizer? | Fold side down and separate with a towel |
| Why are large steam sterilizers loaded with space between wrapped items or trays? | It allows adequate circulation and penetration of steam to all surfaces |
| What is the term for an inanimate object that harbors microorganisms that contributes to environmental contamination? | Fomites |
| Which of the following is not a classification of patient care items? | Hypercritical |
| Which of the following would be appropriate for use on animate surfaces? | Aseptic |
| Which of the following patient care items would be classified as noncritical? | Post oximeters |
| What is the term for the condition of a surgical technologists skin after performing the surgical scrub? | Surgically clean |
| Which type of chemical solution is made of catalyst that aids in breaking down debris such as blood and fat? | Enzymatic |
| What is the common name of the high level disinfectant sodium chlorite? | Bleach |
| What is another name for the intermediate level disinfectant compound phenol? | Carbolic acid |
| Which of the following would be appropriate for soaking instruments covered with bioburden during a surgical procedure? | Sterile water |
| What is the term used to describe the process of all spiked linen, waste, and instruments from the room and cleaning the furniture, floors, and other contaminated surfaces and preparation for opening the supplies for a case? | Turnover |
| All of the following are environmental specifications for the decontamination room in CSPD except what? | Positive air pressure maintained |
| During manual cleaning of surgical instruments what type of solution should you use? | Lukewarm water with a detergent enzymatic water of neutral pH |
| Which types of instruments must be cleaned with a bristle brush, on wires pipe cleaners or hand held pressure guns? | Suction tip lumens |
| What is the potential risk for placing surgical instruments of the similar metal type together in a washer sterilizing cycle? | Electrolytic conduction reaction |
| What is the term for the process of lubricating stiffened stainless steel surgical instruments by emersion? | Milking |
| Which of the following cleaning methods for surgical instruments relies on bubbles creating a vacuum that dislodges minute particles in crevices of instruments? | Ultrasonic cleaner |
| Which type of surgical instrument must never be emerged in any type of mechanical decontaminating equipment? | Powered |
| Why are items disinfected or sterilized in active glutaraldehyde dried prior to submission? | Moisture will eventually dilute the concentration to ineffective levels |
| Before opening any sterilly packaged items what is most important to verify about the package? | Integrity of package |
| Which of the following is an acceptable position for placement of a scrub, gown, and gloves surgical technologists hands? | Grasped together in front of you at waist level |
| Sterilly attires Surgical team members should pass one another in any of the following way except? | Front to back |
| A nonsterile person should approach the sterile area face forward while maintaining the distance of? | 1 foot or 12 inches |
| When a sterilly attired Surgical technologist drapes an unsterile table he or she opens the drapes how? | Toward you then away from you |
| Which of the following is the most important factor in a surgical technologists role in prevent surgical site infections? | Strict surgical conscience |
| Which of the following concepts has replaced the previous system of assessing storage condition and package integrity based on the designation? | Event-related |
| Which method of sterilization uses gamma rays or beta particles and is chiefly used by large manufacturing companies? | Ionizing radiation |
| Which of the following statement regarding peracidic acid sterilization items is correct? | Cassettes are not sealed due to liquid emersion |
| The recommended biological indicator for hydrogen peroxide gas plasma is? | Bacillus |
| The Bowie-Dick test is performed for which sterilization method? | Pre-vacuum air removal steam |
| Which of the following should never be processed by immediate use which is the flash sterilization method? | Implantable devices |
| What is the name of the outside area of a autoclave where steam is created before injection into the interior compartment? | Jacket |
| Which kind of quality control device consists of a paper that has been impregnated with a dye that changes color in the presence of specific temperatures and sterilants? | Chemical indicator |
| Where should the biological test pack be placed on the steam sterilizer cart for this first run of the day? | Bottom rack, front of the sterilizer, over the drain |
| How long should the steam biological indicator be incubated before the leading is recorded? | 24 hours |
| Personnel in the CSPD who must move instruments from the ethylene oxide sterilizer to the aeration room should do which of the following with the cart to reduce their exposure to any gases? | Pull it |
| What is the advantage of using ethylene oxide gas sterilization? | Safe for heat and moisture sensitive items |
| Which method of chemical sterilization has limitations based on the challenge of the fusion into narrow lumens? | Hydrogen peroxide gas plasma |
| Why are instruments placed in perforated or mesh bottom trays for sterilization? | Penetration of sterilant |
| What would the exposure phase time for an unwrapped instrument set with some lumens and a pre-vacuum dynamic air removal steam autoclave? | 4 minutes |
| The type of organism whose organelles are not membrane bound divide by binary fission includes bacteria is? | Prokaryote |
| Nonliving intracellular parasites contain either DNA or RNA but not both is? | Virus |
| Long thin structures attached to the outside of a cell which helps with motility achieved by a whipping motion is? | Flagella |
| Organisms most commonly associated with surgical site infections is? | Staph aureus |
| A nonliving infection particle contains no DNA or RMA but is responsible for transmissible spongy form allelopathy is? | Prions |
| Classification of parasites such as the port tape worm that can create lesions in the brain in soft tissue which requires surgical removal is? | Helminths |
| Fungal infection caused by bread or mold sometimes seen in the immune suppressant organ transplant patient is? | Zygomycosis |
| Anaerobic, gram positive bacteria responsible for gas, gangrene, cellulitis, is? | Clostridium perfringens |
| Aerobic, gram negative vicilli responsible for many gastric ulcers is? | H. Pylori |
| Bacteria species that can survive in environmental extremes and whose genetic material is been closed in a capsule until conditions are favorable is? | Spores |
| In steam sterilization thermal deconstruction of microbes is a result of the dematuration of protein in the cells. True or false? | True |
| Gravity displacement steam sterilizer cycles are much shorter than pre-vacuum cycles. True or false? | False |
| Sterilization process includes mechanical, chemical, biological methods to ensure all perameters were met. True or false? | True |
| Internal chemical indicators should be placed in the center or the most challenging portion of the tray for the sterilant to reach. True or false? | True |
| Which of the following disease is not a form of transmissible spongiform? | Toxic shock |
| What type of process does ultrasonic cleaner use to dislodge particles of soil and organic debris? | Cavitation |
Created by:
kshirah7637