1. Instruments with lumens should be soaked in a horizontal position:
2. The mechanical process by which an ultrasonic cleaner works is called cavitation:
3. To prevent aerosols, items should be brushed below the surface of the water:
4. Automatic washers clean using a spray-force action called impingement:
5. Instruments received from Surgery and tagged for repair do not need to be cleaned until they come back from repair:
6. Powered surgical instruments should be cleaned using a mechanical cleaning process:
7. There are currently no methods available to verify cleaning process outcomes:
8. Infectious medical waste is regulated by the EPA:
9. Horizontal work surfaces in the decontamination area should be cleaned and disinfected once per day:
10. PPE should be changed immediately if it becomes soaked with blood or other infectious material:
11. What is the preferred pH for detergents used for most cleaning processes?
12. Which of the following is an example of regulated medical waste?
13. Which of the following statements about the use of mechanical washers is NOT true?
14. Water must be degassed each time the ultrasonic cleaner's tank is changed, because:
15. Specialized clothing or equipment worn by an employee for protection against a hazard is called:
16. Written cleaning instructions for surgical instruments should be provided by:
17. Pyrogens:
18. Softened water:
19. The desired solution for cleaning instruments is:
20. These are used to breakdown fatty tissue on instruments:
21. To prevent coagulation of proteins, water temperature should be:
22. Instrument lubrication is performed:
23. Aluminum items should be cleaned:
24. Powered surgical instruments:
25. The use of heat to kill microorganisms, except spores:
26. Detergents used in mechanical cleaners should be:
27. Compounds that contain a positive electrical charge and exhibit germicidal properties:
28. A chemical which kills most pathogenic organisms, but does not kill spores:
29. A solution which inhibits the growth of bacteria. It is usually used topically and only on animate objects:
30. The length of time a disinfectant can be properly stored after which it must be discarded:
31. Compounds that have a negative electrical charge and form a large group of synthetic detergents:
32. The destruction of nearly all pathogenic microorganisms on an inanimate surface:
33. Relating to the destruction of bacteria:
34. The length of time (or number of uses) after which the efficiency of a disinfectant is diminished:
35. A process by which all forms of microbial life are destroyed:
36. The use of heat to kill all microorganisms, except spores, is called:
37. These chemicals are used on animate (living tissue) to slow the growth of microorganisms:
38. Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as:
39. The process by which all forms of microorganisms are completely destroyed is called:
40. Iodophors are a member of this disinfectant family:
41. Phenolics are classified as:
42. Which of the following are classified as high-level disinfectants?
43. Thermal disinfection is accomplished using:
44. How long must alcohol remain in wet contact with an item to achieve a reasonable level of disinfection?
45. Which of the following would be the best choice for high-level disinfection of instruments?
46. Items need to be cleaned before they are sterilized, but they do need to be cleaned before they are disinfected.
47. When liquid chemicals are labeled as both a high-level disinfectant and a sterilant, the time required to achieve sterilization is no longer than the time required to achieve high-level disinfection.
48. Mechanical washers and washer-decontaminators are regulated by the CDC.
49. All liquid disinfectants are capable of sterilization if their exposure time is increased.
50. Log books should be maintained when using Glutaraldehyde and OPA.
51. Microgrind, or Supercut Scissors are usually identified with a black handle.
52. Stainless Steel jaw needleholders last longer than Tungsten Carbide jaw needleholders.
53. The place where the two parts of a ring handled instrument meet and pivot is called the box lock.
54. Instruments are heat treated to give their surface a mirror (shiny) finish.
55. Tissue forceps have teeth.
56. During instrument manufacture, the process of passivation helps build a protective chromium oxide layer on each instrument's surface.
57. The part of a hemostat that locks and holds it in position is called the box lock.
58. Laser-finished instruments are coated with a durable protective finish that cannot be chipped or scratched.
59. When assembling an instrument set, heavier instruments should be placed on top of the lighter ones to hold them in place.
60. After applying instrument identification tape, instruments should be autoclaved to help the tape bond to the instrument.
61. Instrument marking tape should be wrapped approximately BLANK around the instrument.
62. Which of the following is NOT an acceptable form of instrument marking?
63. The purpose of a suction stylet is to:
64. Kerrison Laminectomy Ronguers should be tested using:
65. Scissors with Tungsten Carbide cutting edges are usually identified by:
66. Used to repair and reconstruct teeth and jawbones.
67. Used in ear surgery and for driving very small wires through the bone.
68. Used in open heart surgery.
69. Used to remove cement.
70. Used to harvest skin grafts and reshape skin surfaces.
71. Used to perform specific cutting actions such as reciprocating or oscillating.
72. Allows for visual inspection of the lower part of the large intestine.
73. Allows for visual inspection of the upper digestive tract.
74. Used to visualize the urethra and bladder.
75. Used to visualize the tracheobronchial tree.
76. Used to visualize the entire large intestine.
77. Leak testing should be performed on each flexible endoscope annually.
78. Loaner instruments trays that are received sterile from other facilities do not need to be decontaminated and resterilized before use.
79. Endoscope channels should be cleaned and then left moist for storage.
80. Powered surgical instruments have one of three power sources; electricity, air, or battery.
81. Modern powered surgical instruments are immersible.
82. Laparoscopic instrument insulation failure can cause burns.
83. The purpose of a decontamination battery is to protect PSIs from fluid invasion.
84. Dental Drills are used to remove cement.
85. Automatic endoscope reprocessors are not recommended for flexible endoscopes.
86. The first step to inspect the insulation of a laparoscopic instrument is to:
87. Which of the following steps happens first when processing flexible endoscopes?
88. Which of the following should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope's channels?
89. The purpose of using a decontamination battery or cord when cleaning powered surgical instruments is:
90. Endoscopes are often processed in a mechanical unit called:
91. The endoscope that would be dispensed for a procedure that required visualization of the lower part of the large intestine would be a:
92. Loaner instruments should:
93. Information regarding cleaning processes for endoscopes should be provided by:
94. Which of the following statements about endoscopes is true?
95. Electronic testing of laparoscopic insulation should be done:
96. Loaner instrumentation poses storage and workload challenges.
97. Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope's function.
98. All flexible endoscopes have internal channels.
99. After use, loaner instrumentation must be decontaminated before it is shipped out.
100. The biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning.