Quiz 3

151. Central Service Technicians must be able to adapt to change:

A. True
B. False

152. Soiled instruments and other items are received in the blank area of the Central Service Department:

A. Preparation
B. Packaging
C. Decontamination
D. Sterilization

153. The term, "CR", relates to a surgical procedure for:

A. Treating a fractured bone without a surgical incision
B. Creating a new blood supply to an area of the heart
C. Surgical removal of the uterus
D. Surgical removal of part of the prostate gland

154. Surgical instruments should be inspected:

A. Before they are cleaned
B. After they are cleaned
C. After they are sterilized
D. During storage

155. All microorganisms are harmful to humans:

A. True
B. False

156. A somewhat flexible muscular tube that helps move food into the stomach:

A. Alimentary Canal
B. Ureters
C. Esophagus
D. Mouth

157. This procedure is the removal of the gall bladder:

A. Cholecystectomy
B. Colectomy
C. Parotidectomy
D. Gastrectomy

158. The largest part of the brain, it controls mental activities and movement:

A. Cerebrum
B. Cell
C. Cerebellum
D. Brain Stem

159. The use of analytical skills to solve problems and make decisions is a component of which of the following knowledge and skills dimensions?

A. Communication abilities
B. Facility system responsibilities
C. Employability skills
D. Safety practices

160. This gland stimulates body growth:

A. Adrenal Gland
B. Thyroid Gland
C. Pancreas
D. Pituitary Gland

161. All bacteria require the same conditions to live and grow:

A. True
B. False

162. The "throat":

A. Esophagus
B. Larynx
C. Trachea
D. Pharnyx

163. Thread-like "tails" that help bacteria move through liquids are called:

A. Nucleus
B. Causative agent
C. Flagella
D. Spores

164. Career growth and progression is virtually non-existent for Central Service Technicians:

A. True
B. False

165. What type of air pressure is required for decontamination areas?

A. Negative
B. Neutral
C. Forced air
D. Positive

166. Central Service Technicians must be able to identify approximately 100 surgical instruments in order to be proficient in their job:

A. True
B. False

167. Bacteria that require free oxygen to grow are called BLANK bacteria.

A. Anaerobic
B. Aerobic
C. Viral
D. Vegetative

168. In Central Service, the concept of "one-way flow of materials" refers to the movement of products:

A. From Central Service to surgical areas
B. From surgical areas to Central Service
C. From soiled areas to clean processing areas within Central Service
D. From clean processing areas to soiled areas in the Central Service

169. Which of the following tells a primary meaning of a word?

A. Prefix word element
B. Root word element
C. Suffix word element
D. Combining vowel

170. The majority of medical terms are of either BLANK or BLANK origin.

A. Greek or French
B. Greek or Latin
C. Latin or French
D. Latin or English

171. The largest customer of Central Service is:

A. The Emergency Department
B. Labor and Delivery
C. Material Management
D. The Operating Room

172. BLANK are often pathogenic to humans because they grow best at body temperatures.

A. Gram-Stain
B. Spores
C. Bacillus
D. Mesophiles

173. The term, "BKA", refers to a surgical procedure involving:

A. Treatment of a fractured bone without a surgical incision
B. Surgical removal of both the fallopian tubes and ovaries
C. Surgical removal of the leg below the knee
D. A type of hip joint reconstruction

174. Healthy people do not harbor or transmit bacteria.

A. True
B. False

175. Since modern Central Service Departments are virtually risk-free, Central Service Technicians need not to be concerned with safety.

A. True
B. False

176. The term "rhinoplasty," refers to:

A. Surgery of a muscle wound
B. Surgical repair of the nose
C. Removal of cyst
D. Incision of the stomach

177. In the future, which of the following will more frequently become a requirement for working in a Central Service department?

A. On-the-job training
B. Experience
C. Formal education
D. Reference from facility administrator

178. Produces a fluid element in semen that stimulates the motility of sperm.

A. Ovaries
B. Prostate Gland
C. Ureters
D. Chromosomes

179. Spores help some microorganisms survive in adverse conditions.

A. True
B. False

180. This tissue connects one bone to another.

A. Tendon
B. Muscle
C. Cartilage
D. Ligament

181. Blank is the first step in the sterilization process.

A. Receiving
B. Sorting
C. Soaking
D. Cleaning

182. The term "hypo" means

A. Quickly
B. Above
C. Below
D. Measured

183. The brain center of a cell.

A. Cell Membranes
B. Cytoplasm
C. Nucleus
D. DNA

184. Central Service Technicians practice resource management when they control costs and reduce waste.

A. True
B. False

185. Using Gram-Stain classifications, Staphylococcus, Enterococcus, and Streptococcus are examples of Gram-BLANK bacteria.

A. Negative
B. Positive

186. Tetanus and botulism do not require free oxygen to grow, so they are classified as BLANK bacteria

A. Aerobic
B. Vegetative
C. Anaerobic
D. Cytoplasm

187. Which of the following surgical abbreviations might be used relating to a fractured bone?

A. CABG
B. BSO
C. ORIF
D. TAH

188. This system gives the body shape and support.

A. Muscular System
B. Nervous System
C. Skeletal System
D. Circulatory System

189. Which of the following is not a growing trend in Central Service?

A. Decentralization of Central Service responsibilities
B. The use of more reusable and more complex devices
C. Satellite-processing units with centralized management
D. Consolidation into entire integrated delivery networks

190. This surgical procedure removes tissue or displaced bone from the wrist area to release pressure on the median nerve.

A. Carpal Tunnel Repair
B. Ulner Nerve Transposition
C. Arthrotomy
D. Fasciotomy

191. This tissue covers the body's external surface.

A. Epithelial Tissue
B. Connective Tissue
C. Muscular Tissue
D. Nervous Tissue

192. This organ pumps blood throughout the body

A. Ovaries
B. Liver
C. Heart
D. Calcification

193. Because all Central Services Departments have the same structure, healthcare facilities use one standardized job description for all Central Service Technicians.

A. True
B. False

194. These carry blood away from the heart.

A. Arteries
B. Veins
C. Alimentary Canal
D. Liver

195. The use of positive and negative air pressure in the Central Service Department is designed to take the place of heating and air conditioning.

A. True
B. False

196. This surgical procedure consists of removing an ear bone that has thickened and no longer transmits sound waves and replacing it with an artificial implant to improve hearing.

A. Tympanoplasty
B. Stapedectomy
C. Auditory Implantation
D. Myringotomy

197. Which of the following means "beside or near"?

A. Para
B. Peri
C. Parta
D. Pana

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

A. Smooth Muscle
B. Cardiac Muscle
C. Skeletal Muscle
D. Fascia Muscle

199. The pathway that food takes through the digestive system.

A. Alimentary Canal
B. Esophagus
C. Stomach
D. Veins

200. Central Service Technicians can protect patients by breaking the chain of infection.

A. True
B. False

201. The term "intercosto" means

A. Within the colon
B. Between the toes
C. Within the bladder
D. Between the ribs

202. This is where the digestive process begins.

A. Esophagus
B. Mouth
C. Stomach
D. Colon

203. The term "hemi" is a

A. Prefix
B. Root
C. Suffix
D. Noun

204. The purpose of a combining vowel is to:

A. Tell the primary meaning of a word
B. Suggest the meaning of the root word element
C. Ease pronunciation
D. Ease spelling

205. The sterile storage area in a Central Service department should be restricted to:

A. Central Service managers and supervisors
B. Operating Room personnel
C. Central Service employees only
D. Properly attired personnel meeting facility requirements

206. "subcutaneous" refers to:

A. Low sugar content in the blood
B. Displacement of the pelvic joint
C. Beneath the skin
D. Without infection; sterile

207. The functional center of a cell that governs activity and heredity is called the:

A. Flagella
B. Nucleus
C. Cocci
D. Port of exit

208. The white portion of the eye is called the:

A. Retina
B. Iris
C. Pupil
D. Sclera

209. Central Service Technicians must wear special attire referred to as blank to minimize their exposure to bloodborne pathogens and other contaminants.

A. PPE
B. OSHA
C. Scrubs
D. CDC

210. Staphylococcus is classified as a gram-positive bacteria.

A. True
B. False

211. Considered the master gland because it helps control the activities of all other endocrine glands.

A. Prostate Gland
B. Pituitary Gland
C. Kidney
D. Brain Stem

212. Which of the following is the most popular title for the Central Service department head?

A. Coordinator
B. Director
C. Manager
D. Supervisor

213. BLANK is defined as the state of being soiled or infected by contact with infectious organisms or other material.

A. Decontaminate
B. Viral
C. Contamination
D. Airborne

214. "Lithotripsy" refers to:

A. Aspiration of fatty tissue
B. Surgical removal of the ovary
C. Crushing of a stone
D. Visual examination of a joint

215. Department that perform central service functions may go by other names at different facilities. For example, Sterile Processing and Distribution, Surgical Supply, etc.

A. True
B. False

216. The spore is the functional center of a cell.

A. True
B. False

217. Psychrophiles grow best at warm temperatures.

A. True
B. False

218. These cell components are comprised of DNA and pass on traits of parent cells to new cells.

A. Chromosomes
B. Cell
C. Genetics
D. Sperm

219. Central Service workflow can be divided into the handling of 3 categories of items: soiled items, clean items and sterile items.

A. True
B. False

220. Female reproductive organs.

A. Uterus
B. Ovaries
C. Prostate Gland
D. Fallopian Tubes

221. The root element, "gastro," refers to the:

A. Colon
B. Heart
C. Muscles
D. Stomach

222. The lining of the uterus.

A. Vagina
B. Endometrium
C. Fimbriae
D. Skin

223. The bacterial reproductive process that takes place when a mother cell divides into two daughter cells is called:

A. Reproduction
B. Binary Fission
C. Binary Fusion
D. Division

224. Any place where two bones meet.

A. Skin
B. Tendon
C. Metacarpals
D. Joint

225. The basic unit of life.

A. Brain
B. Chromosomes
C. Cell
D. Heart

226. The term, "periosteal elevator," refers to

A. Surgical removal of tissue near the thyroid
B. Surgical removal of one-half of the stomach
C. An instrument for cutting skin
D. An instrument used to remove tissue around the bone

227. The main control unit of the central nervous system.

A. Brain
B. Cerebellum
C. Pituitary Gland
D. Cell

228. Herpes Simplex is a BLANK disease.

A. Ziehl-Nielson Stain
B. Viral
C. Fungus
D. Susceptible host

229. Sunlight is lethal to the BLANK stage of pathogens.

A. Growth
B. Viral
C. Reproduction
D. Vegetative

230. Microorganisms that are capable of forming a thick wall around themselves to survive in adverse conditions are called:

A. Spores
B. Flagella
C. Bacillus
D. Airborne

231. This organ filters blood to remove amino acids and neutralize some harmful toxins.

A. Liver
B. Kidney
C. Arteries
D. Heart

232. "Hyperglycemia" refers to:

A. A malignant tumor
B. Tissue death of an artery
C. High blood sugar
D. Enlargement of the heart

233. Nosocomial infections are:

A. Most likely to occur during international travel
B. Caused by drug resistant organisms
C. Those without known cures
D. Those which occur in the course of being treated in a hospital

234. The last word element in a medical term is the:

A. Prefix
B. Suffix
C. Root
D. Analog

235. More than 55% of blood is made up of this yellowish liquid.

A. Platelets
B. Red Blood Cells
C. White Blood Cells
D. Plasma

236. The "voice box".

A. Pharynx
B. Larynx
C. Mouth
D. Trachea

237. For safety purposes, Central Service Technicians should consider all microorganisms in the decontamination area:

A. Gram-Positive
B. Gram-Negative
C. Manageable
D. Potentially Infectious

238. This surgical procedure is the removal of a testicle.

A. Transurethral Resection
B. Prostatectomy
C. Orchiopexy
D. Orchiectomy

239. This part of the nervous system controls many automatic body functions like the heartbeat and breathing.

A. Cerebellum
B. Brain
C. Nerves
D. Brain Stem

240. Since Central Service Technicians do not handle money, ethics considerations do not apply to them.

A. True
B. False

241. Viruses are larger than bacteria.

A. True
B. False

242. "Dermopathy" is a(an):

A. Skin disease
B. Inflammation of the liver
C. Fluid-filled sack
D. Inflammation of a joint

243. The hip joint is an example of a:

A. Gliding joint
B. Ball and socket joint
C. Pivot joint
D. Hinge joint

244. The circulatory system.

A. Blood
B. Veins
C. Arteries
D. Heart

245. This surgical procedure removes the uterus.

A. Hysteroscopy
B. Hysterectomy
C. Dilatation and Curettage
D. Bilateral-Salpingoophorectomy

246. Most bacteria are approximately BLANK microns in size.

A. 1 to 2
B. 2 to 3
C. 1 to 3
D. 1

247. Anaerobic bacteria require free oxygen to live.

A. True
B. False

248. The largest organ of the body.

A. Heart
B. Liver
C. Brain
D. Skin

249. Tube-like structures that connect the kidneys to the urinary bladder.

A. Ureters
B. Fallopian Tubes
C. Esophagus
D. Intestines

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

A. Job duty list
B. Job specification
C. Task summary review
D. Job description

251. Microorganisms reproduce by a process called:

A. Repopulation
B. Binary Fission
C. Replication
D. Bilateral Reproduction

252. 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

253. Bluish or rainbow-type stains are caused by _________ in water.

A. Chlorides and solids
B. Iron and silicates
C. Calcium
D. Fluoride

254. The ideal level of silicates in water used for cleaning is _______ ppm or less.

A. 200
B. 150
C. 100
D. 50

255. Purified water should have a pH of ______.

A. 4.5 - 5.5
B. 5.5 - 6.5
C. 6.5 - 7.5
D. 7.5 - 8.5

256. Tap water should ideally have a concentration of ______ ppm or less.

A. 200
B. 150
C. 100
D. 50

257. Water purification usually involves the use of a:

A. Pre-filter
B. Post-filter
C. Pre-filter and post-filter

258. The term "hemi" is a:

A. Prefix
B. Root
C. Suffix
D. Noun

259. The term "excise" means:

A. To repair
B. To open
C. To cut out
D. Examine

260. The majority of medical terms are either _______ or _______ origin.

A. Greek or French
B. Greek or Latin
C. Latin or French
D. Latin and English

261. Which of the following tells a primary meaning of the word?

A. Prefix word element
B. Root word element
C. Suffix word element
D. Combining vowel

262. "hyperglicemya" refers to?

A. Malignant tumor
B. Tissue death of an artery
C. High blood sugar
D. Enlargement of the heart

263. "Dermopathy" is a(n):

A. Skin disease
B. Inflammation of the liver
C. Fluid-filled sack
D. Inflammation of a joint

264. The term "BKA" refers to a surgical procedure involving:

A. Treatment of a fractured bone without an incision
B. Surgical removal of both the fallopian tubes and ovaries
C. Surgical removal of the leg below the knee
D. A type of hip joint reconstruction

265. __________ is an example of a fungus.

A. Pneumonia
B. Tuberculosis
C. Athlete's foot
D. Herpes simplex type 2

266. Instrument marking tape should be wrapped approximately _______ around the instrument.

A. 1 to 1 1/2
B. 1 1/2 to 2
C. 2 to 2/5
D. 2/5 to 3

267. The purpose of a suction stylet is to:

A. Unclog the suction during surgery
B. Clean the suction in the decontamination area
C. Facilitate the sterilization process
D. Provide a measuring guide for the surgeon

268. Scissors with tungsten carbide cutting edges are usually identified by:

A. Black handles
B. Silver handles
C. Gold handles
D. The letters "TC"

269. The first step to inspect the insulation of a laparoscopic instrument 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 instrument shaft

270. The endoscope that would be dispensed for a procedure that required the visualization of the lower part of the large intestine would be a:

A. Colonoscope
B. Sigmoidoscope
C. Gastroscope
D. Ureteroscope

271. Loaner instruments should:

A. Be decontaminated if they appear soiled upon arrival
B. Be sterilized using a low sterilization process
C. Be decontaminated before use
D. Not be used

272. Information regarding cleaning processes for endoscopes should be provided by:

A. The SGNA
B. APIC
C. The instrument manufacturer
D. The OR staff

273. Which of the following statements about flexible endoscopes is true?

A. Not all endoscopes can be processed in an AER
B. Ultrasonic cleaning is the process of choice for endoscopes
C. Flexible endoscopes are not easily damaged
D. All endoscopes should be steam sterilized

274. The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises is called:

A. Emergency sterilization
B. Flash sterilization
C. Core sterilization
D. Rapid reprocessing

275. Endotracheal tubes and anesthesia breathing circuits are examples of:

A. Critical devices
B. Semi-critical devices
C. Non-critical devices
D. Surgical instruments

276. Which of the following statements about flash sterilization is true?

A. It’s the method of choice for metal instruments
B. It is recommended to be used as a primary sterilization process by AAMI and AORN
C. It reduces turnaround time because cleaning is not required
D. It should be used only in emergencies

277. This system gives the body shape and support.

A. Muscular system
B. Nervous system
C. Circulatory system
D. Skeletal system

278. The surgical procedure that consists of removing an ear bone that has thickened and no longer transmits sound waves and replacing it with an artificial implant to improve hearing is:

A. Tympanoplasty
B. Myringoplasty
C. Stapedectomy
D. Auditory implantation

279. An organ that filters blood to remove amino acids and neutralize some harmful toxins is the:

A. Kidney
B. Pancreas
C. Liver
D. Gallbladder

280. This surgical procedure removes the uterus:

A. Hysteroscopy
B. Hysterectomy
C. Dilation and curettage
D. Bilateral salpingo-oophorectomy

281. This gland stimulates body growth.

A. Adrenal gland
B. Thyroid gland
C. Pancreas
D. Pituitary gland

282. This surgical procedure removes tissue or displaced bone from the wrist area to release pressure on the median nerve.

A. Carpal tunnel repair
B. Ulner nerve transposition
C. Arthrotomy
D. Fasciotomy

283. The largest part of the human brain is the:

A. Brain stem
B. Cerebellum
C. Cerebrum
D. Spinal cord

284. This surgical procedure is the removal of the gall bladder.

A. Cholecystectomy
B. Colectomy
C. Parotidectomy
D. Gastrectomy

285. The hip joint is an example of a:

A. Gliding joint
B. Ball and socket joint
C. Pivot joint
D. Hinge joint

286. The "voice box" is the:

A. Pharynx
B. Larynx
C. Mouth
D. Trachea

287. Microorganisms reproduce by a process called:

A. Repopulation
B. Binary fission
C. Replication
D. Bilateral reproduction

288. For safety purposes, central service technicians should consider all microorganisms in the decontamination area:

A. Gram-positive
B. Gram-negative
C. Manageable
D. Potentially infectious

289. The part of a cell that controls cell function is the:

A. Cytoplasm
B. Nucleus
C. Cell membrane
D. Capsule

290. A mode of bacterial transmission that would take place when an infectious agent was transmitted through an item such as food or water is called:

A. Contact
B. Common vehicle
C. Airborne
D. Vector-borne

291. Some plastics including formulations of spun-bonded polyolefin are intended for use solely in these sterilization processes:

A. High temperature
B. Low temperature
C. Liquid
D. Flash

292. When placing ring-handled instruments in an instrument tray, you should:

A. Lock the handles to prevent damage during sterilization
B. Arrange the instruments in alphabetical order
C. Arrange the instruments in the order of their use
D. Unlock the handles and open the instruments

293. In the event of a load recall, information about specific load contents can be obtained from:

A. The central service supervisor
B. The procedure manual
C. The sterilization log
D. The hospital safety director

294. If a sterilizer has successfully killed all bacterial spores in a biological test:

A. It is called a positive test
B. It is called a negative test
C. It is taken out of service until it's repaired
D. An alarm will sound at the completion of the cycle

295. What would be the recommended exposure time for a dry heat sterilization load that was run at an exposure temperature of 320 degrees Fahrenheit (160 degrees Celsius)?

A. 1 hour
B. 1.5 hours
C. 2 hours
D. 2.5 hours

296. Which of the following sterilization quality assurance measurements is designed to provide a written record of sterilizer cycle activity?

A. Biological tests
B. Bowie dick tests
C. Mechanical recording charts/printouts
D. Chemical integrators

297. The spore used in the testing of steam sterilization is:

A. Bacillus atrophaeus
B. Geobacillus stearothermophilus
C. Bacillus subtilis
D. Pseudomonas aeruginosa

298. The term "superheated steam" means:

A. The type of steam necessary for high temperature sterilization
B. Steam that had chemicals added to it to increase its temperature
C. Dry steam
D. Moist steam at sea level

299. Impregnated gauze strips may be sterilized using:

A. Ethylene oxide sterilization
B. Hydrogen peroxide sterilization
C. Dry heat sterilization
D. Steam sterilization

300. How frequently should a sterilizer's strainer be removed and cleaned?

A. Daily
B. After each use
C. Once weekly
D. Only when the machine's operating control gauge indicates cleaning is necessary