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192 Cards in this Set
- Front
- Back
Soiled instruments and other items are received in the _____ area of the Central Service Dept. A. preparation B. packaging C. decontamination D. sterilization |
Decontamination |
|
_____is the first step in the sterilization process. a. receiving b. sorting c. soaking d. cleaning |
|
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a. ppe b. osha c. scrubs d. cdc |
PPE |
|
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 afternoon (for afternoon procedures) on the day of surgery |
the day or evening before they will be used |
|
a. negative b. neutral c. forced air d. positive |
negative |
|
a. communication abilities b. facility system responsibilities c. employability skills d. safety practices |
employability skills |
|
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 |
those which occur in the course of being treated in a hospital |
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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 |
job description |
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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 |
formal education |
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a. coordinator b. director c. manager d. supervisor |
director |
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a. the emergency department b. labor and delivery c. material management d. the operating room |
the operating room |
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a. decentralization of central service responsibilities b. the use of more reusable and more comlex devices c. satellite-processing units with centralized management d. consolidation into entire integrated delivery networks |
decentralization of central service responsibilities |
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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 central service |
from soiled areas to clean processing areas within central service |
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Surgical instruments should be inspected: a. before they are cleaned b. after they are cleaned c. after they are sterilized d. during storage |
after they are cleaned |
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a. central service managers and supervisors b. operating room personnel c. central service employees only d. properly attired personnel meeting facility requirements |
properly attired personnel meeting facility requirements |
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cardio |
heart |
|
chole |
bile |
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cranio |
skull |
|
cysto |
bladder |
|
derma |
skin |
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gastro |
stomach |
|
gyne |
uterus/womb |
|
hepat |
liver |
|
herni |
rupture |
|
hyster |
uterus/womb |
|
lipo |
fat |
|
litho |
stone
|
|
rhino
|
nose |
|
arthro |
joint |
|
endo |
within |
|
hemi |
half |
|
para |
near, beside |
|
peri |
around, about |
|
post |
after |
|
supra |
above |
|
ectomy |
surgical removal |
|
ostomy |
surgical creation of a new opening |
|
otomy |
incision into an organ |
|
plasty |
surgical restoration or repair |
|
rrhaphy |
to suture |
|
oscopy |
visual exam |
|
cise |
to cut
|
|
excision of the colon |
colectomy |
|
forming an opening into the colon |
colostomy |
|
instrument to cut skin |
dermatome |
|
excision of hemorrhoids |
hemorrhoidectomy |
|
crushing of a stone |
lithotripsy |
|
surgical repair of the nose |
rhinoplasty |
|
surgical repair of the tympanic membrane |
tympanoplasty |
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a. prefix b. root c. suffic d. noun |
prefix |
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a. to repair b. to open c. to cut out d. examine |
to cut out
|
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a. para b. peri c. parta d. pana |
para |
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a. CABG b. BSO c. ORIF d. TAH |
ORIF |
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a. within the colon b. between the toes c. within the bladder d. between the ribs |
between the ribs |
|
a. quickly b. above c. below d. measured |
below |
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a. greek or French b. greek or latin c. latin or French d. latin and english |
Greek or Latin |
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a. prefix word element b. root word element c. suffix word element d. combining vowel |
root word element
|
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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 |
ease pronunciation |
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a. prefix b. suffix c. root d. analog |
suffix |
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a. colon b. heart c. muscles d. stomach |
stomach |
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a. surgical removal b. inflammation c. surgical revision d. visual examination of organs |
surgical removal |
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a. a malignant tumor b. tissue death of an artery c. high blood sugar d. enlargement of the heart |
high blood sugar |
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a. surgery of a muscle wound b. surgical repair of the nose c. removal of a cyst d. incision of the stomach |
surgical repair of the nose |
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a. skin disease b. inflammation of the liver c. fluid-filled sack d. inflammation of a joint |
skin disease |
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a. aspiration of fatty tissue b. surgical removal of the ovary c. crushing of a stone d. visual examination of a joint |
crushing of a stone |
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a. low sugar content in the blood b. displacement of the pelvic joint c. beneath the skin d. without infection: sterile |
beneath the skin |
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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 |
an instrument used to remove tissue around the bone |
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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 |
surgical removal of the leg below the knee |
|
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 |
treating a fractured bone without a surgical incision |
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a. muscular b. nervous c. skeletal d. circulatory |
skeletal |
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This tissue connects one bone to another. a. tendon b. muscle c. cartilage d. ligament |
ligament |
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a. smooth b. cardiac c. skeletal d. fascia |
smooth muscle |
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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 |
stapedectomy |
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More than 55% of blood is made up of this yellowish liquid a. platelets b. red blood cells c. white blood cells d. plasma |
plasma |
|
a. kidney b. pancreas c. liver d. gall bladder |
|
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a. hysteroscopy b. hysterectomy c. dilatation and curettage d. bilateral-salpingoophorectomy |
hysterectomy |
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a. adrenal b. thyroid c. pancreas d. pituitary |
pituitary gland |
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a. vagina b. endometrium c. fimbriae d. skin |
endometrium |
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a. carpal tunnel repair b. ulner nerve transposition c. arthrotomy d. fasciotomy |
carpal tunnel repair |
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a. brain stem b. cerebellum c. cerebrum d. spinal cord |
cerebrum |
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a. transurethral resection b. prostatectomy c. orchiopexy d. orchiectomy |
orchiectomy |
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a. esophagus b. larynx c. trachea d. pharnyx |
pharnyx |
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a. cholecystectomy b. colectomy c. parotidectomy d. gastectomy |
cholecystectomy |
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a. gliding joint b. ball and socket joint c. pivot joint d. hinge joint |
ball and socket joint |
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a. epithelial tissue b. connective tissue c. muscular tissue d. nervous tissue |
epithelial tissue |
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a. cell membrane b. cytoplasm c. nucleus d. DNA |
nucleus |
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a. ossification calcification c. osmosis d. cancellous formation |
ossification |
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a. retina b. iris c. pupil d. sclera |
sclera |
|
a. pharynx b. larynx c. mouth d. trachea |
larnyx |
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a. repopulation b. binary fission c. replication d. bilateral reproduction |
binary fission |
|
a. gram-positive b. gram-negative c. manageable d. potentially infectious |
potentially infectious |
|
a. cytoplasm b. nucleus c. cell membrane d. capsule |
nucleus |
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a. contact b. common vehicle c. airborne d. vector-borne |
common vehicle |
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a. pneumonia b. tuberculosis c. athlete's foot d. Herpes simplex type 2 |
athlete's foot |
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a. OSHA b. EPA c. FDA d. AORN |
OSHA |
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a. OSHA b. FDA c. EPA d. AORN |
EPA |
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a. OSHA b. FDA c. EPA d. AAMI |
EPA |
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a. minimal performance standards b. equal pay practices c. productivity time lines d. none of the above |
a. minimal performance standards |
|
Established national emissions standards for EO used by hospitals are regulated a. in all states b. in Washington DC c. in the western states d. there are no established national emission standards |
there are no established national emission standards |
|
a. class I b. class II c. class III d. not regulated by FDA |
class II |
|
a. class I b. class II c. class III d. not regulated by FDA` |
class III |
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a. device manufacturer b. hospitals c. all of the above d. none of the above |
all of the above |
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a. quality b. safety c. efficiency d. all of the above e. none of the above |
all of the above |
|
a. NFPA b. EPA c. WHO d. FDA |
FDA |
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a. 1 million b. 2 million c. 10 million d. 20 million |
2 million |
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a. they harbor bacteria b. they are expensive c. they may be damaged d. they may be misplaced or stolen |
|
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a. 10 seconds b. 15 seconds c. 1 minute d. 2 minutes |
15 seconds |
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a. double cloth gowns b. blue surgical gowns c. fluid resistant gowns d. sterile gowns |
fluid resistant gowns |
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a. pts in high risk categories may be infectious b. pts diagnosed with a specific disease may be infectious c. pts are generally healthy unless they show symptoms of an infectious disease d. pts may pose a risk of infection whether they have been diagnosed with an infectious disease or not |
Patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not |
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a. provide hepatitis B vaccine to employees at not cost b. observe standard precautions c. keep biohazard areas locked d. use engineering controls to prevent biohazard exposures |
keep biohazard areas locked |
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a. the FDA b. the NFPA c. the EPA d. OSHA |
OSHA |
|
Departmental dress codes apply to: a. everyone entering CS b. only hospital employees c. only persons who will be spending more than 10 mins in the CS work area d. only visitors such as sales reps, maintenance personnel, etc |
everyone entering the CS department |
|
a. transmission devices b. fomites c. carriers d. framiseals |
Fomites |
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a. wet mopped daily b. wet mopped weekly c. swept daily and wet mopped weekly d. wept daily |
wet mopped daily |
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a. infection prevention b. infection control c. asepsis d. HIA control |
|
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Know what is dirty, know what is clean, know what is sterile, keep the three conditions separate, and remedy contamination immediately are: a. the principles of asepsis b. the basics of the bloodborne pathogen standard c. the principles of infection prevention and control d. the basics of environmental control |
the principles of asepsis |
|
a. red/orange b. orange/yellow c. orange/blue d. green/black |
red/orange
|
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The decontamination area of the CS department should have: a. 10 air exchanges per hr b. 15 air exchanges per hr c. 20 air exchanges per hour d. no air exchanges because it is a biohazard area |
10 air exchanges per hour |
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a. biohazard b. unrestricted c. semi-restricted d. restricted |
restricted |
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a. water conductivity b. sanitization c. deionization d. sterilization |
deionization |
|
a. chlorides and solids b. iron and silicates c. calcium d. fluoride |
iron and silicates |
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a. 200 b. 150 c. 100 d. 50 |
|
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a. 4.5-5.5 b. 5.5-6.5 c. 6.5-7.5 d. 7.5-8.5 |
6.5-7.5 |
|
a. 200 b. 150 c. 100 d. 50 |
100
|
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a. pre filter b. post filter c. pre filter or post filter d. pre and post filter |
pre and post filter |
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a. hot b. tepid c. clear d. cloudy |
cloudy |
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a. iron and pyrogens b. silicates and pyrogens c. chloride and iron d. calcium and mgnesium |
calcium and magnesium |
|
a. sterile irrigation b. heating/cooling therapy units c. injection d. steam sterilizers |
heating/cooling therapy units |
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a. bacteria b. pyrogens c. endotoxins d. all of the above |
all of the above |
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Multi enzymatic cleaning products containing lipase are useful for cleaning: a. protein soils b. starches c. fats d. sugars |
fats |
|
Which of the following kills microorganisms? a. soaps b. detergents c. germicidal detergents d. enzyme presoaks |
|
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a. as soon as devices reach the CS area b. immediately after the completion of an invasive procedure c. immediately after instruments are inspected d. before items are sorted |
immediately after the completion of an invasive procedure |
|
a. kill microorganisms b. remove soil c. reduce cleaning costs d. provide back-ups if automated equipment is not working |
remove soil |
|
a. brushing should be done under water b. brushing should be done above water c. brushing should be done against the grain of the device d. brushes made of wire are the best because of their exceptional cleaning ability |
brushing should be done under water |
|
a. low pH b. high pH c. neutral pH d. it depends on the water temp and exposure time |
neutral pH |
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Which of the following is an example of regulated medical waste? a. discarded sterilization wraps b. blood soaked sponges c. used copier toner cartridges d. general trash from the surgery dept. |
blood soaked sponges |
|
a. multi-level trays should be separated b. trays with lids should be opened c. instruments should be disassembled and opened d. all items should be washed on the same cycle |
all items should be washed on the same cycle |
|
Water must be degassed each time the ultrasonic cleaner's tank is changed, because: a. excess bubbles from filling reduce the energy of the cavitation process b. excess bubbles reduce the effectiveness of the detergent c. excess bubbles decrease the temp of the tank d. excess bubbles make it difficult to see items being cleaned |
excess bubbles from filling reduce the energy of the cavitation process |
|
Specialized clothing or equipment worn by an employee for protection against a hazard is called? a. restricted apparel b. safety apparel c. hazard equipment d. personal protective equipment |
personal protective equipment |
|
a. the mechanical washer manufacturer b. the instrument manufacturer c. the detergent manufacturer d. the healthcare facility |
the instrument manufacturer |
|
a. are fever-producing substances b. are microorganisms that have survived sterilization c. cause CJD d. are soil particles |
are fever producing substances |
|
a. increases the likelihood of mineral scale deposits b. decreases the likelihood of mineral scale deposits c. is not compatible with detergents d. can cause rusting of metal instruments |
decreases the likelihood of mineral scale deposits |
|
The desired solution for cleaning instruments: a. soap b. steam c. a disinfectant d. a detergent |
a detergent |
|
a. protease enzymes b. lipase enzymes c. amylase enzymes d. neutral pH cleaners |
lipase enzymes |
|
a. immediately before use b. after sterilization c. after cleaning d. before cleaning |
after cleaning |
|
a. below 43C (110F) b. above 43C (110F) c. below 100C (212F) d. below 24C (75F) |
below 43C (110F) |
|
Detergents used in mechanical cleaners should be: a. low alkaline b. low acid c. low temperature d. low foaming |
low foaming
|
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a. using a circular motion b. using a to and fro motion with the grain c. using a stiff metal brush d. using a water spray |
using a to and fro motion with the grain |
|
a. can not be immersed b. can be immersed c. should be cleaned at the point of use d. should be cleaned using a mechanical washer |
can not be immersed |
|
a. sterilization b. thermal disinfection c. high level disinfection d. mechanical disinfection |
thermal disinfection |
|
a. glutaraldehydes b. disinfectants c. halogens d. antiseptics |
antiseptics |
|
a. critical items b. semi critical items c. non critical items d. equipment |
critical items |
|
a. high level disinfection b. thermal disinfection c. sterilization d. chemical disinfection |
sterilization |
|
a. halogens b. quaternary ammonium compounds c. alcohol d. phenolics |
halogens |
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a. intermediate to low level disinfectants b. intermediate to high level disinfectants c. high level disinfectants d. sterilants |
intermediate to low level disinfectants |
|
Which of the following are classified as high level disinfectants? a. glutaraldehyde and phenolics b. glutaraldehyde and OPA c. quaternary ammonium compounds and phenolics d. halogens and OPA |
glutaraldehyde and OPA |
|
a. heated chemicals b. heated glutaraldehyde c. prolonged high pressure steam d. heated water |
heated water |
|
a. 3 mins b. 5 mins c. 10 mins d. 20 mins |
5 minutes |
|
a. phenolics b. chlorine c. iodophors d. OPA |
OPA |
|
a. 1 to 1 1/2 b. 1 1/2 to 2 c. 2 to 2 1/2 d. 2 1/2 to 3 |
1 to 1 1/2 |
|
Which of the following is NOT an acceptable form of instrument marking? a. laser etching b. acid base etching c. electric etching (engraving) d. heat fused nylon |
electric etching (engraving) |
|
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 |
unclog the suction during surgery |
|
a. tissue paper b. a plastic dowel rod c. rubber testing material d. an index card |
an index card |
|
a. black handles b. silver handles c. gold handles d. the letters "TC" |
gold handles |
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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 instruments shaft |
check the collar at the distal tip |
|
a. leak testing b. high level disinfecting/sterilizing c. manual cleaning d. drying |
leak testing |
|
a. forced air b. water containing approved sterilant c. filtered water d. a heated glutaraldehyde |
filtered water |
|
a. to keep fluid from entering the unit b. to keep functioning batteries and cords clean c. to prevent electrical shock d. to test the unit while cleaning |
to keep fluid from entering the unit |
|
a. an ultrasonic cleaner b. a washer decontaminator c. a flush pulse endoscope reprocessor d. an automatic endoscope reprocessor |
an automatic endoscope reprocessor |
|
The endoscope that would be dispensed for a procedure that required visualization of the lower part of the large instestine would be a: a. colonoscope b. sigmoidoscope c. gastroscope d. ureteroscope |
sigmoidoscope |
|
a. be decontaminated if they appear soiled upon arrival b. be sterilized using a low temp process c. be decontaminated before use d. not be used |
be decontaminated before use |
|
a. the SGNA b. APIC c. the instrument manufacturer d. the OR staff |
the instrument manufacturer |
|
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 |
not all endoscopes can be processed in an AER |
|
a. in the decontamination area prior to cleaning b. in the clean assembly area prior to set assembly c. at the factory or onsite repair unit d. in the OR at the end of the procedure |
in the clean assembly area prior to assembly |
|
a. Class I medical device b. Class II medical device c. Class III medical device d. class IV medical device |
class II medical device |
|
a. muslin b. barrier cloth c. canvas d. twills |
canvas |
|
a. dry instruments before sterilization b. allow air removal, steam penetration and facilitate drying c. cushion instruments from the extreme force in steam sterilizer chambers d. hold water away from the bottom of instrument trays |
allow air removal, steam penetration and facilitate drying |
|
a. paper-to-plastic b. paper - to - paper c. plastic to plastic d. the way in which the most packages can be placed in the sterilizer |
paper to plastic |
|
a. less than 75% b. less than 60% c. less than 50% d. less than 35% |
less than 75% |
|
a. high temperature b. low temperature c. liquid d. flash |
low temperature |
|
a. lock the handles to prevent damage b. arrange the instruments in alpha order c. arrange the instruments in order of use d. unlock the handles and open the instruments |
unlock the handles and open the instruments |
|
a. emergency sterilization b. flash sterilization c. core sterilization d. rapid reprocessing |
flash sterilization |
|
a. critical devices b. semi critical devices c. non critical devices d. surgical instruments |
semi critical devices |
|
a. an oxidizing agent b. a demagnetizer c. an atom d. a molecule |
an oxidizing agent |
|
a. heated b. filled with air c. sterilized d. cleaned |
cleaned |
|
a. it is the sterilization method of choice or 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 |
it should be used only in emergencies |
|
a. the use of flash sterilization be minimized or decreased b. flash sterilization be performed in only one sterilizer per facility c. healthcare facilities get FDS approval for flash sterilization d. only CS techs operate flash sterilizers |
the use of flash sterilization be minimize or decreased |
|
a. should be flash sterilized in extended cycles b. should only be sterilized using Ethylene Oxide c. should not be flash sterilized d. should be discarded if not used |
should NOT be flash sterilized |
|
a. they have no protective wrapping b. they are wet c. they are hot d. contained in heavy trays |
they have no protective wrapping |
|
a. cannot be flash sterilized b. should be disposable c. must not be immersed d. should not be used |
cannot be flash sterilized |
|
a. pressurize the scope before starting the machine b. use tap water as a pre rinse c. connect channels to special connectors that allow liquid to flow through them d. run the cycle twice to ensure that proper microbial kill has taken place |
Connect channels to special connectors that allow liquid to flow through them |
|
|
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