Which of the following surgical abbreviations might be used relating to a fractured bone?
The root element, "gatro" refers to the:
The suffix, "ectomy " refers to:
"hyperglycemia" refers to:
high blood sugar
The term "rhinoplasty," refers to:
surgical repair of the nose
Dermopathy is a/an:
"Lithotripsy" refers to:
crushing of a stone
Subcutaneous refers to:
beneath the skin
The term, "periosteal elevator," refers to:
an instrument used to remove tissue around the bone
The term, "BKA," refers to a surgical procedure involving:
surgical removal of the leg below the knee
The ter, "CR," relates to a surgical procedure for:
treating a fractured bone without a surgical incision
This system gives the body shape and support.
This tissue connects one bone to another.
These muscles control involuntary movements like, breathing, digestion, etc.
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.
More than 55% of blood is made up of this yellowish liquid.
This organ filters the blood to remove amino acids and neutralize some harmful toxins.
This surgical procedure removes the uterus
This gland stimulates body growth.
The lining of the uterus.
This surgical procedure removes tissue or displaced bone from the wrist area to release pressure on the median nerve
Carpal Tunnel Repair
The largest part of the human brain is the:
This surgical procedure is the removal of a testicle.
This surgical procedure is the removal of the gall bladder.
The hip joint is an example of a:
Ball and Socket Joint
This tissue covers the body's external surface.
The brain center of a cell.
Cartilage is replaced by bone through a process called:
The white portion of the eye is called the:
The "voice box"
Healthy people do not harbor or transmit bacteria. True False
Anerobic bacteria require free oxygen to live. True False
Viruses are larger than bacteria. True False
The spore is the functional center of a cell. True False
Staphylococcus is classified as a gram-positive bacteria. True False
All microorganisms are harmful to humans. True False
Central Service Techs can protect patients by breaking the chain of infection. True False
Spores help some microorganisms survive in adverse conditions. True False
All bacteria require the same conditions to live and grow. True False
Psychrophiles grow best at warm temps.
Microorganisms reproduce by a process called:
For safety purposes, Central Service Techs should consider all microorganisms in the decontamination area:
The part of a cell that controls cell function is the:
A mode of bacteria transmission that would take place when an infectious agent was transmitted through an item such as food or water is called:
______ is an example of a fungus.
Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation.
Regulations under the Clean Air Act are administered by
Agency which imposes very strict labeling requirements on manufactures of chemicals used by Central Service Depart.
Healthcare Regulations and Standards provide consistency of departmental activities by outlining.
minimal performance standards
Established national emissions standards for EO used by hospitals are regulated
There are no established national emission standards
Chemical indicators are FDA _________ devices.
Heart valves and pacemakers are examples of FDA ________
Under current regulations who is required to report suspected medical device-related deaths to the FDA
All of the above; Device manufacturer and Hospitals
Standards and regulations help set levels of __________ in our depart.
All of the above
Medical Device reporting is regulated by the :
Sometimes state or local regulations differ from Federal regulations and when that happens, the most stringent regulations apply. True False
Following OSHA regulations for wearing Personal Protective Equipment in the Central Service Decontamination area is optional. True False
Third party reprocessors are regulated by the FDA. True False
Recommendations regarding sterilization practices are provided by AAMI. True False
ANSI is a voluntary association dedicated to infection control and prevention. True False
The organization that conducts on site surveys to evaluate healthcare organizations is the ISO. True False
Failure to receive accreditation from the Joint Commision can result in the loss of Medicare and Medicaid payments. True False
The SGNA is a good source for information about the proper processing of flexible endoscopes. True False
Class lll medical devices are identified as High Risk. True False
Re use of single use medical devices is less regulated now than it was in the 1990's True False
Each year, approximately _________ patients develop a Healthcare associated infection.
Watches and other jewelry should not be worn in the central service depart work area because
they harbor bacteria
During handwashing, hands should be lathered and scrubbed for at least:
To protect themselves from splashes and spills, Central Service Techs assigned to the decomtam area should wear:
Fluid Resistant Gowns
The main theory of Standard Precautions is that:
Patients may pose a risk of infection whether they have been diagnosed
Which of the following is not a requirement of the OSHA Bloodborne Pathogen Standard?
keep biohazard areas locked
Following standard protocols is required by:
Departmental dress codes apply to:
everyone entering the Central Service Department
Inanimate objects that can transmit bacteria are called:
Floors in the Central Service Depart should be:
wet mopped daily
The absence of microorganisms that cause disease is called
Know what is dirty, know is clean, know what is sterile, keep the three conditions separate, and remedy contamination immediately are
the principles of asepsis
What color should biohazard labels/signs be?
The decontamination area of the Central service depart should have
10 air exchanges per hour
Which of these traffic control/dress code requirements applies to the OR?
Which of the following is a system used to treat the final rinse water used for cleaning?
Bluish or rainbow type stains are caused by _______ in water.
iron and silicates
The ideal level of silicates in water used for cleaning is _______ ppm or less.
Purified water should have a ph of ____
Tap water should ideally have a chloride concentration of _____ ppm or less.
Water purification usually involves the use of a :
pre and post filter
Water that is turbid is :
Water softners are used to remove ______ in the water
calcium and magnesium
Deionized water is used for:
heating/cooling therapy units
Which of the following can be removed from water when a reverse osmosis process is used:
all of the above; bacteria, pyrogens, endotoxins
Multi-enzymes cleaning products containing lipase are useful for cleaning:
Which of the follwing kills microorgnaisms?
The process of pre cleaning should begin:
immediately after the completion of an invasive procedure
The main purpose of manual cleaners is to:
Which of the following techniques for brushing instruments should be used?
brushing should be done under water
Items that have been used in patient care should be considered contaminated. True False
If soiled items are held in user units before pick up for processing, they must be kept at the patient's bedside until Central Service collect them True False
To impede the growth of bacteria, soil on used instruments should be allowed to dry True False
Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair True False
It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves True False
When moving transport carts throughout the healthcare facility, Central Service techs must always yield right of way to patients and visitors True False
Failure to perform soiled pick up rounds as scheduled can lead to instrument and equipment shortages True False
Everyone who may have contact with biohazard items must be educated about the dangers associated with those items True False
When it is necessary to transport soiled items between facilities using a truck or van, facilities must consult US dept of transportation, as well as state and local laws for transporting biohazard items True False
One goal of point of use preparation is to prevent instruments from being damaged. True False
What is the preferred pH for detergents used for most cleaning processes?
Which of the following is an example of regulated medical waste?
blood soaked sponges
Which of the following statements about the use of mechanical washers is not true?
all items should be washed on the same cycle
Water must be degassed each time the ultrasonic cleaner's tank is changed, because:
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:
Personal Protective Equipment
Written cleaning instructions for surgical instruments should be provided by:
the instrument manufacturer
are fever producing substances
decreases the likelihood of mineral scale deposits
The desired solution for cleaning instruments is :
These are used to breakdown fatty tissue on instruments:
Instrument lubrication is preformed:
To prevent coagulation of proteins, water temp should be:
below 43 c (110 F)
Detergents used in mechanical cleaners should be:
Aluminum items should be cleaned:
using a to and fro motion with the grain
Powered surgical instruments:
can not be immersed
The use of heat to kill all microorganisms, except spores is called:
These chemicals are used on animate (living tissue) to slow the growth of microorganisms:
Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as:
The process by which all forms of microorganisms are completely destroyed is called:
Iodophors are a member of this disinfectant family:
Phenolics are classified as
Intermediate to low level disinfectants
Which of the following are classified as high level disinfectants?
Glutaraldehyde and OPA
Thermal disinfection is accomplished using:
How long must alcohol remain in wet contact with an item to achieve a reasonable level of disinfection?
Which of the following would be the best choice for high level disinfection of instruments?
Items need to be cleaned before they are sterilized, but they do not need to be cleaned before they are disinfected True False
When liquid chemicals are labeled as both a high level disinfectant and a sterilant, the time required to achieve sterilization is longer than the time required to achieve high level disinfection
Mechanical washers and washer decontaminators are regulated by the CDC True False
All liquid disinfectants are capable of sterilization if their exposure time is increased. True False
Log books should be maintained when using Glutaraldehyde and OPA True False
Microgrind or supercut scissors are usually identified with a black handle. True False
Stainless steel jaw needleholders last longer that Tungsten True False
The place where the two parts of a ring handled instrument meet and pivot is called the box lock. True False
Instruments are heat treated to give their surface a mirror(shiny) finish. True False
Tissue forceps have teeth. True False
During instrument manufacture the process of passivation helps build a protective chromium oxide layer on each instrument's surface. True False
The part of a hemostat that locks and holds it in position is called the lock box. True False
Laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched. True False
When assembling an instruments set, heavier instruments should be placed on top of lighter ones to hold them place. True False
After applying instrument identification tape, instruments should be autoclaved to help the tape bond to the instrument. True False
Instrument marking tape should be wrapped approximately _________ around the insturment.
1 to 1 1/2
Which of the following is not an acceptable form of instrument marking?
Electric etching (engraving)
The purpose of a suction stylet is to:
unclog the suction during surgery
Kerrison Laminectomy Rongeurs should be tested using:
an index card
Scissors with tungsten carbide cutting edges are usually identified by:
The first step to inspect the insulation of a laparoscopic instrument is to:
check the collar at the distal tip
Which of the following steps happens first when processing flexible endoscopes?
Which of the following should be used to thoroughly rinse (remove) all traces of disinfectant from am endoscope's channels?
The purpose of using a decontamination battery of cord when cleaning powered surgical instruments is :
to keep fluid from entering the unit
Endoscopes are often processed in a mechanical unit called:
an automatic endoscope reprocessor
The endoscope that would be dispensed for a procedure that required visualization of the lower part of the large intestine would be a :
Loaner instruments should:
be decontaminated before use
Info regarding cleaning processes for endoscopes should be provided by:
the instrument manufacturer
Which of the following statements about endoscopes is true:
Not all endoscopes can be processed in an AER
Electronic testing of laparoscopic insulation should be done :
in the clean assembly area prior to set assembly
Loaner instrumentation poses storage and workload challenges. True False
Flexible endoscopes that fail a leak text may continue to be used until the break/hole impacts the scope's function. True False
All flexible endoscopes have internal channels. True False
After use, loaner instrumentation must be decontaminated before it is shipped out. True False
The biggest advantage to battery powered surgical instruments is that they can be immersed for cleaning. True False
The FDA classifies sterilization packaging as a
Class ll Medical Device
Which of the Following is not an acceptable sterilization packaging material?
Wicking materials are used to :
allow air removal, steam penetration and facilitate drying
When arranging plastic paper pouches in the sterilizer,the pouches should be arranged:
The relative humidity of the Central Service depart should be:
less than 75%
Some plastics including formulations of spun bonded polyolefin are intended for use solely in these sterilization processes:
When placing ring-handled instruments in an instrument tray, you should:
unlock the handles and open the instruments
Gauze squares are the wicking material of choice for instrument sets.
Temperatures in a sterile storage area should be 55%-60%.
Sterile packages should be stored no lower than 8-10 inches from the floor.
All rigid sterilization containers have tamper evident seals.
Cellulose materials cannot be processed within a gas plasma sterilizer.
Reusable textile packaging requires less labor than disposable packaging.
Aluminum foil is an acceptable packaging material for dry heat sterilization.
Because shelf life is event related, stock rotation is no longer necessary.
The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises is called
Endotracheal tubes and anesthesia breathing circuits are examples of :
A material that removes electrons from another substance is called:
an oxidizing agent
Before an item can be placed in a liquid chemical sterile processing system they must be:
Which of the following statements about flash sterilization is true:
It should be used only in emergencies
Both AORN and the Joint Commission recommend that:
the use of flash sterilization be minimized or decreased
should not be flash sterilized
The transport of flash sterilized items is difficult because:
they have no protective wrapping
Heat sensitive items:
Cannot be flash sterilized
When processing flexible endoscopes in a liquid chemical sterile processing system, you should:
Connect channels to special connectors that allow liquid to flow through them
Sterilizer recording charts and/or printouts should be checked
during and at the end of each cycle
In the event of a lead recall, information about specific load contents can be obtained from:
the sterilization log ...
If a sterilizer has successfully killed all the bacterial spores in a biollgical test:
it is calles a negative test
The two most common temps used in steam sterilization are
250 and 270-275 F
Tests which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called:
In order to elevate the temp in a steam sterilizer, you must:
increase the steam pressure
Bowie Dick Tests should be run in:
dynamic air removal steam sterilizers
provide a visual indication that an item was exposed to a sterilization process
What would be the recommended exposure time for a Dry Heat sterilization load that was run at an exposure temp of 320F (160C)
Which of the following sterilization quality assurance measurements is designed to provide a written record of sterilizer cycle activity?
Mechanical Recording Charts/Printouts
The spore used in the testing of steam sterilization is
The term "super heated steam" means:
The amt of time that it takes to kill 90% of the microorganisms present on an object is called:
Impregnated gauze strips may be sterilized using
Dry Heat Sterilization
The most efficieant type of dry heat sterilizer is
the mechanical convection sterilizer
How frequently should a sterilizer's strainer be removed and cleaned?
When loading a steam sterilizer, items with solid bottoms should be:
placed on edge
Paper/plastic sterilization pouches:
should not be placed inside of wrapped sets or containers
The higher the bioburden on an object
the more difficult it will be to sterilize
Instrument washer sterilizers provide
a decontamination process
Of the 3 major low temp sterilants, ethylene oxide has the longest instrument turnaround time. True False
Ethylene oxide kills microorganisms by a process called oxidation. True False
Ethylene oxide, hydrogen perixide gas plasma, and zone sterilization process must all be monitering using chemical, physical, and biological monitors. True False
Ethylene oxid, hydrogen peroxide gas plasma, and ozone sterilization can all use the same packaging materials. True False
Ethylene oxide has better penetration capabilities than ozone and hydrogen peroxide gas plasma. True False
Ethylene oxide is a toxic gas. True False
Cellulose containing packaging materials are not compatible with sydrogen peroxide gas plasma sterilization. True False
Information about a device's compatibility with a specific sterilization process should be obtained from the device's manufacter. True False
Aeration is required for items sterilized in ozone sterilization processes. True False
Relative humidity is a required cycle parameter for ozone and ethylene oxide sterilization. True False
Which of the following systems provides supplies and instruments for individual surgical procedures?
can be counted as an asset on the facility's balance sheet
The inventory system that stocks supplies by established stock levels is called:
The inventory system that uses two identical carts to facilitate supply replenishment is called the:
Exchange cart system
Automated supply replenishment systems:
The movement of supplies throughout the healthcare facility is called:
In this system, the facility keeps minimal stock on hand and supplies are delivered when needed, usually just prior to use:
In this system, items are owned by the vendor, but stored at the Healthcare facility:
The system where items are ordered in larger quantities (i.e.by the case instead of individually) to save money is called:
Economic order quantity
All costs insurred to purchase a specific supply item from its purchase through its disposal are referred to as total acquistion costs.
Having a low stock out rate would increase customer satisfaction.
In an ABC analysis system, the lowest cost items receive the most attention because there are more of them.
The number of time per year that comsumable items are purchased, consumed and replaced is called the inventory turnover rate.
Having alow inventory service level would increase customer satifaction.
Stock locator systems should be both manual and electronic.
Technicians in the __________ depart perform safety inspections and functional tests on equipment.
When patient equipment enters a healthcare facility, it must be safety checked by a ______ before it is cleared for patient use.
Which of the following requires preventive maintenence standards be established for medical equipment?
All patient care equipment dispensed for use must be considered ________, and handled as such, regardless of its appearance.
Which of the following common items of patient care equipment limits the development of Deep Vein Thrombosis (DVT) and Peripheral Edema in immobile patients?
Sequential compression unit
Disposable components such as pads and tubing on patients care equipment should be:
discarded at point of use
Equipment should be inspected for obvious hazards such as cracked or frayed electrical cords:
whenever the equipment is cleaned
If an equipment malfunction causes harm to patients, it should be:
returned immediately to the biomedical depart
Patient care equipment should be stored in a _______ condition.
ready to use
Patient care equipment is typically stored:
in the Central Service depart
The _________ requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness and/or death to the manufacturer and the FDA.
Safe Medical Devices Act
Which of the following Statements is correct?
Tracking pateint care equipment can prevent equipment shortages
Equipment leasing and rental differ in that:
equipment rental is usually done on a shorter-term basis than equipment leasing
is designed to identify potential problems before they occur
can help manage equipment costs
Which of the following is not a reason for tracking supplies, Equipment, and instruments?
meet CDC and OSHA requirements
Which of the following tracking methods provides real time information?
Point of use computing:
moves computers into Central Service work areas
Which of the following is not a feature of an instrument tracking system?
product updates and recall info
Computerized traching systems are fast, but manual tracking systems are mor effective for tracking data. True False
Once a tracking system is implemented, there is generally no need to update system info. True False
At this time, tracking systems are unable to track worker productivity information. True False
Tracking systems can help manage preventive maintenance schedules. True False
Most Central Service depart employ some sort of automated information management system. True False
Tracking systems can help facilities manage cost. True False
Quality requires the efforts and participation of everyone in the healthcare facility. True False
A Failure Mode and Effects Analysis tries to predict failures before they occur. True False
The International Standards Organization (ISO) uses routine and unannounced inspections to monitor standards in healthcare facilities. True False
Quality processes are limited to Administration and the Risk Management depart. True False
Quality management is patient focused. True False
Providing quality products and services is relatively easy for Central Service Techs. True False
Customer surveys are ineffective tools in establishing Central Service quality processes. True False
If everyone develops a quality-driven focus, written policies and procedures are not necessary in the Central Service depart. True Flase
A Root Cause Analysis is a proactive approch to quality. True False
Input, throughput, outpu and outcome are 4 main focuses of Total Quality Improvement (TQI). True False
Which of the following is not required for Sharps Safety?
Wash all disposable sharps before discarding them
The unit of measure used to describe the amt of EtO in the air is called:
What is burning in a Class C fire?
Energized Electrical Equipment
are a risk factor for persons who perform repetitive or physical work
Secondary containers of chemicals:
must be labeled with a copy of the original manufacturer's label or a generic label that identifies hazard warnings and directions
Material Safety Data Sheets are provided by:
the product manufacturer
A molecular reaction that creates an uncontrolled release of energy is called:
100% ethylene oxide gas canisters should be stored:
in a chemical storage cabinet
Which type of fire extinguisher should be used on flammable liquids?
Which of the following info is not included on an MSDS?
required inventory levels
Most states require that ethylene oxide be vented into an emission control device to prevent the gas from entering the atmosphere. True False
A plane crash is an example of an external disaster. True False
Disposable items increase combustible load in a healthcare facility. True False
It is the responsibility of all healthcare workers to report incidents or accidents that involve patients. True False
Which of the following is not an example of communication?
All of the above : the words you speak, the words you write, non-verbal expressions you use
Central Service Techs who do not think they are being treated appropriately by their employer should:
discuss the situation with their supervisor
Bahavior relating to what is "right and wrong" relative to the standards of conduct for your profession are called:
A step in communication that occurs when an listener asks a question is called:
Which of the following statements is true?
None of the above statements are true:(we only communicate when we want to)(words mean the same to everyone)(a message should contain all possible info)
When speaking, you should:
concentrate on the listener rather than oneself
Which of the following basic listening tactics is most useful?
None of the above tactics is a useful listening tactic;(try to listen only for specific facts)(ignore any non verbal communication "sent" by the speaker)(focus on the delivery of the message rather than its content)
Which of the following questions is open-ended?
What problems do you most frequently encounter on the job?
Which of the following is the most important factor necessary for teamwork?
Which of the following statements is correct?
Informal work groups develop an informal communication system called the grapevine.
A group of employees from different departments within the healthcare facility that work together to solve operating problems is called a :
Which of the following is true about a valuing diverstiy effort?
None of the above statements is correct :(It "happens" because top-level officials require it)(it occurs because a Central Service Director desires it)(It is a "program" in which a committee "decides what to do")
Customer complaints are best handled through which of the following approaches?
Which of the following is the most important priority?
When Central Service Techs have Internet access at work:
It should be used for work related purposes only
The number of ambulatory surgery facilities is decreasing nationwide. True False
Before the mid 1970s, virtually all surgeries were performed in hospitals. True False
Ambulatory surgery centers specialize in providing surgeries that do not require hospitalization. True False
Since the types of surgeries performed are smaller, PPE is not required when cleaning instruments used in ambulatory surgery centers. True False
In a dental office, clinical contact surfaces are defined as surfaces that can be directly cotaminated during patient care. True False
The Veterans Admin (VA) hospital system has its own certification program for SPD (CS) Techs. True False
Low temp sterilization processes are not used in ambulatory surgery centers. True False
Due to the fast-paced environment in ambulatory surgery centers basic concepts of cleaning, disinfection and sterilization are adjusted to meet faster timeline requirements. True False
An ambulatory surgery center and an urgent care facility are the same thing. True False
Used dental instruments pose a very low risk of blood borne pathogen exposure. True False