CER UPDATED EXAM SCRIPT QUESTIONS AND SOLUTIONS
GRADED A+
✔✔The most important source of information for determining the proper chemicals to
use for cleaning an endoscope is the: - ✔✔Chemical Manufacturer's IFU
✔✔The seven steps/outline for manual cleaning flexible endoscopes: - ✔✔1. Submerge
scope in enzymatic solution
2. Manually clean/brush internal/external surfaces
3. Attach adaptors
4. Flush each channel with enzymatic solution
5. Soak as per detergent IFU
6. Rinse and submerge in clean water
7. Remove from water and flush channel with air
✔✔What are the dangers of delayed processing of endoscopes: - ✔✔Enables soil to dry
on endoscope and biofilm to form.
✔✔After rinsing, but before disinfection, inner channels should be: - ✔✔Purged with air
✔✔Venting caps are designed to prevent: - ✔✔Pressure
✔✔When preparing an endoscope for HLD, it is important to put the valve cover back
on the endoscope to help ensure the disinfectant can get inside the lumens: T/F? -
✔✔False.
✔✔Early detection of endoscope damage can protect the patient and: - ✔✔Reduce
repair costs.
✔✔High level disinfectant solution (container/bottle) should be discarded after each
use? T/F - ✔✔False.
✔✔AER should be quality tested: - ✔✔At least weekly
✔✔Gas plasma sterilizers must be in an area physically separated from all other work
areas: T/F? - ✔✔False.
✔✔To prevent cross-contamination, when handling a contaminated endoscope, it is
important to use: - ✔✔- Directional workflow
- PPE
- Proper signage
✔✔Arthrosopes are used for which part of the body - ✔✔Joint
, ✔✔Hysteroscope are used for which part of the body - ✔✔Vagina, Cervix, Uterus
✔✔Endoscopic Vein Harvest Scope are used for which part of the body - ✔✔Coronary
artery
✔✔Sinoscope are used for which part of the body - ✔✔Nasal pasages
✔✔Laparoscope are used for which part of the body - ✔✔Abdominal and pelvic organs
✔✔Semi-rigid Ureteroscope are used for which part of the body - ✔✔Ureters
✔✔Nephroscope are used for which part of the body - ✔✔Kidneys
✔✔Cystocope are used for which part of the body - ✔✔Urethra, bladder, and prostate
✔✔Robotic assisted surgery are used for which types of surgeries: - ✔✔Urological,
gynecological, cholecystectomy (gallbladder removal), cardiac, thoracic (lung removal),
coloectomy
✔✔Some rigid endoscopes have a working channel, T/F? - ✔✔True, some rigid
endoscopes have operative channels.
✔✔An advantage of video imaging is - ✔✔-The light surges does not overheat
-The surgical team can see the operative site
-They provide three-dimensional images
✔✔Pressuring a damaged endoscope for cleaning may prevent further damage to that
endoscope, T/F? - ✔✔True.
✔✔During leak testing, an increase in pressure when moving the elevator levers
indicates a leak in the system. - ✔✔False. A DECREASE in pressure when moving the
elevator levers indicates a leak in the system.
✔✔Regulations and standards establish: - ✔✔Minimum levels of quality and safety
✔✔A non-profit organization that writes standards and technical information reports -
✔✔Association.for the Advancement of Medical Instrumentation (AAMI)
✔✔OSHA - ✔✔Protects workers from workplace injury and illness.
✔✔FDA - ✔✔responsible for regulating food and drug products sold to the public, for
labeling, regulates single-use devices, requires manufacturers provide device IFU,
GRADED A+
✔✔The most important source of information for determining the proper chemicals to
use for cleaning an endoscope is the: - ✔✔Chemical Manufacturer's IFU
✔✔The seven steps/outline for manual cleaning flexible endoscopes: - ✔✔1. Submerge
scope in enzymatic solution
2. Manually clean/brush internal/external surfaces
3. Attach adaptors
4. Flush each channel with enzymatic solution
5. Soak as per detergent IFU
6. Rinse and submerge in clean water
7. Remove from water and flush channel with air
✔✔What are the dangers of delayed processing of endoscopes: - ✔✔Enables soil to dry
on endoscope and biofilm to form.
✔✔After rinsing, but before disinfection, inner channels should be: - ✔✔Purged with air
✔✔Venting caps are designed to prevent: - ✔✔Pressure
✔✔When preparing an endoscope for HLD, it is important to put the valve cover back
on the endoscope to help ensure the disinfectant can get inside the lumens: T/F? -
✔✔False.
✔✔Early detection of endoscope damage can protect the patient and: - ✔✔Reduce
repair costs.
✔✔High level disinfectant solution (container/bottle) should be discarded after each
use? T/F - ✔✔False.
✔✔AER should be quality tested: - ✔✔At least weekly
✔✔Gas plasma sterilizers must be in an area physically separated from all other work
areas: T/F? - ✔✔False.
✔✔To prevent cross-contamination, when handling a contaminated endoscope, it is
important to use: - ✔✔- Directional workflow
- PPE
- Proper signage
✔✔Arthrosopes are used for which part of the body - ✔✔Joint
, ✔✔Hysteroscope are used for which part of the body - ✔✔Vagina, Cervix, Uterus
✔✔Endoscopic Vein Harvest Scope are used for which part of the body - ✔✔Coronary
artery
✔✔Sinoscope are used for which part of the body - ✔✔Nasal pasages
✔✔Laparoscope are used for which part of the body - ✔✔Abdominal and pelvic organs
✔✔Semi-rigid Ureteroscope are used for which part of the body - ✔✔Ureters
✔✔Nephroscope are used for which part of the body - ✔✔Kidneys
✔✔Cystocope are used for which part of the body - ✔✔Urethra, bladder, and prostate
✔✔Robotic assisted surgery are used for which types of surgeries: - ✔✔Urological,
gynecological, cholecystectomy (gallbladder removal), cardiac, thoracic (lung removal),
coloectomy
✔✔Some rigid endoscopes have a working channel, T/F? - ✔✔True, some rigid
endoscopes have operative channels.
✔✔An advantage of video imaging is - ✔✔-The light surges does not overheat
-The surgical team can see the operative site
-They provide three-dimensional images
✔✔Pressuring a damaged endoscope for cleaning may prevent further damage to that
endoscope, T/F? - ✔✔True.
✔✔During leak testing, an increase in pressure when moving the elevator levers
indicates a leak in the system. - ✔✔False. A DECREASE in pressure when moving the
elevator levers indicates a leak in the system.
✔✔Regulations and standards establish: - ✔✔Minimum levels of quality and safety
✔✔A non-profit organization that writes standards and technical information reports -
✔✔Association.for the Advancement of Medical Instrumentation (AAMI)
✔✔OSHA - ✔✔Protects workers from workplace injury and illness.
✔✔FDA - ✔✔responsible for regulating food and drug products sold to the public, for
labeling, regulates single-use devices, requires manufacturers provide device IFU,
