HSPA Certified Endoscope Reprocessor
(CER) EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
HSPA Certified Endoscope Reprocessor (CER) Exam Content Outline
HSPA Certified Endoscope Reprocessor (CER) Section Title Weight
I Microbiology and Infection Control 12%
II Endoscope Purpose, Design, and Structure 10%
III Work Area Design 12%
IV Endoscope Processing Steps 32%
V Endoscope Handling, Transport, and Storage16%
VI Endoscope Tracking, Repair, and Maintenance 10%
VII Human Factors Impacting Endoscope Systems 8%
1. Endoscope - ANSWER ✔ A medical device with a camera/light used to
view internal organs without major surgery (e.g., gastroscope, colonoscope).
2. Flexible Endoscope - ANSWER ✔ A bendable scope used in procedures
like colonoscopy; contains channels for air, water, and instruments.
3. Rigid Endoscope - ANSWER ✔ A straight scope used in procedures like
arthroscopy; easier to clean than flexible scopes.
,4. Semi-Rigid Endoscope - ANSWER ✔ A partially flexible scope used in
ENT and urology procedures, balancing flexibility and stability.
5. Endoscopy - ANSWER ✔ A medical procedure that uses an endoscope to
diagnose or treat conditions inside the body.
6. Insertion Tube - ANSWER ✔ The long shaft of a flexible endoscope that
houses instrument channels and light fibers.
7. Bendable Tip - ANSWER ✔ The distal end of a flexible scope that bends
to navigate body curves; critical for maneuverability.
8. Air/Water Channel - ANSWER ✔ Internal tubing within the scope used to
clear the lens and insufflate body cavities.
9. Biopsy Channel - ANSWER ✔ A channel used to insert forceps or brushes
to collect tissue samples during endoscopy.
10.Visualization System - ANSWER ✔ Cameras and fiber optics that transmit
images from inside the body to an external monitor.
11.High-Level Disinfection (HLD) - ANSWER ✔ A process that kills all
microorganisms except high levels of bacterial spores; essential for
reprocessing endoscopes.
12.Leak Testing - ANSWER ✔ A procedure to detect damage or holes in
endoscopes that could harbor bacteria or fluids.
13.Manual Cleaning - ANSWER ✔ Initial cleaning phase involving brushing
and flushing of channels to remove debris before disinfection.
14.Channel Flushing - ANSWER ✔ The action of pushing enzymatic
detergent or rinse through the internal channels to dislodge soil.
15.Manual cleaning should begin immediately after pre-cleaning
A. True
B. False - ANSWER ✔ B. False
,16.Reprocessing that begins more than one hour after the endoscope is used is
called:
A. Manual cleaning
B. Pre-cleaning
C. Disinfection
D. Delayed processing - ANSWER ✔ D. Delaying processing
17.When manually cleaning endoscopes, the cleaning solution should be
changed:
A. Each shift or when debris is noticed
B. For each endoscope
C. At least twice per shift
D. For every other endoscope cleaned - ANSWER ✔ B. For each
endoscope
18.Using detergents that are not low foaming can inhibit fluid contact with the
surface of the endoscope
A. True
B. False - ANSWER ✔ A. True
19.The exterior of the endoscope should be cleaned using lint-free clothes or
sponges
A. True
B. False - ANSWER ✔ A. True
20.Relative humidity should not exceed... - ANSWER ✔ 60%
21.The soiled and decontamination areas should be designed so air flows into
the area known as - ANSWER ✔ negative pressure
22.The soiled and decontamination areas should hold a minimum of ____ air
exchanges per hour - ANSWER ✔ 10
23.IFU - ANSWER ✔ Manufacturer's Instructions For Use. Written
recommendations provided by the manufacturer of a medical device that
provide instructions for safe and effective reprocessing methods for that
device
, 24.List (3) ways endoscopes can be used to meet patient needs - ANSWER ✔
Routine Screening, Diagnostic Treatment, Therapeutic Treatment
25.Reprocessing that begins more than (1) hour after the endoscope has been
used is called - ANSWER ✔ Delayed Processing
26.Ethylene oxide sterilization of a flexible endoscope may result in a blown
endoscope if - ANSWER ✔ The endoscope is not vented properly
27.Borescope - ANSWER ✔ scope used to identify soil or damage within a
lumen that cannot be seen by the manual visual inspection
28.Waterproof Tape - ANSWER ✔ can be used to temporarily seal a leaking
the endoscope and allow it to be disinfected
29.When carrying flexible endoscopes, they should always be held at the:
A. Distal end
B. Proximal end
C. Light cable connection area
D. Control head - ANSWER ✔ D. Control head
30.To prevent cross-contamination when handling a contamination endoscope,
it is important to use:
A. Directional workflow
B. Personal protective equipment
C. Proper signage
D. All the above - ANSWER ✔ D. All the above
31.When valves are placed back on a flexible endoscope for storage
A. They trap moisture and facilitate microbial growth
B. It helps ensure the valves are kept with the proper endoscope
C. It keeps the valves from becoming lost
D. All the above - ANSWER ✔ A. They trap moisture and facilitate
microbial growth
32.Flexible endoscope components that have been removed for cleaning should
always be kept with the same endoscope because they will be easier to track.
A. True
(CER) EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
HSPA Certified Endoscope Reprocessor (CER) Exam Content Outline
HSPA Certified Endoscope Reprocessor (CER) Section Title Weight
I Microbiology and Infection Control 12%
II Endoscope Purpose, Design, and Structure 10%
III Work Area Design 12%
IV Endoscope Processing Steps 32%
V Endoscope Handling, Transport, and Storage16%
VI Endoscope Tracking, Repair, and Maintenance 10%
VII Human Factors Impacting Endoscope Systems 8%
1. Endoscope - ANSWER ✔ A medical device with a camera/light used to
view internal organs without major surgery (e.g., gastroscope, colonoscope).
2. Flexible Endoscope - ANSWER ✔ A bendable scope used in procedures
like colonoscopy; contains channels for air, water, and instruments.
3. Rigid Endoscope - ANSWER ✔ A straight scope used in procedures like
arthroscopy; easier to clean than flexible scopes.
,4. Semi-Rigid Endoscope - ANSWER ✔ A partially flexible scope used in
ENT and urology procedures, balancing flexibility and stability.
5. Endoscopy - ANSWER ✔ A medical procedure that uses an endoscope to
diagnose or treat conditions inside the body.
6. Insertion Tube - ANSWER ✔ The long shaft of a flexible endoscope that
houses instrument channels and light fibers.
7. Bendable Tip - ANSWER ✔ The distal end of a flexible scope that bends
to navigate body curves; critical for maneuverability.
8. Air/Water Channel - ANSWER ✔ Internal tubing within the scope used to
clear the lens and insufflate body cavities.
9. Biopsy Channel - ANSWER ✔ A channel used to insert forceps or brushes
to collect tissue samples during endoscopy.
10.Visualization System - ANSWER ✔ Cameras and fiber optics that transmit
images from inside the body to an external monitor.
11.High-Level Disinfection (HLD) - ANSWER ✔ A process that kills all
microorganisms except high levels of bacterial spores; essential for
reprocessing endoscopes.
12.Leak Testing - ANSWER ✔ A procedure to detect damage or holes in
endoscopes that could harbor bacteria or fluids.
13.Manual Cleaning - ANSWER ✔ Initial cleaning phase involving brushing
and flushing of channels to remove debris before disinfection.
14.Channel Flushing - ANSWER ✔ The action of pushing enzymatic
detergent or rinse through the internal channels to dislodge soil.
15.Manual cleaning should begin immediately after pre-cleaning
A. True
B. False - ANSWER ✔ B. False
,16.Reprocessing that begins more than one hour after the endoscope is used is
called:
A. Manual cleaning
B. Pre-cleaning
C. Disinfection
D. Delayed processing - ANSWER ✔ D. Delaying processing
17.When manually cleaning endoscopes, the cleaning solution should be
changed:
A. Each shift or when debris is noticed
B. For each endoscope
C. At least twice per shift
D. For every other endoscope cleaned - ANSWER ✔ B. For each
endoscope
18.Using detergents that are not low foaming can inhibit fluid contact with the
surface of the endoscope
A. True
B. False - ANSWER ✔ A. True
19.The exterior of the endoscope should be cleaned using lint-free clothes or
sponges
A. True
B. False - ANSWER ✔ A. True
20.Relative humidity should not exceed... - ANSWER ✔ 60%
21.The soiled and decontamination areas should be designed so air flows into
the area known as - ANSWER ✔ negative pressure
22.The soiled and decontamination areas should hold a minimum of ____ air
exchanges per hour - ANSWER ✔ 10
23.IFU - ANSWER ✔ Manufacturer's Instructions For Use. Written
recommendations provided by the manufacturer of a medical device that
provide instructions for safe and effective reprocessing methods for that
device
, 24.List (3) ways endoscopes can be used to meet patient needs - ANSWER ✔
Routine Screening, Diagnostic Treatment, Therapeutic Treatment
25.Reprocessing that begins more than (1) hour after the endoscope has been
used is called - ANSWER ✔ Delayed Processing
26.Ethylene oxide sterilization of a flexible endoscope may result in a blown
endoscope if - ANSWER ✔ The endoscope is not vented properly
27.Borescope - ANSWER ✔ scope used to identify soil or damage within a
lumen that cannot be seen by the manual visual inspection
28.Waterproof Tape - ANSWER ✔ can be used to temporarily seal a leaking
the endoscope and allow it to be disinfected
29.When carrying flexible endoscopes, they should always be held at the:
A. Distal end
B. Proximal end
C. Light cable connection area
D. Control head - ANSWER ✔ D. Control head
30.To prevent cross-contamination when handling a contamination endoscope,
it is important to use:
A. Directional workflow
B. Personal protective equipment
C. Proper signage
D. All the above - ANSWER ✔ D. All the above
31.When valves are placed back on a flexible endoscope for storage
A. They trap moisture and facilitate microbial growth
B. It helps ensure the valves are kept with the proper endoscope
C. It keeps the valves from becoming lost
D. All the above - ANSWER ✔ A. They trap moisture and facilitate
microbial growth
32.Flexible endoscope components that have been removed for cleaning should
always be kept with the same endoscope because they will be easier to track.
A. True
