IAHCSMM CRCST Final Exam with correct answers

IAHCSMM CRCST Final Exam A pick list contains information that - correct answer Identifies the supplies and instruments needed for a specific doctor and procedure The basic unit of a living organism - correct answer cell What is the name of the surgical procedure where an opening is made into the skull? - correct answer Craniotomy The decontamination area of the central service department is where instruments are carefully checked for cleanliness and function. - correct answer False The term "periosteal elevator" means - correct answer an instrument used to remove tissue around the bone Viruses - correct answer Have no means of movement on their own. The sterile storage area in a central service department should be restricted to - correct answer properly attired personnel meeting facility requirements. The abbreviation BKA refers to a surgical procedure involving - correct answer surgical removal of the leg below the knee. The body's control center is the - correct answer central nervous system. Prefix word element - correct answer comes before the root. The muscular system - correct answer 1)Assists with movement, 2) Produces heat for the body, 3) pumps blood throughout the body. Microbes - correct answer 1) Can be useful in food products, 2) are useful to break down sewage, 3) can produce toxins. Prefix, suffix and roots are called word elements and are contained in all medical terms. - correct answer True The pupil of the eye is the - correct answer circular opening that controls the amount of light entering the eye Skin is a type of connective tissue. - correct answer False An advantage of centralizing central service management is - correct answer allows for maximization of people and services. Prions are - correct answer abnormal forms of protein A herniorrhaphy is a surgical procedure which - correct answer repairs a muscle layer that is allowing all or part of an organ to project through an opening. The abbreviation CR relates to a surgical procedure for - correct answer Treating a fractured bone without a surgical incision. Bacteria which cause disease are called - correct answer pathogens The US Food and Drug administration is responsible for - correct answer ensuring food, drugs and cosmetics are safe for use. The basics of aseptic technique is - correct answer Activities that prevent infection The decontamination area of the central service department should have - correct answer Negative air flow. Decontamination of instruments and equipment starts - correct answer at the point of use. The proper handling of instrumentation is the responsibility of - correct answer everyone who comes in contact with the instrumentation. Center for Disease Control guidelines are considered regulatory guidelines - correct answer False One of the goals of point-of-use preparation and transport is to - correct answer prevent cross contamination. Automatic washers clean using a spray force action called impingement - correct answer True The federal program designed for the voluntary reporting of device related problems is called - correct answer Medwatch. When removing personal protective equipment you should remove_____ first - correct answer shoe covers What word element tells the primary meaning of the word - correct answer Root word element. The concept of "one-way flow of materials" refers to the movement of products - correct answer from soiled areas to clean processing areas within Central service. What traffic control/dress code requirements applies to the clean assembly area of Central Service - correct answer Semi restricted End of procedure point-of-use guidelines include removing gross soil, disassembling of multi-part instruments, and ensuring instruments are kept moist - correct answer True The association of peri-Operative registered nurses is - correct answer A professional organization that writes guidelines for the OR. When putting on PPE it is important to put the mask on first - correct answer False To prevent aerosols, items should be brushed below the surface of the water - correct answer true The suffix -ectomy means - correct answer surgical removal of This surgical procedure removes the uterus - correct answer hysterectomy When cleaning prion contaminated instruments no special cleaning procedures are required only following standard cleaning protocols and the manufacturer's IFU - correct answer False Healthy people do not harbor or transmit harmful bacteria - correct answer False When cleaning items contaminated with pseudomonas - correct answer There are no special cleaning requirements for items contaminated with pseudomonas The purpose of learning medical terminology is - correct answer to provide the Operating Room and medical staff with the goods and services they need. Which organization conducts onsite survey of health care facilities - correct answer The Joint Commission. All Central Service departments perform the same basic services (T/F) - correct answer False Knowing and understanding medical terminology helps technicians - correct answer understand what is asked when a request is being made. Hypoglycemia means - correct answer low blood sugar If soiled instruments are to be transported to an offsite facility for processing - correct answer They should be transported following the US department of transportation guidelines. All mechanical cleaning equipment provides - correct answer Consistent process Microbiology is the study of - correct answer microorganisms Detergents used in mechanical cleaners should be - correct answer low foaming Which of the following is not a growing trend in Central Service - correct answer Decentralization of Central Service Responsibilities. Subcutaneous means - correct answer beneath the skin Spores help some microorganisms survive in adverse conditions - correct answer true Which of the following surgical abbreviations might be used relating to a fractured (Fx) bone - correct answer ORIF (open reduction internal fixation) Only good oral and written communication skills are necessary to provide or obtain information (T/F) - correct answer False Soiled instruments and other items are received in the _____ area of the Central service department - correct answer decontamination A system is - correct answer group of organs The procedure to remove the stomach - correct answer gastrectomy The system used to categorize patient care items based on the degree of risk infection. - correct answer Spaulding Classification System An osteotome is - correct answer used to cut or shave bone When returning loaner items to the vendor - correct answer all items should be cleaned and decontaminated The first goal of creating an instrument pack is - correct answer Create a pack that meets user needs Positive air flow means when the door is opened, air flows out of instead of into the area. - correct answer true Molds, mushrooms and yeast are common - correct answer Fungi The surgery of the ear that reconstructs the eardrum so sound waves can be sent to the middle ear - correct answer tympanoplasty Dark areas on the lens of an endoscope are - correct answer Damaged light fibers Soiled instruments and other items are received in the _____ area of the Central service department - correct answer decontamination Pasteurizers disinfect using - correct answer heated water Which of the following statements about the use of mechanical washers is NOT true - correct answer all items should be washed on the same cycle Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation. - correct answer Occupational Safety and Health Administration Laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched - correct answer false Healthcare associated infections are - correct answer Those which occur in the course of being treated in a healthcare facility viruses are larger than bacteria - correct answer False, they are smaller The system that gives the body shape and support - correct answer skeletal system Devices categorized as semi-critical items, must be at least____ prior to use - correct answer high level disinfected Electronic testing of laparoscopic insulation should be done - correct answer in the clean assembly area prior to set assembly count sheets - correct answer provide a detailed list of tray contents central service technicians must wear special attire referred to as ___ to minimize their exposure to bloodborne pathogens and other contaminants. - correct answer PPE The temperature in the decontamination area should be between - correct answer 60 to 65 degrees Fahrenheit staphylococcus is classified as a gram-positive bacteria - correct answer true Kerrison/laminectomy rongeurs should be tested using - correct answer an index card Which should be used to thoroughly rinse all traces of disinfectant from an endoscope's channels - correct answer Treated water The prefix -hemi - correct answer means half the term sptorhinoplasty means - correct answer surgical repair of the nose Powered surgical instrument air hoses should be pressurized for proper inspection - correct answer true The use of test strips to test the minimum effective concentration in high-level disinfection solutions is required - correct answer each time the solution is used Arthroscopy instruments are used during - correct answer joint surgery The term itis means - correct answer inflammation Bacteria that so not require free oxygen to live are called - correct answer anaerobic Instruments with tungsten carbide jaws can easily be identified by - correct answer the gold handles on the instrument robotic instruments - correct answer Do not come apart for cleaning, have mechanical/electrical components in the proximal end of the instrument, and are heavier than standard laparoscopic instruments An important reason for instrument preparation to begin at the point of use is - correct answer it helps prolong the life of the instruments The mechanical process by which an ultrasonic cleaner works is called cavitation - correct answer true Clean multi-part instruments that have been assembled to test for functionality should - correct answer be disassembled and sterilized following manufacturer's IFU To protect themselves from splashes and spills, Central Service technicians assigned to the decontamination area should wear - correct answer Fluid resistant gowns These are used to breakdown fatty tissue on instruments - correct answer lipase enzymes This is the lining of the uterus - correct answer endometrium Healthcare regulations and standards provide consistency of departmental activities by outlining - correct answer minimal levels of quality and safety When a soiled instrument is found during the assembly process - correct answer the instrument and the tray it was in should be sent to the decontamination area for re-cleaning Skeletal muscles - correct answer move only when we want them to move The virus that causes hepatitis B is transmitted by - correct answer blood Departmental dress codes apply to - correct answer everyone entering the central service department All sonic cleaners have a decontamination cycle. - correct answer false Chemical indicators are____ devices - correct answer FDA class II The main theory of standard precautions is - correct answer to treat all human blood and body fluids as infectious Failure to perform soiled pick up rounds as scheduled can leas to instrument and equipment shortages - correct answer True Rigid container filter retention plates should be - correct answer removed from the container and lid and cleaned separately The absence of microorganisms that cause disease is called - correct answer asepsis The amount of time an item must remain wet with a disinfectant to achieve disinfection is called - correct answer wet contact time When an instrument has a shiny surface it is said to have a ___ finish - correct answer mirror The word laminectomy means - correct answer removal of part of a lamina Recommendations regarding sterilization practices are provided by the Association for the Advancement of Medical Instrumentation - correct answer True Hand hygiene is considered the single most important factor in reducing infections - correct answer true Contaminated items may be returned to central service - correct answer During scheduled soiled pick up rounds, by staff from user departments, in case carts Sometimes state or local regulations differ from federal regulations and when that happens the most stringent regulations apply - correct answer True Items should be contained for transport - correct answer to minimize spread of Microorganisms Cleaning brushes - correct answer should be cleaned and sterilized at least daily The term hypo means - correct answer below The process by which instruments are sterilized for immediate use is called - correct answer immediate use steam sterilization Steam sterilization is the most commonly used method of sterilization used in healthcare settings because - correct answer cycles are fast and inexpensive When placing sterile items on the shelf you should check - correct answer package integrity, expiration date, seams and filters to be sure they are in tact Hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges - correct answer false Implantable devices - correct answer Should not be immediate use steam sterilized unless there is a tracking system in place to trace the item to a patient One common cause of a clogged drain screen is - correct answer tape The best way to clean a suction lumen is - correct answer using the proper sized brush Which of the following statements about endoscopes is true? - correct answer Not all endoscopes can be processed in an automated endoscope processor. When using high-level disinfectants it is important to remember that they may be deactivated by - correct answer dilution, organic matter, time What is the first step when processing flexible endoscopes - correct answer leak test All rigid sterilization containers have tamper-evident seals - correct answer true Tissue forceps have teeth - correct answer true Under current regulations who is required to report suspected medical device-related deaths to the US FDA? - correct answer Device manufacturer and hospital Floors in the Central Service Department should be - correct answer wet-mopped daily The staining method most frequently used to identify the shape and characteristics of bacteria is called - correct answer gram During instrument manufacture the process passivation helps build a protective chromium oxide layer in the instrument's surface. - correct answer true The first step to inspect the insulation of a laparoscopic instrument is to - correct answer check the collar at the distal tip When arranging paper/plastic pouches in the sterilizer, the pouches should be arranged - correct answer paper to plastic Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as - correct answer critical items The first sink bay in the decontamination area should be filled with a neutral detergent or enzyme - correct answer true Regulations under the Clean Air Act are administered by - correct answer Environmental Protection Agency 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 collects them (T/F) - correct answer False Jewelry should not be worn in the Central Service department work areas because - correct answer they harbor bacteria One goal of point-of-use preparation is to prevent instruments from being damaged - correct answer True During hand washing, hands should be lathered and scrubbed for at least - correct answer 20 seconds Hydrogen Peroxide sterile packaging - correct answer must be cellulose free Ozone sterile packaging - correct answer should be cellulose free Steam and EtO sterilization process uses what kind of peel pouches - correct answer paper and plastic Hydrogen peroxide and ozone sterilization process uses what kind of peel pouches - correct answer Spunbond polyolefin-plastic, otherwise known as Tyvec Occupational Safety and Health Administration (OSHA) - correct answer Concerned with safe work environment, employee safety, operates under the US Department of labor all bacteria require the same conditions to live and grow - correct answer False The term oscopy means - correct answer visual examination Instruments sets and other required instrumentation needed for all scheduled surgical procedures for an entire day are usually pulled - correct answer the day or evening before they will be used A septoplasty is - correct answer Straightening the nose Personal protective equipment is not required when cleaning items for immediate use steam sterilization - correct answer False The decontamination area of CS should have - correct answer 10 per hour These are used to breakdown fatty deposits and adipose tissue on instruments - correct answer Lipase enzymes 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 - correct answer Common Vehicle Microorganisms reproduce by a process called - correct answer binary fission The process of making an item safe by reducing or removing contamination by infectious organisms or other harmful substances is called - correct answer Decontamination Rod-shaped bacteria are classified as - correct answer bacillus What type of hepatitis vaccine is strongly recommended for most healthcare workers? - correct answer Hepatitis B These bacteria grow well at body temperature and are often pathogenic to humans. - correct answer Mesophiles Phenolics are often used to disinfect - correct answer Non-critical items Which of the following disinfectants is also known as a "wetting agent?" - correct answer quaternary ammonium compounds (quats) An iodophor is a - correct answer buffered iodine Microorganisms that are capable of growing in free oxygen (require Free oxygen) are called - correct answer aerobic The amount of time that it takes to kill 90% of the microorganisms present on an object is called - correct answer a D-Value Which of the following can be removed from water when a reverse osmosis process is used? - correct answer bacteria, pyrogens and endotoxins Round-shaped bacteria are classified as - correct answer coccus Water softeners are used to remove ________ in the water - correct answer calcium and magnesium Bacteria that grow well in warm temperatures (122* F - 158* F) are called - correct answer thermophiles An infectious agent which grows only in living tissue is called - correct answer a virus What percentage of microorganisms are harmful to humans because they can grow at approximately human body temperature? - correct answer 1% The part of a cell that enables it to move through liquid is the - correct answer flagella When using the pH scale, which of the following numbers would suggest the most alkaline? - correct answer 14 Which of the following is a system used to treat the final rinse water used for cleaning? - correct answer deionization Which instrument identification methods is semi-permanent? - correct answer Acid-Base etching The method of wrapping that creates a package within a package is called - correct answer Sequential Wicking materials are used to - correct answer allow air removal, steam penetration and facilitate drying Chisels and Osteotomes should be tested using - correct answer A Plastic Dowel Rod All endoscopes, whether Rigid, Semi-rigid or Flexible are capable of - correct answer Diagnostic Procedure Microgrind, or Supercut Scissors are usually identified with: - correct answer black handles Which of the following packaging materials is not acceptable for use in steam sterilization? - correct answer Spunbond-polyolefin combination pouches All packaging materials should be held at a temperature between - correct answer Temperature between 68*F and 73*F (20 degrees C to 23 degrees C) Physical conditions of Assembly area - correct answer Positive airflow Temperature between 68*F and 73*F (20 degrees C to 23 degrees C) Relative humidity between 30% and 60% The acronym "FAN" stands for - correct answer Function Accurate Neat Cellulosic materials (paper, cotton and linen) cannot be processed in a/an - correct answer hydrogen peroxide gas plasma sterilizer The maximum density recommended for linen packs is - correct answer 7.2 pounds This type of packaging can be used in dry heat sterilization but is not recommended for other types of sterilization - correct answer Aluminum Foil What the first step in maintaining environmental integrity of CS department? - correct answer Use traffic control protocols What is Ortho-Phthalaldehyde - correct answer (OPA) Instruments that are 400 series stainless steel, heat-hardened, and magnetic are? - correct answer Martensitic Each of the following factors are related to safety and risk management except - correct answer pay attention to detail Documentation of High Level Disinfected items include - correct answer patient name physician name exposure time and temperature Standards and regulations help set levels of __________ in Central Service departments - correct answer Quality Safety Efficiency The percentage of concentration of the active ingredient in an HLD s known as: - correct answer describe the Spaulding Classification System - correct answer A system developed by Dr. E. H. Spaulding that divides medical devices into categories based on the risk of infection involved with their use Spaulding Classification System Example for Semi-Critical (touches these kinds of membranes except what? requires what level of cleaning? 3 examples of what requires this level of cleaning) - correct answer Touches mucous membranes except dental, requires High-level disinfection.Flexible endoscopes, Laryngoscopes, Endotracheal tubes Spaulding Classification System Example for Non-Critical (touches what kind of skin and requires what level of cleanliness? 5 examples of things that require this level of cleaning) - correct answer touches intact skin and requires Intermediate and Low-level disinfection. Thermometers, Hydrotherapy tanks, Stethoscopes, Tabletops, Bedpans Spaulding Classification System Example for Critical (enters what kind of tissue or system and requires what level of cleaning, 3 examples of what is at critical level) - correct answer Enters sterile tissue or vascular system and requires Sterilization: Implants, surgical Instruments, needles