CER ACTUAL 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS GRADED A+
✔✔simethicone - ✔✔ingredient in anti-gas medications
✔✔adhesions - ✔✔holding together of two surfaces or parts that are normally separate
✔✔cleaning verification tests - ✔✔are performed after cleaning to verify the
effectiveness of a cleaning process at removing or reducing to an acceptable level,
organic soil and microbial contamination.
✔✔ATP testing - ✔✔is performed by swabbing sections of the endoscope and inserting
the swabbing device into an ATP reader.
✔✔delayed reprocessing - ✔✔is reprocessing activities that begin more than one hour
after an endoscope's use.
✔✔leak tests - ✔✔is an important part of the inspection process because it allows the
observer to determine if the tubes and/or channels are intact. It is a fundamental
inspection step that allows the observer to determine whether the tubes and/or channels
are intact.
✔✔borescope - ✔✔is a device used for visual inspection in areas that are inaccessible
by other means.
✔✔lumens - ✔✔pose a cleaning challenge because of their narrow structure that
prevents visualization during cleaning.
✔✔ventilation cap - ✔✔pose a cleaning challenge because of their narrow structure that
prevents visualization during cleaning.
✔✔sterilization - ✔✔is the process by which ALL forms of microbial life, including
bacteria, viruses, spores and fungi are completely destroyed.
✔✔high-level disinfection - ✔✔is the destruction of all vegetative microorganisms,
mycobacterium, small non-lipid viruses fungal spores and some bacterial spores.
✔✔The Spaulding Classification of medical devices and level of disinfection system -
✔✔is universally used to determine which type of disinfection or sterilization is
appropriate for medical devices.
✔✔critical - ✔✔Enters sterile tissue or vascular system. Examples: Implants & Surgical
instruments; Requires: Sterilization
, ✔✔semi-critical - ✔✔Touches mucus membranes, except dental. Examples: • Flexible
Endoscopes, Laryngoscopes & Endotracheal Tubes; Requires: High-Level Disinfection
(HLD)
✔✔sterile - ✔✔is to completely devoid of all living microorganisms.
✔✔cleaning - ✔✔is the first step in the multi-step process of sterilization.
✔✔instrument air - ✔✔a medical gas that falls under the general requirements and is
filtered to 0.01 micron.
✔✔aeration - ✔✔process by which sterilized packages are subjected to moving air to
facilitate removal of toxic residuals after exposure to a sterilizing agent such as ethylene
oxide.
✔✔plasma - ✔✔is a state of matter distinguishable from a solid, liquid or gas.
✔✔steam sterilizers - ✔✔all use a combination of air removal, steam and time to
accomplish sterilization.
✔✔bowie-dick - ✔✔all use a combination of air removal, steam and time to accomplish
sterilization.
✔✔cross-contamination - ✔✔To reduce the risk of damage or __________, endoscope
should be stored so they do not touch one or another; or touch the bottom or sides of
the storage cabinet.
✔✔risk assessment - ✔✔is the process of identifying all risks to and from an activity,
and assessing the potential impact of each risk.
✔✔cystoscopy - ✔✔is the examination, diagnosis, or treatment of the urethra & bladder
or prostate gland.
✔✔Rod Lenses - ✔✔multiple of these produced from the purest quality glass are
positioned between the objective (distal end) and ocular (proximal) lenses though the
interior of the endoscope.
✔✔statue - ✔✔is a written law adopted by a legislative body that governs a city, county,
state, or country. Failure to comply will result in legal consequences.
✔✔regulations - ✔✔are rules issued by administrative agencies that have the force of
law.
SOLUTIONS GRADED A+
✔✔simethicone - ✔✔ingredient in anti-gas medications
✔✔adhesions - ✔✔holding together of two surfaces or parts that are normally separate
✔✔cleaning verification tests - ✔✔are performed after cleaning to verify the
effectiveness of a cleaning process at removing or reducing to an acceptable level,
organic soil and microbial contamination.
✔✔ATP testing - ✔✔is performed by swabbing sections of the endoscope and inserting
the swabbing device into an ATP reader.
✔✔delayed reprocessing - ✔✔is reprocessing activities that begin more than one hour
after an endoscope's use.
✔✔leak tests - ✔✔is an important part of the inspection process because it allows the
observer to determine if the tubes and/or channels are intact. It is a fundamental
inspection step that allows the observer to determine whether the tubes and/or channels
are intact.
✔✔borescope - ✔✔is a device used for visual inspection in areas that are inaccessible
by other means.
✔✔lumens - ✔✔pose a cleaning challenge because of their narrow structure that
prevents visualization during cleaning.
✔✔ventilation cap - ✔✔pose a cleaning challenge because of their narrow structure that
prevents visualization during cleaning.
✔✔sterilization - ✔✔is the process by which ALL forms of microbial life, including
bacteria, viruses, spores and fungi are completely destroyed.
✔✔high-level disinfection - ✔✔is the destruction of all vegetative microorganisms,
mycobacterium, small non-lipid viruses fungal spores and some bacterial spores.
✔✔The Spaulding Classification of medical devices and level of disinfection system -
✔✔is universally used to determine which type of disinfection or sterilization is
appropriate for medical devices.
✔✔critical - ✔✔Enters sterile tissue or vascular system. Examples: Implants & Surgical
instruments; Requires: Sterilization
, ✔✔semi-critical - ✔✔Touches mucus membranes, except dental. Examples: • Flexible
Endoscopes, Laryngoscopes & Endotracheal Tubes; Requires: High-Level Disinfection
(HLD)
✔✔sterile - ✔✔is to completely devoid of all living microorganisms.
✔✔cleaning - ✔✔is the first step in the multi-step process of sterilization.
✔✔instrument air - ✔✔a medical gas that falls under the general requirements and is
filtered to 0.01 micron.
✔✔aeration - ✔✔process by which sterilized packages are subjected to moving air to
facilitate removal of toxic residuals after exposure to a sterilizing agent such as ethylene
oxide.
✔✔plasma - ✔✔is a state of matter distinguishable from a solid, liquid or gas.
✔✔steam sterilizers - ✔✔all use a combination of air removal, steam and time to
accomplish sterilization.
✔✔bowie-dick - ✔✔all use a combination of air removal, steam and time to accomplish
sterilization.
✔✔cross-contamination - ✔✔To reduce the risk of damage or __________, endoscope
should be stored so they do not touch one or another; or touch the bottom or sides of
the storage cabinet.
✔✔risk assessment - ✔✔is the process of identifying all risks to and from an activity,
and assessing the potential impact of each risk.
✔✔cystoscopy - ✔✔is the examination, diagnosis, or treatment of the urethra & bladder
or prostate gland.
✔✔Rod Lenses - ✔✔multiple of these produced from the purest quality glass are
positioned between the objective (distal end) and ocular (proximal) lenses though the
interior of the endoscope.
✔✔statue - ✔✔is a written law adopted by a legislative body that governs a city, county,
state, or country. Failure to comply will result in legal consequences.
✔✔regulations - ✔✔are rules issued by administrative agencies that have the force of
law.
