IAHCSMM ENDOSCOPIC COMPREHENSIVE EXAM UPDATED
QUESTIONS AND SOLUTIONS RATED A+
✔✔True or false? Adding more high-level disinfectant to the soak basin or automated
equipment reprocessor to bring the solution up the desired level also extends the length
of time the solution can be used. - ✔✔False
✔✔True or false? Automated endoscopes reprocessor device connectors are designed
for use with any flexible endoscope. - ✔✔False
✔✔True or false? When using an automated equipment reprocessor with an automated
cleaning cycle, it is still necessary to thoroughly manually clean the endoscope before
using the automated cycle. - ✔✔True
✔✔Automated equipment reprocessors should be quality tested: - ✔✔At least weekly
✔✔True or false? Water bottles can be processed in any automated equipment
reprocessor. - ✔✔False
✔✔The following should be documented each time an item is high-level disinfected: -
✔✔Name or initials of the person performing the high-level disinfection, minimum
effective concentration, and date and time the high-level disinfection process took place
✔✔The high-level disinfectant solution in an automated equipment reprocessor should
be tested for the minimum effective concentration: - ✔✔Before each use
✔✔True or false? Most multi-part flexible endoscopes and their accessories must be
disassembled for sterilization. - ✔✔True
✔✔True or false? When the color of chemical indicator tape used to seal flat wrap
changes, it indicates that the item is sterile. - ✔✔False
✔✔True or false? Gas plasma sterilizers must be in an area physically separated from
all other work areas. - ✔✔False
✔✔The Occupational Safety and Health Administration requires a method to alert
employees to emergency situations for this type of low-temperature sterilizers: -
✔✔Ethylene oxide
✔✔Items being prepared for ethylene oxide sterilization should be - ✔✔Clean, dry, and
compatible with ethylene oxide
,✔✔True or false? All flexible endoscopes should have a ventilation adapter or water-
resistant cap in place when undergoing ethylene oxide sterilization. - ✔✔False
✔✔True or false? An effective way to dry endoscopes before ethylene oxide sterilization
is to use heated forced air. - ✔✔False
✔✔True or false? Peel pouches are an acceptable package material for ethylene oxide
sterilization. - ✔✔True
✔✔True or false? When running an ethylene oxide sterilizer, the load should be full,
unless there is a medical necessity to run a partially filed load. - ✔✔True
✔✔True or false? A biological indicator should be run in each ethylene oxide cycle. -
✔✔True
✔✔When carrying flexible endoscopes, they should always be held at the - ✔✔Control
head
✔✔To prevent cross-contamination when handling a contaminated endoscope, it is
important to use: - ✔✔Directional workflow, personal protective equipment, and proper
signage
✔✔When valves are placed back on a flexible endoscope for storage - ✔✔They trap
moisture and facilitate microbial growth.
✔✔True or false? Flexible endoscope components that have been removed for cleaning
should always be kept with the same endoscope because they will be easier to track. -
✔✔True
✔✔True or false? Endoscopes should always be stored vertically. - ✔✔False
✔✔True or false? Filtered air is used to help reduce the risk for contamination during
storage. - ✔✔True
✔✔True or false? When storing flexible endoscopes, the terms "expiration date" and
"hang time" mean the same thing. - ✔✔True
✔✔Flexible endoscopes that have received high-level disinfection should be
reprocessed after a hang time of - ✔✔Time should be determined by each facility.
✔✔The process of identifying all risks to and from an activity and assigning the potential
impact of each risk is called - ✔✔Risk assessment
, ✔✔Sterilized flexible endoscopes should be stored - ✔✔In the same manner as other
sterilized devices
✔✔Arthroscopes are used for surgeries on - ✔✔Joints
✔✔True or false? The objective lens of a rigid endoscope is the strongest part of the
endoscope. - ✔✔False
✔✔Rod lenses of a rigid endoscope are made from - ✔✔Glass
✔✔The ocular lens of a rigid endoscope is - ✔✔The closest lens to the eye
✔✔Rigid endoscope lens damage can easily occur from - ✔✔Dropping, bending, and
exposure to excessive heat
✔✔True or false? Some rigid endoscopes have an operative channel. - ✔✔True
✔✔When using a rigid endoscope, a dark image may be caused by damaged: -
✔✔Illumination fibers, coupler, or camera
✔✔True or false? Although rigid endoscope light cords come in different sizes, they
may be used with any size rigid endoscope. - ✔✔False
✔✔An advantage of video imaging is: - ✔✔The light source does not overheat, the
surgical team can see the operative site, and they provide three-dimensional image
✔✔True or false? Cables used to transmit laser light are the same as cables used to
transmit non-laser light. - ✔✔False
✔✔Endoscope equipment maintenance management systems should include polices
on: - ✔✔Equipment safety, inspection, and planned maintenance
✔✔True or false? Surveyors may ask staff in the endoscope reprocessing area to
demonstrate department protocols for damaged endoscopes. - ✔✔True
✔✔This department is responsible for providing input into the endoscope use and
handling system: - ✔✔Reprocessing, infection prevention, and user
✔✔Endoscope leak testing can identify the following problem with a flexible endoscope
- ✔✔O-rings that are not properly seated
✔✔True or false? During leak testing, an increase in pressure when moving the elevator
levers indicates a leak in the system. - ✔✔False
QUESTIONS AND SOLUTIONS RATED A+
✔✔True or false? Adding more high-level disinfectant to the soak basin or automated
equipment reprocessor to bring the solution up the desired level also extends the length
of time the solution can be used. - ✔✔False
✔✔True or false? Automated endoscopes reprocessor device connectors are designed
for use with any flexible endoscope. - ✔✔False
✔✔True or false? When using an automated equipment reprocessor with an automated
cleaning cycle, it is still necessary to thoroughly manually clean the endoscope before
using the automated cycle. - ✔✔True
✔✔Automated equipment reprocessors should be quality tested: - ✔✔At least weekly
✔✔True or false? Water bottles can be processed in any automated equipment
reprocessor. - ✔✔False
✔✔The following should be documented each time an item is high-level disinfected: -
✔✔Name or initials of the person performing the high-level disinfection, minimum
effective concentration, and date and time the high-level disinfection process took place
✔✔The high-level disinfectant solution in an automated equipment reprocessor should
be tested for the minimum effective concentration: - ✔✔Before each use
✔✔True or false? Most multi-part flexible endoscopes and their accessories must be
disassembled for sterilization. - ✔✔True
✔✔True or false? When the color of chemical indicator tape used to seal flat wrap
changes, it indicates that the item is sterile. - ✔✔False
✔✔True or false? Gas plasma sterilizers must be in an area physically separated from
all other work areas. - ✔✔False
✔✔The Occupational Safety and Health Administration requires a method to alert
employees to emergency situations for this type of low-temperature sterilizers: -
✔✔Ethylene oxide
✔✔Items being prepared for ethylene oxide sterilization should be - ✔✔Clean, dry, and
compatible with ethylene oxide
,✔✔True or false? All flexible endoscopes should have a ventilation adapter or water-
resistant cap in place when undergoing ethylene oxide sterilization. - ✔✔False
✔✔True or false? An effective way to dry endoscopes before ethylene oxide sterilization
is to use heated forced air. - ✔✔False
✔✔True or false? Peel pouches are an acceptable package material for ethylene oxide
sterilization. - ✔✔True
✔✔True or false? When running an ethylene oxide sterilizer, the load should be full,
unless there is a medical necessity to run a partially filed load. - ✔✔True
✔✔True or false? A biological indicator should be run in each ethylene oxide cycle. -
✔✔True
✔✔When carrying flexible endoscopes, they should always be held at the - ✔✔Control
head
✔✔To prevent cross-contamination when handling a contaminated endoscope, it is
important to use: - ✔✔Directional workflow, personal protective equipment, and proper
signage
✔✔When valves are placed back on a flexible endoscope for storage - ✔✔They trap
moisture and facilitate microbial growth.
✔✔True or false? Flexible endoscope components that have been removed for cleaning
should always be kept with the same endoscope because they will be easier to track. -
✔✔True
✔✔True or false? Endoscopes should always be stored vertically. - ✔✔False
✔✔True or false? Filtered air is used to help reduce the risk for contamination during
storage. - ✔✔True
✔✔True or false? When storing flexible endoscopes, the terms "expiration date" and
"hang time" mean the same thing. - ✔✔True
✔✔Flexible endoscopes that have received high-level disinfection should be
reprocessed after a hang time of - ✔✔Time should be determined by each facility.
✔✔The process of identifying all risks to and from an activity and assigning the potential
impact of each risk is called - ✔✔Risk assessment
, ✔✔Sterilized flexible endoscopes should be stored - ✔✔In the same manner as other
sterilized devices
✔✔Arthroscopes are used for surgeries on - ✔✔Joints
✔✔True or false? The objective lens of a rigid endoscope is the strongest part of the
endoscope. - ✔✔False
✔✔Rod lenses of a rigid endoscope are made from - ✔✔Glass
✔✔The ocular lens of a rigid endoscope is - ✔✔The closest lens to the eye
✔✔Rigid endoscope lens damage can easily occur from - ✔✔Dropping, bending, and
exposure to excessive heat
✔✔True or false? Some rigid endoscopes have an operative channel. - ✔✔True
✔✔When using a rigid endoscope, a dark image may be caused by damaged: -
✔✔Illumination fibers, coupler, or camera
✔✔True or false? Although rigid endoscope light cords come in different sizes, they
may be used with any size rigid endoscope. - ✔✔False
✔✔An advantage of video imaging is: - ✔✔The light source does not overheat, the
surgical team can see the operative site, and they provide three-dimensional image
✔✔True or false? Cables used to transmit laser light are the same as cables used to
transmit non-laser light. - ✔✔False
✔✔Endoscope equipment maintenance management systems should include polices
on: - ✔✔Equipment safety, inspection, and planned maintenance
✔✔True or false? Surveyors may ask staff in the endoscope reprocessing area to
demonstrate department protocols for damaged endoscopes. - ✔✔True
✔✔This department is responsible for providing input into the endoscope use and
handling system: - ✔✔Reprocessing, infection prevention, and user
✔✔Endoscope leak testing can identify the following problem with a flexible endoscope
- ✔✔O-rings that are not properly seated
✔✔True or false? During leak testing, an increase in pressure when moving the elevator
levers indicates a leak in the system. - ✔✔False
