IAHCSMM ENDOSCOPIC FINAL EXAM QUESTIONS AND SOLUTIONS RATED A+

IAHCSMM ENDOSCOPIC FINAL EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔After removing the flexible endoscope from the patient, the first step in point-of-use
pre-cleaning is to: - ✔✔Remove the gross soil

✔✔True of false? When placing the pre-cleaned endoscope in the container for
transport to the decontamination area, all accessories used on the procedure should be
placed in the container with the endoscope. - ✔✔False

✔✔Leak testing should be performed: - ✔✔After point-of-use pre-cleaning, before
manual cleaning, and after every procedure.

✔✔The goal of leak testing is to - ✔✔Detect damage to the exterior and interior of the
endoscope.

✔✔True or false? When preforming a leak test, the water-resistant cap should be
removed. - ✔✔False

✔✔True of false? When cleaning an endoscope that has failed a leak test, it is
important to first disconnect the leak tester. - ✔✔False

✔✔True or false? Endoscopes with major leaks cannot be cleaned before sent our for
repair. - ✔✔False

✔✔True or false? After pre-cleaning at the point-of-use, valves should be reattached to
the endoscope for transport to the reprocessing area. - ✔✔False

✔✔True or false? Manual cleaning should begin immediately after pre-cleaning. -
✔✔False

✔✔Reprocessing that begins more than one hour after the endoscope is used is called -
✔✔Delayed reprocessing

✔✔When manually cleaning endoscopes, the cleaning solution should be changed -
✔✔For each endoscope

✔✔True or false? Using detergents that are not low foaming can inhibit fluid contact
with the surface of the endoscope. - ✔✔True

✔✔True or false? The exterior of the endoscope should be cleaned using lint-free cloth
or sponge - ✔✔True

,✔✔True or false? All removable parts should be carefully cleaned using a stiff bristled
brush. - ✔✔False

✔✔True or false? When cleaning the lumens of an endoscope, the brush should be
rinsed before pulling it back through the channel. - ✔✔True

✔✔After rinsing, but before disinfection, inner channels should be - ✔✔Purged with air

✔✔Water bottles should be cleaned - ✔✔Following manufacturer's Instructions for Use

✔✔True or false? Borescopes are used to visually inspect the channels of an
endoscope. - ✔✔True

✔✔True or false? Testing for cleaning efficacy of the manual cleaning process should
be performed at least weekly, but preferably daily. - ✔✔True

✔✔Cleaning equipment should be tested for cleaning efficacy: - ✔✔Upon installation,
after repair, and on a routine basis

✔✔True or false? Automated cleaning is the most important step in removing microbial
bioburden from a flexible endoscope. - ✔✔False

✔✔True or false? Reusable cleaning brushes should be cleaned and disinfected at
least once per shift - ✔✔False

✔✔True or false? Through manual cleaning must be performed before placing an
endoscope into an automated equipment reprocessor. - ✔✔True

✔✔True or false? Using poor technique or skipping leak testing can cause harm to the
patient. - ✔✔True

✔✔True or false? Damage to endoscope lumens increases the risk that debris may be
left inside the endoscope after cleaning. - ✔✔True

✔✔The use of a ________ during the endoscope inspection process allows the
technician to inspect the inner channels of the endoscope. - ✔✔Borescope

✔✔True or false? Using a venting cap during sterilization will cause the endoscope
sheath to rupture. - ✔✔False

✔✔When inspecting an endoscope light cord, broken light fibers can be detected by -
✔✔Black spots on the end of the cord

, ✔✔Visual inspection of flexible endoscopes should occur: - ✔✔Before the procedure,
during the procedure, and after cleaning

✔✔True or false? When preparing an endoscope for high-level disinfection it is
important to put the valve cover back of the endoscope to help ensure the disinfectant
can get inside the lumen. - ✔✔False

✔✔Ethylene oxide sterilization of a flexible endoscope may result in a blown endoscope
if - ✔✔The endoscope is not vented properly

✔✔True or false? The two most common types of packaging used for endoscope
sterilization are disposable peel packing and rigid containers. - ✔✔False

✔✔Early detection of endoscope damage can protect the patient and: - ✔✔Reduce
repair costs

✔✔True or false? All endoscopes should be high-level disinfected or sterilized between
each patient. - ✔✔True

✔✔Endoscopes are considered _______ devices: - ✔✔Semi-critical

✔✔True or false? The minimum effective concentration of high-level disinfectants/liquid
chemical sterilant should be tested at least daily. - ✔✔False

✔✔True or false? Minimum effective concentration and minimum recommended
concentration mean the same thing. - ✔✔True

✔✔When manually rinsing an endoscope after high-level disinfection, the endoscope
should be rinsed - ✔✔Per the manufacturer's Instructions for Use

✔✔True or false? Failing to dry an endoscope properly after high-level disinfection and
rinsing can allow for recontamination of the endoscope. - ✔✔True

✔✔True or false? After high-level disinfection, the endoscope should be assembled
before storage. - ✔✔False

✔✔True or false? High-level disinfection solutions should be discarded after each use. -
✔✔False

✔✔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