IAHCSMM ENDOSCOPIC UPDATED EXAM SCRIPT
QUESTIONS AND SOLUTIONS RATED A+
✔✔Hysteroscopes are used to visualize the - ✔✔Uterus
✔✔This section of a flexible endoscope articulates to aid insertion into curved areas -
✔✔Bending section
✔✔This bacteria is beneficial to humans - ✔✔Symbiotic bacteria
✔✔Human biofilms: - ✔✔Can attach to endoscopes
✔✔True or false? Symbiotic bacteria are harmful to humans. - ✔✔False
✔✔Endoscopes can become contaminated from: - ✔✔Poor processing instructions from
the manufacturer, using contaminated water, and damage to the device
✔✔Bacteria are divided into groups based upon - ✔✔Gram stain color
✔✔Gram-negative bacteria stains - ✔✔Red
✔✔Bacteria spores are resistant to: - ✔✔Radiation, heat, and chemicals
✔✔True or false? Viruses are larger than bacteria. - ✔✔False
✔✔True or false? Enveloped viruses are easier to disable than non-enveloped viruses. -
✔✔True
✔✔True or false? An opportunistic infection is one that is usually caused by non-
pathogenic bacteria. - ✔✔True
✔✔True or false? While bacteria can be pathogenic, fungus and parasites cannot be
pathogenic. - ✔✔False
✔✔Sepsis has been associated with: - ✔✔Bronchoscopy, duodenoscopy, and upper GI
endoscopy
✔✔Endospores are formed - ✔✔Inside the bacterial cell
✔✔True or false? Biofilm is a colony of one type of bacteria that joins together. -
✔✔False
,✔✔True or false? Biofilm and fungus can form underneath artificial finger nails. -
✔✔True
✔✔Effective work area design should incorporate - ✔✔One-way flow
✔✔Inadequate work space in the endoscope work area can be a cause of -
✔✔Endoscope damage
✔✔True of false? Endoscopes that have been high-level disinfected should be stored
on open wire shelving. - ✔✔False
✔✔The recommended temperature for the endoscope clean processing area should be
- ✔✔60-73 degrees F
✔✔True or false? When airflow is negative it means air flows into that area. - ✔✔True
✔✔True or false? Doors and pass-through windows between decontamination and
disinfection area should remain closed; however, they may remain open between
disinfection and sterilization area - ✔✔False
✔✔The relative humidity in all endoscope work areas should no exceed - ✔✔60 percent
✔✔True or false? The automated endoscope reprocessor should be placed in the
decontamination area to ensure the endoscopes are clean before sending them to the
preparation area. - ✔✔False
✔✔True or false? When sending endoscopes from the user area to the decontamination
area, endoscopes and their accessories, such as forceps and wires, should be
transported together in the same closed container. - ✔✔False
✔✔True or false? Physical barriers between soiled and clean areas can prevent
aerosols from entering the clean area. - ✔✔True
✔✔The process of rendering a clinically-used device safe and ready for reuse is the
definition of - ✔✔Reprocessing
✔✔True or false? Household liquid dishwashing detergents are recommended as the
detergent of choice to clean gastrointestinal endoscopes. - ✔✔False
✔✔Medical devices that have been improperly reprocessed may: - ✔✔Transmit
disease, cause device damage, and cause device failure
, ✔✔True or false? The words "cleaning" and "decontamination" mean the same thing. -
✔✔False
✔✔Standard dress code for the reprocessing area includes: - ✔✔Facility-cleaned
uniform or scrub attire, hair cover, and not wearing jewelry and watches
✔✔The first step in doffing (removing) personal protective equipment is removing -
✔✔Shoe covers
✔✔Enzymes target specific soils. Which type of enzyme product is most helpful when
cleaning endoscopes? - ✔✔Multi-enzyme product
✔✔Personal protective equipment for the endoscope decontamination area includes -
✔✔Full-face face shield or a mask and eye protection
✔✔True or false? Using the wrong size brush when cleaning a flexible endoscope can
cause damage to the endoscope. - ✔✔True
✔✔Detergents used to clean endoscopes should be - ✔✔Low foaming
✔✔Critical components of successful cleaning includes: - ✔✔Following the
manufacturers' Instruction for Use, paying attention to detail, and using good work
practices
✔✔True or false? Solutions that are mixed too strong will not be as effective as
solutions mixed to the recommended strength. - ✔✔True
✔✔The most important source of information for determining the proper chemicals to
use for cleaning an endoscope is the - ✔✔Chemical manufacturer's Instructions for Use
✔✔The most common pH recommended for endoscope cleaning chemicals is -
✔✔Neutral pH
✔✔True or false? Pre-cleaning at the point of use reduces the likelihood of biofilm
formation. - ✔✔True
✔✔True and false? Pre-cleaning at the point of use should occur before the endoscope
is disconnected from the power source. - ✔✔True
✔✔After removing the flexible endoscope from the patient, the first step in point-of-use
pre-cleaning is to: - ✔✔Remove the gross soil
QUESTIONS AND SOLUTIONS RATED A+
✔✔Hysteroscopes are used to visualize the - ✔✔Uterus
✔✔This section of a flexible endoscope articulates to aid insertion into curved areas -
✔✔Bending section
✔✔This bacteria is beneficial to humans - ✔✔Symbiotic bacteria
✔✔Human biofilms: - ✔✔Can attach to endoscopes
✔✔True or false? Symbiotic bacteria are harmful to humans. - ✔✔False
✔✔Endoscopes can become contaminated from: - ✔✔Poor processing instructions from
the manufacturer, using contaminated water, and damage to the device
✔✔Bacteria are divided into groups based upon - ✔✔Gram stain color
✔✔Gram-negative bacteria stains - ✔✔Red
✔✔Bacteria spores are resistant to: - ✔✔Radiation, heat, and chemicals
✔✔True or false? Viruses are larger than bacteria. - ✔✔False
✔✔True or false? Enveloped viruses are easier to disable than non-enveloped viruses. -
✔✔True
✔✔True or false? An opportunistic infection is one that is usually caused by non-
pathogenic bacteria. - ✔✔True
✔✔True or false? While bacteria can be pathogenic, fungus and parasites cannot be
pathogenic. - ✔✔False
✔✔Sepsis has been associated with: - ✔✔Bronchoscopy, duodenoscopy, and upper GI
endoscopy
✔✔Endospores are formed - ✔✔Inside the bacterial cell
✔✔True or false? Biofilm is a colony of one type of bacteria that joins together. -
✔✔False
,✔✔True or false? Biofilm and fungus can form underneath artificial finger nails. -
✔✔True
✔✔Effective work area design should incorporate - ✔✔One-way flow
✔✔Inadequate work space in the endoscope work area can be a cause of -
✔✔Endoscope damage
✔✔True of false? Endoscopes that have been high-level disinfected should be stored
on open wire shelving. - ✔✔False
✔✔The recommended temperature for the endoscope clean processing area should be
- ✔✔60-73 degrees F
✔✔True or false? When airflow is negative it means air flows into that area. - ✔✔True
✔✔True or false? Doors and pass-through windows between decontamination and
disinfection area should remain closed; however, they may remain open between
disinfection and sterilization area - ✔✔False
✔✔The relative humidity in all endoscope work areas should no exceed - ✔✔60 percent
✔✔True or false? The automated endoscope reprocessor should be placed in the
decontamination area to ensure the endoscopes are clean before sending them to the
preparation area. - ✔✔False
✔✔True or false? When sending endoscopes from the user area to the decontamination
area, endoscopes and their accessories, such as forceps and wires, should be
transported together in the same closed container. - ✔✔False
✔✔True or false? Physical barriers between soiled and clean areas can prevent
aerosols from entering the clean area. - ✔✔True
✔✔The process of rendering a clinically-used device safe and ready for reuse is the
definition of - ✔✔Reprocessing
✔✔True or false? Household liquid dishwashing detergents are recommended as the
detergent of choice to clean gastrointestinal endoscopes. - ✔✔False
✔✔Medical devices that have been improperly reprocessed may: - ✔✔Transmit
disease, cause device damage, and cause device failure
, ✔✔True or false? The words "cleaning" and "decontamination" mean the same thing. -
✔✔False
✔✔Standard dress code for the reprocessing area includes: - ✔✔Facility-cleaned
uniform or scrub attire, hair cover, and not wearing jewelry and watches
✔✔The first step in doffing (removing) personal protective equipment is removing -
✔✔Shoe covers
✔✔Enzymes target specific soils. Which type of enzyme product is most helpful when
cleaning endoscopes? - ✔✔Multi-enzyme product
✔✔Personal protective equipment for the endoscope decontamination area includes -
✔✔Full-face face shield or a mask and eye protection
✔✔True or false? Using the wrong size brush when cleaning a flexible endoscope can
cause damage to the endoscope. - ✔✔True
✔✔Detergents used to clean endoscopes should be - ✔✔Low foaming
✔✔Critical components of successful cleaning includes: - ✔✔Following the
manufacturers' Instruction for Use, paying attention to detail, and using good work
practices
✔✔True or false? Solutions that are mixed too strong will not be as effective as
solutions mixed to the recommended strength. - ✔✔True
✔✔The most important source of information for determining the proper chemicals to
use for cleaning an endoscope is the - ✔✔Chemical manufacturer's Instructions for Use
✔✔The most common pH recommended for endoscope cleaning chemicals is -
✔✔Neutral pH
✔✔True or false? Pre-cleaning at the point of use reduces the likelihood of biofilm
formation. - ✔✔True
✔✔True and false? Pre-cleaning at the point of use should occur before the endoscope
is disconnected from the power source. - ✔✔True
✔✔After removing the flexible endoscope from the patient, the first step in point-of-use
pre-cleaning is to: - ✔✔Remove the gross soil
