CBSPD Final Exam 2023 (Questions And Answers

CBSPD Final Exam 2023 (Questions And Answers) Smallest most numerous structural units processing basic life characteristics are: - Correct Answer-Cells An environmental factor not required for the life of a cell is: - Correct Answer-Cold The cell's brain is the - Correct Answer-Nucleus Cell portion that contains DNA - Correct Answer-Nucleus Complex structures with specialized functions in the body are: - Correct Answer-Organs Where do red blood cells develop? - Correct Answer-Bone marrow Smallest bones of the body are found in the: - Correct Answer-middle ear Bone which supports the tongue and swallowing functions: - Correct Answer-Hyoid bone Skull, hyoid, vertebral column and thoracic cage are part of skeleton - Correct Answer-Axial Muscles make up % of body - Correct Answer-50% Sternum is located in skeleton - Correct Answer-Axial Humerus is located in skeleton - Correct Answer-Appendicular Bones of the lower limbs include: - Correct Answer-Femur, tibia and fibula Bones of the upper limbs include: - Correct Answer-humerus, radius and ulna Muscle cells which lack striations: - Correct Answer-Smooth muscle cells Connects muscle to bone - Correct Answer-Tendons Specialized cells responsible for body contractions: - Correct Answer-Muscles Largest organ of the body is: - Correct Answer-Skin Which layer of the skin contains nerves and blood supply? - Correct Answer-Dermis Provides immunity? - Correct Answer-White blood cells Which gas is removed from body cells? - Correct Answer-Carbon dioxide Which body system regulates pH? - Correct Answer-Respiratory Food is transported to the stomach through the - Correct Answer-Esophagus Term pathogenic means: - Correct Answer-disease producing Gram-Positive microorganisms stain what color? - Correct Answer-Blue or Purple Units that microorganisms are measured in: - Correct Answer-Microns Streptococcus shape is: - Correct Answer-spherical Spirochete shape is: - Correct Answer-Spiral Bacteria reproduce by: - Correct Answer-Binary fission Gram-Negative microorganisms stain what color? - Correct Answer-Red or Pink Cocci shape: - Correct Answer-Round Microorganism that can slow down its metabolism and become dormant is: - Correct Answer-Gram-Positive Bacillus - Blue or Purple in color Bacilli are what shape? - Correct Answer-Rod-shape What do bacteria need to survive? - Correct Answer-Warmth, water and waste elimination What is used to test sterilization cycles? - Correct Answer-Spores A dehydrated cell with a thick, shell-like wall is a: - Correct Answer-spore What survives extreme heat, lack of water and exposure to many toxic chemicals and radiation? - Correct Answer-Spores Pathogen that causes tuberculosis: - Correct Answer-Mycobacteria Includes single cell yeasts: - Correct Answer-Fungi Disease not caused by virus: - Correct Answer-CJD Difficult to kill by usual sterilization methods: - Correct Answer-Prions Aerobic bacteria require: - Correct Answer-Oxygen Disease caused by Prions: - Correct Answer-CJD Single-celled microorganisms are called: - Correct Answer-Protozoa Requires living host to multiply? - Correct Answer-Virus An abnormal protein describes a - Correct Answer-prion Gram-positive coccus example? - Correct Answer-Staphylococcus aureus can survive on hands for hours. - Correct Answer-VRE Healthcare infection is generally termed - Correct Answer-Nosocomial Healthcare-acquired infections kill how many people annually? - Correct Answer-90,000 The principal living reservoir of human disease comes from - Correct Answerhuman body Gastrointestinal disease is usually a result of - Correct Answer-water contaminated by feces of humans and other animals The principal route of nosocomial infections is - Correct Answer-Direct contact An inanimate object involved in spreading infection is called - Correct Answer-a fomite is not a disease spread by droplets - Correct Answer-Measles discharges pathogens that cause TB, whooping cough, pneumonia, measles, mumps and smallpox. - Correct Answer-Respiratory tract Living things that cause disease are called - Correct Answer-vectors Most common portal of exit in disease transmission: - Correct Answer-The respiratory tract Portal of entry caused by a needle stick is: - Correct Answer-parenteral tissue causes lyme disease - Correct Answer-Vector The best way to prevent infection: - Correct Answer-Wash hands Minimum time needed for effective hand washing: - Correct Answer-15 seconds When washing hands, turn off the water with: - Correct Answer-a disposable towel regulates bloodborne pathogen exposure. - Correct Answer-OSHA Most effective alcohol hand sanitizers contain % alcohol - Correct Answer-60-95% When hands are visually soiled are not appropriate for remedying the situation. - Correct Answer-Waterless hand antiseptics All blood and other potentially infectious materials should be: - Correct Answer-Handled as if they were infectious. Any time an employee is exposed to blood or body fluids a must be performed. - Correct Answer-confidential medical evaluation Cleaning according to AAMI is: - Correct Answer-Removal of contamination from an item to the extent necessary for further processing of for the intended use The use of physical or chemical means to inactivate bloodborne pathogens from a surface is according to OSHA - Correct Answer-decontamination The first step in decontamination process: - Correct Answer-Manual and/or automated, mechanical cleaning Microorganisms on contaminated items are called - Correct Answer-bioburden refers to disease-producing microorganisms. - Correct Answer-pathogen Decontamination number of air exchanges. - Correct Answer-10 Ventilation system in decontamination area must be pressure - Correct AnswerNegative OSHA recommends that contaminated scrub attire be: - Correct Answer-laundered at the facility What must an SPD technician have before processing a new medical device? - Correct Answer-Manufacturer written instructions for processing A neutral pH solution is: - Correct Answer-7 A pH of 9 is - Correct Answer-Alkaline Enzyme-based detergents contain organic substances that assist in breakdown of - Correct Answer-protein soils and blood The temperature range for enzymatic cleaners: - Correct Answer-109-140'F A proteolytic enzyme detergent breaks down - Correct Answer-blood should not be ever used to remove gross soil on instruments. - Correct AnswerSaline An item with multiple parts to be cleaned must first be - Correct Answerdisassembled may be used to clean tungsten carbide jaws of needle holders. - Correct AnswerMetal-bristled brushes The final rinse in the cleaning process should be performed using: - Correct Answertreated water Term which refers to the mechanical action in the automated cleaning process which uses sound waves and imploding bubbles. - Correct Answer-Cavitation Prior to processing instruments in an ultrasonic cleaner, should be removed - Correct Answer-gross soil Power equipment should be cleaned in what way? - Correct Answer-As specified by the manufacturer Fiberoptic light cables should be cleaned with - Correct Answer-soft cloth and detergent Prior to manual cleaning of a flexible endoscope, what must be done? - Correct AnswerLeak testing Instruments and devices received from another facility should be: - Correct AnswerCompletely reprocessed Material which can be used as a simple test to check the functioning of the ultrasonic cleaner is? - Correct Answer-Aluminum foil The TOSL line of products verifies the effectiveness of - Correct Answermechanical washers Process that kills most microorganisms but not spores is: - Correct Answer-high-level disinfection Spaulding's classfication of medical devices indicates that a semi-critical item requires which form of disinfection? - Correct Answer-High-level Which level of disinfection destroys HIV? - Correct Answer-Low-level A disinfectants effectiveness to perform correctly depends on? - Correct AnswerWhether it remains wet for the stated amount of time Class of disinfectants to which sodium hypochlorite belongs: - Correct Answer-Halogens should never be used an as environmental disinfection. - Correct AnswerGlutaraldehyde Chemical which has regulations requiring employees to be routinely monitored. - Correct Answer-Glutaraldehyde Noted on an improperly cleaned instrument disinfected in ortho-phthaldehyde. - Correct Answer-Blue stain Not necessarily recorded on high level disinfection record - Correct Answer-Whether item was completely dry patient-cooling machine. - Correct Answer-hypo/hyperthermia machine machine which prevents blood clots - Correct Answer-SCD Patient care equipment must be processed how often? - Correct Answer-after each use Patient care equipment should be prior to being disinfected. - Correct AnswerCleaned with detergent What is the proper way to transport an IV pump to CS/SPD after patient use? - Correct Answer-In a covered cart or closed plastic bag. What type of disinfectant is to be used for patient care equipment? - Correct Answer-the one recommended by the device manufacturer Soiled patient care equipment needs to be during transport - Correct AnswerContained Series of stainless steel used to manufacture malleable retractors - Correct Answer-300 Series of stainless steel used to manufacture osteotomes? - Correct Answer-400 Which instrument holds back tissue or organs? - Correct Answer-Retractor The weakest part of the instrument is: - Correct Answer-Box lock The most difficult part of a hemostat to clean? - Correct Answer-Box lock The final stage in manufacturing a surgical grade instrument is: - Correct Answerpassivation Scissors with black handles are often referred to as: - Correct Answer-Super sharps The layer on a surgical instrument created by the passivation process is called: - Correct Answer-Chromium oxide How is an instrument with tungsten carbide inserts identified? - Correct Answer-Gold handles What type of finish on a surgical instrument is used for laser procedures? - Correct Answer-Ebonized Which of the following lubricants is recommended for use on surgical instruments? - Correct Answer-Water-based Which layer makes an instrument resistant to corrosion? - Correct Answer-The chromium oxide layer What are routine parts of inspecting instruments? - Correct Answer-1. Jaw alignment 2. Ratchet tension 3. Box lock stiffness How often should an instrument be lubricated unless otherwise directed by the manufacturer? - Correct Answer-Every time it is used What should one do to test a scissor for sharpness? - Correct Answer-Make several cuts in the testing material When the jaws of a stainless steel needle holder become worn, it must be - Correct Answer-discarded Instrument cracks most likely occur where? - Correct Answer-Box lock Cracked insulation on a laparoscopic instrument can cause - Correct Answerelectrical shock How should power equipment be lubricated? - Correct Answer-According to manufacturer's instructions What information is required when labeling a rigid scope for sterilization? - Correct Answer-1. Manufacturer 2. Size and visual field of scope 3. O.R. Service What indicates damage to glass rods in a fiber optic light cable? - Correct Answer-Black dots What are the 3 common methods of checking visual clarity for a rigid endoscope? - Correct Answer-1. Looking at a white piece of paper through the scope 2. Holding the scope up to a light source 3. Using a tester manufactured for this purpose What is never to be used to mark and identify instruments? - Correct Answer-Engraving The prep and packaging area must be maintained in pressure - Correct AnswerPositive The prep and packaging area must have an air exchange rate of per - Correct Answer-10 per hour The acceptable temperature range for the prep and packaging area is 'F - Correct Answer-68-73'F The ideal humidity in the prep and pack area should be % - Correct Answer-50% A non-perforated tray used for sterilizing instrument sets must be on the sterilizer rack - Correct Answer-tilted How often should floors in the preparation area be wet mopped? - Correct Answer-Daily While assembling a set with heavy and delicate instruments, where should the heavier instruments be placed? - Correct Answer-On the bottom of the set What can aid in the drying of wrapped instruments sets? - Correct Answer-A towel in the bottom of the tray What is ideal for writing count sheets and tray lists? - Correct Answer-Permanent, nontoxic ink Where should the chemical indicator be placed in a wrapped set of instruments? - Correct Answer-The center of the set Multi-layer container systems should have chemical indicators placed in level - Correct Answer-each level What is the maximum size and weight of a textile pack? - Correct Answer-12" x 12" x 20", 12 pounds Basin sets must be prepared for sterilization with between each basin? - Correct Answer-An absorbent material Basic principles of packaging are: - Correct Answer-1. The material must allow the sterilant to reach the contents 2. The material must be a barrier to microorganisms 3. The package must be able to be opened without contamination A wrapper that is too large can sterilant penetration - Correct Answer-inhibit How much space should be left between an item and the inside edges of a peel pouch? - Correct Answer-1" Which type of packaging materials is acceptable for steam sterilization? - Correct Answer-Nonwoven wraps Which packing material is acceptable for low-temperature gas plasma and ozone sterilization? - Correct Answer-Tyvek Latches and locks are examples of seals on rigid containers. - Correct Answertamper-evident Rigid containers processed in a steam sterilizer must be placed on the cart during sterilization. - Correct Answer-Flat The absence of microbial life forms including spores is - Correct Answer-sterility Drain line - Correct Answer-Where the heat-sensing thermometer is located Over the drain line - Correct Answer-Where are process challenged devices placed to present the greatest challenge to the sterilizer? Steam under pressure, time and temperature - Correct Answer-3 parameters of steam sterilization 3 minutes - Correct Answer-minimum exposure for prevac steam cycle at 275'F (135'C) one of a kind instrument is dropped - Correct Answer-Appropriate use of Flash sterilization Decontaminated as usual - Correct Answer-Instruments exposed to CJD 18 min, 273'F, Prevac cycle - Correct Answer-Recommended cycle for CJD instruments Make direct contact with all surfaces - Correct Answer-For sterilization to occur, steam must Reprocess the item - Correct Answer-If a wet pack is noticed, what should be done with it? Gravity steam - Correct Answer-Method of sterilization for liquids Bacteria can wick into package - Correct Answer-Moisture at the end of the steam cycle means On their edge - Correct Answer-Peel pack should be placed Top rack - Correct Answer-Textile packs should be placed where in a mixed load of textile and metal goods? Tilted on their side - Correct Answer-Basin sets should be positioned Manufacturer provides technical data stating as such - Correct Answer-Stacking rigid sterilization containers on the autoclave rack is permitted when Bowie Dick test - Correct Answer-Verifys the sterilizer air removal mechanism is functioning properly Biological - Correct Answer-Method used to verify that conditions in the load can adequately kill spores Draw a line through and initial - Correct Answer-If a written item is removed from the load record, what should be done on the load record? Chemical - Correct Answer-Bowie Dick test is what type of monitoring process? Integrator - Correct Answer-Class 5 integrator term Dynamic air removal cycles - Correct Answer-Bowie Dick tests monitors what? Report to the supervisor - Correct Answer-If the Bowie Dick tests fails the first time, what should be done? 3.5 to 4 min at 270'F - Correct Answer-Correct sterilizer setting for Bowie Dick test Once a day and if new lot number is used - Correct Answer-How often should a biological indicator control be incubated? All loads back to the last negative BI - Correct Answer-How many loads should be recalled in a positive BI event? Weekly - Correct Answer-How often should routine BI testing for steam sterilizers be performed? Monitored with a BI - Correct Answer-All loads containing implantable devices should be Within the first hour of sterilization - Correct Answer-When are sterilized packs most likely to become contaminated? As recommended by the manufacturer - Correct Answer-Where should the BI be placed in rigid sterilization containers? How should cooled items be unloaded from the steam sterilizer rack? - Correct AnswerWith clean hands EO with HCFC and CO2 - Correct Answer-EO risk of fire can be minimized by mixing what? Indefinitely - Correct Answer-Sterile items protected from the environment have been proven to remain sterile how long? Shelf life - Correct Answer-Period of time during which a sterile item is considered safe to use Package degradation - Correct Answer-Reason we assign an expiration date to a product Every time it is handled - Correct Answer-How often must a package be visually inspected for integrity? Placed in a sterility maintenance cover - Correct Answer-Sterile trays subject to storage challenges should be Send it to be reprocessed - Correct Answer-If a sterile basin set is dropped on the floor, what should be done? Adjacent to sterilization area - Correct Answer-Sterile storage area should be located Hygrometer - Correct Answer-Used to measure humidity in the sterile storage area 4 per hour - Correct Answer-Sterile storage area should have how many exchanges of air per hour? Positive pressure - Correct Answer-Sterile storage area should be maintained at 8 to 10 - Correct Answer-How many inches from the floor should supplies in sterile storage be 70% - Correct Answer-Relative humidity in sterile storage area should not exceed % 75'F - Correct Answer-Temperature in sterile storage area should not exceed 'F? Growth of microorganisms - Correct Answer-Humidity controls in the sterile storage area? Solid - Correct Answer-Bottom shelf of storage carts should be 18 inches - Correct Answer-Sterile items on the top shelf should be how far below sprinklers? 2 inches - Correct Answer-How far from the outside walls should shelving in the sterile storage area be? Harbor soil - Correct Answer-Shipping cartons are not acceptable storage containers in the sterile storage area because they: FIFO - Correct Answer-Rotating stock is known as 1. Expiration date 2. Whether package is damaged 3. Chemical indicator verification - Correct Answer-Before releasing an item to fill a sterile supply order, all of the following must be checked: 1. Receiving 2. Storage 3. Patient charging - Correct Answer-Elements of a distribution system are what 3 main items: Receiving - Correct Answer-The first area to accept responsibility for all supplies in the facility? on the floor - Correct Answer-Supplies are never to be stored where? 1. Must be legible 2. Must specify quantity needed 3. Must specify delivery destination - Correct Answer-Requisition necessary requirements are: Daily - Correct Answer-Transportation carts must be cleaned: Demand distribution - Correct Answer-A distribution system which requires the using department to maintain inventory levels is called? Actual use - Correct Answer-Par levels should be based on: Fixed - Correct Answer-Another term for par-level distribution system is? Labor intensive - Correct Answer-Demand distribution systems are: Par level - Correct Answer-A predetermined inventory list is required for what type of distribution system? Demand - Correct Answer-Simple but labor intensive system is what type of distribution system? Total exchange cart - Correct Answer-The most efficient distribution system is the Par level system - Correct Answer-The computerized locked supply system is a variation of what distribution system? 1. Disaster 2. Dialysis 3. Code - Correct Answer-Examples of specialty carts are: Good communication - Correct Answer-Required for an effective case cart system. Stock-less distribution system - Correct Answer-Another term for Just-in-time distribution systems 40% - Correct Answer-The % represented in terms of inventory of medical and surgical supplies in a facility's operating budget is Perpetual inventory system - Correct Answer-An ongoing inventory management system Lowest amount of stock - Correct Answer-The reorder point Economical order quantity - Correct Answer-Ordering optimum quantity of an item based on historical data is known as Tracking systems - Correct Answer-Bar-coding of instrument sets is an integral part of: 10-6 - Correct Answer-Ideal for spores Daily - Correct Answer-How often should the drain line be cleaned 55-60'C - Correct Answer-Incubation temperature 2+ critical parameters - Correct Answer-Class 4 refers to what type of parameters? Colonoscope - Correct Answer-Example of flexible scope Inner ear - Correct Answer-Where is the cochlea located? OSHA, EPA, FDA - Correct Answer-Regulate EO devices Fixed - Correct Answer-Par-level distribution system Extra condensation will make the set more difficult to dry - Correct Answer-Why is it important to evenly distribute large instruments in a set?