CRCST PRACTICE EXAM with correct answers

CRCST PRACTICE EXAM This type of organism is necessary for life. - correct answer Microorganism The organization that sets recommended practices and standards for care and processing of devices and systems is: - correct answer Association for the Advancement of Medical Instrumentation (AAMI) What is the circular opening of the eye which controls the amount of light which enters the eye? - correct answer pupil Implantable devices should not be: - correct answer flash sterilized What is the best choice for high level disinfection of instruments? - correct answer OPA (or Ortho-phthalaldehyde) The part of a cell that enables it to move through liquid is the: - correct answer flagella When soil remains on a device after cleaning: - correct answer the device cannot be sterilized Bacteria that cause diseases are called - correct answer pathogenic Which type of fire extinguisher should be used on flammable liquids? - correct answer Type B Which type of disinfectant is also known as a "wetting agent?" - correct answer quatemary ammonium compounds (QUATS) The inventory control method in which the supplier owns the Inventory, stores it at the healthcare facility, and does not charge the healthcare facility for it until it is used or lost is referred to as the: - correct answer consignment method Of the 3 major low temperature sterilants, which one has the longest instrument turnover time? - correct answer Ethylene Oxide (ETO) The number of times per year that inventory is purchased, consumed, and replaced is called the: - correct answer Inventory Turnover Rate What tracking method provides real time information? - correct answer RFID (Radio Frequency Identification) What requires preventive maintenance standards be established for medical equipment? - correct answer Joint Commission How frequently should a sterilizer's drain strainer be removed and thoroughly cleaned? - correct answer daily What type of hepatitis vaccine is strongly recommended for most healthcare workers? - correct answer Hepatitis B The part of a cell that controls cell function is the: - correct answer nucleus A step in communication that occurs when a listener asks a question or repeats information is called: - correct answer feedback Involuntary muscles work without - correct answer consciousness The method of wrapping that creates a package within a package is called: - correct answer Sequential 100% ethylene oxide gas canisters should be stored in a: - correct answer chemical storage cabinet Wicking materials are used to allow 1.____ removal, 2.____ penetration, and facilitate 3.____ - correct answer 1. air 2. steam 3. drying Instrument marking tape should be wrapped approximately _____ times around the instrument. - correct answer 1 to 1.5 The term "superheated steam" means: - correct answer dry steam The amount of time that it takes to kill 90% of the microorganisms present on an object is called: - correct answer D-Value 400 series stainless steel is also called: - correct answer Martensitic What prefix means "beside of near"? - correct answer para- Which of the following statements about the use of mechanical washers is NOT true? A. Multi-level trays should be separated B. Trays with lids should be opened C. Instruments should be disassembled and opened D. All items should be washed on the same cycle - correct answer D. All items should be washed on the same cycle What unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower body temperature? - correct answer PCA pump What sterilization quality assurance measurements is designed to provide a written record of sterilizer cycle activity? - correct answer Mechanical Monitor Charts/Printouts Cellulosic materials (paper, cotton and linen) cannot be processed in a/an: - correct answer hydrogen peroxide gas plasma sterilizer What surgical abbreviations might be used relating to a fractured bone? - correct answer ORIF Tests which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called: - correct answer Biological Indicators These are used to breakdown fatty deposits and adipose tissue on instruments: - correct answer Lipase enzymes The ________ requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness, and/or death to the manufacturer and the FDA. - correct answer Safe Medical Devices Act The largest operating channel of an endoscope is the ____ channel. - correct answer instrument (biopsy) The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises, is called - correct answer Flash Sterilization This is used to treat the final rinse water used for cleaning. - correct answer deionization Medical Device reporting is regulated by the: - correct answer FDA Chemical indicators are classified by the FDA as: - correct answer Class II devices Watches and other jewelry should not be worn in the Central Service department work areas because: - correct answer they harbor bacteria Loaner instruments should be: - correct answer decontaminated before use Not all endoscopes can be processed in an: - correct answer AER (Automatic Endoscopic Reprocessor) In an ABC Inventory Control system, "A" items represent: - correct answer the smallest number of items and largest dollar value Which of the following is not an example of surgical asepsis? A. sterilization of instruments B. operating room dress codes C. asset management D. operating room techniques to prevent contamination of sterile instruments - correct answer C. asset management Rod-shaped bacteria are classified as - correct answer Bacillus Floors in the Central Service department should be: - correct answer wet-mopped daily Microorganisms reproduce by a process called: - correct answer binary fission Purified water should have a pH of: - correct answer 6.5-7.5 The absence of microorganisms that cause disease is called: - correct answer asepsis Standards and regulations help set levels of __________ in Central Service departments - correct answer quality, safety, and efficiency In medical terminology, the purpose of a combining vowel is to: - correct answer make the word easier to pronounce These carry blood away from the heart: - correct answer arteries A system that keeps track of all incoming and outgoing supplies so that quantities of supplies in storage are known at all times, is: - correct answer perpetual inventory system When arranging plastic-paper pouches in the sterilizer, the pouches should arranged - correct answer paper-to-plastic All of these can be removed from water when a reverse osmosis process is used. - correct answer bacteria, pyrogens, endotoxins In the event of a load recall, information about specific load contents can be obtained from: - correct answer the sterilization log The most efficient type of dry heat sterilizer is: - correct answer the mechanical convection sterilizer Ortho-Phthalaldehyde (OPA) is classified as: - correct answer a high level disinfectant These bacteria are grow well at body temperature and are often pathogenic to humans. - correct answer Mesophiles Healthcare Regulations and Standards provide consistency of departmental activities by outlining. - correct answer minimal performance standards Water softeners are used to remove ________ in the water - correct answer calcium and magnesium The removal of a kidney is called a: - correct answer Nephrectomy Which type of scope is used to visualize the lower part of the large intestine? - correct answer sigmoidscope Sterile packages should be stored no lower than _____ inches from the floor. - correct answer 8-10 To achieve a reasonable level of disinfection, alcohol used as an intermediate-level disinfectant must remain in wet contact with the surface of the object being disinfected for a minimum of ____ minutes. - correct answer 5 A mode of bacterial transmission that would take place when an infectious agent was transmitted through an item such as food or water is called: - correct answer Common Vehicle Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation. - correct answer OSHA The human resources tool that identifies major tasks performed by persons in specific positions is called a: - correct answer job description When using the pH scale, which of the following numbers would suggest the most alkaline? 1, 6, 10, or 14 - correct answer 14 (see Figure 9.5 on pg. 137) Which of the following is an example of regulated medical waste? A. discarded sterilization wraps B. blood-soaked sponges C. used copier toner cartridges D. general trash from the surgery department - correct answer B. Blood-soaked sponges Bacteria that grow well in warm temperatures (1220F - 1580F) are called: - correct answer thermophiles Central Service's largest customer is: - correct answer the Operating Room The main theory of Standard Precautions is that: - correct answer Patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not This type of trash should be red-bagged: - correct answer regulated medical waste What system involves the transfer of the control of the healthcare facility's equipment management to an external entity? - correct answer Outsourcing The percentage of items filled (available) when an order is placed is called the: - correct answer Inventory Service Level This prion is of special concern to Central Service Technicians because it cannot be destroyed by normal sterilization cycles. - correct answer CJD (Creutsfeldt-Jakob Disease) What types of carts/baskets should be used in an ETO sterilizer? - correct answer metal What would be the best choice for cleaning walls fixtures and floors in the Decontamination area? - correct answer a Quaternary Ammonium Compound Which of the following instrument marking methods is not recommended? A. Heat-fused nylon B. Engraving C. Acid-based etching D. Laser etching - correct answer Engraving The agency responsible for Pre-Market Requirements of medical devices is: - correct answer FDA Which of the information is not included on MSDS Sheet? A. special precautions B. physical data C. required inventory levels D. product identification - correct answer C. required inventory levels The knee is an example of a: - correct answer hinge joint These chemicals are used to slow the growth of bacteria on living tissue such as skin. - correct answer antiseptics The surgical procedure that removes tissue or displaced bone in the wrist area to release pressure on the median nerve is called: - correct answer Carpal Tunnel Repair Flash sterilization of implants is not recommended by - correct answer AAMI and AORN Sterilizer recording charts and/or printouts should be checked - correct answer before, during, and after each load Information on each package that identifies the date of sterilization, the sterilizer, and the sterilizer cycle run is contained in the: - correct answer Load Control Number If a sterilizer has successfully killed all the bacterial spores in a biological indicator it is called a: - correct answer negative test The two most common temperatures used in steam sterilization are - correct answer 250 and 270-275 The first step in the sterilization process is: - correct answer thorough cleaning Sterilizer loads containing implants must contain a: - correct answer biological indicator The spore used in the testing of steam sterilization is - correct answer Geobacillus stearothermophilus A Class C Fire involves - correct answer energized electrical equipment Biological Testing should be performed in an ETO sterilizer: - correct answer in every load Some bacteria develop hard shells around them which make them more difficult to destroy. Those bacteria are called: - correct answer spores In order to elevate the temperature in a steam sterilizer, you must - correct answer increase the steam pressure Round-shaped bacteria are classified as - correct answer Coccus An infectious agent which grows only in living tissue is called - correct answer a virus Residual ethylene oxide is removed from sterilized items by a process called: - correct answer aeration Employee safety is regulated by - correct answer OSHA Parenteral solutions are administered - correct answer intrevenously The decontamination area of CS should have - correct answer 10 complete air exchanges per hour The test used to evaluate the efficacy of air removal in a dynamic-air-removal steam sterilizer is the: - correct answer Bowie-Dick The two most common techniques of flat wrap packaging are: - correct answer Square-fold and Envelope-fold Enzymes are used to - correct answer break down and remove heavy soil The maximum density recommended for linen packs is: - correct answer 7.2 pounds per square foot of pack Intercosto means: - correct answer between the ribs What would be the recommended exposure time for a Dry Heat Sterilization load that was run at an exposure temperature of 320 degrees F, (160 degrees C)? - correct answer 2 hours Which of the following is the white portion of the eye? - correct answer sclera How frequently should a steam sterilizer's door gasket be inspected and cleaned? - correct answer Daily When washing their hands, Central Service Technicians should lather and scrub them for a minimum of ____ seconds. - correct answer 15 What percentage of microorganisms are harmful to humans because they can grow at approximately human body temperature? - correct answer 1% What type of hepatitis virus is important in food-born illness? - correct answer Hepatitis A Which of the following glands is located at the base of the brain and is considered the "master gland?" - correct answer pituitary The medical term for "the absence of microorganisms that can cause disease" is: - correct answer asepsis Spiral-shaped bacteria are classified as: - correct answer Spirillum The physical method by which Ultrasonic units clean is called: - correct answer cavitation The physical method by which a washer/decontaminator cleans is called: - correct answer inpingement The pH of a solution indicates it's: - correct answer acidity or alkalinity According to Spaulding's theory, which of the following would require sterilization? A. an IV pump. B. an Implant. C. a blood pressure cuff. D. a case cart. - correct answer B. an implant The body system that is designed to provide support, shape and protection is called: - correct answer Skeletal System The Trachea is part of the - correct answer Respiratory System The Pancreas is a component of the: - correct answer Digestive System Microorganisms that are capable of growing in free oxygen (require free oxygen) are called: - correct answer aerobic The suffix "oscopy" means - correct answer visual examination Which of the following is NOT a principle of asepsis? A. Know what is dirty. B. Know what is clean. C. Know what is sterile. D. Keep the three conditions separate. E. Remedy Contamination immediately. F. Maintain good workflow processes. - correct answer F. Maintain good workflow processes A patient experiencing neuralgia is having: - correct answer nerve pain This surgery reconstructs the eardrum so sound waves can be sent to the middle and inner ear: - correct answer tympanoplasty Which of the terms below would you associate with a cardiac surgery? A. ACL B. TAH C. BKA D. CABG - correct answer D. CABG Flexible cystoscopes provide visualization of the: - correct answer urethra and bladder Impregnated gauze strips may be sterilized using: - correct answer Dry Seat Sterilization Microgrind, or Supercut Scissors, are usually identified with: - correct answer black handles In order to prevent breathing in bacteria, via aerosols, during brush cleaning, you should: - correct answer brush under the surface of the water The term "arthro" means: - correct answer joint The recommended air pressure for a decontamination are is: - correct answer negative air pressure The term "excise" means: - correct answer to cut out An iodophor is a: - correct answer buffered iodine Phenolics are often used to disinfect: - correct answer noncritical items Chlorine and Iodine are members of the: - correct answer Halogen Family QUATS are classified as: - correct answer low level disinfectants The minimum recommendation for the frequency of biological testing in steam sterilizers is: - correct answer Weekly and in every load that contains an implant What type of sterilization quality assurance measurement is designed to measure individual package penetration? - correct answer Chemical Indicator A hemigastrectomy is: - correct answer the removal of half of the stomach What term denotes a malignant tumor? - correct answer carcinoma The body system that controls growth and maintains body functions and chemical messengers is called the: - correct answer Endocrine System A device that allows the auto administration of pain medication. - correct answer PCA (Patient-Controlled Analgesia) Pump Which of the following should not be processed in an ultrasonic cleaner? A. rasps and files B. lumened instruments C. stainless steel instruments D. plastic instruments - correct answer D. Plastic Instruments Saturated steam has a relative humidity of: - correct answer 97-100% Disposable medical devices should be separated from reusable devices: - correct answer at the point of use Items requiring manual cleaning should be: - correct answer cleaned per manufacturer's recommendations When using the FIFO method of storage, each item should be _____________ before placing on or removing from the storage shelf. - correct answer inspected for integrity If a storeroom temperature is 850 F and the humidity is 80%, the storeroom conditions are: - correct answer too warm and moist (storage temperatures should be between 64F-75F (18C to 24C) with less than 75% relative humidity Precleaning, leak testing, cleaning, high level disinfection, drying and storage is the proper sequence for processing: - correct answer flexible endoscopes Whenever possible, sterile supplies should be transported: - correct answer in a closed cart The distribution system used to provide specific products for individual surgical procedures is a: - correct answer case cart system Surgical removal of the uterus called a: - correct answer Hysterectomy An infectious agent that grows only in living tissue or cells is called a: - correct answer Virus This voluntary international organization is dedicated to the prevention and control of infection - correct answer APIC (Association for Professionals in Infection Control and Epidemiology) Sponges used for cleaning should be: - correct answer replaced daily In a 3-sink arrangement used for manual cleaning, the third sink should contain: - correct answer distilled or deionized water Chisels and Osteotomes should be tested using: - correct answer a plastic dowel rod When a flexible fiberoptic endoscope fails a leak test, it should be: - correct answer taken out of service and sent for repair Information about the required cleaning and sterilization protocols for loaner instrumentation should be obtained from: - correct answer the instrument manufacturer When wet packs are discovered after a steam sterilization process: - correct answer the contents must be repackaged and resterilized When assembling an instrument set for steam sterilization instruments should be: - correct answer open and disassembled to facilitate steam contact You can reduce the combustible load of a storage area by reducing the amount of ___________ stored in the area. - correct answer disposable supplies Forming a general opinion about a specific group and then applying that opinion to every member of that group is called: - correct answer stereotyping An _______ is a type of equipment used to clean, disinfect, and rinse flexible fiberoptic endoscopes. - correct answer Automatic endoscope reprocessor Which of the following packaging materials is not acceptable for use in steam sterilization? A. rigid container systems B. Spunbond-polyolefin combination pouches C. Paper/Plastic combination pouches D. Non-woven SMS flat wrap - correct answer B. Spunbond-polyolefin combination pouches Sterility maintenance covers (dust covers) should be applied: - correct answer after sterilization This liquid oxidizing agent is effective at low temperatures and often used to process endoscopes at point of use. - correct answer Peracetic acid This procedure is performed by healthcare facilities to confirm that the sterilization validation undertaken by the equipment manufacturer is applicable to the specific setting. - correct answer verification Information about the required cleaning and sterilization protocols for loaner instrumentation should be obtained from: - correct answer