CER EXAM QUESTIONS & ANSWERS

Enteroscopy - Examination of the small intestine To prevent damage, __________ should not be tightly coiled - light bundles _______ is used to perform procedures involving the large intestine - Colonoscope A PEG is performed to ______ - insert a flexible feeding tube When performing a gastroscope the _______ are visualized - esophagus and stomach During an ERCP the _______ is NOT visualized - colon Which part of the endoscope conducts light through the shaft and transmits images? - Umbilical cord What should be removed first when removing PPE? - shoe covers cleaning - According to AAMI "the removal of contamination from an item to the extent necessary for further processing for the intended use' detergent - A cleaning agent that lowers surface tension to dislodge or dissolve soil Bioburden - Microorganisms on contaminated scopes The size of the sink for manual cleaning of scopes should be ______ - deep and large enough to completely submerge the endoscope A solution with the pH of 9 is considered ______ - alakaline Cavitation - The mechanical action in an ultrasonic cleaner The ventilation system in the scope cleaning room must be maintained at - negative pressure A major cause of AER failures is - using incorrect connectors OSHA - requires the eyewash stations be available or emergency use The OSHA Hazard Communication requires that MSDS must be available for _______ - each chemical in the department How often should cleaning and sterilization instructions be requested from the device manufacturer? - each time the item is purchased Semi-critical - According to Dr. Earl Spaulding, devices that come in contact with intact mucous membranes during use Electrical equipment - Class C fire extinguisher Incident reporting - required when an employee is injured on the job Automated endoscope reprocessors are used because ______ - they provide standardized cleaning of interior and exterior surfaces of the endoscope Bloodborne pathogen exposure is regulated by - OSHA Under standard precautions, all blood and body fluids should be - handled as if they were infectious Why is it important for technicians to learn anatomy and physiology? - To recognize where endoscopes are used Myobacteria - The pathogen associated with tuberculosis. Aerobic, non-sporeforming, non-moving, rod-shaped organisms Ethics - The practice of doing the right thing Recommended practices - Statements of sound principles of practice that are based on scientific data and expert opinions Regulation - A rule designed to govern behavior. Compliance is mandatory (required by law) EPA - Approves disinfectants used on non-living things in healthcare facilities Compliance with OSHA regulaitons is _______ - required by law Procedure - Steps for performing a task 8%-12% - The percentage of healthcare workers with latex allergies Confidentiality - The Health Insurance Portability and Accountability Act ensures this ethical issue Flexible endoscopes MUST be completely reprocessed so that _______ - patient care is not affected Policies - Defines what a department MUST do NIOSH - This entity makes recommendations on how personnel should protect themselves from latex exposures FDA - Food and Drug Administration. This agency requires medical device manufacturers to provide end users in healthcare facilities with specific instructions on how to reprocess reusable products. Regulates single-use device reprocessing. The goal is consumer protection Anatomy - The branch of science refers to the form and organization of body parts Liver - The largest internal organ Homeostasis - The tendency of the body to maintain a stable internal environment Nosocomial - An example of a patient contracting an infection from an improperly reprocessed endoscope Nosocomial infections can be prevented EXCEPT by ______ - increasing patient length of stay It is mandatory that all healthcare personnel follow the OSHA standard on _______ - blood borne pathogens MRSA - An antibiotic resistant form of staphyloccocus Hepatitis is an inflammation of the _______ - liver The longest part of the GI tract is the _______ - small intestine Gastroscope - Type of scope that would be used to view the esophagus Blue - Positive Gram Stain Aerobes - need oxygen to survive Spores - A highly durable dehydrated cell with thick, hard shell-like walls, and can lie dormant for years. They can survive extreme heat, lack of water, and exposure to many toxic chemicals and radiation Fomite - A desk is an example which is an inanimate object involved in the spread of infections E. Coli - responsible for many HAI's Viruses - Must have a living host to survive and multiply Pathogenic - capable of producing a disease Handwashing - The single most effective way to prevent infections in the healthcare environment 1/4" - the maximum that fingernails should extend from the tip of the finger According to OSHA, a log must be maintained to track sharp injuries. ______ does NOT need to be documented - The employee's age The use of PPE is regulated by ______ - OSHA Gloves - The last of the PPE to be applied