CBSPD Exam with Complete Solution

CBSPD Exam with Complete Solution Ethylene Oxide gas kills microorganisms by a process called - Alkylation What is the process where a chromium oxide layer is placed on a surgical instrument - Passivation What are the dark black Craters on a stainless steel instrument called - Pitting What is the enzyme that breaks down fatty deposits like bone marrow and adipose tissue? - Lipase What lubricant is recommended for use on surgical instruments? - Water-based What can be used to remove severe stains on stainless steel instruments? - Organic Acid Detergent Frequently used items are stored on - Middle shelf What is another name for Healthcare Acquired Infection? - Nosocomial Infection What is the principle route of HAI's? - Direct Contact What is the use of physical or chemical means to remove, inactivate, destroy pathogens on the surface of an item? - Decontamination A sterile item should not be handled more than ___ times. - 4 Another name for the lowest amount of stock - Reorder point In Sterile Storage area, the ventilation system must be under - Positive pressure Influence is caused by a - Virus Distal ends of rigid endoscopes should by cleaned with a - Soft bristled brush Indicator (autoclave) tape is considered what type of CI? - type 1 Indicators for a specific test like a Bowie-Dick test are what type of CI? - Type 2 Single-Variable indicators like glass ampules are what type of CI? - Type 3 Multi-Variable indicators designed to react to 2+ variables of the sterilization process are what type of CI? - Type 4 Integrating Indicators that react to all critical variables of sterilization and can work parallel to a BI are what type of CI? - Type 5 Emulating indicators That react to all critical variables of sterilization but are only used for the specific cycle which they are labels are what type of CI? - Type 6 What is the nominal concentration of Hydrogen Peroxide in an LTGP sterilizer? - 59% In a non-table sterilizer, where is steam exhausted through? - Chamber Drain Line What chemical is used to clean in animated environmental surfaces and floors? - Quaternary Ammonium Compounds (QUATS) Final step of hand washing, fingers rinsed with fingertips pointing - Up an exhaust hood over the EtO gas sterilizer is an example of - Engineering Control What are the major non-living reservoirs of infectious disease? - Soil and water What color do BI's turn? - Yellow What packaging material can be used in LTGP sterilization - Tyvek When packaging an intel in a paper-plastic pouch, how much space is left between the item and the edge? - 1 inch What is the most common portal of exit in the transmission of disease? - Respiratory Tract Approximately how many HAI's happen each year? - 2 million What should NEVER be used when removing gross soil from instruments? - Chlorine and saline What is the removal of contamination to an extent necessary for further processing? - Cleaning purpose of evenly distributing large sets of instruments - Condensation makes sets difficult to dry Where are BI vials placed? - Each 4 corners of basket What percent of a facility's budget are medical/surgical supplies? - 40% Bottom shelf of a distribution cart must be - Solid What do black dots in a fiber optic cable during inspection indicate? - Damage to glass rods Shelves are _____in from the floor and ____in from sprinklers - 8-10 18 When does the sterilization pack become contaminated? - In the first hour _____ temperature requires ____ pressure - Higher 3 major portals of entry - skin, mucous membranes, respiratory/gastrointestinal tract How are needs for reprocessing minimized and outdates prevented? - Stock rotations and frequent evaluation of stock levels What pathogen causes tuberculosis? - Mycobacterium tuberculosis Max weight for a textile pack - 12 lbs Max size fore a textile pack - 12x12x20 The fiber optic cord is attached to what part of a rigid endoscope? - Light post Another name for par level inventory - Fixed inventory level What does a multicolored/rainbow stain indicate - Excessive heat in autoclave Optimum amount of a supply to order is the - Economical Order Quantity Ortho-phthaldehyde is classified as a - High level disinfectant What gram positive coccus causes pneumonia and meningitis? - Staphylococcus areus What do light/dark spots indicate? - Water spots What microbe can survive adverse conditions by forming spores? - Clostridium What must be made available to distribution personnel - Policies and procedures What distribution system is not considered a specialty cart? - Exchange Barcoding is part of what system? - Tracking MAX humidity in sterile storage area - 70% Prevent biofilm is lumens by - Rinse with critical water and dry well Sterile Processing should plan for what percent of total needs on units? - 90% Stocks must be rotated to reduce - Outdates What is recommended alongside a high-alkaline detergent in a mechanical washer? - Neutralizing Acid OSHA requires transport containers for potentially infectious materials be - Leak-proof Opened and unused sets should be - Reprocessed Sterilizer's ability to sterilize under actual use conditions - Maximum-Load testing Incoming saturated steam needs a dryness range of - 97-100% How often are Floors and work surfaces cleaned? - Daily What is needed before a medical device is cleaned/processed? - IFU Effective sterilization begins with - thorough cleaning Outcome of high alkaline H2O when cleaning instruments - Corrosion