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1. What is the primary purpose of sterilization in a sterile processing
department?
To destroy all forms of microbial life, including spores
Sterilization ensures that instruments are completely free of
microorganisms, reducing the risk of patient infection.
2. What is the recommended temperature for steam sterilization using a
pre-vacuum autoclave?
270°F (132°C) for 4 minutes
Pre-vacuum autoclaves use high temperature and pressure to ensure
, complete sterilization in a shorter time compared to gravity
displacement cycles.
3. What type of cleaning agent is most appropriate for decontaminating
surgical instruments prior to sterilization?
Enzymatic detergent
Enzymatic detergents break down organic material like blood and
tissue, making cleaning more effective before sterilization.
4. What is the first step in the decontamination process for
contaminated instruments?
Transport instruments to the decontamination area
Proper transport reduces the risk of exposure to infectious materials
and maintains safety for staff.
5. Which personal protective equipment (PPE) is required when manually
cleaning contaminated instruments?
Gloves, gown, mask, and eye protection
PPE protects sterile processing personnel from bloodborne pathogens
and chemical exposure.
6. How often should biological indicators be used to monitor sterilization
cycles?
Once per load
Biological indicators contain spores that confirm whether
sterilization parameters have been achieved for each load.
,7. What is the main difference between sterilization and disinfection?
Sterilization kills all microorganisms, disinfection kills most
pathogenic microorganisms
Disinfection does not guarantee destruction of spores, whereas
sterilization ensures complete microbial elimination.
8. Which sterilization method is most appropriate for heat-sensitive
instruments?
Ethylene oxide (EO) gas sterilization
EO gas sterilizes at low temperatures without damaging delicate
instruments, making it suitable for heat-sensitive items.
9. What is the maximum shelf life of a properly sterilized surgical pack
stored in a closed cabinet?
Determined by facility policy and manufacturer instructions
Shelf life varies depending on packaging type, storage conditions,
and manufacturer guidelines; regular inspections are critical.
10. What is the purpose of a chemical indicator on a sterilization
pack?
To show that the pack has been exposed to the sterilization process
Chemical indicators provide a visual confirmation that the
sterilization parameters, such as temperature and steam, were met.
11. What is the correct sequence for cleaning a rigid endoscope?
Pre-clean, leak test, manual cleaning, rinse, high-level disinfection,
rinse, dry, store
, Following the sequence prevents damage to delicate endoscopes and
ensures all microorganisms are removed.
12. What is the main function of a washer-disinfector?
To mechanically clean and disinfect instruments
Washer-disinfectors reduce manual handling of contaminated
instruments and provide consistent cleaning and high-level
disinfection.
13. How should surgical instruments be handled after use in the OR?
Placed in a closed, puncture-resistant container and transported to
decontamination
Safe handling prevents injury and cross-contamination during
transport.
14. Which type of sterilization indicator provides the most definitive
proof that sterilization has been achieved?
Biological indicator
Biological indicators use resistant bacterial spores; if they are
destroyed, sterilization was successful.
15. Why are ultrasonic cleaners used in sterile processing?
To remove debris from hard-to-reach areas of instruments
Ultrasonic waves create cavitation bubbles that dislodge soil from
instruments, improving cleaning efficiency.