Final exam 1491

Gynecologic

The Heaney clamp is used specifically in ____ surgery to grasp the uterine ligaments.

Geobacillus stearothermophilus

The biological indicator (BI) for the steam sterilization method is:

To facilitate identification and retrieval of supplies if a sterilization failure occurs

What is the purpose of a load control number?

Ethylene oxide

Which sterilization method presents the greatest exposure risk to Sterile Processing Department personnel, is expensive, and requires the longest total cycle time?

box lock

The hinge point of many surgical instruments is called the__.

\#4

You have a #20 knife blade on your field. What size scalpel handle do you need for this blade?

It allows adequate circulation and penetration of steam to all surfaces

Why are large steam sterilizers loaded with space between wrapped items or trays?

Curved Mayo

The surgeon needs to cut through heavy muscle. Which scissors would be the most appropriate to hand him/her?

Conditioning

There are three distinct phases in all types of steam sterilizers. __________ is when air is removed from the chamber and replaced with steam.

gravity displacement and dynamic

Two types of steam sterilizers are used in the clinical setting: __________.

gravity displacement

The ______________ sterilizer operates on the principle that air is heavier than steam.

dynamic air-removal (prevacuum)

The ______________sterilizer pulls air from the chamber with vacuum force and replaces it with steam. As air is pumped into the chamber, steam enters in pulsed phases. Air is completely removed with positive and negative pressure pulses. As the pressure increases, so does the temperature of the steam inside the sterilizer.

Sims sound

The surgeon is performing a D&C. He/ she wants to measure the depth of the intrauterine cavity. The instrument you hand him/ her is a:

Black chromium

__ finish is used on laser surgery instruments.

Dilator

The __ is a cylindrical instrument used to increase the inside diameter of a tubular structure

Atraumatic

The Babcock clamp is a(n) ____, non crushing clamp used to manipulate the fallopian tubes.

Peel-pack pouch

When preparing to sterilize odd-shaped or single instruments, which packaging material is best?

Critical items, semi-critical items, noncritical items

Which are the three levels of Spaulding classification of patient care items?

Negative biologic indicator

What method assures that sterilization conditions have been achieved during the steam sterilization process?

Pseudonomas, Staphylococcus aureus, and salmonella

For a chemical disinfectant to be labeled for use in a hospital, it should be effective against which organisms?

High level, intermediate level, low level

What are the levels of disinfection?

False

All cells that make up the human body are prokaryotes.

Taped to the top of the tray

Where are count sheets placed for the sterilization process?

^^False^^

^^Micro instruments are made of shiny finish in order to visualize them better under the microscope. True or False^^

Distilled water

Instruments may be immersed in which of the following solutions?

True

Critical disposable items should not be reprocessed for use in a surgical procedure. True or False?

Sterile processing technician

__ is a skilled, certified profession that requires expertise in the science and practice of materials management, decontamination, and sterilization.

%%False%%

%%When cleaning instrument surfaces, it is acceptable to use wire brushes or scouring pads in order to thoroughly clean the debris from the instrument. True or False?%%

Inspect, lubricate, inventory against list, assemble, place integrators, wrap and tape

The final step, after decontamination and before sterilization, is the prep, pack, and wrap process. The sterile processing technologist has taken the laparotomy set, from the washer/decontaminator to prepare for sterilization. Select the most appropriate order that the instrument set that must travel before reaching the steam sterilizer.

==True==

==High-level disinfection is not effective against Creutzfeldt-Jakob disease (CJD). True or False?==

Precleaning, washer-sterilizer, sterilization

Which is the proper order of the steps involved in cleaning instruments after they are used?

False

Disinfection is the same as sterilization. True or False?

Disinfectant for endoscopes and lensed instruments

What is glutaraldehyde used for?

^^True^^

^^Personal protective equipment must be worn when cleaning instruments to prevent contact with accidental spray from contaminated body fluids and chemical cleaning solutions. True or False?^^

To prevent blood and debris from drying on instruments

What is the purpose of prerinsing or presoaking instruments after use?

implantable devices

Which of the following should NEVER be processed by immediate use (flash) sterilization methods?

%%True%%

%%An organism that causes an infectious disease is pathogenic. True or false?%%

Anticipate the surgeon’s needs before being asked for an instrument.

Which statement regarding handling instruments at the sterile field is correct?

Wiping with sterile water

Which part of the instrument reprocessing cycle is performed intraoperatively?

@@False@@

@@When the sterilizer door is opened, wrapped instruments must be removed immediately to begin cooling and drying on a cool surface. True or false?@@

@@True@@

@@Linens and equipment are kept in the central supply department. True or False?@@

*False*

*Gram staining reveals the thinner wall of the Gram-positive bacteria. True or false?*

Adson forceps with teeth

What type of forceps might be used when suturing the skin closed?

Immediate-use steam sterilization-IUSS

The phrase flash sterilization has been replaced by __ sterilization, in which unwrapped surgical equipment is sterilized by a high-vacuum steam sterilization method just before use.

**False**

**When removing instrument trays from the sterilizer. It is acceptable to touch the door of the sterilizer with the tray because the door is sterile. True or false?**

thin walls

Gram-negative bacteria have:

Jaw-tipped scissors, scalpel

Which is an example of a cutting instrument?

Ethylene oxide

__ is used to sterilize objects that cannot tolerate the heat, moisture, and pressure of steam sterilization.

__False__

__External indicator tape should be placed within an item’s [package to determine sterility. True or false?__

Commensalism

In symbiosis. if neither organism is harmed the association is called:

85F to 100F and 130F to 145F

The temperature of the gas directly affects the penetration of items in the chamber. Operating temperatures range from ____ for a "cold" cycle and ____ for a "warm" cycle.

`False`

`Ethylene oxide (EO) is a chemical sterilant that does not kill spores. True or False?`

^^False^^

^^It is acceptable to flash instruments if you are in a hurry and don’t want to delay a case^^

True

Medical microbiology is the study of infectious diseases caused by microorganisms. True or False?

Hemostat

Which is the most commonly used instrument to clamp blood vessels?

\
Before the first case of the day

The recommended practice to damp dust the surgical lights, furniture, and fixed equipment in the operating suite is ____.

Bacilli

Rod-shaped bacteria are classified as:

%%False%%

%%A self-retaining retractor is held by at least two people to retract and provide a well-viewed surgical site.%%

Polyvinyl chloride film

Which types of packaging material are acceptable for use with EO sterilization?

Steam sterilization

Power-driven surgical instruments (e.g., drills and saws should be disassembled before __.

%%True%%

%%Staphylococcus Aureus is the cause of most surgical site infections. True or False%%

cavitation

The ultrasonic cleaner removes debris from instruments by a process called __.

It causes less damage to the items being sterilized.

Which of the following is an advantage of gas sterilization over steam sterilization?

30 minutes

What is the minimum exposure time for sterilization in a gravity displacement steam sterilizer set at 121 C (250 F) for sterilization of wrapped instruments?

STERIS

Which of the following is a single-use 30-minute sterilization system for endoscopes?

All of the above

When placing items on the shelf, check

wet-mopped daily

Floors in the Central Service department should be

**True**

**Cleaning is defined as the removal of all visible and non-visible soil.**

__True__

__All rigid sterilization containers have tamper-evident seals. True or False?__

Lack of steam contact with the instrument

The most common reason for steam sterilization failure is

The parameters for sterilization were met during the process.

Chemical monitoring proves that:

Peel pouches are intended for items such as bone rongeurs, rasps, and multiple instruments.

Which of the following statements is not true regarding the use of peel pouches?

Critical Items

Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as

intermediate to low-level disinfectants

Phenolics are classified as:

portal of entry

Microbes enter the body through a location called the __.

Vaccines

___ provide a form of adaptive immunity.

To check for air leaks and ineffective air removal.

What is the purpose of a Bowie-dick test?

*True*

*A case cart system is used to gather and deliver sterile and nonsterile items needed for a particular surgical procedure. True or False?*

Spores

What substance is most resistant to sterilization methods?

Diffusion and osmosis

What is a type of passive transport?

Hemoclips

The small V-shaped staples are called __.

Gram stain classification

The nature of the bacterial cell membrane determines a bacterium’s __ and its response to antibiotics.

Escherichia coli

The human intestinal tract contains many different types of bacteria, such as __, which are essential for metabolism.

Suppurative

A wound is described as ___ when exudate (accumulation of pus, drainage, dead cells, and serum) may appear around the incision.

Exponential (log) phase

The __ of bacteria growth is characterized by active and sometimes rapid cell division.

The inflammatory response

__ occurs in the period immediately after trauma.

CJD

__ is a rare transmissible disease that attacks the central nervous system, is progressive and is always fatal.

Urinary catheterization

__ causes the greatest number of hospital-acquired infections in the United States.

Osmosis

What is the movement of liquid through a semipermeable membrane according to differences in the concentration of substances on either side.

occluding

Only partially __ clamps and smooth tissue forceps are used in the lungs, spleen, liver, or thyroid.

Titanium anodizing

__ is a method that imparts color and hardness to the surface of titanium.

rasp

A(n) __ is used to remodel bone

scissors

Metzenbaum, tenotomy, and Potts-Smith are examples of which type of instrument?

minimal levels of quality and safety

Healthcare regulations and standards establish __.

FDA Class II medical devices

Chemicals indicators are classified as

U.S. Food and Drug Administration

Medical device reporting is regulated by the __.

transportation of clean and soiled instruments between facilities.

The Department of Transportation enforces statutes relating to __.

Ergonomic hazards

Which of the following is NOT considered one of the three occupational hazards of CS?

The sharp ends should be pointed away from your body during transport.

Which of the following is NOT require for sharp safety.

exchange cart system

The inventory system that uses two identical carts to facilitate supply replenishment is called the