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A comprehensive review of the iahcsmm sterile processing spd certification exam, covering a wide range of topics related to sterile processing and medical device reprocessing. It includes detailed questions and answers on critical areas such as sterilization methods, packaging materials, monitoring techniques, environmental requirements, inventory management, and more. The document aims to help sterile processing professionals prepare for the certification exam by reinforcing their knowledge and understanding of the essential principles and practices in this field. With its in-depth coverage and practical insights, this resource can serve as a valuable study guide, reference material, and training tool for individuals seeking to enhance their expertise in sterile processing and patient safety.
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David Mungai [Date] [Course title]
What is the Area Temp & Humidity for Decontamination? - Answer>> 60 deg to 65 deg F, 30% to 60% Humidity What is the air exchange rate & pressure type for Decontamination? - Answer>> 10 air exchanges per hour under Negative Pressure What is the Area Temp & Humidity for the Sterile Storage Area? - Answer>> 68 deg to 75 deg F, 35% to 70% Humidity What is the Area Temp & Humidity for the Prep & Packaging Area? - Answer>> 68 deg to 73 deg F, Ideal Humidity 50% - not lower than 35% The main role of sterile processing is to: - Answer>> Provide dependable reliable services to enhance the quality of patient care. Ethics is the practice of: - Answer>> Doing the right thing. Which of the following establishes sterilization practice standards based on opinion, research, and/or theory: - Answer>> AAMI EPA, FDA, OSHA and state departments of health (DOH) primarily issue: - Answer>> Regulations. Standards for CS/SPD practice are written by: - Answer>> AAMI
Complex structures with specialized functions within the body are known as: - Answer>> Organs Red blood cells develop in which part of the body? - Answer>> Bone Marrow The smallest bones of the body are found in the: - Answer>> Middle Ear Which of the following supports the tongue and the functions in swallowing? - Answer>> Hyoid Bone The skull, hyoid, vertebral column, and thoracic cage are part of the: - Answer>> Axial Skeleton Muscles make up what part of the body's bulk? - Answer>> 1/ Which of the following bones can be found in the axial skeleton? - Answer>> Sternum Which of the following is part of the appendicular skeleton? - Answer>> Humerus The femur, tibia, and fibula are bones of the: - Answer>> Lower limbs The humerus, radius, and ulna are bones of the: - Answer>> Upper limbs Smooth muscle cells lack: - Answer>> Striations What connects muscle to bone? - Answer>> Tendons
Specialized cells responsible for contractions in the body are called: - Answer>> Muscles Which of the following is the largest organ OF the body? - Answer>> Skin Nerves and blood supply are located in which layer of the skin? - Answer>> Dermis Which of the following are responsible for providing immunity? - Answer>> White Blood Cells The breathing process removes which of the following gases from body cells? - Answer>> Carbon Dioxide pH is regulated through which system in the body? - Answer>> Respiratory Which of the following transports food to the stomach? - Answer>> Esophagus The longest part of the GI tract is the: - Answer>> Small Intestine Which organ produces bile? - Answer>> Liver The entire delicate central nervous system is protected by: - Answer>> Bony Encasement The portion of the brain responsible for consciousness is the: - Answer>> Cerebrum Which of the following is a function of the voluntary nervous system? - Answer>> Skeletal Muscle Contractions
Which type of microorganism has the ability to slow down its metabolism and become dormant? - Answer>> Gram-Positive Bacillus Rod-Shaped bacteria are called: - Answer>> Bacilli Which of the following is NOT a requirement for a bacteria to survive? - Answer>> Bright Light Which of the following is used to test the effectiveness of sterilization cycles? - Answer>> Spores A dehydrated cell with a thick, shell-like wall is know as a: - Answer>> Spore A microorganism that has a slime-like outer covering is called a: - Answer>> Capsule In order to survive, aerobic bacteria require: - Answer>> Oxygen CJD is caused by: - Answer>> Prions Protozoa are: - Answer>> Single-Celled Microorganisms Which of the following requires a living host to multiply? - Answer>> Viruses Which of the following pathogens is the cause of tuberculosis? - Answer>> Mycobacteria Which of the following is true of fungi? - Answer>> They include single celled yeasts
Which of the following diseases is NOT caused by a virus? - Answer>> CJD Prions are of concern in health care because they: - Answer>> Are difficult to kill by usual sterilization methods Which of the following BEST describes a prion? - Answer>> An Abnormal Protein Staphylococcus Aureus is a: - Answer>> Gram-Positive Coccus VRE can survive on the hands for: - Answer>> Hours A healthcare-acquired infection is generally termed a: - Answer>> Nosocomial Infection Healthcare-acquired infections account for more than: - Answer>> 90,000 deaths annually The principal living reservoir of human disease comes from: - Answer>> The Human Body Water that has been contaminated by the feces of humans and other animals is most notably responsible for: - Answer>> Gastrointestinal Disease The principal route of nosocomial infections is: - Answer>> Direct Contact The general term for any inanimate object involved in the spread of infection is: - Answer>> Fomite
Under standard precautions, all blood and other potentially infectious materials are: - Answer>> Handled as if they were infectious A confidential medical evaluation must be performed any time: - Answer>> An employee is exposed to blood or body fluid According to AAMI, "The removal of contamination from an item to the extent necessary for further processing or for the intended use" defines": - Answer>> Cleaning According to OSHA, the use of physical or chemical means to inactivate bloodborne pathogens from a surface is known as: - Answer>> Decontamination What is the first step in the decontamination process? - Answer>> Manual and/or automated, mechanical cleaning Microorganisms on contaminated items are referred to as: - Answer>> Bioburden Which of the following terms refers to disease-producing microorganisms? - Answer>> Pathogens The number of air exchanges in the decontamination area should be: - Answer>> 10 The ventilation system in the decontamination area must be maintained at: - Answer>> Negative Pressure OSHA recommends that contaminated scrub attire be: - Answer>> Laundered by the facility
When a new medical device is purchased and received into SPD, what information must the technician have before processing it? - Answer>> Request written instructions for processing from the manufacturer A solution is considered neutral when the pH is: - Answer>> 7 A solution having a pH of 9 is: - Answer>> Alkaline Enzyme-based detergents contain organic substances that assist in the breakdown of: - Answer>> Protein soils and blood What is the temperature range for enzymatic cleaners? - Answer>> 109 to 140 degrees F A proteolytic enzyme detergent breaks down: - Answer>> Blood Which of the following should never be used to remove gross soil on instruments? - Answer>> Saline Before any item with multiple parts is cleaned, it must be: - Answer>> Disassembled Metal-bristled brushes may be used to clean: - Answer>> Tungsten carbide jaws of needle holders The final rinse in the cleaning process should be performed using:
Sodium hypochlorite belongs to which class of disinfectants? - Answer>> Halogens Which of the following disinfectants should NEVER be used as an environmental disinfectant? - Answer>> Glutaraldehyde Which of the following will be noted on an improperly cleaned instrument that has been disinfected in ortho-phthaldehyde? - Answer>> Blue-Stain Which of the following areas of information is NOT necessary to be recorded on the high-level disinfectant record? - Answer>> Whether the item was completely dry Which sterilization method is suitable for the following packaging materials: textiles, non-wovens, polyolefin wraps, paper-plastic pouches and rolls, and rigid sterilization containers - Answer>> Steam Which sterilization method is suitable for the following packaging materials: textiles, non-wovens, polyolefin wraps, paper-plastic pouches and rolls, Tyvek (all-plastic) pouches, polyethylene, and most rigid sterilization containers - Answer>> Ethylene Oxide Which sterilization method is suitable for the following packaging materials: polyolefin wraps, Tyvek (all-plastic) pouches, and certain rigid sterilization containers - Answer>> Low- Temperature Gas Plasma (LTGP) Which sterilization method is suitable for the following packaging materials: Metal and glass containers, aluminum foil, glassine envelopes - Answer>> Dry Heat
Which sterilization method is suitable for the following packaging materials: Non-woven cellulosic wrap (paper) and certain containers - Answer>> Ozone Which sterilization method is suitable for the following packaging materials: polyolefin wraps and Tyvek (all-plastic) pouches that have been validated for use with low-temperature hydrogen peroxide - Answer>> Low-Temperature Hydrogen Peroxide (V- Pro 1 Low Temperature Sterilization System) The unit calls for a patient-cooling machine. Which of the following would be sent? - Answer>> Hypo/Hyperthermia machine Which of the following pieces of equipment is used in the prevention of blood clots? - Answer>> Sequential compression device Patient care equipment MUST be processed: - Answer>> After each use Before being disinfected, patient care equipment should be: - Answer>> Cleaned with detergent What is the BEST way to transport an IV Pump to CS/SPD after patient use? - Answer>> In a covered cart or closed bag Which disinfectant is to be used for patient care equipment? - Answer>> The disinfectant recommended by the device manufacturer Which of the following is NOT part of the FINAL preparation of patient care equipment for re-use? - Answer>> Placement of disassembled parts into a plastic bag
How is an instrument with tungsten carbide inserts identified? - Answer>> Gold Handles What type of finish on a surgical instrument is used for laser procedures? - Answer>> Ebonized Which of the following lubricants is recommended for use on surgical instruments? - Answer>> Water-based The chromium oxide layer is intended to make an instrument: - Answer>> Resistant to corrosion Unless otherwise directed by the manufacturer, an instrument should be lubricated: - Answer>> Every time it is used When testing a scissor for sharpness, it is important to: - Answer>> Make several cuts in the testing material When the jaws of a stainless steel needle holder becomes worn, the needle holder MUST be: - Answer>> Discarded A crack in a hand-held instrument would MOST likely be found in the: - Answer>> Box Lock Cracked insulation on a laparoscopic instrument can cause: - Answer>> Electrical Shock Power equipment should be lubricated: - Answer>> According to manufacturer's instructions When labeling a rigid scope for sterilization, which of the following information is NOT required? - Answer>> Surgeon's name
Black dots in a fiber optic light cable indicate: - Answer>> There is damage to the glass rods Which of the following is NOT a method for checking the visual clarity of a rigid endoscope? - Answer>> Using a leak tester When marking and identifying instruments, which of the following should NEVER be used? - Answer>> Engraving The air flow in the preparation and packaging area must be maintained at: - Answer>> Positive Pressure The preparation and packaging area MUST have an air exchange rate of: - Answer>> 10 per hour What is the acceptable temperature range for the prep and packaging area? - Answer>> 68 deg F - 73 deg F (20-23 deg C) The IDEAL humidity level in the prep and packaging area should be: - Answer>> 50% If a non-perforated tray is used for the sterilization of instruments sets, it MUST be: - Answer>> Tilted on the sterilizer rack The floors in the preparation area should be: - Answer>> Wet- mopped daily Where should the heavier instruments be placed when assembling a set containing heave and delicate instruments? - Answer>> On the bottom of the set Which of the following can be done to aid in the drying of wrapped instrument sets? - Answer>> Place a towel in the bottom of the tray
Tamper-evident seals on rigid containers include: - Answer>> Latches and locks When rigid containers are processed in a steam sterilizer, they MUST be placed: - Answer>> Flat on the cart during sterilzation The absence of all forms of microbial life, including spores, is known as: - Answer>> Sterility The sterilizer's heat-sensing thermometer is located in the: - Answer>> Drain line In non-tabletop steam sterilizer's, where are PCDs (Process Challenge Devices or test packs) placed to present the greatest challenge to the steam sterilizer? - Answer>> Over the drain The three parameters of steam sterilization are: - Answer>> Steam under pressure, time and temperature Which of the following is the minimum exposure time for wrapped goods in a prevac steam cycle at 275 deg F (135 deg C)? - Answer>> 3 minutes Immediate-use steam sterilization (flash) is appropriate when: - Answer>> A one-of-a-kind instrument is dropped Unless otherwise specified by the device manufacturer, instruments used on patients with known or suspected CJD should be: - Answer>> Decontaminated as usual Which of the following is the recommended cycle for processing decontaminated instruments from a suspected CJD case? - Answer>> 18 minutes, 273 deg F (134 deg C), prevac cycle
For sterilization to occur, steam must: - Answer>> Make direct contact with all surfaces Which step should be taken when a wet pack is noticed while unloading the sterilizer? - Answer>> Reprocess the item Which method of sterilization is used to sterilize liquids? - Answer>> Gravity steam Which of the following can occur if packages are moist at the end of the steam cycle? - Answer>> Bacteria can wick into the package For sterilization, paper-plastic peel packages should be placed: - Answer>> On their edge In a mixed load of textile and metal goods the textile packs should be placed: - Answer>> On the top rack For sterilization, basin sets should be positioned: - Answer>> Tilted on their side Stacking of rigid sterilization containers on the autoclave rack is permitted when: - Answer>> The manufacturer provides technical data stating that is is acceptable What is used to verify that the sterilizer air removal mechanism is functioning properly? - Answer>> Bowie Dick Test Which of the following monitoring methods verifies that conditions within the load were adequate to kill bacterial spores? - Answer>> Biological