ST Chapter 7 quiz
12 inches
A nonsterile person should approach a sterile area face forward while maintaining a distance of: (in inches)
Helicobacter pylori
Aerobic, gram-negative bacilli responsible for many gastric ulcers
positive air pressure maintained
All of the following are environmental specifications for the decontamination room in CSPD EXCEPT: - Humidity between 35 -72% - Air exchange rate, minimum of 10 per hour - Positive air pressure maintained - Temperature between 64 -70 degrees F
Clostridium perfringens
Anaerobic gram-positive bacteria responsible for gas gangrene, cellulitis, and fasciitis
Spores
Bacterial species that can survive in environmental extremes and whose genetic material is enclosed within a protein capsule until conditions are favorable for reproduction
integrity of package
Before opening any sterilely packaged item, what is MOST important to verify about the package?
Glutaraldehyde
Cidex™ is the trade name for which of the following methods of sterilization? - Ethylene oxide - Glutaraldehyde -Hydrogen peroxide gas plasma - Peracetic acid
Helminths
Classification of parasites such as cysticerci (pork tapeworms) that can create lesions in the brain and soft tissues, which require surgical removal
strike through
Contamination caused by passage of microorganisms through a sterilized package by way of moisture wicking is termed:
lukewarm water, detergent, and enzymatic cleaner with neutral pH
During manual cleaning of surgical instruments, what type of solution should be used?
Zygomycosis
Fungal infection caused by bread mold; sometimes seen in immune-suppressed organ transplant patients
24 hours
How long should the steam biological indicator be incubated before the reading is recorded? (in hours)
coiled loosely in perforated or mesh basket
How should air hoses of powered instruments or fiber-optic light cords be placed in rigid container trays for sterilization?
Flagella
Long, thin structure attached to the outside of a cell; motility achieved by whipping motion
Viruses
Nonliving obligate intracellular parasites; contain either DNA or RNA, but not both
Prions
Nonliving proteinaceous infectious particle; contains no DNA or RNA; responsible for transmissible spongiform encephalopathy
Staphylococcus aureus
Organism most commonly associated with surgical site infections
pull it
Personnel in CSPD who must move instruments from the ethylene oxide sterilizer to an aeration room should do which of the following with the cart to reduce their exposure to vented gases?
front to back
Sterilely attired surgical team members should pass one another in any of the following ways EXCEPT: - Front to back - Back to back - Rotating 360 degrees around - Front to front
prevacuum air removal steam
The Bowie-Dick test is performed for which sterilization method?
Geobacillus stearothermophilus
The biological indicator (BI) for the steam sterilization method is:
Sterilization
The physical or chemical process by which all living microorganisms, including spores, are killed is:
Bacillus atrophaeus
The recommended biological indicator (BI) for hydrogen peroxide gas plasma is:
prokaryotes
Type of organisms whose organelles are not membrane bound; divide by binary fission; includes bacteria
electrolytic conduction reaction
What is a potential risk of placing surgical instruments of dissimilar metallic type together in a washer sterilizer cycle?
carbolic acid
What is another name for the intermediate-level disinfectant compound phenol?
safe for heat and moisture sensitive items
What is the advantage of using ethylene oxide gas sterilization?
bleach
What is the common name for the high-level disinfectant sodium hypochlorite?
jacket
What is the name of the outside area of an autoclave where steam is created before injection into the interior compartment?
increased air pressure increases temperature
What is the relationship of steam pressure to temperature in a steam sterilizer?
Fomites
What is the term for inanimate objects that harbor microorganisms that contribute to environmental contamination?
surgically clean
What is the term for the condition of a surgical technologist's skin after performing a surgical scrub?
milking
What is the term for the process of lubricating stiffened stainless steel surgical instruments by immersion in a water-soluble solution?
turnover
What is the term used to describe the process of removing all soiled linen, waste, and instruments from the room and cleaning of furniture, floors, or other contaminated surfaces in preparation for opening new supplies for a subsequent case?
Cavitation
What is the type of process the ultrasonic cleaner uses to dislodge minute particles of soil and organic debris?
25 pounds
What is the weight that AAMI has recommended instrument sets should NOT exceed?
impervious
What term refers to a barrier, such as plastic-backed table cover, that does NOT allow for passage of liquid through it?
False
true/false Gravity displacement steam sterilizer cycles are much shorter than prevacuum cycles.
true
true/false In steam sterilization, thermal destruction of microbes is the result of the denaturation and coagulation of protein within the cells.
true
true/false Internal chemical indicator/integrators should be placed in the center or most challenging portion of a tray for the sterilant to reach.
true
true/false Sterilization process monitors include mechanical, chemical, and biological methods to ensure all parameters were met.
False
true/false The relative humidity in an ethylene oxide sterilizer should be below 30% to aid in the penetration of the gas through bacterial spores' protective coating.