ST Chapter 7 quiz

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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.


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