Sterile Processing – Final Exam All Possible Questions and Answers 2022 Sterile Processing – Final Exam, IAHCSMM CENTRAL SUPPLY STUDY GUIDE, Sterile Processing Study Material for Certification Exam 2022 with complete solution Sterile Processing Study Material for Certification Exam 2022 Graded A+

Sterile Processing Questions and
Answers Already Passed
Spiral-Shaped Bacteria ✔✔Spirillum
This government agency is dedicated to ensuring a fast, safe, and efficient transportation system
✔✔Depart of Transportation (DOT)
Rod-Shaped Bacteria ✔✔Bacillus
Bacteria that are capable of growing in the absence of free oxygen ✔✔Anaerobic Bacteria
Round or spherical-Shaped Bacteria ✔✔Cocci
Name the “links” in the chain of infection ✔✔Causative Agent
Reservoir of the Agent
Portal of Exit of the Agent to the Reservoir
Mode of Transmission
Portal of Entry into the Host
Susceptible Host
The percentage of hospital patients that develop a healthcare facility-associated infection.
✔✔Approximately 10%
Recommended temperature for the Decontamination area of Central Service ✔✔60 – 65 degrees F
(10 – 18 degrees C)
Organization that establishes standards and guidelines for the processing of flexible endoscopes
✔✔Society of Gastroenterology Nurses and Associates (SGNA)

Faccine provided to healthcare workers who may come in contact with bloodborne pathogens
✔✔Hepatitis B Vaccine
This government agnecy regulates the reprocessing of single use devices and the approval of
medical devices ✔✔Food and Drug Administration (FDA)
Considers all patients potentially infectious and requires that healthcare professionals protect
themselves from contact with blood and other blody fluids ✔✔Standard Precautions
Name the 5 Principles of Asepsis ✔✔Know what is dirty
Know what is clean
Know what is sterile
Keep the 3 conditions separate
Remedy contamination immediately
Contaminated items should be transported in ✔✔Enclosed containers or carts
What is the requirement for routine cleaning of the floors in the Central Serivce Department
✔✔Floors should be wet-mopped daily
Failure to perform soiled pick up rounds as scheduled can lead to ✔✔Instrument and Equipment
shortages
An inanimate object that can transmit bacteria ✔✔Fomite
The instrument preparation process begins in the ✔✔User Department

Sterile Processing Study Material for
Certification Exam Already Graded A
What is the Area Temp & Humidity for Decontamination? ✔✔60 deg to 65 deg F, 30% to 60%
Humidity
What is the air exchange rate & pressure type for Decontamination? ✔✔10 air exchanges per hour
under Negative Pressure
What is the Area Temp & Humidity for the Sterile Storage Area? ✔✔68 deg to 75 deg F, 35% to
70% Humidity
What is the Area Temp & Humidity for the Prep & Packaging Area? ✔✔68 deg to 73 deg F, Ideal
Humidity 50% – not lower than 35%
The main role of sterile processing is to: ✔✔Provide dependable reliable services to enhance the
quality of patient care.
Ethics is the practice of: ✔✔Doing the right thing.
Which of the following establishes sterilization practice standards based on opinion, research,
and/or theory: ✔✔AAMI
EPA, FDA, OSHA and state departments of health (DOH) primarily issue: ✔✔Regulations.
Standards for CS/SPD practice are written by: ✔✔AAMI
The Health Insurance Portability and Accountability Act provides for which ethical issue?
✔✔Confidentiality

If healthcare facilities reprocess single-use devices, the devices must be cleared by: ✔✔FDA
OSHA has a great effect on CS/SPD by its regulation of occupational exposure to airborne
contaminants, exposure from bloodborne pathogens, and which of the following:
✔✔Communication of workplace hazards
The Medical Device Reporting regulation requires: ✔✔Healthcare facilities to report deaths or
serious injuries from medical devices.
Collection of data and identification of issues are part of what kind of program? ✔✔Quality
Assurance
To ensure that all employees are learning the same information, training should be:
✔✔Standardized
Which branch of science refers to the form and organization of body parts? ✔✔Anatomy
Which branch of science refers to the function of specific body parts? ✔✔Physiology
The smallest and most numerous structural units possessing the basic characteristics of life are
called: ✔✔Cells
Which of the following is NOT an environmental factor required for the life of a cell? ✔✔Cold
DNA is found in which part of the cell? ✔✔Nucleus
Complex structures with specialized functions within the body are known as: ✔✔Organs

Red blood cells develop in which part of the body? ✔✔Bone Marrow
The smallest bones of the body are found in the: ✔✔Middle Ear
Which of the following supports the tongue and the functions in swallowing? ✔✔Hyoid Bone
The skull, hyoid, vertebral column, and thoracic cage are part of the: ✔✔Axial Skeleton
Muscles make up what part of the body’s bulk? ✔✔1/2
Which of the following bones can be found in the axial skeleton? ✔✔Sternum
Which of the following is part of the appendicular skeleton? ✔✔Humerus
The femur, tibia, and fibula are bones of the: ✔✔Lower limbs
The humerus, radius, and ulna are bones of the: ✔✔Upper limbs
Smooth muscle cells lack: ✔✔Striations
What connects muscle to bone? ✔✔Tendons
Specialized cells responsible for contractions in the body are called: ✔✔Muscles
Which of the following is the largest organ OF the body? ✔✔Skin
Nerves and blood supply are located in which layer of the skin? ✔✔Dermis
Which of the following are responsible for providing immunity? ✔✔White Blood Cells

STERILE PROCESSING FINAL EXAM
STUDY GUIDE CHAPTERS 1-23
ALREADY PASSED
What is Central Service ? ✔✔Centralized distribution of supplies to all customers in the hospital.
What is the Central Service One Way Work Flow ? ✔✔-Decontamination (soiled)
-Preparation, Packaging, Sterilization (clean)
-Sterile Storage (sterile)
What is the purpose of a One Way Work Flow ? ✔✔To prevent cross contamination.
Decontamination ✔✔Physically or chemically render instruments or equipment that may be
contaminated with harmful micro organisms to make it safe to handle.
Negative air flow ✔✔Air flows into a room from other surrounding areas, pressure is less than
other adjacent areas.
Positive Air Pressure ✔✔Maintains air flow out of a room, this helps with keeping all dust particles
and microorganisms out.
Standard Precautions ✔✔Treat everyone and everything as infected /contaminated.
Job Description ✔✔Define and communicate job duties and requirements in organization.
Nosocomial Infection ✔✔Hospital Acquired Infection.

Textile Packaging Materials should be held at a room temperature of _ and a relative humidity of for a minimum of prior to sterilization. ✔✔-64-72 degrees F -35-70% -2 Hours Superheating ✔✔When steam is at a temperature which exceeds that of saturated steam at the same pressure. Linen packaging material is limited to a size of _,not weigh more than , and
maximum density must not exceed . ✔✔-12x12x20
-12 lbs
-7.2 lbs
What is a wet pack? ✔✔Containers with moisture after the sterilization process is complete.
What are the 2 flat wrapping techniques and the 2 folds? ✔✔-Sequential
-Simultaneous
-Square Fold
-Envelope Fold
Wrapped pans of instruments should not exceed
in weight. ✔✔16 lbs
What is the maximum weight for containerized instrument sets recommended by AAMI/ANSI?
✔✔25 lbs
Wrapped basin sets should not exceed _. ✔✔7 lbs
Sterility (time-related) ✔✔Package is considered sterile until a specific expiration date is reached.

Sterility (event-related) ✔✔Items are considered sterile unless the integrity of the packaging is
compromised or suspected of being compromised.
Name the 4 things that event-related sterility depends on. ✔✔1. Quality of the wrapping material.

  1. Handling procedures.
  2. Storage and transport conditions.
  3. Number of times the package has been handled (4 times).
    Name 4 concerns when it comes to packaging. ✔✔1. Moisture contamination.
  4. Dirt, Dust, and Debris.
  5. Physical damage.
  6. Breakdown of packaging material due to wear of age.
    Sterile Storage standards, temperatures should be at _ and relative humidity should be less than _. ✔✔- 64-75 degrees F
  • 75%
    Sterile storage standards, sterile items should be stored at least _ away from exterior walls, above the floor and from the ceiling. ✔✔-2 inches
    -8-10 inches
    What is Passivation? ✔✔A chemical process applied during instrument manufacture that provides
    a corrosion-resistant finish by forming a thin transparent oxide film.
    Scissors 4 1/2″ and larger use a
    test material and scissors 4″ or smaller use _ material to check blades for sharpness. ✔✔-red -yellow are tested with an index card at least 5 times. _ should be tested using 3″x 5″
    index cards. ✔✔-Bone cutters

Sterile Processing Questions and
Answers Graded A+
How full should the sharps container be? ✔✔2/3 full
What is pathology? ✔✔Study of diseases/ something abnormal
aseptic presentation? ✔✔precautions taken to prevent contaminations
antiseptic ✔✔an agent that kills or inhibit the growth of microorganisms or animals
A broken glass suction bottle is returned to decontamination. Which of the following should the
technician do? ✔✔Place it in rigid container

  • What connects from bone to muscles or bone to bone ✔✔Ligaments
    Brain is located near the center of the cell ✔✔nucleus
    What is the only molecule in the body capable of reproducing itself? ✔✔DNA
    Largest organ of the body? ✔✔SKIN
    Do you have to quarantine the load when you have an implant? ✔✔no
    when do you need BI for implants? ✔✔First load of the day, after repair, relocated , refurbished,
    qualification test, first failure, complex devices, gravity cycle
    what makes up half the body’s bulk ✔✔muscle

whats another name for smooth ✔✔striated
How do you test sharps for biopsy punches or ronguers? ✔✔3×5 index card
what is the hardest working organ? ✔✔liver
what are two types of nerves? ✔✔motor and sensory

  • What is laproscopic instrument used for ? ✔✔Abdomen
    These carry blood away from the heart? ✔✔Arteries
  • Type of connective fluid that moves throughout the circulatory system? ✔✔Blood
    Largest organ IN the body ✔✔liver
    basic unit of life? ✔✔cell
    this is where the digestive process begins? ✔✔mouth
  • Part of nervous system controls many automatic body functions like the heartbeat and breathing?
    ✔✔Brain stem
    2nd largest part of the brain that controls muscle coordination body palance and posture?
    ✔✔cerebellum
    what organ removes excess water and waste? ✔✔kidneys

blue to purple ✔✔gram positive
red to pink ✔✔gram negative

  • Microorganisms are measured in ✔✔microns
  • The shape of the streptococcus is ✔✔spherical chains
  • Bacteria are unicellular and reproduce by ✔✔binary fission
  • Which type of microorganism has the ability to slow down its metabolism and become dormant?
    ✔✔gram positive bacillus
  • #1 nosocomial staphcocci ✔✔blue circle
  • rod shapped bacteria are called ? ✔✔bacilli
  • which of the following is not a requirement for bacteria to survive? ✔✔bright light
  • which of the following is used to test the effectiveness of sterilization cycles? ✔✔spores
  • a dehydrated microorganism with a thick, shell like wall is known as ? ✔✔spores
  • which of the following can survive extreme heat, lack of water, and exposure to many toxic
    chemicals and radiation? ✔✔spores
  • in order to survive, aerobic bacteria require? ✔✔oxygen
    CJD is caused by ? ✔✔prions

Sterile Processing Questions and
Answers Graded A+
How full should the sharps container be? ✔✔2/3 full
What is pathology? ✔✔Study of diseases/ something abnormal
aseptic presentation? ✔✔precautions taken to prevent contaminations
antiseptic ✔✔an agent that kills or inhibit the growth of microorganisms or animals
A broken glass suction bottle is returned to decontamination. Which of the following should the
technician do? ✔✔Place it in rigid container

  • What connects from bone to muscles or bone to bone ✔✔Ligaments
    Brain is located near the center of the cell ✔✔nucleus
    What is the only molecule in the body capable of reproducing itself? ✔✔DNA
    Largest organ of the body? ✔✔SKIN
    Do you have to quarantine the load when you have an implant? ✔✔no
    when do you need BI for implants? ✔✔First load of the day, after repair, relocated , refurbished,
    qualification test, first failure, complex devices, gravity cycle
    what makes up half the body’s bulk ✔✔muscle

whats another name for smooth ✔✔striated
How do you test sharps for biopsy punches or ronguers? ✔✔3×5 index card
what is the hardest working organ? ✔✔liver
what are two types of nerves? ✔✔motor and sensory

  • What is laproscopic instrument used for ? ✔✔Abdomen
    These carry blood away from the heart? ✔✔Arteries
  • Type of connective fluid that moves throughout the circulatory system? ✔✔Blood
    Largest organ IN the body ✔✔liver
    basic unit of life? ✔✔cell
    this is where the digestive process begins? ✔✔mouth
  • Part of nervous system controls many automatic body functions like the heartbeat and breathing?
    ✔✔Brain stem
    2nd largest part of the brain that controls muscle coordination body palance and posture?
    ✔✔cerebellum
    what organ removes excess water and waste? ✔✔kidneys

blue to purple ✔✔gram positive
red to pink ✔✔gram negative

  • Microorganisms are measured in ✔✔microns
  • The shape of the streptococcus is ✔✔spherical chains
  • Bacteria are unicellular and reproduce by ✔✔binary fission
  • Which type of microorganism has the ability to slow down its metabolism and become dormant?
    ✔✔gram positive bacillus
  • #1 nosocomial staphcocci ✔✔blue circle
  • rod shapped bacteria are called ? ✔✔bacilli
  • which of the following is not a requirement for bacteria to survive? ✔✔bright light
  • which of the following is used to test the effectiveness of sterilization cycles? ✔✔spores
  • a dehydrated microorganism with a thick, shell like wall is known as ? ✔✔spores
  • which of the following can survive extreme heat, lack of water, and exposure to many toxic
    chemicals and radiation? ✔✔spores
  • in order to survive, aerobic bacteria require? ✔✔oxygen
    CJD is caused by ? ✔✔prions

Sterile Processing Practice Exam
Questions and Answers Already Passed
What exactly does the SPD do? ✔✔1. receives

  1. cleans
  2. decontaminate
  3. assemble
  4. disinfect
    6 sterilize reusable and surgical devices for safe and effective patient care
    What preferred name is recommended by the SPD? ✔✔Sterile Processing
    What is SPD responsible for ? ✔✔providing dependable, reliable services to enhance the quality
    of patient care
    Work Flow ✔✔how the work progresses through the department or processing area. (everything
    begins in the decontamination area, where medical devices are cleaned) DIRTY TO CLEAN
    FLOW should never be circumvented
    People Flow ✔✔how people move through the department or processing area
    Traffic Control ✔✔controlling access to SPD ( who comes in and out )
    Who requires SPD facilities to be prepared for disasters? ✔✔The Joint Commision
    Hippocratic Oath ✔✔the ideal of doing no harm to another person
    Regulations ✔✔a principle, rule or law designed to control or govern behavior

Standard ✔✔is an established norm determined by opinion, authority, research, and/or theory
Recommended Practices ✔✔statements of sound principles of practice that are based upon
scientific data and the opinions of experts
Validation ✔✔documented procedure for obtaining, recording, and interpreting the results
required to establish that a process will consistently yield product complying with predetermined
specification. Validation is performed by MANUFACTURERS, not the end user
User vereification ✔✔Documented procedures, performed in the user environment for obtaining
recording, and interpreting the results required to establish that predetermined specification have
been met (Users are facility personnel who reprocess or use the device)
Emergency Eyewash Stations ✔✔Required by OSHA
should provide at least 0.4 gallons of water per minute continuously for 15 min
Hands Free
located within 10 seconds of walking distance (56 ft walking distance)
Blue Diamond ✔✔Health Hazard
Red Diamond ✔✔flammability
Yellow Diamond ✔✔instability
White Diamond ✔✔special hazard information
Center for Disease Control and Prevention ✔✔publish widely respected recommendations and
guidelines on such topics as hand hygiene, isolation precautions, environmental infection control,
and disinfection and sterilization, when new or emerging diseases are identified, the CDC also
publishes guidelines .

Sterile Processing Questions and
Answers Latest Updated 2022 Rated A
What is the Area Temp & Humidity for Decontamination? ✔✔60 deg to 65 deg F, 30% to 60%
Humidity
What is the air exchange rate & pressure type for Decontamination? ✔✔10 air exchanges per hour
under Negative Pressure
What is the Area Temp & Humidity for the Sterile Storage Area? ✔✔68 deg to 75 deg F, 35% to
70% Humidity
What is the air exchange rate & pressure type for Sterile Storage Area? ✔✔4 air exchanges per
hour under Positive Pressure
What is the Area Temp & Humidity for the Prep & Packaging Area? ✔✔68 deg to 73 deg F, Ideal
Humidity 50% – not lower than 35%
What is the air exchange rate & pressure type for the Prep & Packaging Area? ✔✔10 air exchanges
per hour under Positive Pressure
The main role of sterile processing is to: ✔✔Provide dependable reliable services to enhance the
quality of patient care.
Instrument sets and patient care equipment must be processed and distributed in an accurate and
timely manner so that: ✔✔Patient care is not adversely affected.
Ethics is the practice of: ✔✔Doing the right thing.

Compliance with OSHA is: ✔✔Required by law.
Which of the following establishes sterilization practice standards based on opinion, research,
and/or theory: ✔✔AAMI
Recommended practices are: ✔✔Statements of sound principals of practice that are based on
scientific data and the opinions of experts.
EPA, FDA, OSHA and state departments of health (DOH) primarily issue: ✔✔Regulations.
Standards for CS/SPD practice are written by: ✔✔AAMI
The Health Insurance Portability and Accountability Act provides for which ethical issue?
✔✔Confidentiality
A rule designed to govern behavior is called a: ✔✔Regulation
An established norm which is based on theory is called a: ✔✔Standard
Before a pesticide can be marketed and used in the United States, it must be evaluated and
registered by which of the following? ✔✔EPA
Which of the following regulates and makes sure products are safe and effective before companies
put them on the market? ✔✔FDA
If healthcare facilities reprocess single-use devices, the devices must be cleared by: ✔✔FDA
How often should cleaning and sterilization instructions be requested from device manufacturers?
✔✔Each time the item is purchased

Which agency regulates reprocessing of single-use devices? ✔✔FDA
OSHA has a great effect on CS/SPD by its regulation of occupational exposure to airborne
contaminants, exposure from bloodborne pathogens, and which of the following:
✔✔Communication of workplace hazards
The Medical Device Reporting regulation requires: ✔✔Healthcare facilities to report deaths or
serious injuries from medical devices.
Which agency requires that eyewash stations be available for emergency use? ✔✔OSHA
The OSHA Hazard Communication Standard requires that an MSDS must be available for:
✔✔Each chemical in the department
The Right-to-Know Standard requires employers to have which of the following available for
employees? ✔✔Material Safety Data Sheets for chemicals
When should a new employee become familiar with MSDS’s in CS/SPD? ✔✔On their first day at
work
Which of the following defines what a department MUST do? ✔✔Policies
Steps for performing a task are defined in a: ✔✔Procedure
Any equipment with a cord that is cracked, frayed or broken should be: ✔✔Disinfected and sent
out for repair

Sterile Processing Board Exam
Questions and Answers Already Passed
A broken glass suction bottle is returned to decontamination. Which of the following should the
technician do- ✔✔place it in the appropriate rigid container
Material Safety Data Sheets provide health and safety hazard and risk information on which of the
following- ✔✔chemical
Which of the following is an ethical responsibility of an individual working in the central
processing department- ✔✔maintaining patient confidentiality
Which of the following generally describes the correct sequence for the traffic work flow in areas
for which medical devices are processed- ✔✔decontamination, assembly, packaging, sterilization,
sterile storage
A spiral shaped line in a picture in a picture- ✔✔spirochete
Which of the following agencies would approve the disinfectants used on floors and walls in the
sterile processing and the distribution department- ✔✔environmental protection agency
Clean to Dirty is an SPD term used to describe- ✔✔traffic patterns
Loose fitting clothing and jewelry should not be worn in SPD because it can- ✔✔get caught in
moving equipment
Rod-Shaped bacteria is called- ✔✔bacilli
A liver biopsy would be performed to check for which disease- ✔✔hepatitis C virus

A patient contracts an infection from an improperly sterilized instrument. This is an example of
what- ✔✔nosocomial infection
A staff member brings several contaminated trays to the SPD on a cart and requests that
replacement trays be put on the same cart. The technician should- ✔✔clean and dry the transport
cart and send it to distribution for the trays
Healthcare workers are most likely to be infected by which of the following agents- ✔✔hepatitis
B
Which of the following best describes the manual cleaning process of surgical instruments-
✔✔scrubbing the instrument in a detergent solution
A technician notices a maintenance person working in decon did not remove their PPE after
leaving the area. The technician should- ✔✔ask the maintenance person to remove PPE when
leaving the area
While delivering Sterile supplies to multiple units, the sterile technician is asked to take an opened
used tray to decon. Which of the following is the best procedure to use- ✔✔return for the used
trays with the appropriate cart after completing all deliveries
The PH of detergent solution that has been demonstrated to be the safest for cleaning surgical
instruments is- ✔✔neutral
Which of the following solutions is generally considered most appropriate for high-level
disinfection of instruments- ✔✔2% activated gluteraldhyde
After manually cleaning contaminated surgical instruments with a disinfectant solution the next
step is- ✔✔rinsing

Sterile Processing Questions and
Answers Already Passed
exhange cart system an inventory system in which desired inventory items are placed on a cart
which is ✔✔maintained in another location and exchanged once daily to unsure that sufficient
supplies are available at all times
ETO has an ✔✔8 hour aeration time
the drain on a steam sterilizer should be ✔✔clean daily
the caring of flash sterilized trays is ✔✔difficult because there is no protective wrapping
implants ✔✔cannot be flash sterilized
rigid sterilization containers use ✔✔plastic tamper evident seals
rigid sterilization containers ✔✔eliminate torn wrappers
the place where you can wright on the peel pouch is ✔✔indicator tape
the proper way to load a peel pack on a sterilizer cart is ✔✔on the edge or in a metal basket.
the plastic side down may cause ✔✔moisture to remain inside theme
the plastic side up may cause ✔✔water to stand on top of plastic
peel packs must be place ✔✔paper to plastic for air steam circulation

the first step in cleaning an endoscope is to ✔✔leak test
user must check with manufacture to determine whether these items can be ✔✔processed in an
automatic endoscope preprocessor (AER)
FDA approves the use of ✔✔high level disinfectants
AER use ✔✔per acetic acid formulation
OPA solution is a ✔✔high level disinfectant
AER use air flush cycle to ✔✔remove excess moisture
endoscopes should be ✔✔completely dried internally and externally before being stored
excessive moisture must be ✔✔removed from item before they are disinfected
microbial load can ✔✔impede the ability of the disinfectant to do its job
chemical germicidal are ✔✔regulated by the EPA and FDA risk levels are based on spaulding
classification system
disinfectant is ✔✔a chemical used on inanimate objects to kill all organisms except spore
disinfectants ✔✔cannot make something sterile
antiseptics slow the ✔✔growth of micro organisms

Sterile Processing, Chapter 1
Introduction to Central Service.
Soiled instruments and other item are received in the _ area of Central Service Department? ✔✔Decontamination is the first step in sterilization process? ✔✔Cleaning
Central Service Technicians must wear special attire referred to as _
to minimize their exposure
to bloodborne pathogens and other contaminants. ✔✔PPE
Instrument sets and others required instrumentation needed for all surgical procedure for an entire
day are usually pulled(collected). ✔✔The day or evening before they will be used.
What type of air pressure is required for decontamination areas? ✔✔Negative.
The used of analytical skills to solve problems and make decisions is a component of which of the
following knowledge and skills dimensions? ✔✔Employability Skills.
Nosocomial infections are? ✔✔Those which occur in the course of being treated in a hospital.
Human resources tool identifies major task performed by person in specific position is called a?
✔✔Job Description.
In the future, which of the following will more frequently become a requirement for working in a
Central Service Department? ✔✔Formal Education.
Which of the following is the most popular title for the Central Service Department head?
✔✔Director.

Sterile Processing 5th Edition/ Chapters
1/10 Already Passed
The main role of the SPD (Sterile Processing Department) is to ✔✔provide dependable reliable
service to enhance the quality of patient care.
Instruments sets and patient care equipment must be processed and distributed in an accurate and
timely manner so that ✔✔Patient care is not adversely affected
Ethics is the practice of ✔✔Doing the right thing
Compliance with OSHA (Occupational Safety & Health Administration) regulations is
✔✔Required by law
which of the following establishes Practices standards based upon opinion, research theory
✔✔AAMI (Association for the advancement of medical instrumentation)
Recommended Practices are ✔✔Statements of sound principals of practice that are based on
scientific data and the opinion of experts
The EPA (Environmental protection agency) FDA (Food & drug Administration) OSHA
(Occupational Safety & Health Administration) State DOH (Department Of Health ) Primarily
issue ✔✔Regulations
Standards for sterile processing department practices are written by ✔✔AAMI (Association for
the advancement of medical instrumentation)
The HIPAA (Health Insurance Portability Accountability Act) provide for which ethical Issue
✔✔Confidentiality

A Rule designed to govern behavior is called a ✔✔Regulation
an establish norm which is based on theory is called a ✔✔Standard
before a pesticide can be marketed and used in the united states,it must be evaluated and registered
by ✔✔EPA (Environmental Protection Agency)
Chemical & Biological Indicator must be cleared by which of the following agencies ✔✔FDA (
Food & Drug administration)
If healthcare facilities reprocess single-use devices, the devices must be cleared by ✔✔FDA ( Food
& Drug administration)
How often should cleaning and sterilization instruction be requested from devices manufacturers
✔✔Be for the item is purchase
the SPD (Sterile Processing Department) Technician Can Play a role in Fire Prevention By
✔✔Inspecting insulation on a reusable laparoscopic instruments
OSHA ( occupational Safety & Health Administration) Has a great effect on the SPD (Sterile
Processing Department) by its regulation of occupational Exposure to airborne contaminants
exposure to blood borne pathogens and … ✔✔-communication of work place hazards
The medical devices reporting regulation requires ✔✔healthcare facilities to report deaths or
serious injuries from medical devices
Which agency require that the eyewash station be available for use ✔✔OSHA ( occupational
Safety & Health Administration)

The OSHA ( occupational Safety & Health Administration) hazards communication standards
requires that a SDS (Safety Data Sheet) must be available for ✔✔Each chemical in the department
The right to know standard requires employers to have which of the following for employee
✔✔Safety Data Sheet for chemicals
Any injury to any employee no matter how slight it is should be ✔✔Documented in an accident
report
what defines what a department must do ✔✔Policies
Steps for performing a task are define in a ✔✔Procedure
Any equipment with an electrical cord that is cracked , frayed, or broken should be ✔✔Disinfected
and send out for repairs
Collection of data and identification of issues are part of what kind of program ✔✔Quality
assurance
To insure all employees are learning the same information, training should be ✔✔standardized
ANATOMY/PHYSIOLOGY ✔✔
Which branch of science refers to the form and organization of body parts ✔✔Anatomy
Which Branch of science refers to the function of specific body parts ✔✔Physiology
The smallest and most numerous structural unit processing the basic characteristic of life are called
✔✔Cells

Sterile Processing – Final Exam Study
Guide Graded A
B ✔✔Why is it important to evenly distribute large instruments in a set?
A. The set is difficult to carry if the weight is unevenly distributed
B. Extra condensation will make the set more difficult to dry
C. It is easier for the end user to sort the instrument
D. The overall weight of the set is affected
A ✔✔Which of the following BEST describes the overall role of the CS/SPD
A. To provide dependable service to enhance patient care
B. To provide sterilization services on a rigid schedule
C. To provide delivery of supplies
D. To provide direct patient care
C ✔✔Which of the following government agencies regulates environmental disinfectants?
A. OSHA
B. FDA
C. EPA
D. CDC
D ✔✔Medical-grade kraft paper CANNOT be used with which of the following sterilization
processes ?
A. Steam
B. Ozone
C. Ethylene oxide
D. Low temperature gas plasma

A ✔✔During cycle counts, items that have a large dollar value but are NOT used frequently are
classified as
A. A
B. B
C. C
D. D
B ✔✔Anatomy is the science that deals with the________ of the body parts
A. Function
B. Structure
C. Physiology
D. Sociology
D ✔✔Which of the following transports molecules within the cell
A. Cilia
B. Flagella
C. Nucleus
D. Cytoplasm
D ✔✔Which of the following sets would be considered high risk for special prion processing?
A. Open heart set
B. Laparotomy set
C. Abdominal set
D. Craniotomy set
D ✔✔Which of the following organs produces bile?
A. Gallbladder
B. Pancreas
C. Stomach
D. Liver

B ✔✔Microorganisms are measured in
A. Inches
B. Microns
C. Millimeters
D. Centimeters
D ✔✔With respect to rigid sterilization container testing, which term defines the sterilizer’s ability
to sterilize under actual conditions?
A. Biological testing
B. Small load testing
C. Chemical testing
D. Maximum load testing
C ✔✔What is the ideal human body temperature?
A. 96.8° F
B. 97.8° F
C. 98.6° F
D. 99.0° F
C ✔✔Which of the following is TRUE of capsules
A. It is less difficult to kill than vegatitive bacteria
B. It is more difficult to kill than a spore
C. It is resistant to heat and chemicals
D. It is easily killed by antibiotics
B ✔✔Pulmonary capillaries are found in which system?
A. Circulatory
B. Respiratory
C. Nervous

Chapter 1 – The Basics of Sterile
Processing Latest Updated 2022
Decontamination room ✔✔Where soiled items are received and cleaned
Prep and packaging area ✔✔Where cleaned items are inspected, assembled, and packaged.
High level disinfectant room ✔✔Where items are high level disinfected then go to prep and
package area
Sterilization area ✔✔where terminal sterilization is performed.
Sterile storage area ✔✔where sterile items are stored until needed.
dispatch area ✔✔Where instruments are dispensed.
IFU ✔✔Instructions for use/ALWAYS REFER TO IFU
IFU’s are in alignment with recommendations from _ standards. ✔✔OSHA PPE ✔✔personal protective equipment Work flow – ✔✔Decontamination, prep and package, sterilization, sterile storage, distribution Instruments should always go in a to _ order ✔✔DIRTY TO CLEAN
When leaving decontamination you must leave all PPE behind true or false ✔✔true

Sterile Processing – Final Exam
Questions and Answers Already Passed
B ✔✔Why is it important to evenly distribute large instruments in a set?
A. The set is difficult to carry if the weight is unevenly distributed
B. Extra condensation will make the set more difficult to dry
C. It is easier for the end user to sort the instrument
D. The overall weight of the set is affected
A ✔✔Which of the following BEST describes the overall role of the CS/SPD
A. To provide dependable service to enhance patient care
B. To provide sterilization services on a rigid schedule
C. To provide delivery of supplies
D. To provide direct patient care
C ✔✔Which of the following government agencies regulates environmental disinfectants?
A. OSHA
B. FDA
C. EPA
D. CDC
D ✔✔Medical-grade kraft paper CANNOT be used with which of the following sterilization
processes ?
A. Steam
B. Ozone
C. Ethylene oxide
D. Low temperature gas plasma

A ✔✔During cycle counts, items that have a large dollar value but are NOT used frequently are
classified as
A. A
B. B
C. C
D. D
B ✔✔Anatomy is the science that deals with the________ of the body parts
A. Function
B. Structure
C. Physiology
D. Sociology
D ✔✔Which of the following transports molecules within the cell
A. Cilia
B. Flagella
C. Nucleus
D. Cytoplasm
D ✔✔Which of the following sets would be considered high risk for special prion processing?
A. Open heart set
B. Laparotomy set
C. Abdominal set
D. Craniotomy set
D ✔✔Which of the following organs produces bile?
A. Gallbladder
B. Pancreas
C. Stomach
D. Liver

B ✔✔Microorganisms are measured in
A. Inches
B. Microns
C. Millimeters
D. Centimeters
D ✔✔With respect to rigid sterilization container testing, which term defines the sterilizer’s ability
to sterilize under actual conditions?
A. Biological testing
B. Small load testing
C. Chemical testing
D. Maximum load testing
C ✔✔What is the ideal human body temperature?
A. 96.8° F
B. 97.8° F
C. 98.6° F
D. 99.0° F
C ✔✔Which of the following is TRUE of capsules
A. It is less difficult to kill than vegatitive bacteria
B. It is more difficult to kill than a spore
C. It is resistant to heat and chemicals
D. It is easily killed by antibiotics
B ✔✔Pulmonary capillaries are found in which system?
A. Circulatory
B. Respiratory
C. Nervous

Sterile Processing Chapters 1-12
Questions and Answers Rated A
The main role of the sterile processing area is? ✔✔To provide dependable reliable services to
ehance the quality of patient care.
Ethicis is the practice of? ✔✔Doing the right thing
Recommended practices are? ✔✔Statements of sound principals of practice that are based on
scientific data and the opinions of experts.
The health insurance portability and accountability act provide for which? ✔✔Confidentiality.
Before a pesticide can be marketed and used in the united states it must be evaluated and registered
by? ✔✔The Environmental Protection Agency.
Whic of the following single-use items are exempt from the food and drug administration third
party reprocessing regulation? ✔✔Packmakers
An esablished norm based on theory is called? ✔✔Standard.
Which brand of science refers to the form and organization of the body part? ✔✔Anatomy.
Which branch of science refers to the function of specific body parts? ✔✔Physiology.
The smallest bone of the body are found in the? ✔✔Middle ear.
Whic of the following supports the tongue and functions in swallowing? ✔✔Hyriod Bone.

Which of the following is the longest bone in the body? ✔✔Femur.
The femur, tibia, and fibula are bones of the? ✔✔Lower limbs
The humerus, radius, and ulna are bones of the? ✔✔Upper limbs
Specialized cells responsible for contractions in the body are called? ✔✔Muscles.
Which of the following is the largest organ of the body? ✔✔The skin.
Which organs produces bile? ✔✔Liver.
Which organ stores the bile? ✔✔Gallbladder.
Which of the following is a function of the autonomic nervous system? ✔✔Heart Rate.
The term pathogenic means: ✔✔Disease producing.
What color do gram positive bacteria stain? ✔✔purple/blue.
What color do gram negative bacteria stain? ✔✔pink/red.
Mircoorganism are measured in ✔✔Microns.
The shape of the streptococcus is ✔✔Spherical.
The shape of a spirochete ✔✔Spiral-like.

Sterile Processing Questions and
Answers Latest Updated 2022 Rated A
Decontamination Area ✔✔where soiled items are received and cleaned. *All levels for the same
tray should be labeled w/a tag to identify the level number and set to which it belongs.
Preparation and Packaging Area ✔✔where cleaned items are inspected, assembled, and packaged.
Sterilization Area ✔✔where terminal sterilization is performed.
Sterile Storage Area ✔✔where sterile items are stored until needed.
Loaner Area ✔✔for the receipt and return of instruments borrowed for specialty procedures.
Patient Care Equipment Clean-Up Area ✔✔where patient care equipment is cleaned and
disinfected.
Work Flow ✔✔how the work progresses through the department or processing area. *Dirty to
Clean
Function of CS/SPD ✔✔receives, cleans, decontaminates, assembles, inspects, disinfects,
sterilizes reusable medical and surgical devices
Sterile processing is A.K.A ✔✔Central Material Service, Sterile Processing Service, Central
Service, Sterile Processing Department
Occupational Safety Health Administration (OSHA) ✔✔protects workers; OSHA standards are
required by law; sets occupational exposure limits for all chemicals in the workplace under mSDS
(material safety data sheet); “right to know”; Emergency eyewash stations

Center for Disease Control and prevention (CDC) ✔✔voluntary; promotes health by preventing
and controlling disease; publishes recommendations and guidelines; hand hygiene (15 second
minimum); NO artificial nails; classifies medical devices according to Spaulding
Personal Protective Equipment (PPE) ✔✔MUST be worn to protect from blood and bodily fluid
disposable sharps must be disposed in ✔✔rigid biohazard container
Sharps ✔✔instruments/devices with points/blades
skull ✔✔cranium and facial bones
hyoid bone ✔✔located in neck; supports tongue and swallowing; only bone NOT articulated
w/another
vertebral column ✔✔vertebrae separated by discs; lumbar, thoracic and cervical spine
PLIF ✔✔Posterior Lumbar Interbody Fusion
Thoracic cage ✔✔sternum and 12 pairs of ribs; protect organs of chest and upper abdomen
Making an opening into thoracic cavity to give surgeons access to lung and heart ✔✔Thoracotomy
Appendicular skeleton ✔✔Appendages
Pectoral girdle ✔✔scapula and clavicle connect bones of arms and aids movemnet
Upper limb bones ✔✔humerus, radius, ulna, carpals, metacarpals and phalanges

Carpal Tunnel Repair ✔✔removing tissue displaced bone in wrist area to release pressure on
median nerve
Lower limb bones ✔✔femur, tibia, fibula, patella, tarsals
humerus, radius, ulna ✔✔connect at elbow joint
carpals, metacarpals, phalanges ✔✔form wrist and hand
femur, tibia, fibula ✔✔connect at knee joint
patella ✔✔knee bone
tarsals ✔✔ankle; metatarsals and phalanges form ankle and foot
Joints ✔✔junctions between bones; articulation
total hip and knee sets; osteotomes; screw sets ✔✔instruments used for skeletal system
skeletal muscle ✔✔responds to stimulation by contracting and relaxing; voluntary; striated;
*attached to bone by a tendon
smooth muscle ✔✔involuntary movement; slower to contract and relax; common throughout body
systems (e.g. digestive tract)
Types of muscle tissue ✔✔Cardiac; Smooth; Skeletal
cardiac muscle ✔✔makes up heart; contracts automatically; involuntary and rhythmical

ACL ✔✔Anterior Cruciate Ligament
a repair to the muscles and ligaments of the shoulder joint ✔✔Rotator Cuff Repair
Integumentary system ✔✔skin, hair, glands and nails
largest organ OF the body ✔✔skin
epidermis; dermis; hypodermis ✔✔layers of integument
epidermis ✔✔superficial protective layer
dermis ✔✔deeper than epidermis; *contains nerves and blood supply
hypodermis (subcutaneous) ✔✔deepest layer of skin
circulatory system ✔✔pumps blood (tissue) throughout the entire body and removes waste
products
transportation, regulation, protection ✔✔3 main functions of the circulatory system
heart ✔✔pumps more than 10 gallons of blood a minute through arteries and veins; has 4 chambers
atria ✔✔upper chambers; receive blood back from veins
ventricles ✔✔lower chambers; force blood out of heart into arteries
separated by septum ✔✔right and left chambers

sterile processing department (SPD)
questions and answers 100% pass
workflow ✔✔a one way flow of materials from the soiled decontamination are to the clean
processing area and on to the sterile storage area
receiving, decontamination, processing, storage, and distribution ✔✔what are the functional areas
in SPD?
the area when clean, sterile, and used items are returned to the SPD ✔✔what is receiving?
unused or expired sterile items ✔✔what is clean receiving?
accepts used items to be reprocessed and is the beginning of the decontamination and reprocessing
cycle ✔✔what is dirty receiving?
is where all soiled instruments and other items are received from using departments and made safe
for further handling ✔✔what is decontamination?
decontamination ✔✔prevents infection fro instrument to patient and vice versa, begins at point of
use, lumens are flushed and instruments are presoaked/prerinsed/soaked prior to transport to SPD
the first step in decontamination to physically remove debris that was not removed during the
presoak ✔✔what is manual cleaning?
hand decontamination ✔✔lumens, non disposable tips and endoscopic instruments require special
care to ensure blood and tissue is removed

MICROBIOLOGY STERILE PROCESSING
TECHNICIAN QUESTIONS AND
ANSWERS GRADED A
Why do we need to study Microbiology? ✔✔To prevent infections
Branch of biology that deals with _____ and their effects on other living organism.
✔✔Microorganism
Are all microorganism bad for us ? ✔✔No
Are some microorganism good or even essential for us? ✔✔Yes
It’s the study of microscopic life measured in _? ✔✔Microns
A micron is measured as ___
of an inch. ✔✔1/25 thousand
Why is it imperative that we need to learn microbiology? ✔✔To have a basic understanding of …

  1. What they are
  2. How are they transmitted
  3. How to control them in our enviroment
    What benefits can be attained by understanding microbiology? ✔✔To give CS/SPD employees a
    better decision – making process in selecting…..
  4. Cleaning Agents
  5. Dis infections
  6. Sterilization

What are the types of Microorganism? ✔✔1. Bacteria

  1. Virus
  2. Protozoa
  3. Fungi
    What is not considered a microorganism but is of great concern within the healthcare industry?
    ✔✔Prions : It is an abnormal protein in the brain resembling virus that does not contain DNA or
    RNA.
    What language are most organism derived from? ✔✔Latin
    What are the two scientific names assigned to each organism? ✔✔1st = Genus (general category)
    Capitalized
    2nd = Species (not capitalized)
    Bacteria are classified as being either ✔✔Pathogenic (disease producing) or Non-Pathogenic (nondisease producing)
    What is used to classify bacteria? ✔✔Gram Stain
    Who developed Gram Stain? ✔✔Hans Christian Gram
    What is Gram Stain used for ? ✔✔Identifying different bacteria
    What are the 2 largest groups of Gram? ✔✔1. Gram Positive
  4. Gram Negative
    What is one of the most useful staining technique in medial microbiology? ✔✔The Gram Method

CBSPD Exam Questions and Answers
Graded A
What should the sterilizer access area pressure be? ✔✔Negative w/10 air exchanges per hour
What two steps are involved in decontamination? ✔✔1. Manual and/or automated mechanical
cleaning

  1. application of a thermal or chemical disinfection process
    Define Cleaning… ✔✔The removal of contamination from an item to the extent necessary for
    further processing or for the intended use.
    nosocomial infections are well documented and caused by… ✔✔poor or ineffective
    decontamination of instruments
    What are Employee hazards in the decontamination process? ✔✔Technicians work with a large
    amount of 1) unidentified bioburden 2) wet enviornment 3) handling contaminated sharps 4) must
    know procedures for proper handling, equipment, cleaning/sterilization agents
    How do you properly clean a device? ✔✔follow the device manufacturer’s written instructions
    What is the starting point in sterilization? ✔✔Cleaning
    Define decontamination ✔✔The process of cleaning surgical instruments, patient care devices,
    and all involved surfaces in order to render areas and items safe for handling and/or further
    processing
    What are physical safety hazards? ✔✔-good body mechanics -correct body techniques and posture
    for lifting, pushing, pulling, and reaching -should be alert and correct anything that is a potential

injury -lifts to lift heavy supplies, available work material, adjustable chairs, padding on sharp
edges, correct height tables -proper clothing can prevent injury
What is the weakest point of an instrument? ✔✔Box lock and jaws
What does the ABC system stand for? ✔✔A: large dollar amount items not used frequently
B: moderately priced and used frequently
C: items w/ low dollar value
What is just in time distribution? ✔✔Items are distributed to department by vendor no need for
sterile storage or inventory control.
What are specialty/ procedure carts? ✔✔Carts placed in specific departments based on procedures
personalized to needs of departments easily accessible.
What is case cart distribution? ✔✔visually in specialty areas case carts are delivered to department
case cart is specialized to departments needs
What is the exchange cart distribution? ✔✔Two identical carts are made one is out in the
department and other stays in SPD
What is par level distribution? ✔✔There is fixed inventory and when items become low they are
replenished from the stockroom per department/specialty
What is demand distribution? ✔✔An instrument/cart must be ordered in order to get it
What are the most common distribution systems? ✔✔1) demand 2)par-level 3)Exchange 4)case
carts 5) Specialty 6) Just in time
What is the air pressure of the sterile storage area? ✔✔positive air flows out

Sterile Processing CBSPD Test
Questions and Answers Already Passed
Decontamination Area ✔✔Where soiled items are received and cleaned. *All levels for the same
tray should be labeled w/a tag to identify the level number and set to which it belongs.
Preparation and Packaging Area ✔✔where cleaned items are inspected, assembled, and packaged.
Sterilization Area ✔✔where terminal sterilization is performed.
Sterile Storage Area ✔✔where sterile items are stored until needed.
Sterile Stores ✔✔where items for patient care from outside manufacturers are stored. Sometimes
referred to as Medical Supply Distribution, Central Supply, or similar designation.
Case Cart Area ✔✔where sterile supplies (trays and/or sterile items from outside manufacturers)
are kept and picked for surgical cases.
Dispatch ✔✔where sterile and clean items are dispensed.
Loaner Area ✔✔for the receipt and return of instruments borrowed for specialty procedures.
Patient Care Equipment Clean-Up Area ✔✔where patient care equipment is cleaned and
disinfected.
SPD Responsibilities ✔✔providing dependable, reliable services to enhance the quality of patient
care. Instruments sets, patient care equipment, and other medical devices must be processed and
distributed in an accurate and timely manner so that patient care is not adversely affected.

Work Flow ✔✔how the work progresses through the department or processing area. *Dirty to
Clean
People Flow ✔✔how people move through the department or processing area. *Clean to Dirty
Traffic Control ✔✔controlling access to SPD
Ethics ✔✔the discipline dealing with what is good and bad and with moral duty and obligation.
Ethical Actions ✔✔actions that conform to accepted and professional standards of conduct.
Morals ✔✔deal with or relate to principles of right and wrong behavior.
Unethical Professional Conduct ✔✔failure to conform to moral standards or policies.
Professional Ethics ✔✔principles of conduct governing an individual or group.
American Medical Association (AMA) ✔✔the most important organization related to healthcare
ethics.
Regulation ✔✔a principle, rule, or law designed to control or govern behavior.
Agencies that issue regulations ✔✔EPA, FDA, OSHA and State health departments
Standard ✔✔an established norm determined by opinion, authority, research and/or theory.
Recommended Practices ✔✔statements of sound principles of practice based on scientific data
and opinions of experts.

Agencies that set standards ✔✔AAMI, CDC
Examples of recommended practices ✔✔documents developed by IAHCSMM, SGNA, AORN
Environmental Protection Agency (EPA) ✔✔Registers and regulates environmental disinfectants,
controls emissions into the air and water, regulates the manufacture and sale of EO gas
Food and Drug Administration (FDA) ✔✔regulates all medical devices. MedWatch (recalls);
approves reprocessing of single use devices; require IFU (instructions for use)
Function of CS/SPD ✔✔receives, cleans, decontaminates, assembles, inspects, disinfects,
sterilizes reusable medical and surgical devices
Sterile processing is A.K.A ✔✔Central Material Service, Sterile Processing Service, Central
Service, Sterile Processing Department
Two groups that certify ✔✔CBSPD (Cerification board for sterile processing and distribution,
IAHCSMM (International association of healthcare central service material management)
Chain of command ✔✔chief operating officer, VP nursing, sterile processing manager, SPD lead
tech, SPD processing tech, SPD inventory tech, SPD case cart tech
Compliance w/a regulation is ✔✔mandatory/required by law
Confidentiality ✔✔HIPAA (Health insurance portability and accountability act)
the manufacturer performs _ for a product, the facility end user performs .
✔✔validation; verification

Occupational Safety Health Administration (OSHA) ✔✔protects workers; OSHA standards are
required by law; sets occupational exposure limits for all chemicals in the workplace under mSDS
(material safety data sheet); “right to know”; Emergency eyewash stations
Responsible for regulating EO gas ✔✔OSHA, EPA
Ergonomics ✔✔OSHA; fitting the job to the worker, prevent injuries before they occur
Emergency eyewash stations ✔✔available within 10 seconds/30 meters of chemicals; hands-free;
test regularly and document, 0 4 gallons of water.
Government Agencies ✔✔EPA, FDA, OSHA
NFPA ✔✔National Fire Protection Association
Center for Disease Control and prevention (CDC) ✔✔voluntary; promotes health by preventing
and controlling disease; publishes recommendations and guidelines; hand hygiene (15 second
minimum); NO artificial nails; classifies medical devices according to Spaulding
Spaulding Classification ✔✔Critical (exposed to sterile areas of the body; must be sterile); SemiCritical (touches mucous membranes; recommended sterile or high level disinfected); Non Critical
(touch the skin; can be cleaned or disinfected; less than high level disinfection)
NFPA Blue Diamond ✔✔health hazard
NFPA Red Diamond ✔✔flammability
NFPA Yellow Diamond ✔✔instability

CBSPD FINAL EXAM QUESTIONS AND
ANSWERS GRADED A+
Why is it Important to evenly distribute large instruments in a set? ✔✔Extra condensation will
make the set more difficult to dry.
Which of the following best describes the overall role of the CS/SPD? ✔✔To provide dependable
service to enhance patient care.
Which of the following government agencies regulates environmental disinfectants? ✔✔EPA
The function of a ratchet can be checked by? ✔✔Closing the ratchet on the first click, then tapping
the handle on the worktable.
During cycle counts, items that have a large dollar value but are not used frequently are classified
as? ✔✔Class A
Anatomy is the science that deals with the ? Of the body parts? ✔✔Structure
Which of the following transports molecules within the cell? ✔✔cytoplasm
Which of the following sets are considered high-risk for special prion processing? ✔✔Craniotomy
Set
The metacarpals are located in the? ✔✔Hands
Microorganisms are measured in? ✔✔Microns

With respect to rigid sterilization container testing, which term defines the sterilizes ability to
sterilize under actual use conditions? ✔✔Maximum-load testing
What is the ideal human body temperature? ✔✔98.6 degrees F
What may be the cause of a blue stain Ima scope in Orthophthaldehyde? ✔✔Improper cleaning
Which of the following is true of a capsule? ✔✔It is resistant to heat and chemicals.
Pulmonary capillaries are found in which system? ✔✔Respiratory
Ethics is the practice of: ✔✔Doing the right thing.
A microorganism that is resting and has a hard, shell like outer covering is called a ? ✔✔Spore
Spongiform encephalopathy is caused by which of the following? ✔✔Prions?
Nails, tissues, and money are examples of ? ✔✔Fomites
The Zika virus is transmitted by ? ✔✔Vectors
In the final step of hand washing, the fingers should be rinsed with the fingertips facing ? ✔✔Up.
Waterless hand antiseptics contain what percentage concentration f alcohol to make them nose
effective? ✔✔65%-95%
All of the following play a role in how bones support other body systems except? ✔✔Distribution
of hormones

CBSPD Tech Certification Exam Study
Guide Questions and Answers Rated A+
A broken glass suction bottle is returned to Decontamination. Which of the following should the
technician do? ✔✔Place it in an appropriate rigid container
Safety Data Sheets (SDS) provide health and safety hazard and risk information on which of the
following? ✔✔Chemical
Which of the following generally describes the correct sequence for traffic workflow in areas in
which medical devices are processed? ✔✔Decontamination, Assembly, Packaging, Sterilization,
Sterile Storage
The MAJOR reason why acrylic nails are not permitted to be worn in the sterile processing
department is because they can ✔✔Allow fungus to grow beneath them
Which of the following agencies would approve the disinfectants used on floors and walls in the
Sterile Processing Department? ✔✔Environmental Protection Agency (EPA)
Every healthcare facility has an organizational structure, or chart, that outlines ✔✔Departmental
authority relationships
“Clean to dirty” is a sterile processing department term used to describe ✔✔Work flow
What are the major physical areas of a typical Sterile Processing Department?
✔✔Decontamination, Assembly, Preparation and Packaging, Sterilization, and Sterile Storage
Loose fitting clothing and jewelry should NOT be worn in sterile processing because it ✔✔Can
get caught in moving equipment

Hair coverings are REQUIRED ✔✔In all areas of the department
Decontamination procedures ✔✔Reduce contamination to permit reprocessed medical devices to
be sterilized
A patient contracts an infection from an improperly sterilized surgical instrument. This is an
example of ✔✔A healthcare acquired infection
Coronary artery bypass surgery may be performed on patients with ✔✔Arteriosclerosis
All of the following are classified as critical medical devices EXCEPT ✔✔Thermometers
The function of the gastrointestinal system is to ✔✔Provide the body with nutrients
A liver biopsy would be performed to check for which disease? ✔✔Hepatitis C Virus
The growth of pathogenic bacteria in living tissue is called ✔✔Sepsis
Nosocomial infections can be prevented by all the following EXCEPT ✔✔Increasing the patient
length of stay
Healthcare workers are most likely to be infected by which of the following agents? ✔✔Hepatitis
B
A staff member brings several contaminated trays to the Sterile Processing Department in a cart
and requests that replacement trays be put on the same cart. The technician should ✔✔Clean and
dry the transport cart and send it to DIstribution for the trays

CBSPD EXAM QUESTIONS AND
ANSWERS RATED A+
Functions of SPD ✔✔Our functions are Decontamination, Assembly/Prep & Pack, Sterilization &
Storage.
Placement of Instrumentation on Sterilizer rack Top shelf ✔✔Peel packs tilted on edge/side
Placement of Instrumentation on Sterilizer rack Middle shelf ✔✔Textile, Basins, Non-Perforated
trays – tilted on edge/side
Where should Textiles etc. be placed on Sterilizer rack ✔✔Textiles ect. should always be placed
on the rack above the metal containers.
Placement of Instrumentation on Sterilizer rack Bottom shelf ✔✔Rigid container, perforated
basket trays- placed flat
LTGP ✔✔back bottom shelf on top of tray/pack ( Geobacillus Sterarothermophilus) Incubated @
131-140 deg.
BI placement for Steam ✔✔over the drain ( Geobacillus Sterarothermophilus) Incubated @ 131-
140 deg.
BI placement for ETO ✔✔center of load (Geobacillus Sterarothermophilus ) Incubated @ 99
degrees
BI placement for LTHP ✔✔center top shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-
140 deg.

BI placement for Ozone ✔✔upper shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-140
deg.
BI placement for Dry Heat ✔✔fullest densest load (Bacillus Atrophaeus) Incubated @ 96-120 deg.
Cleaning ✔✔is the removal of contamination from an item to the extent necessary for further
processing or for the intend use.
AAMI (Association for the Advancement of Medical Instrumentation) ✔✔Issues standards which
is an established norm based on theory,opinion, authority, & research AAMI is not law but
recognized as best practices. AAMI makes recommendations for sterilization based on opinion,
research, authority, and /or theory.
2 types of contact transmission ✔✔direct and indirect via a reservoir. Which is either by human,
animal or nonliving means as soil or water.
direct contact ✔✔person to person or physical contact between the source to the person by animals
which is considered a vector that causes Lymes disease via ticks/lice which is a spriochete that is
spiral shaped also causes syphilis, Influenza via birds & Rabies via rats,bats, skunks, foxes,
dogs,cats.
Indirect contact ✔✔via objects/fomites inanimate objects.
Instrument Usage : Hemostats ✔✔Hemostats are used to clamp arteries to stop the flow of blood.
Instrument Usage : Scissors ✔✔Scissors are used to cut & dissect tissue and to cut dressings &
suture.
Instrument Usage : Tissue & Dressing forceps ✔✔Tissue & Dressing forceps are used to
manipulate & grasp tissue, sponges & dressings.

CBSPD Certification Examination Study
Guide Questions and Answers Graded
A+
Which branch of science refers to the form and organization of body parts? ✔✔anatomy
Which branch of science refers to the function of specific body parts ✔✔Physiology
The smallest and most numerous structural units processing the basic characteristics of life are
called ✔✔cells
Which is not an environmental factor requires for life?
a) cold
b) food
c) water
d) pressure ✔✔Cold
In which part of the cell are genes and DNA located? ✔✔Nucleus
In which part of the cell are food molecules received, processed, and used? ✔✔cytoplasm
complex structure with specialized functions within the body ✔✔organs
A broken glass suction bottle is returned to decontamination. Which of the following should the
technician do?
A) Place it in an appropriate rigid container
B) Place it in a cardboard box for disposal
C) Discard it in an infectious waste bag
D) Discard it in the general trash ✔✔A) Place it in an appropriate rigid container

C.S. Certification Exam, SPD Test, Sterile
Processing Study Material for
Certification Exam Latest 2022 Already
Passed
Which area is the first to accept responsibility for all supplies in the facility? ✔✔Receiving
Which type of inventory distribution system requires the use of a pre-determined inventory list?
✔✔Par Level
Just-in-time distribution systems are also known as ✔✔Stockless Distribution
Ordering the optimum quantity of an item based on historical data is known as ✔✔Economical
Order Quantity
Which of the following are elements of a distribution system? ✔✔patient charging, storage, and
receiving
The most efficient distribution system is the ✔✔Total exchange cart
The computerized locked supply system is a variation of the ✔✔Par Level
Which distribution system requires the using department to be responsible for maintaing inventory
levels? ✔✔Demand
An ongoing inventory management system is known as a ✔✔Perpetual Inventory System
In which distribution system are requisition filled and delivered as they are received? ✔✔Demand

Inventory performance” (a rough indication of the effectiveness of the inventory system) is
evaluated by ✔✔percent of back order, availability of critical items, and inventory turnover
Which of the following is the MOST efficient and cost-effective method for inventory control in
the SPD ordering and data generation? ✔✔Computerized Inventory Control System
The temperature in the sterile storage are should not exceed ✔✔75º F (24º C)
Shelving in the sterile storage area must be kept how far from the outside walls? ✔✔2 inches
The thickness of a sterility maintenance cover should be ✔✔2 to 3 mils
The minimum number of air exchanges per hour in the sterile storage area should be ✔✔4
The relative humidity in the sterile storage area should not exceed ✔✔70%
Approximately how much space should be left between and item and the inside edges of a peel
pouch? ✔✔1 inch
What is the maximum size and weight of a textile pack? ✔✔12″ x 12 x 20″ 12 pounds
Which of the following packaging materials is acceptable for low-temperature gas plasma and
ozone sterilization ✔✔Tyvek
Basin sets should be prepared for sterilization with ✔✔an absorbent material between each basin
Tamper-evident seal on rigid containers include ✔✔latches and locks

What is the acceptable temperature range for the prep and packaging area? ✔✔68º F-73º F (20º23º C)
The preparation and packaging area must have an air exchange rate of ✔✔10 per hr
If a non-perforated tray is used for the sterilization of instrument sets, it must be ✔✔Tilted on the
sterilizer rack
The ideal humidity level in the preparation and packing area should be ✔✔50%
For sterilization, rigid containers must be placed ✔✔flat
Which of the following packaging materials is acceptable for steam sterilization? ✔✔Non-woven
wraps
Re-passivation of an instrument can be achieved by ✔✔routine lubrication
What is the most difficult part of a hemostat to clean? ✔✔box lock
Which of the following lubricants is recommended for use on surgical instruments? ✔✔petroleumbased
What type of finish on a surgical instrument is used for laser procedures? ✔✔ebonized
What is the final stage in manufacturing a surgical grade instrument? ✔✔passivation
Which series of stainless steel is used is to manufacture malleable retractors? ✔✔300
The weakest part of the instrument is/are the ✔✔box locks

The layer on a surgical instrument created by the passivation process is called ✔✔chromium oxide
A crack in a hand-held instrument would most likely be found in the ✔✔box lock
The appropriate sterilization cycle for an autoclave load containing a basin set, a minor surgery
set, and twelve towel packs is ✔✔270 F (132 C ) for 4 minutes, 30 psi and 20 minutes drying time
Cotton gauze cannot be used in which sterilization process? ✔✔low temperature gas plasma
Which agencies are involved with the regulation and control of ethylene oxide when it’s used as a
sterilant? ✔✔environmental protection agency, food and drug administration, and centers for
disease control and prevention
Which of the following sterilization methods would be appropriate for petrolatum gauze dressings?
✔✔dry heat
To eliminate the bioburden on metal surgical instrument within the SPD, the MOST cost-efficient
sterilization method is generally considered to be ✔✔steam under pressure
There are two pressure gauges on a steam sterilizer. These gauges measure the pressure in the
✔✔jacket and chamber
What is the maximum number of 100% EO cartridges permitted by OSHA to be stored outside of
a flammable goods cabinet? ✔✔10
At the end of the sterilization cycle, the EO cartridges and the gloves used to handle them should
be ✔✔Aerated

Sterile Processing – Final Exam,
IAHCSMM CENTRAL SUPPLY STUDY
GUIDE, Sterile Processing Study
Material for Certification Exam
Why is it important to evenly distribute large instruments in a set?
A. The set is difficult to carry if the weight is unevenly distributed
B. Extra condensation will make the set more difficult to dry
C. It is easier for the end user to sort the instrument
D. The overall weight of the set is affected ✔✔B
Which of the following BEST describes the overall role of the CS/SPD
A. To provide dependable service to enhance patient care
B. To provide sterilization services on a rigid schedule
C. To provide delivery of supplies
D. To provide direct patient care ✔✔A
Which of the following government agencies regulates environmental disinfectants?
A. OSHA
B. FDA
C. EPA
D. CDC ✔✔C
Medical-grade kraft paper CANNOT be used with which of the following sterilization processes
?
A. Steam
B. Ozone
C. Ethylene oxide
D. Low temperature gas plasma ✔✔D

During cycle counts, items that have a large dollar value but are NOT used frequently are classified
as
A. A
B. B
C. C
D. D ✔✔A
Anatomy is the science that deals with the________ of the body parts
A. Function
B. Structure
C. Physiology
D. Sociology ✔✔B
Which of the following transports molecules within the cell
A. Cilia
B. Flagella
C. Nucleus
D. Cytoplasm ✔✔D
Which of the following sets would be considered high risk for special prion processing?
A. Open heart set
B. Laparotomy set
C. Abdominal set
D. Craniotomy set ✔✔D
Which of the following organs produces bile?
A. Gallbladder
B. Pancreas
C. Stomach

D. Liver ✔✔D
Microorganisms are measured in
A. Inches
B. Microns
C. Millimeters
D. Centimeters ✔✔B
With respect to rigid sterilization container testing, which term defines the sterilizer’s ability to
sterilize under actual conditions?
A. Biological testing
B. Small load testing
C. Chemical testing
D. Maximum load testing ✔✔D
What is the ideal human body temperature?
A. 96.8° F
B. 97.8° F
C. 98.6° F
D. 99.0° F ✔✔C
Which of the following is TRUE of capsules
A. It is less difficult to kill than vegatitive bacteria
B. It is more difficult to kill than a spore
C. It is resistant to heat and chemicals
D. It is easily killed by antibiotics ✔✔C
Pulmonary capillaries are found in which system?
A. Circulatory
B. Respiratory

C. Nervous
D. Digestive ✔✔B
Ethics is the practice of
A. Discussing patient issues with friends
B. Not reconizing cultural beliefs
C. Dealing with what is bad
D. Doing the right thing ✔✔D
A microorganism that is resting and had a hard shell like outer covering is called a
A. Prion
B. Spore
C. Flagella
D. Capsule ✔✔B
Spongiform encephalopathy is caused by which of the following
A. Prions
B. Spores
C. Viruses
D. Pyrogens ✔✔A
Nails,tissues, and money are examples of
A. Fomites
B. Vehicles
C. Vectors
D. Flagellae ✔✔A
Cholera is transmitted by
A. Droplets
B. Vectors

STERILE PROCESSING EXAM LATEST
UPDATED 2022 RATED A
What is the first step in the decon process? ✔✔Cleaning with detergent.
According to OSHA, what means are used to inactivate blood borne pathogens? ✔✔Disinfection
The removal of contamination from an item to the extent necessary for further processing or for
intended use is defined as: ✔✔Decontamination
Micro organisms on contaminated items are generally referred to as: ✔✔Bio burdens
Why is there an even distribution of large instruments? ✔✔To avoid extra condensation and
difficulty drying.
Which describes the overall role of the CS/SPD? ✔✔To provide dependable services to enhance
patient care.
Which government agency regulates environmental disinfectants?ncy ✔✔EPA-Environmental
Protection Agency
Medical grade kraft paper is NOT used in which type of sterilization? ✔✔Low temp gas plasma
(Sterrad)
During cycle counts, items that have a high dollar value but not frequently used are which
classification ? ✔✔Classification A
Anatomy is the science that deals with___of body parts? ✔✔Structure (morphology)

Sterile Processing Final Exam Practice
Test Chapters 1, 2, 3, 4, 5, 6, 8, 10, 11, 12,
13 Already Passed
An osteotome is
(A) used to cut or shave bone.
(B) a retractor.
(C) a hemostatic forceps.
(D) none of the above. ✔✔A
When returning loaner items to the vendor
(A) all items should be completely assembled, tested and sterile.
(B) trays should be returned immediately after point-of-use cleaning.(C) all items should be
cleaned and decontaminated.
(D) trays should be terminally sterilized before returning them to the vendor. ✔✔C
The first goal of creating an instrument pack is
(A) obtain the proper packaging container for the pack.
(B) decide on the order of instrument placement.
(C) create a pack that meets user needs.
(D) create a pack that makes the physician happy. ✔✔C
Positive air flow means when the door is opened, air flows out instead of into the area.
(A) True
(B) False ✔✔A

Molds, mushrooms and yeast are common
(A) gram-negative organisms.
(B) fungi.
(C) gram-positive organisms.
(D) prions. ✔✔B
The surgery of the ear that reconstructs the eardrum so sound waves can be sent to the middle ear
(A) tympanoplasty.
(B) stapedectomy.
(C) auditory implantation.
(D) myringotomy. ✔✔A
Dark areas on the lens of an endoscope are?
(A) Debris
(B) Light-emitting diode optics
(C) Light-emitting diode bulbs
(D) Damaged light fibers ✔✔D
Soiled instruments and other items are received in the (blank) area of the Central Service
department.
(A) preparation
(B) packaging
(C) decontamination
(D) sterilization ✔✔C
Which of the following statements about the use of mechanical washers is NOT true?

(A) Multi-level trays should be separated
(B) Trays with lids should be opened
(C) Instruments should be disassembled and opened
(D) All items should be washed on the same cycle ✔✔D
Agency which may intervene in a matter of worker protection even if there are no specific
regulations covering the situation.
(A) Occupational Safety and Health Administration
(B) Environmental Protection Agency
(C) U.S. Food and Drug Administration
(D) Association of periOperative Registered Nurses ✔✔A
Laser finished instruments are coated with durable protective finish that cannot be chipped or
scratched.
(A) True
(B) False ✔✔B
Healthcare-associated infections are
(A) most likely to occur during a surgical procedure.
(B) caused by drug resistant organisms.
(C) those without known cures.
(D) those which occur in the course of being treated in a healthcare facility. ✔✔D
Viruses are larger than bacteria.
(A) True

(B) False ✔✔B
The system that gives the body shape and support
(A) muscular system.
(B) nervous system.
(C) skeletal system.
(D) circulatory system. ✔✔C
Electronic testing of laparoscopic insulation should be done
(A) in the decontamination area prior to cleaning.
(B) in the clean assembly area prior to set assembly.
(C) at the factory or onsite repair unit.
(D) in the operating room at the end of the procedure. ✔✔B
Count sheets
(A) describe each instrument in detail.
(B) are used only for Operating Room trays and large procedure packs.
(C) provide a detailed list of tray contents.
(D) all the above. ✔✔C
Central Service technicians must wear special attire referred to as (blank) to minimize their
exposure to bloodborne pathogens and other contaminants.
(A) PPE
(B) OSHA
(C) TPA
(D) CDC ✔✔A

Sterile Processing Final Exam Already
Passed
What is the purpose of evenly distributing large sets of instruments? ✔✔Extra condensation will
make the set more difficult to dry.
What is the overall role of the SPD? ✔✔To provide dependable service to enhance patient care.
What government agency has the responsibility for approving new environmental disinfectants
prior to their being sold to healthcare facilities? ✔✔Environmental Protection Agency (EPA)
Medical-grade kraft paper cannot be used in what type of sterilization process? ✔✔Lowtemperature gas plasma
During cycle counts, items that have a large dollar value but are not used frequently are classified
as what? ✔✔A items
The science that studies the structure of the body is known as… ✔✔Anatomy
What transports molecules within the cell? ✔✔Cytoplasm
What set would be considered high-risk for special prion processing? ✔✔Craniotomy set
What organ produces bile? ✔✔Liver
Microorganisms are measured in what? ✔✔Microns

What respect to rigid sterilization container testing, which term defines the sterilizer’s ability to
sterilize under actual use conditions? ✔✔Maximum-load testing
If you have a fever, your temperature would be above what temperature? ✔✔98.6 F (37 C)
What is a capsule resistant to? ✔✔It is resistant to heat and chemicals
Pulmonary capillaries are found in what system? ✔✔Respiratory system
Ethics is the practice of what? ✔✔Doing the right thing.
A microorganism that is resting and has a hard, shell-like outer covering is called a… ✔✔Spore
What is spongiform encephalopathy caused by? ✔✔Prions
Nails, tissues, and money are examples of what? ✔✔Fomites
Cholera is transmitted by… ✔✔Contaminated food and water
In the final step of handwashing, the fingers should be rinsed with the fingertips…… ✔✔pointed
up
Waterless hand antiseptics contain what percentage concentration of alcohol to make them most
effective? ✔✔60% – 95%
How do the bones support the other body systems? ✔✔~ Storage of minerals
~Growth of blood cells
~Protection of the internal organs

IAHCSMM exam For Central Services
Sterile Technician Certification Already
Passed
Since Central service techs dont handle money, ethics do not apply to them.
True or False ✔✔False pg 16
Central service workflow can be divided into the handling of 3 categories of items: soiled items,
clean items, or sterile items.
True or False ✔✔True pg 9
The use of positive and negative air pressure in the CSD is designed to take the place of heating
and cooling.
True or False ✔✔False Pg 13
Since modern CS departments are virtually risk free, CS Techs do not need to concerned with
safety practices.
True or False ✔✔False Pg 16
_ ectomy. A. To cut ostomy. B. Surgical removal
otomy. C. To suture plasty. D. Incision into an organ
rrhaphy. E. Visual exam oscopy. F. Surg creation of new opening
_
cise. G. Surg restoration or repair ✔✔B
F
D
G

C
E
A
This organ pumps blood throughout the body ✔✔Heart
The process by which cartilage is replaced by bone ✔✔Ossification
Any place where two bones meet ✔✔Joint
The main control unit of the CNS ✔✔Brain. Pg 43
Considered the master gland because it helps control the activities of all endocrine glands
✔✔Pituitary gland
This filters blood to remove amino acids and neutralize some harmful toxins ✔✔Liver
Produces a fluid element in semen that stimulates the motility of sperm ✔✔Prostate gland
Largest part of the brain ✔✔Cerebrum
They carry blood away from the heart ✔✔Arteries
Somewhat muscular tube that helps move food into the stomach. ✔✔Esophagus
The functional center of a cell that governs activity and heredity is called the ✔✔Nucleus
Thread like “tails” that help bacteria through liquids are called
✔✔Flagella

IAHCSMM CRCST 8TH EDITION – CRCST
FINAL EXAM PREP JCSPD ALREADY
GRADED A
Decontamination ✔✔Removing or reducing contamination by infectious organisms or other
harmful substances.
Decontamination Area ✔✔location within a healthcare facility designated for collection, retention,
and cleaning of soiled and/or contaminated items. Negative air pressure.
Workflow ✔✔the workflow in a central service department is designed to avoid crosscontamination and insure that items efficiently flow through the process from decontamination to
storage.
Central Service Workflow ✔✔Decontamination.
Preparation/packaging/sterilization.
Sterile storage.
Preparation/Packaging/Sterilization Area ✔✔Items are carefully inspected for cleanliness proper
function, and defects. Instruments, utensils, and other devices are assembled into sets, and are then
packaged and labeled in preparation for sterilization. positive air pressure
Sterile Storage ✔✔The supply area of central service is dedicated to the storage of sterile and clean
supplies. Positive air pressure.
Case cart system ✔✔an inventory control system for products/equipment typically used in an
operating room that involves use of an enclosed cart generally prepared for one surgical case.

Case cart pull sheet / pick list ✔✔a list of specific supplies, utensils and instruments for a specific
procedure. Central service technicians use these lists to assemble the items needed for individual
surgical procedures.
Negative air pressure ✔✔the situation that occurs when air flows into a room or area because the
pressure in the area is less than that of surrounding areas.
Positive air pressure ✔✔the situation that occurs when air flows out of a room or area because the
pressure in the area is greater than that of surrounding areas.
Processing cycle ✔✔Use.
Return.
Identify.
clean.
assemble.
package.
sterilize.
store.
Deliver.
At each step in the process, items are inspected to ensure that they are clean, in good repair,
assembled and processed correctly.
Standard precautions ✔✔methods of using appropriate barriers to prevent transmissions of
infectious organisms from contact with blood and all other body fluids, non-intact skin, and
mucous membranes. applies to all patients, regardless of diagnosis or presumed infectious status.
Nosocomial ✔✔hospital acquired infection
Hemi- ✔✔half

gastro ✔✔stomach
-ectomy ✔✔surgical removal
hemigastrectomy ✔✔removal of half of the stomach
colo ✔✔colon
hemicolectomy ✔✔removal of half of the colon
-ac -al -ic -eal -ary -ous. are examples of. ✔✔pertaining to.
endo- ✔✔within
artery ✔✔artery
-cide ✔✔kill
-itis ✔✔inflammation
-cise ✔✔cut
-ectomy ✔✔surgical removal
-oscopy ✔✔visual exam of an organ or joint
-ostomy ✔✔creation of a new
-otomy ✔✔incision into an organ

laparoscopy ✔✔visual exam of organs in the abdomen
colostomy ✔✔creation of new opening to the colon on the body
-pexy ✔✔surgical fixation
orchiopexy ✔✔surgically fixation of an undescended testicle to the correct location.
-plasty ✔✔surgical restoration, plastic repair.
rhinoplasty ✔✔surgical repair of the nose
-rrhaphy ✔✔to suture
-tome ✔✔a cutting instrument
dermatome ✔✔an instrument used for cutting skin.
artho ✔✔joint
cardio ✔✔heart
chole ✔✔bile
cholecyst ✔✔gall bladder
costo ✔✔rib

IAHCSMM Central Service Final Test
Graded A+
A pick list contains information that ✔✔Identifies the supplies and instruments needed for a
specific doctor and procedure
The basic unit of a living organism ✔✔Cell
What is the name of the surgical procedure where an opening is made into the skull?
✔✔Crainotomy
The decontamination area of the central service department is where instruments are carefully
checked for cleanliness and function (T/F) ✔✔False
The term “periosteal elevator” means ✔✔An instrument used to remove tissue around the bone
Viruses ✔✔Have no means of movement on their own
The sterile storage area in a central service department should be restricted to ✔✔Properly attired
personnel meeting facility requirements
The abbreviation BKA refers to a surgical procedure involving ✔✔Surgical removal of the leg
below the knee
The body’s control center is the ✔✔Central nervous system
The prefix word element ✔✔Comes before the root

The muscular system ✔✔Assists with movement, produces heat for the body, pumps blood
throughout the body
Microbes ✔✔Can be useful in food products, are useful to break down sewage, can produce toxins
Prefix, suffix and roots are called word elements and are contained in all medical terms (T/F)
✔✔False
The pupil of the eye is the ✔✔Circular opening that controls the amount of light entering the eye
Skin is a type of connective tissue (T/F) ✔✔False
An advantage of centralizing central service management is ✔✔It allows for maximization of
people and services
Prions are ✔✔Abnormal forms of proteins
A herniorrhaphy is a surgical procedure which ✔✔Repairs a muscle layer that is allowing all or
part of an organ to protect through an opening
The abbreviation CR relates to a surgical procedure for ✔✔Treating a fractured bone without a
surgical incision
The U.S. Food and Drug Administration is responsible for ✔✔Ensuring food, drugs, and cosmetics
are safe for use
The basics of aseptic technique is ✔✔Activities that prevent infection

The decontamination are of the Central Service department should have what type of air flow
✔✔Negative air flow
Decontamination of instruments and equipment starts ✔✔At the point of use
The proper handling of instrumentation is the responsibility of ✔✔Everyone who comes in contact
with the instrumentation
Centers for Disease Control guidelines are considered regulatory guidelines (T/F) ✔✔False
One of the goals of point-of-use preparation and transport is to ✔✔Prevent cross contamination
Automatic washers clean using a spray-force action called impingement (T/F) ✔✔True
The federal program designed for the voluntary reporting of device related problems is called
✔✔MedWatch
When removing personal protective equipment you should remove _ first. ✔✔Shoe covers
What part of a word tells the primary meaning ✔✔Root word element
In Central Service, the concept of “one-way flow of materials” refers to the movement of products
✔✔From soiled areas to clean processing areas within Central Service
Which of these traffic control/dress some requirements applies to the clean assembly area of
Central Service? ✔✔Semi restricted
End of procedure point-of-use guidelines include removing gross soil, disassembling of multi-part
instruments, and ensuring instruments are kept moist (T/F) ✔✔True

IAHCSMM CRCST Exam Questions and
Answers Already Passed
The physical method by which an ultrasonic units clean is called ✔✔Cavitation
Equipment should be inspected for obvious hazards such as cracked or frayed electrical cords:
✔✔whenever the equipment is cleaned
Impregnated Gauze Strips may be sterilized using: ✔✔dry heat sterilization
Powered surgical instruments should be cleaned using a mechanical cleaning process. ✔✔False.
They should all be cleaned manually.
Agency responsible for the MedWatch program ✔✔FDA food and drug administration
Phenolics are classified as ✔✔intermediate to low level disinfectants
To prevent coagulation of proteins, water temperature should be ✔✔Below 43 C (110 F)
Secondary containers of chemicals ✔✔must be labeled with a copy of the original manufacturer’s
label or a generic label that identifies hazard warnings and directions
These carry blood away from the heart ✔✔arteries
The percentage of hospital patients that develop a healthcare facility-associated infection.
✔✔Approximately 10%
Spiral shaped bacteria are classified as ✔✔spirillum

The two most common techniques of flat wrap packaging are ✔✔Square-fold and envelope-fold
Third party reprocessors are regulated by the FDA ✔✔True
In central service, the concept of “one-way flow of materials” refers to the movement of products
✔✔From soiled areas to clean processing areas within central service
Horizontal work surfaces in the decontamination area should be cleaned and disinfected ✔✔At the
beginning and end of each shift.
A material that removes electrons from another substance is Called ✔✔an oxidizing agent
Pre-Vacuum Steam Sterilizer & Steam Flush Pressure-Pulse (SFPP) ✔✔Use an active air removal
system
These chemicals are used on animate (living tissue) to slow the growth of microorganisms:
✔✔antiseptics
Agency responsible for regulating EO ✔✔OSHA and EPA
Scissors with tungsten carbide cutting edges are usually identified by ✔✔gold handles
7.2 pounds per cubic foot ✔✔Maximum density for linen packs
Package condensation will occur when ✔✔Placing hot or warm packages in cold surfaces
The decontamination area of the central service department should have ✔✔10 air exchanges per
hour

ISO 9000 ✔✔an international standard used by participating organizations to help assure that they
consistently deliver quality services and products
Air exchanges in EtO sterilizer room ✔✔10 per hour
Water purification usually involves the use of a ✔✔pre and post filter
Which of the following is not an acceptable form of instrument marking? ✔✔Electric etching
(engraving)
Aluminum items should be cleaned: ✔✔using a to and fro motion with the grain
Wicking materials are used to : ✔✔allow air removal, steam penetration and facilitate drying
Exchange cart system ✔✔The inventory system that uses two identical carts to facilitate Supply
replenishment is called the.
The largest operating channel of an endoscope is the _ channel? ✔✔Instrument
Solution used to remove the white, hard-to-remove substance that sometimes appears on sinks and
equipment ✔✔descaler
Pexy is ✔✔Surgical fixation
Bacillus is ✔✔rod shaped bacteria
A molecular reaction that creates an uncontrolled release of energy is called: ✔✔polymerization

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