Lecture Midterm Flashcards (WCC)

Pregunta	Respuesta
Break down the word Bilateral Salipingoophorectomy and give the abbreviation for it	Removal of both fallopian tubes and ovaries. BSO.
In medical terms, the last word element is the:	Suffix
The origin of the majority of medical terms are:	Greek or Latin
The suffix -tome means a:	Cutting Instrument
The term ectomy means	Surgical Removal
The term itis means	Inflammation
The term septorhinoplasty means	Surgical restoration or repair of the nose
Para	Beside or Near
Abbreviation used in relation to a fractured bone	ORIF
Tells the primary meaning of the word	Root Word Element
A collection of microorganisms that attach to surfaces and each other, and form colonies which produce a protective gel that is very difficult to penetrate with detergents and disinfectants	Biofilm
Departmental dress codes applies to	Everyone entering the Central Service department
Each year, approximately how many patients develop a healthcare-associated infection	700,000
The absence of microorganisms that cause disease	Asepsis
The decontamination area should have what kind of airflow	Negative
The main theory of standard precautions is	To treat all human blood and bodily fluids as infectious
The only way to interrupt the transmission of a causative agent is to	Eliminate it
The temperature of the decontamination area	60 to 65 degrees
True or False: To facilitate cleaning, soil on used instruments should be allowed to dry	False
To protect yourself from splashes and spills in the decontamination area, what should be worn	A fluid-resistant gown
True or False: Users are responsible to notify Central Service if they discover instruments or equipment that need repair	True
Users should notify the CS department of items requiring _____ for another case	Turnover/Turnaround
5 Principles of Asepsis (in order)	1. Know what's dirty 2. Know what's clean 3. Know what's sterile 4. Keep the three conditions separate 5. Remedy contamination immediately
True or False: When it is necessary to transport soiled items between facilities, facilities must consult the U.S. Department of Transportation, as well as state and local laws for transporting biohazardous items	True
Why should jewelry NOT be worn in the CS department	It harbors bacteria
Written cleaning instructions for surgical instruments should be provided by	The device manufacturer
Detergents used in mechanical cleaners should be	Low foaming
How does the ultrasonic washer clean	Cavitation
Motion used to clean instruments	To and Fro
Instruments to be decontaminated should be pre-rinsed using	Cool water
In cleaning, it is important to remember that powered surgical instruments	Cannot be immersed
Pyrogens	Fever producing substances
How should rigid container filter retention plates be cleaned	They should be removed from the container and lid and cleaned separately
Untreated water	Increases the likelihood of mineral scale deposits
What is the preferred pH for detergents used for most cleaning processes	Neutral pH
What is used to breakdown fatty tissue on instruments	Lipase Enzymes
When is lubrication of instruments performed	After Cleaning
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 dissassembled and opened d. All items should be washed on the same cycle	D. All items should be washed on the same cycle
Why should water be degassed each time the ultrasonic cleaner's tank is changed	Excess bubbles from filling reduce the energy of the cavitation process
In an automated washer the key source of disinfection is	Water Temperature
The use of heat to kill all microorganisms, except spores, is called	Thermal Disinfection
These chemicals are used on animate (living tissue) to slow the growth of microorganisms	Antiseptics
This low-level disinfectant is incompatible with soap	Quaternary Ammonium Compounds (QUATS)
Iodophors are a member of this chemical family	Halogens
Intermediate to low-level disinfectants	Phenolics
These are classified as high level disinfectants	Glutaraldehyde and ortho-phthalaldehydes
When using high-level disinfectants it is important to remember they may be deactivated by	Organic Matter
What should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope's channels	Treated Water
True or False: After applying instrument identification tape, instruments should be autoclaved to help the tape bond to the instrument	True
True or False: After use, loaner instrumentation must be decontaminated before it is shipped out	True
True or False: All flexible endoscopes have internal channels	False
An osteotome is	Used to cut or shave bone
True or False: During instrument manufacture the process of passivation helps build a protective chromium oxide layer on each instrument's surface	True
True or False: Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope's function	False
How many times should instrument marking tape be wrapped around the instrument	1.5 times
Kerrison/Laminectomy Rongeurs should be tested using	An index card
Before use, loaner instruments should	Be decontaminated
Scissors with tungsten carbide cutting edges are usually identified by	Gold Handles
The first step to inspect the insulation of a laparoscopic instrument is to	Check the collar at the distal tip
The place where the two parts of a ring handled instrument meet and pivot is called	The box lock
What is the purpose of using a decontamination battery or hose when cleaning powered surgical instruments	To keep fluid from entering the unit
To properly test the sharpness of scissors four inches or less, use	Yellow Testing Material
What is the purpose of a suction stylet	To unclog the suction during surgery
Which of the following statements about endoscopes is true? A. Not all endoscopes can be process in an automatic endoscope reprocessor B. Ultrasonic cleaning is the process of choice for endoscopes C. Flexible endoscopes are not easily damaged D. All endoscopes should be steam sterilized	A. Not all endoscopes can be processed in an automatic endoscope reprocessor
What is the first step when processing a flexible endoscope	Leak Testing
Bacteria that cause disease are called	Pathogens
Chemical indicators are classified as	FDA Class II medical devices
True or False: Class III medical devices are identified as high risk	True
Healthcare regulations and standards establish	Minimal levels of quality and safety
Heart valves and pacemakers are examples of	FDA Class III medical devices
Medical device reporting is regulated by the	U.S. Food and Drug Administration (FDA)
Microorganisms reproduce by a process called	Binary Fission
Regulations under the Clean Air Act are administered by the	Environmental Protection Agency (EPA)
True or False: Staphylococcus is classified as a gram positive bacteria	True
True or False: The Society of Gastroenterology Nurses and Associates is a source for information about the proper processing of flexible endoscopes	True
The agency which imposes very strict labeling requirements on manufacturers of disinfectants used by CS departments	Environmental Protection Agency (EPA)
The part of a cell that controls cell function	Nucleus
The virus that causes hepatitis B is transmitted by	Blood
This agency may intervene in a matter of worker protection even if there are no specific regulations covering the solution	Occupational Safety and Health Administration (OSHA)
Under current regulations, who is required to report suspected medical device related deaths to the U.S. Food and Drug Administration A. Device Manufacturer B. Hospitals C. All of the above D. None of the above	C. All of the above
True or False: Viruses use fingerlike projections called flagella to help them move	False
Which type of bacteria grows best in warm temperatures and is the most harmful to humans	Mesophiles
Which of the following is a specific prion disease? A. Creutzfeldt-Jakob Disease (CJD) B. Human Papilloma Virus (HPV) C. Huntingtons Disease D. Common Vehicle Disease	A. Creutzfeldt-Jakob Disease (CJD)
Which of the following is an example of a fungus? A. Pneumonia B. Tuberculosis C. Athlete's Foot D. Herpes Simplex	C. Athlete's Foot
Which type of bacteria is this? Image: Set Of Cocci Bacteria Vector 17194076 (binary/octet-stream)	Cocci
More than 55% of blood is made up of this yellowish liquid	Plasma
The hip joint is an example of a	Ball and Socket Joint
Another name for throat	Pharynx
The windpipe is also called	Trachea
The voicebox is also called	Larynx
The start of digestion happens here	Mouth
These muscles control involuntary movements like breathing, digestion, etc.	Smooth
This gland stimulates body growth	Pituitary
This organ filters the blood and removes amino acids and neutralizes some harmful toxins	Liver
This system gives the body shape and support	Skeletal System
The largest part of the human brain	Cerebrum
What does the acronym HIPAA stand for	Health Insurance Portability and Accountability Act
BONUS: Chain of Infection (Hint: There's six links in the chain)	1. Causative Agent 2. Reservoir 3. Portal of Exit 4. Mode of Transmission 5. Portal of Entry 6. Susceptible Host

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