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High-level disinfection is a process that destroys all


A) pathogenic microorganisms.
B) microorganisms and spores.
C) microorganisms except tubercle bacilli.
D) microorganisms but not spores.

E) A) and B)
F) All of the above

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The most common temperature and pressure used for autoclaving is _____ pounds of pressure/square inch


A) 320° F at 20
B) 145° F at 20
C) 212° F at 15
D) 250° F at 15

E) A) and C)
F) A) and D)

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D

Which of the following should be used to disinfect a laboratory work surface?


A) Soap
B) Phenol
C) Glutaraldehyde
D) Iodine

E) B) and C)
F) None of the above

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Which of the following must be resterilized?


A) A pack that has been dropped
B) A pack that has opened up
C) A pack that has gotten wet
D) A pack that is torn
E) All of the above

F) A) and C)
G) B) and C)

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Why should all organic matter be removed from an article before it is disinfected?


A) To prevent the article from rusting
B) To prevent stains on the article
C) To allow the disinfectant to reach all parts of the article
D) To ensure the proper working condition of the article

E) B) and C)
F) A) and D)

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Which of the following is used most often to sterilize articles in the medical office?


A) Dry heat oven
B) Ethylene oxide sterilizer
C) Autoclave
D) Chemical agents

E) B) and C)
F) A) and D)

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C

Which of the following represents an error in technique when loading the autoclave?


A) Placing articles 1/2 inch apart
B) Placing glassware on their sides
C) Placing a dressing pack in a vertical position
D) Positioning sterilization pouches on their sides

E) A) and B)
F) A) and C)

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Something that is sterile is free of


A) pathogens.
B) all living microorganisms.
C) all living microorganisms and spores.
D) nonpathogens.

E) B) and C)
F) A) and D)

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Dry heat is preferred for sterilizing


A) disposable syringes.
B) vaginal specula.
C) flexible sigmoidoscopes.
D) instruments with sharp cutting edges.

E) A) and C)
F) B) and C)

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All of the following are guidelines for working with glutaraldehyde (Cidex) except


A) work in a well-ventilated area.
B) wear safety goggles.
C) wear utility gloves.
D) store the glutaraldehyde container in a warm, dry area.

E) B) and D)
F) A) and C)

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D

Sterilization strips should be positioned


A) on the bottom tray of the autoclave.
B) on the top tray of the autoclave.
C) in the center of the wrapped pack.
D) on the outside of the pack.

E) None of the above
F) All of the above

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The wrapper used to autoclave articles should


A) prevent contaminants from getting in during handling and storage.
B) be made of a substance that does not tear or puncture easily.
C) be made of a substance not affected by the sterilization process.
D) allow steam to penetrate it.
E) do all of the above.

F) A) and C)
G) C) and E)

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The purpose of wrapping articles before they are sterilized in the autoclave is to


A) permit better steam penetration during autoclaving.
B) protect the articles from recontamination after autoclaving.
C) ensure complete destruction of all pathogens.
D) protect the articles from damage.
E) do all of the above.

F) A) and B)
G) A) and E)

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Which of the following is true regarding an MSDS?


A) It provides information regarding hazardous chemicals.
B) It must be kept on file for each hazardous chemical stored in the workplace.
C) It must be readily available to employees.
D) It is available from the manufacturer of the hazardous chemical.
E) All of the above are true.

F) A) and C)
G) A) and B)

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The agent used to destroy microorganisms on an article depends on the


A) size of the article.
B) intended use of the article.
C) number of microorganisms present on the article.
D) weight of the article.

E) A) and D)
F) A) and C)

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The most reliable sterilization indicators check for


A) attainment of the proper temperature and the duration of the temperature.
B) whether the article has been in the autoclave.
C) attainment of the proper temperature and pressure.
D) presence of trapped air in the autoclave.

E) All of the above
F) B) and D)

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All of the following statements are true regarding cold sterilization with a chemical agent except


A) the chemical must be designated as a sterilant by the EPA.
B) items must be submerged in the chemical for 6 to 24 hours.
C) each time a new item is added to the chemical, the clock must be reset for the entire amount of time.
D) it is the preferred method for sterilizing instruments with sharp cutting edges.

E) B) and D)
F) B) and C)

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Which of the following would be best to use to wrap a large minor office surgery tray setup?


A) Sterilization pouch
B) Muslin
C) Aluminum foil
D) Sterilization paper

E) B) and C)
F) A) and C)

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What type of water should be used in the autoclave?


A) Salt water
B) Tap water
C) Distilled water
D) Mineral water

E) A) and B)
F) None of the above

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The recommended exposure time and temperature for a dry heat oven is


A) 250° F for 1 hour.
B) 320° F for 1 to 2 hours.
C) 320° F for 15 to 20 minutes.
D) 212° F for 20 to 30 minutes.

E) A) and B)
F) A) and C)

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