1.
A sterilisation cycle with a load of medical device packed in non-woven wraps is aborted. You should then
2.
What are the AAMI ST 79 recommendations for use of Chemical Indicators (CI)?
3.
Surface tension should be
4.
You are assigned to buddy a new staff on the disinfection process. Which of the following statements is/are correct?
I. Thermal disinfection uses heat to kill all organisms except spores
II. Consist of solutions that inhibit the growth of bacteria, usually on animate objects
III. The destruction of nearly all pathogenic micro- organism on an inanimate object
IV. A process by which all forms of microbial life including bacteria, viruses, spores and fungi are killed
5.
When assembling instruments in an instrument tray, you should
6.
In the hierarchy of workplace safety and health risk control measures, the most effective is the one that is dependent on systems. That would be:
7.
Sterilisation is a process in which
8.
Which of the following is NOT an acceptable storage condition?
9.
When transporting the soiled item after patient care, you did not place the soiled instruments in the designated containers. Why is this a call for concern?
10.
The MOST effective way to break the chain of infection is by
11.
Which of the following bacteria form spores?
12.
Which of the following are true of Biological Indicators?
13.
Woven fabric material are generally made of how many ply of fabric fastened together as one wrap?
14.
Upon completing the cleaning of the instrument set, you performed the quality assurance test to ensure the cleanliness of the set and cleaning equipment. What is/are the assurance method(s) you should carry out and what are their purposes?
15.
Which one of the following scenarios will NOT trigger product recall of the sterile product from CSSD?
16.
Which of the following is correct information Integrating indicators (Type 5 CI)
17.
How would you run the qualification test after installing or relocating a dynamic air removal steam steriliser (above 60L)?
18.
When decontaminating and cleaning a pneumatically powered surgical instrument,
19.
Detergents remove primarily
20.
What one of the followings shows non-conformity of sterile storage environment?
21.
Which one of the following sentences regarding handling of sterile product is NOT correct?
22.
Which of the following wrapping techniques is considered as the MOST common?
23.
After a steam sterilisation cycle, a pack is completely wet. You would then proceed to
24.
A hole is observed on the external wrap of a pack in the storage area. You should
25.
Mr Tan is our new Technician. I was assigned to show him the loading configuration for a Steam Sterilizer. Which of the following loading configuration is incorrect?
26.
In a container, the filter (paper or non-woven)
27.
Care has to be taken in placement of surgical instruments in the instrument container or tray
28.
When cleaning fine or micro instruments, which one of the following is the recommended washing method?
29.
The type of blood tests needed after a sharp injury from a contaminated sharp are
30.
What is the first thing you would do when you sustained a sharps injury?
31.
Which of the following packaging materials are suitable for low temperature plasma sterilisation?
32.
The goal of a stock arrangement system is to provide:
33.
What is the most important vaccination program the staff needs to consider when working in healthcare?
34.
When lifting heavy box from a lower surface, what is right?
35.
Regarding Bowie Dick Test, AAMI ST 79 recommend
36.
When regulating the gas flow for pneumatic instruments, the correct pressure should be set by the manufacturer.
37.
What is the principle of handling used patient care items ?
38.
At time of preparation for a surgery, the scrub nurse noticed that the tip of the chisel is chipped and the Mayo straight scissors is not sharp. What should have been done during the assembly of instrument sets in CSSD to prevent inconveniences during surgery?
I. The Mayo scissors must be tested for sharpness during assembly
II. The cutting edge of the chisel must be check for any dents and chip
III. Advise the OT nurse to replace the instrument set with another sterile set
IV. Both instruments should be removed and replaced during assembly by CSSD staff who was packing the set
39.
Sterility is event related. Which one of the following events poses a neglected risk affecting the sterility of a sterile item?
40.
Disease transmission requires
41.
When the procedure is completed, you were tasked to transport the used instruments. You diligently followed the guidelines for handling the instruments at the point of user departments. What are the reasons why it is important for the preparation process to begin at the user department?
42.
I was unloading a sterilized load, found the wrapper of one instrument set was wet. What shall I do?
43.
Sterility maintenance
44.
Which of the following statements about the use of mechanical washers is not true?
45.
Which of the following CI types must react to all the critical variables of sterilisation process and correlate to the performance of BI?
46.
Which are tools are recommended for manual cleaning of surgical instruments?
47.
When using the ultrasonic washer, which of the following is not true?
48.
Surfactants are used in detergents to
49.
Methods of low temperature sterilisation include
50.
Protective cap or aluminium sheet is used for protecting the sharp of surgical instrument. Which one of the following statement is INCORRECT?
51.
The humidity levels in the sterile storage area should NOT exceed
52.
Do not double pouch package contents (i.e. placing one peel pouch inside another) unless the
53.
Please identify the potential risk(s) affecting the sterility of sterile product if dust cover is used on sterile items.
54.
Biological indicators that indicate sterilisation process failures require recalls of all loads processed:
55.
During manually cleaning, it is recommended to wash items below the water to prevent
56.
If you have 5 steam sterilisers and run the BI tests daily, how often should you run a BI positive control?
57.
If the reason for a process failure is not immediately known
58.
During steam sterilisation (132°C, 4 minutes) where the air mixture is 10% air in the steriliser, what would be the actual temperature be?
59.
When faced with an unfamiliar or new work situation, what is the first step to prepare yourself to work safely:
60.
What is the duration for retention for sterilisation records in the department?
61.
Which is/are NOT key information of a reprocessed sterilized medical devices to be maintained for basic tracking?
62.
Which of the following is a critical step in the workflow process BEFORE sterilisation?
63.
What is the reason for the clip on the container?
64.
Which one of the following statement is FALSE?
65.
Where is the MOST appropriate location for placement of the biological indicator in the autoclave?
66.
The type of PPE required to protect splashes or aerosolisation during cleaning and decontamination of instruments are
67.
You are the staff assigned to decontamination area. You received a set of instruments that comprises complex and simple instruments with varying sizes. What is the correct step you should take prior to cleaning?
68.
The use of enclosed puncture resistant container with lid
69.
The best way to clean a suction tube lumen is to
70.
In instrument manufacturing process during the grinding and milling phase, what activity took place?
I. Excess steel (flash) is removed.
II. Male and female halves are formed.
III. Serrations and ratchets are formed
IV. The selected metal is heated and formed
71.
Packaging material containing what material cannot be used in hydrogen peroxide or ozone steriliser?
72.
How is Intermittent Use Steam Sterilization (IUSS) used for sterilisation of implants?
73.
Wicking materials are used to
74.
What kind of PPE should you wear when handling used sharps?
75.
Sterilization factor 10⁻⁶ means:
76.
Care and handling of contaminated reusable surgical instruments starts
77.
Which of the following best describe the Sinner’s Circle and influence effective cleaning?
78.
Bone nibbler or Rongeur should be routinely inspected for sharpness by
79.
Which of the following is used as a biological indicator in steam sterilisation?
80.
A recall order should
81.
Sterile instrument sets should not be stored in the following conditions
82.
Which one of the following factors does NOT affect the shelf life of a sterile product?
83.
Name the chemical which is an active ingredient of the 'bleach', a household decontamination product used to kill bacteria, fungi, and viruses?
84.
Package condensation will occur when
85.
Packaging material is classified by the US Food and Drug Administration as a ?
86.
Which of the following best describes the process 'Disinfection'?
87.
The purpose of using a chemical integrator is to measure
88.
Blood stain must be totally removed from the instrument so as to
89.
When arranging plastic-paper pouch in the sterilizer, the pouches should be arranged in the following sequence
90.
Which is a true statement?
91.
When placing ring-handled instrument in an instrument tray, you should
92.
Overcoming the barriers of effective communication include the following EXCEPT …..
93.
Biocompatibility of a packaging material should be evaluated
94.
Which one of the following actions will be the cause for non-sterility of a sterile product?
95.
Before touching or handling clean supplies, you should first
96.
Which of the following is the hardest to kill?
97.
Which of the following is 1 of the 3 primary objectives for any sterilisation packaging system?
98.
How long does it take to kill a population of 1 million spores at 134°C in good conditions?
99.
For sterilization, paper – plastic peel packages should be placed
100.
The CSSD technician was assembling the instruments which all been cleaned in the washer disinfector and dried. He noticed that there were some dark marks which look like stains on the scissors. What would you recommend him to do, after he re-washed and noted that the stains remained on the scissors?
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