1. Read your textbook

2. Master the material on our CRASH COURSE page

3. Continue to take our practice test  until you start scoring 90 percent  or more.

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1. Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation: OSHA

2. Chemical indicators are FDA Class II devices

3. Under current regulations who is required to report suspected medical device-related deaths to the FDA: DEVICE MANUFACTURER AND HOSPITALS

4. Healthcare Regulations and Standards provide consistency of departmental activities by outlining MINIMAL PERFORMANCE STANDARDS

5. The unit of measure used to describe the amount of EtO in the air is:  PPM

6. The pH of purified water should be  6.5-7.5

7. The entity responsible for providing  Material Safety Data Sheets (MSDS) : the PRODUCT MANUFACTURER

8. The root element word of “hemigastrectomy” is GASTRO

9. The first step in the sterilization process is CLEANING

10. Water purification usually involves the use of a  PRE and POST FILTER

11. Gases such as carbon dioxide, methane, halogenated fluorocarbons, and ozone that contribute to potential climate change are called GREEN HOUSE GASES

12. The special attire that Central Service Technicians must wear to minimize their exposure to blood borne pathogens and other contaminants: PPE

13. When state, local and federal regulations differ, THE MOST STRINGENT REGULATION IS USED

14. Agency which administers regulations under the Clean Air Act:  EPA

15. Heart valves and pacemakers are examples of FDA Class III medical devices

16. Bluish or rainbow-type stains are caused by IRON and SILICATES in water

17. 100 ethylene oxide gas canisters should be stored in CHEMICAL STORAGE CABINET

18. Water that is cloudy is said to be TURBID

19. The type of pressure required for decontamination areas is NEGATIVE AIR PRESSURE

20. Agency which imposes very strict labeling requirements on manufacturers of chemicals used by Central Service departments:  EPA

21. The equipment used to remove impurities and waste products from blood before returning it to the patient`s body is the HEMODIALYZER

22. Nosocomial infection are those which occur in the course of being TREATED IN THE HOSPITAL

23. Medical Device reporting is regulated by the  FDA

24. The system used to treat the final rinse water used for cleaning is DEIONIZATION

25. A molecular reaction that creates an uncontrolled release of energy: POLYMERIZATION

26. The tank into which untreated hard water flows, and in which sodium ions are exchanged for calcium and magnesium ions to produce soft water is called  CATION RESIN TANK

27. Tissue, body fat, blood, and other body substances are referred to as GROSS SOIL

28. To achieve a reasonable level of disinfection, alcohol used as an INTERMEDIATE-LEVEL DISINFECTANT  must remain in wet contact with the surface of the object being disinfected for a minimum of 5 MINUTES

29. A chemical which kills most pathogenic organisms, but does not kills spores, and is not a sterilant :  DISINFECTANT

30. Instrument decontamination begins at POINT-OF-USE and is then continued in Central Processing decontamination area

31. Horizontal work surfaces should be cleaned and disinfected at the BEGINNING and END of shift

32. Scissors with tungsten carbide cutting edges are usually identified by GOLD HANDLES

33. Surgical instrument used to control flow of blood:  HEMOSTATIC FORCEPS

34. Items that have been used in patient care are CONTAMINATED

35. Chemicals that hold hard water minerals in solution and prevent soaps or detergents from reacting with the minerals :  CHELATING AGENT

36. Chemicals that are used on animate (living tissue) to slow the growth of microorganisms:  ANTISEPTICS

37. Ortho-Phthalaldehyde (OPA) is classified as  HIGH LEVEL DISINFECTANT

38. Instrument marking tape should be wrapped approximately 1 to 1 1/2 times around the instrument

39. Process that utilizes an agent that kills viruses, mycobacteria, fungi, and vegetative bacteria, but not bacteria spores is known as INTERMEDIATE LEVEL

40. The process used by an ultrasonic cleaner in which low-pressure bubbles in a cleaning solution burst inward : CAVITATION

41. The amount of vapor in the atmosphere expressed as a percentage of the total amount of vapor the atmosphere could hold without condensation is RELATIVE HUMIDITY

42. Iodophors are a member of the HALOGENS FAMILY

43. The chemical process applied during instrument manufacture that provides a corrosion-resistant layer is PASSIVATION

44. The spray-force action of pressurized water against instruments being processed to physically remove bioburden is IMPINGEMENT

45. Air powered instruments using compressed gas like CO2 : PNEUMATIC

46. INFECTION CONTROL  is  critical to minimize or eliminate CROSS-CONTAMINATION

47. This type of material is not an acceptable sterilization packaging: CANVAS

48. Relative humidity of the Central Service department should be:  LESS THAN 75

49. When placing ring-handled instruments in an instrument tray, YOU SHOULD UNLOCK THE HANDLES AND OPEN THE INSTRUMENTS

50. The process by which unwrapped instruments are steam sterilized for immediate use when and emergency situation arises is called FLASH STERILIZATION

51. These materials allow air removal, steam penetration and facilitate drying: WICKING

52. Endotracheal tubes and anesthesia breathing circuits are examples of SEMI-CRITICAL DEVICES

53. The amount of time it takes to kill 90 of the microorganisms present on an object is called D-VALUE

54. A stock rotation system in which the oldest product is used first = First in, First out ( FIFO )

55. The number of micro-organisms contaminating an object also known as bioload or microbial load is: BIOBURDEN

56. The process of heat transfer by the circulation of currents from one area to another is called CONVECTION

57. The complete cycle time for Ozone sterilization is 4 hrs

58. The  3 low temp sterilization methods are:   EtO, OZONE and HYDROGEN PEROXIDE

59. Of the 3 major low temperature sterilants, ethylene oxide has the longest instrument turnaround time

60. The consistent delivery of products and services according to established standards is:  QUALITY

61. An activity designed to identify and resolve work task-related problems that yield poor quality : PROCESS IMPROVEMENT

62. Surfaces such as floors, walls, and sinks that pose a risk of disease transmission are known as HOUSEKEEPING SURFACES

63. These facilities do not permit “event related” practices for sterilize items. They  use “time related:  VA (Veterans Affairs)

64. The two most commonly encountered temps for steam sterilization: 250°F and 270°F-275°F

65. Agency that sets exposure standards for chemical sterilants is OSHA

66. Agency that requires  sterilants be rigorously tested before being marketed is FDA

67. The amount of EtO that remains inside a materials after they are sterilized is called RESIDUAL (EtO)

68. The hip joint is an example of a BALL AND SOCKET JOINT

69. The process of sterilizing an item that is packaged: TERMINAL STERILIZATION

70. Label information on sterilization packages, trays or containers that identify the sterilizer, cycle run and date of sterilization: LOAD CONTROL NUMBER

71. An electrically charged particle that is formed by the loss or gain of one or more electrons: ION

72. The fundamental unit of a chemical element: ATOM

73. The pressure that a gas would exert on the walls of a one -cubic foot container: PSIG (Pounds Per Square Inch Gauge)

74. Items are considered sterile unless the integrity of the packaging is compromised  regardless of the sterilization date. This is referred to as  EVENT RELATED STERILITY (ERS)

75. Instrument containers that hold medical devices during sterilization and also protect devices from contamination during storage and transport: RIGID CONTAINER SYSTEM

76. The condition that arises when steam is at a temperature which exceeds that of saturated steam at the same pressure: SUPERHEATING

77. Water that has been treated, and is acceptable for drinking: TAP WATER

78. A measurement of the ability of water to carry an electrical current : CONDUCTIVITY OF WATER

79. Chemicals that remove or inactivate hard water minerals: SEQUESTERING AGENT

80. A substance that reduces the surface tension of a liquid, and allows the liquid to penetrate or spread more easily across the surface of a solid: WETTING AGENT

81. To cause to become viscous or thickened into a coherent mass; to clot: COAGULATION

82. Notices posted in easily-seen locations that alert persons in the area about the presence of harmful bacteria, viruses, or other dangerous biohazardous agents or organisms: BIOHAZARD SIGNAGE

83.  An inanimate object that can transmit bacteria: FOMITE

84. Invasions of human body tissue by microorganisms which multiply and produce a reaction: INFECTION

85. A person or animal that lacks the ability to resist infection by an infectious agent: SUSCEPTIBLE HOST

86. The method of transfer of an infectious agent from the reservoir to a susceptible host: MODE OF TRANSMISSION

87. An individual who harbors and disseminates specific pathogenic microorganisms without manifesting any clinical symptoms, and who serves as an intermediary in the transfer of diseases to a susceptible person: CARRIER

88. The microorganism that causes an infectious disease: CAUSATIVE AGENT

89. The place where an infectious agent (microorganism) can survive: RESERVOIR OF INFECTION

90. Any one-celled animal-like microorganism of the sub-kingdom protozoa: PROTOZOAN

91. A large group of plant-like organisms including molds, mushrooms, and yeasts without chlorophyll: FUNGI

92. The animal, plant, or human that supports the growth of microorganisms: HOST

94. One of a group of minute infections agents that grow only in living tissues or cells: VIRUS

95. Staphylococcus aureus bacteria that have developed a resistance to antibiotic : Methicillin-Resistant Staphylococcus Aureus (MRSA). MRSA usually occurs with patients who have been on antibiotic therapy for a long time

96. The typical method of bacterial reproduction in which a cell divides into equal parts: BINARY FISSION

97. A unit that measures visible light: ANGSTROM

98. State of active growth of microorganisms :VEGETATIVE STAGE

99. Bacteria which grow best at a temperatures (122-158 degrees F): THERMOPHILES

100. Bacteria that grows best at moderate temperatures (68-113 degrees F): MESOPHILES

101. Cold-loving bacteria (59-68 degrees F): PSYCHROPHILES

102. Capable of growing in the absence of free oxygen. Not requiring oxygen: ANAEROBIC BACTERIA

103. Capable of growing in the presence of free oxygen. Requiring oxygen: AEROBIC BACTERIA

104. A molecule in plants that absorbs sunlight, and converts it to energy in a process called photosynthesis: CHLOROPHYLL

105. Microorganisms capable of forming a thick wall around themselves enabling them to survive in adverse conditions; a resistant form of bacterium: SPORE

106. Thread-like tails attached to the cell that enables the bacteria to move through liquids: FLAGELLA

107. A mucus material that protects the bacteria from the host cells that try to destroy it : CAPSULE

108. The protein found in the chromosomes of a cell nucleus which is the basis of heredity: DEOXYRIBONUCLEIC ACID (DNA)

109. The functional center of a cell that governs activity and heredity: NUCLEUS

110. The living matter of a cell between the cell’s membrane and nucleus: CYTOPLASM

111. The process by which some cells can ingest bacteria or other foreign particles. The process where white blood cells in the human body destroy bacteria by engulfing them: PHAGOTIZATION

112. Components of a cell: Cell wall; cell membrane; cytoplasm; capsule; flagella; nucleus

113. A plan projecting more responsible professional positions that serves as a foundation for designing a professional development program: CAREER LADDER

114. 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: POSITIVE AIR PRESSURE

115. 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: NEGATIVE AIR PRESSURE

116. An activity that helps or assists one of more persons or groups of people: SERVICE

117. The process of transmitting information and understanding from one person to another by use of words and nonverbal expressions such as body language: COMMUNICATION


119. CUSTOMER SURVEY results can indicate potential problems that may not be apparent to Central Service personnel

120. THE PATIENT must be at the center of every quality concern

121. Used to provide automatic administration of pain meds: PATIENT CONTROLLED ANALGESIA (PCA) pump

122. This should be checked each time an item of patient care equipment is returned to the CS department for cleaning: PLANNED MAINTENANCE (PM) STICKER

123. Activity designed to identify and resolve work task-related problems that yield poor quality: PERFORMANCE IMPROVEMENT (PI )

124. Periodic automatic replenishment (STAT): IMMEDIATELY/AT ONCE

125. Consumable products found in Central Service and other storerooms, warehouses, and satellite storage areas: OFFICIAL INVENTORY

126. The consistent delivery of products and services according to established standards: QUALITY

127. The 2 techniques for wrapping packages: ENVELOPE FOLD & SQUARE FOLD

128. A method where a package is wrapped twice; a package within a package: SEQUENTIAL

129. A heat transfer method in which heat is absorbed by an item’s exterior surface, and passed inward to the next layer: CONDUCTION

130. The complete cycle time for Ozone sterilization is: 4 HOURS

131. Sterilizers frequently used in clinics and dentists offices: TABLE TOP STERILIZERS

132. All the critical parameters of the sterilization cycle (time, temp and the presence of steam) is monitored by a CLASS 5 INTEGRATOR

133. This occurs when a medical device is processed immediately before use, and or close to the patient area: POINT-OF-USE PROCESSING

134. The pre-made opening of a pouch is called the CHEVRON

135. Linen packs have been limited to a size of 12X12X20

136. LOG BOOK should be maintained when using high-level disinfectants like glutaraldehyde and OPA

137. Loaner instrumentation that come from the outside should be considered CONTAMINATED

138. The most important step in processing flexible endoscopes is MANUAL CLEANING

139. To minimize or eliminate cross-contamination, effective INFECTION CONTROL policies and practices must be in place

140. Before submersion of a flexible endoscope to assure that internal components do not get damaged,they must be LEAK TESTED

141. The use of physical or chemical procedures to completely destroy all microbial life: STERILIZATION

115. A chemical process applied during instrument manufacture that provides a corrosion-resistant layer: PASSIVATION

116. The magnetic stainless Steel also known as 400 series stainless steel that can be heat-hardened: MARTENSIC

117. Chisel-like instruments used to cut/shave bone: OSTEOTOMES

118. A unit of measurement that is one millionth of a meter: MICRON

119. Under OSHA violations, a violation that the employer intentionally and knowingly commits is a WILLFUL VIOLATION

120. Floors should be cleaned (wet mopped) at least DAILY

121. An activity or procedure that prevents infection or breaks the chain of infection: ASEPTIC TECHNIQUE

122. A preconceived belief or opinion about a group of people that is applied to every person in that group: STEREOTYPE

123. Number of times per year that inventory is purchased, consumed, and replaced: INVENTORY TURNOVER RATE

124. Eto sterilization is not generally used in Ambulatory Surgery Centers (ASC) because of installation concerns, environmental concerns and long turnover

125. A voluntary process by which an organization measures the quality of its services and  performance against nationally recognized standards: ACCREDITATION

126. Specialized words or phrases known only by persons working in a position: JARGON

127. Central service Technicians must follow a professional code of behavior that includes MORAL, LEGAL and ETHICAL aspects of responsibility

128. The development and maintenance of effective interpersonal relationships that enhance teamwork:  HUMAN RELATIONS

129. Type of extinguisher used for flammable liquids: TYPE B FIRE DISTINGUISHER

130. Inventory system that keeps track of all incoming, issued, on-hand supplies on a on-going basis: PERPETUAL SYSTEM

131. The condition that occurs when reusable or consumable inventory items required are not available: STOCK OUTS

132. High level disinfectant used for semi-critical devices such as endoscopes and  ultrasonic probes:  GLUTARALDEHYDE

133. The most important priority of the Central Service Technician is to HELP THE PATIENT

134. A group of employees from different departments within the healthcare facility that work together to solve operating problems is called a CROSS FUNCTIONAL TEAM

135. The most important factor necessary for teamwork ATTITUDE

136. When speaking, you should CONCENTRATE ON THE LISTENER

137. A step in communication that occurs when a listener asks a question is called is FEEDBACK

138. Behavior relating to what is “right and wrong” relative to the standards of conduct for your profession are called ETHICAL BEHAVIOR

139. A written statement providing detailed info about a chemical or toxic substance including potential hazards and appropriate handling methods is Material safety Data Sheet (MSDS)

140. A substance, that if ignited, will react with oxygen and burn is said to be COMBUSTIBLE

141. An injury to or disorder of the musculoskeletal system where exposure to workplace risk factors may have contributed to the disorder’s development or aggravated a pre-existing condition is WORK-RELATED MUSCULOSKELETAL DISORDER (WMSD)

142.  OSHA established Permissible Exposure Limit (PEL) and Action Level (AL) for Eto are respectively, 1 ppm and 0.5 ppm

143. The process of changing work or work conditions to reduce employee stress is ERGONOMICS

144. Patient care equipment should be inspected as specified by the manufacturer or internal risk management committee by the BIOMEDICAL ENGINEERING DEPARTMENT

145. An unexpected occurrence involving death, serious physical or psychological injury, or the risk there of is called a SENTINEL EVENT

146. A technical, statistical sampling method that measures the quality of production is QUALITY CONTROL

147. The act of granting authority to employees to make decisions within their areas of responsibility is called EMPOWERMENT

148. An international standard used by participating organizations to help assure that they consistently deliver quality services and products is ISO 9000

149. The quality process that uses the DMADV/DMAIC processes to improve processes is called SIX SIGMA

150. A process that looks backwards at an event to help prevent it from reoccurring is called a ROOT CAUSE ANALYSIS

151. When something deviates from the expected standard it is said to have a DEFECT

152. An activity designed to identify and resolve work task-related problems is called PROCESS IMPROVEMENT

153. Nurses, physicians, and other professionals working in the healthcare facility are INTERNAL CUSTOMERS of Central Service

160. The tracking method that  provides real time information is RFID-Radio Frequency Identification

161. The system where items are ordered in larger quantities (i.e. by the case instead of individually) to save money is called ECONOMIC ORDER QUANTITY

162. The system whereby items are owned by the vendor, but stored at the Healthcare facility CONSIGNMENT

163. The system whereby  the facility keeps minimal stock on hand and Supplies are delivered when needed, usually just prior to use is JUST-IN-TIME

164. The movement of supplies throughout the healthcare facility is called DISTRIBUTION

165. The inventory system that uses two identical carts to facilitate supply replenishment is called the EXCHANGE CART SYSTEM

166. The inventory system that stocks supplies by established stock levels is called PAR LEVEL

167. Provides supplies and instruments for individual surgical procedures CASE CART

168. The higher the bioburden on an object the more difficult it will be to sterilize

169. When loading a steam sterilizer, items with solid bottoms should be PLACED ON EDGE

170. A sterilizer’s strainer be removed and cleaned DAILY

171. The most efficient type of dry heat sterilizer is MECHANICAL CONVECTION STERILIZER

172. Impregnated gauze strips may be sterilized using DRY HEAT STERILIZATION

172. The term “superheated steam” means DRY STEAM

173. The spore used in the testing of steam sterilization is GEOBACILLUS STEARO

174. Sterilization quality assurance measurements designed to provide a written record of sterilizer cycle activity MECHANICAL RECORDING CHARTS

175. The recommended exposure time for a Dry Heat sterilization load that was run at an exposure temperature of 320F (160C) is 2 HRS

176. Chemical indicators PROVE THAT AN ITEM IS STERILE

177. Bowie Dick Tests should be run in DYNAMIC AIR REMOVAL STEAM STERILIZER

178. Tests which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called BIOLOGICAL TEST

179. The two most common temperatures used in steam sterilization are 250 F and 270F

180. In order to elevate the temperature in a steam sterilizer, you must INCREASE THE STEAM PRESSURE

181. In the event of a load recall, information about specific load contents can be obtained from STERILIZATION LOG

182. The sterilizer has successfully killed all the bacterial spores in a biological test; Test is as NEGATIVE STERILITY TEST

183. Implantable devices SHOULD NOT BE FLASH STERILIZED

184. Sterilizer recording charts and/or printouts should be checked DURING AND AT THE END OF EACH CYCLE

185. Endotracheal tubes and anesthesia breathing circuits are examples of SEMI-CRITICAL DEVICES

186. The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises is called FLASH STERILIZATION

187. When arranging plastic-paper pouches in the sterilizer, the pouches should be arranged PAPER TO PLASTIC

188. To protect themselves from splashes and spills, central service technicians assigned to the decontamination area should wear FLUID-RESISTANT GOWNS

189. A band of connective tissue that connects a bone to another bone: LIGAMENTS

190. A part of the body containing two or more tissues that function together for a specific purpose: ORGAN

191. The process by which cartilage is replaced with bone: OSSIFICATION

192. The part of the nervous system that includes the brain and spinal cord: CENTRAL NERVOUS SYSTEM

193. The SAFE MEDICAL DEVICE ACT requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness, and or death to the manufacturer and the FDA

194. All nerve tissue outside the central nervous system: PERIPHERAL NERVOUS SYSTEM

195. A hormone that reduces the level of sugar in blood: INSULIN

196. A hormone that can increase the blood sugar level: GLUCAGON

197. The largest part of the brain. It controls mental activities and movement. Think, speak, remember and most voluntary muscle contractions: CEREBRUM

198. THA = Total hip Arthroplasty

199. Repairs to the muscle and ligaments of shoulder joints depend on the size and shape of the tear: ROTATOR CUFF REPAIR

200. PLIF = Posterior Lumbar Interbody Fusion

201. TKA = Total knee Arthroplasty