* 

Surgical-site infections can occur from airborne bacteria from a surgical team member's skin.

True or False?

True

Creutzfeldt-Jakob disease is caused by a

______________ ?

Prion

* 

Which microbe is the most common pathogen found in surgical-site infections?

Staphylococcus aureus

 *

People who can acquire a nosocomial infection include:

patients, visitors and health care workers

* 

The relationship between humans and indigenous microflora is called ______________.

Symbiosis

* 

Glutaraldehyde (Cidex) is considered both a high-level disinfectant and a sterilization product.

True or false?

True

 Which of the following is not a principle of aseptic technique?

a) Movement in and around the sterile field must not compromise the sterile field.

b) The sterile field should be created as early as possible.

c) Sterile team members must be appropriately attired prior to entering the sterile field.

b) The sterile field should be created as early as possible.

All bacteria are _____________, which are simply cells whose organelles are not membrane bound.

prokaryotes

Which of the following does not increase the chances of a patient developing a surgical site infection?

a) Longer duration of procedure

b) Obesity, pediatric and elderly patient age

c) Presence of hair around the wound

c) Presence of hair around the wound

Tuberculosis (TB), which is caused by Mycobacterium tuberculosis, infects:

The lungs, kidneys, joints and skin

 *

Strep throat, tonsilitis and rheumatic fever are all caused by ___________.

Streptococcus pyogenes

* 

Surgical instruments should be soaked in sterile saline within the sterile field to facilitate later removal of bioburden from the instruments.

True or false?

False

In the operating room, _____________ virus may be transmitted by percutaneous or permucous contact with blood, serum or other body fluids. All health care providers should be vaccinated against this disease.

hepatitis B

* 

For disinfection or sterilization purposes, cystoscopes, colonoscopes, and laryngoscopes are considered _________________.

Semicritical

There is no direct relationship between the bioburden present on an item and the length of time necessary to achieve proper disinfection.

True or false?

False

Prions are built of proteins that do not contain DNA or RNA.

True or false?

True

_____________ ____________ are microbes living on the skin and inside the human body.

indegenous microflora

 *

Two unrelated organisms living together is ____________.

Symbiosis

 *

A ______________ infection is an infection acquired in a health care setting.

nosocomial infection

Bacteria that naturally live in the body are called ________________.

Opportunistic microbes

Amoebas, flagellates, ciliates, coccidia and microsporidia are members of the group _____________.

protozoa

 *

Packaging materials that are appropriate to enclose instruments sterilized for shelf storage and later use include:

Cotton, muslin, paper, plastics and filtered rigid containers

 *

The ________________ bacteria has been found to be the cause of most stomach ulcers.

Helicobacter pylori

 *

Gas gangrene infection, cellulitis and fascilitis are all caused by _____________.

Clostridium

perfringens

Unlike bacteria, which are living microorganisms,  _____________ are nonliving particles that are completely reliant on the host cell for survival.

viruses

Bacteria can be killed by

a) suppression of the mechanism for removal of the bacteria's waste.

b) destruction of the cell membrane.

c) isolation from oxygen.

Which is the correct answer?

b) Destruction of the cell membrane

*

When looking under a microscope, the lab technician finds bacteria that are round and linked in chains. What bacteria is the technician looking at?

a) Staphylococci

b) Streptococci

c) Bacillus

b) Streptococci

* 

Mycroorganisms that cause an infection are called

__________________.

pathogens

*

Which term is used to describe "the multiplication of organisms in tissue"?

a. nosocomial

b. infection

c. cross contamination

d. culture

b. infection

*

The two most common types of packaging methods are the ____________ and __________ folds.

 envelope, or diagonal fold

square fold

*

Three things a printed label typically contains:

1)________________

2)________________

3)________________

Julian date

Identification of the sterilizer

Cycle number

*

Sterilization processes are monitored using mechanical, chemical, and _____________ _____________ to ensure sterility.

biological indicators

*

_________ sterilization is the most dependable method for detroying microbes, including spores. It is also the recommended method of sterilization for items that are not heat, moisture, or temperature sensitive.

Steam

*

Microbes are killed by the combination of two factors: __________ and __________.

moisture

heat

*

When stringing instruments, the proper order would be to line them up __________ to _________.

large

small

*

In the decontamination room, the air pressure is ______________.

negative

*

The first step in the prevention of transmission of microbes from instruments to patients is _________________.

decontamination

*

After a "dirty" case, usually scheduled as the last case of the day, the floor should be cleaned with a __________ detergent and all the equipment and furniture wiped down with a _____ ___________ solution.

phenolic

70% alcohol

*

Ceilings, walls and floors

mounted lighting tracks and fixtures

air vents & heating duct grills vacuumed

supply cabinets, including shelves

sterile and nonsterile supply room (including linen room)

housekeeping supply room

The listed areas are all part of the ___________ cleaning responsibilities.

weekly

*

 Other areas of the OR that should be cleaned, besides hallway floors, are:

____________ room

__________ __________

and _______________.

(Hint, all start with the letter s.)

substerile (room)

scrub sinks

stretchers

*

Preparation for sterilization of instruments begins after decontamination and involves the following steps:

1)____________

2)____________

3)____________

1) Inspection

2) Reasssembly

3) Preparation

*

Any commercial or facility-steriled package must be inspected for ________, _________, ________________ , and seal integrity before opening.

holes, tears, perforations

*

Nonwoven materials are disposable wrappers that are designed for single use. They are commonly referred to as ______________.

Come on, you can get this one!

disposables