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CIC CLEANING, STERILIZATION, DISINFECTION, AND ASEPSIS EXAM STUDY GUIDE SOLUTIONS

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CIC CLEANING, STERILIZATION, DISINFECTION, AND ASEPSIS EXAM STUDY GUIDE SOLUTIONS 1. Which of the following is likely to result in the highest efficacy of medical instrument cleaning: a. Use of a central reprocessing area for all instrument cleaning b. Local instrument reprocessing within the ...

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  • November 10, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
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CIC CLEANING, STERILIZATION,

DISINFECTION, AND ASEPSIS EXAM

STUDY GUIDE SOLUTIONS


1. Which of the following is likely to result in the highest efficacy of medical instrument cleaning:


a. Use of a central reprocessing area for all instrument cleaning


b. Local instrument reprocessing within the area of care


c. Use of an acidic pH cleaner


d. Allowing the instrument to dry after use and before cleaning - ANSWER✔✔-A Use of a central

reprocessing area for all instrument cleaning




Rationale: A central reprocessing area will have the highest efficacy of medical instrument cleaning

because it will often have specialized cleaning equipment and because employees in this area specialize

in cleaning equipment; they even may be certified in doing this


2. Inadequate sterilization of surgical instruments and tubing may result in which of the following

adverse events after cataract surgery?


a. Toxic Shock Syndrome


b. Posterior Segment Syndrome


c. Anterior Syndrome

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d. Toxic Anterior Segment Syndrome - ANSWER✔✔-D Toxic Anterior Segment Syndrome




Rationale: Toxic Anterior Segment Syndrome (TASS) is an acute inflammation of the eye that can occur

following cataract surgery. A variety of substances have been implicated as causes of TASS and include

impurities of autoclave steam, heat stable endotoxin, and irritants on the surfaces of intraocular surgical

instruments. General principles of cleaning and sterilizing intraocular surgical instruments have been

published and should be followed.


3. One disadvantage of liquid sterilization is:


a. Liquid sterilants are highly toxic and items must be aerated before use


b. It is a high heat process so it may not be used on heat-labile items


c. It is not an appropriate process for critical items


d. Items cannot be wrapped during the sterilization process so sterility cannot be maintained during

storage - ANSWER✔✔-D Items cannot be wrapped during the sterilization process so sterility cannot be

maintained during storage




Rationale: Liquid sterilization uses glutaraldehyde, hydrogen peroxide, or peracetic acid to sterilize items

that are critical and are heat-sensitive. This is a liquid immersion process so items cannot be wrapped

during the sterilization process. In addition, items may need to be rinsed after the process so sterility is

not maintained in the rinsing, drying, and storage phases. Therefore, this method of sterilization is used

only when an item cannot be sterilized in any other manner.




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4. During infection control rounds in the emergency department, the manager tells you that they will be

doing endovaginal ultrasounds soon and would like to use probe covers to speed up the cleaning

process. You inform the manager that:


a. Using a probe cover will eliminate the need to high level disinfect the probe


b. Using a probe cover will reduce the amount of time needed to clean the probe


c. Using a probe cover is acceptable, but high level disinfection is still required


d. Using a probe cover is acceptable, but this device requires steam sterilization - ANSWER✔✔-C Using a

probe cover is acceptable, but high level disinfection is still required




Rationale: A recent study showed that a considerable number of ultrasound probes are contaminated

with human papilloma virus (HPV). Endovaginal ultrasound probes are consider semicritical items (even

if covered with a sheath or probe cover) and require high level disinfection.


5. Which of the following practices have studies shown is most likely to result in improved infection

prevention?


a. Strictly adhering to the EPA-registered product label contact time for low level disinfection of

environmental surfaces


b. Utilizing a one minute contact time for low level disinfection of environmental surfaces regardless of

the EPA-registered product label contact time


c. Thoroughly cleaning and disinfecting all surfaces in a room that have potentially come into contact

with hands




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