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Chapter 11.1

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  • Dark areas on the lens of an endoscope are:
    LED bulbs
    Light-emitting diode optics
    Damaged light fibers
    Debris
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  • Electronic testing of laparoscopic insulation should be done:
    In the clean assembly area prior to set assembly
    In the Operating Room at the end of the procedure
    At the factory or onsite repair unit
    In the decontamination area prior to cleaning
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  • Which of the following should be used to thoroughly rinse all traces of detergent from a rigid endoscope's channels?
    Treated water
    Water quality recommended in the manufacturer’s instructions for use
    Forced air
    Water containing an approved sterilant
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  • Arthroscopy instruments are used during:
    Joint surgery
    All choices
    Laparoscopic surgery
    Robotic surgery
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  • Robotic instruments:
    All choices
    Have mechanical & electrical components in the end of the instrument
    Are heavier than standard laparoscopic instruments
    Do not come apart for cleaning
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  • Which of the following statements about endoscopes is true?
    Flexible endoscopes are time-consuming to clean
    All endoscopes should be steam sterilized
    Flexible endoscopes are not easily damaged
    Ultrasonic cleaning is the process of choice for endoscopes
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  • Which of the following steps occurs first when processing flexible endoscopes?
    Drying
    Leak testing
    Manual cleaning
    High-level disinfection/sterilization
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  • The first step when inspecting the insulation of a laparoscopic instrument is to:
    Visually check the instrument’s shaft
    Try to slide the insulation back
    Check the handle for chipping or cracking
    Check the metal collar at the distal tip
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  • Loaned instruments should:
    Be decontaminated if they appear soiled upon arrival
    Not be used
    Be decontaminated before use
    Be sterilized using a low-temperature process
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  • The purpose of the insulation covering laparoscopic instruments is to:
    Help keep the instrument from slipping during surgery
    Protect the patient from electrical current
    Protect the surgeon from burns
    Protect the patient from cauterization
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  • The purpose of using a decontamination battery or hose when cleaning powered surgical instruments is to:
    Keep functioning batteries and cords clean
    Test the unit while cleaning
    Prevent electrical shock
    Keep fluid from entering the unit
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  • Robotic instruments:
    Are processed the same as laparoscopic instruments
    Must be containerized for sterilization
    Require extensive preventive maintenance
    May have exposed cables
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