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Endoscopes are often processed in a mechanical unit called
 
an automatic endoscope reprocessor
 
an ultrasonic cleaner
 
a flush-pulse endoscope reprocesser
 
a washer-decontaminator
All flexible endoscopes have internal channels.
 
False
 
True
Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope's function.
 
False
 
True
Type of powered surgical instrument powered by compressed air or gas
 
pneumatic 
 
electric 
 
sternal saw  
 
operative  
Type of powered surgical instrument used for open heart surgery  
 
sternal saw  
 
electric 
 
pneumatic 
 
battery 
3. Type of powered surgical instrument used for dental surgery  
 
electric 
 
battery 
 
sternal saw  
 
operative  
Type of flexible endoscope that allows physicians to perform some surgery
 
operative  
 
electric 
 
pneumatic 
 
sternal saw  
Type of powered surgical instrument usually used for large bone surgery  
 
battery 
 
electric 
 
pneumatic 
 
sternal saw  
Used to perform specific cutting actions  
 
saw
 
dermatome/dermabrader  
 
sternal saw 
 
dental drill  
Used to harvest skin grafts and reshape skin surfaces  
 
dermatome/dermabrader  
 
cebatome  
 
sternal saw 
 
dental drill  
Used to remove cement  
 
cebatome  
 
dermatome/dermabrader  
 
sternal saw 
 
dental drill  
Used in open heart surgery  
 
sternal saw 
 
dermatome/dermabrader  
 
cebatome  
 
dental drill  
Used in ear surgery and for driving very small wires through bone  
 
micro drill  
 
dermatome/dermabrader  
 
sternal saw 
 
dental drill  
Used to repair and reconstruct teeth and jawbones  
 
dental drill  
 
dermatome/dermabrader  
 
cebatome  
 
sternal saw 
A problem with electric surgical instruments is condensation entering the device when the seals wear out.
 
True
 
False
An arthroscope is an example of a pneumatic device.
 
False
 
True
Dental drills are used to remove cement.
 
False
 
True
The purpose of a decontamination battery is to protect powered surgical instruments from fluid invasion.
 
True
 
False
Laparoscopic instrument insulation failure can cause burns.
 
True
 
False
All powered surgical instruments should be lubricated each time they are processed.
 
False
 
True
Powered surgical instruments have one of three power sources: electric, compressed gas (pneumatic) or battery.
 
True
 
False
Endoscope channels should be cleaned and then left moist for storage.
 
False
 
True
Loaned instrument trays that are received sterile from do not need to be decontaminated.
 
False
 
True
Leak testing should be performed on each flexible endoscope on an annual basis.
 
False
 
True
Endoscopic cameras:
 
Should be inspected for cuts, nicks or damage to the cabl
 
Should be cleaned using a medium-bristled brush
 
Are only used with non-operative endoscopes
 
Should be inspected using a borescope
Semi-rigid endoscopes:
 
Are used during urological procedures
 
Do not have fiber optics
 
Are electrically powered
 
Should be leak tested prior to cleaning
Powered surgical instrument batteries should be charged per the manufacturers' instructions for use (IFU):
 
Before sterilization
 
In the OR
 
In the decontamination area
 
During PM inspections
Information regarding cleaning processes for endoscopes should be provided by the:
 
Instrument manufacturer
 
Society of Gastroenterology Nurses and Associates (SGNA)
 
Association Professionals Infection Control (APIC)
 
Operating Room (OR) staff
One of the main reasons for powered surgical instrument repair is:
 
Lack of preventative maintenance (PM)
 
Poor sterilization practices
 
Kinking of the umbilical cable
 
Improper storage
Pneumatic hoses:
 
Should be pressurized for proper inspection
 
Are manually cleaned using a mild acetic solution
 
Must be inspected with a borescope
 
Should be cleaned in the ultrasonic cleaner
Pneumatic cords are a cleaning concern because:
 
They are dark in color, so soil is difficult to see
 
Of their length
 
The electrical plug is very delicate
 
The cord does not detach from the device
When returning loaned items to the vendor:
 
All items should be cleaned and decontaminated
 
All items should be completely assembled, tested and sterile
 
Trays are returned immediately after point-of use treatment
 
Trays should be terminally sterilized
Powered surgical instrument attachments:
 
Can be peel packaged for if approved by the manufacturer
 
Are interchangeable with all types of drills
 
Can all be mechanically cleaned
 
Should be sterilized while still attached to the handpiece
Accessories for electric-powered equipment includes:
 
Foot switches
 
Hoses
 
Pressure regulators
 
Decontamination hoses
Which of the following statements about endoscopes is true?
 
Flexible endoscopes are time-consuming to clean
 
Ultrasonic cleaning is the process of choice for endoscopes
 
Flexible endoscopes are not easily damaged
 
All endoscopes should be steam sterilized
Which of the following is an advantage of minimally invasive surgery (MIS)?
 
Shorter recovery times
 
Cost savings for the patient
 
All procedures can be done in a same-day surgery center
 
Fewer instruments are used
Robotic instruments:
 
May have exposed cables
 
Are processed the same as laparoscopic instruments
 
Require extensive preventive maintenance (PM)
 
Must be containerized for sterilization
The purpose of using a decontamination battery or hose when cleaning powered surgical instruments is to:
 
Keep fluid from entering the unit
 
Keep functioning batteries and cords clean
 
Prevent electrical shock
 
Test the unit while cleaning
The purpose of the insulation covering laparoscopic instruments is to:
 
Protect the patient from electrical current
 
Protect the surgeon from burns
 
Help keep the instrument from slipping during surgery
 
Protect the patient from cauterization
Loaned instruments should:
 
Be decontaminated before use
 
Be decontaminated if they appear soiled upon arrival
 
Be sterilized using a low-temperature process
 
Not be used
The first step when inspecting the insulation of a laparoscopic instrument is to:
 
Check the metal collar at the distal tip
 
Try to slide the insulation back
 
Check the handle for chipping or cracking
 
Visually check the instrument's shaft
Which of the following steps occurs first when processing flexible endoscopes?
 
Leak testing
 
High-level disinfection/sterilization
 
Manual cleaning
 
Drying
Which of the following statements about endoscopes is true?
 
Flexible endoscopes are time-consuming to clean
 
Ultrasonic cleaning is the process of choice for endoscopes
 
Flexible endoscopes are not easily damaged
 
All endoscopes should be steam sterilized
Robotic instruments:
 
All Choices
 
Do not come apart for cleaning
 
Mechanical/electrical components on end of the instrument
 
Are heavier than standard laparoscopic instruments
Arthroscopy instruments are used during:
 
Joint surgery
 
Robotic surgery
 
Laparoscopic surgery
 
All the above
Which of the following should be used to rinse (remove) detergent from a rigid endoscope's channels?
 
Water quality per the manufacturer's (IFU)
 
Water containing an approved sterilant
 
Treated water
 
Forced air
Electronic testing of laparoscopic insulation should be done:
 
In the clean assembly area prior to set assembly
 
In the decontamination area prior to cleaning
 
At the factory or onsite repair unit
 
In the Operating Room (OR) at the end of the procedure
Dark areas on the lens of an endoscope are:
 
Damaged light fibers
 
Debris
 
Light-emitting diode (LED) optics
 
LED bulbs
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