Chapter 09
Examination and Treatment Areas
Multiple Choice Questions
1. | The process of cleaning and scrubbing instruments and equipment, generally by washing with detergents and scrubbing as needed, is ____.
|
2. | Which of the following is used on instruments and equipment that come in contact with intact mucous membranes or other surfaces not considered sterile?
|
3. | The complete destruction of all pathogenic microorganisms including bacterial spores from the surface of instruments and equipment is ____.
|
4. | Which of the following procedures will the medical assistant use to clean blood pressure cuffs and reflex hammers?
|
5. | Which cleaning process is used on instruments such as nasal specula and endotracheal tubes?
|
6. | Which of the following is used to sanitize delicate instruments and instruments that have moving parts?
|
7. | Which of the following can be reused after completing the sanitization process without further disinfection or sterilization?
B. | Ophthalmoscopes and otoscopes |
C. | Glassware and enamelware |
D. | Curettes and vaginal specula |
|
8. | If you cannot sanitize instruments immediately after using them, ____.
B. | place them in water with a neutral-pH detergent |
C. | set them aside until you can clean them |
D. | place them in cool water |
E. | put them in a drawer to get them out of the way |
|
9. | Which of the following should you do when you sanitize instruments?
A. | Drop each instrument into the sink |
C. | Scrub each instrument with a metal brush or steel wool |
D. | Allow them to soak for six hours |
E. | Use an acidic-pH detergent |
|
10. | Which of the following is permissible when using an ultrasonic cleaner?
A. | Placing all of the instruments together in the bath |
B. | Replacing the cleaning solution after each use |
C. | Removing the instruments from the ultrasonic cleaner and wrapping without rinsing |
D. | Reusing the ultrasonic cleaning solution for several baths |
E. | Using anti-grease dishwashing detergent in the cleaning bath |
|
11. | Which of the following can be disinfected and used again without sterilization?
E. | Suture removal instruments |
|
12. | Which of the following statements about a disinfectant is true?
A. | The disinfectant solution is more potent after several uses. |
B. | Items should be placed in the disinfectant wet. |
C. | Soap should be used as a main disinfectant. |
D. | Evaporation can alter the chemical makeup of the solution. |
E. | Disinfectants are used on human tissues as anti-infection agents. |
|
13. | Which of the following is commonly used to clean instruments and equipment that would be damaged by immersion in soap and water or other disinfectant solutions?
|
14. | Which of the following is extremely corrosive and toxic to tissue and has strong killing power?
|
15. | Which of the following is commonly used as a preservative in a 10% solution and as a germicide and sporicide in a 5% solution?
|
16. | Which of the following brand name chemicals, commonly known as Cidex, is used in chemical sterilization processes?
|
17. | Which of the following is used to disinfect bloody surfaces before sanitization?
|
18. | Which of the following is used both as a disinfectant and as an antiseptic, but has limited effectiveness in the presence of blood products, mucus, or soap?
|
19. | The appropriate way to handle disinfected supplies is to ____.
A. | hand-remove each item from the disinfection unit |
B. | store all items in water |
D. | wash items with soap after removing them from the disinfection unit |
E. | use sterile tongs to place the items in storage drawers |
|
20. | Which of the following is part of the sanitization of soiled instruments?
A. | Soaking instruments in a bleach solution |
B. | Scrubbing instruments with a steel wool pad |
C. | Soaking instruments in a detergent solution |
D. | Placing all instruments together for sanitization |
E. | Spraying instruments with formaldehyde |
|
21. | The destruction of infectious agents on an object by direct application of a chemical is ____.
|
22. | Which of the following does the physician use to confirm a patient's health or diagnose a medical problem?
A. | A report from another physician |
B. | Documentation from the nurse |
C. | The general physical examination |
D. | The patient's medical record |
E. | The admission sheet the patient fills out |
|
23. | Who is responsible for preparing the examination room for patients?
|
24. | A physician in a medical office should have a minimum of how many examination rooms for his or her exclusive use?
|
25. | The number of examination rooms in a medical office depends on the number of physicians who work there and on ____.
A. | how much time each physician spends with a patient |
C. | how many assistants each physician has |
D. | how many rooms each physician wants |
E. | each physician's patient load |
|
26. | The primary reason for having a minimum of two examination rooms per physician is that it ____.
A. | allows other physicians to use the room |
B. | enables the medical assistant to prepare one room while the physician examines a patient in the other |
C. | can serve as an additional waiting area for patients when the reception area is full |
D. | can be used as a room for a contagious patient who comes to the office |
E. | provides a place for the physician to read journals and do paperwork |
|
27. | The customary size for an examination room is ____.
|
28. | When the medical assistant puts a patient in the examination room to wait for the physician, the usual place to put the patient's medical record is ____.
A. | on the countertop in the examination room |
B. | in a rack that hangs on the wall directly outside the examination room |
C. | at the reception desk for the physician to pick up before entering the room |
D. | in a rack attached to the inside of the examination room door |
E. | in the appropriate place in the filing cabinet that holds patient records |
|
29. | Which of the following is the usual way to signal that an examination room is occupied?
A. | An "occupied" sign posted on the door |
B. | A door lock that reads "occupied" when in the locked position |
C. | A light on the door or wall is illuminated |
D. | The door to the examination room is open, so people can see that it is occupied |
E. | The overhead lights in the examination room are turned on |
|
30. | Which of the following is the correct position for the examining table?
A. | Lengthwise directly in front of the door |
B. | Snug against the inside wall |
C. | Lengthwise in front of the window |
D. | Sideways in front of the window |
E. | In the center of the room or coming out from the wall |
|
31. | The Americans with Disabilities Act of 1990 accessibility guidelines require that doors be ____ wide to allow a person in a wheelchair to pass through. rev: 10_16_2013_QC_37429
|
32. | According to ADA guidelines, a clearance space in rooms and hallways must allow a person in a wheelchair to make a 180-degree turn. The minimum required clearance space is
|
33. | How often should you change the cover on the examining table?
|
34. | Which of the following is the appropriate way to remove a used examining table cover?
B. | Shake it in the air to assist in easier removal |
C. | Roll it up tightly and quickly |
E. | Fold it neatly with the used side facing out |
|
35. | Which of the following is the appropriate way to dispose of paper coverings soiled by body fluids or blood?
A. | Place them in the garbage can in the examination room |
B. | Collect them in a central location until they can be disposed of |
C. | Place them in a large garbage can in the hall |
D. | Dispose of them in a biohazardous waste container |
E. | Place them in a laundry hamper for housekeeping to wash |
|
36. | Which of the following is the appropriate method for disposal of soiled linen cloths and pillowcases?
A. | Wash them in the office washing machine |
B. | Place them in a biohazard-labeled bag and send to a laundry for cleaning |
C. | Have office personnel take turns taking them home to wash |
D. | Place them in a cloth bag to send to a laundry for cleaning |
E. | Dispose of them in a biohazardous waste container |
|
37. | Which of the following methods should be used to clean the work surfaces in the examination room, including the examining table, sink, and countertop?
|
38. | Which of the following is appropriate for cleaning surfaces in the exam room?
B. | 10% solution of household bleach |
|
39. | Which of the following is a reason for storing biohazardous substances in a separate refrigerator from food and beverages?
A. | Food or beverages may leak on the biohazardous substances. |
B. | You could accidentally grab a biohazardous substance that is not clearly labeled and ingest it. |
C. | There may not be enough room in one refrigerator for both. |
D. | Biohazardous substances do not have to be refrigerated. |
E. | Food may cause the deterioration of the biohazardous substances. |
|
40. | Which of the following activities does OSHA prohibit medical personnel from doing in a room where potentially infectious materials are present?
A. | Replacing the 10% bleach solution used to disinfect the surfaces |
C. | Filling the paper towel rack |
D. | Chewing gum and applying cosmetics |
E. | Performing office laboratory tests |
|
41. | The temperature of the laboratory refrigerators should be maintained between ____.
|
42. | What is the most appropriate way to monitor the temperature in a laboratory refrigerator?
A. | Place an ice cube tray in the refrigerator and see if the water freezes |
B. | Open the refrigerator frequently to check items for coldness |
C. | Place a thermometer in the refrigerator |
D. | Place a bottle of drinking water in the refrigerator and take a drink to determine coldness |
E. | Open the refrigerator door and wave a thermometer inside, then check the reading |
|
43. | The temperature in the food refrigerator should be maintained between ____.
|
44. | Which of the following is the main reason for dusting shelves and furniture in the examination room?
A. | It gives a clean appearance. |
B. | It preserves the finish of the furniture. |
C. | It eliminates dust that harbors bacteria and allergens. |
D. | It promotes a sterile environment. |
E. | It is an efficient way to pass the time between patient appointments. |
|
45. | The most appropriate temperature setting for the examination room is ____.
|
46. | Which of the following are examples of disposable instruments?
A. | Stethoscopes and blood pressure cuffs |
C. | Otoscopes and ophthalmoscopes |
D. | Tuning forks and reflex hammers |
E. | Exam lights and laryngeal mirrors |
|
47. | An anoscope is an instrument that is used to ____.
A. | measure body temperature |
B. | measure blood pressure |
E. | open the anus for examination |
|
48. | Which of the following provides an additional source of light during an examination and is usually on a flexible arm?
|
49. | Which of the following reflects the inside of the mouth and throat for examination purposes?
|
50. | An instrument used to enlarge the opening of the nose to permit viewing is a(n) ____.
|
51. | A lighted instrument that is used to examine the inner structures of the eye is a(n) ____.
|
52. | Which of the following is an instrument used to examine the ear canal and the tympanic membrane?
|
53. | Which of the following has a hard-rubber triangular head and is used to check a patient's reflexes?
|
54. | A piece of equipment that measures blood pressure is a(n) ____.
|
55. | Which of the following is used to listen to body sounds?
|
56. | Which of the following is used to measure body temperature?
|
57. | Which of the following instruments tests a patient's hearing?
|
58. | Which of the following instruments is used in the collection of gynecological specimens?
|
59. | Which of the following instruments must be sterilized?
A. | Anoscope and vaginal speculum |
B. | Laryngeal mirror and nasal speculum |
C. | Sphygmomanometer and stethoscope |
D. | Ophthalmoscope and otoscope |
E. | Penlight and reflex hammer |
|
60. | Transcutaneous absorption is absorption through ____.
C. | a cut or crack in the skin |
E. | subcutaneous injection |
|
61. | Which of the following instruments that a physician uses during an examination is sometimes mounted on the wall?
A. | Penlight and reflex hammer |
B. | Sphygmomanometer and otoscope |
C. | Laryngeal mirror and anoscope |
D. | Nasal speculum and tuning fork |
E. | Vaginal speculum and tape measure |
|
62. | Which of the following are examples of disposable supplies?
A. | Penlights and reflex hammers |
B. | Laryngeal mirrors and vaginal specula |
C. | Exam lights and stethoscopes |
D. | Tongue depressors and glass slides |
E. | Sphygmomanometers and otoscopes |
|
63. | Which of the following is an example of a consumable supply?
B. | Cotton-tipped applicator |
|
64. | The first step in eliminating offensive odors from an exam room is to ____.
A. | use an odor-absorbing filter |
B. | spray the room with an air freshener |
E. | eliminate the source of the odor |
|
65. | The last patient of the day was very ill and vomited twice in the exam room. The first time, she made it to the wastepaper basket, but the second time, she vomited on the examining table and floor. What should you do?
A. | Allow housekeeping to clean it up since the office is closing and they will be here shortly to clean |
B. | Get a mop from the storage closet and mop the floor. |
C. | Clean up the vomitus, using Standard Precautions because the vomitus is potentially infectious. |
D. | Spray air freshener in the room and leave the mess for the morning shift to clean up. |
E. | Open a window to help reduce the odor, then turn on a fan with a high-speed blower. |
|
66. | After a minor surgical procedure, Karen is scrubbing the instruments to sanitize them before disinfection and sterilization. She notices that one of the hinged instruments does not close properly. What should Karen do?
A. | Wrap the instrument for sterilization |
B. | Set it aside and notify the physician or office manager |
C. | Place the instrument in the biohazardous waste container |
D. | Leave it in the detergent solution overnight and check it again tomorrow |
E. | Return the instrument to its tray for storage |
|
67. | Sandra arrived a little late this morning because her car wouldn't start. Although she usually checks the exam rooms for cleanliness before bringing a patient back to an exam room, the rooms are almost always in good shape, so she skips that step this morning. As she brings the first patient into the exam room, she notices an unidentifiable clear gel-like substance on the edge of the examining table. The paper cover is clean and fresh. What should Sandra do?
A. | Wipe up the substance with a tissue and assist the patient onto the examining table |
B. | Call the front desk and ask them to have housekeeping come and clean the table |
C. | Ask the patient to step back into the waiting area while she cleans up the table |
D. | Spray the substance with a disinfectant and tell the patient the physician will be in shortly |
E. | Notify her supervisor immediately that the room is not clean |
|
68. | One of Stan's duties is to check the laboratory equipment and machines each morning when he arrives at the office. This morning, when he checked the temperature in the laboratory refrigerator, he discovered that the temperature was 62°F. What should Stan do?
A. | Call the repair company to fix the refrigerator |
B. | Turn down the setting so the refrigerator will get colder |
C. | Notify all lab personnel that specimens in the refrigerator may be compromised |
D. | Record the current temperature and continue with his morning duties |
E. | Move the specimens to the food refrigerator so they won't be affected |
|
69. | What is the first step in preventing the spread of infectious microorganisms in the examination area?
A. | Disinfecting examination area |
D. | Wearing clean uniforms each day |
E. | Changing the examination table paper between patients |
|
70. | When beginning the sanitization process on instruments that are contaminated with blood, what additional personal protective equipment is needed?
|
71. | An ultrasonic cleaner used to sanitize delicate instruments generates __________________ to loosen contaminates from the instruments.
|
72. | An autoclave is used to _______________ instruments that penetrate the skin or come in contact with normally sterile areas of the body.
|
Fill in the Blank Questions
73. | Iodine products that are used on human tissues as anti-infection agents are called ________.
________________________________________ |
74. | A thick-walled reproductive body that is capable of resisting harsh conditions and has been known to survive disinfection with strong chemicals and boiling water is called a bacterial ________.
________________________________________ |
75. | Biological agents that can spread disease to living things are ________ materials.
________________________________________ |
76. | Leakproof containers that are color-coded red or labeled with a special symbol to show that they contain biological agents that can spread disease to living things are called ________ containers.
________________________________________ |
77. | Cleaning products applied particularly to instruments and equipment to reduce or eliminate infectious organisms are called ________.
________________________________________ |
78. | The scrubbing of instruments and equipment with special brushes and detergent to remove blood, mucus, and other contaminants or media where pathogens can grow is called ________.
________________________________________ |
79. | ________ is used to clean items that touch only healthy, intact skin. For other equipment, this is the first step before disinfection and sterilization.
________________________________________ |
80. | After sanitization, some instruments and equipment require only ________ before being used again. For other items, this is merely the second step in infection control, performed before the process of sterilization.
________________________________________ |
81. | The complete destruction of all living organisms including bacterial spores is accomplished by ________.
________________________________________ |
82. | Cleaning instruments in a special bath in which sound waves are generated through a cleaning solution to loosen contaminants is an _________________ cleaner.
________________________________________ |
83. | Bleach is commonly used in laboratory settings to provide a measure of protection against transmission of the human immunodeficiency virus (HIV) and is an effective ________ when used in a 10% solution.
________________________________________ |
84. | The ease with which people can move in and out of a space is called ________.
________________________________________ |
85. | The Americans with Disabilities Act of 1990 (ADA) requires that businesses, services, and public transportation provide "reasonable accommodations" for the disabled and provides ________ guidelines.
________________________________________ |
86. | Supplies for a general physical exam may be either disposable or ________.
________________________________________ |
87. | A chemical spray used to preserve a specimen obtained from the body for pathologic examination is a(n) ________.
________________________________________ |
88. | A physician performs a(n) ________ examination to confirm a patient's health or diagnose a medical problem.
________________________________________ |
89. | Tissues or special wipes should be provided to patients who need to wipe away ________ (a water-soluble gel) after certain procedures.
________________________________________ |
90. | One type of disposable supply is a prepared paper slide used to test the stool for the presence of ________.
________________________________________ |
91. | Blood that is not visible to the naked eye is called ________ blood.
________________________________________ |
92. | Exposure that can spread disease may occur through inhalation, ingestion, or ________.
________________________________________ |
93. | Absorption through a cut or crack in the skin is ________ absorption.
________________________________________ |
94. | The act that requires businesses, services, and public transportation to provide "reasonable accommodations" for the disabled is ________.
________________________________________ |
95. | For patient comfort, you should set the thermostat to maintain the temperature in an exam room at _______________°F.
________________________________________ |
96. | Good _______________ in work and exam areas is required to make accurate diagnoses and to read orders and instructions.
________________________________________ |
97. | When using disinfectant products, the medical assistant must check the labels to be sure they are approved by the ____________and the _____________.
________________________________________ |