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HLD
SPECIMENS
PATIENT SAFETY
BILIARY SYSTEM
ANYTHING GOES
100
A. inadequate cleaning B. operator error C. contamination of system with drug resistant bacteria
What has caused the rise in Endscopy-related nosocomial infections?
100
Biopsy of antrum tissue submurged in Augar.
What is H. Pylori Rapid Urease Test?
100
To use endoscope on a sterile field
What is the only circumstance in which sterilization of an endoscope is required
100
Alkaline, greenish-yellowish fluid that is secreted continously by the liver
What is Bile?
100
The side that single processed scope use.
What is Boot A
200
Condition of being free from living micro-organisms
What is Sterilization?
200
1.salmonella 2. shigella 3. Hemorrhagic e.coli 4. campylobacter 5. plesimonas 6. aeromonas 7. WBC
What is automatically included in a MIC-stool culture?
200
Presence of stones or calculi in the gallbladder?
What is Cholelithiasis?
200
A preventative maintenance measure against possible formation of biofilm inside the processor and on endoscope processing support.
What is D-Short Cycle
300
Item that comes in contact with intact skin/mucous membrane but does not penetrate the blood barrier
What is a semi-critical item?
300
Enter biospy specimen like a surgical specimen-in comment area type all test in-also note in comment section if biopsy is in saline.
What is the correct way to enter and transport an upper endoscopy biopsy specimen (giardia-cryptosporidium-microsporidium-cyclospora-celiac sprue)
300
1. The machine should circulate fluids through all endoscope channels at an equal pressure without trapping air. 2. The detergent/disinfectant cycles should be followed by thorough rinse cycle. 3. The distinfectant should not be diluted with any fluids. 4. The machine should be self-disinfecting. 5. No risidual water should remain in hoses and reserviors. 6. Cycles for alcohol flushing and forced air are desirable. 7. The machine should also feature a self-contained water filtration.
What are the features an Automated Endoscope Reprocessor should possess?
300
The maximum amount of bile that the gallbladder can hold.
What is 50ml
300
The federal agency responisible for monitoring the safety of medical devices
What is the FDA?
400
A collection of bacteria /fungi that exist in a multicellular matrix
What is Biofilm?
400
A. Regulate the flow of bile/pancreatic juice into the intestine B. Inhibit entry of bile into the pancreatic duct C. Prevent reflux of intestinal contents into the ducts.
What are the functions of the Spincter of Oddi?
500
A. B. C.
What are the signs of fluid invasion?
500
A. Gallbladder B. Associated duct system 1. hepatic 2. cystic 3. common bile ducts
What makes up the biliary system?