FDA Says:
TRUE OR FALSE: Despite FDA recommendations, studies show that a repeat high level disinfection(AER) is not an effective way to reduce contamination.
What is: TRUE
TRUE OR FALSE? There is an antibiotic treatment for all strands of bacteria:
What is: FALSE
TRUE OR FALSE? Recently, the FDA recommended healthcare providers transition to duodenoscopes with disposable components or fully disposable devices:
What is: TRUE
This is the most important step in endoscope reprocessing because it removes clinical soil and helps prevent biofilm formation:
A. pre-clean B. Manual clean C. High level disinfectant (AER)
What is: B. Manual Clean
According to the Ofstead study showing the reprocessing steps of an endoscope. What % of the reprocessed scopes were considered to have 0 mistakes:
A. 1.5% B. 35.5% C 65.5% D. 95.5%
What is: A. 1.5%
In 2018, FDA researchers inspected 24 bronchoscopes that had been cleaned and disinfected at three different medical centers. From this test they found that ___ bronchoscopes had irregularities apparent to the naked eye, including residues, retained fluid, scratches and other damage. A. 16 B. 20 C. 24
What is: C. 24 bronchoscopes, 100%.
CRE is a bacteria that does not respond to a powerful class of antibiotics. The infection has a ___ percent mortality rate of:
A. 20% B. 35% C. 50% D. 70%
What is: C. 50%
There is a documented case of a patient in Europe having CRE bacteria in his body that laid dormant for four years. This CRE infection was later linked to a ____ and the patient later died. (It is a type of scope)
What is: a duodenoscope
TRUE OR FALSE: It's ok if the manual cleaning isn't thorough because the High Level Disinfectant (AER) will clean any remaining bacteria.
What is: False. If Manual cleaning is not done properly, the next steps of scope reprocessing can be compromised.
TRUE OR FALSE: The SGNA recommends putting simethicone in a flush bottle to be used on multiple patients throughout the day:
What is: FALSE.
Enzymatic detergents cannot remove simethicone or silicone-based lubricants from endoscopes and could provide protection for bioburden
According to the FDA, _______ is considered the "gold standard for cleaning and sterilization." BUT it actually damages the scopes, creates cracks where bacteria can lodge and necessitating more frequent replacements. A. Repeat HLD B. EtO (Gas)
C. Liquid Chemical Sterilization D. Steam Heat
What is: D. Steam Heat
The CRE bacteria family consists of ____ different species: A. 88 B. 110 C. 128
What is: C. 128
TRUE OR FALSE? The FDA approves of the ATP test, which is an indicator of clinical soil after a scope has been cleaned (this is also the test most used by facilities to test for bioburden):
What is: FALSE, the FDA does not recognize this test as a guarantee to verify a scope is 100% bacteria free.
Depending on the scope, the Michelle Alfa clinical observation study has shown the manual cleaning of an endoscope could take as high as ___ minutes to reprocess if done correctly:
A. 5 B. 10 C. 15 D. 25
What is: D. 25 minutes
Since 2013 there have been ____ FDA communications about duodenoscope reprocessing issues.
A. 3 B. 6 C. 9 D. 12
What is: D. 12 (that is the most for any device used in hospitals)
The FDA recommends that duodenoscopes are returned to the manufacturer for inspection, servicing, and maintenance of the device how many times each year?
What Is: once per year
The creation of Biofilm formation requires which of these things:
A. water B. Bacteria C. Surface D. Nutrients
E. All of the Above
What is: E. All of the above
TRUE OR FALSE? Prophylactic antibiotics are no longer a guarantee protection from superbugs.
What is: TRUE (WHO) World Health Organization states that Antibiotic resistance is #5 in top 10 threats to humans.
According to the Michelle Alfa Clinical Observation, the average time spent reprocessing an endoscope in the lab was ___minutes.
A. 6.5 B. 10 C. 15.5 D. 25
What is: A. 6.5 minutes
The SGNA, AAMI and AORN recommends the use of a freshly prepared ____ during the pre-cleaning of every endoscope
A. water B. detergent C. enzymatic detergent
D. bleach
What is: C. enzymatic/cleaning solution
Recent tests performed by scope manufacturers at the demand of the F.D.A. found that 1 in ___ duodenoscopes retained disease-causing microbes like E. coli even after proper cleaning:
A. 20 B. 30 C. 40 D. 50
What is: A. 20 duodenoscopes…...or 5% of duodenoscopes
Microbial biofilms, which are often formed by antimicrobial-resistant organisms, are responsible for ___% of the infections treated in the developed world.
A. 15% B. 40% C. 65% D. 80%
What is: C. 65%
True or False: In the Rauwers study, after fully reprocessing the duodenoscopes, microbial growth was only found in the elevator.
What is: False. There were multiple sights on the scopes that tested positive for microbial growth.
There are over ____steps involved in properly reprocessing an endoscope:
A. 80 B. 100 C. 120 D. 140
What is: D 140!!!!
According to SGNA, AAMI and AORN, a leak test should be done ____ the manual clean.
A. before
B. during
C. after
What is: A. before