Deck 9: Examination and Treatment Areas

Question 1

Which of the following can be disinfected and used again without sterilization?

A) Needles and syringes
B) Glassware and enamel
C) Vaginal specula
D) Curettes
E) suture removal instruments

Answer 1

Glassware and enamel

Question 2

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?

A) Formaldehyde
B) Alcohol
C) Acid products
D) Glutaraldehyde
E) Chlorine

Answer 2

Alcohol

Question 3

Which of the following is used to clean blood pressure cuffs and reflex hammers?

A) Ultrasonic cleaning
B) Sterilization
C) Sanitization
D) Purification
E) Disinfection

Answer 3

Sanitization

Question 4

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?

A) Boiling water
B) Iodine
C) Acid products
D) Formaldehyde
E) Bleach

Question 5

Which of the following is commonly known as Cidex or Glutarex and is used in chemical sterilization processes?

A) Formaldehyde
B) Glutaraldehyde
C) Chlorine
D) Acid products
E) Hydrogen peroxide

Question 6

Which of the following is commonly used as a preservative in a 10% solution and as a germicide and sporicide in a 5% solution?

A) Formaldehyde
B) Alcohol
C) Iodine
D) Hydrogen peroxide
E) Germicidal soap

Question 7

Which of the following is extremely corrosive and toxic to tissue and has strong killing power?

A) Germicidal soap
B) Acid
C) Boiling water
D) Iodine
E) Alcohol

Question 8

Which of the following is used on instruments and equipment that come in contact with intact mucous membranes or other surfaces not considered sterile?

A) Surgical asepsis
B) Sanitization
C) Disinfection
D) Purification
E) Sterilization

Question 9

If you cannot sanitize instruments immediately after using them, ____.

A) wrap them in a towel
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

Question 10

The appropriate way to handle disinfected supplies is to ____.

A) hand-remove each item from the disinfection unit
B) store all items in water
C) always wear gloves
D) wash items with soap after removing them from the disinfection unit
E) use sterile tongs to place the items in storage drawers

Question 11

Sanitization is used to clean which of the following?

A) Needles and syringes
B) Ophthalmoscopes and otoscopes
C) Glassware and enamelware
D) Curettes and vaginal specula
E) Laryngoscope

Question 12

The cleaning process used on instruments such as nasal specula and endotracheal tubes is ____.

A) ultrasonic cleaning.
B) sterilization.
C) sanitization.
D) fumigation.
E) disinfection.

Question 13

Which of the following should you do when you sanitize instruments?

A) Drop each instrument into the sink
B) Wear utility gloves
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

Question 14

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 bath wet.
C) Soap should be used in the sanitization process.
D) Evaporation can alter the chemical makeup of the solution.
E) Disinfectants are used on human tissues as anti-infection agents.

Question 15

Which of the following is part of the sanitization of equipment?

A) Boiling instruments in boiling water
B) Scrubbing instruments with steel wool
C) Soaking instruments in detergent solution
D) Placing all instruments together for sanitization
E) Spraying instruments with formaldehyde

Question 16

The complete destruction of all pathogenic, beneficial, and harmless microorganisms from the surface of instruments and equipment is ____.

A) surgical asepsis
B) sanitization
C) disinfection
D) purification
E) sterilization

Question 17

Which of the following is used to sanitize delicate instruments and instruments that have moving parts?

A) Ultrasonic cleaning
B) Autoclave
C) Scrub brush
D) Dishcloth
E) Sponge and water

Question 18

Which of the following is permissible in ultrasonic cleaning?

A) Placing all of the instruments together in the bath
B) Placing all instruments with hinges in the closed position
C) Removing the instruments from the ultrasonic cleaner and wrap without rinsing
D) Reusing the ultrasonic cleaning solution for several baths
E) Using anti-grease dishwashing detergent in the cleaning bath

Question 19

The process of cleaning and scrubbing instruments and equipment, generally by washing with detergents and scrubbing as needed, is ____.

A) surgical asepsis
B) sanitization
C) disinfection
D) purification
E) sterilization

Question 20

Which of the following is used to disinfect surfaces and soak rubber equipment before sanitization?

A) Bleach
B) Alcohol
C) Iodine
D) Boiling water
E) Hydrogen peroxide

Question 21

A physician in a medical office should have a minimum of how many examination rooms for his or her exclusive use?

A) 1
B) 2
C) 3
D) 4
E) 5

Question 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

Question 23

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

Question 24

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

Question 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
B) how big the office is
C) how many assistants each physician has
D) how many rooms each physician wants
E) each physician's patient load

Question 26

The key piece of equipment in the examination room is the ____.

A) examining table
B) scale with a height bar
C) biohazardous waste container
D) visitor's chair
E) physician's rolling stool

Question 27

The customary size for an examination room is ____.

A) 4 ft. by 6 ft
B) 6 ft. by 8 ft
C) 8 ft. by 10 ft
D) 8 ft. by 12 ft
E) 10 ft. by 16 ft

Question 28

How often should you change the cover on the examining table?

A) Daily
B) After every third use
C) Weekly
D) Monthly
E) After every use

Question 29

Which of the following methods should be used to clean the work surfaces in the examination room, including the examining table, sink, and countertop?

A) Disinfection
B) Ultrasonic cleaning
C) Sanitization
D) Fumigation
E) Sterilization

Question 30

The Americans with Disabilities Act of 1990 accessibility guidelines require that doors be ____ wide to allow a person in a wheelchair to pass through.

A) 24 inches
B) 30 inches
C) 32 inches
D) 60 inches
E) 84 inches

Question 31

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

Question 32

The destruction of infectious agents on an object by direct application of a chemical is ____.

A) sanitization
B) disinfection
C) purification
D) surgical asepsis
E) sterilization

Question 33

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

A) 32 inches.
B) 36 inches.
C) 60 inches.
D) 90 inches.
E) 120 inches.

Question 34

The area where the physician observes and listens to the patient, performs a general physical examination, and dispenses treatment is the ____.

A) interim room
B) laboratory
C) examination room
D) surgical room
E) procedure room

Question 35

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

Question 36

Which of the following is the appropriate way to remove a used examining table cover?

A) Crumple up the paper
B) Shake it in the air to assist in easier removal
C) Roll it up tightly and quickly
D) Turn it inside out
E) Fold it neatly with the used side facing out

Question 37

The cover for the examining table should be made of ____.

A) paper
B) cotton
C) nylon
D) polyester
E) rayon

Question 38

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

Question 39

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

Question 40

Who is responsible for preparing the examination room for patients?

A) Medical assistant
B) Nurse
C) Housekeeper
D) Physician's assistant
E) Physician

Question 41

The most appropriate temperature setting for the examination room is____.

A) 55 $\degree$ F
B) 62 $\degree$ F
C) 72 $\degree$ F
D) 80 $\degree$ F
E) 84 $\degree$ F

Question 42

Which of the following is an instrument used to examine the ear canal and the tympanic membrane?

A) Otoscope
B) Exam light
C) Penlight
D) Anoscope
E) Ophthalmoscope

Question 43

Which of the following provides an additional source of light during an examination and is usually on a flexible arm?

A) Penlight
B) Exam light
C) Ophthalmoscope
D) Otoscope
E) Anoscope

Question 44

The temperature in the food refrigerator should be maintained between ____.

A) 24 $\degree$ F and 28 $\degree$ F
B) 32 $\degree$ F and 40 $\degree$ F
C) 36 $\degree$ F and 46 $\degree$ F
D) 50 $\degree$ F and 56 $\degree$ F
E) 60 $\degree$ F and 65 $\degree$ F

Question 45

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.

Question 46

A medical assistant may do which of the following housekeeping tasks?

A) Damp dusting an open shelf
B) Scrubbing floors
C) Cleaning blinds
D) Washing windows
E) Vacuuming carpets

Question 47

The temperature of the laboratory refrigerators should be maintained between ____.

A) 10 $\degree$ F and 15 $\degree$ F
B) 24 $\degree$ F and 28 $\degree$ F
C) 36 $\degree$ F and 46 $\degree$ F
D) 50 $\degree$ F and 56 $\degree$ F
E) 60 $\degree$ F and 65 $\degree$ F

Question 48

A lighted instrument that is used to examine the inner structures of the eye is a(n) ____.

A) penlight
B) exam light
C) anoscope
D) otoscope
E) ophthalmoscope

Question 49

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
B) Washing your hands
C) Filling the paper towel rack
D) Chewing gum and applying cosmetics
E) Performing office laboratory tests

Question 50

The toilets, sinks, and wastebaskets should be disinfected according to facility policy. In most medical offices, they are disinfected____.

A) once a day
B) every other day
C) once a week
D) once every two weeks
E) once a month

Question 51

An instrument used to enlarge the opening of the nose to permit viewing is a(n) ____.

A) ophthalmoscope
B) otoscope
C) nasal speculum
D) sphygmomanometer
E) anoscope

Question 52

Which of the following are examples of disposable instruments?

A) Stethoscopes and blood pressure cuffs
B) Curettes and needles
C) Otoscopes and ophthalmoscopes
D) Tuning forks and reflex hammers
E) Exam lights and laryngeal mirrors

Question 53

Which of the following is used to listen to body sounds?

A) Stethoscope
B) Otoscope
C) Tuning fork
D) Ophthalmoscope
E) Anoscope

Question 54

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

Question 55

An anoscope is an instrument that is used to ____.

A) measure body temperature
B) measure blood pressure
C) examine the ear canal
D) examine the eye
E) open the anus for examination

Question 56

A piece of equipment that measures blood pressure is a(n) ____.

A) stethoscope
B) anoscope
C) otoscope
D) tape measure
E) sphygmomanometer

Question 57

Which of the following reflects the inside of the mouth and throat for examination purposes?

A) Sphygmomanometer
B) Laryngeal mirror
C) Nasal speculum
D) Otoscope
E) Ophthalmoscope

Question 58

Which of the following is appropriate for cleaning surfaces in the exam room?

A) Germicidal soap
B) 10% solution of household bleach
C) Iodine
D) Alcohol
E) Hydrogen peroxide

Question 59

Which of the following has a hard-rubber triangular head and is used to check a patient's reflexes?

A) Tuning fork
B) Tape measure
C) Reflex hammer
D) Sphygmomanometer
E) Anoscope

Question 60

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.

Question 61

Cleaning products applied particularly to instruments and equipment to reduce or eliminate infectious organisms are called ________.

Question 62

________ is used to clean items that touch only healthy, intact skin. For other equipment, this is the first step before disinfection and sterilization.

Question 63

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 ________.

Question 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
C) open a window
D) turn on a fan
E) eliminate the source of the odor

Question 65

Biological agents that can spread disease to living things are ________ materials.

Question 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

Question 67

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

Question 68

Which of the following instruments is used in the collection of gynecological specimens?

A) Nasal speculum
B) Laryngeal mirror
C) Vaginal speculum
D) Anoscope
E) Otoscope

Question 69

Cleaning products that are used on human tissues as anti-infection agents are called ________.

Question 70

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

Question 71

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 $\degree$ 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

Question 72

A thick-walled reproductive body capable of resisting harsh conditions is called a bacterial ________ and has been known to survive disinfection with strong chemicals and boiling water.

Question 73

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

Question 74

Which of the following instruments tests a patient's hearing?

A) Ophthalmoscope
B) Tuning fork
C) Sphygmomanometer
D) Stethoscope
E) Otoscope

Question 75

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 biohazardous ________ containers.

Question 76

Which of the following is an example of a consumable supply?

A) Specimen container
B) Cotton-tipped applicator
C) Isopropyl alcohol
D) Gauze
E) Curettes

Question 77

Which of the following is used to measure body temperature?

A) Otoscope
B) Tuning fork
C) Thermometer
D) Sphygmomanometer
E) Stethoscope

Question 78

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

Question 79

Transcutaneous absorption is absorption through ____.

A) ingestion
B) the body's organs
C) a cut or crack in the skin
D) inhalation
E) subcutaneous injection

Question 80

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.