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問題一覧
1
SPOROCIDAL
STERILIZATION
2
NON-SPOROCIDAL
DISINFECTION
3
TISSUE/ BLOOD VESSEL
CRITICAL MATERIALS
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MUCOUS MEMBRANE FOR WHAT MATERIALS?
SEMI-CRITICAL MATERIALS
5
MATERIALS SKIN
NONCRITICAL MATERIALS
6
Action Sterilant is for what materials?
Critical materials
7
Action High disinfectant
Semicritical materials
8
Action intermediate to low-level disinfectant is for what materials?
Noncritical materials
9
High level disinfectant = _________ SPOROCIDAL/ non-SPOROCIDAL?
SPOROCIDAL
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= tuberculocidal l but not sporicidal
Intermediate
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what level = not tuberculocidal and sporicidal
Low level
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. – these two is for disinfection not sterilization
Pasteurization and boiling
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Pasteurization: Batch – _________
63% FOR 30 MINS
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Pasteurization: ? – 63% FOR 30 MINS
Batch
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Pasteurization: Flash _________
72 DEGREES FOR 15 SECS.
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Pasteurization: ? 72 DEGREES FOR 15 SECS.
Flash
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Boiling: _________ for 10-15min
100 DEGCREES CELCIUS
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Boiling: 100 DEGCREES CELCIUS for
10-15min
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: 100 DEGCREES CELCIUS for 10-15min
Boiling
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– long wavelength low energy UV light
Non-ionizing radiation
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– are chemical agents applied inanimate objects.
Disinfectant
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- disinfectant used on living tissue
Antiseptic
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-70% ethyl/isopropyl alcohol (non sporicidal)
Alcohol
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Alcohol -ex? (non sporicidal)
70% ethyl/isopropyl alcohol
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– 2 most EFFECTIVE alcohols
Ethanol and isopropanol
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_________% is optimal; EFFECTIVE: EVAPORATE
60-90 %
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THESE TWO USES Both antiseptic and disinfectant
FURNITURES AND ELECTRICAL CORD
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BEST ANTISEPTIC HALOGEN
iodine
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Two Forms OF HALOGEN
Tincture and Iodophore
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TINCTURE:
IODINE + ALCOHOL
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: IODINE + ALCOHOL
TINCTURE
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: IODINE + BLEACH/SURFACTANT
IODOPHORE
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IODOPHORE:
IODINE + BLEACH/SURFACTANT
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- iodine and alcohol (1 to 2 min contact time)
Betadine
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- iodine and alcohol (1 to 2 min contact time)
Betadine
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- iodine and alcohol (1 to 2 min contact time)
Betadine
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- iodine and alcohol (1 to 2 min contact time)
Betadine
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- iodine and alcohol (1 to 2 min contact time)
Betadine
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Betadine- ? (1 to 2 min contact time)
iodine and alcohol
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Betadine- iodine and alcohol (? contact time)
1 to 2 min
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antiseptic technique for blood culture:
Alcohol --> Betadine --> Alcohol
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Chlorine – _________and most commonly used disinfectant
OLDEST
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– OLDEST and most commonly used disinfectant
Chlorine
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most common use is disinfection of WATER
Chlorine
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– BEST DISENFECTANT
Sodium Hypochlorite
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Sodium Hypochlorite RATIO
1:5-1:10
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Sodium Hypochlorite CDC RECOMMENDED RATIO
1:10
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For disinfecting lab SINK
Sodium Hypochlorite
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Heavy metal – (2)
copper and merthiolate
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(1% eye drop solution)
Silver nitrate
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FOR GONOCOCCAL CONJUCTIVITIS
Silver nitrate
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SLOW BACTERICIDAL
Heavy metal – copper and merthiolate
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inactivated by blood
QUATS (Quarternary ammonium compd.
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reduced by hard water and soap
QUATS (Quarternary ammonium compd.
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RESISTANT TO QUATZ AND BENZALKONIUM CHLORIDE
P.aeruginosa
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P.aeruginosa RESISTANT TO
QUATZ AND BENZALKONIUM CHLORIDE
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STANDARD disinfectant
Phenol
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used in stable and biodegradable. Active in the presence of organic material
Phenol
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– Topical antiseptic. Rapid inactivation of LIPID VIRUS
Chlorhexidine Gluconate
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severe skin infection (skin irritant)
Chlorhexidine Gluconate
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Persistence – major attribute STAYS FOR 6 HOURS
Chlorhexidine Gluconate
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–assoc. to severe toxic effect -> death
Hexachlorophene
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: great at MTB but poor in Fungi -Overuse leads to CROSS-RESISTANCE OR CORESISTANCE TO OTHER ANTIMICROBIALS
Triclosan
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-destruction of all forms of life
STERILIZATION
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-most common method used for the elimination of microorganisms
Heat
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Moist Heat – Most effective method (autoclaveat?:
121 @15 psi for 15 mins
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– Most effective method (autoclaveat?: 121 @15 psi for 15 mins
Moist Heat
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Moist Heat – Most effective method (autoclaveat: 121 @15 psi for 15 mins) Biologic indicator :
B.stearothermophilus
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Shorter time than dry heat sterilization
Moist Heat
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Method of Choice for HEAT-_________ Objects
STABLE
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Dry heat a. Temp:
160 – 180C for 1 ½ to 2 hours
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Dry heat a. Temp: 160 – 180C for 1 ½ to 2 hours b. Biologic indicator:
B. SUBTILIS VAN NIGER
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For Heat Stable substances THAT ARE COVERED BY OIL WHICH CANNOT PENETRATE BY WATER
DRY HEAT
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a. Temp: 160 – 180C for 1 ½ to 2 hours b. Biologic indicator:
Dry heat B. Subtilis Van Niger
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– alternate heating
Fractional
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Tyndallization:
100oC for 30 min for 3 days
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: 100oC for 30 min for 3 days
Tyndallization
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Tyndallization: 100oC for 30 min for 3 days i. Day 1: ii. Day 2: iii. Day 3:
VEGETATIVE SPORES DESTROY SPORES DESTROY REMAINING CELLS
79
Day ?: VEGETATIVE SPORES
DAY 1
80
Day ?: DESTROY SPORES
DAY 2
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Day ?: DESTROY REMAINING CELLS
DAY 3
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- for culture media w/PROTEIN
InsPissation
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Inspissation TEMP
75-80o CELSIUS 2 HOURS FOR 3 DAYS
84
TEMP 75-80o CELSIUS 2 HOURS FOR 3 DAYS
Inspissation
85
Incineration – most common method for treating infection_________.
WASTE
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– most common method for treating infection WASTE.
Incineration
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SAFEST method to ensure no infective materials remain.
Incineration
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– plastic syringes, catheter or gloves. Short wavelength, high energy gamma rays
Ionizing radiation
89
Ionizing radiation . Biologic indicator:
B.pumilus
90
sterilization of disposable supplies such as syringes, catheters, and gloves
Ionizing radiation
91
– for culture media that cannot be heated;
Filtration
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BEST STERILIXATION METHOD FOR ANTIBIOTIC / VACCINATION
Filtration
93
. Filtration – for culture media that cannot be heated; a. Liquid: used
Cellulose acetate or Cellulose nitrate
94
_________ - um (microliter) used for Most bacteria, yeasts, and molds but not Pseudomonas-like or
0.45 & 0.8O um
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_________- size for parenteral solutions
0.22 um
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Air: HEPA (high-efficiency particulate air) Filter: removes org. _________
> .03
97
Air:? Filter: removes org. > .03
HEPA (high-efficiency particulate air)