An antimicrobial chemical used on the skin is usually called a(n) __________.
disinfectant
antiseptic
germicide
disinfectants and antiseptics
answer
antiseptic
Antiseptics often contain the same chemicals as disinfectants, but they are less concentrated and therefore safer to use on living tissues.
question
Which biosafety level requires that laboratory air be HEPA-filtered but is insufficient for the safe study Ebola?
BSL-1
BSL-2
BSL-3
BSL-4
answer
BSL-3
question
Milk that can be stored for months at room temperature has been treated by which of the following methods?
flash pasteurization
ultrahigh-temperature pasteurization
batch pasteurization
ultrahigh-temperature sterilization
answer
ultrahigh-temperature sterilization
Ultrahigh-temperature sterilization kills all forms of living microbes: UHT-sterilized milk can be kept at room temperature indefinitely without spoilage, although flavor changes may occur.
question
Which of the following techniques can be used to sterilize microbiological media?
dessication
boiling
pasteurization
autoclaving
answer
autoclaving
question
A nurse preparing a section of skin for an injection is an example of __________.
degerming
sanitization
sterilization
disinfection
answer
degerming
Even something as simple as washing your hands can be an effective degerming method.
question
Which of the following is the preferred method of determining the efficacy of an antimicrobial chemical in the European Union?
the phenol coefficient test
the in-use test
the use-dilution test
the Kelsey-Sykes capacity test
answer
The Kelsey-Sykes capacity test is useful because it reveals the minimum amount of time required for a particular disinfectant to be effective.
question
Compared to moist heat methods, dry heat needs which of the following in order to sterilize effectively?
higher temperature and shorter time
higher temperature and increased time
lower temperature and shorter time
lower temperature and increased time
answer
higher temperature and increased time.
Air does not conduct heat as effectively as water does, so sterilization methods that rely on hot air require more time and higher temperatures than methods involving moisture.
question
Which of the following is a low-level disinfectant?
quats
halogens
alcohols
oxidizing agents
answer
quats.
Alcohols and halogens are both intermediate-level disinfectants, and oxidizing agents are considered to be high-level disinfectants. Quaternary ammonia compounds are less effective.
question
Hydrogen peroxide does NOT make a good antiseptic for open wounds because __________.
it is too toxic for human cells
catalase in human tissues neutralizes it
it is too expensive for this type of use
it evaporates too quickly
answer
catalase in human tissues neutralizes it.
Human cells, like many other cells, contain protective enzymes such as catalase that are used to guard against the toxic byproducts of oxygen and its metabolism.
question
Damage to the cell wall will adversely affect a bacterial cell by making it more susceptible to __________.
radiation
alcohols
high temperature
osmotic pressure
answer
osmotic pressure.
Without a strong, functional cell wall, the bacterial cell cannot resist sudden changes in osmotic pressure and can die as a result.
question
Put the following microbes in order of their resistance to antimicrobial agents, from least to most resistant: a. prions b. enveloped viruses c. mycobacteria d. Gram-negative bacteria
Hydrogen peroxide is an example of a(n) __________ and can serve as an effective disinfectant, though it does NOT work well as an antiseptic.
halogen
surfactants
aldehyde
oxidizing agent
answer
oxidizing agent.
question
Iodophors and chloramines are similar in that they are both halogen-containing compounds that __________.
are more effective than other halogen compounds
damage the cell membrane
are more damaging than other types of halogen compounds
slowly release their active ingredients
answer
slowly release their active ingredients.
Iodophors and chloramines are so effective because they release their active ingredients more slowly than do the more elemental forms of these halogens.
question
Antimicrobial agents that damage the viral envelope __________.
have no effect on bacterial cells
prevent attachment of the virus to its target cell
affect viral replication
interfere with the formation of nucleic acids inside the virus
answer
prevent attachment of the virus to its target cell.
Viral envelopes allow the viruses to attach to cells so that they can replicate.
question
Which of the following is most susceptible to antimicrobial agents?
vegetative bacteria
bacterial endospores
mycobacteria
protozoan cysts
answer
Vegetative bacteria are active metabolically and will typically be more susceptible to antimicrobial control methods.
question
Which of the following is the most important part of sterilization using an autoclave?
increased pressure
the size of the autoclave chamber
the time of exposure
the use of steam
answer
increased pressure.
While all of these are important aspects of autoclaving as a sterilization procedure, it is the increased atmospheric pressure inside the autoclave that makes the increase in steam temperature possible. This increase in pressure also reduces the time needed for sterilization.
question
Which of the following could be used to sterilize objects such as medical devices?
orthophenylphenol
ethylene oxide
silver nitrate
100% alcohol
answer
ethylene oxide
question
Which of the following could be used to sterilize a heat-sensitive liquid such as urea broth?
pasteurization
filtration
autoclaving
lyophilization
answer
filtration
question
A broth containing 1 million bacterial cells is treated with an antimicrobial agent that kills 90% of the cells in 1 minute. What is the minimum amount of time it will take before all the cells in the broth are dead?
3 minutes
5 minutes
7 minutes
10 minutes
answer
7 minutes. Because 90% of the cells present are killed each minute, the decline of the bacterial population gives a straight line when the experimental values are plotted on a semilogarithmic graph. The last cell will be killed at some point between 6 and 7 minutes of exposure.
question
An instrument coming into contact with the skin of an immunocompromised patient should be treated with which of the following?
high-level germicide
low-level germicide
surfactants
intermediate-level germicide
answer
high-level germicide.
An item that would need to be treated with only a low-level germicide in the case of a healthy patient would need to be sterilized with a high-level germicide if used with an immunocompromised patient.
question
Assume that you have an antimicrobial agent specific for each of the targets listed below. Indicate which type of microbe would be most susceptible to the agent by placing it in the appropriate bin.
All bacteria
Gram-positive
Viruses
All bacteria and viruses
answer
All bacteria- membrane proteins, glycolytic enzymes
Gram-positive - peptidoglycan
Viruses- envelope proteins
All bacteria and viruses - nucleic acids
question
Which of the following shows the moist heat methods in order of the temperature used (highest to lowest)?
Ultrahigh>Autoclave>Boiling>Batch Pasteurization
Ultrahigh>Boiling>Autoclave>Batch Pasteurization
Ultrahigh> Boiling>Batch Pasteurization >Autoclave
Autoclave>Ultrahigh>Batch Pasteurization>Boilin
answer
Ultrahigh>Autoclave>Boiling>Batch Pasteurization
question
_______________ is a process used to destroy pathogens in food and drinks. It must be done at a lower temperature than other methods so that _______________.
autoclaving; the taste of the food or drink will not be altered
Pasteurization; beneficial microorganisms are not killed
Pasteurization; the taste of the food or drink will not be altered
autoclaving; beneficial microorganisms are not killed
answer
Pasteurization; the taste of the food or drink will not be altered
question
What are the 5 main antibacterial drug targets in bacteria?
answer
cell-wall synthesis
metabolic enzymes
DNA- directed RNA polymerase
protein synthesis
DNA gyrase
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