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15.11: Chapter 11 exercises

  • Page ID
  • Multiple Choice

    Which of the following types of medical items requires sterilization?

    A. needles
    B. bed linens
    C. respiratory masks
    D. blood pressure cuffs

    Which of the following is suitable for use on tissues for microbial control to prevent infection?

    A. disinfectant
    B. antiseptic
    C. sterilant
    D. water

    Which biosafety level is appropriate for research with microbes or infectious agents that pose moderate risk to laboratory workers and the community, and are typically indigenous?

    A. BSL-1
    B. BSL-2
    C. BSL-3
    D. BSL-4

    Which of the following best describes a microbial control protocol that inhibits the growth of molds and yeast?

    A. bacteriostatic
    B. fungicidal
    C. bactericidal
    D. fungistatic

    The decimal reduction time refers to the amount of time it takes to which of the following?

    A. reduce a microbial population by 10%
    B. reduce a microbial population by 0.1%
    C. reduce a microbial population by 90%
    D. completely eliminate a microbial population

    Fill in the Blank

    A medical item that comes into contact with intact skin and does not penetrate sterile tissues or come into contact with mucous membranes is called a(n) ________ item.

    The goal of ________ ________ protocols is to rid canned produce of Clostridium botulinum endospores.


    Sanitization leaves an object free of microbes.

    Short Answer

    What are some characteristics of microbes and infectious agents that would require handling in a BSL-3 laboratory?

    What is the purpose of degerming? Does it completely eliminate microbes?

    What are some factors that alter the effectiveness of a disinfectant?

    Critical Thinking

    When plotting microbial death curves, how might they look different for bactericidal versus bacteriostatic treatments?

    What are the benefits of cleaning something to a level of cleanliness beyond what is required? What are some possible disadvantages of doing so?

    Multiple Choice

    Which of the following methods brings about cell lysis due to cavitation induced by rapid localized pressure changes?

    A. microwaving
    B. gamma irradiation
    C. ultraviolet radiation
    D. sonication

    Which of the following terms is used to describe the time required to kill all of the microbes within a sample at a given temperature?

    A. D-value
    B. thermal death point
    C. thermal death time
    D. decimal reduction time

    Which of the following microbial control methods does not actually kill microbes or inhibit their growth but instead removes them physically from samples?

    A. filtration
    B. desiccation
    C. lyophilization
    D. nonionizing radiation

    Fill in the Blank

    In an autoclave, the application of pressure to ________ is increased to allow the steam to achieve temperatures above the boiling point of water.


    Ionizing radiation can penetrate surfaces, but nonionizing radiation cannot.

    Moist-heat sterilization protocols require the use of higher temperatures for longer periods of time than do dry-heat sterilization protocols do.

    Short Answer

    What is the advantage of HTST pasteurization compared with sterilization? What is an advantage of UHT treatment?

    How does the addition of salt or sugar help preserve food?

    Which is more effective at killing microbes: autoclaving or freezing? Explain.

    Critical Thinking

    In 2001, endospores of Bacillus anthracis, the causative agent of anthrax, were sent to government officials and news agencies via the mail. In response, the US Postal Service began to irradiate mail with UV light. Was this an effective strategy? Why or why not?

    Multiple Choice

    Which of the following refers to a disinfecting chemical dissolved in alcohol?

    A. iodophor
    B. tincture
    C. phenolic
    D. peroxygen

    Which of the following peroxygens is widely used as a household disinfectant, is inexpensive, and breaks down into water and oxygen gas?

    A. hydrogen peroxide
    B. peracetic acid
    C. benzoyl peroxide
    D. ozone

    Which of the following chemical food preservatives is used in the wine industry but may cause asthmatic reactions in some individuals?

    A. nitrites
    B. sulfites
    C. propionic acid
    D. benzoic acid

    Bleach is an example of which group of chemicals used for disinfection?

    A. heavy metals
    B. halogens
    C. quats
    D. bisbiguanides

    Which chemical disinfectant works by methylating enzymes and nucleic acids and is known for being toxic and carcinogenic?

    A. sorbic acid
    B. triclosan
    C. formaldehyde
    D. hexaclorophene

    Fill in the Blank

    Doorknobs and other surfaces in clinical settings are often coated with ________, ________, or ________ to prevent the transmission of microbes.


    Soaps are classified as disinfectants.

    Mercury-based compounds have fallen out of favor for use as preservatives and antiseptics.

    Short Answer

    Which solution of ethyl alcohol is more effective at inhibiting microbial growth: a 70% solution or a 100% solution? Why?

    When might a gas treatment be used to control microbial growth instead of autoclaving? What are some examples?

    What is the advantage of using an iodophor rather than iodine or an iodine tincture?

    Critical Thinking

    Looking at Figure and reviewing the functional groups in [link], which alkylating agent shown lacks an aldehyde group?

    Do you think naturally produced antimicrobial products like nisin and natamycin should replace sorbic acid for food preservation? Why or why not?

    Why is the use of skin disinfecting compounds required for surgical scrubbing and not for everyday handwashing?

    Multiple Choice

    Which type of test is used to determine whether disinfectant solutions actively used in a clinical setting are being used correctly?

    A. disk-diffusion assay
    B. phenol coefficient test
    C. in-use test
    D. use-dilution test

    The effectiveness of chemical disinfectants has historically been compared to that of which of the following?

    A. phenol
    B. ethyl alcohol
    C. bleach
    D. formaldehyde

    Which of the following refers to a germicide that can kill vegetative cells and certain enveloped viruses but not endospores?

    A. high-level germicide
    B. intermediate-level germicide
    C. low-level germicide
    D. sterilant

    Fill in the Blank

    If a chemical disinfectant is more effective than phenol, then its phenol coefficient would be ________ than 1.0.

    If used for extended periods of time, ________ germicides may lead to sterility.

    In the disk-diffusion assay, a large zone of inhibition around a disk to which a chemical disinfectant has been applied indicates ________ of the test microbe to the chemical disinfectant.

    Short Answer

    Why were chemical disinfectants once commonly compared with phenol?

    Why is length of exposure to a chemical disinfectant important for its activity?

    Critical Thinking

    What are some advantages of use-dilution and in-use tests compared with the disk-diffusion assay?

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