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Sterile Processing Technician Exam

Microbiology Practice Questions

30 practice questions with detailed explanations — aligned to the Sterile Processing Technician Exam.

Master Microbiology to boost your score on the Sterile Processing Technician Exam. Each question below mirrors the style and difficulty of real exam questions, complete with detailed explanations so you understand the why behind every answer. Work through all 30 questions, review any that trip you up, and use the related topics below to round out your preparation.

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Sterile Processing Technician · Question 1 of 5

Microorganisms that are capable of forming a protective shell to survive harsh conditions (like heat and chemicals) are called:

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  1. Q1.Microorganisms that are capable of forming a protective shell to survive harsh conditions (like heat and chemicals) are called:

    A.Viruses
    B.Spores (Endospores)
    C.Fungi
    D.Prions
    ✓B. Spores (Endospores)

    Explanation: Spores are the resting stage of certain bacteria (like Bacillus and Clostridium). They are highly resistant to sterilization, which is why they are used as Biological Indicators.

  2. Q2.Which shape describes 'Cocci' bacteria?

    A.Rod-shaped
    B.Round/Spherical
    C.Spiral
    D.Comma-shaped
    ✓B. Round/Spherical

    Explanation: Cocci are round (e.g., Streptococcus). Bacilli are rod-shaped. Spirilla are spiral.

  3. Q3.A 'Healthcare-Associated Infection' (HAI) is:

    A.An infection acquired by a patient while receiving care in a healthcare facility
    B.An infection the patient had before arriving
    C.An infection caught at home
    D.A viral cold
    ✓A. An infection acquired by a patient while receiving care in a healthcare facility

    Explanation: Formerly known as Nosocomial infections, HAIs are acquired within the facility (e.g., surgical site infections from non-sterile instruments).

  4. Q4.What is the primary difference between a virus and bacteria?

    A.Viruses are larger
    B.Viruses require a living host cell to reproduce, while bacteria can reproduce on their own
    C.Bacteria are not alive
    D.Viruses cannot be killed
    ✓B. Viruses require a living host cell to reproduce, while bacteria can reproduce on their own

    Explanation: Viruses are parasitic and need a host to multiply. Bacteria are independent single-celled organisms.

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  5. Q5.Biofilms are best removed by:

    A.High heat
    B.Direct friction (scrubbing) and enzymatic detergents
    C.Alcohol soak
    D.Quick rinse
    ✓B. Direct friction (scrubbing) and enzymatic detergents

    Explanation: The slimy matrix of a biofilm protects the bacteria from heat and chemicals. Mechanical friction (scrubbing) is required to break up the matrix so detergents can work.

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  6. Q6.The term 'Aerobic' bacteria means they require:

    A.Sugar
    B.Light
    C.Oxygen
    D.Darkness
    ✓C. Oxygen

    Explanation: Aerobic = needs oxygen. Anaerobic = can live without oxygen.

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  7. Q7.Staphylococcus aureus is a Gram-positive bacteria typically found on:

    A.Skin and hair
    B.Intestines
    C.Soil
    D.Water
    ✓A. Skin and hair

    Explanation: Staph is common flora on human skin, making hand hygiene critical to prevent transfer to sterile items.

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  8. Q8.Which of the following is caused by a Prion?

    A.Tuberculosis
    B.HIV
    C.Creutzfeldt-Jakob Disease (CJD)
    D.Hepatitis B
    ✓C. Creutzfeldt-Jakob Disease (CJD)

    Explanation: CJD is a fatal neurodegenerative disease caused by Prions (misfolded proteins). Instruments from CJD cases require special processing protocols.

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  9. Q9.In the Chain of Infection, the 'Portal of Exit' refers to:

    A.The door to the OR
    B.The way the infectious agent leaves the reservoir (e.g., coughing, bleeding)
    C.The way the agent enters the new host
    D.The immune system
    ✓B. The way the infectious agent leaves the reservoir (e.g., coughing, bleeding)

    Explanation: To infect a new host, the pathogen must exit the reservoir (source). Blocking the portal of exit (e.g., bandaging a wound) stops the chain.

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  10. Q10.'Fomites' are:

    A.Insects that carry disease
    B.Inanimate objects (like door handles or instruments) that can harbor and transmit disease
    C.Airborne particles
    D.Hand washing stations
    ✓B. Inanimate objects (like door handles or instruments) that can harbor and transmit disease

    Explanation: Surgical instruments are fomites. If not cleaned, they transmit infection from patient to patient.

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  11. Q11.Standard Precautions assume that:

    A.Only patients with signs of infection are contagious
    B.All blood and body fluids are potentially infectious
    C.Only blood is dangerous
    D.Sterile processing staff are immune
    ✓B. All blood and body fluids are potentially infectious

    Explanation: Standard Precautions (Universal Precautions) dictate treating EVERY item from the OR as if it is infectious, requiring full PPE.

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  12. Q12.The measurement of the number of microorganisms on a contaminated object is called:

    A.Biofilm
    B.Bioburden
    C.Biomass
    D.Bioshield
    ✓B. Bioburden

    Explanation: Bioburden is the quantity of microbial life on an object before sterilization. Cleaning reduces bioburden to safe levels.

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  13. Q13.Which bacteria is spiral-shaped and causes Syphilis?

    A.Staphylococcus
    B.Pseudomonas
    C.Treponema pallidum (Spirochete)
    D.E. coli
    ✓C. Treponema pallidum (Spirochete)

    Explanation: Spirochetes are spiral shaped. Treponema pallidum is the classic example.

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  14. Q14.Binary Fission is the process by which:

    A.Bacteria reproduce (divide into two)
    B.Viruses multiply
    C.Fungi grow
    D.Prions spread
    ✓A. Bacteria reproduce (divide into two)

    Explanation: Bacteria reproduce asexually by dividing in half, a process called binary fission.

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  15. Q15.VRE stands for:

    A.Very Resistant Enterococcus
    B.Vancomycin-Resistant Enterococcus
    C.Viral Respiratory Effect
    D.Visual Rapid Examination
    ✓B. Vancomycin-Resistant Enterococcus

    Explanation: VRE is a Multi-Drug Resistant Organism (MDRO) that is resistant to the antibiotic Vancomycin.

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  16. Q16.Gram staining differentiates bacteria based on the:

    A.Size of the nucleus
    B.Structure of the cell wall (Gram positive vs Gram negative)
    C.Speed of movement
    D.Color of the spore
    ✓B. Structure of the cell wall (Gram positive vs Gram negative)

    Explanation: Gram staining colors the cell wall purple (positive) or pink (negative) based on the thickness of the peptidoglycan layer.

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  17. Q17.Which organism is commonly associated with gastrointestinal infections and is resistant to alcohol hand rubs (requiring soap and water)?

    A.Influenza
    B.Clostridioides difficile (C. diff)
    C.HIV
    D.Strep throat
    ✓B. Clostridioides difficile (C. diff)

    Explanation: C. diff produces spores that are not killed by alcohol. Mechanical removal via soap and water hand washing is required.

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  18. Q18.The capsule on some bacteria serves to:

    A.Help them move
    B.Protect them from the host's immune system (phagocytosis) and drying out
    C.Produce energy
    D.Digest food
    ✓B. Protect them from the host's immune system (phagocytosis) and drying out

    Explanation: Capsules make bacteria 'slippery' to immune cells and protect them from desiccation (drying).

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  19. Q19.Pseudomonas aeruginosa is known for being:

    A.A water-loving bacteria often found in moist environments (like drains or wet instruments)
    B.A dry-loving bacteria
    C.A virus
    D.Harmless
    ✓A. A water-loving bacteria often found in moist environments (like drains or wet instruments)

    Explanation: Pseudomonas thrives in water and is a common cause of infections related to wet medical devices or ophthalmic instruments.

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  20. Q20.An 'Opportunistic' pathogen is one that:

    A.Always causes disease
    B.Causes disease only when the host's immune system is compromised or it enters a sterile part of the body
    C.Travels by air
    D.Is beneficial
    ✓B. Causes disease only when the host's immune system is compromised or it enters a sterile part of the body

    Explanation: Opportunistic pathogens take advantage of a weakened host. They may be normal flora in one area (gut) but pathogenic in another (blood).

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  21. Q21.Vectors in disease transmission are usually:

    A.Living things like insects (mosquitoes, ticks) or rodents
    B.Water
    C.Air
    D.Food
    ✓A. Living things like insects (mosquitoes, ticks) or rodents

    Explanation: Vectors are living carriers. Fomites are inanimate carriers.

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  22. Q22.Which condition promotes the growth of most bacteria encountered in healthcare?

    A.Cold, dry, and bright
    B.Warm, moist, and dark
    C.Hot, dry, and acidic
    D.Freezing temperatures
    ✓B. Warm, moist, and dark

    Explanation: Most human pathogens are mesophiles (moderate temp) and require moisture and darkness to thrive.

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  23. Q23.The cell wall of a bacteria provides:

    A.DNA storage
    B.Structure and shape
    C.Energy production
    D.Mobility
    ✓B. Structure and shape

    Explanation: The rigid cell wall maintains the bacteria's characteristic shape (cocci, bacilli, etc.).

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  24. Q24.Which virus is a bloodborne pathogen of major concern to CS technicians?

    A.Influenza
    B.Hepatitis B
    C.Chickenpox
    D.Rhinovirus
    ✓B. Hepatitis B

    Explanation: Hepatitis B (and C and HIV) is transmitted via blood. Needlesticks or splashes in decon pose a significant risk.

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  25. Q25.Fungi include:

    A.Bacteria and viruses
    B.Yeasts and molds
    C.Prions
    D.Protozoa
    ✓B. Yeasts and molds

    Explanation: Fungi are a separate kingdom including single-celled yeasts (Candida) and multi-celled molds.

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  26. Q26.What is the unit of measurement for bacteria?

    A.Inch
    B.Millimeter
    C.Micron (Micrometer)
    D.Meter
    ✓C. Micron (Micrometer)

    Explanation: Bacteria are measured in microns (1/25,000 of an inch).

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  27. Q27.Which microorganism is used to test the efficacy of low-temperature Ozone sterilization?

    A.Bacillus atrophaeus
    B.Geobacillus stearothermophilus
    C.Geobacillus smithii
    D.Bacillus pumilus
    ✓B. Geobacillus stearothermophilus

    Explanation: Geobacillus stearothermophilus is the challenge organism for Ozone, H2O2 Plasma, and Steam.

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  28. Q28.In the Gram stain, Gram-negative bacteria appear:

    A.Purple/Blue
    B.Pink/Red
    C.Green
    D.Clear
    ✓B. Pink/Red

    Explanation: Gram-negative bacteria have thin walls that lose the purple dye and take up the pink counterstain (Safranin).

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  29. Q29.Protozoa are:

    A.Single-celled animal-like microorganisms (e.g., Amoeba)
    B.Plants
    C.Bacteria
    D.Viruses
    ✓A. Single-celled animal-like microorganisms (e.g., Amoeba)

    Explanation: Protozoa are complex single-celled organisms, often found in water (e.g., Giardia).

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  30. Q30.Which factor does NOT directly affect the growth of bacteria?

    A.Moisture
    B.Temperature
    C.pH
    D.Noise level
    ✓D. Noise level

    Explanation: Bacteria need food, acidity balance (pH), time, temp, oxygen, and moisture (FATTOM). Noise does not affect them.

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