Sterile Processing Technician Exam
Microbiology Practice Questions
30 practice questions with detailed explanations — aligned to the Sterile Processing Technician Exam.
Q1.Microorganisms that are capable of forming a protective shell to survive harsh conditions (like heat and chemicals) are called:
A.VirusesB.Spores (Endospores)C.FungiD.PrionsB. 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.
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Q2.Which shape describes 'Cocci' bacteria?
A.Rod-shapedB.Round/SphericalC.SpiralD.Comma-shapedB. Round/SphericalExplanation: Cocci are round (e.g., Streptococcus). Bacilli are rod-shaped. Spirilla are spiral.
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Q3.A 'Healthcare-Associated Infection' (HAI) is:
A.An infection acquired by a patient while receiving care in a healthcare facilityB.An infection the patient had before arrivingC.An infection caught at homeD.A viral coldA. An infection acquired by a patient while receiving care in a healthcare facilityExplanation: Formerly known as Nosocomial infections, HAIs are acquired within the facility (e.g., surgical site infections from non-sterile instruments).
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Q4.What is the primary difference between a virus and bacteria?
A.Viruses are largerB.Viruses require a living host cell to reproduce, while bacteria can reproduce on their ownC.Bacteria are not aliveD.Viruses cannot be killedB. Viruses require a living host cell to reproduce, while bacteria can reproduce on their ownExplanation: Viruses are parasitic and need a host to multiply. Bacteria are independent single-celled organisms.
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Q5.Biofilms are best removed by:
A.High heatB.Direct friction (scrubbing) and enzymatic detergentsC.Alcohol soakD.Quick rinseB. Direct friction (scrubbing) and enzymatic detergentsExplanation: 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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Q6.The term 'Aerobic' bacteria means they require:
A.SugarB.LightC.OxygenD.DarknessC. OxygenExplanation: Aerobic = needs oxygen. Anaerobic = can live without oxygen.
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Q7.Staphylococcus aureus is a Gram-positive bacteria typically found on:
A.Skin and hairB.IntestinesC.SoilD.WaterA. Skin and hairExplanation: Staph is common flora on human skin, making hand hygiene critical to prevent transfer to sterile items.
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Q8.Which of the following is caused by a Prion?
A.TuberculosisB.HIVC.Creutzfeldt-Jakob Disease (CJD)D.Hepatitis BC. 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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Q9.In the Chain of Infection, the 'Portal of Exit' refers to:
A.The door to the ORB.The way the infectious agent leaves the reservoir (e.g., coughing, bleeding)C.The way the agent enters the new hostD.The immune systemB. 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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Q10.'Fomites' are:
A.Insects that carry diseaseB.Inanimate objects (like door handles or instruments) that can harbor and transmit diseaseC.Airborne particlesD.Hand washing stationsB. Inanimate objects (like door handles or instruments) that can harbor and transmit diseaseExplanation: Surgical instruments are fomites. If not cleaned, they transmit infection from patient to patient.
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Q11.Standard Precautions assume that:
A.Only patients with signs of infection are contagiousB.All blood and body fluids are potentially infectiousC.Only blood is dangerousD.Sterile processing staff are immuneB. All blood and body fluids are potentially infectiousExplanation: Standard Precautions (Universal Precautions) dictate treating EVERY item from the OR as if it is infectious, requiring full PPE.
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Q12.The measurement of the number of microorganisms on a contaminated object is called:
A.BiofilmB.BioburdenC.BiomassD.BioshieldB. BioburdenExplanation: Bioburden is the quantity of microbial life on an object before sterilization. Cleaning reduces bioburden to safe levels.
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Q13.Which bacteria is spiral-shaped and causes Syphilis?
A.StaphylococcusB.PseudomonasC.Treponema pallidum (Spirochete)D.E. coliC. Treponema pallidum (Spirochete)Explanation: Spirochetes are spiral shaped. Treponema pallidum is the classic example.
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Q14.Binary Fission is the process by which:
A.Bacteria reproduce (divide into two)B.Viruses multiplyC.Fungi growD.Prions spreadA. Bacteria reproduce (divide into two)Explanation: Bacteria reproduce asexually by dividing in half, a process called binary fission.
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Q15.VRE stands for:
A.Very Resistant EnterococcusB.Vancomycin-Resistant EnterococcusC.Viral Respiratory EffectD.Visual Rapid ExaminationB. Vancomycin-Resistant EnterococcusExplanation: VRE is a Multi-Drug Resistant Organism (MDRO) that is resistant to the antibiotic Vancomycin.
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Q16.Gram staining differentiates bacteria based on the:
A.Size of the nucleusB.Structure of the cell wall (Gram positive vs Gram negative)C.Speed of movementD.Color of the sporeB. 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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Q17.Which organism is commonly associated with gastrointestinal infections and is resistant to alcohol hand rubs (requiring soap and water)?
A.InfluenzaB.Clostridioides difficile (C. diff)C.HIVD.Strep throatB. 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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Q18.The capsule on some bacteria serves to:
A.Help them moveB.Protect them from the host's immune system (phagocytosis) and drying outC.Produce energyD.Digest foodB. Protect them from the host's immune system (phagocytosis) and drying outExplanation: Capsules make bacteria 'slippery' to immune cells and protect them from desiccation (drying).
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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 bacteriaC.A virusD.HarmlessA. 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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Q20.An 'Opportunistic' pathogen is one that:
A.Always causes diseaseB.Causes disease only when the host's immune system is compromised or it enters a sterile part of the bodyC.Travels by airD.Is beneficialB. Causes disease only when the host's immune system is compromised or it enters a sterile part of the bodyExplanation: 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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Q21.Vectors in disease transmission are usually:
A.Living things like insects (mosquitoes, ticks) or rodentsB.WaterC.AirD.FoodA. Living things like insects (mosquitoes, ticks) or rodentsExplanation: Vectors are living carriers. Fomites are inanimate carriers.
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Q22.Which condition promotes the growth of most bacteria encountered in healthcare?
A.Cold, dry, and brightB.Warm, moist, and darkC.Hot, dry, and acidicD.Freezing temperaturesB. Warm, moist, and darkExplanation: Most human pathogens are mesophiles (moderate temp) and require moisture and darkness to thrive.
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Q23.The cell wall of a bacteria provides:
A.DNA storageB.Structure and shapeC.Energy productionD.MobilityB. Structure and shapeExplanation: The rigid cell wall maintains the bacteria's characteristic shape (cocci, bacilli, etc.).
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Q24.Which virus is a bloodborne pathogen of major concern to CS technicians?
A.InfluenzaB.Hepatitis BC.ChickenpoxD.RhinovirusB. Hepatitis BExplanation: Hepatitis B (and C and HIV) is transmitted via blood. Needlesticks or splashes in decon pose a significant risk.
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Q25.Fungi include:
A.Bacteria and virusesB.Yeasts and moldsC.PrionsD.ProtozoaB. Yeasts and moldsExplanation: Fungi are a separate kingdom including single-celled yeasts (Candida) and multi-celled molds.
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Q26.What is the unit of measurement for bacteria?
A.InchB.MillimeterC.Micron (Micrometer)D.MeterC. Micron (Micrometer)Explanation: Bacteria are measured in microns (1/25,000 of an inch).
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Q27.Which microorganism is used to test the efficacy of low-temperature Ozone sterilization?
A.Bacillus atrophaeusB.Geobacillus stearothermophilusC.Geobacillus smithiiD.Bacillus pumilusB. Geobacillus stearothermophilusExplanation: Geobacillus stearothermophilus is the challenge organism for Ozone, H2O2 Plasma, and Steam.
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Q28.In the Gram stain, Gram-negative bacteria appear:
A.Purple/BlueB.Pink/RedC.GreenD.ClearB. Pink/RedExplanation: Gram-negative bacteria have thin walls that lose the purple dye and take up the pink counterstain (Safranin).
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Q29.Protozoa are:
A.Single-celled animal-like microorganisms (e.g., Amoeba)B.PlantsC.BacteriaD.VirusesA. 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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Q30.Which factor does NOT directly affect the growth of bacteria?
A.MoistureB.TemperatureC.pHD.Noise levelD. Noise levelExplanation: Bacteria need food, acidity balance (pH), time, temp, oxygen, and moisture (FATTOM). Noise does not affect them.
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