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Microbiology · General microbiology: sterilisation
Sample itemA hospital needs to sterilise a heat-labile, moisture-sensitive fibreoptic endoscope accessory between cases without leaving toxic residues. Which method is most suitable?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Hydrogen peroxide gas plasma at low temperature
Low-temperature hydrogen peroxide gas plasma sterilises heat- and moisture-sensitive instruments in under an hour and leaves only water and oxygen as by-products. It cannot be used for liquids, powders or cellulose materials. Steam and dry heat damage delicate devices, and boiling does not kill spores.
Option by option
A. Boiling in water for 20 minutes
Boiling is only disinfection; it does not destroy bacterial spores.
B. Hydrogen peroxide gas plasma at low temperature (correct)
Correct. The plasma process works near 50 degrees Celsius and leaves no toxic residue.
C. Hot air oven at 160 degrees Celsius for 2 hours
Dry heat at 160 degrees Celsius would melt or distort the device components.
D. Autoclaving at 121 degrees Celsius for 15 minutes
Moist heat at 121 degrees Celsius would damage the optics, adhesives and plastics.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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