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ADC Practice Question — Clean and Contaminated Zones

What must be done when a steam steriliser undergoes…

Infection control in the ADC exam tests decision-making around exposure incidents, instrument classification, and decontamination protocols. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

Priya is the practice manager at Sunshine Dental Clinic. The practice has recently purchased a new steam steriliser and is preparing for the annual validation of their existing washer-disinfector. She needs to ensure all documentation and procedures are compliant with ICG requirements. What must be done when a steam steriliser undergoes major repairs that have led to non-conforming items?

  • A. Basic functionality testing only
  • B. Chemical indicator testing for 24 hours
  • C. Full Performance Qualification (PQ) must be performed
  • D. Simple biological indicator test
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Sources cited
Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more
Show the answer and cited explanation
Correct answer: C

Where steam steriliser equipment failures have led to non-conforming items, the steriliser that has undergone a major repair needs to have full PQ performed to verify it is suitable to be returned to service (ICG p.54)

Source: ICG Section 7: Equipment Repairs
Remy's study tip — The differentiator is usually the Spaulding classification level or the step order in a protocol.

Exam preparation FAQ

How should I prepare for Infection Control in the ADC exam?
Build competence across all topics. The exam tests application of guidelines to clinical scenarios, not memorisation.
How do I approach an unfamiliar Clean and Contaminated Zones vignette?
Extract key clinical data from the stem before reading options. There are usually 3–4 critical variables that determine the correct answer.

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