Applications of sterilization methods MCQs With Answer

Applications of sterilization methods MCQs With Answer focuses on practical sterilization principles essential for B.Pharm students. This SEO-rich introduction covers applications of sterilization methods — autoclaving, dry heat, filtration, ethylene oxide, gamma irradiation and chemical sterilants — and their roles in aseptic processing, sterilization validation, sterility assurance level (SAL), bioburden control and pharmaceutical packaging. Understanding mechanisms, parameters, indicator selection and compatibility with drugs and equipment prepares students for quality control, regulatory compliance and industrial pharmacy tasks. Clear examples and targeted questions help reinforce decision-making for sterile product manufacturing and validation. Now let’s test your knowledge with 50 MCQs on this topic.

Q1. What is the primary application of autoclaving in pharmaceutical manufacturing?

  • Sterilization of heat-sensitive injectable solutions
  • Sterilization of heat-stable surgical instruments and glassware
  • Sterilization of plastic disposable syringes using gas
  • Terminal sterilization of finished proteins

Correct Answer: Sterilization of heat-stable surgical instruments and glassware

Q2. Which sterilization method is most suitable for heat-sensitive sterile injectables?

  • Dry heat sterilization
  • Saturated steam autoclaving
  • Membrane filtration using 0.22 µm filters
  • Moist heat at 121°C for 30 minutes

Correct Answer: Membrane filtration using 0.22 µm filters

Q3. What is the sterile filter pore size commonly accepted for sterilizing pharmaceutical solutions?

  • 1.2 µm
  • 0.45 µm
  • 0.22 µm
  • 0.05 µm

Correct Answer: 0.22 µm

Q4. Which biological indicator is most commonly used to validate steam sterilization cycles?

  • Bacillus subtilis spores
  • Geobacillus stearothermophilus spores
  • Escherichia coli cells
  • Pseudomonas aeruginosa cells

Correct Answer: Geobacillus stearothermophilus spores

Q5. Which sterilization method uses ethylene oxide gas and is chosen for heat- and moisture-sensitive medical devices?

  • Gamma irradiation
  • Autoclaving
  • Ethylene oxide (EtO) sterilization
  • Dry heat sterilization

Correct Answer: Ethylene oxide (EtO) sterilization

Q6. What does SAL (Sterility Assurance Level) 10^-6 indicate?

  • One viable microorganism remains per batch
  • Probability of one non-sterile unit in one million sterile units
  • Sterilization achieved by double autoclaving
  • Sterility achieved only by filtration

Correct Answer: Probability of one non-sterile unit in one million sterile units

Q7. Which sterilization method is most appropriate for polymer single-use devices sensitive to heat and moisture?

  • Dry heat at 160°C
  • Steam autoclaving
  • Gamma irradiation at validated dose
  • Boiling in water

Correct Answer: Gamma irradiation at validated dose

Q8. What is the main mechanism by which moist heat (steam) sterilizes?

  • Oxidation of microbial membranes
  • Hydrolysis of cell wall components
  • Coagulation and denaturation of microbial proteins
  • Removal of water from microbial cells

Correct Answer: Coagulation and denaturation of microbial proteins

Q9. Which parameter defines the time required at a given temperature to reduce a microbial population by 90%?

  • Z-value
  • D-value
  • F0-value
  • SAL

Correct Answer: D-value

Q10. The Z-value in thermal sterilization indicates:

  • Time to reduce population by one log at a fixed temperature
  • Temperature increase required to reduce D-value by a factor of ten
  • Total heat delivered during a cycle
  • Sterility assurance level achieved

Correct Answer: Temperature increase required to reduce D-value by a factor of ten

Q11. Which chemical sterilant is commonly used for low-temperature sterilization of heat-sensitive medical equipment by vapor?

  • Ethylene oxide
  • Hydrogen peroxide vapor
  • Glutaraldehyde liquid immersion
  • Saturated steam

Correct Answer: Hydrogen peroxide vapor

Q12. Which test is used to evaluate steam penetration in pre-vacuum autoclaves?

  • Bowie-Dick test
  • Geobacillus sterility test
  • F0 test
  • VHP validation strip

Correct Answer: Bowie-Dick test

Q13. For the sterilization of bulk heat-stable powders, which method is commonly applied?

  • Filtration through 0.22 µm filter
  • Ethylene oxide sterilization
  • Dry heat sterilization
  • Gamma irradiation at 5 kGy

Correct Answer: Dry heat sterilization

Q14. What is a common standardized dose for gamma irradiation sterilization of medical devices?

  • 1 kGy
  • 10 kGy
  • 25 kGy
  • 100 kGy

Correct Answer: 25 kGy

Q15. Which sterilization approach is best for removing endotoxins from parenteral solutions?

  • Autoclaving at 121°C for 15 min
  • Membrane filtration with depyrogenation by dry heat
  • Ethylene oxide sterilization
  • Gamma irradiation

Correct Answer: Membrane filtration with depyrogenation by dry heat

Q16. In sterilization validation, what does “overkill” approach mean?

  • Using repeated low-level sterilization cycles
  • Selecting a cycle that achieves at least a 12-log reduction of a resistant test organism
  • Using chemical sterilants beyond expiration
  • Applying sterilization to products that do not require it

Correct Answer: Selecting a cycle that achieves at least a 12-log reduction of a resistant test organism

Q17. Which indicator provides a direct measure of lethality by using highly resistant spores?

  • Chemical indicator tape
  • Biological indicator
  • Integrating temperature probe
  • Autoclave printout

Correct Answer: Biological indicator

Q18. What is the main limitation of using autoclaving for sterilizing certain pharmaceutical formulations?

  • Insufficient kill of spores
  • Chemical residues remain after autoclave
  • Thermal degradation of heat-sensitive active ingredients
  • Inability to sterilize glassware

Correct Answer: Thermal degradation of heat-sensitive active ingredients

Q19. Which method is preferred to sterilize oxygen-sensitive aqueous solutions?

  • Steam autoclave
  • Gamma irradiation
  • Membrane filtration under aseptic conditions
  • Dry heat oven

Correct Answer: Membrane filtration under aseptic conditions

Q20. Which indicator color change denotes exposure to steam sterilization conditions for a chemical indicator strip?

  • No color change
  • Random speckling
  • Specific color change indicated by manufacturer (e.g., brown to black)
  • Fluorescence under UV

Correct Answer: Specific color change indicated by manufacturer (e.g., brown to black)

Q21. Which sterilization method relies on alkylation of proteins and DNA and requires long aeration times to remove residues?

  • Gamma irradiation
  • Ethylene oxide sterilization
  • Dry heat sterilization
  • Hydrogen peroxide vapor

Correct Answer: Ethylene oxide sterilization

Q22. When sterilizing a biological safety cabinet HEPA filter, which method is commonly used?

  • Autoclaving the filter in place
  • Vaporized hydrogen peroxide decontamination
  • Membrane filtration
  • Immersion in glutaraldehyde

Correct Answer: Vaporized hydrogen peroxide decontamination

Q23. Which parameter is typically monitored continuously during a validated steam sterilization cycle?

  • Relative humidity outside the chamber
  • Chamber temperature, pressure and time
  • Flow rate of autoclave vacuum pump
  • Chemical residues on product

Correct Answer: Chamber temperature, pressure and time

Q24. Which sterilization technique is effective for endoscope flexible channels while avoiding heat damage?

  • Dry heat sterilization
  • High-level disinfection or low-temperature sterilization (e.g., EtO or peracetic acid)
  • Autoclaving at 121°C
  • Boiling

Correct Answer: High-level disinfection or low-temperature sterilization (e.g., EtO or peracetic acid)

Q25. What does a biological indicator showing growth after incubation indicate about the sterilization cycle?

  • Cycle was successful and over-effective
  • Sterilization failed or was insufficient
  • Chemical indicator must be replaced
  • Packaging integrity is perfect

Correct Answer: Sterilization failed or was insufficient

Q26. What is the main advantage of using vaporized hydrogen peroxide (VHP) for sterilization?

  • High thermal penetration into dense loads
  • Short cycle times, no toxic residues after aeration
  • Leaves long-lasting antimicrobial residues
  • Suitable for sterilizing liquids

Correct Answer: Short cycle times, no toxic residues after aeration

Q27. Which sterilization method is least likely to penetrate dense or multilayer packaging effectively?

  • Gamma irradiation
  • Ethylene oxide gas
  • Saturated steam without proper penetration testing
  • Vaporized hydrogen peroxide

Correct Answer: Saturated steam without proper penetration testing

Q28. Why is aeration required after ethylene oxide sterilization?

  • To allow steam to condense
  • To remove toxic ethylene oxide residues from materials
  • To cool the sterilized load
  • To sterilize packaging labels

Correct Answer: To remove toxic ethylene oxide residues from materials

Q29. Which sterilization process variable does the F0 value integrate for steam sterilization?

  • Total microbial count before sterilization
  • Time-equivalent at 121.1°C for a defined lethality
  • Amount of chemical sterilant used
  • Pore size of sterile filters

Correct Answer: Time-equivalent at 121.1°C for a defined lethality

Q30. In aseptic processing, what is the primary application of laminar flow hoods?

  • Sterilizing products with dry heat
  • Providing unidirectional clean air to protect the product from contamination
  • Sterilizing instruments using steam
  • Measuring microbial contamination in rooms

Correct Answer: Providing unidirectional clean air to protect the product from contamination

Q31. What is a common use of peracetic acid in pharmaceutical sterilization?

  • Sterilizing large-volume parenteral solutions by filtration
  • Automated endoscope reprocessor high-level disinfection
  • Dry heat depyrogenation
  • Gamma sterilization replacement for plastics

Correct Answer: Automated endoscope reprocessor high-level disinfection

Q32. Which of the following best describes a sterility test for a pharmaceutical product?

  • Measurement of endotoxin concentration only
  • Culturing a sample in suitable media to detect viable microorganisms
  • Measuring residual sterilant levels
  • Counting spores on filter membranes only

Correct Answer: Culturing a sample in suitable media to detect viable microorganisms

Q33. For dry heat sterilization, which temperature–time combination is commonly used for glassware depyrogenation?

  • 121°C for 15 minutes
  • 160°C for 2 hours
  • 80°C for 30 minutes
  • 37°C for 24 hours

Correct Answer: 160°C for 2 hours

Q34. Which microorganism is often used as a biological indicator for dry heat sterilization validation?

  • Geobacillus stearothermophilus
  • Bacillus pumilus or Bacillus subtilis spores
  • Escherichia coli
  • Staphylococcus aureus

Correct Answer: Bacillus pumilus or Bacillus subtilis spores

Q35. What is the purpose of prefiltration using a 0.45 µm filter before sterilizing by 0.22 µm filtration?

  • To produce sterile air for laminar flow
  • To remove large particulates and extend life of sterilizing filter
  • To sterilize via chemical action
  • To reduce endotoxin levels

Correct Answer: To remove large particulates and extend life of sterilizing filter

Q36. Which sterilization method is commonly used for final terminal sterilization of sealed, heat-stable parenteral preparations?

  • Membrane filtration
  • Steam sterilization (autoclave)
  • Ethylene oxide
  • Hydrogen peroxide vapor

Correct Answer: Steam sterilization (autoclave)

Q37. In sterilization validation, what is “bioburden”?

  • Sterility Assurance Level target
  • Initial population of viable microorganisms on product before sterilization
  • Amount of residual sterilant on product
  • Filter integrity value

Correct Answer: Initial population of viable microorganisms on product before sterilization

Q38. Which test assesses the integrity of sterilizing-grade membrane filters after filtration?

  • Bubble point test
  • F0 test
  • Bowie-Dick test
  • Biological indicator incubation

Correct Answer: Bubble point test

Q39. Which sterilization agent is used for cold sterilization of heat-sensitive biological materials and requires extended contact times in liquid form?

  • Gamma irradiation
  • Glutaraldehyde solution (high-level disinfectant/sterilant)
  • Dry heat
  • Autoclave steam

Correct Answer: Glutaraldehyde solution (high-level disinfectant/sterilant)

Q40. Which of the following is an advantage of radiation sterilization (gamma or electron beam)?

  • No need for validation
  • High temperature exposure increases potency
  • Sterilizes in packaged state with good penetration for many materials
  • Leaves safe chemical residues on products

Correct Answer: Sterilizes in packaged state with good penetration for many materials

Q41. Which cleaning/sterilization consideration is critical when choosing a sterilization method for a pharmaceutical container-closure system?

  • Color of the label
  • Compatibility of materials with chosen sterilant and packaging integrity
  • Manufacturer’s logo placement
  • Shipping route

Correct Answer: Compatibility of materials with chosen sterilant and packaging integrity

Q42. Which area classification relates to aseptic processing where sterile products are exposed and requires highest air quality?

  • ISO Class 8
  • ISO Class 7
  • ISO Class 5 (Grade A)
  • Non-classified area

Correct Answer: ISO Class 5 (Grade A)

Q43. What does a chemical indicator on a sterilization pack tell you?

  • Definitive proof of sterility
  • That specific physical conditions (e.g., temperature, steam) were met externally
  • Microbial kill achieved
  • Sterilant residual concentration

Correct Answer: That specific physical conditions (e.g., temperature, steam) were met externally

Q44. For aseptic filling of parenterals, which sterilization concept is essential for components entering the sterile zone?

  • Use of contaminated seals to prevent leaks
  • Sterilization and/or aseptic transfer (e.g., sterile filtration of liquids, terminal sterilization of closures or sterile barrier systems)
  • Removal of all packaging before filling
  • Using only dry heat for all components

Correct Answer: Sterilization and/or aseptic transfer (e.g., sterile filtration of liquids, terminal sterilization of closures or sterile barrier systems)

Q45. Which parameter is NOT directly part of steam sterilization cycle control?

  • Temperature
  • Pressure
  • Time
  • pH of sterilant

Correct Answer: pH of sterilant

Q46. What is the primary concern when using gamma irradiation on certain polymeric materials?

  • Improved mechanical strength always
  • Potential for polymer degradation or changes in material properties
  • Unlimited shelf life extension
  • Elimination of all chemical residues

Correct Answer: Potential for polymer degradation or changes in material properties

Q47. Which practice helps ensure sterility of final parenteral products during aseptic filling?

  • Random door opening in cleanroom during filling
  • Strict environmental monitoring and operator aseptic technique
  • Minimizing cleaning cycles to save time
  • Using unverified disinfectants

Correct Answer: Strict environmental monitoring and operator aseptic technique

Q48. Which sterilization method can inactivate prions least effectively and therefore is not recommended alone for prion decontamination?

  • Autoclaving at 134°C for extended time is fully effective
  • Standard autoclaving may be insufficient; specialized protocols needed
  • Ethylene oxide is highly effective for prions
  • Gamma irradiation reliably inactivates prions at low doses

Correct Answer: Standard autoclaving may be insufficient; specialized protocols needed

Q49. Which documentation is essential after each validated sterilization cycle in a pharmaceutical facility?

  • Only a verbal confirmation
  • Physical cycle printout, biological indicator results, and batch record entry
  • Uncontrolled handwritten note
  • No documentation required for terminal sterilization

Correct Answer: Physical cycle printout, biological indicator results, and batch record entry

Q50. Which factor most strongly affects the choice between filtration and terminal sterilization for a sterile drug product?

  • Color preference of manufacturer
  • Thermal and chemical stability of the drug and container-closure system
  • Shipping cost
  • Number of marketing approvals

Correct Answer: Thermal and chemical stability of the drug and container-closure system

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