Large scale sterilization equipment MCQs With Answer is an essential resource for B.Pharm students focused on pharmaceutical manufacturing, quality control, and aseptic processing. This concise, SEO-friendly introduction emphasizes large-scale sterilization equipment topics such as steam autoclaves, dry heat, ethylene oxide, hydrogen peroxide, gamma irradiation, filtration, validation (IQ/OQ/PQ), biological indicators, D- and Z-values, F0 concept, and sterility assurance. These MCQs are designed to deepen conceptual understanding, link theory to GMP practice, and improve exam and interview readiness. Each question includes clear answers and brief rationales to aid retention. Now let’s test your knowledge with 50 MCQs on this topic.
Q1. What is the standard sterilization temperature and time often used as a reference for F0 calculations in moist heat sterilization?
- 121°C for 15 minutes
- 134°C for 3 minutes
- 115°C for 30 minutes
- 160°C for 2 hours
Correct Answer: 121°C for 15 minutes
Q2. Which biological indicator microorganism is most commonly used to monitor steam sterilization?
- Bacillus subtilis spores
- Bacillus stearothermophilus spores
- Geobacillus stearothermophilus spores
- Staphylococcus aureus
Correct Answer: Geobacillus stearothermophilus spores
Q3. What does SAL (Sterility Assurance Level) of 10^-6 signify?
- One in a million probability of a non-sterile unit
- One in a thousand probability of a non-sterile unit
- Zero chance of contamination
- Sterilization achieved at 121°C
Correct Answer: One in a million probability of a non-sterile unit
Q4. Which sterilization method is recommended for heat-sensitive injectable solutions?
- Steam autoclaving
- Ethylene oxide gas
- Membrane filtration (0.22 µm)
- Dry heat sterilization
Correct Answer: Membrane filtration (0.22 µm)
Q5. In a gravity displacement autoclave cycle, how is air removed from the chamber?
- Pre-vacuum pump removes air before steam
- Air is displaced downward by incoming steam
- Compressed air purge forces air out
- Vacuum is created during cooling
Correct Answer: Air is displaced downward by incoming steam
Q6. What is the primary purpose of a Bowie-Dick test?
- To verify sterility of a load
- To detect residual ethylene oxide
- To assess air removal and steam penetration in pre-vacuum sterilizers
- To measure dry heat oven efficiency
Correct Answer: To assess air removal and steam penetration in pre-vacuum sterilizers
Q7. Which parameter represents the time required at a given temperature to reduce the microbial population by one log (90%)?
- Z-value
- D-value
- F0-value
- SAL
Correct Answer: D-value
Q8. What does the Z-value indicate in thermal inactivation studies?
- Temperature increase to achieve a tenfold change in D-value
- Time to achieve sterilization at 121°C
- pH dependence of heat resistance
- Number of spores surviving a cycle
Correct Answer: Temperature increase to achieve a tenfold change in D-value
Q9. Which sterilization method is most suitable for decontaminating plastic disposable syringes at industrial scale?
- Dry heat sterilization
- Gamma irradiation
- Autoclave steam sterilization
- Ethylene oxide gas sterilization
Correct Answer: Gamma irradiation
Q10. What is the main advantage of pre-vacuum (prevac) steam sterilizers over gravity displacement sterilizers?
- Lower capital cost
- Better steam penetration into porous loads and packaged items
- No need for biological indicators
- They operate at lower temperatures
Correct Answer: Better steam penetration into porous loads and packaged items
Q11. For dry heat depyrogenation, which temperature-time combination is commonly used for glassware?
- 160°C for 2 hours
- 180°C for 30 minutes
- 250°C for 30 minutes
- 121°C for 15 minutes
Correct Answer: 250°C for 30 minutes
Q12. Which indicator provides immediate visual confirmation of exposure to sterilization conditions but not sterility?
- Biological indicator
- Chemical indicator
- Sterility test
- Endotoxin test
Correct Answer: Chemical indicator
Q13. Which of the following is a critical part of sterilizer validation?
- Only IQ (Installation Qualification)
- IQ, OQ (Operational Qualification), and PQ (Performance Qualification)
- Only daily biological indicator runs
- Random equipment cleaning records
Correct Answer: IQ, OQ (Operational Qualification), and PQ (Performance Qualification)
Q14. Ethylene oxide sterilization is most suitable for which type of materials?
- Heat- and moisture-sensitive medical devices
- Endotoxin removal from water
- Glass ampoules for terminal sterilization
- Sterilizing bulk powders at high temperature
Correct Answer: Heat- and moisture-sensitive medical devices
Q15. What is the typical pore size of a sterilizing-grade membrane filter used for aqueous pharmaceutical solutions?
- 0.45 µm
- 0.22 µm
- 0.8 µm
- 1.2 µm
Correct Answer: 0.22 µm
Q16. Which parameter is most directly increased to achieve higher lethality in a steam sterilization cycle?
- Decrease chamber pressure
- Reduce temperature
- Increase temperature or time (F0 increase)
- Increase load density
Correct Answer: Increase temperature or time (F0 increase)
Q17. What is the purpose of using biological indicators (BIs) during sterilization validation?
- To measure pH changes during sterilization
- To provide a resistant test organism to demonstrate microbial kill
- To indicate steam exposure visually
- To test filter integrity
Correct Answer: To provide a resistant test organism to demonstrate microbial kill
Q18. Which sterilization method can inactivate endotoxins (pyrogens) effectively?
- Steam sterilization at 121°C
- Dry heat depyrogenation at high temperature
- Filtration through 0.22 µm filters
- Gamma irradiation at low dose
Correct Answer: Dry heat depyrogenation at high temperature
Q19. During steam sterilization, what is condensate and why is it important?
- Condensate is evaporated steam and it cools the load
- Condensate is liquid formed from steam; excessive condensate can reduce sterilization effectiveness by creating cold spots
- Condensate is chemical residue that indicates sterilant failure
- Condensate increases chamber pressure to aid sterilization
Correct Answer: Condensate is liquid formed from steam; excessive condensate can reduce sterilization effectiveness by creating cold spots
Q20. What does the term “overkill” approach in sterilization validation imply?
- Using the smallest possible cycle that achieves sterility
- Applying a sterilization regime that provides a large margin of safety beyond the minimum required to achieve sterility
- Sterilizing only a fraction of the production batch
- Using chemical indicators instead of biological indicators
Correct Answer: Applying a sterilization regime that provides a large margin of safety beyond the minimum required to achieve sterility
Q21. Which test is essential to confirm the integrity of sterilizing-grade membrane filters after filtration?
- Bowie-Dick test
- Bubble point or pressure-hold integrity test
- Endotoxin test
- F0 calculation
Correct Answer: Bubble point or pressure-hold integrity test
Q22. What is the typical biological indicator organism used for ethylene oxide sterilization validation?
- Geobacillus stearothermophilus spores
- Bacillus atrophaeus (formerly Bacillus subtilis var. niger) spores
- Escherichia coli
- Pseudomonas aeruginosa
Correct Answer: Bacillus atrophaeus (formerly Bacillus subtilis var. niger) spores
Q23. What does a failed Bowie-Dick test indicate in a pre-vacuum sterilizer?
- Excessive chamber temperature
- Inadequate air removal or steam penetration
- Excessive vacuum level
- Proper sterilizer performance
Correct Answer: Inadequate air removal or steam penetration
Q24. Which parameter is most relevant when validating dry heat sterilization for depyrogenation?
- Moisture content in the oven
- Holding time at specified high temperature to achieve required endotoxin reduction
- Steam quality
- Use of biological indicators for vegetative bacteria
Correct Answer: Holding time at specified high temperature to achieve required endotoxin reduction
Q25. What role does temperature mapping play in sterilizer qualification?
- Determines thermal uniformity and identifies cold spots in the chamber and loads
- Measures humidity only
- Checks filter pore size
- Calculates SAL directly
Correct Answer: Determines thermal uniformity and identifies cold spots in the chamber and loads
Q26. Which is a critical control parameter for ethylene oxide sterilization cycles?
- Relative humidity and temperature during exposure
- Chamber steam pressure only
- Bubble point of filters
- Gamma dose distribution
Correct Answer: Relative humidity and temperature during exposure
Q27. Why is aeration required after ethylene oxide sterilization?
- To dry the load
- To allow residual EO and by-products to dissipate to acceptable levels
- To cool the chamber
- To increase sterilization efficacy
Correct Answer: To allow residual EO and by-products to dissipate to acceptable levels
Q28. Which instrument is commonly used to monitor steam quality (presence of non-condensable gases) in an autoclave?
- Thermocouple mapping only
- Bowie-Dick test pack
- Bubble point tester
- pH meter
Correct Answer: Bowie-Dick test pack
Q29. What is F0 value in sterilization terminology?
- The equivalent minutes at 121°C delivered by a moist heat cycle
- The pH required for sterilization
- The filter rating in micrometers
- The number of surviving organisms after sterilization
Correct Answer: The equivalent minutes at 121°C delivered by a moist heat cycle
Q30. In industrial sterilization, what does “load configuration” influence most directly?
- Sterilizer color
- Steam penetration and heat transfer to the product
- Filter integrity tests
- Biological indicator selection
Correct Answer: Steam penetration and heat transfer to the product
Q31. Which of the following is a limitation of membrane filtration for sterilization?
- It removes endotoxins effectively
- It cannot remove viruses or mycoplasma reliably depending on pore size and filter type
- It inactivates spores efficiently
- It is suitable for opaque suspensions
Correct Answer: It cannot remove viruses or mycoplasma reliably depending on pore size and filter type
Q32. What is the primary safety concern with ethylene oxide sterilizers that necessitates strict controls?
- EO is non-flammable and inert
- EO is toxic, carcinogenic, and flammable requiring exposure and environmental controls
- EO generates excessive steam
- EO degrades metal instruments
Correct Answer: EO is toxic, carcinogenic, and flammable requiring exposure and environmental controls
Q33. Which sterilization technology uses low-temperature vaporized hydrogen peroxide for equipment and room decontamination?
- Gamma irradiation
- VH2O2 (vaporized hydrogen peroxide) sterilization
- Dry heat depyrogenation
- Ultraviolet sterilization only
Correct Answer: VH2O2 (vaporized hydrogen peroxide) sterilization
Q34. For sterilizing lyophilized pharmaceuticals in sealed glass vials, which method is most commonly applied industrially?
- Filtration of vials
- Terminal steam sterilization of filled vials (if formulation permits) or aseptic processing with sterile filtration
- Dry heat depyrogenation of filled vials
- Gamma irradiation of filled vials always
Correct Answer: Terminal steam sterilization of filled vials (if formulation permits) or aseptic processing with sterile filtration
Q35. During sterilizer PQ, what is the purpose of placing biological indicators in the most challenging locations?
- To shorten cycle times
- To ensure the cycle achieves required lethality even in worst-case positions
- To save on the number of indicators used
- To validate chemical indicators only
Correct Answer: To ensure the cycle achieves required lethality even in worst-case positions
Q36. Which parameter does a chemical integrator indicator measure in sterilization packs?
- Bioburden count
- Exposure to a combination of sterilization parameters (time, temperature, steam) indicating process exposure
- Filter porosity
- Endotoxin levels
Correct Answer: Exposure to a combination of sterilization parameters (time, temperature, steam) indicating process exposure
Q37. What is a common sterility test performed to detect viable microorganisms in a finished pharmaceutical product?
- F0 calculation
- Membrane filtration sterility test or direct inoculation methods described in pharmacopeias
- Bowie-Dick test
- Bubble point test
Correct Answer: Membrane filtration sterility test or direct inoculation methods described in pharmacopeias
Q38. Which term describes the reduction in microbial population achieved by a sterilization process?
- Bioburden increase
- Lethality or microbial log reduction
- Filter validation
- Residual toxicity
Correct Answer: Lethality or microbial log reduction
Q39. What is the role of load challenge studies in sterilization validation?
- To test only empty chamber performance
- To simulate the most difficult-to-sterilize product configurations and confirm process robustness
- To calibrate thermocouples only
- To measure residual moisture after sterilization
Correct Answer: To simulate the most difficult-to-sterilize product configurations and confirm process robustness
Q40. Which regulatory guidance is often referenced for sterilization validation and documentation in pharmaceutical manufacturing?
- ICH Q7 and relevant pharmacopeia chapters such as USP <1211> and ISO standards where applicable
- Only local building codes
- Food labeling regulations
- Clinical trial protocols
Correct Answer: ICH Q7 and relevant pharmacopeia chapters such as USP <1211> and ISO standards where applicable
Q41. What is the typical effect of increased load density on sterilization cycle performance if not compensated?
- Improved steam penetration automatically
- Poorer heat transfer leading to potential cold spots and under-processing
- No effect at all
- Instant sterilization
Correct Answer: Poorer heat transfer leading to potential cold spots and under-processing
Q42. Why are sterility assurance levels important in risk-based decision making?
- They define the acceptable probability of a non-sterile unit, guiding process design and validation to manage patient risk
- They set the color code for sterilizers
- They are only relevant for hospital laundry services
- They replace biological indicators
Correct Answer: They define the acceptable probability of a non-sterile unit, guiding process design and validation to manage patient risk
Q43. Which sterilization method relies on ionizing radiation to inactivate microorganisms?
- Autoclaving
- Gamma irradiation or electron beam sterilization
- Ethylene oxide only
- Dry heat at 160°C
Correct Answer: Gamma irradiation or electron beam sterilization
Q44. What is the main consideration when selecting sterilization method for a biopharmaceutical product?
- Only cost of equipment
- Product stability, container-closure compatibility, and required sterility assurance
- Color of packaging
- Facility location
Correct Answer: Product stability, container-closure compatibility, and required sterility assurance
Q45. Which of the following is a sign of incomplete sterilization in an autoclave load?
- All chemical indicators show expected change and BIs are inactivated
- Localized wetness or unprocessed cold spots and positive biological indicators
- Decreased chamber pressure beyond limits
- Shorter cycle time with full sterilization guaranteed
Correct Answer: Localized wetness or unprocessed cold spots and positive biological indicators
Q46. What is the significance of “sterile barrier system” in aseptic processing?
- It is unrelated to sterilization
- The system of packaging and components that maintains sterility after a sterilization or during aseptic assembly
- A test for endotoxins
- An instrument to measure autoclave pressure
Correct Answer: The system of packaging and components that maintains sterility after a sterilization or during aseptic assembly
Q47. How is gamma irradiation dose typically measured for sterilization purposes?
- In degrees Celsius
- In kilograys (kGy)
- In minutes at 121°C
- In atmospheric pressure units
Correct Answer: In kilograys (kGy)
Q48. Which of the following best describes sterilant residual concerns for hydrogen peroxide vapor sterilization?
- No residues form and no aeration is required
- Residual hydrogen peroxide must be removed or decomposed to safe levels before product release
- Residues are always beneficial
- Residues are only an issue for gamma irradiation
Correct Answer: Residual hydrogen peroxide must be removed or decomposed to safe levels before product release
Q49. What is the purpose of using process challenge devices (PCDs) in sterilization validation?
- To validate HVAC systems only
- To simulate product with defined challenge to verify sterilant penetration and lethality
- To replace biological indicators entirely
- To measure endotoxin concentrations
Correct Answer: To simulate product with defined challenge to verify sterilant penetration and lethality
Q50. Which monitoring practice is essential for routine control of large-scale sterilizers in a GMP environment?
- Random undocumented cycles
- Routine use of chemical indicators, scheduled biological indicator testing, cycle recording and review, and periodic requalification
- Only annual visual inspection
- Discarding biological indicator results
Correct Answer: Routine use of chemical indicators, scheduled biological indicator testing, cycle recording and review, and periodic requalification

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