UKMSSB CSSD/OT Technician Syllabus 2025 & Exam Pattern

The Uttarakhand Medical Service Selection Board has issued notification on 79 Posts of CSSD (Central Sterile Supply Department) Technician. Applicants who are eligible for the given CSSD/OT technician recruitment can check their examination syllabus and exam scheme related to this recruitment.

Uttarakhand CSSD Technician Exam Pattern 2025

1. The exam will be conduced offline on OMR answer sheet.
2. The question paper will have 100 questions.
3. Each question carry one mark each.
4. There will be negative marking of 0.25 marks against each wrong answer, however no marks will be deducted for unattempted question.
5. The question paper will be provided in Hindi and English Language both.
6. Minimum 45% marks are required to qualify written exam for candidates applying from General, OBC and EWS category. For SC and ST, 35% marks are required to qualify written exam.

UKMSSB CSSD/OT Technician Syllabus 2025

As per official notification, the syllabus is described below:-

• General Anatomy & Physiology, Biochemistry, Microbiology & Pathology
• Store management & Inventory control
• Sterilisation Principal, technique & instrumentation, Disinfection
• Introduction to CSSD Services, CSSD Planning and Infection Control, Safety in CSSD
• Surgical Instruments and Procedures (linen Packaging Materials Dressing Material)
• Quality Assurance in CSSD
• Safety and First Aid
• Bio medical waste management

Basics of Human Anatomy & Physiology

1. Terminology and General Plan of the Body, Body Parts and Areas, Terms of Location and Position, Body Cavities and Their Membranes, Dorsal cavity, Ventral cavity, Planes and Sections, 
2. Cells: Structure, function and location, Prokaryotic and eukaryotic cells, Cell organelles, Cell division.
3. Tissue, Types, Structure, Location and Function of Epithelial Tissue, Connective Tissue, Muscle Tissue, Nerve Tissue, Membranes, Glandular tissue The Integumentary System: structure and function of The Skin, Subcutaneous Tissue, Musculoskeletal System: Basic anatomy of important muscles and bones.
4. Cell physiology: Structure, membrane, transport across cell membrane, Active, Passive, Organization of the Body, Body Composition, Body Fluid Volumes and its measurement, Diffusion, Osmosis, Tonicity, Homeostasis
5. Blood-composition, function, cellular component & their function, haemoglobin & anaemia, blood groups and coagulation
6. Cardiovascular system: Basic anatomy of heart and important blood vessels Brief introduction about Lymphatic System, The Nervous System: Basic anatomy of brain and spinal cord, meninges and cerebrospinal fluid, Cranial, Endocrine System: Brief anatomy of Pituitary, Thyroid, Parathyroid, Pancreas, Adrenal, Special Senses: Basic anatomy of eye, ear and nose
7. Genitourinary system: Basic anatomy of kidney and associated organs, male reproductive organs, female reproductive organs, Respiratory system: Basic anatomy of nose, larynx, trachea, bronchi and lung, Digestive system: basic anatomy of esophagus, stomach, small intestine, large intestine, liver, gall bladder, pancreas
8. Cardiovascular system-general arrange, heart, arteries, veins and capillaries, heart structure and function, cardiac cycle, heart sounds, heart rate, blood pressure, mechanism of circulation, definition of hypertension & shock ,Respiratory system: parts of respiratory system, mechanism of respiration, pulmonary function, pulmonary circulation, lungs volume, Gas transport between lungs and tissues, Definition of hypoxia, dyspnoea, cyanosis, asphyxia and obstructive airways diseases 
9. Gastrointestinal physiology: Organs of GIT and their structure & function, secretion, digestion, absorption and assimilation, gastrointestinal hormones, physiology of digestion of carbohydrates, proteins & lipids, Structure & function of liver, spleen, gall bladder & pancreas, Jaundice, Cirrhosis & Pancreatitis.
10. Excretory System: Kidneys, Nephron, Mechanism of Excretion, Urine formation (Glomerular filtration and Tubular reabsorption) , Electrolytes: their balances and imbalances Introduction of acidosis and alkalosis , Muscle nerve physiology, types of muscles, their gross structural and functional difference with reference to properties
11. Nervous system- general organization of CNS, function of important structure and spinal cord, neuron, nerve impulse, type of nerves according to function, Autonomic nervous system organization & function Special senses-general organization & functions
12. Endocrine System: Brief introduction about endocrine glands and their secretion, common endocrinological disorder such as diabetes mellitus, hyper & hypothyroidism, dwarfism, gigantism, tetany. 
13. Reproductive System: male & female reproductive organs, sex hormones, secondary sexual characteristics, puberty, spermatogenesis, oogenesis, menstrual cycle, pregnancy, menopause, contraceptive measures.

Basics of Biochemistry

1. Introduction to Basics of Bio-chemistry
2. Glassware and plastic ware used in a bio-chemical laboratory.
3. Instrumental methods of Bio-chemical analysis: Colorimetry, Spectrophotometry, Centrifugation, Filtration, Weighing, Evoporation and Distillation
4. Units of measurements, solutions: types based on solute and solvent, Types based on method of expressing concentration, calculations.
5. Carbohydrates: Definitions, Biological importance, Acid value, iodine value, saponification value.
6. Amino acids and Proteins Definition, Biological importance, Classification.
7. Basics of Enzymes
8. Chemistry of Proteins & their related metabolism
9. Chemistry of Lipids & their related metabolism
10. Vitamins and Minerals

Microbiology & Pathology

1. Introductory microbiology: Introduction to and brief of microbiology, scope and relevance of microbiology, modern developments in microbiology, explain the types and methods of sterilisation, use and types of microscopes; bright microscope, field microscopy, dark field microscopy, phase contrast microscopy, electron microscopy.
2. Morphology and structure of microorganisms: Morphology and structure of bacteria, fungi, actinomycete and algae etc., microscopic examination of microorganisms, preparation of culture media, spread plates, pour plates, types of selective and differential media, separation of pure cultures, principles and uses of microbiology equipment’s and instruments.
3. Stains used in microbiology: Introduction to stains; importance of stain in microbiology; types of stains in detailed giving example-simple stain differential stain, negative stain, impregnation method; special staining for certain bacteria, bacterial spores, parasites and fungi; principle, procedure, application and result, interpretation of gram staining and Ziehl Neelsen staining.
4. Use of microscope in examination of unstained bacteria, fungi, algae, parasites and stained cell preparations including simple staining, Gram’s staining, acid fast staining, capsule staining, spore staining using
5. prokaryotic and eukaryotic cells, hanging drop preparation.
6. Preparation of culture media, spread plates, pour plates, selective media, differential media.
7. Separation of pure cultures and study the effect of selective nutrients on prokaryotes
8. Isolation of Soil Bacteria, Soil Fungi, Soil Actinomycets
9. Selective media for Soil microflora and use of growth factors, Study of Rhizosphere interactions, Quantitative measurements of Soil nutrients and Rhizosphere microflora and preparation of starter cultures of Rhizobia, Azotobacter.

Store management & Inventory control

1. Inventory
2. Handling Commercially sterilized items
3. Item locator systems
4. Loss of sterile items
5. Equipments
6. Accessories in CSSD Department
7. Methods of Inventory control
8. Distribution of supplies – Inventory Replenishment and distribution system Sustainability
9. Role of Central Service in Inventory Management.

Sterilisation Principal, Technique & Instrumentation, Disinfection

1. High Temperature Sterilization
2. Factors that impact sterilization
3. Anatomy of steam sterilizer, Types, Steam Sterilizer Cycles, Advantages.
4. Basic work practices
5. Preparing Devices and packs for sterilization, Loading a sterilizer Controlling wet packs, Extended sterilization cycles
6. Sterilisation Quality Control
7. 3 Sterilization equipment functions Guidelines & policies
8. Preparation of sterilization equipment Operating system of sterilizer Unloading & releasing sterilized loads HSE procedures
9. Quality management requirements compilation.
10. Low Temperature Sterilisation
11. Basic Sterilization Requirements
12. Safety& guidelines recommendation
13. Ethylene Oxide-Background, Efficacy, Penetration
14. Sterilization cycle and process parameters, safety, packaging, loading and unloading Aeration
15. Sterilisation Performance Monitors.
16. Hydrogen Peroxide Systems
17. Hydrogen peroxide gas plasma
18. Vaporised Hydrogen peroxide
19. Ozone Sterilization-Efficacy, Penetration, Sterilization cycle and process parameters, safety, Exposure Monitoring, Materials Compatibility, Packaging, loading ozone steriliser
20. Steriliser performance monitor.
21. Operating and monitoring of steam autoclave ETO
22. Sonic washer
23. Other sterilising methods

Introduction to CSSD Services, CSSD Planning and Infection Control, Safety in CSSD

1. Introduction to CSSD
2. History and development of CSSD
3. Philosophy of CSSD
4. Functions of CSSD -Location ,Physical layout
5. Central Service Workflow
6. Decontamination
7. Preparation
8. Packaging
9. Instrument Assembly Process
10. Basic Job –Knowledge and Skill
11. Zoning: CSSD &Theatre
12. Protected zone
13. Clean zone
14. Sterile zone
15. Maintaining a sterile field : Factors affecting sterile field
16. Personal hygiene standards
17. Asepsis
18. Concepts
19. Medical and surgical asepsis, barrier methods
20. Hand washing techniques: Medical and surgical
21. Personal protective equipment: types, uses, techniques of wearing & removal

Infection Control in CSSD

1. Central Service Processes
2. Cause of concern
3. Protection from pathogens
4. Principal of Asepsis
5. Personal Hygiene and Attire
6. Techniques of self grooming and maintenance.
7. Hand Hygiene
8. Infection Control/Exposure Control/ PPE
9. Elements of transmission and chain of infection - Causative agent, Reservoir/Source, Portal of exit, Susceptible Host
10. Managing the environment to manage the spread of bacteria
11. Techniques of use of PPE
12. Occupational Safety and Health Administration
13. Environmental concerns in central service areas – Physical Design, Work Area Cleanliness
14. Other Environmental Cleanliness Requirements.

Surgical Instruments and Procedures 

1. Surgical Instruments
2. Important role of instrument selection and inspection
3. Instrument Management Process
4. Classification and over view of surgical instruments:
5. Hemostatic Forceps
6. Needle Holders
7. Tissue Forceps
8. Dressing Forceps
9. Retractors, Scissors
10. Suction Devices
11. Single and Double Action Ronguers
12. Kerrison / Laminectomy Ronguers
13. Nail Nippers
14. Graves Vaginal Speculum
15. OT Instrumentation
16. Power Surgical Instruments
17. Endoscopes – Flexible, Rigid, Semi-rigid
18. Endoscopic and Robotic Instrumentation
19. Endoscope regulations and guidelines
20. Care and handling
21. Endoscope Camera Care and Handling
22. Endoscope Repair
23. Staff Education
24. Complex Surgical Instruments
25. Preliminary Checking
26. Instrument Management
27. Post Operative Care of Instruments
28. Solutions that damage instruments
29. Instruments sharpness testing and identification
30. Instrument identification Methods
31. Instrument Lubrication
32. Loaner Instrumentation.

Quality Assurance and Quality Control

1. Importance of Quality in central service department 
2. Components of quality
3. Planning tools and procedures
4. Quality control indicators
5. Quality concerns
6. Quality central service procedures
7. Quality in central service processing areas- Decontamination area, preparation and packing area
8. Quality programme alternatives

Safety and First Aid

1. General Hazards and Risk Management Ergonomic Concerns
2. Slip and fall concerns,
3. Electric Safety concerns, sharp concerns General Chemical Hazards
4. Hazardous Substance Concerns
5. Workplace violence
6. Area specific safety concerns
7. Soiled receiving and decontamination areas Supply receiving, breakout and storage areas
8. Surgical service areas.

Biomedical Waste Management

1. Introduction to bio medical waste management: definition of bio medical waste management, hazards of bio medical waste and its management, infection control, principles of bio medical waste management.
2. Categories of BMW: Different waste category, different types of waste, to manage bio medical waste in the work place, disposal of laboratory waste.
3. Colour coding: Use of different colors of bags, describe waste management in hospital, need for bio medical waste, history of bio medical waste, problems associated with BMW, waste treatment.
4. Bio safety: components of safety in Operation Theater, personal protective equipments, cleaning and disinfecting medical equipments, sterilisation basic care of OT.