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CBIC CIC Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Employee and Occupational Health10%- Health screening and surveillance
- Exposure management and post-exposure prophylaxis
- Workplace safety policies
- Immunization programs
Topic 2: Environment of Care10%- Facility design, construction, and renovation
- Safety and risk assessment
- Waste management and environmental services
- Water and air quality management
Topic 3: Identification of Infectious Disease Processes19%- Emerging and re-emerging pathogens
- Epidemiologic principles
- Risk factors and transmission mechanisms
- Microbiology and pathogenesis
Topic 4: Prevention and Control of Transmission of Infectious Agents28%- Antimicrobial stewardship
- Isolation and patient placement
- Hand hygiene and aseptic techniques
- Cleaning, disinfection, and sterilization
- Standard and transmission-based precautions
Topic 5: Surveillance and Epidemiologic Investigation24%- Outbreak investigation and response
- Surveillance system design and implementation
- Data collection, validation, and analysis
- Benchmarking and reporting
Topic 6: Education, Research, and Quality Improvement9%- Development and delivery of education programs
- Performance measurement and quality improvement
- Evidence-based practice and research application
- Regulatory and accreditation compliance

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CBIC Certified Infection Control Exam 認定 CIC 試験問題 (Q268-Q273):

質問 # 268
Which of the following reasons BEST describes the importance of documenting cleaning, disinfection, and sterilization processes?

正解:A

解説:
The Certification Study Guide (6th edition) emphasizes that documentation of cleaning, disinfection, and sterilization processes is a fundamental requirement for regulatory compliance and patient safety assurance.
Accurate and complete documentation demonstrates that reprocessing activities are performed according to established policies, manufacturer instructions for use (IFUs), and evidence-based standards. This documentation is essential for meeting expectations set by regulatory agencies, accrediting bodies, and internal quality assurance programs.
Documentation provides verifiable proof that critical steps-such as cleaning, monitoring of sterilization parameters, load release, and equipment maintenance-have been performed correctly. In the event of a healthcare-associated infection investigation, recall, or survey, records serve as objective evidence that proper reprocessing practices were followed. The study guide highlights that "if it is not documented, it is considered not done", a principle commonly tested on the CIC exam.
The other options reflect secondary or indirect benefits but do not represent the primary reason for documentation. Cost reduction is not the intent of reprocessing records. While Spaulding classification informs how items should be reprocessed, documentation alone does not ensure compliance with that framework. Ensuring processes occur regularly is an operational issue rather than a documentation purpose.
CIC exam questions frequently reinforce that documentation supports accountability, traceability, regulatory compliance, and accreditation readiness, making compliance with policies, regulations, and standards the best answer.
Reference: Certification Study Guide (CBIC/CIC Exam Study Guide), 6th edition, Chapter 10: Cleaning, Sterilization, Disinfection, and Asepsis.


質問 # 269
In evaluating the infection control and ventilation measures for operating rooms the Infection Preventionist should know that the air changes per hour (ACH) should be maintained at greater than or equal to 15 ACH.
How many of these changes should be fresh air?

正解:A

解説:
In operating rooms, a minimum of 15 air changes per hour (ACH) is required, with at least 3 of those ACH being from fresh or outdoor air. This requirement helps reduce microbial contamination and provides a clean surgical environment.
According to the APIC Text:
"In each, air should flow out of the room and the minimum ACH should be 15, with three of these ACH being fresh or outdoor air." This aligns with design specifications outlined in the 2006 Guidelines for design and construction of health care facilities.
References:
APIC Text, 4th Edition, Chapter 116 - HVAC Systems


質問 # 270
What rate is expressed by the number of patients who acquire infections over a specified time period divided by the population at risk of acquiring an infection during that time period?

正解:D

解説:
The incidence rate measures new cases of infection in a population over a defined time period using the formula:

Why the Other Options Are Incorrect?
* B. Disease specific - Refers to infections caused by a particular pathogen, not the general rate of new infections.
* C. Point prevalence - Measures existing cases at a specific point in time, not new cases.
* D. Period prevalence - Includes both old and new cases over a set period, unlike incidence, which only considers new cases.
CBIC Infection Control Reference
APIC defines incidence rate as the number of new infections in a population over a given period.


質問 # 271
To understand how their hospital-acquired infection rates compare to other health care settings, an infection preventionist (IP) plans to use benchmarking.
Which of the following criteria is important to ensure accurate benchmarking of surveillance data?

正解:D

解説:
Benchmarking compares infection rates across healthcare facilities. For accurate benchmarking, case definitions must be standardized and adjusted for patient demographics, severity of illness, and other risk factors.
Why the Other Options Are Incorrect?
* A. Data collectors are trained on how to collect data - Training is necessary, but it does not directly ensure comparability between facilities.
* B. Collecting data on a small population - A larger sample size increases accuracy and reliability in benchmarking.
* C. Denominator rates selected based on an organizational risk assessment - Risk assessment is important, but standardized case definitions are critical for comparison.
CBIC Infection Control Reference
According to APIC, accurate benchmarking relies on using standardized case definitions that account for differences in patient populations.


質問 # 272
An example of active learning is:

正解:B

解説:
Active learning is a core educational principle emphasized in the Education and Research domain of the CBIC Certified Infection Control Exam Study Guide (6th edition). Active learning requires the learner to engage cognitively with the material through analysis, problem-solving, and application of knowledge, rather than passively receiving information. Exploring case studies is a classic example of active learning because it requires participants to apply infection prevention principles to real-world or simulated scenarios, interpret data, evaluate risks, and make evidence-based decisions.
The Study Guide highlights that adult learners-such as infection preventionists and healthcare professionals-retain knowledge more effectively when learning activities are interactive and practice- oriented. Case studies encourage critical thinking by presenting complex clinical or operational situations that mirror challenges encountered in infection prevention practice, such as outbreak investigations, surveillance interpretation, or policy implementation. This method supports deeper understanding and long-term retention.
In contrast, listening to lectures, reading policies, or watching recorded presentations are considered passive learning activities. While these methods are valuable for introducing foundational knowledge or disseminating information, they do not actively involve the learner in applying or synthesizing information.
The Study Guide specifically notes that combining passive methods with active strategies-such as case discussions, simulations, and problem-based learning-enhances competency development and performance improvement in infection prevention programs.
This distinction is frequently tested on the CIC exam, making recognition of active learning strategies essential for exam success.


質問 # 273
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