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| Section | Weight | Objectives |
|---|---|---|
| Planning, Design and Construction | 18% | - Interim life safety measures - Capital project planning and management - Infection control and risk assessment - Construction safety and commissioning |
| Compliance | 33% | - Regulatory standards and codes - Life safety and fire safety - Documentation, inspections and corrective actions - Emergency preparedness and response |
| Administration | 12% | - Policies, procedures and communication - Workforce development and safety programs - Strategic and performance management - Leadership and organizational management |
| Maintenance and Operations | 27% | - Utilities and operational continuity - Preventive maintenance and asset management - Building systems: HVAC, electrical, plumbing - Medical gas and emergency power systems |
| Finance Management | 10% | - Deferred maintenance and stewardship - Operating and capital budgeting - Cost control and financial reporting - Life-cycle cost analysis |
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質問 # 50
In which type of boiler do the gases of combustion pass through tubes surrounded by water?
正解:C
解説:
In a fire tube boiler, hot gases of combustion pass through tubes, and water surrounds those tubes, absorbing the heat to create steam or hot water.
Correct: Fire tube (B) - Gases inside tubes, water outside.
Incorrect:
A). Water tube - The reverse: water flows inside the tubes, combustion gases surround them.
C). Vertical tube - Refers to orientation but still a water-tube or fire-tube design.
D). Cast iron sectional - Built from joined cast iron sections, not tubular gas-through-water design.
References:
ASHE/AHA: Healthcare Facility Engineering and Maintenance Study Guide.
CHFM Candidate Handbook - Maintenance and Operations domain: boilers and HVAC systems.
質問 # 51
The initial cost of installing a building automation system is primarily a function of the
正解:C
解説:
Building automation system (BAS) costs are based largely on the number of control points (sensors, outputs, and monitored parameters) that must be integrated. The cost is driven by how many signals must be tracked, rather than just the square footage or vendor.
A: Gross square footage can influence scope, but cost scales with monitored points.
B: Vendor may affect pricing, but primary cost driver is point count.
C: Technology choice matters, but the quantity of control points is more significant.
Reference: ASHE/AHA CHFM study materials - Planning, Design, and Construction.
質問 # 52
Which project delivery method leaves contractor input out of the design phase?
正解:C
解説:
Design-Bid-Build (DBB) is the traditional project delivery method where the architect/engineer completes design before contractors bid. The contractor has no input in the design phase.
IDP, DB, and CMAR all include contractor involvement earlier.
References: AIA Project Delivery Handbook; CHFM Handbook - Planning, Design, and Construction.
質問 # 53
According to Appendix A for CMS 482.41(c)(2), a facility manager can meet the regulatory requirements for elevator equipment management by documenting inspection, testing, and
正解:C
解説:
CMS Condition of Participation 482.41(c)(2) requires hospitals to ensure that elevator equipment is routinely inspected, tested, and maintained. Appendix A to this regulation clarifies that documentation of these three elements demonstrates compliance.
Correct (C): Maintenance - Inspections and testing alone are insufficient; ongoing maintenance must be documented.
Incorrect:
A). recalls: Not part of CMS 482.41(c)(2).
B). cleaning: While important, cleaning is not listed as a compliance requirement.
D). repairs: Only performed when problems are found; maintenance is the proactive required element.
References:
CMS State Operations Manual, Appendix A - Interpretive Guidelines for 42 CFR 482.41(c)(2).
AHA/CHFM Candidate Handbook - Compliance domain references to CMS physical environment regulations.
質問 # 54
Fire doors used within a means of egress shall be
正解:B
解説:
NFPA 80 (Standard for Fire Doors and Other Opening Protectives) and NFPA 101 (Life Safety Code) both require that fire doors in a means of egress must be self-closing and equipped with a positive-latching device.
This ensures that the door will automatically return to the closed position and latch securely to prevent fire and smoke from spreading through the egress path.
A: Doors can be held open magnetically only when connected to the fire alarm system, but the essential code requirement is positive latching.
B: Materials and vision panels are not universal requirements.
D: Smoke-tight doors are required in smoke barriers, not all egress fire doors.
References: NFPA 80; NFPA 101, Section 7.2.1.8.
質問 # 55
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