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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Education, Research, and Quality Improvement | 9% | - Performance measurement and quality improvement - Evidence-based practice and research application - Development and delivery of education programs - Regulatory and accreditation compliance |
| Topic 2: Employee and Occupational Health | 10% | - Workplace safety policies - Health screening and surveillance - Immunization programs - Exposure management and post-exposure prophylaxis |
| Topic 3: Environment of Care | 10% | - Water and air quality management - Facility design, construction, and renovation - Waste management and environmental services - Safety and risk assessment |
| Topic 4: Identification of Infectious Disease Processes | 19% | - Microbiology and pathogenesis - Risk factors and transmission mechanisms - Emerging and re-emerging pathogens - Epidemiologic principles |
| Topic 5: Prevention and Control of Transmission of Infectious Agents | 28% | - Cleaning, disinfection, and sterilization - Standard and transmission-based precautions - Hand hygiene and aseptic techniques - Isolation and patient placement - Antimicrobial stewardship |
| Topic 6: Surveillance and Epidemiologic Investigation | 24% | - Data collection, validation, and analysis - Surveillance system design and implementation - Outbreak investigation and response - Benchmarking and reporting |
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질문 # 14
Using tap water to rinse suction tubing can cause transmission of
정답：D
설명：
Pseudomonasspp., particularlyPseudomonas aeruginosa, is acommon waterborne pathogen. Using tap water to rinse suction tubing has been associated withoutbreaks ofPseudomonasinfections.
* From theAPIC Text:
"Water bottles improperly filled with tap water and used for rinsing tracheal suction tubing resulted in an outbreak ofP. cepacia... Tubing permanently attached to showers... implicated in a serious outbreak ofP.
aeruginosabloodstream infection."
References:
APIC Text, 4th Edition, Chapter 117 - Waterborne Pathogens
질문 # 15
The infection preventionist and Occupational Health discuss the 65% influenza vaccination rate for healthcare personnel. Which is MOST effective method to increase compliance?
정답：C
설명：
Requiring influenza vaccination as acondition of employmenthas consistently been shown to be the most effective method to increase compliance among healthcare personnel.
* TheAPIC/JCR Workbookrecommends this as a gold standard:
"Some organizations have adopted policies requiring annual vaccination as a condition of employment unless medically contraindicated".
* CDC and APIC also support this method for maximizing coverage and protecting vulnerable populations.
References:
APIC/JCR Workbook, 4th Edition, Chapter 10 - Occupational Health Issues APIC Position Paper: Influenza Vaccination Should Be a Condition of Employment for Healthcare Personnel
질문 # 16
A 2-yoar-old girl is admitted with a fractured tibia. At birth, she was diagnosed with congenital cytomegalovirus (CMV). Which of the following barrier precautions is appropriate for healthcare personnel caring for her?
정답：D
설명：
Standard Precautions are sufficient for congenital cytomegalovirus (CMV), which means that gloves should be used when handling body fluids. CMV is primarily transmitted via direct contact with saliva, urine, or blood.
Why the Other Options Are Incorrect?
* A. Wear masks and gloves - Masks are not necessary unless performing high-risk aerosol- generating procedures.
* C. No barrier precautions are needed - Gloves are required when handling bodily fluids to prevent transmission.
* D. Use gowns, masks, gloves, and a private room - CMV does not require Contact or Airborne Precautions.
CBIC Infection Control Reference
APIC guidelines state that CMV transmission is prevented using Standard Precautions, primarily with glove use for body fluid contact.
질문 # 17
A patient with suspected active tuberculosis is being transferred from a mental health facility to a medical center by emergency medical services. Which of the following should an infection preventionist recommend to the emergency medical technician (EMT)?
정답：C
설명：
Active tuberculosis (TB) is an airborne disease transmitted through the inhalation of droplet nuclei containing Mycobacterium tuberculosis. Effective infection control measures are critical during patient transport to protect healthcare workers, such as emergency medical technicians (EMTs), and to prevent community spread. The Certification Board of Infection Control and Epidemiology (CBIC) emphasizes the use of appropriate personal protective equipment (PPE) and source control as key strategies in the "Prevention and Control of Infectious Diseases" domain, aligning with guidelines from the Centers for Disease Control and Prevention (CDC).
For a patient with suspected active TB, the primary goal is to contain the infectious particles at the source (the patient) while ensuring the EMT is protected from inhalation exposure. Option C, placing an N95 respirator on the patient and a surgical mask on the EMT, is the most appropriate recommendation. The N95 respirator on the patient serves as source control by filtering the exhaled air, reducing the dispersion of infectious droplets. However, fitting an N95 respirator on the patient may be challenging, especially in an emergency setting or if the patient is uncooperative, so a surgical mask is often used as an alternative source control measure. For the EMT, a surgical mask provides a basic barrier but does not offer the same level of respiratory protection as an N95 respirator. The CDC recommends that healthcare workers, including EMTs, use an N95 respirator (or higher-level respiratory protection) when in close contact with a patient with suspected or confirmed active TB, unless an airborne infection isolation room is available, which is not feasible during transport.
Option A is incorrect because placing a surgical mask on both the patient and the EMT does not provide adequate respiratory protection for the EMT. Surgical masks are not designed to filter small airborne particles like those containing TB bacilli and do not meet the N95 standard required for airborne precautions. Option B is impractical and unnecessary, as placing an N95 respirator on both the patient and the EMT is overly restrictive and logistically challenging, especially for the patient during transport. Option D reverses the PPE roles, placing the surgical mask on the patient(insufficient for source control) and the N95 respirator on the EMT (appropriate for protection but misaligned with the need to control the patient's exhalation). The CBIC and CDC guidelines prioritize source control on the patient and respiratory protection for the healthcare worker, making Option C the best fit.
This recommendation is consistent with the CBIC's emphasis on implementing transmission-based precautions (CDC, 2005, Guideline for Preventing the Transmission of Mycobacterium tuberculosis in Healthcare Settings) and the use of PPE tailored to the mode of transmission, as outlined in the CBIC Practice Analysis (2022).
References:
CBIC Practice Analysis, 2022.
CDC Guideline for Preventing the Transmission of Mycobacterium tuberculosis in Healthcare Settings, 2005.
질문 # 18
A construction project is completed at a healthcare facility and the construction barriers will be removed.
Prior to using the space for patient care, an infection preventionist should recommend:
정답：C
설명：
The Certification Study Guide (6th edition) emphasizes that restoration of a safe environment of care following construction or renovation is essential before patient occupancy. A primary concern after construction is the potential contamination and disruption of the heating, ventilation, and air conditioning (HVAC) system, which plays a critical role in infection prevention by controlling airflow, pressure relationships, and filtration.
Inspecting and cleaning air ducts as needed-and ensuring that the ventilation system is properly balanced- helps confirm that airflow is functioning as designed, including appropriate air exchanges, pressure differentials, and filtration efficiency. The study guide highlights that construction activities can introduce dust, debris, and microorganisms (including fungal spores) into ductwork, which may subsequently be disseminated into patient care areas if not addressed. Proper HVAC verification is a key component of post- construction clearance following an Infection Control Risk Assessment (ICRA).
The other options are not recommended as routine first steps. Air sampling is not advised because results are difficult to interpret and do not reliably predict infection risk. Stocking supplies before environmental clearance risks contamination of clean items. Routine water testing is not required unless water system disruption or stagnation occurred and is guided by a facility's water management program rather than construction completion alone.
CIC exam questions frequently test post-construction readiness activities, reinforcing that HVAC inspection, cleaning, and balancing are critical prerequisites for safely reopening patient care spaces.
Reference: Certification Study Guide (CBIC/CIC Exam Study Guide), 6th edition, Chapter 9: Environment of Care.
질문 # 19
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