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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Education, Research, and Quality Improvement | 9% | - Performance measurement and quality improvement - Development and delivery of education programs - Evidence-based practice and research application - Regulatory and accreditation compliance |
| Topic 2: Prevention and Control of Transmission of Infectious Agents | 28% | - Isolation and patient placement - Cleaning, disinfection, and sterilization - Antimicrobial stewardship - Standard and transmission-based precautions - Hand hygiene and aseptic techniques |
| Topic 3: Employee and Occupational Health | 10% | - Workplace safety policies - Health screening and surveillance - Exposure management and post-exposure prophylaxis - Immunization programs |
| Topic 4: Surveillance and Epidemiologic Investigation | 24% | - Surveillance system design and implementation - Outbreak investigation and response - Data collection, validation, and analysis - Benchmarking and reporting |
| Topic 5: Identification of Infectious Disease Processes | 19% | - Microbiology and pathogenesis - Emerging and re-emerging pathogens - Risk factors and transmission mechanisms - Epidemiologic principles |
| Topic 6: Environment of Care | 10% | - Water and air quality management - Safety and risk assessment - Waste management and environmental services - Facility design, construction, and renovation |
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질문 # 104
A 15-year-old is diagnosed with invasive meningococcal disease. Which of the following should receive chemoprophylaxis?
정답：C
설명：
The CBIC Certified Infection Control Exam Study Guide (6th edition) clearly outlines recommendations for postexposure chemoprophylaxis following invasive meningococcal disease, which is caused by Neisseria meningitidis. This organism is transmitted through direct contact with respiratory secretions or saliva, such as through kissing, sharing eating utensils, or prolonged close household contact.
Household members are considered high-risk close contacts because they have sustained, close exposure to the patient's respiratory droplets and oral secretions. As a result, they should receive chemoprophylaxis as soon as possible, ideally within 24 hours of identification of the index case, to prevent secondary cases. This recommendation applies regardless of vaccination status.
The other options do not meet criteria for prophylaxis. Healthcare personnel exposed only to urine or feces (Option B) are not at risk, as N. meningitidis is not transmitted via these routes. Casual school contact or sharing supplies (Option C) does not constitute close exposure to respiratory secretions. Athletic teammates (Option D) generally do not require prophylaxis unless there was direct exposure to saliva (e.g., sharing water bottles or mouthguards).
For CIC exam preparation, it is essential to recognize that chemoprophylaxis is limited to close contacts with direct exposure to respiratory secretions, with household members being the most consistent and clearly defined group requiring prophylaxis.
질문 # 105
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?
정답：A
설명：
Theincidence ratemeasuresnew cases of infection in a population over a defined time periodusing the formula:
Why the Other Options Are Incorrect?
* B. Disease specific- Refers to infectionscaused by a particular pathogen, not the general rate of new infections.
* C. Point prevalence- Measuresexisting cases at a specific point in time, not new cases.
* D. Period prevalence- Includesboth old and new cases over a set period, unlike incidence, which only considers new cases.
CBIC Infection Control Reference
APIC definesincidence rate as the number of new infections in a population over a given period.
질문 # 106
An infection preventionist (IP) observes an increase in primary bloodstream infections in patients admitted through the Emergency Department. Poor technique is suspected when peripheral intravenous (IV) catheters are inserted. The IP should FIRST stratify infections by:
정답：A
설명：
When an infection preventionist (IP) identifies an increase in primary bloodstream infections (BSIs) associated with peripheral intravenous (IV) catheter insertion, the initial step in outbreak investigation and process improvement is to stratify the data to identify potential sources or patterns of infection. According to the Certification Board of Infection Control and Epidemiology (CBIC), the "Surveillance and Epidemiologic Investigation" domain emphasizes the importance of systematically analyzing data to pinpoint contributing factors, such as location, technique, or equipment use, in healthcare-associated infections (HAIs). The question specifies poor technique as a suspected cause, and the first step should focus on contextual factors that could influence technique variability.
Option A, stratifying infections by the location of IV insertion (pre-hospital, Emergency Department, or in- patient unit), is the most logical first step. Different settings may involve varying levels of training, staffing, time pressure, or adherence to aseptic technique, all of which can impact infection rates. For example, pre- hospital settings (e.g., ambulance services) may have less controlled environments or less experienced personnel compared to in-patient units, potentially leading to technique inconsistencies. The CDC's Guidelines for the Prevention of Intravascular Catheter-Related Infections (2017) recommend evaluating the context of catheter insertion as a critical initial step in investigating BSIs, making this a priority for the IP to identify where the issue is most prevalent.
Option B, stratifying by the type of dressing used (gauze, CHG impregnated sponge, or transparent), is important but should follow initial location-based analysis. Dressings play a role in maintaining catheter site integrity and preventing infection, but their impact is secondary to the insertion technique itself. Option C, stratifying by the site of insertion (hand, forearm, or antecubital fossa), is also relevant, as anatomical sites differ in infection risk (e.g., the hand may be more prone to contamination), but this is a more specific factor to explore after broader contextual data is assessed. Option D, stratifying by the type of skin preparation used (alcohol, CHG/alcohol, or iodophor), addresses antiseptic efficacy, which is a key component of technique.
However, without first understanding where the insertions occur, it's premature to focus on skin preparation alone, as technique issues may stem from systemic factors across locations.
The CBIC Practice Analysis (2022) supports a stepwise approach to HAI investigation, starting with broad stratification (e.g., by location) to guide subsequent detailed analysis (e.g., technique-specific factors). This aligns with the CDC's hierarchical approach to infection prevention, where contextual data collection precedes granular process evaluation. Therefore, the IP should first stratify by location to establish a baseline for further investigation.
References:
* CBIC Practice Analysis, 2022.
* CDC Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2017.
질문 # 107
The Environmental Services department is purchasing a new disinfectant that is an approved hospital disinfectant with no tuberculocidal claim. This product is appropriate for cleaning which of the following items?
정답：B
질문 # 108
An infection preventionist wishes to compare central line infection rates with those of a national database.
What consideration is of prime importance in making this comparison?
정답：D
설명：
The Certification Study Guide (6th edition) stresses that valid comparison of infection rates requires consistent surveillance definitions and methodologies. When comparing a facility's central line-associated bloodstream infection (CLABSI) rates to those reported in a national database, the single most important consideration is the use of the same case definition for central line infection. Without standardized definitions, rate comparisons are unreliable and may lead to incorrect conclusions about performance.
National databases rely on precise, standardized criteria for what constitutes a CLABSI, including timing, clinical signs, laboratory confirmation, and attribution to a central line. If a facility applies different criteria- such as alternative timing windows, inclusion/exclusion rules, or diagnostic thresholds-the resulting rates may be artificially higher or lower than benchmark data. The study guide emphasizes that comparability hinges on alignment of numerators (cases) and denominators (central line days) using identical definitions.
The other options, while relevant to prevention practices or contextual understanding, are not primary requirements for valid comparison. Skin preparation methods and types of lines influence risk but do not ensure comparability of reported rates. Facility size can affect risk profiles, but standardized definitions allow for risk adjustment within databases.
This question reflects a core CIC exam principle: benchmarking is meaningful only when surveillance definitions are consistent. Ensuring alignment with national definitions is foundational to accurate performance evaluation and quality improvement.
Reference: Certification Study Guide (CBIC/CIC Exam Study Guide), 6th edition, Chapter 4: Surveillance and Epidemiologic Investigation.
질문 # 109
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IT인증자격증을 취득하는 것은 IT업계에서 자신의 경쟁율을 높이는 유력한 수단입니다. 경쟁에서 밀리지 않으려면 자격증을 많이 취득하는 편이 안전합니다.하지만 IT자격증취득은 생각보다 많이 어려운 일입니다. CBIC인증 CIC시험은 인기자격증을 취득하는데 필요한 시험과목입니다. ExamPassdump는 여러분이 자격증을 취득하는 길에서의 없어서는 안될 동반자입니다. ExamPassdump의CBIC인증 CIC덤프로 자격증을 편하게 취득하는게 어떨가요?
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