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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Surveillance and Epidemiologic Investigation | 22-26% | |
| Topic 2: Employee/Occupational Health | 10-13% | |
| Topic 3: Cleaning, Sterilization, Disinfection, Asepsis | 10-13% | |
| Topic 4: Identification of Infectious Disease Processes | 17-19% | |
| Topic 5: Preventing/Controlling the Transmission of Infectious Agents | 17-19% | |
| Topic 6: Environment of Care | 10-13% | |
| Topic 7: Management and Communication | 10-13% | |
| Topic 8: Education and Research | 6-9% |
在現在這個人才濟濟的社會裏，還是有很多行業是缺乏人才的，比如IT行業就相當缺乏技術性的人才。而CBIC CIC 認證考試就是個檢驗IT技術的認證考試之一。Testpdf是一個給你培訓CBIC CIC 認證考試相關技術知識的網站。
問題 #165
The infection preventionist notes an increase in Clostridioides difficile infections (CDI) in the ICU. A Root Cause Analysis (RCA) is scheduled. What is the goal of a Root Cause Analysis?
答案：A
解題說明：
The CBIC Certified Infection Control Exam Study Guide (6th edition) defines a Root Cause Analysis (RCA) as a retrospective, systematic process used to understand why an adverse event or undesired outcome occurred and what system-level changes are needed to prevent it from happening again. In the context of an increase in Clostridioides difficile infections in an ICU, the primary goal of an RCA is to identify underlying process failures and implement corrective actions to prevent recurrence.
RCA focuses on systems and processes rather than individual performance. Through structured methods such as event mapping, cause-and-effect analysis, and contributing factor review, the team examines elements such as antimicrobial use, environmental cleaning practices, hand hygiene compliance, isolation implementation, diagnostic testing practices, and workflow design. The ultimate outcome of an RCA is a set of actionable, sustainable process improvements that reduce the likelihood of similar events in the future.
Option A describes Failure Mode and Effects Analysis (FMEA), which is a proactive risk assessment tool.
Option C refers to a SWOT analysis, used for strategic planning rather than event investigation. Option D reflects an important principle of RCA culture (non-punitive), but it is not the primary goal.
For the CIC exam, it is essential to recognize that the core purpose of RCA is preventing recurrence through system improvement, making option B the correct answer.
問題 #166
An infection preventionist is asked by the Central Supply department to review its process for assigning expiration dates to sterile supplies. Which of the following is the MOST important consideration?
答案：D
解題說明：
The CBIC Certified Infection Control Exam Study Guide (6th edition) emphasizes that the most important consideration in assigning expiration dates to sterile supplies is package integrity, reflecting the principle of event-related sterility. Modern infection prevention practice recognizes that sterility is not determined by time alone but by whether an event has occurred that compromises the sterile barrier system.
Sterile items remain sterile indefinitely as long as the packaging remains intact, dry, and properly stored, and no contamination event (such as tearing, puncture, moisture exposure, or improper handling) has occurred.
Therefore, the presence or absence of a printed expiration date is less important than assurance that the package integrity has been maintained throughout storage and handling.
Option A is correct because it captures the foundational concept that sterility is directly linked to the integrity of the packaging, not an arbitrary time frame. Option B is incorrect because fixed time-based expiration dates (e.g., 30-90 days) are outdated and not evidence-based. Options C and D may influence packaging durability or compatibility with sterilization methods, but they are secondary considerations and do not override the primary determinant of sterility.
For the CIC exam, this question reinforces a critical sterilization principle: event-related shelf life is the standard, and infection preventionists should focus on policies that emphasize package integrity, proper storage conditions, and handling practices rather than routine time-based expiration dating.
問題 #167
A positive biological indicator is reported to the Infection Preventionist (IP) after a sterilizer was used. Which of the following should be done FIRST?
答案：C
解題說明：
When apositive biological indicator (BI)is detected, the immediate response is toretest the sterilizerusing another BI to confirm results. This helps distinguish between a true sterilization failure and a defective BI.
* TheCBIC Study Guideadvises:
"If there is no indication of abnormalities, then the sterilizer should be tested again in three consecutive cycles using paired biological indicators from different manufacturers." Immediate recall is reserved for implant loads or confirmed sterilization failure.
* Incorrect responses:
* A. Check employee techniquemay be appropriate later but not as a first step.
* B. Informing risk managerorC. Notifying patientsoccurs only after confirmation of failure.
References:
CBIC Study Guide, 6th Edition, Chapter 10 - Sterilization Monitoring
APIC Text, 4th Edition, Chapter 106 - Sterile Processing
問題 #168
The BEST roommate selection for a patient with active shingles would be a patient who has had
答案：C
解題說明：
A patient with active shingles (herpes zoster) is contagious to individuals who have never had varicella (chickenpox) or the varicella vaccine. The best roommate selection is someone who has received the varicella vaccine, as they are considered immune and not at risk for contracting the virus.
Why the Other Options Are Incorrect?
* B. Treatment with acyclovir - Acyclovir treats herpes zoster but does not prevent transmission to others.
* C. A history of herpes simplex - Prior herpes simplex virus (HSV) infection does not confer immunity to varicella-zoster virus (VZV).
* D. Varicella zoster immunoglobulin (VZIG) - VZIG provides temporary immunity but does not offer long-term protection like the vaccine.
CBIC Infection Control Reference
APIC guidelines recommend placing patients with active shingles in a room with individuals immune to varicella, such as those vaccinated.
問題 #169
A team was created to determine what has contributed to the recent increase in catheter associated urinary tract infections (CAUTIs). What quality tool should the team use?
答案：B
解題說明：
The correct answer is B, "Fishbone diagram," as this is the most appropriate quality tool for the team to use when determining what has contributed to the recent increase in catheter-associated urinary tract infections (CAUTIs). According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, the fishbone diagram, also known as an Ishikawa or cause-and-effect diagram, is a structured tool used to identify and categorize potential causes of a problem. In this case, the team needs to explore the root causes of the CAUTI increase, which could include factors such as improper catheter insertion techniques, inadequate maintenance, staff training gaps, or environmental issues (CBIC Practice Analysis, 2022, Domain II:
Surveillance and Epidemiologic Investigation, Competency 2.2 - Analyze surveillance data). The fishbone diagram organizes these causes into categories (e.g., people, process, equipment, environment), facilitating a comprehensive analysis and guiding further investigation or intervention.
Option A (gap analysis) is useful for comparing current performance against a desired standard or benchmark, but it is more suited for identifying deficiencies in existing processes rather than uncovering the specific causes of a recent increase. Option C (plan, do, study, act [PDSA]) is a cyclical quality improvement methodology for testing and implementing changes, which would be relevant after identifying causes and designing interventions, not as the initial tool for root cause analysis. Option D (failure mode and effect analysis [FMEA]) is a proactive risk assessment tool used to predict and mitigate potential failures in a process before they occur, making it less applicable to analyzing an existing increase in CAUTIs.
The use of a fishbone diagram aligns with CBIC's emphasis on using data-driven tools to investigate and address healthcare-associated infections (HAIs) like CAUTIs, supporting the team's goal of pinpointing contributory factors (CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competency 2.3 - Identify risk factors for healthcare-associated infections). This tool's visual and collaborative nature also fosters team engagement, which is essential for effective problem-solving in infection prevention.
References: CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competencies 2.2 - Analyze surveillance data, 2.3 - Identify risk factors for healthcare-associated infections.
問題 #170
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