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| Section | Objectives |
|---|---|
| Topic 1: Planning, Design, and Construction | - Facility planning and capital projects - Construction oversight and project management |
| Topic 2: Financial and Asset Management | - Budgeting and cost control - Asset lifecycle management |
| Topic 3: Leadership and Administration | - Strategic planning and communication - Human resource and team management |
| Topic 4: Healthcare Environment and Regulatory Compliance | - Regulatory standards and healthcare codes - Accreditation and inspection requirements |
| Topic 5: Operations and Maintenance Management | - Facility maintenance systems - Equipment and infrastructure management |
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NEW QUESTION # 116
A primary-secondary chilled water system typically has variable volume pumping on the
Answer: D
Explanation:
In a primary-secondary chilled water system, the primary loop is constant volume, supplying chilled water from the chiller plant. The secondary loop uses variable volume pumping to match distribution system load demand efficiently.
A). Secondary loop (Correct): Where variable flow is applied.
B). Open loop: Not a recognized term in this context.
C). Primary loop: Constant flow design.
D). Cooling tower loop: Separate condenser water system, not chilled water distribution.
References:
ASHRAE Handbook - HVAC Systems and Equipment.
AHA/CHFM Candidate Handbook - Maintenance and Operations (HVAC).
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NEW QUESTION # 117
An existing annual service contract for a CT scanner costs a facility $125,000 per year. Which of the following should be considered when switching to servicing this unit with in-house staff?
* manufacturer's technical training school
* replacement CT cost
* extended warranty
* technician salary, tools, and parts
Answer: C
Explanation:
When evaluating whether to replace an external CT scanner maintenance contract with in-house technical services, the facility manager must assess the resources required to maintain equipment reliability, safety, and operational performance.
Manufacturer-provided technical training is important because CT scanners contain specialized electrical, mechanical, imaging, and computer-controlled systems requiring appropriately qualified service personnel.
The organization must also account for technician salaries, specialized diagnostic tools, replacement components, and associated maintenance expenses. These costs directly influence the financial feasibility of an internal maintenance program.
The scanner's replacement purchase cost is not a direct expense of switching maintenance arrangements for existing equipment. Likewise, an extended warranty is not inherently required when establishing an internal maintenance program.
Therefore, manufacturer technical training and technician-related operating costs are the relevant considerations.
Reference: Healthcare Technology Management; Clinical Engineering Maintenance Cost Analysis.
NEW QUESTION # 118
The minimum clearance required below a sprinkler head is how many inches?
Answer: C
Explanation:
Per NFPA 13: Standard for the Installation of Sprinkler Systems, 18 inches of clearance must be maintained below sprinkler deflectors to ensure proper spray pattern and fire suppression coverage.
C). 18 (Correct).
Less than 18 inches (12 or 15) is insufficient clearance.
More than 18 (24 inches) exceeds the standard, not required.
References:
NFPA 13: Standard for Installation of Sprinkler Systems, Section on Obstructions and Clearances.
CHFM Candidate Handbook - Compliance domain.
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NEW QUESTION # 119
In which type of boiler do the gases of combustion pass through tubes surrounded by water?
Answer: B
Explanation:
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.
NEW QUESTION # 120
Which of the following are likely to be included in the operations and maintenance operating budget?
training for mechanics
building improvements
utilities
vehicle repairs
Answer: A
Explanation:
The operations and maintenance (OandM) operating budget includes recurring expenses needed to run the facility: labor, staff training, utilities, and equipment/vehicle repairs. Capital improvements such as major building upgrades are typically not part of the operating budget; they belong in the capital budget.
Correct: Training (1), Utilities (3), and Vehicle repairs (4) are OandM operating costs.
Incorrect: Building improvements (2) are capital budget items.
References:
AHA/ASHE: Health Facility Management - Finance and Budgeting Guidance.
CHFM Candidate Handbook - Financial Management domain.
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NEW QUESTION # 121
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