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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Compliance | 33% | - Documentation, inspections and corrective actions - Life safety and fire safety - Regulatory standards and codes - Emergency preparedness and response |
| Topic 2: Planning, Design and Construction | 18% | - Capital project planning and management - Construction safety and commissioning - Interim life safety measures - Infection control and risk assessment |
| Topic 3: Maintenance and Operations | 27% | - Building systems: HVAC, electrical, plumbing - Preventive maintenance and asset management - Medical gas and emergency power systems - Utilities and operational continuity |
| Topic 4: Finance Management | 10% | - Cost control and financial reporting - Life-cycle cost analysis - Deferred maintenance and stewardship - Operating and capital budgeting |
| Topic 5: Administration | 12% | - Policies, procedures and communication - Strategic and performance management - Workforce development and safety programs - Leadership and organizational management |
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NEW QUESTION # 117
Which of the following is classified as regulated medical waste by the EPA?
Answer: B
Explanation:
EPA and OSHA define regulated medical waste (RMW) as waste that is saturated or dripping with blood or other potentially infectious materials (OPIM).
B). Blood-saturated gauze (Correct): Meets the definition of RMW.
A). Fluorescent bulbs: Considered hazardous universal waste (mercury), not RMW.
C). Urine-soaked pads: Not classified as RMW unless visibly contaminated with blood.
D). Home-use sharps: Not regulated by EPA as medical waste from households.
References:
EPA Medical Waste Standards.
OSHA Bloodborne Pathogens Standard.
CHFM Candidate Handbook - Hazardous Materials Management (Compliance domain).
NEW QUESTION # 118
An electrical transformer has 254 turns in the primary winding and 127 turns in the secondary winding. If a source emf of 220 volts is applied to the primary coil, the value of the voltage available in the secondary coil is
Answer: B
Explanation:
The transformer voltage ratio is determined by the turns ratio:
#
#
#
#
=
#
#
#
#
V
p
V
s
=
N
p
N
s
#
#
=
#
#
×
127
254
=
220
×
0.5
=
110
volts
V
s
=V
p
×
254
127
=220×0.5=110volts
A). 110 (Correct): Secondary voltage is half of the primary because turns ratio = 0.5.
B). 127: Incorrect, not consistent with ratio.
C). 220: Would occur only if turns ratio = 1.
D). 440: Would occur if secondary had twice as many turns as primary.
References:
NFPA 70: National Electrical Code - Transformer basics.
CHFM Candidate Handbook - Maintenance and Operations (Electrical Systems).
NEW QUESTION # 119
A facility manager is reviewing the following bids received for mowing services:
Vendor 1 - $25,000 annually
Vendor 2 - $970.00 per mowing at 30 mowings per year
Vendor 3 - $950.00 per mowing at 26 mowings per year
Vendor 4 - $2,100 per month
Which vendor is the least expensive?
Answer: B
Explanation:
Calculation:
Vendor 1 = $25,000 annually
Vendor 2 = $970 × 30 = $29,100 annually
Vendor 3 = $950 × 26 = $24,700 annually
Vendor 4 = $2,100 × 12 = $25,200 annually
Least expensive = Vendor 3 ($24,700).
References: CHFM Handbook - Financial Management, vendor bid analysis and cost comparison.
NEW QUESTION # 120
If a boiler combustion efficiency test indicates 22% excess oxygen at mid-firing rate, which of the following adjustments should be made?
Answer: C
Explanation:
22% excess oxygen is far higher than normal (typical excess O# is 3-6%). This means there is too much air compared to fuel, causing inefficiency.
The corrective action is to increase fuel pressure, which reduces excess oxygen by balancing the air-fuel ratio.
D). Increase the fuel pressure (Correct): Restores optimal combustion balance.
A). Steam atomization: Not relevant unless using certain oil burners.
B). Increase nozzle air pressure: Would worsen the excess O# condition.
C). No adjustment necessary: Incorrect because efficiency is compromised.
References:
ASME Boiler and Pressure Vessel Code.
ASHE/CHFM Study Guide - Boiler efficiency and combustion control.
NFPA 85: Boiler and Combustion Systems Hazards Code.
NEW QUESTION # 121
The Safe Medical Device Act of 1990 requires reporting of incidents involving a medical device when which of the following occurs?
Answer: D
Explanation:
The Safe Medical Device Act (SMDA) of 1990 requires healthcare facilities to report to the FDA and the manufacturer when a device is suspected of causing or contributing to death or serious injury.
C). death or injury (Correct): Specifically mandated under SMDA.
A). inappropriate application: A usage issue, not a reporting trigger.
B). recall: Issued by the FDA/manufacturer, not the facility's reporting obligation.
D). major breakdown: Requires service but not mandatory reporting.
References:
Safe Medical Device Act of 1990, Public Law 101-629.
FDA Medical Device Reporting (MDR) requirements.
CHFM Candidate Handbook - Compliance domain.
________________________________________
NEW QUESTION # 122
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