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| Section | Weight | Objectives |
|---|---|---|
| Employee and Occupational Health | 10% | - Health screening and surveillance - Immunization programs - Exposure management and post-exposure prophylaxis - Workplace safety policies |
| Education, Research, and Quality Improvement | 9% | - Regulatory and accreditation compliance - Performance measurement and quality improvement - Evidence-based practice and research application - Development and delivery of education programs |
| Prevention and Control of Transmission of Infectious Agents | 28% | - Hand hygiene and aseptic techniques - Standard and transmission-based precautions - Isolation and patient placement - Cleaning, disinfection, and sterilization - Antimicrobial stewardship |
| Surveillance and Epidemiologic Investigation | 24% | - Outbreak investigation and response - Data collection, validation, and analysis - Benchmarking and reporting - Surveillance system design and implementation |
| Identification of Infectious Disease Processes | 19% | - Emerging and re-emerging pathogens - Epidemiologic principles - Risk factors and transmission mechanisms - Microbiology and pathogenesis |
| Environment of Care | 10% | - Facility design, construction, and renovation - Water and air quality management - Safety and risk assessment - Waste management and environmental services |
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43. Frage
Operating room records indicate that 130 joint replacements have been performed. These include 70 total hip replacements, 55 total knee replacements, and 5 shoulder replacements. Two postoperative surgical site infections (SSIs) were identified in total hip replacements. What is the infection rate/100 procedures for total hip replacements?
Antwort: A
Begründung:
To determine the infection rate per 100 procedures for total hip replacements, use the following formula:
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Thus, the correct answer is B. 2.9 per 100 procedures.
CBIC Infection Control Reference
The methodology of calculating SSI rates aligns with guidelines from the National Healthcare Safety Network (NHSN) and standardized infection ratio (SIR) models used for hospital-specific SSI rates.
44. Frage
As part of their antimicrobial stewardship initiative, Hospital A is using a qualitative study to assess their program. What type of data will be collected using this approach?
Antwort: A
Begründung:
Qualitative studiesfocus on collectingsubjective data, including personal narratives, observations, and experiences. These data arenot numeric, and instead aim to explore themes and meaning from contextual, non-quantifiable information.
* From theAPIC Text:
"Qualitative methods... Measures or data: Subjective, Unique, Differs over time, sample, and context." References:
APIC Text, 4th Edition, Chapter 19 - Qualitative Research Methods
45. Frage
Which of the following is the correct collection technique to obtain a laboratory specimen for suspected pertussis?
Antwort: D
Begründung:
The gold standard specimen for diagnosing pertussis (Bordetella pertussis infection) is a nasopharyngeal culture because:
* B. pertussis colonizes the nasopharynx, making it the best site for detection.
* A properly collected nasopharyngeal swab or aspirate increases diagnostic sensitivity.
* This method is recommended for culture, PCR, or direct fluorescent antibody testing.
Why the Other Options Are Incorrect?
* A. Cough plate - Not commonly used due to low sensitivity.
* B. Nares culture - The nares are not a primary site for pertussis colonization.
* C. Sputum culture - B. pertussis does not commonly infect the lower respiratory tract.
CBIC Infection Control Reference
APIC confirms that nasopharyngeal culture is the preferred method for diagnosing pertussis.
46. Frage
What domain of educational learning involves growth in feelings or emotions?
Antwort: C
Begründung:
The CBIC Certified Infection Control Exam Study Guide (6th edition) describes three primary domains of educational learning: cognitive, psychomotor, and affective. The affective domain specifically involves growth in feelings, emotions, attitudes, values, motivation, and professional behaviors. This domain addresses how learners internalize information and how education influences beliefs, attitudes, and commitment to practice change.
In infection prevention and control, the affective domain is particularly important because compliance with practices such as hand hygiene, isolation precautions, and use of personal protective equipment depends not only on knowledge or skill, but also on attitudes and values. Education that targets the affective domain helps foster accountability, ethical responsibility, and sustained behavior change among healthcare personnel.
The cognitive domain (Option B) focuses on knowledge acquisition, comprehension, and critical thinking- such as understanding guidelines or surveillance definitions. The psychomotor domain (Option C) involves physical skills and task performance, such as donning PPE or performing aseptic technique. Option D, perceptive, is not a recognized educational learning domain in standard instructional theory.
For the CIC exam, it is essential to recognize that affective learning influences attitudes and behaviors, making it a key component of successful infection prevention education and culture change initiatives.
47. Frage
A patient has an oral temperature of 101° F (38.33 C). Erythema and tenderness arc noted at the central line site. Blood samples are submitted for culture and intravenous vancomycin is ordered. This is an example of which of the following forms of antibiotic treatment?
Antwort: C
Begründung:
Empiric antibiotic therapy is the immediate initiation of antibiotics based on clinical judgment before laboratory confirmation of an infection. In this case, the presence of fever, erythema, and tenderness at the central line site suggests a possible bloodstream infection, prompting empiric treatment with vancomycin.
Step-by-Step Justification:
* Initiation Before Lab Confirmation:
* Empiric therapy starts treatment based on symptoms while awaiting culture results.
* Prevents Complications:
* Delayed treatment in central line-associated bloodstream infections (CLABSI) can lead to sepsis.
* Common in High-Risk Situations:
* Empiric treatment is used in cases where waiting for lab results could worsen the patient's condition.
Why Other Options Are Incorrect:
* B. Prophylactic:
* Prophylactic antibiotics are given to prevent infection, not to treat an existing one.
* C. Experimental:
* Experimental treatment refers to clinical trials or unproven therapies, which does not apply here.
* D. Broad spectrum:
* Broad-spectrum antibiotics cover multiple bacteria, but empiric therapy may be narrow- spectrum based on suspected pathogens.
CBIC Infection Control References:
* APIC Text, Chapter on Antimicrobial Stewardship and Empiric Therapy.
48. Frage
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