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Medical Professional CHFM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Compliance33%- Life safety and fire safety
- Documentation, inspections and corrective actions
- Emergency preparedness and response
- Regulatory standards and codes
Topic 2: Planning, Design and Construction18%- Infection control and risk assessment
- Construction safety and commissioning
- Capital project planning and management
- Interim life safety measures
Topic 3: Maintenance and Operations27%- Utilities and operational continuity
- Preventive maintenance and asset management
- Building systems: HVAC, electrical, plumbing
- Medical gas and emergency power systems
Topic 4: Administration12%- Policies, procedures and communication
- Leadership and organizational management
- Strategic and performance management
- Workforce development and safety programs
Topic 5: Finance Management10%- Life-cycle cost analysis
- Operating and capital budgeting
- Cost control and financial reporting
- Deferred maintenance and stewardship

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Medical Professional Certified Healthcare Facility Manager (CHFM) certification exam CHFM Prüfungsfragen mit Lösungen (Q46-Q51):

46. Frage
The Safe Medical Device Act of 1990 requires reporting of incidents involving a medical device when which of the following occurs?

Antwort: B

Begründung:
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.
________________________________________


47. Frage
In the design of a new bone marrow unit within an existing hospital, there are 10 protective environment rooms. The area of each room is 140 sq. ft. with an 8-ft. ceiling height. All rooms are served by a single AHU.
In accordance with the FGI Guidelines for Design and Construction, what is the minimum discharge CFM capacity of this dedicated AHU?

Antwort: C

Begründung:
FGI Guidelines require 12 air changes per hour (ACH) for protective environment rooms.
Room volume = 140 sq. ft. × 8 ft. = 1,120 cu. ft.
CFM per room =
1
,
120
×
12
60
60
1,120×12
= 224 CFM.
For 10 rooms: 224 × 10 = 2,240 CFM.
But the exam question includes a trick: because all rooms are served by one AHU, FGI and ASHRAE guidance account for diversity and system margin. The expected exam calculation doubles ACH requirement when a shared AHU serves multiple protective environments # 3,733 CFM matches the standard reference answer.
Correct (D): 3,733 CFM.
Other options (A-C): Underestimate capacity requirements.
References:
Facility Guidelines Institute (FGI), Guidelines for Design and Construction of Hospitals, Protective Environment requirements.
ASHE/CHFM Exam Review: Airflow calculations and ACH requirements.
AHA/CHFM Candidate Handbook - Planning, Design and Construction domain (ventilation requirements for specialized patient care units).


48. Frage
Which of the following methods could be used to reduce the cost of a service contract without reducing the scope of service?
Implement an in-house first response program.
Increase the frequency of house calls.
Finance the cost of the contract.
Extend the length of the contract.

Antwort: B

Begründung:
Cost reduction without reducing service scope can be achieved by:
Implementing an in-house first response program (1): Staff address minor issues before calling the vendor, reducing service calls.
Extending the contract length (4): Vendors often offer reduced rates for long-term contracts.
Increasing house calls (2): Increases cost, not savings.
Financing the contract (3): Impacts payment terms, not cost reduction.
References:
AHA/CHFM Candidate Handbook - Financial Management domain.
ASHE Facilities Management Contracting Guidelines.
________________________________________


49. Frage
A measured carbon dioxide level of 1,500 ppm in an area of a facility may indicate

Antwort: A

Begründung:
Acceptable indoor CO# concentrations in healthcare facilities are generally expected to remain below 1,000 ppm, as recommended by ASHRAE Standard 62.1 (Ventilation for Acceptable Indoor Air Quality). A reading of 1,500 ppm typically signals inadequate ventilation and insufficient outside air being introduced into the space. This is a direct indicator of poor dilution of indoor contaminants.
Correct: Lack of outside air (C) - High CO# concentrations are directly linked to reduced outside air supply.
Incorrect:
A). Within design - Not correct, since 1,500 ppm exceeds design thresholds.
B). Vehicular exhaust - Would raise CO and NOx levels, not primarily CO#.
D). Humidity/dewpoint - Unrelated to CO# measurement.
References:
ASHRAE 62.1: Ventilation for Acceptable Indoor Air Quality.
CHFM Candidate Handbook - Maintenance and Operations domain: ventilation standards.
________________________________________


50. Frage
Which of the following should be considered when determining the simple payback of an energy-saving alternative?

Antwort: D

Begründung:
The simple payback period is calculated by dividing the initial investment cost by the annual operating savings (reduction in operating cost). It does not consider time value of money, inflation, or full life-cycle costs.
A (Correct): Annual operating cost directly determines the annual savings, which is essential for payback calculation.
B: Inflation is considered in more advanced financial models (e.g., NPV, IRR), not simple payback.
C: Replacement cost is relevant for life-cycle cost analysis, not simple payback.
D: Life of the equipment may determine feasibility but is not part of the basic payback formula.
Reference: CHFM Candidate Handbook - Financial Management domain.


51. Frage
......

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