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CIC認證資料 & CIC考古題介紹

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最新的 Infection Control CIC 免費考試真題 (Q172-Q177):

問題 #172
A microbiology laboratory plays a pivotal role in both endemic and epidemic epidemiology. Which of the following should be investigated FIRST?

• A. Three respiratory isolates of multi-drug resistant Klebsiella pneumoniae in the medical ICU.
• B. Two isolates of Staphylococcus aureus in postoperative surgical sites.
• C. One blood isolate of Streptococcus agalactiae in the nursery.
• D. Two blood isolates of coagulase-negative staphylococci in the oncology unit.

答案：A

解題說明：
Multi-drug resistant (MDR) Klebsiella pneumoniae in a high-risk area like the ICU requires urgent investigation because:
* It spreads rapidly via contaminated hands or equipment.
* It poses a serious risk to immunocompromised patients.
* An outbreak could lead to severe hospital-acquired infections (HAIs).
Why the Other Options Are Incorrect?
* A. One blood isolate of Streptococcus agalactiae in the nursery - Single cases are not indicative of an outbreak.
* B. Two isolates of Staphylococcus aureus in postoperative surgical sites - Common post-surgical pathogen; requires monitoring but not immediate outbreak investigation.
* D. Two blood isolates of coagulase-negative staphylococci in the oncology unit - Common contaminants in blood cultures and not immediately alarming.
CBIC Infection Control Reference
APIC guidelines prioritize investigating MDR pathogens in high-risk units, such as ICU, to prevent transmission.

 

問題 #173
An infection control manager is training a new infection preventionist. In discussing surveillance strategies, which of the following types of hospital infection surveillance usually provides maximum benefit with minimum resources?

• A. Antibiotic monitoring
• B. Prevalence surveys
• C. Nursing care plan review
• D. High-risk patient focus

答案：D

解題說明：
A high-risk patient focus maximizes benefits while minimizing resource use in infection surveillance.
Step-by-Step Justification:
* Efficiency of High-Risk Surveillance:
* Targeting ICU, immunocompromised patients, or surgical units helps detect infections where the risk is highest, leading to earlier interventions.
* Resource Allocation:
* Full hospital-wide surveillance is resource-intensive; focusing on high-risk groups is more efficient.
* Why Other Options Are Incorrect:
* B. Antibiotic monitoring:
* Important for stewardship, but not the primary focus of infection surveillance.
* C. Prevalence surveys:
* Snapshot data only; does not provide ongoing monitoring.
* D. Nursing care plan review:
* Less direct in identifying infection trends.
CBIC Infection Control References:
* APIC Text, "Surveillance Strategies for Infection Prevention".

 

問題 #174
What is the MOST effective way an infection preventionist can assess readiness of emergency preparedness plans for an influx of patients with an emerging viral hemorrhagic fever?

• A. Conduct regular rounding in the Emergency Department providing education and reviewing policies and procedures with frontline staff
• B. Meet frequently with emergency management professionals in the hospital and local public health authority.
• C. Coordinate with hospital-based emergency management professionals and other incident command stakeholders to conduct a tabletop exercise or full-scale drill.
• D. Collaborate with hospital stakeholders to assess the current availability of backup supplies of both staff and personal protective equipment

答案：C

解題說明：
The most effective way to assess emergency preparedness for an influx of patients with viral hemorrhagic fever (VHF) is through tabletop exercises or full-scale drills. These exercises simulate real-life scenarios, allowing hospitals to test protocols, identify weaknesses, and improve response efforts.
Why the Other Options Are Incorrect?
* A. Meet frequently with emergency management professionals - While important, meetings alone do not provide hands-on testing of preparedness.
* B. Conduct regular rounding in the Emergency Department - Rounding helps with policy compliance, but does not test the entire emergency response plan.
* D. Collaborate to assess the availability of supplies and PPE - This is one component of preparedness but does not evaluate the facility's response in real-time.
CBIC Infection Control Reference
APIC recommends full-scale emergency drills as the gold standard for assessing preparedness for emerging infectious diseases.

 

問題 #175
Surgical site infection (SSI) data for the previous quarter reveal the following numbers. The surgeon with the highest infection rate is Doctor

• A. White
• B. Brown
• C. Jones.
• D. Smith

答案：A

解題說明：
To determine which surgeon has the highest surgical site infection (SSI) rate, use the following formula:
A screenshot of a report AI-generated content may be incorrect.

Since Dr. White has the highest SSI rate at 9.1%, the correct answer is D. White.
CBIC Infection Control Reference
SSI rates are calculated using infection count per total procedures and reported as percentage values.

 

問題 #176
A nurse claims to have acquired hepatitis A virus infection as the result of occupational exposure. The source patient had an admitting diagnosis of viral hepatitis. Further investigation of this incident reveals a 5-day interval between exposure and onset of symptoms in the nurse. The patient has immunoglobulin G antibodies to hepatitis A. From the evidence, the infection preventionist may correctly conclude which of the following?

• A. The 5-day incubation period is consistent with hepatitis A virus transmission.
• B. The evidence at this time fails to support the nurse's claim.
• C. The patient has serologic evidence of recent hepatitis A viral infection.
• D. The nurse should be given hepatitis A virus immunoglobulin.

答案：B

解題說明：
The infection preventionist's (IP) best conclusion, based on the provided evidence, is that the evidence at this time fails to support the nurse's claim of acquiring hepatitis A virus (HAV) infection through occupational exposure. This conclusion is grounded in the clinical and epidemiological understanding of HAV, as aligned with the Certification Board of Infection Control and Epidemiology (CBIC) guidelines. Hepatitis A typically has an incubation period ranging from 15 to 50 days, with an average of approximately 28-30 days, following exposure to the virus (CBIC Practice Analysis, 2022, Domain I: Identification of Infectious Disease Processes, Competency 1.3 - Apply principles of epidemiology). The reported 5-day interval between exposure and symptom onset in the nurse is significantly shorter than the expected incubation period, making it inconsistent with HAV transmission. Additionally, the presence of immunoglobulin G (IgG) antibodies in the source patient indicates past exposure or immunity to HAV, rather than an active or recent infection, which would typically be associated with immunoglobulin M (IgM) antibodies during the acute phase.
Option A (the nurse should be given hepatitis A virus immunoglobulin) is not supported because post- exposure prophylaxis with HAV immunoglobulin is recommended only within 14 days of exposure to a confirmed case with active infection, and the evidence here does not confirm a recent exposure or active case.
Option C (the patient has serologic evidence of recent hepatitis A viral infection) is incorrect because IgG antibodies signify past infection or immunity, not a recent infection, which would require IgM antibodies.
Option D (the 5-day incubation period is consistent with hepatitis A virus transmission) is inaccurate due to the mismatch with the known incubation period of HAV.
The IP's role includes critically evaluating epidemiological data to determine the likelihood of transmission events. The discrepancy in the incubation period and the serologic status of the patient suggest that the nurse's claim may not be substantiated by the current evidence, necessitating further investigation rather than immediate intervention or acceptance of the claim. This aligns with CBIC's emphasis on accurate identification and investigation of infectious disease processes (CBIC Practice Analysis, 2022, Domain I:
Identification of Infectious Disease Processes, Competency 1.2 - Investigate suspected outbreaks or exposures).
References: CBIC Practice Analysis, 2022, Domain I: Identification of Infectious Disease Processes, Competencies 1.2 - Investigate suspected outbreaks or exposures, 1.3 - Apply principles of epidemiology.

 

問題 #177
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