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CBIC Certified Infection Control Exam Sample Questions (Q70-Q75):

NEW QUESTION # 70
Which of the following is an example of an outcome measure?

A. Rate of multi-drug resistant organisms acquisition
B. Adherence to Environmental Cleaning
C. Timing of preoperative antibiotic administration
D. Hand hygiene compliance rate

Answer: A

Explanation:
The correct answer is C, "Rate of multi-drug resistant organisms acquisition," as it represents an example of an outcome measure. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, outcome measures are indicators that reflect the impact or result of infection prevention and control interventions on patient health outcomes or the incidence of healthcare-associated infections (HAIs).
The rate of multi-drug resistant organisms (MDRO) acquisition directly measures the incidence of new infections caused by resistant pathogens, which is a key outcome affected by the effectiveness of infection control practices (CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competency 2.4 - Evaluate the effectiveness of infection prevention and control interventions).
Option A (hand hygiene compliance rate) is an example of a process measure, which tracks adherence to specific protocols or practices intended to prevent infections, rather than the resulting health outcome. Option B (adherence to environmental cleaning) is also a process measure, focusing on the implementation of cleaning protocols rather than the end result, such as reduced infection rates. Option D (timing of preoperative antibiotic administration) is another process measure, assessing the timeliness of an intervention to prevent surgical site infections, but it does not directly indicate the outcome (e.g., infection rate) of that intervention.
Outcome measures, such as the rate of MDRO acquisition, are critical for evaluating the success of infection prevention programs and are often used to guide quality improvement initiatives. This aligns with CBIC's emphasis on using surveillance data to assess the effectiveness of interventions and inform decision-making (CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competency 2.5 - Use data to guide infection prevention and control strategies). The focus on MDRO acquisition specifically highlights a significant healthcare challenge, making it a prioritized outcome measure in infection control.
References: CBIC Practice Analysis, 2022, Domain II: Surveillance and Epidemiologic Investigation, Competencies 2.4 - Evaluate the effectiveness of infection prevention and control interventions, 2.5 - Use data to guide infection prevention and control strategies.

NEW QUESTION # 71
A microbiology laboratory plays a pivotal role in both endemic and epidemic epidemiology. Which of the following should be investigated FIRST?

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

Answer: D

Explanation:
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.

NEW QUESTION # 72
An infection preventionist is informed that there is a possible cluster of streptococcal meningitis in the neonatal intensive care unit. Which of the following streptococcal serogroops is MOST commonly associated with meningitis in neonates beyond one week of age?

A. Group C
B. Group D
C. Group A
D. Group B

Answer: D

Explanation:
Group B Streptococcus (Streptococcus agalactiae) is the most common cause of neonatal bacterial meningitis beyond one week of age.
Step-by-Step Justification:
* Group B Streptococcus (GBS) and Neonatal Infections:
* GBS is a leading cause of late-onset neonatal meningitis (occurring after 7 days of age).
* Infection typically occurs through vertical transmission from the mother or postnatal exposure.
* Neonatal Risk Factors:
* Premature birth, prolonged rupture of membranes, and maternal GBS colonization increase risk.
Why Other Options Are Incorrect:
* A. Group A: Rare in neonates and more commonly associated with pharyngitis and skin infections.
* C. Group C: Typically associated with animal infections and rarely affects humans.
* D. Group D: Includes Enterococcus, which can cause neonatal infections but is not the most common cause of meningitis.
CBIC Infection Control References:
* APIC Text, "Group B Streptococcus and Neonatal Meningitis".

NEW QUESTION # 73
The Sterile Processing Deportment alerts an infection preventionist that a load of surgical Instruments sterilized with high temperature steam:moist heat needs to be recalled. Which of the following Is the MOST likely reason for the recall?

A. Placement of the biological Indicator on the bottom shelf over the d*an
B. Failure of the biological Indicator Geobaciltus stearothermophilus
C. Failure of the biological Indicator Bacillus subtilts
D. Incorrect placement of the instruments In the tray

Answer: B

Explanation:
The most likely reason for the recall of a steam-sterilized load is thefailure of the biological indicator (BI), specificallyGeobacillus stearothermophilus, which is used to monitor high-temperature steam (moist heat) sterilization processes. This organism is the biological indicator of choice because it has high resistance to moist heat and thus serves as a reliable marker for sterilization efficacy.
The APIC Text and AAMI ST79 guidelines confirm thatGeobacillus stearothermophilusis used for steam sterilization and that a failed BI indicates a failure in the sterilization process, which requires immediate action, including recalling all items sterilized since the last negative BI and reprocessing them. This is a crucial aspect of ensuring patient safety and preventing the use of potentially non-sterile surgical instruments.
* According to the APIC Text:
"BIs are the only process indicators that directly monitor the lethality of a given sterilization process. [...] Geobacillus stearothermophilusspores are used to monitor steam sterilization..."
* TheCIC Study Guide (6th ed.)also specifies that:
"Evidence of sterilization failures (e.g., positive biological indicators) is the most common reason for a recall."
* Additionally, it is noted:
"With steam sterilization, the instrument load does not need to be recalled for a single positive biological indicator test, with the exception of implantable objects." However,multiple positive BIs or BI failure confirmation does require a recall.
* The incorrect options explained:
* A. Bacillus subtilis- This is not used in steam sterilization but rather in dry heat or EO processes.
* C. Placement of the biological indicator on the bottom shelf over the drain- While incorrect placement can lead to test failure, the recall is prompted by BI failure, not just placement.
* D. Incorrect placement of instruments- This can cause sterilization failure but is not the direct trigger for a recall unless it leads to a failed BI.
References:
CIC Study Guide, 6th Edition, Chapter 10 - Cleaning, Sterilization, Disinfection, Asepsis, Pages 211, 236 APIC Text, 4th Edition, Chapter 106 - Sterile Processing ANSI/AAMI ST79:2017, cited throughout APIC Text and APIC 4 for sterilization monitoring protocols.

NEW QUESTION # 74
Which of the following descriptions accurately describes a single-use medical device?

A. A device which can be used on a single patient
B. A device used one time on a patient during a procedure and then discarded
C. A device that is sterilized and can be used again on the same patient
D. A device used on a patient and reprocessed prior to being used again

Answer: B

Explanation:
The correct answer is D, "A device used one time on a patient during a procedure and then discarded," as this accurately describes a single-use medical device. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, a single-use device (SUD), also known as a disposable device, is labeled by the manufacturer for one-time use on a patient and is intended to be discarded afterward to prevent cross-contamination and ensure patient safety. This definition is consistent with regulations from the Food and Drug Administration (FDA), which designate SUDs as devices that should not be reprocessed or reused due to risks of infection, material degradation, or failure to restore sterility (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.3 - Ensure safe reprocessing of medical equipment). Examples include certain syringes, catheters, and gloves, which are designed for single use to eliminate the risk of healthcare-associated infections (HAIs).
Option A (a device which can be used on a single patient) is too vague and could apply to both single-use and reusable devices, as reusable devices are also often used on a single patient per procedure before reprocessing.
Option B (a device that is sterilized and can be used again on the same patient) describes a reusable device, not a single-use device, as sterilization and reuse are not permitted for SUDs. Option C (a device used on a patient and reprocessed prior to being used again) refers to a reusable device that undergoes reprocessing (e.
g., sterilization), which is explicitly prohibited for SUDs under manufacturer and regulatory guidelines.
The focus on discarding after one use aligns with CBIC's emphasis on preventing infection through adherence to device labeling and safe reprocessing practices, ensuring that healthcare facilities avoid the risks associated with improper reuse of SUDs (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.5 - Evaluate the environment for infection risks). This practice is critical to maintaining a sterile and safe healthcare environment.
References: CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competencies 3.3 - Ensure safe reprocessing of medical equipment, 3.5 - Evaluate the environment for infection risks. FDA Guidance on Reprocessing of Single-Use Devices, 2016.

NEW QUESTION # 75
......

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