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CBIC Certified Infection Control Exam Sample Questions (Q32-Q37):

NEW QUESTION # 32
An infection preventionist is reviewing practices in a facility's food preparation department. Which of the following practices should be revised?

A. Maintaining hot food at 145° F (62.7° C) during serving
B. Discarding most perishable food within 72 hours
C. Using a cutting board to cut vegetables
D. Thawing meat at room temperature

Answer: D

Explanation:
Thawing raw meat at room temperature is a major food safety violation because it allows bacteria to multiply rapidly within the temperature danger zone (40-140°F or 4.4-60°C). Meat should always be thawed in the refrigerator, under cold running water, or in a microwave if cooked immediately.
Why the Other Options Are Incorrect?
* B. Using a cutting board to cut vegetables - This is safe as long as proper cleaning and sanitation procedures are followed.
* C. Maintaining hot food at 145°F (62.7°C) during serving - 145°F is an acceptable minimum temperature for certain meats like beef, fish, and pork.
* D. Discarding most perishable food within 72 hours - Many perishable foods, especially leftovers, should be discarded within 3 days, making this an appropriate practice.
CBIC Infection Control Reference
The APIC guidelines emphasize that raw meat should never be thawed at room temperature due to the risk of bacterial growth and foodborne illness.

NEW QUESTION # 33
A facility's goal is to increase hand-hygiene compliance from the current 52% to 75% within 12 months. A gap analysis identifies several different issues. Which of the following is BEST suited for summarizing these issues?

A. Gantt chart
B. Affinity diagram
C. Ishikawa diagram
D. Flow chart

Answer: C

Explanation:
AnIshikawa diagram (fishbone diagram)is used tovisually represent cause-and-effect relationshipsin problem analysis. It is best for summarizing and categorizing issues found in a gap analysis related to infection prevention.
* TheAPIC Textconfirms:
"A fishbone diagram (also called a tree diagram or Ishikawa) allows a team to identify, explore, and graphically display all of the possible causes related to a problem to discover the root cause".
* It's particularly useful in quality improvement and infection prevention project analysis.
References:
CBIC Study Guide, 6th Edition, Chapter on Quality Concepts
APIC Text, 4th Edition, Chapter 16 - Quality Concepts

NEW QUESTION # 34
Which of the following patients with human immunodeficiency virus infection requires Airborne precautions?

A. 28-year-old female with Mycobacterium avium in sputum
B. 36-year-old male with cryptococcal meningitis
C. 24-year-old male newly diagnosed with a CD4 count of 70
D. 46-year-old female with a cavitary lesion in upper lobe

Answer: D

Explanation:
HIV patients require Airborne Precautions if they have tuberculosis (TB). A cavitary lesion in the upper lobe is highly suggestive of active pulmonary TB, which requires Airborne Precautions due to aerosolized transmission.
Why the Other Options Are Incorrect?
* A. 24-year-old male newly diagnosed with a CD4 count of 70 - Low CD4 count alone does not warrant Airborne Precautions unless there is active TB or another airborne pathogen.
* B. 28-year-old female with Mycobacterium avium in sputum - Mycobacterium avium complex (MAC) is not airborne, and standard precautions are sufficient.
* C. 36-year-old male with cryptococcal meningitis - Cryptococcus neoformans is not transmitted via the airborne route, so Airborne Precautions are unnecessary.
CBIC Infection Control Reference
Patients with HIV and suspected TB require Airborne Precautions until TB is ruled out.

NEW QUESTION # 35
The degree of infectiousness of a patient with tuberculosis correlates with

A. a tuberculin skin test result that is greater than 20 mm
B. the hand-hygiene habits of the patient.
C. a presence of acid-fast bacilli in the blood.
D. the number of organisms expelled into the air

Answer: D

Explanation:
The infectiousness of tuberculosis (TB) is directly related to the number of Mycobacterium tuberculosis organisms expelled into the air by an infected patient.
Step-by-Step Justification:
* TB Transmission Mechanism:
* TB spreads through airborne droplet nuclei, which remain suspended for long periods.
* Factors Affecting Infectiousness:
* High bacterial load in sputum: Smear-positive patients are much more infectious.
* Coughing and sneezing frequency: More expelled droplets increase exposure risk.
* Environmental factors: Poor ventilation increases transmission.
Why Other Options Are Incorrect:
* A. Hand hygiene habits: TB is airborne, not transmitted via hands.
* B. Presence of acid-fast bacilli (AFB) in blood: TB is not typically hematogenous, and blood AFB does not correlate with infectiousness.
* C. Tuberculin skin test (TST) >20 mm: TST indicates prior exposure, not infectiousness.
CBIC Infection Control References:
* APIC Text, "Tuberculosis Transmission and Control Measures".

NEW QUESTION # 36
Which performance improvement model should the infection preventionist use to aid in the evaluation of the infection control plan?

A. Plan, Do, Study, Act
B. Failure mode and effects analysis
C. Six Sigma
D. Root Cause Analysis

Answer: A

Explanation:
The Plan, Do, Study, Act (PDSA) model is a widely used performance improvement tool in infection prevention. It focuses on continuous quality improvement through planning, implementing, analyzing data, and making adjustments. This model aligns with infection control program evaluations and The Joint Commission's infection prevention and control standards.
Why the Other Options Are Incorrect?
* A. Six Sigma - A data-driven process improvement method but not as commonly used in infection control as PDSA.
* B. Failure Mode and Effects Analysis (FMEA) - Used to identify risks before implementation, rather than ongoing evaluation.
* D. Root Cause Analysis (RCA) - Used to analyze failures after they occur, rather than guiding continuous improvement.
CBIC Infection Control Reference
The PDSA cycle is a recognized model for evaluating and improving infection control plans.

NEW QUESTION # 37
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