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Valid CIC Exam Tips Exam Pass Certify | CBIC CIC: CBIC Certified Infection Control Exam

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CBIC Certified Infection Control Exam Sample Questions (Q21-Q26):

NEW QUESTION # 21
Surgical site infection (SSI) data for the previous quarter reveal the following numbers. The surgeon with the highest infection rate is Doctor

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

Answer: B

Explanation:
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.

NEW QUESTION # 22
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?

A. 3.3
B. 1.5
C. 3.6
D. 2.9

Answer: D

Explanation:
To determine the infection rate per 100 procedures for total hip replacements, use the following formula:
A white paper with black text and numbers AI-generated content may be incorrect.

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.

NEW QUESTION # 23
An infection preventionist is putting together an educational program for families of patients newly diagnosed with Clostridioides difficile infection (CDI). Which of the following educational formats would involve active learning?

A. Watching a 5-minute YouTube video demonstrating ways to prevent CDI transmission
B. Providing a brief 10-minute lecture on ways to prevent CDI transmission
C. Distributing a pamphlet describing ways to prevent CDI transmission
D. Having the family members demonstrate ways to prevent CDI transmission

Answer: D

Explanation:
The correct answer is D, "Having the family members demonstrate ways to prevent CDI transmission," as this educational format involves active learning. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, active learning engages learners through participation, practice, and application of knowledge, which is more effective for skill development and behavior change compared to passive methods. In this context, having family members demonstrate techniques-such as proper hand hygiene, use of personal protective equipment (PPE), or environmental cleaning-requires them to actively apply the information, reinforcing understanding and retention (CBIC Practice Analysis, 2022, Domain IV:
Education and Research, Competency 4.1 - Develop and implement educational programs). This hands-on approach also allows the infection preventionist to provide immediate feedback, ensuring correct practices to prevent CDI transmission, which is critical given the spore-forming nature of Clostridioides difficile.
Option A (providing a brief 10-minute lecture on ways to prevent CDI transmission) is a passive learning method where information is delivered to the audience without requiring their active participation, limiting its effectiveness for skill-based learning. Option B (distributing a pamphlet describing ways to prevent CDI transmission) is also passive, relying on the family to read and interpret the material independently, which may not ensure comprehension or application. Option C (watching a 5-minute YouTube video demonstrating ways to prevent CDI transmission) is a more engaging passive method, as it provides visual and auditory learning, but it still lacks the interactive component of active participation or demonstration.
The focus on active learning aligns with CBIC's emphasis on tailoring educational programs to promote practical skills and sustained behavior change, which is essential for infection prevention among families of CDI patients (CBIC Practice Analysis, 2022, Domain IV: Education and Research, Competency 4.2 - Evaluate the effectiveness of educational programs). This approach supports the goal of reducing transmission risks in both healthcare and home settings.
References: CBIC Practice Analysis, 2022, Domain IV: Education and Research, Competencies 4.1 - Develop and implement educational programs, 4.2 - Evaluate the effectiveness of educational programs.

NEW QUESTION # 24
In which of the following ways is human immunodeficiency virus similar to the Hepatitis B virus?

A. Needlestick exposure leads to a high frequency of healthcare worker infection
B. The primary mechanism of transmission for both is maternal-fetal
C. The risk of infection from mucous membrane exposure is the same
D. Transmission may occur from asymptomatic carriers

Answer: D

Explanation:
The human immunodeficiency virus (HIV) and Hepatitis B virus (HBV) are both bloodborne pathogens that pose significant risks in healthcare settings, and understanding their similarities is crucial for infection prevention and control. The Certification Board of Infection Control and Epidemiology (CBIC) emphasizes the importance of recognizing transmission modes and implementing appropriate precautions in the
"Prevention and Control of Infectious Diseases" domain, aligning with guidelines from the Centers for Disease Control and Prevention (CDC). Comparing these viruses involves evaluating their epidemiology, transmission routes, and occupational risks.
Option C, "Transmission may occur from asymptomatic carriers," is the correct answer. Both HIV and HBV can be transmitted by individuals who are infected but show no symptoms, making asymptomatic carriage a significant similarity. For HBV, chronic carriers (estimated at 257 million globally per WHO, 2019) can transmit the virus through blood, semen, or other bodily fluids without overt signs of disease. Similarly, HIV- infected individuals can remain asymptomatic for years during the latent phase, yet still transmit the virus through sexual contact, blood exposure, or perinatal transmission. The CDC's "Guidelines for Prevention of Transmission of HIV and HBV to Healthcare Workers" (1987, updated 2011) and "Epidemiology and Prevention of Viral Hepatitis" (2018) highlight this shared characteristic, underscoring the need for universal precautions regardless of symptom status.
Option A, "The primary mechanism of transmission for both is maternal-fetal," is incorrect. While maternal- fetal transmission (perinatal transmission) is a significant route for both HIV and HBV-occurring in 5-10% of cases without intervention for HBV and 15-45% for HIV without antiretroviral therapy-it is not the primary mechanism. For HBV, the primary mode is horizontal transmission through unprotected sexual contact or percutaneous exposure (e.g., needlesticks), accounting for the majority of cases. For HIV, sexual transmission and intravenous drug use are the leading modes globally, with maternal-fetal transmission being a smaller proportion despite its importance. Option B, "Needlestick exposure leads to a high frequency of healthcare worker infection," is partially true but not a precise similarity. Needlestick exposures carry a high risk for HBV (transmission risk ~30% if the source is HBeAg-positive) and a lower risk for HIV (~0.3%), but the frequency of infection among healthcare workers is significantly higher for HBV due to its greater infectivity and stability outside the host. This makes the statement more characteristic of HBV than a shared trait. Option D, "The risk of infection from mucous membrane exposure is the same," is false. The risk of HIV transmission via mucous membrane exposure (e.g., splash to eyes or mouth) is approximately 0.09%, while for HBV it is higher (up to 1-2% depending on viral load and exposure type), reflecting HBV's greater infectivity.
The CBIC Practice Analysis (2022) and CDC guidelines emphasize the role of asymptomatic transmission in shaping infection control strategies, such as routine testing and post-exposure prophylaxis. This shared feature of HIV and HBV justifies Option C as the most accurate similarity.
References:
* CBIC Practice Analysis, 2022.
* CDC Guidelines for Prevention of Transmission of HIV and HBV to Healthcare Workers, 2011.
* CDC Epidemiology and Prevention of Viral Hepatitis, 2018.
* WHO Hepatitis B Fact Sheet, 2019.

NEW QUESTION # 25
A surgeon approaches an infection preventionist (IP) concerned that there are more surgical site infections (SSIs) in hysterectomies performed in the facility's stand-alone surgery center than in those performed in the acute-care operating room. The IP should

A. initiate prospective surveillance for SSIs in hysterectomies performed at the stand-alone surgery center
B. compare the most recent post-hysterectomy SSI surveillance data from the surgery center with those of the previous 12 months.
C. initiate post-hysterectomy SSI surveillance in hysterectomy patients to verify accuracy of current surveillance methodology
D. compare post-hysterectomy SSI rates in cases performed at the acute-care operating room with those performed at the surgery center.

Answer: D

Explanation:
The infection preventionist (IP) should start by comparing SSI rates between the acute-care operating room and the stand-alone surgery center. This direct comparison will help determine if there is a statistically significant difference in infection rates and guide further investigation.
Step-by-Step Justification:
* Identify Trends:
* Compare SSI rates between the two locations over a set period to identify patterns.
* Assess Contributing Factors:
* Look at factors such as patient population, antibiotic prophylaxis, surgical techniques, environmental controls, and adherence to infection prevention protocols.
* Validate Surveillance Data:
* Ensure that consistent SSI surveillance methodologies are used at both locations to avoid discrepancies.
Why Other Options Are Incorrect:
* A. Initiate prospective surveillance for SSIs in hysterectomies performed at the stand-alone surgery center:
* Prospective surveillance is beneficial but does not immediately answer the surgeon's concern about existing infections.
* B. Compare the most recent post-hysterectomy SSI surveillance data from the surgery center with those of the previous 12 months:
* This approach only looks at trends at the surgery center without comparing it to the acute-care setting.
* C. Initiate post-hysterectomy SSI surveillance in hysterectomy patients to verify accuracy of current surveillance methodology:
* This step is secondary. Before initiating new surveillance, a direct comparison should be made using existing data.
CBIC Infection Control References:
* APIC Text, "Surgical Site Infection Surveillance and Prevention Measures".

NEW QUESTION # 26
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