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[General] CIC Prüfungen & CIC Deutsch

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【General】 CIC Prüfungen & CIC Deutsch

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CBIC Certified Infection Control Exam CIC Prüfungsfragen mit Lösungen (Q34-Q39):34. Frage
While completing compliance rounds in the Central Supply department, the infection preventionist notes items that have completed the sterilization process are showing evidence of moisture on the inside of the sterilization package. The FIRST step that the IP should take is to
  • A. do nothing as it is normal to have some condensation on the inside of the sterilization package.
  • B. instruct central supply staff to recall all items in the affected load and reprocess.
  • C. monitor employee's compliance with facility policy regarding the sterilization process.
  • D. re-educate the employee on the sterilization process.
Antwort: B
Begründung:
Anyevidence of moistureinside a sterilization package indicates acompromised sterilization process. The immediate action is torecall and reprocessthe entire affected load.
* According toANSI/AAMI ST79and cited in theAPIC Text:
"Any items with packaging that appears to be wet should not be used." These items must bereprocessedto ensure sterility is not compromised.
* This is not a matter for education or monitoring-it requires direct corrective action to protect patient safety.
References:
APIC Text, 4th Edition, Chapter 108 - Sterile Processing

35. Frage
An infection preventionist (IP) is reviewing blood cultures and notices several results with Arcanobacterium, coagulase-negative Staphylococcus, and Corynebacterium. What action is needed from the IP?
  • A. Call the Medical Staff Officer and declare there is an outbreak.
  • B. Disregard the results.
  • C. Collaborate with the lab manager to determine if there are trends or changes in practice.
  • D. Work up each case as a healthcare-acquired bloodstream infection.
Antwort: C
Begründung:
The CBIC Certified Infection Control Exam Study Guide (6th edition) emphasizes that certain organisms commonly recovered from blood cultures-such as Arcanobacterium, coagulase-negative Staphylococcus, and Corynebacterium-are frequently associated with skin contamination rather than true bloodstream infection. When multiple blood cultures yield these organisms, the infection preventionist must assess whether the findings represent contamination related to collection practices rather than immediately assuming infection or outbreak.
The most appropriate action is to collaborate with the laboratory manager and clinical teams to evaluate potential trends, specimen collection techniques, and changes in practice. This includes reviewing blood culture contamination rates, assessing skin antisepsis procedures, evaluating staff competency, and determining whether there has been an increase associated with a specific unit, shift, or collection method.
Surveillance data and laboratory quality indicators are essential tools in this evaluation.
Option A is incorrect because results should never be disregarded without assessment. Option B is premature, as the organisms listed are not typical outbreak pathogens and require further analysis before escalation.
Option C is inappropriate because these organisms do not automatically meet criteria for healthcare- associated bloodstream infection without supporting clinical evidence.
This scenario reflects a core CIC exam concept: infection preventionists must apply epidemiologic principles, collaborate with laboratory services, and use data-driven analysis to differentiate contamination from infection and to guide quality improvement efforts.
=========

36. Frage
Which of the following factors is important in assessing the risk of Mycobacterium tuberculosis (MTB) exposure at a healthcare facility?
  • A. The compliance rate for annual N-95 fit testing among healthcare personnel at the facility.
  • B. The rate of healthcare personnel at the facility with positive MTB screening tests.
  • C. The number of cases of active MTB in the community served by the facility.
  • D. The number of airborne infection isolation rooms available within the facility.
Antwort: C
Begründung:
The Certification Study Guide (6th edition) explains that assessment of Mycobacterium tuberculosis (MTB) risk in healthcare settings begins with evaluating the likelihood that patients with active TB will present to the facility. One of the most important determinants of this likelihood is the incidence of active TB disease in the community served by the healthcare facility. Facilities serving populations with higher TB prevalence are at increased risk of exposure events and must tailor their TB prevention and control programs accordingly.
The study guide emphasizes that TB risk assessments are population-based and epidemiologic in nature.
Community TB rates directly influence the frequency with which undiagnosed or unsuspected infectious TB patients may enter the healthcare system, potentially exposing healthcare personnel (HCP) and other patients.
This factor drives decisions regarding surveillance intensity, education, respiratory protection programs, and engineering controls.
The other options represent control measures or outcomes, not primary risk determinants. The number of airborne infection isolation rooms reflects facility preparedness, not exposure risk. Rates of positive HCP screening tests may indicate past exposure but are not used to assess initial risk. Compliance with N-95 fit testing is a program performance indicator, not a measure of TB exposure likelihood.
CIC exam questions commonly distinguish between risk assessment inputs versus mitigation strategies.
Recognizing community TB incidence as the foundational risk factor is essential for accurate TB program planning and compliance with recommended infection prevention standards.
Reference: Certification Study Guide (CBIC/CIC Exam Study Guide), 6th edition, Chapter 6: Employee
/Occupational Health; Chapter 4: Surveillance and Epidemiologic Investigation.

37. Frage
Which of the following anti-infective materials is used on endotracheal tubes, urine catheters, and intravascular catheters?
  • A. Silver
  • B. Zinc
  • C. Chromium
  • D. Copper
Antwort: A
Begründung:
The CBIC Certified Infection Control Exam Study Guide (6th edition) identifies silver as an anti-infective material commonly incorporated into medical devices such as endotracheal tubes, urinary catheters, and intravascular catheters. Silver has broad-spectrum antimicrobial properties against bacteria, fungi, and some viruses. When used as a coating or impregnated material, silver ions disrupt microbial cell membranes, interfere with enzyme systems, and inhibit replication-thereby reducing microbial colonization and biofilm formation on device surfaces.
Device-associated infections often originate from colonization of indwelling devices. Silver-coated or silver- impregnated devices are intended to reduce the risk of healthcare-associated infections by limiting early microbial adherence and growth, particularly during the highest-risk period shortly after device insertion.
Examples include silver alloy urinary catheters for CAUTI prevention and silver-coated endotracheal tubes designed to reduce ventilator-associated events.
The other options listed are not used in this context. Copper has antimicrobial properties but is not commonly used in indwelling medical devices. Chromium is used for corrosion resistance in alloys, not for infection prevention. Zinc plays roles in wound care and topical formulations but is not standard for catheter or tube coatings.
For CIC exam preparation, recognizing silver as the anti-infective material used in multiple indwelling devices is important, as it reflects evidence-based strategies aimed at reducing device-associated infection risk.

38. Frage
A healthcare personnel has an acute group A streptococcal throat infection. What is the earliest recommended time that this person may return to work after receiving appropriate antibiotic therapy?
  • A. 8 hours
  • B. 48 hours
  • C. 72 hours
  • D. 24 hours
Antwort: D
Begründung:
The correct answer is B, "24 hours," as this is the earliest recommended time that a healthcare personnel with an acute group A streptococcal throat infection may return to work after receiving appropriate antibiotic therapy. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, which align with recommendations from the Centers for Disease Control and Prevention (CDC), healthcare workers with group A Streptococcus (GAS) infections, such as streptococcal pharyngitis, should be treated with antibiotics (e.g., penicillin or a suitable alternative) to eradicate the infection and reduce transmission risk. The CDC and Occupational Safety and Health Administration (OSHA) guidelines specify that healthcare personnel can return to work after at least 24 hours of effective antibiotic therapy, provided they are afebrile and symptoms are improving, as this period is sufficient to significantly reduce the bacterial load and contagiousness (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency
3.2 - Implement measures to prevent transmission of infectious agents).
Option A (8 hours) is too short a duration to ensure the infection is adequately controlled and the individual is no longer contagious. Option C (48 hours) and Option D (72 hours) are longer periods that may apply in some cases (e.g., if symptoms persist or in outbreak settings), but they exceed the minimum recommended time based on current evidence. The 24-hour threshold is supported by studies showing that GAS shedding decreases substantially within this timeframe with appropriate antibiotic treatment, minimizing the risk to patients and colleagues (CDC Guidelines for Infection Control in Healthcare Personnel, 2019).
The infection preventionist's role includes enforcing return-to-work policies to prevent healthcare-associated infections (HAIs), aligning with CBIC's emphasis on timely and evidence-based interventions to control infectious disease transmission in healthcare settings (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.1 - Collaborate with organizational leaders). Compliance with this recommendation also supports occupational health protocols to balance staff safety and patient care.
References: CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competencies 3.1 - Collaborate with organizational leaders, 3.2 - Implement measures to prevent transmission of infectious agents. CDC Guidelines for Infection Control in Healthcare Personnel, 2019.

39. Frage
......
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