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[General] Exam CIC Simulator Free｜Cogent for CBIC Certified Infection Control Exam

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【General】 Exam CIC Simulator Free｜Cogent for CBIC Certified Infection Control Exam

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CBIC Certified Infection Control Exam Sample Questions (Q71-Q76):NEW QUESTION # 71
A hospital is experiencing an increase in vancomycin-resistant Enterococcus (VRE) infections in the hematology-oncology unit. Which of the following interventions is MOST effective in halting the spread of VRE in this high-risk setting?
  • A. Conducting environmental sampling for VRE contamination weekly.
  • B. Screening all patients on admission and placing positive patients in isolation.
  • C. Restricting the use of vancomycin for all patients in the hospital.
  • D. Implementing a hand hygiene compliance audit and feedback system.
Answer: D
Explanation:
Comprehensive and Detailed In-Depth Explanation:
Hand hygiene remains the single most effective intervention to prevent the spread of vancomycin-resistant Enterococcus (VRE) in healthcare settings. Implementing an audit and feedback system significantly improves compliance and reduces VRE transmission.
Step-by-Step Justification:
* Hand Hygiene Compliance Audit and Feedback (Best Strategy)
* Studies show that poor hand hygiene is the primary mode of VRE transmission in hospitals.
* Implementing real-time auditing with feedback ensures sustained compliance and helps identify weak areas.
* Why Other Options Are Incorrect:
* A. Screening all patients and isolating VRE-positive patients:
* While screening helps identify carriers, contact precautions alone are not sufficient without strong hand hygiene enforcement.
* B. Restricting vancomycin use:
* While antimicrobial stewardship is crucial, vancomycin use alone does not drive VRE outbreaks-poor infection control practices do.
* D. Conducting environmental sampling weekly:
* Routine sampling is not necessary; immediate terminal disinfection and improved hand hygiene are more effective.
CBIC Infection Control References:
* APIC Text, "VRE Prevention and Hand Hygiene," Chapter 11.
* APIC-JCR Workbook, "Antimicrobial Resistance and Infection Control Measures," Chapter 7.

NEW QUESTION # 72
Which of the following represents the most effective strategy for preventing Clostridioides difficile transmission in a healthcare facility?
  • A. Daily environmental cleaning with quaternary ammonium compounds.
  • B. Universal C. difficile screening on admission for high-risk patients.
  • C. Strict antimicrobial stewardship to limit unnecessary antibiotic use.
  • D. Routine use of alcohol-based hand rub for hand hygiene after patient contact.
Answer: C
Explanation:
* Antimicrobial stewardship is the most effective strategy to reduce C. difficile infections (CDI) by limiting the use of broad-spectrum antibiotics.
* Quaternary ammonium disinfectants (A) are ineffective against C. difficile spores; bleach-based disinfectants are preferred.
* Routine screening (C) is not cost-effective for prevention.
* Alcohol-based hand rubs (D) do not kill C. difficile spores; soap and water should be used.
CBIC Infection Control References:
* APIC Text, "C. difficile Prevention Strategies," Chapter 9.

NEW QUESTION # 73
Which of the following measures has NOT been demonstrated to reduce the risk of surgical site infections?
  • A. Designating a specific surgical suite tor infected cases
  • B. Using antimicrobial preoperative scrub by members of the surgical team
  • C. Assuring adequate patient nutrition
  • D. Limiting the duration of preoperative hospital stay
Answer: A
Explanation:
There is no strong evidence that isolating infected cases in a separate surgical suite reduces SSI risk.
Step-by-Step Justification:
* SSI Prevention Strategies Supported by Evidence:
* Preoperative hospital stay limitation reduces exposure to hospital-acquired pathogens.
* Antimicrobial preoperative scrubs lower bacterial load on the skin.
* Adequate nutrition improves immune function and wound healing.
* Why Designating a Separate Surgical Suite Is Not Effective:
* Operating room environmental controls (e.g., laminar airflow, sterilization protocols) are more important than suite designation.
* No significant reduction in SSIs has been observed by segregating infected cases into specific OR suites.
Why Other Options Are Correct:
* A. Limiting preoperative hospital stay: Reduces nosocomial bacterial exposure.
* B. Antimicrobial preoperative scrub: Decreases skin flora contamination.
* C. Assuring adequate patient nutrition: Enhances immune defense against infections.
CBIC Infection Control References:
* APIC Text, "Surgical Site Infection Prevention Strategies".

NEW QUESTION # 74
Which of the following should be included when designing a data collection form for surveillance?
  • A. Denominator information
  • B. As much information as possible
  • C. Only the information needed
  • D. Medication history
Answer: A
Explanation:
The Certification Study Guide (6th edition) emphasizes that effective surveillance depends on the ability to calculate rates, not just counts. To calculate any infection rate, both a numerator (number of infection events) and a denominator (population at risk or time at risk) are required. Therefore, inclusion of denominator information is essential when designing a data collection form for surveillance.
Denominator data may include patient days, device days (e.g., central line days, ventilator days), number of procedures, or number of admissions-depending on the surveillance objective. Without denominator data, infection preventionists cannot calculate standardized rates, compare trends over time, or benchmark against national databases. The study guide clearly states that surveillance systems lacking denominator data produce incomplete and potentially misleading results.
The other options are either vague or inappropriate. While data collection forms should avoid unnecessary information, simply stating "only the information needed" does not address the critical requirement for denominator data. Collecting "as much information as possible" is discouraged because it increases workload, reduces data quality, and may compromise sustainability of surveillance programs. Medication history is not routinely required for most surveillance activities unless it is directly related to the infection being studied.
This question reflects a fundamental CIC exam principle: surveillance must be designed to support valid rate calculation and analysis. Including denominator information ensures that collected data are meaningful, actionable, and aligned with evidence-based infection prevention practices.
Reference: Certification Study Guide (CBIC/CIC Exam Study Guide), 6th edition, Chapter 4: Surveillance and Epidemiologic Investigation.

NEW QUESTION # 75
Therapeutic antimicrobial agents should be used when
  • A. Following identification of the pathogen and sensitives.
  • B. the patient's illness warrants treatment prior to culture results
  • C. the infecting agent is unknown
  • D. the patient symptoms suggest likely pathogens.
Answer: A
Explanation:
Therapeutic antimicrobial agents should ideally be pathogen-directed to minimize resistance, side effects, and treatment failure. Once the causative pathogen and its antimicrobial susceptibilities are known, the most narrow-spectrum, effective agent should be used.
Why the Other Options Are Incorrect?
* A. The infecting agent is unknown - Empiric therapy may be necessary initially, but definitive therapy should be based on pathogen identification.
* B. The patient's illness warrants treatment prior to culture results - This applies to empiric therapy, but not to definitive antimicrobial selection.
* C. The patient's symptoms suggest likely pathogens - Clinical presentation guides empiric treatment, but definitive therapy should follow culture and susceptibility testing.
CBIC Infection Control Reference
APIC emphasizes the importance of selecting antimicrobials based on pathogen identification and susceptibility testing to prevent antimicrobial resistance.

NEW QUESTION # 76
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