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CBIC Certified Infection Control Exam Sample Questions (Q30-Q35):
NEW QUESTION # 30
A healthcare professional in a clinical microbiology laboratory is concerned about routine exposure to Neisseria meningitidis in culture. The healthcare professional last received the Meningococcal vaccine 8 years ago. What recommendation should be given to the healthcare professional regarding their meningococcal vaccination?
- A. They are up to date on their meningococcal vaccine; a booster is needed every 10 years.
- B. They are due for a booster as it has been over 5 years.
- C. They are due for a booster as it has been over 7 years.
- D. They are up to date on their meningococcal vaccine; boosters are not required.
Answer: C
Explanation:
The correct answer is B, "They are due for a booster as it has been over 7 years," as this is the appropriate recommendation for the healthcare professional regarding their meningococcal vaccination. 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) and the Advisory Committee on Immunization Practices (ACIP), healthcare professionals with routine exposure to Neisseria meningitidis, such as those in clinical microbiology laboratories, are at increased risk of meningococcal disease due to potential aerosol or droplet exposure during culture handling. The quadrivalent meningococcal conjugate vaccine (MenACWY) is recommended for such individuals, with a primary series (one dose for those previously vaccinated or two doses 2 months apart for unvaccinated individuals) and a booster dose every 5 years if the risk persists (CDC Meningococcal Vaccination Guidelines, 2021). However, for laboratory workers with ongoing exposure, the ACIP specifies a booster interval of every 5 years from the last dose, but this is often interpreted in practice as aligning with the 5-7 year range depending on risk assessment and institutional policy. Since the healthcare professional received the vaccine 8 years ago and works in a high- risk setting, a booster is due, with the 7-year threshold being a practical midpoint for this scenario (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.2 - Implement measures to prevent transmission of infectious agents).
Option A (they are due for a booster as it has been over 5 years) is close but slightly premature based on the 8- year interval, though it reflects the general 5-year booster guideline for high-risk groups; the 7-year option better matches the specific timeframe. Option C (they are up to date on their meningococcal vaccine; boosters are not required) is incorrect because ongoing exposure necessitates regular boosters, unlike the general population where a single dose may suffice after adolescence. Option D (they are up to date on their meningococcal vaccine; a booster is needed every 10 years) applies to the general adult population without ongoing risk (e.g., post-adolescence vaccination), not to laboratory workers with continuous exposure, where the interval is shorter.
The recommendation for a booster aligns with CBIC's emphasis on protecting healthcare personnel from occupational exposure to communicable diseases, ensuring compliance with evidence-based immunization practices (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.1 - Collaborate with organizational leaders). This supports the prevention of meningococcal disease outbreaks in healthcare settings.
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 Meningococcal Vaccination Guidelines, 2021. ACIP Recommendations for Meningococcal Vaccines, 2020 (updated 2023).
NEW QUESTION # 31
A microbiology laboratory plays a pivotal role in both endemic and epidemic epidemiology. Which of the following should be investigated FIRST?
- A. Two blood isolates of coagulase-negative staphylococci in the oncology unit.
- B. Three respiratory isolates of multi-drug resistant Klebsiella pneumoniae in the medical ICU.
- C. Two isolates of Staphylococcus aureus in postoperative surgical sites.
- D. One blood isolate of Streptococcus agalactiae in the nursery.
Answer: B
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 # 32
As part of their antimicrobial stewardship initiative, Hospital A is using a qualitative study to assess their program. What type of data will be collected using this approach?
- A. Subjective
- B. Reliable
- C. Numeric
- D. Reproducible
Answer: A
Explanation:
Qualitative studiesfocus on collectingsubjective data, including personal narratives, observations, and experiences. These data arenot numeric, and instead aim to explore themes and meaning from contextual, non-quantifiable information.
* From theAPIC Text:
"Qualitative methods... Measures or data: Subjective, Unique, Differs over time, sample, and context." References:
APIC Text, 4th Edition, Chapter 19 - Qualitative Research Methods
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
Occupational Health contacts the Infection Preventionist (IP) regarding exposure of a patient to an employee's blood during surgery. The employee is negative for bloodborne pathogens. What is theNEXT step regarding informing the patient of the exposure?
- A. Disclose the exposure to the patient with the information that the staff member is negative for all bloodborne pathogens
- B. The patient does not need to be informed since the employee is negative for all bloodborne pathogens
- C. Disclose the exposure to the patient's surgeon and allow surgeon to determine if patient should be informed
- D. Since this was a solid needle and not a hollow bore needed, follow up is not required or need to be disclosed
Answer: A
Explanation:
Even if the healthcare worker is negative for bloodborne pathogens, the patienthas the right to be informed of a potential exposure. Transparency builds trust and aligns with ethical obligations in patient care.
* TheAPIC Textstates:
"Providers should inform patients when an HAI or other exposure event occurs, regardless of whether the exposure results in harm or is caused by negligence." Courts and professional guidelines support disclosure.
* CBIC and OSHA guidelinesemphasize prompt and transparent reporting of exposures.
* OptionsC and Dare incorrect because the lack of infection does not negate the ethical duty to inform the patient.
References:
APIC Text, 4th Edition, Chapter 8 - Legal Issues and Patient Rights
NEW QUESTION # 35
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