CBIC CIC PRACTICE EXAM
Medical intervention factors that affect risk of infection - Answers -indwelling devices,
staffing ratio, lengths of stay, duration of invasive procedures, medications, # of exams
by providers, type of institution, and knowledge/experience of providers
environmental intervention factors that affect risk of infection - Answers -disinfectant
type used, contact with animals, hand hygiene
anatomical/phys factors that affect risk of infection - Answers -preexisting diseases,
trauma, malignancies, age, gender, and nutritional status
DMAIC - Answers -D=define customers, project boundaries, and processes
M=measure performance
A=analyze data to identify causes of variation, gaps in performance, and prioritize
actions
I=improve the process
C=control the process to prevent reverting
What should an effective surveillance program be able to provide? - Answers -Detection
of infections and injuries, identify trends, identify risk factors associated with infections
and other AEs detect outbreaks and clusters, assess the overall effectiveness of the
infection control and prevention program and demonstrate changes in proactive and
processes that lead to better outcomes
Hill's Criteria of Causality - Answers -1) strength of association- relationship between
casual factor and disease outcome
2) consistency of finding- associations are repeated
3) specificity of association- very specific cause
4) temporality- cause must be before the effect
5) biological gradient- dose and response relationship, more exposure causes higher
risk
6) biologic or theoretical plausibility- has to make biological sense
7) coherence with the established knowledge- established knowledge should not conflict
with findings
True or False: The thoroughness of the cleaning is more important than the duration of
the disinfection - Answers -true
Steps of systemic review and meta-analyisis - Answers -1. Research question
2. develop methodology
3. Literature search/selecting studies
4. Analysis of data/interpretation
4 stages of prevention - Answers -1. preventing altogether ie vaccine
2. early identification/tx ie cessation or dx testing
, 3. providing optimal health to prevent further disease progression
4. preventing healthcare associated complications
Volume limit for alcohol-based hand dispensers - Answers -1.2 L in rooms,
hallways/areas open to hallways
2L in suites
What is the primary limitation of qualitative research? - Answers -lack of generalizability
a positive is the patients' point of view
chain of infection - Answers -infectious agent, reservoir, portal of exit, mode of
transmission, portal of entry, susceptible host
Passive/indirect transmission - Answers -occurs when an organism is present and does
not replicate within the source such as hepA (hepA does not replicate in the food)
Crude mortality rate - Answers -Number of deaths ÷ population total x 1,000 = _____
per 1,000
Reusing single-use devices - Answers -must have written policy and procedures and
plan for reprocessing (often done by a third party)
high-level disinfection - Answers -heat-automated pasteurization and liquid immersion
time needed = 10-90 minutes
destroys all microorganisms except for high levels of spores
required for heat sensitive semi-critical items
Division of Healthcare Quality Promotion (DHQP) - Answers -Division of the CDC
responsible for monitoring HAIs and maintaining the NHSN
Responsible for prevention of dialysis-associated disease and guidance for sterilization
and disinfection
social cognitive theory - Answers -views prejudice as an attitude acquired through direct
instruction, modeling, and other social influences
when a critical mass of persons act a certain way the environment changes and others
are more likely to carry out similar behaviors
The Agency for Healthcare Research and Quality (AHRQ) mission - Answers -to
improve the quality of medical care through outcomes research and development of
clinical guidelines
Aims to make healthcare safer and more accessible and affordable
HRSA (Health Resources and Services Administration) - Answers -the primary federal
agency for improving access to health care services for people who are uninsured,
isolated or medically vulnerable
Medical intervention factors that affect risk of infection - Answers -indwelling devices,
staffing ratio, lengths of stay, duration of invasive procedures, medications, # of exams
by providers, type of institution, and knowledge/experience of providers
environmental intervention factors that affect risk of infection - Answers -disinfectant
type used, contact with animals, hand hygiene
anatomical/phys factors that affect risk of infection - Answers -preexisting diseases,
trauma, malignancies, age, gender, and nutritional status
DMAIC - Answers -D=define customers, project boundaries, and processes
M=measure performance
A=analyze data to identify causes of variation, gaps in performance, and prioritize
actions
I=improve the process
C=control the process to prevent reverting
What should an effective surveillance program be able to provide? - Answers -Detection
of infections and injuries, identify trends, identify risk factors associated with infections
and other AEs detect outbreaks and clusters, assess the overall effectiveness of the
infection control and prevention program and demonstrate changes in proactive and
processes that lead to better outcomes
Hill's Criteria of Causality - Answers -1) strength of association- relationship between
casual factor and disease outcome
2) consistency of finding- associations are repeated
3) specificity of association- very specific cause
4) temporality- cause must be before the effect
5) biological gradient- dose and response relationship, more exposure causes higher
risk
6) biologic or theoretical plausibility- has to make biological sense
7) coherence with the established knowledge- established knowledge should not conflict
with findings
True or False: The thoroughness of the cleaning is more important than the duration of
the disinfection - Answers -true
Steps of systemic review and meta-analyisis - Answers -1. Research question
2. develop methodology
3. Literature search/selecting studies
4. Analysis of data/interpretation
4 stages of prevention - Answers -1. preventing altogether ie vaccine
2. early identification/tx ie cessation or dx testing
, 3. providing optimal health to prevent further disease progression
4. preventing healthcare associated complications
Volume limit for alcohol-based hand dispensers - Answers -1.2 L in rooms,
hallways/areas open to hallways
2L in suites
What is the primary limitation of qualitative research? - Answers -lack of generalizability
a positive is the patients' point of view
chain of infection - Answers -infectious agent, reservoir, portal of exit, mode of
transmission, portal of entry, susceptible host
Passive/indirect transmission - Answers -occurs when an organism is present and does
not replicate within the source such as hepA (hepA does not replicate in the food)
Crude mortality rate - Answers -Number of deaths ÷ population total x 1,000 = _____
per 1,000
Reusing single-use devices - Answers -must have written policy and procedures and
plan for reprocessing (often done by a third party)
high-level disinfection - Answers -heat-automated pasteurization and liquid immersion
time needed = 10-90 minutes
destroys all microorganisms except for high levels of spores
required for heat sensitive semi-critical items
Division of Healthcare Quality Promotion (DHQP) - Answers -Division of the CDC
responsible for monitoring HAIs and maintaining the NHSN
Responsible for prevention of dialysis-associated disease and guidance for sterilization
and disinfection
social cognitive theory - Answers -views prejudice as an attitude acquired through direct
instruction, modeling, and other social influences
when a critical mass of persons act a certain way the environment changes and others
are more likely to carry out similar behaviors
The Agency for Healthcare Research and Quality (AHRQ) mission - Answers -to
improve the quality of medical care through outcomes research and development of
clinical guidelines
Aims to make healthcare safer and more accessible and affordable
HRSA (Health Resources and Services Administration) - Answers -the primary federal
agency for improving access to health care services for people who are uninsured,
isolated or medically vulnerable
