1. Intermountain APIC Chapter CIC training questions
Certification study guide
6th edition
APIC

2. Question 1
The IP is reviewing the history of a patient who has been in the facility on a ventilator for 1 week. All of the following are risk factors for colonization and infection with multidrug-resistant pathogens except:
A- Antimicrobial therapy in preceding 90 days.
B- Current hospitalization of 5 days or more.
C- Immunosuppressive state or therapy.
D- Low frequency of antibiotic resistance in the facility.

3. Answer: D- Low frequency of antibiotic resistance in the facility
Pneumonia may be caused by a wide variety of pathogens, but multidrug- resistance organisms MDRO are becoming more relevant as etiologic agents. Risk factors for colonization and infection with MDROs are as follow:
• Antimicrobial therapy in preceding 90 days.
• Current hospitalization of 5 days or more.
• High frequency of antibiotic resistance in the community or in the specific
hospital unit.
• Presence of risk factors for healthcare- associated pneumonia.
• Immunosuppressive state or therapy.
APIC text, 4th Edition, Chapter 36- Pneumonia
CIC Study Guide 6th Edition: CH 3, P46, Q 20

4. Question 2
What key infection control activity is defined as the systematic ongoing collection, management analysis and interpretation of data flowed by the dissemination of these data to public health programs to stimulate public health action?
A- Research.
B- Surveillance.
C- Benchmarking.
D- Accreditation.

5. Answer: B- Surveillance
surveillance has been define as the “ongoing collection, collation, and analysis of the data and the ongoing dissemination of the information to those who need to know so that action can be taken." Surveillance is an essential component of an effective infection prevention and control program. Surveillance include the collection of data with the ultimate objective of dissemination of that data to support and improve public health activities.
APIC text 4th Edition, CH11- Surveillance
CIC Study Guide 6th edition: CH4, P72, Q5

6. Question 3 A- Daily. B- Weekly.
An "antibiotic time out" occurs:
A- Daily.
B- Weekly.
C- Within hours of culture result being available.
D- Within 96 hours of culture results being available.

7. Answer: C- Within 24- 48 hours of culture result being available.
Much of antimicrobial prescribing is unnecessary or inappropriate. The CDC has advocated implementing taking an "antibiotic time out" (ATO) whereby prescribing clinician formally assess three pieces of essential information during clinical rounds: correct dosing, duration of therapy, and indication for treatment. An ATO should be taken when culture results are available, usually 24 to 48 hours
CIC Study Guide 6th edition: Ch5, P107, Q13