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CAS-004 Practice Question: A security architect is reviewing the network…

A security architect is reviewing the network segmentation of a healthcare organization that must comply with HIPAA. The current flat network allows all devices to communicate. Which segmentation approach provides the best balance of security and manageability?

⚠ Common exam trap

It's easy for candidates to confuse 'segmentation' with 'isolation' and choose Option B (every device its own VLAN) thinking it maximizes security, but they overlook the manageability nightmare and the fact that HIPAA requires authorized access between systems for treatment, payment, and operations (TPO).

Answer choices

Why each option matters

Answer the question above first, then reveal the full breakdown to understand why each option is right or wrong.

Correct answer & explanation

Segment using VLANs and ACLs to limit traffic to necessary flows

VLANs logically segment the flat network into separate broadcast domains, and ACLs applied at the Layer 3 boundary (e.g., on the switch virtual interface or router) enforce least-privilege access by permitting only necessary traffic flows between segments. This approach meets HIPAA's technical safeguard requirements (45 CFR § 164.312(a)(1)) for access control and integrity without the operational overhead of physical separation or the security risk of a single DMZ.

Answer analysis

Option-by-option breakdown

For each option: why learners choose it and why it is or isn't the right answer here.

  • Create a physical air gap between all systems

    Why it's wrong here

    Air gaps are overly restrictive and difficult to manage for a hospital network.

  • Assign each device its own VLAN with no inter-VLAN routing

    Why it's wrong here

    This creates an unmanageable number of VLANs and prevents necessary communication.

  • Segment using VLANs and ACLs to limit traffic to necessary flows

    Why this is correct

    VLANs with ACLs provide logical isolation, reducing attack surface while maintaining manageability.

  • Place all critical systems in a single DMZ subnet

    Why it's wrong here

    DMZ is for external-facing services; internal critical systems should be on separate internal segments.

Visual reference

Switch VLAN 10 Sales (192.168.10.0/24) PC-A PC-B VLAN 20 HR (192.168.20.0/24) PC-C PC-D Router VLANs isolate traffic — inter-VLAN routing requires a Layer 3 device

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Written by Johnson Ajibi, MSc IT Security

Senior Network & Security Engineer · founder of Courseiva

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