In many educational assessments, items are reused in different administrations throughout the life of the assessments. Ideally, a reused item should perform relatively similarly over time. In reality, an item may become easier with exposure, especially when item preknowledge has occurred. This article presents a novel cumulative sum procedure for detecting item preknowledge in continuous testing where data for each reused item may be obtained from small and varying sample sizes across administrations. Its performance is evaluated with simulations and analytical work. The approach is effective in detecting item preknowledge quickly with group size at least 10 and is easy to implement with varying item parameters. In addition, it is robust to the ability estimation error introduced in the simulations.