PH 1 – Flashcard
Unlock all answers in this set
Unlock answersquestion
Health is synonymous with feeling no pain
answer
False
question
In 1967, the World Health Organization decided to mount a global vaccination campaign to wipe out which disease?
answer
Smallpox
question
What is NOT one of the focus areas of Healthy People 2020?
answer
Social and Financial Equality
question
Which of the following interventions has proven most successful in reducing the prevalence of smoking among young people?
answer
Raising cigarette taxes
question
The government alone cannot achieve the objectives of public health.
answer
True
question
Data is collected on ALL the following events as part of vital statistics except:
answer
Hospitalizations
question
Which of the following is NOT required by law to report to the county or state health department when they encounter a notifiable disease?
answer
Patient
question
Which of the following is a common source of error in a small epidemiological study?
answer
Random variation
question
Which of the follow is a true genetic disease?
answer
Huntington's Disease
question
Which of the following has been proven effective as a treatment for the disease indicated?
answer
Penicillin for syphilis
question
Monitoring the effectiveness of interventions is an important part of the public health approach to health problems in the community.
answer
True
question
The Kingston-Newburgh study of fluoride's effect on tooth decay illustrates which of the following questions of disease distribution?
answer
"Where"
question
The lesson of the "tragedy of the commons" for public health is that:
answer
Under some circumstances, individuals in a community may profit by agreeing as a group to limit each person's freedom to act
question
Which of the following population health surveys collects the most accurate data?
answer
National Health and Nutrition Examination Survey
question
Which of the following aspects of the medical system are NOT CONSIDERED part of health policy and management?
answer
Risk factors
question
Omega 3-fatty acid is an immune enhancer.
answer
True
question
What are some of the concerns facing the health care system in the U.S. today?
answer
All of the above -Health care cost is rising and there are still high numbers of population uninsured -There are shortages of public health professionals -At this rate, health disparities will increase between low and high SES if healthcare system is not improved
question
Which of the follow genes CANNOT be identified in carrier screening programs?
answer
Down syndrome
question
Which of the following justifications for limiting people's freedom is likely to be the most controversial?
answer
To prevent someone from harming himself
question
Which of the following statements is NOT TRUE of the Framingham Heart Study?
answer
It found that it is normal and healthy for blood pressure to rise with age.
question
Governments have police powers to enforce compliance with public health laws, if necessary, to prevent a person from harming others, to promote the common good, and in some cases, to prevent a person from harming himself or herself.
answer
True
question
The Master Settlement Agreement included all of the following provisions EXCEPT?
answer
FDA regulation of nicotine in cigarettes
question
Life-style factors contribute RELATIVELY LITTLE to cancer risk.
answer
False
question
Which of the following genetic diseases is caused by a dominant gene?
answer
Huntington's disease
question
What is Healthy People 2010?
answer
A set of health objectives for the U.S. to achieve by the year 2010.
question
Which of the following is the part of the "who" question of disease distribution?
answer
All of the above -Age -Sex -Race
question
Which of the following statement is NOT TRUE about the data collected by governments?
answer
Collecting data is more expensive than it is worth.
question
Socioeconomic status tends _____ with good health along the entire spectrum of the social hierarchy
answer
To be positively associated.
question
International comparisons of cancer mortality suggest that which of the following factors accounts for the differences among countries in colon and rectum cancer?
answer
Diet
question
Environmental health DOES NOT INCLUDE:
answer
Treatment of lung cancer
question
Which statement about the null hypothesis is incorrect?
answer
It can be defined after an experiment has been completed.
question
The main purpose of epidemiological surveillance is:
answer
To recognize when an outbreak is occurring so that control measures may be instituted.
question
Which of the following statement best expresses the market justice view?
answer
Every adult is responsible for his or her own lot in life
question
Which of the following agencies is NOT part of the Department of Health and Human Services
answer
EPA
question
Which of the following statement is NOT TRUE of hepatitis A?
answer
It is usually fatal
question
Census data be used for ALL of the following purposes except:
answer
To track trends in illegal immigration
question
Which of the following bacteria has a reservoir in white-foot mice?
answer
Lyme disease
question
PH Administrators:
answer
All of the above: -Plan and organize -Organize and direct -Coordinate -Evaluate
question
The New York State Health Department reported in 1997 that the death rate for AIDS in the state had fallen over the past year due to the efficacy of the new drugs. The incidence of HIV remained constant. What happened to the prevalence of HIV infections?
answer
Increased.
question
Who was responsible for classifying bacteria according to 4 postulates?
answer
Robert Koch
question
In Peru, the government set up a program called DOT-Diretly Observed Therapy. The premise is if nurses make sure the patient take all their antibiotics for six months then they are cured from which disease? However, many patients weren't getting cured from the disease because the disease was becoming drug-resistant to the antibiotics provided by the DOT program.
answer
Tuberculosis
question
What is an example of a public health achievement in the US?
answer
All of the Above: -Motor Vehicle Safety -Safer Workplaces -Safer and Healthier Foods
question
All of the following factors contributed to the eradication of smallpox EXCEPT:
answer
It is transmitted by a virus
question
Public Health Law is determined by all of the following bodies EXCEPT:
answer
Nongovernmental agencies
question
Which of the following statements is NOT TRUE?
answer
The prevalence of cigarette smoking in the US has increased since the 1960s
question
An announcement was made in a college dormitory that, for the next month, a natural foods company was testing an herbal tea for its effectiveness in curing headaches. Any time that a resident had a headache, he or she was given a sample of the tea and asked to complete a questionnaire the following day on whether the tea had helped. What is the most likely source of error in the study?
answer
Placebo effect
question
Which of the following is true of public health assessment?
answer
It includes collection and analysis of information
question
What term correctly fills in the blank in the following sentence? Smoking is a(n) ____ of lung cancer
answer
Determinant
question
Which of the following is true of heart disease?
answer
Moderate alcohol consumption protects against heart disease
question
Which of the following viruses that originated in animals spread readily among humans?
answer
All are correct -Hantavirus -Monkeypox -West Nile Virus
question
Which of the following statements is true?
answer
The federal government uses the power of eminent domain to protect the health of the population
question
With which of the following disease would you be most likely to be infected if you were stuck in an elevator for several hours with a patient suffering from this disease?
answer
Tuberculosis
question
Which of the following is NOT TRUE about epidemiology?
answer
It is primarily an experimental science
question
All of the following categories of people are likely to be missed in the Census EXCEPT:
answer
Lawyers
question
Which of the following practices DOES NOT contribute to widespread antibiotic resistance?
answer
Patient taking a full course of antibiotics
question
The death rate in Florida is higher than the death rate in Alaska because:
answer
The Florida population is older
question
Which of the following studies has given the most valid result?
answer
Exposure to aspirin during a viral infection causes Reye's syndrome (odds ratio 42.7)
question
In a cohort study that found an association between alcohol consumption and bladder cancer, 20,000 middle-aged men were asked about their drinking habits and then tracked for five years to watch the development of cancer. Researchers asked the men about their diet and exercise habits, but not about smoking. What is most likely the source of error in the study?
answer
Confounding variables
question
Place in order the steps of the public health approach:
answer
1. Define the health problem. 2. Identify risk factors associated with the public health problem. 3. Develop and test community level interventions to control or prevent the cause of the problem. 4. Implement interventions to improve the health of the population. 5. Monitor the intervention to assess their effectiveness.
question
What belongs to dimensions of health?
answer
All of the above: -Emotional health -Intellectual health -Occupational health -Social health
question
Which of the following diseases CANNOT be prevented by screening potential parents?
answer
Schizophrenia
question
A program that is effective in getting people to change their health-related behavior must convey all of the following messages EXCEPT:
answer
I am not strong enough to make these changes.
question
Which public health service is the largest source of medical research funding in the world?
answer
NIH - National Institutes of Health
question
An epidemic curve illustrates which of the following questions of disease distribution?
answer
"When"
question
In a case-control study that found an association between breast cancer and air pollution, 500 women who had recently been diagnosed were asked what industries were within a mile of their home twenty years ago. The controls were 500 healthy women. What is most likely the source of error in this study?
answer
Reporting bias
question
Which of the following is NOT TRUE of the major chronic diseases?
answer
They affect only old people
question
Which of the following statements about teratogens is NOT TRUE?
answer
Down syndrome is an increased risk in women with two X chromosomes
question
Which of the following is NOT TRUE about the evolution of HIV?
answer
Humans probably were exposed through drinking HIV infected water
question
Which of the following pathogens is NOT a known cause of birth defects?
answer
Influenza virus
question
The model that describes five levels of influence on health behavior (interpersonal, intrapersonal, institutional, community, and public policy) is called which of the following?
answer
Ecological model
question
Which of the following statements is NOT true about HIV?
answer
HIV infection typically causes AIDS within a year
question
The model that describes five stages of change of health behavior (precontemplation, comtemplation, preparation, action, and maintenance) is called which of the following?
answer
Transtheoretical model
question
Which of the following statements is NOT true about influenza?
answer
Avian influenza is flu infection from pigs
question
In investigating the source of the 1854 London cholera outbreak, John Snow constructed the following table. What gave Snow the idea to further investigate Southwark and Vauxhall?
answer
Both B & C: The death rate in houses served by Southwark and Vauxhall was over eight times higher than the death rate in houses served by Lambeth Company AND the death rate was over fourth time higher for Southwark ad Vauxhall than the rest of London
question
The early history of US public health was closely tied to social reform movements. Which of the following public health issues would not be considered social reform?
answer
Communicable disease control
question
Transtheoretical model describes the stages of behavior change
answer
True
question
Monitoring the effectiveness of interventions is an important part of the public health approach to health problems in the community
answer
True
question
Which of the following genetic diseases is caused by a recessive gene?
answer
Sickle cell disease
question
Scientists believe that all of the following are responsible for the emergence of new infections except:
answer
Immunization campaigns
question
Which of the following bacteria has a reservoir in the intestines of cattle?
answer
E. coli O157:H7
question
Eosinophilia-myalgia syndrome is caused by:
answer
A contaminated food supplement
question
The level of government that, according to the constitution, has the primary responsibility for health of the population is:
answer
State
question
Data is collected on ALL of the following events as part of vital statistics except:
answer
Hospitalizations
question
The US organization that has primary responsibility for setting and enforcing national standards under a variety of environmental laws is:
answer
The Environmental Protection Agency (EPA)
question
The Master Settlement Agreement included all of the following provisions EXCEPT:
answer
FDA regulation of nicotine in cigarettes
question
The Supreme Court decision in the case of Jacobson vs. the Commonwealth of Massachusetts set a precedent allowing a state to restrict an individual's freedom for the common good. What specific issue did the case apply to?
answer
Smallpox vaccination
question
Which of the following statements about clinical trials of new drugs is true?
answer
All clinical trials are required by law to be registered at the outset in a public database
question
Which of the following is NOT a known teratogen?
answer
Folic acid
question
Which of the following activities is NOT part of the NIH's responsibilities?
answer
Control the spread of infectious diseases
question
The core functions of public health are:
answer
Assessment, policy development, and assurance
question
The George W. Bush administration was accused of distorting public health science concerning all the following issues except:
answer
Drunk driving
question
Which of the following statements is true?
answer
Costs of public health measures are easier to calculate than benefits.
question
Which of the following statements is not true of the U.S. Census?
answer
The Census has ways of checking on the accuracy of the individual forms filed
question
[A report released by the United Nations (UN) and World Bank on the state of global health commented on the persistence of high rates of childbirth death in certain countries]: "In this 21st century no woman should die giving life. Millions of lives are at stake and we must act now," said Thoraya Ahmed Obaid, executive director of the U.N. Population Fund, one of the agencies behind the report. Obaid said "three simple interventions" are needed — skilled birth attendants, emergency obstetric care, and family planning. The preceding three interventions represent:
answer
primary, secondary, and tertiary prevention.
question
Which of the following is not part of the FDA's responsibilities?
answer
Conduct research on the basic physiology of diseases
question
Many public health measures have a negative economic impact on an industry. In some cases, public health advocates would consider this economic impact to be an acceptable consequence. However, sometimes this economic impact may have mixed consequences for public health. Which of the following measures is most likely to have negative as well as positive results for public health?
answer
Effect of banning pesticide use on the agriculture industry
question
Chronic degenerative diseases are now the leading causes of death in the United States.
answer
True
question
All of the following factors contributed to the increasing prevalence of smoking in the first half of the 20th century except?
answer
Surgeon General's report
question
Which of the following is true of public health assurance?
answer
It includes providing health services that are not available otherwise
question
How did John Snow, the father of epidemiology, conclude that the source of the cholera epidemic was
answer
Snow documented a dramatic increase in case rates of residents who received their water from one company (Southwark and Vauxhall), which apparently had place their intake pump lower in the Thames River than a sewage outflow pump. Snow had the Broad Street Pump water handle removed and immediately case rates in that neighborhood fell.
question
While individual behavior is important in determining health, behavior itself is influenced by many factors in the social environment
answer
True
question
Which of the following is not true of case-control studies?
answer
They are very expensive
question
Reluctance to ban smoking in bars, to pasteurize milk, and to implement design changes to improve safety in automobiles are all examples of the _____________________ public health
answer
The Economic impact on
question
Which of the following questions is not necessarily part of an epidemiologic investigation?
answer
Was this a bioterrorist attack?
question
The intrapersonal level in the ecological model of health behavior is most influenced by which of the following factors?
answer
Self-efficacy
question
Which of the following statements is not true of CJD (Creutzfeldt-Jakob disease)?
answer
It has not occurred in the U.S.
question
Which of the following is a common source of error in a large randomized controlled trial?
answer
Subjects do NOT adhere to the prescribed regime
question
The New York State Health Department reported in 1997 that the death rate for AIDS in the state had fallen over the past year due to the efficacy of the new drugs. The incidence of HIV remained constant. What happened to the prevalence of HIV infections?
answer
Increased
question
The largest public health campaign was taken to vaccinate 165 million children in India. Which disease was this vaccination campaign targeting?
answer
Polio
question
Public Health is often addressed in the U.S. Constitution.
answer
False
question
Who is the gentleman that founded the first vaccine for rabies?
answer
Louis Pasteur
question
Which of the following is not part of the chain of infection?
answer
Immunization
question
Mammograms to detect breast cancer are an example of
answer
Primary Prevention
question
In 1796, who is the English physician that noticed milkmaids not showing any signs of small pox, but noticed them having sores from cow pox? He wondered if catching cowpox made people immune to small pox. To confirm this theory, he took puss from the milkmaid and scraped into an incision made on a little boy's arm. Then he exposed the little boy to a small pox victim. As time passed, the signs of little boy showed he was immune to small pox.
answer
Edward Jenner
question
Which of the following statements was not a finding of the British Doctors Study?
answer
Deaths from lung cancer were higher in urban areas than rural areas
question
Which of the following measures to limit the freedom of adults in the name of public health has not been taken by the US or state governments?
answer
None of the above
question
An epidemiologist investigating an outbreak of encephalitis in New York City reports that there have been 17 new cases this week. Which of the following terms best describes the number he reports?
answer
Incidence of encephalitis