PH 1 – Flashcard

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Health is synonymous with feeling no pain
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False
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In 1967, the World Health Organization decided to mount a global vaccination campaign to wipe out which disease?
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Smallpox
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What is NOT one of the focus areas of Healthy People 2020?
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Social and Financial Equality
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Which of the following interventions has proven most successful in reducing the prevalence of smoking among young people?
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Raising cigarette taxes
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The government alone cannot achieve the objectives of public health.
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True
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Data is collected on ALL the following events as part of vital statistics except:
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Hospitalizations
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Which of the following is NOT required by law to report to the county or state health department when they encounter a notifiable disease?
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Patient
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Which of the following is a common source of error in a small epidemiological study?
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Random variation
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Which of the follow is a true genetic disease?
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Huntington's Disease
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Which of the following has been proven effective as a treatment for the disease indicated?
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Penicillin for syphilis
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Monitoring the effectiveness of interventions is an important part of the public health approach to health problems in the community.
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True
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The Kingston-Newburgh study of fluoride's effect on tooth decay illustrates which of the following questions of disease distribution?
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"Where"
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The lesson of the "tragedy of the commons" for public health is that:
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Under some circumstances, individuals in a community may profit by agreeing as a group to limit each person's freedom to act
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Which of the following population health surveys collects the most accurate data?
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National Health and Nutrition Examination Survey
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Which of the following aspects of the medical system are NOT CONSIDERED part of health policy and management?
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Risk factors
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Omega 3-fatty acid is an immune enhancer.
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True
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What are some of the concerns facing the health care system in the U.S. today?
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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
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Which of the follow genes CANNOT be identified in carrier screening programs?
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Down syndrome
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Which of the following justifications for limiting people's freedom is likely to be the most controversial?
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To prevent someone from harming himself
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Which of the following statements is NOT TRUE of the Framingham Heart Study?
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It found that it is normal and healthy for blood pressure to rise with age.
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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.
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True
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The Master Settlement Agreement included all of the following provisions EXCEPT?
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FDA regulation of nicotine in cigarettes
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Life-style factors contribute RELATIVELY LITTLE to cancer risk.
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False
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Which of the following genetic diseases is caused by a dominant gene?
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Huntington's disease
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What is Healthy People 2010?
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A set of health objectives for the U.S. to achieve by the year 2010.
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Which of the following is the part of the "who" question of disease distribution?
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All of the above -Age -Sex -Race
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Which of the following statement is NOT TRUE about the data collected by governments?
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Collecting data is more expensive than it is worth.
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Socioeconomic status tends _____ with good health along the entire spectrum of the social hierarchy
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To be positively associated.
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International comparisons of cancer mortality suggest that which of the following factors accounts for the differences among countries in colon and rectum cancer?
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Diet
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Environmental health DOES NOT INCLUDE:
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Treatment of lung cancer
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Which statement about the null hypothesis is incorrect?
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It can be defined after an experiment has been completed.
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The main purpose of epidemiological surveillance is:
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To recognize when an outbreak is occurring so that control measures may be instituted.
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Which of the following statement best expresses the market justice view?
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Every adult is responsible for his or her own lot in life
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Which of the following agencies is NOT part of the Department of Health and Human Services
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EPA
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Which of the following statement is NOT TRUE of hepatitis A?
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It is usually fatal
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Census data be used for ALL of the following purposes except:
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To track trends in illegal immigration
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Which of the following bacteria has a reservoir in white-foot mice?
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Lyme disease
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PH Administrators:
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All of the above: -Plan and organize -Organize and direct -Coordinate -Evaluate
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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?
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Increased.
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Who was responsible for classifying bacteria according to 4 postulates?
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Robert Koch
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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.
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Tuberculosis
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What is an example of a public health achievement in the US?
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All of the Above: -Motor Vehicle Safety -Safer Workplaces -Safer and Healthier Foods
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All of the following factors contributed to the eradication of smallpox EXCEPT:
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It is transmitted by a virus
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Public Health Law is determined by all of the following bodies EXCEPT:
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Nongovernmental agencies
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Which of the following statements is NOT TRUE?
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The prevalence of cigarette smoking in the US has increased since the 1960s
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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?
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Placebo effect
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Which of the following is true of public health assessment?
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It includes collection and analysis of information
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What term correctly fills in the blank in the following sentence? Smoking is a(n) ____ of lung cancer
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Determinant
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Which of the following is true of heart disease?
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Moderate alcohol consumption protects against heart disease
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Which of the following viruses that originated in animals spread readily among humans?
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All are correct -Hantavirus -Monkeypox -West Nile Virus
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Which of the following statements is true?
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The federal government uses the power of eminent domain to protect the health of the population
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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?
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Tuberculosis
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Which of the following is NOT TRUE about epidemiology?
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It is primarily an experimental science
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All of the following categories of people are likely to be missed in the Census EXCEPT:
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Lawyers
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Which of the following practices DOES NOT contribute to widespread antibiotic resistance?
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Patient taking a full course of antibiotics
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The death rate in Florida is higher than the death rate in Alaska because:
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The Florida population is older
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Which of the following studies has given the most valid result?
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Exposure to aspirin during a viral infection causes Reye's syndrome (odds ratio 42.7)
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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?
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Confounding variables
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Place in order the steps of the public health approach:
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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.
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What belongs to dimensions of health?
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All of the above: -Emotional health -Intellectual health -Occupational health -Social health
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Which of the following diseases CANNOT be prevented by screening potential parents?
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Schizophrenia
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A program that is effective in getting people to change their health-related behavior must convey all of the following messages EXCEPT:
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I am not strong enough to make these changes.
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Which public health service is the largest source of medical research funding in the world?
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NIH - National Institutes of Health
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An epidemic curve illustrates which of the following questions of disease distribution?
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"When"
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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?
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Reporting bias
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Which of the following is NOT TRUE of the major chronic diseases?
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They affect only old people
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Which of the following statements about teratogens is NOT TRUE?
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Down syndrome is an increased risk in women with two X chromosomes
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Which of the following is NOT TRUE about the evolution of HIV?
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Humans probably were exposed through drinking HIV infected water
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Which of the following pathogens is NOT a known cause of birth defects?
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Influenza virus
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The model that describes five levels of influence on health behavior (interpersonal, intrapersonal, institutional, community, and public policy) is called which of the following?
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Ecological model
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Which of the following statements is NOT true about HIV?
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HIV infection typically causes AIDS within a year
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The model that describes five stages of change of health behavior (precontemplation, comtemplation, preparation, action, and maintenance) is called which of the following?
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Transtheoretical model
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Which of the following statements is NOT true about influenza?
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Avian influenza is flu infection from pigs
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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?
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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
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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?
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Communicable disease control
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Transtheoretical model describes the stages of behavior change
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True
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Monitoring the effectiveness of interventions is an important part of the public health approach to health problems in the community
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True
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Which of the following genetic diseases is caused by a recessive gene?
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Sickle cell disease
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Scientists believe that all of the following are responsible for the emergence of new infections except:
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Immunization campaigns
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Which of the following bacteria has a reservoir in the intestines of cattle?
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E. coli O157:H7
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Eosinophilia-myalgia syndrome is caused by:
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A contaminated food supplement
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The level of government that, according to the constitution, has the primary responsibility for health of the population is:
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State
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Data is collected on ALL of the following events as part of vital statistics except:
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Hospitalizations
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The US organization that has primary responsibility for setting and enforcing national standards under a variety of environmental laws is:
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The Environmental Protection Agency (EPA)
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The Master Settlement Agreement included all of the following provisions EXCEPT:
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FDA regulation of nicotine in cigarettes
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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?
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Smallpox vaccination
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Which of the following statements about clinical trials of new drugs is true?
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All clinical trials are required by law to be registered at the outset in a public database
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Which of the following is NOT a known teratogen?
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Folic acid
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Which of the following activities is NOT part of the NIH's responsibilities?
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Control the spread of infectious diseases
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The core functions of public health are:
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Assessment, policy development, and assurance
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The George W. Bush administration was accused of distorting public health science concerning all the following issues except:
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Drunk driving
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Which of the following statements is true?
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Costs of public health measures are easier to calculate than benefits.
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Which of the following statements is not true of the U.S. Census?
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The Census has ways of checking on the accuracy of the individual forms filed
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[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:
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primary, secondary, and tertiary prevention.
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Which of the following is not part of the FDA's responsibilities?
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Conduct research on the basic physiology of diseases
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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?
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Effect of banning pesticide use on the agriculture industry
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Chronic degenerative diseases are now the leading causes of death in the United States.
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True
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All of the following factors contributed to the increasing prevalence of smoking in the first half of the 20th century except?
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Surgeon General's report
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Which of the following is true of public health assurance?
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It includes providing health services that are not available otherwise
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How did John Snow, the father of epidemiology, conclude that the source of the cholera epidemic was
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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.
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While individual behavior is important in determining health, behavior itself is influenced by many factors in the social environment
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True
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Which of the following is not true of case-control studies?
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They are very expensive
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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
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The Economic impact on
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Which of the following questions is not necessarily part of an epidemiologic investigation?
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Was this a bioterrorist attack?
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The intrapersonal level in the ecological model of health behavior is most influenced by which of the following factors?
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Self-efficacy
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Which of the following statements is not true of CJD (Creutzfeldt-Jakob disease)?
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It has not occurred in the U.S.
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Which of the following is a common source of error in a large randomized controlled trial?
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Subjects do NOT adhere to the prescribed regime
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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?
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Increased
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The largest public health campaign was taken to vaccinate 165 million children in India. Which disease was this vaccination campaign targeting?
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Polio
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Public Health is often addressed in the U.S. Constitution.
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False
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Who is the gentleman that founded the first vaccine for rabies?
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Louis Pasteur
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Which of the following is not part of the chain of infection?
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Immunization
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Mammograms to detect breast cancer are an example of
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Primary Prevention
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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.
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Edward Jenner
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Which of the following statements was not a finding of the British Doctors Study?
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Deaths from lung cancer were higher in urban areas than rural areas
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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?
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None of the above
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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?
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Incidence of encephalitis
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