Exam 1 Flashcards

(58 cards)

1
Q

Which of the following are NOT part of the triangle of health?

A

The ones that are apart of are Host, agent and environment

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2
Q

Which of the following is NOT an aspect of tertiary prevention?

A

The ones that are preventions of permanent disability, rehab and restoration.

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3
Q

Which of the following is NOT part of the 10 great public achievements in the USA?

a. healthier mother and babies
b. fluoridation of water
c. motor vehicle safety →
d. Diabetes

A

D. Diabetes

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4
Q

Which of the following is an example of a Quasi government?

A

Red Cross

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5
Q

T/F :
Risk factors are exposure or causal agents that make one more likely to suffer a disease or health
problem.

A

True

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6
Q

Prevalence vs Incidence?

Which definition is which?

A) ____ is to new cases of disease within a specific population during a given time.
B) ____ is to existing/ all cases of disease in a population at a point in time

A

A) Incidence

B) Prevalence

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7
Q

T/F:
Endemic is an occurrence of cases of disease where normally expected to be seen for that time,
place or group?

A

False because it would be an epidemic

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8
Q

What is Endemic?

A

Endemic is that the disease is constantly present in the community or population.

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9
Q

Life ______________ is the average length of life a person is likely to live.

A

Life expectancy

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10
Q

Which is not a leading health indicator?

➔ Physical activity
➔ Overweight obesity
➔ Responsible sexual behavior
➔ Immunization
➔ Tobacco use
➔ Substance abuse
➔ Environmental quality
➔ Access too health care
➔ Mental health
➔ Injury and violence
A

All of these are

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11
Q

Screening should be…?

A

Should be a routine procedure for all clinicians

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12
Q

Which of the following are true for a Clinical trial expect?

A

Clinical trials are:
➔ Experimental study where the investigator decides who belongs in which group.
➔ Decision as to group allocation can be done by random or nonrandom methods.
➔ Study may or may not have a control group.

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13
Q

What does randomization do?

A
  • Reduce bias by the investigator or the subject regarding group allocation
  • Evenly allocate subjects on bass of known and unknown characteristics
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14
Q

Cohort is ___________while a case study is ___________________.

A

Progression; retrospective

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15
Q

When the value of a RR is negative what does it mean?

A

Decreased risk (protective)

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16
Q

What are the advantages of cohort studies except?

a. Can calculate incidence rate and relative rate
b. Can examine many exposures
c. Efficient for the study of rare exposures
d. Establishes correct exposure and disease associations

A

C. Efficient for the study of rare EXPOSURES

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17
Q

___________ is more preferred over ____________ because it affords to eliminate similar variables as
confounders.

a. Pair, Group
b. Group, Individual

A

B. Group, Individual

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18
Q

What is the frequency matching of “group” to eliminate confounding factors?

A
- Distribution of cases and controls are similar on a known confounding factor
Eg: if 20% OF CASES ARE 6064
YEARS OLD THEN 20% OF CONTROL ARE 6064
YEARS
OLD.
  • Commonly used
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19
Q

What are some advantages of “group” to eliminate confounding factors?

A

➔ Eliminates the variable as a confounder

➔ More efficient use of data

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20
Q

What are some disadvantages of “group” to eliminate confounding factors?

A

➔ Need to find cases before controls

➔ Can not assess association of matched variable with disease

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21
Q

What is the frequency of Pair(individual matching) to eliminate confounding factors?

A

Matches each case to a control on one or more confounding factors.

EG: if case is 45 years old female then match is 45 year old female (control).

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22
Q

What are some advantages of “Pair” to eliminate confounding factors?

A

Eliminates these variables as confounding factors

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23
Q

What are some disadvantages of “Pair” to eliminate confounding factors?

A

➔ Can be expensive and time consuming

➔ May not be able to find match result of lost case

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24
Q

All of these are disadvantages of case study control except?

a. Difficult to study timing of events
b. Requires a few subjects
c. Cannot calculate direct measure of risk
d. Can only study one disease per study

A

B. Requires a few subjects → this is an advantage

25
What are unique public health feature?
- LINKED WITH THE GOVERNMENT - GROUNDED IN SCIENCE - FOCUS ON PREVENTION
26
T/F : | A distinctive feature of MEDLINE is that the records are indexed with medical subject headlines.
True
27
What do all the letters in PICO stand for?
P-Patient or population I-Intervention or therapy C-Comparison, context, control O-Outcome
28
Who are more susceptible to the unhealthy effects of ozone, fine particles and other airborne pollutants?
Children and Elderly
29
What are the criteria pollutants except? a. Hydrogen oxide b. Lead c. Ozone d. CO
A. Hydrogen Oxide
30
All the criteria pollutants are:
➔ Particulate matter *** (pose the biggest threat to human health) ➔ Ground level ozone**(pose the greatest threat to human health) ➔ Carbon monoxide ➔ Sulfure oxides ➔ Nitrogen oxidize ➔ Lead
31
What limits that address ill effects in humans? a. Primary standards b. Secondary standards:
a. Primary standards Limits designed to prevent environmental and property damages.
32
What is attainment area?
An area where the air is cleaner than the primary standard.
33
How much of water is fresh water? a. 3% b. 5% c. 9% d. 0%
a. 3%
34
T/F: Case designs are generalizable?
False
35
What is Regulatory action level?
The concentration of a contaminant which if exceeded triggers treatment or other requirements that water must follow.
36
Which is the largest group of solid waste generators? a. Agricultural b. Industrial operations c. Municipal waste
A. Agricultural
37
What is the 1st recommendation of waste management recommended by the EPA? a. Source Reduction b. Recycling and composting c. Disposal (landfills or combustors)
a. Source Reduction
38
What is the secondary attack rate? a. The proportion of individuals exposed to others with infection who then went on to develop infection b. Reflects infectivity
- The proportion of individuals exposed to others with infection who then went on to develop infection - Reflects infectivity
39
What is the Primary attack:
the proportion of the exposed population to develop infection
40
Factors impacting distribution except? a. Infectivity b. Pathogenicity c. Virulence d. Immunogenicity e. Parasites
e. parasites
41
T/F: In herd immunity the very young who are too young to be immunized, those with immune suppression, and those who failed to develop an immune response
True
42
__________million healthcareacquired infection per year and up to ________ are fatal? a. 2 :99,000 b. 70: 100
a. 2; 99,000
43
Exposure to kinetic energy is the largest contributor. a. Kinetic energy (fall) b. Thermal energy (burn) c. Chemical energy (poisoning)
a. Kinetic energy (fall)
44
What was the most common cause of nonfatal injury in 2006? a. Unintentional fall b. Accounted for 30% of the total
a. Unintentional fall
45
CDC estimated injury treatment costs at how much?
$117 Billion
46
Unintentional injury death rates fell how much between 1912 and 2005? a. 1/5 b. 1/2 c. 3/4 d. 5/7 e. ½ not 1/5 th
b. 1/2
47
SelfPerception is an important predictor of health? a. True b. False
True
48
Name the five domains that influence premature death?
a. Behavioral (40%) b. Genetic predisposition (30%) c. Social circumstances (15%) d. Health care (10%) e. Environmental exposure (5%) **Health care has a comparatively small impact
49
Wellness care involves?
➔ IDENTIFYING WELLNESS GOALS ➔ Choosing from intervention options ➔ Monitoring progress ➔ Evaluation the intervention
50
What is the most common joint disorder?
Osteoarthritis (OA)
51
SPLATT: | What does the S stand for?
Symptoms
52
Not a recognized type of neglect in a child?
Social
53
1:5 is 65 or older by? a. 2020 b. 2025 c. 2030 d. 2035
C: 2030
54
T/F: | More than half of chronic conditions are over 50 are bone and joint disorders
True
55
T/F: | 1:3 live in the community, more than ½ in longterm care will fall
True
56
T/F: | Low back pain is one of top 3 medical complaints in older adults
True
57
T/F: | Hip fractures have 1/3 mortality rate at 2 years post fracture.
True
58
T/F: Baby should start on solids with iron-fortified rice cereal
True