Public health CCT

Question 1

You are a hospital manager and try to adapt to a change in cancer patient management. What evaluation?
A. MAP
B. PAD
C. SWAT
D. SWOT

Answer 1

D. SWOT (strengths, weakness, oppurtunities, threats)

Question 2

You are a manager of the hospital (?), you collect data of the occupancy rate of hospital beds over 5 year and plan to achieve your team’s goal. Which of the below is the type of such planning?
A. Differentiation planning
B. Functional planning
C. Strategic planning
D. Synergy planning

Answer 2

C. Strategic planning

Question 3

You are doing screening for hypertension, sphygmomanometer cuff was misplaced throughout, causing consistent overestimation of your patients’ BP by 10-40 mmHg. What is the type of error?
A. Chance
B. Confounding
C. Random error
D. Systematic error

Answer 3

D. Systematic error

Question 4

Prediction and early warning are the features of what kind of management?

A. Adaptive management
B. Crisis management
C. Risk management
D. Team management

Answer 4

C. Risk management

Question 5

A study was conducted on a new treatment for myocardial infarction. Results showed 8% of patients died in the control arm, while 7% of patient receiving the new treatment died. What is the number needed to treat (NNT)?

A. 1
B. 10
C. 100
D. 1000

Answer 5

C. 100

Question 6

A hospital CEO would like to implement a new interdisciplinary approach to improve the management of stroke patients. Which of the following models should be used to introduce the change to all stakeholders?
A. Resourceallocationmodel
B. Kottermodel
C. Mintzbergmodel
D. Self-directedteammodel
E. Supplychainmodel

Answer 6

B. Kottermodel

Question 7

50. A 50-yo male restaurant manager with hypertension & hyperlipidemia . His father died of cardiovascular disease 5 years ago. He came to ask if he should take statins to reduce his cardiovascular risk. Which of the following tools should be used?
    A. Case series
    B. Case-control studies
    C. Consensus guidelines
    D. Clinical decision rules
    E. Risk prediction tools

Answer 7

E. Risk prediction tools (treatment/prevention)

Question 8

Planning to change in way to improve critical care in A&E. What analysis to use for initial strategic planning?
A. PAD
B. RMAP
C. STEL
D. SWAT (Strengths, Weakness, Actions, Threats)
E. SWOT (Strengths, Weaknesses, Opportunities, Threats)

Answer 8

E. SWOT (Strengths, Weaknesses, Opportunities, Threats)

Question 9

Clinical decision tool can be used to aid patients care. What is the specific use of the tool?
A. To evaluate the impact of patient care
B. To facilitate assessment of diagnosis and prognosis
C. To predict the patient’s risk for future disease
D. To provide evidence based summaries at the point of care
E. Toreducemedicalerror

Answer 9

B. To facilitate assessment of diagnosis and prognosis

Question 10

According to the Mintzberg model, the role of leadership is classified into informational, interpersonal and decisional. Which of the following is an interpersonal role?
A. Disseminator B. Figurehead C. Entrepreneur D. Negotiator
E. Monitor

Answer 10

B. Figurehead

Question 11

W hich of the following would indicate a clinical guideline is unreliable?
A. Its authors include experts of different disciplines and patient representatives.
B. Its authors include an expert of evaluating evidence.
C. It is evidence- linked instead of evidence-based.
D. It is based on a systematic review of randomised controlled trial.
E. It represents the official stance of a professional society or organisation.

Answer 11

E. It represents the official stance of a professional society or organisation.

Question 12

Where do a company’s strategies, skills and systems stem from?
A Company’s management
B Company’s shared values
C Company’s policy
D Company’s regulations
E Company’s stakeholders

Answer 12

B Company’s shared values

Question 13

Mr Chan is 50 years old and is receiving treatment for hypertension. He is also overweight and wonders if he should start taking lipid lowering drugs. As his family doctor, while of the following aid would you use to best address his concerns?
A Case series
B Clinical decision rules
C Meta-analyses
D Randomised control trials
E Risk prediction tools

Answer 13

B Clinical decision rules

Question 14

Which of the following is the most important management principle for health care manager to consider when the healthcare organisation wants to implement an electronic patient record?
A. Financial ability
B. Team management
C. Patient confidentiality and benefit
D. Management of change
E. Human resources management

Answer 14

D. Management of change

Question 15

New clinical guideline - what it should be based on
A. Agreement between a board of renowned professors
B. Expert opinions
C. Systematic review of literature
D. Patient’s preference
E. Consistent with other guidelines

Answer 15

C. Systematic review of literature

Question 16

You just read a paper about a new rapid diagnostic test for influenza. You wonder whether it would be useful for patient with signs and symptoms of respiratory tract infection. Which of following criteria is important in determining the validity of the study evaluating the test?
A. Comparison with gold standard
B. Confidence interval
C. Inception cohort
D. Per protocol analysis
E. Sensitivity analysis

Answer 16

A. Comparison with gold standard

Question 17

Old lady with some risk factors and signs for pulmonary embolism. How do you decide whether to order further investigations for her?
A. Randomised clinical trial
B. Cohort study
C. Ecological study
D. Risk decision tool
E. Systematic review

Answer 17

D. Risk decision tool

Question 18

The accuracy of a diagnostic test can be described by sensitivity, specificity, positive predictive value, negative predictive value. As the prevalence of the disease decreases, given constant sensitivity and specificity of the test, what changes in the positive and negative predictive values would occur?
A. Positive predictive value decreases while negative predictive value decreases
B. Positive predictive value decreases while negative predictive value increases
C. Positive predictive value increases while negative predictive value decreases
D. Positive predictive value increases while negative predictive value increases
E. The predictive values remain unchanged

Answer 18

B. Positive predictive value decreases while negative predictive value increases

Question 19

According to Mintzberg’s Managerial Theory, manager has interpersonal, informational and decisive role. Which of the following roles is most DECISIVE?
A. Disseminator
B. Figurehead
C. Liaison
D. Monitor
E. Negotiator

Answer 19