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Epi Exam 1 Flashcards | StudBud
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Epi Exam 1
Epi Exam 1
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1
Married ppl were found to be healthier because marriage creates an environment conducive to good health. This describes:
health factors
Protective factors
selective factors
divisive factors
2
(T/F) Endemic describes an epidemic on a worldwide scale in which disease crosses international borders.
False
True
3
All of the following are possible explanations for the "hispanic mortality paradox" except
healthy migrant effect
salmon bias effect
overreporting of deaths among hispanic populations
family dynamics and social support
4
A test has 98% ability to correctly ID individuals w/ a pet cat. It also has 15% ability to correctly ID those who don't
it has low specificity and high sensitivity
it has low specificity and low sensitivity
it has high specificity and low sensitivity
it has high specificity and high sensitivity
5
_____ can be seen in the response to the recent Monkeypox outbreak where vax efforts were targeted mostly to gay men
health promotion
high risk approach to prevention
population approach to prevention
low risk approach to prevention
6
When does prevalence become similar to incidence?
when duration of a disease is short
when incidence is low
when cases recover slowly
when the duration of a disease is long
7
When is screening applicable in the course of disease?
post-mortem
clinical phase
normal/no disease state
preclinical phase
8
John Snow reported an outbreak of cholera in London during the 1850s due to the Broad Street Pump. This describes:
secular trends
point epidemic
temporal clustering
common source epidemic
9
You are trying to calculate proportion of people in a pop who smoked during the COVID pandemic, use the equation for:
point prevalence
lifetime prevalence
none of the above
period prevalence
10
(T/F) Some laws may mandate HCPs, hospitals & labs to report certain cases of disease which may endanger the population
false
true
11
When during a screening would you not want to leave true cases of a disease undetected?
when the disease is highly contagious
when the disease is serious and treatment exists
when a follow-up to the screening test is associated w/ minimal cost
all of the above
12
A test that is accurate is also said to be ____. A test that is consistent is also said to be _____.
valid // reliable
reliable // valid
13
All of the following are true about incidence except:
it's a measure of risk because it takes into account duration of disease
it's expressed as a number
its the # new cases of a condition in a specified pop during a defined time
cumulative incid considers all individuals with the disease in a population
14
(T/F) Screening is used to identify symptomatic ppl assuming that early diagnosis leads to more effective treatment.
true
false
15
(T/F) Main objectives of descriptive epi are assessing health status & generating hypotheses about causal relationships
true
false
16
_____ refers to gradual and steady changes in disease frequency over long periods of time.
cyclic fluctuations
clustering
secular trends
point epidemic
17
(T/F) Death certificates contain immediate causes but not underlying causes/ other significant but unrelated conditions
False
True
18
If a disease is very rare, _____ will be low even if _____ is very high.
PPV // specificity
PPV // NPV
NPV // PPV
PPV // sensitivity
19
When can you use the direct method of adjusted rates?
when using the standardized mortality ratio (SMR)
if a suitable standard population is available
none of the above
if rates are based on a small population
20
(T/F) Survivors of a natural disaster would be considered a fixed population.
true
false
21
You want to conduct a study with a high generalizability, which of the following data sources would be best suited?
screening surveys conducted across a large portion of the population
records from a nursing home
reports from a single small private practice
records of absenteeism from work or school
22
The #1 cause of goiter is iodine deficiency. One solution has led to iodized salt as a common household item. This is:
passive primary prevention
tertiary prevention
secondary prevention
active primary prevention
23
A slow but somewhat steady change in the occurrence of disease over a prolonged period of time describes:
morbidity
secular trends
cyclic fluctuations
disease etiology
24
(T/F) Length bias occurs b/c less aggressive diseases may have longer detectable preclinical phases.
false
true
25
(T/F) Urban morbidity & mortality are associated with crowding, inc exposure to zoonotic diseases, pollution, & poverty
true
false
26
Which of the following best describes the "female paradox"?
lower mortality, lower morbidity
lower mortality, higher morbidity
higher mortality, lower morbidity
higher mortality, higher morbidity
27
Limitations of reportable disease statistics include:
asymptomatic cases
under reporting of cases that carry a social stigma
lack of access to healthcare
all of the above
28
Smallpox and polio are examples of:
new epidemics
Residual disorders
disappearing disorders
persisting disorders
29
(T/F) Residual disorders are diseases for which no effective method of prevention exists/there is no known cure.
true
false
30
Which ranks the following policy strategies from least invasive to most restrictive?
info/education --> regulations --> incentives
info/education --> incentives --> regulations
regulations --> incentives --> info/education
incentives --> info/education --> regulations
31
Which can be used for calculating the proportion of patients who test positive for a condition truly have the condition?
PPV
specificity
NPV
sensitivity