n n n n
7th Edition By David D Celentano; Moyses Szklo
n n n n n n n
Chapters 1 - 20 Complete
n n n n n
,TABLE OF CONTENTS
n n
Chaptern1nIntroduction
Chaptern2nThenDynamicsnofnDiseasenTransmission
Chaptern3nThenOccurrencenofnDisease
Chaptern4nThenOccurrencenofnDisease
Chaptern5nAssessingnthenValiditynandnReliabilitynofnDiagnosticnandnScreeningnTests
Chaptern6nThenNaturalnHistorynofnDisease
Chaptern7nObservationalnStudies
Chaptern8nCohortnStudies
Chaptern9nComparingnCohortnandnCase-ControlnStudies
Chaptern10nAssessingnPreventivenandnTherapeuticnMeasures
Chaptern11nRandomizednTrials
Chaptern12nEstimatingnRisk
Chaptern13nMorenonnRisk
Chaptern14nFromnAssociationntonCausation
Chaptern15nMorenonnCausalnInference
Chaptern16nIdentifyingnthenRolesnofnGeneticnandnEnvironmentalnFactorsninnDiseasenCausation
Chaptern17nUsingnEpidemiologyntonEvaluatenHealthnServices
Chaptern18nEpidemiologicnApproachntonEvaluatingnScreeningnPrograms
Chaptern19nEpidemiologynandnPublicnPolicy
Chaptern20nEthicalnandnProfessionaln IssuesninnEpidemiology
,Chaptern01:nIntroduction
Celentano:nGordisnEpidemiology,n7thnEditionnTestnBank
MULTIPLEnCHOICE
1. nWhichnofnthenfollowingnisnannexamplenofntertiarynprevention?
a. Vaccinationnfornrotavirusnfornchildrenn youngernthannthenagenofn1n year
b. Surgicalnamputationnofnannextremitynwithnosteosarcoman(bonencancer)
c. Screeningnforngestationalndiabetesnaftern24nweeksnofnpregnancy
d. Sexualneducationnprogramninnelementarynschools
e. Increasingntaxesnfornbuyingncigarettesn
ANSWER:nB
Surgicalnamputationnofnannextremitynwithnosteosarcoman(bonencancer)nisnannexampleninnwhichnw
henn an diseasen isn presentn then treatmentn (amputation)n isn donen ton reducen then impactn ofn diseasenbyn
preventingnthentumornfromndissemination.nVaccinationnfornrotavirusnfornchildrennyoungernthannt
henagenofn1nyear,nsexualneducationnprogramninnelementarynschools,nandnincreasingntaxesnfornbuyi
ngncigarettesnrepresentnexamplesnofnprimarynprevention.nScreeningnforngestationalndiabetesnafter
n24n weeksn ofnpregnancynisnannexamplenofnsecondarynprevention.
2. Thisnhistoricncharacternobservednthatnchildbednfevernmortalitynmorencommonnamongnwomenntrea
tednbynphysiciansnandnmedicalnstudentsncomparednwithnwomenntreatednbynmidwives.nBasednonnhi
snobservations,nhenimplementednanhandnwashnpolicynthatnresultedninnadecreaseninnmortality.nNamen
thencharacternthatnwenarentalkingnabout.
a. JohnnSnow
b. EdwardnJenner
c. D.A.nHenderson
d. LeonnGordis
e. IgnaznSemmelweisn
ANSWER:nE
IgnaznSemmelweisnidentifiednthatnmedicalnstudentsnandnphysiciansntransmittednthendiseasenbynn
otnwashingntheirnhandsnafternexaminingnbodiesnatnautopsiesnandnconductingnmultiplenexaminati
onsninnthenclinic.
3. ThanksntonthencontributionsnofnEdwardnJenner,nthenfollowingndiseasenwasneradicatednlaternb
yneffortsnorganizednbynD.A.nHenderson:
a. Cholera
b. Smallpox
c. Chickenpox
d. Polio
e. Zika
.
, ANSWER:nB
Smallpoxnwasneradicatedninn1980.nEdwardnJennernvaccinatednJamesnPhippsninn1796nagainstns
mallpox.nAlmostn200nyearsnlater,nthenWorldnHealthnOrganizationn(WHO)ncommissioned
D.A.nHendersonntonleadntheneffortsntoneradicatenthendisease.
4. Overnthenpastncentury,nanmarkedndeclineninnthenmortalitynratesnofnmanyninfectiousndiseasesnh
asnbeennobserved.nWhichnofnthenfollowingnisnthenmostnlikelynreasonnfornthenobservedndeclineninn
mortalitynratesnfromncommonninfectiousndiseases?
a. Developmentnofnpenicillin
b. Developmentnofninsulin
c. Developmentnofnvaccines
d. Improvementninnsocialnconditions
e. Worsensanitationnandnunsafenwatern
ANSWER:nD
Althoughnmedicalntreatmentsnpotentiallynhelpedninnthendecreasenofninfectiousndiseases,nthena
dvancementninnsocialnconditionsnplayednanmajornrole.nThesenimprovementsnincludenbetternsa
nitation,nsafendisposalnofnwaste,nbetternnutrition,nandnimprovementninnhousingnconditions.
.