EXAM 2026 REVIEW PAPER COMPLETE
QUESTIONS WITH EXPERT SOLUTIONS AND
MARKING SCHEME
◉ what accounts for the differences?
Answer: - shifts from infections to chronic
- better understanding of what causes infectious diseases
◉ what is the shift in thinking about illness?
Answer: - grouping similar ailments under a single "cause"
- recognition of the importance of data
◉ human attempts to improve well being
Answer: - humans have tried to improve their own health by making
observations, controlling their environment, food, and water
◉ leviticus
Answer: - rules governing food safety and hygiene
◉ role of healer
,Answer: - someone who has developed specialized knowledge in
using plants, animal substances, and behaviors
◉ hippocrates
Answer: "cure sometimes, treat often, comfort always."
- it is better to prevent than treat
- humors (blood, bile, phlegm)
*the shift from healer to doctor
◉ galen
Answer: - expands on the work of hippocrates
- used dissections to make systematic observations of the body
- extensive dissections of animals
◉ middle ages - why the backslide?
Answer: - fall of the roman empire, coupled with the spread of
christianity and feudalism
◉ development of a biomedical model
Answer: - cultural shift emphasizing education, entrepreneurship,
observation, and experimentation (scientific advancements)
,◉ reductionism
Answer: - mechanistic approach, focus on reducing to the simplest
individual pieces of a system, which is the sum of its parts (breaking
down the parts to fix the whole)
- becomes a dominant paradigm in science and philosophy
◉ lady wortley montagu
Answer: - She helped spread the use of inoculation in Europe
- Smallpox inoculation
◉ Edward Jenner
Answer: - Developed a vaccine for smallpox in 1796
- Cowpox inoculation
◉ Ignaz Semmelweis
Answer: - Identified the cause of childbed fever. Emphasized doctor
cleanliness
- Childbed fever deaths 5x higher in wards run by doctors/med
students than midwives
- Importance of the midwives having more knowledge and
experience with childbirth
◉ Cholera Epidemic
, Answer: - One of the first epidemics to be studied using
epidemiological methods.
- Waterborne
◉ Louis Pasteur
Answer: - Began pasteurizing milk to kill bacteria
- Work on fermentation helped develop germ theory
- demonstrated that heat could safely kill microorganisms
◉ Alexander Fleming
Answer: - discovered penicillin
- accounts for dramatic drop in post combat deaths in WW2
◉ Difficulty with the model? Why the shift?
Answer: - model develops over time to focus on a biological cause
for illness (cure and prevention focused on the biological agent)
- the problem with the model is that different states could provide
different causes for illness
◉ Framingham Heart Study
Answer: - A large epidemiologic study begun in the 1940s, designed
to assess the relationship between lifestyle factors and risk for heart
disease