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HLTH 643A Epidimiology final

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HLTH 643A Epidimiology final

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Quiz 1 Ch 1 - 2


1. True: The Framingham Heart Study, begun in 1948, pioneered research into coronary heart disease
risk factors.

2.False: Socrates popularized the notion that the environment is associated with human disease.

3.False: Most of the time, epidemiologic researchers confront a problem that has a clear etiologic basis

4. Which of the following activities characterizes an epidemiologic approach (as opposed to a clinical
approach)? B. Surveillance of a population

5. Cyclic variations in the occurrence of pneumonia and influenza mortality may reflect: Both A and B

6. True: The 1918 Influenza Pandemic is also known as “the Mother of All Pandemics.”

7. True: Environmental and occupational health problems are a specialization of epidemiology.

8. Which of the following activities characterizes a clinical approach (as opposed to an epidemiologic
approach)? Description of specific signs and symptoms in a patient (pg.13)

9. True: The epidemiologic and clinical descriptions of a disease are different

10. True: One of William Farr’s contributions to public health and epidemiology included the
development of a more sophisticated system for codifying medical conditions.

11. True: Molecular epidemiology applies the techniques of molecular biology to epidemiologic studies.

12. False: The study of diseases linked to harmful physical energy such as ionizing radiation would be
outside the scope of epidemiology.

13. Choose the incorrect answer: The Gini index: D. is a measure of income inequality

14. There has been an increase in the number of epidemiologic studies reported in medical journals
because: D. all of the above they concentrate on associations between diseases and possible lifestyle
factors, such as habit, type of behavior, or some element of the diet that presumably can be changed.
The major diseases that are predominant in American society are “chronic, degenerative diseases that
probably have several contributing causes, some to do with lifestyle over long periods. (pg 58)
15. False: John Cassel argued that the agent, host, and environment triad provided an adequate
explanation for chronic diseases of non-infectious origin.

16. According to the natural history of disease model, the time before the precursors of disease and the
host interact is called the period of: A. Prepathogenesis (p. 98)

17. False: The existence of a dose-response relationship, that is, an increase in disease risk with an
increase in the amount of exposure, does not support the view that an association is a causal one.

18. The difference between primary and secondary prevention of disease is: A. primary prevention
means control of causal factors, while secondary prevention means early detection and treatment of
disease.

, Quiz 1 Ch 1 - 2


19. False: The National Ambulatory Medical Care Survey is a continuing probability survey of physicians
who practice in public settings such as VA centers.

20. What factors should be considered in measuring long-term changes in disease frequency over time?
D. All of the above

21. True: High firearm death rates and homicide rates are indicators of adverse conditions w/in the
community

22. False An important risk factor for the population is always important for the individual

23. Increases in lung cancer mortality, especially among women, illustrate which of the following trends
in disease occurrence? B. A persistent disorder (pg 63) – Residual disorder? New epidemic disorder?

24. True:An example of operations research is using epidemiology to plan the placement of health
services in a community.

25. Using epidemiology for operational research involves: A. study of community health services.

Quiz 2 CH 3-4

1. True: When the duration of a disease becomes short and the incidence is high, the prevalence
becomes similar to incidence.

2. True: The proportional mortality ratio (%) is defined as the mortality due to a specific cause during a
time period divided by the mortality due to all causes during the same time period times 100.

3. Which of the following terms is expressed as a ratio (as distinguished from a proportion)?

C. Male Births/ Female Births (pg 109)

4. True: Certain diseases can occur more than once in the same individual during a stated period of time.
Repeated cases of the disease have no effect upon incidence rates.

5. An epidemiologic survey of roller-skating injuries in Metroville, a city with a population of 100,000
(during the midpoint of the year), produced the following data for a particular year:




The proportional mortality ratio (%) due to roller0skating was: A. 90/900 x 100 (pg. 142)

6. An epidemiologic survey of roller-skating injuries in Metroville, a city with a population of 100,000
(during the midpoint of the year), produced the following data for a particular year:

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