Actual Exam from Credible Sources with 85
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10 biggest global health threats of the decade - CORRECT ANSWER: main obstacles=
global warming, conflict zones, unfair healthcare provision, requiring international effort
1. elevating health in the climate debate: emissions kill more than 7 million, responsible
for more than 1/4 deaths from diseases including heart attack/stroke
-extreme weather events increase malnutrition
2. delivering health in conflict and crisis: those forced to flee cannot access healthcare,
attacks on healthcare workers
3. making healthcare fairer: health-wealth gradient
-rise in chronic diseases have a greater impact on low/middle income countries
4. expanding access to medicines: 1/3 do not have access, need to gain trust of
providers
5. stopping infectious diseases: focus on prevention, greater funding/ political will is
required for immunization programs
6. preparing for epidemics: must focus on preparing for future outbreaks and less on
reacting to new strains of a virus
7. protecting people from dangerous products: promote healthy diets, work to combat
obesity
-reduce reliance on harmful foodstuffs
8. investing in the people who defend our health: shortage of workers in low income
communities, properly train them and provide decent salaries
9. keeping adolescents safe: focus on mental health to avoid road accidents, suicides,
HIV, focus on contraceptives
10. earning public trust
-combat false social media, work with community partners and programs
,assumptions of health promotion - CORRECT ANSWER: 1. Health status can be
changed: empowering the individual
2. Disease occurrence can be understood: dose response
3. Prevention strategies can be developed for health problems.
4. Health is affected by multiple factors - not just lifestyle.
5. Changes in micro & macro level behaviors and factors can positively affect health.
6. People & communities can assume responsibility for their health.
7. Individual responsibility does not mean victim blaming
8. For permanent behavior change, people must be ready & motivated.
background on infectious diseases - CORRECT ANSWER: still a leading cause of death
worldwide, even though we have eliminated or eradicated some
-diarrheal disease is the second leading cause of death in children under 5
-rise in strain and antibiotic resistance: food systems, bioaccumulation, many STIs are
resistant to antibiotics, takes several decades to develop new antibiotics
-PH effort to prevent and control are underfunded, sensitive topics to deal with people
behavior change process - CORRECT ANSWER: stage 1: awareness
-knowledge is necessary, but not sufficient for change
stage 2: initiation/decision making
-may need skills to make change, lack self efficacy
-training in making+ maintaining sound decisions
-successfully deal with barriers to make change
stage 3: continuation
-ongoing environmental support+ physical environment changes
benefits of vaccines - CORRECT ANSWER: herd immunity, concept of protecting a
community against certain diseases by having a high % of community population
immunized
-must have low cost, incentives for doctors and patients
, -must understand where vaccines wear off, vary on effectiveness, constant research
and development
birth control access in developing nations - CORRECT ANSWER: problem is magnified
in poorer countries, 82% of unintended pregnancies
-women of reproductive age die from illegal abortions, economics/personal freedom
issue because women cannot choose their own life
-main focus groups: ages 10-19, those over 40
risk factor: poverty, biggest risk factor for infant mortality
-the age at which women become pregnant and the time between births can be
controlled
-main barrier= access, stigma against birth control and conservative beliefs
-CDC: reproductive health division, improve knowledge and services
-UNFPA: contraceptives to populations in need, gather data
characteristics of the agent - CORRECT ANSWER: -infectivity: ability to infect
-immunogenicity: likelihood of triggering an immune response
-pathogenicity: ability to cause disease
-virulence: ability to cause death
-antigenic stability: long term immunity
-survival: some can survive outside of the body
communicable disease - CORRECT ANSWER: a disease that is spread from one host
to another, does not have the same meaning as infectious
-not all infectious diseases are communicable: infected cuts, tetanus, Lyme's
community based health promotion - CORRECT ANSWER: comprehensive, long term
with multiple approaches
-influences cultural norms, enhancing environmental support