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T BANK
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,GORDIS EPIDEMIOLOGY 6TH EDITION
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CELENTANO TEST BANK h h
Chapter 01: Introduction
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Celentano:hGordishEpidemiology,h6thhEditionh
TesthBank
MULTIPLEhCHOICE
1. Whichhofhthehfollowinghishanhexamplehofhtertiaryhprevention?
a. Vaccinationhforhrotavirushforhchildrenh youngerhthanhthehagehofh1hyear
b. Surgicalhamputationhofhanhextremityhwithhosteosarcomah(bonehcancer)
c. Screeninghforhgestationalhdiabeteshafterh24hweekshofhpregnancy
d. Sexualheducationhprogramhinhelementaryhschools
e. Increasinghtaxeshforhbuyinghcigarettesh
ANS:hB
Surgicalhamputationhofhanhextremityhwithhosteosarcomah(bonehcancer)hishanhexamplehinhwhichhw
henhahdiseasehishpresenththehtreatmenth(amputation)hishdonehtohreducehthehimpacthofhdiseasehbyhpre
ventinghthehtumorhfromhdissemination.hVaccinationhforhrotavirushforhchildrenhyoungerhthanhtheha
gehofh1hyear,hsexualheducationhprogramhinhelementaryhschools,handhincreasinghtaxeshforhbuyinghc
igaretteshrepresenthexampleshofhprimaryhprevention.hScreeninghforhgestationalhdiabeteshafterh24hw
eekshofhpregnancyhishanhexamplehofhsecondaryhprevention.
N R I G B . C
2. Thishhistorichcharacterhobserved tUha thSch ilNdb eTdh fe ve rhOm ortalityhwas
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morehcommonhamonghwomenhtreatedhbyhphysicianshandhmedicalhstudentshcomparedhwithhwo
menhtreatedhbyhmidwives.hBasedhonhhishobservations,hhehimplementedhahhandhwashhpolicyhthath
resultedhinhahdecreasehinhmortality.hNamehthehcharacterhthathweharehtalkinghabout.
,a. JohnhSnow
b. EdwardhJenner
c. D.A.hHenderson
d. LeonhGordis
e. IgnazhSemmelweish
ANS:hE
IgnazhSemmelweishidentifiedhthathmedicalhstudentshandhphysicianshtransmittedhthehdiseasehbyhnoth
washinghtheirhhandshafterhexamininghbodieshathautopsieshandhconductinghmultiplehexaminationshinh
thehclinic.
3. ThankshtohthehcontributionshofhEdwardhJenner,hthehfollowinghdiseasehwasheradicatedhlaterhbyhe
ffortshorganizedhbyhD.A.hHenderson:
a. Cholera
b. Smallpox
c. Chickenpox
d. Polio
e. Zika
ANS:hB
Smallpoxhwasheradicatedhinh1980.hEdwardhJennerhvaccinatedhJameshPhippshinh1796hagainsths
mallpox.hAlmosth200hyearshlater,hthehWorldhHealthhOrganizationh(WHO)hcommissioned
D.A.hHendersonhtohleadhtheheffortshtoheradicatehthehdisease.
4. Overhthehpasthcentury,hahmarkedhdeclinehinhthehmortalityhrateshofhmanyhinfectioushdiseaseshhash
beenhobserved.hWhichhofhthehfollowinghishthehmosthlikelyhreasonhforhthehobservedhdeclinehinhmort
alityhrateshfromhcommonhinfectioushdiseases?
a. Developmenthofhpenicillin
b. Developmenthofhinsulin
c. Developmenthofhvaccines
, d. Improvementhinhsocialhconditions
e. Worsehsanitationhandhunsafehwaterh
ANS:hD
Althoughhmedicalhtreatmentshpotentiallyhhelpedhinhthehdecreasehofhinfectioushdiseases,htheha
dvancementhinhsocialhconditionshplayedhahmajorhrole.hThesehimprovementshincludehbetterhsa
nitation,hsafehdisposalhofhwaste,hbetterhnutrition,handhimprovementhinhhousinghconditions.