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,Test Bank
to Accompany
Infectious Disease
Epidemiology
An Introduction
Eyal Oren, PhD, MS
Heidi E. Brown, PhD, MPH
,Copyright © Springer Publishing Company, LLC.
All Rights Reserved.
Copyright © 2023 Springer Publishing Company, LLC
All rights reserved.
This work is protected by U.S. copyright laws and is provided solely for the use of instructors in teaching
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,Contents
Chapter 1: Disease Emergence and Re-Emergence 5
Chapter 2: Concepts of Disease Transmission 8
Chapter 3: Disease Transmission Dynamics 11
Chapter 4: Respiratory Disease 13
Chapter 5: Zoonotic and Vector-Borne Diseases 17
Chapter 6: Sexually Transmitted Infections 20
Chapter 7: Gastrointestinal or Food-Borne Disease 23
Chapter 8: Behavioral and Cultural Aspects of Infectious Disease 26
Chapter 9: Social Dimensions and Health Equity 28
Chapter 10: Infectious Diseases and the Environment 30
Chapter 11: Infectious Disease Outbreak Detection, Investigation, and Surveillance 32
Chapter 12: Vaccines: Impact, Questions, and Challenges 36
Chapter 13: Advances in Disease Control 40
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
,Introduction
In our classrooms, we both use weekly quizzes and three exams as summative assessment for
the course. The quizzes are structured so students can retake the quizzes as many times as
they like in order to test their knowledge and practice their test-taking skills. Each quiz is short
(10–15 questions) but questions are slightly different on each try because they are randomly
drawn from a large bank of questions. Our exams are summative assessments. They are
cumulative, longer (50–80 questions) and only allow one attempt. Both quizzes and exams are
a mix of memorization/definitions, facts, and material that is more conceptually difficult, including
calculations. Exams may repeat questions seen on quizzes but also include new, never-before-
seen questions. Key topics that we have selected as core learning objectives for the course
appear only on the pre-test (which students do not see after taking) and the final. We use these
questions to calculate learning gains.
To support this assessment structure, this test bank is divided into definitional/fact-based
questions and more complex ideas. We include a mix of true/false and multiple-choice question
types for each chapter. Often, we use the same basic question a number of times with slight
variations to allow for random select. For calculations, it is helpful to provide the alternative
calculations (e.g., OR when RR is appropriate or calculating RR without row totals and OR with
column totals).
,Chapter 1: Disease Emergence and Re-Emergence
Definitional–Information Retrieval Questions
These four definition questions are great as a random select. Helping students to distinguish
between terms, while having a similar challenge level.
1. Pathogens that require host (i.e., cellular machinery) to replicate.
*a. virus
b. bacteria
c. fungus
d. parasites
e. prions
2. Small, single-celled organisms that do not require host (i.e., cellular machinery) to
replicate.
a. virus
*b. bacteria
c. fungus
d. parasites
e. prions
3. Pathogens that live in or on other organisms, but do not require host (i.e., cellular
machinery) to replicate.
a. virus
b. fungus
*c. parasites
d. prions
4. Transmissible proteins, which induce abnormal folding of normal cellular proteins.
a. virus
b. fungus
c. parasites
*d. prions
5. Koch’s postulates are used to determine whether a microorganism is the ___ of a
disease when __ postulates are met.
*a. cause; all four
b. animalcule; the miasma
c. asymptomatic cause; germ theory
d. carrier; 95% of the
6. Germ theory is the science-backed explanation that infectious diseases arise from
exposure to microorganisms.
True
Conceptual Higher Order Learning Questions
1
, 7. Incidence is ___ while prevalence is ___
*a. a measure of risk for developing disease; burden of disease in a population
b. the probability of a disease occurring in a population; the number of cases with
disease
c. the number of diseased individuals in a population; a measure of disease severity
d. independent of the number of people in a population; contingent upon the rate at
which cases are diagnosed
8. Determining the etiology of a disease is easier when
*a. all individuals who are expose will become symptomatic
b. most exposed individuals are asymptomatic
c. infections are mild and chronic
d. asymptomatic individuals experience chronic infection
9. Which of the following is the best definition of a carrier?
*a. an individual able to spread an infection to others
b. an individual with symptomatic infection
c. an individual with asymptomatic infection
d. a vector like mosquitoes, ticks, or other animals
These three definition questions are great as a random select, helping students to distinguish
between terms, while having a similar challenge level.
10. Which of the following answers the question, “What proportion of cases is fatal?”
*a. case fatality rate
b. proportionate mortality rate
c. mortality rate
d. none of the above
11. Which of the following answers the question, “Which diseases are the most important
causes of death?”
a. case fatality rate
*b. proportionate mortality rate
c. mortality rate
d. none of the above
12. Which of the following answers the question “Which diseases are the greatest burden in
a population?”
a. case fatality rate
b. proportionate mortality rate
c. mortality rate
*d. none of the above
Calculations:
13. In a population of 2,000, 14 people are infected with COVID-19 in January. Of those
infected, 3 die. Two additional people die of non-COVID-related injuries. What is the
COVID-associated proportionate mortality ratio?
2
, *a. 3/5 = 60%
b. 3/14 = 21%
c. 14/2,000 = 7 per 1,000
d. 5/2,000 = 2.5 per 1,000
14. In a population of 2,000, 14 people are infected with COVID-19 in January. Of those
infected, 3 die. Two additional people die of non-COVID-related injuries. What is the
COVID-associated case fatality rate?
a. 3/5 = 60%
*b. 3/14 = 21%
c. 14/2,000 = 7 per 1,000
d. 5/2,000 = 2.5 per 1,000
15. In a population of 2,000, 14 people are infected with COVID-19 in January. Of those
infected, 3 die. Two additional people die of non-COVID-related injuries. What is the
incidence of COVID-19 in January?
a. 3/5 = 60%
b. 3/14 = 21%
*c. 14/2,000 = 7 per 1,000
d. 5/2,000 = 2.5 per 1,000
16. In a population of 2,000, 14 people are infected with COVID-19 in January. Of those
infected, 3 die. Two additional people die of non-COVID -related injuries. What is the
overall mortality rate in January?
a. 3/5 = 60%
b. 3/14 = 21%
c. 14/2,000 = 7 per 1,000
*d. 5/2,000 = 2.5 per 1,000
3
, Chapter 2: Concepts of Disease Transmission
Definitional–Information Retrieval Questions
These definition questions are great as a random select, helping students to distinguish
between terms, while having a similar challenge level.
1. When a mother passes a disease to her sister, it is an example of
*a. horizontal transmission
b. vertical transmission
c. direct transmission
d. indirect transmission
2. When a mother passes a disease to her child, it is an example of
a. horizontal transmission
*b. vertical transmission
c. direct transmission
d. indirect transmission
These three definition questions are great as a random select, helping students to distinguish
between terms, while having a similar challenge level.
3. Which of the following describes the likelihood a disease infects others, commonly
examined using the proportion of exposed individuals who become infected?
*a. infectivity
b. pathogenicity
c. virulence
4. Which of the following describes the likelihood of developing clinical disease, commonly
examined through the proportion of infected individuals who develop disease?
a. infectivity
*b. pathogenicity
c. virulence
5. Which of the following describes the likelihood of developing severe disease, commonly
examined through the proportion of diseased individuals who develop more severe or
fatal outcomes?
a. infectivity
b. pathogenicity
*c. virulence
These three definition questions are great as a random select, helping students to distinguish
between terms, while having a similar challenge level.
1