Essentials of Public Health 2nd Edition Turnock – Test Bank

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Essentials of Public Health 2nd Edition Turnock – Test Bank

 Sample Questions

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File: chap02, Chapter 2.

 

 

 

Multiple Choice

 

 

 

1. Which of the following is not considered one of the 3 Ps or most important determinants of health worldwide?

 

1. Population growth
2. Personal responsibility
3. Pollution
4. Poverty

 

Ans: B

 

 

 

2. Which two lifestyle factors have been reported to be the most important causes of preventable mortality in the S.?

 

1. alcohol and obesity
2. substance abuse and sexual activity
3. stress and high blood pressure
4. tobacco and diet/physical activity

 

Ans: D

 

 

 

3. Key demographic trends that will impact public health and the future need for programs and services include all of the following except:

 

1. Shrinking US population and greater utilization levels of health care services by men than women
2. The aging population and the influence of the Baby Boom generation
3. Declining younger population and changes in the family unit
4. Greater racial and ethnic diversity

 

Ans: A

 

 

 

4. A measure of health status that attempts to gauge the social impact of various diseases and conditions by adjusting for differences in the age of the population affected is:

 

1. Years of potential life lost
2. Crude mortality rate
3. Prematurity rate
4. Index of leading economic indicators

 

Ans: A

 

 

 

5. In terms of its ranking among the world’s nations for mortality rates, the S. generally ranks:

 

1. best (i.e., the lowest rate) among all countries
2. among the ten countries with the lowest rates
3. below (i.e., has a higher rate than) about 25 to 30 other countries
4. among the ten countries with the highest rates

 

Ans: C

 

 

 

6. Compared with a country with a steady population, a country with a rapidly growing population is most likely to have which of the following characteristics:

 

1. A higher proportion of the population less than 15 years old
2. A higher age-adjusted mortality rate
3. A higher(i.e., longer) population doubling time
4. A low migration rate

 

Ans: A

 

 

 

7. In 1900, the leading cause of death in the United States was which of the following conditions?

 

1. tuberculosis
2. diphtheria
3. typhoid fever
4. pneumonia and influenza

 

Ans: D

 

 

 

8. Which of the following was in the top five causes of death in both 1900 and 2000?

 

1. tuberculosis
2. accidents
3. heart disease
4. diabetes

 

Ans: C

 

 

 

9. Which of the following health measures has the greatest potential for prevention of disease in the S.?

 

1. Environmental modification
2. Genetic counseling
3. Immunization
4. Modification of personal health behavior

 

Ans: D

 

 

 

10. The World Health Organization (WHO) definition of good human health includes:

 

1. Physical and social well-being
2. Mental and physical well-being
3. Mental and social well-being
4. Physical, mental, and social well-being

 

Ans: D

 

 

 

11. The list of major obstacles to global public health progress includes all of the following except:

 

1. Population growth and poverty in underdeveloped countries
2. Inadequate government organization and financing of health programs
3. Climatological differences across the globe
4. Maldistribution of resources

 

Ans: C

 

 

 

12. A physician fills out a death certificate as follow: IMMEDIATE CAUSE OF DEATH-pulmonary embolism DUE TO-deep venous thrombosis DUE TO-pancreatic cancer. She notes that a liver biopsy was performed prior to death. In the S. vital statistics, this death would be recorded as due to:

 

1. pulmonary embolism
2. deep venous thrombosis
3. pancreatic cancer
4. complication of liver biopsy

 

Ans: C

 

 

 

13. Healthy People 2010 categorizes S. health issues according to:

 

1. primary, secondary, and tertiary prevention
2. morbidity and disability in regions of the S.
3. life stages of development and health problems from infants to elderly
4. health promotion, protection, and prevention

 

Ans: D

 

 

 

14. Mortality rates in the US show the following gender differences:

 

1. males greater than females
2. females greater than males
3. males equal to females
4. males equal to females in the first years of life

 

Ans: A

 

 

 

15. Which of the following is the best source of information on adult and infant mortality?

 

1. Disease registries
2. Vital statistics
3. Special survey studies
4. Hospital care statistics

 

Ans: B

 

 

 

16. The best single predictor of poor health in a community is:

 

1. Poor sanitary conditions
2. Lack of medical care
3. Genetics
4. Poverty

 

Ans: D

 

 

 

17. In the US, the national health promotion and disease prevention agenda is known as:

 

1. Healthy People
2. No Child Left Behind
3. The Mothers’ March
4. Red Cross

 

Ans: A

 

 

 

18. Which of the following is not a mortality-based indicator of health status in a population?

 

1. Life expectancy at birth
2. Prevalence rate
3. Crude mortality rate
4. Years of potential life lost before age 65

 

Ans: B

 

 

 

19. A direct contributing factor may be defined as:

 

1. Scientifically established factor that relates directly to the level of the health problem
2. A community-specific factor that affects the level of contributing factor
3. A scientifically established factor the directly affects the level of the determinant
4. The differences in health which are not only unnecessary and avoidable but are also considered unfair and unjust

 

Ans: C

 

 

 

20. Which of the following statements is false?

 

1. Cost-utility analyses are similar to cost-effectiveness studies, except that the results are characterized as cost per quality-adjusted life year
2. When comprehensively performed, a cost-effectiveness analysis is considered the gold standard of economic evaluations.
3. Cost-benefit analysis results are expressed in terms of net costs, net benefits, and time required to recoup an initial investment.
4. Cost–effectiveness analyses focus on one outcome to determine the most cost-effective intervention when several options are possible.

 

Ans: B

 

File: chap04, Chapter 4.

 

 

 

Multiple Choice

 

 

 

1. As a society, we endorse the delegation of executive, legislative, and judicial authority to administrative agencies for many reasons, EXCEPT which of these?

 

1. Because the complexity of modern society calls for more regulatory bodies to fulfill government’s expanded regulatory roles
2. Because of the need to rely upon the technical and professional expertise of agency personnel to carry out the public policy behind the legislation
3. Because of the need to lessen the burden on the civil court system
4. Because it is not always possible or even wise to include extensive detailed and technical information in a statute

 

Ans: C

 

 

 

2. More than three-fourths of all US local health departments are organized at this level of government?

 

1. County
2. City
3. Township
4. State

 

Ans: A

 

 

 

3. The term “Title XVIII” which was signed into law on July 30, 1965, is better known as:

 

1. Medicaid
2. Medical Assistance
3. Medicare
4. CHAMPUS

 

Ans: C

 

 

 

4. The organizational unit in the federal government created in 1939 to bring together health, education, and welfare services.

 

1. Federal Security Agency
2. Children’s Bureau
3. Department of Homeland Security
4. Centers for Disease Control

 

Ans: A

 

 

 

5. The Food and Drug Administration (FDA) is responsible for:

 

1. Overseeing the science of preventive services
2. Conducting research into the treatment of major categories of disease
3. Providing services to indigenous populations
4. Evaluating the safety of food and drugs

 

Ans: D

 

 

 

6. The Centers for Disease Control (CDC) does which of the following?

 

1. Oversees the science of preventive medicine through basic science and applied research
2. Conducts research into the treatment of major categories of disease
3. Provides funds for the clinical services for the poor, aged, and totally disabled
4. Provides services to indigenous populations

 

Ans: A

 

 

 

7. The State Health Officer is usually appointed by the

 

1. US Public Health Service
2. state legislature
3. governor
4. state board of health

 

Ans: C

 

 

 

8. The National Institutes of Health does which of the following?

 

1. Oversees the science of preventive medicine through basic science and applied research
2. Conducts research into the treatment of major categories of disease
3. Provides funds for the clinical services for the poor, aged, and totally disabled
4. Evaluates the safety of food and drugs

 

Ans: B

 

 

 

9. The major strategy used by the federal government in the S. after about 1935 to influence the health policies and services of states and local governments was:

 

1. appointment of state and local health commissioners
2. development of unified national policy through federal legislation
3. establishment of direct federal health service systems
4. grants-in-aid

 

Ans: D

 

 

 

10. The Institute of Medicine identified which level of government as the central force in public health, bearing primary public sector responsibility for the health of the people?

 

1. Federal
2. State
3. County
4. Municipal

 

Ans: B

 

 

 

11. Government scan influence the health of their citizens by:

 

1. Altering social factors that influence health
2. Assuring equity and equality through public programs
3. Providing access to services
4. All the above

 

Ans: D

 

 

 

12. The agency that was first created as a Marine Hospital Service in 1789 is:

 

1. UNICEF
2. World Health Organization
3. United States Public Health Service
4. National Institutes of Health

 

Ans: C

 

 

 

13. Which of these characteristics applies to the greatest number of official state health departments in the United States?

 

1. Lead environmental agency for the state
2. Free standing agencies rather than components of larger multi-purpose human services agencies
3. Operates state institutions
4. Operates the state’s Medicaid Program

 

Ans: C

 

 

 

14. The inspection of meat delivered from Chicago to New York is the responsibility of:

 

1. New York City Health Department
2. S. Department of Agriculture
3. Food and Drug Administration
4. Chicago Department of Public Health

 

Ans: B

 

 

 

15. Which of these federal agencies is not considered part of the US Public Health Service?

 

1. Centers for Disease Control and Prevention
2. Agency for Healthcare Research and Quality
3. Centers for Medicare and Medicaid Services
4. National Institutes of Health

 

Ans: C

 

 

 

16. What is the function of law in public health?

 

1. To govern and “police” the individual interests of all citizens
2. To enforce coercive interventions aimed at changing individual behaviors
3. To create a mission for public health authorities, assign their functions, and specify the manner in which they may exercise authority
4. To empower governments to act and set limits on power

 

Ans: C

 

 

 

17. Public health actions frequently involve a balancing of individual rights vs. the good of the community. Where that balance is struck is based on:

 

1. Explicit direction from the US Constitution
2. Societal values
3. Science
4. What is right and what is wrong

 

Ans: B

 

 

 

18. The “police powers” that public officials rely on to enforce compliance with public health laws and regulations are based on:

 

1. Explicit language in the US Constitution
2. Inferences about the government’s obligation to protect the health, safety, and welfare of its citizens
3. Inferences from the Racketeer Influenced and Corrupt Organization (RICO) Act legislation
4. Presidential executive orders

 

Ans: B

 

 

 

True or False

 

 

 

19. More than one-half of local health departments in the U.S. serve populations of 50,000 or less.

 

Ans: True

 

 

 

20. Most local health departments in the U.S. have more than 100 full time employees.

 

Ans: False