2010
1.
Epidemiology is broadly defined as the study of factors that influence the health of populations. The application of epidemiologic findings in populations to decisions in the
care of individual patients is: a.
Generally inappropriate b.
Known as clinical epidemiology c.
Limited to chronic disease epidemiology d.
Limited to infectious disease epidemiology e.
Subject to the ecologic fallacy.
2.
The BEINGS model is a useful paradigm for: a.
Allocating public health resources b.
Asserting the impact of herd immunity c.
Determining the role of social policy on public health d.
Establishing the importance of social contacts e.
Evaluating etiologic factors in disease.
3.
The BEINGS model provides a list of factors in disease causality. Which of the following factors are explicitly included in the list? a.
Behavioral, ecologic, idiopathic, nutritional, genetic, and social factors. b.
Behavioral, environmental, immunologic, nutritional, genetic, and selective factors. c.
Behavioral, environmental, immunologic, nutritional, genetic, and social factors. d.
Biologic, environmental, immunologic, nutritional, genetic, and synergistic factors. e.
Biologic, environmental, innate, nutritional, genetic, and synergistic factors
4.
For an infectious disease to occur, there must be interaction between: a.
Behavioral factors and genetic factors b.
The agent and the vector c.
The host and the agent d.
The vector and the environment e.
The vector and the host
5.
Widely publicized fatalities associated with an “emerging” disease (e.g. hantavirus pulmonary syndrome) may be an example of: a.
Active surveillance b.
Case finding c.
Iatrogenesis d.
The first responder effect e.
The iceberg phenomenon
6.
Which one of the following activities is beyond the scope of activities undertaken by
epidemiologists? a.
Analyzing cost-effectiveness b.
Establishing modes of disease transmission c.
Preventing disease d.
Providing data for genetic counseling
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2010 e.
Rationing health care resources
7.
Herd immunity refers to: a.
Genetic resistance to species-specific disease b.
Immunity naturally acquired in a population c.
The high levels of antibody present in a population after an epidemic d.
The prevention of disease transmission to susceptible individuals through acquired immunity in others. e.
The vaccination of domestic animals to prevent disease transmission to humans.
8.
Attempts to eradicate a disease through wide-spread immunization programs may be associated with potential adverse effects. Which of the following adverse effects is
correlated with the efficacy of the vaccine? a.
The emergence of resistant strains b.
The loss of the natural booster effect c.
The occurrence of allergic reactions d.
The occurrence of infection in younger age groups e.
The occurrence of neurologic complication.
9.
Which of the following phenomena resulted from attempts to solve a public health problem? a.
Antigenic drift in the influenza virus b.
Desertification in sub-Saharan Africa c.
Reactivation of latent tuberculosis in individuals with HIV infection d.
Spread of Legionella pneumophila through air-conditioning systems e.
Transmission of hepatitis C via blood transfusions.
10.
Evaluation of which of the following potentially preventable causes of disease is mostly likely to raise ethical concerns? a.
Dietary intake b.
Genetic susceptibility c.
Immunization status d.
Smoking history e.
Social support networks.
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