4530 Exam One Medium - Test
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Questions and Answers

What percentage of vaccine coverage is generally targeted to achieve herd immunity?

  • 90-95% (correct)
  • 70-80%
  • 80-85%
  • 95-100%

What is true about the specificity of the Flu test mentioned?

  • It has a 70% specificity with a 30% false positive rate. (correct)
  • It has 70% sensitivity and 100% specificity.
  • It has 100% specificity and no false positives.
  • It has a 30% specificity with a 70% false positive rate.

Which groups are considered to be at the highest risk for environmental health issues?

  • Children, elderly, and pregnant women (correct)
  • Homeless individuals and low-income families
  • Teenagers and middle-aged adults
  • Athletes and gym-goers

What does active surveillance in public health help achieve?

<p>It actively seeks out cases of disease for investigation. (B)</p> Signup and view all the answers

Causality in public health relies heavily on what type of studies?

<p>Epidemiological studies with comprehensive data (D)</p> Signup and view all the answers

Which type of surveillance collects routine disease data and is used for notifiable diseases?

<p>Passive Surveillance (B)</p> Signup and view all the answers

What is the consequence of decreased liver and kidney function in the elderly?

<p>They have a higher risk of accumulating toxins. (B)</p> Signup and view all the answers

Why is lead exposure particularly risky for children?

<p>Children's bodies absorb lead more quickly. (D)</p> Signup and view all the answers

What is a disadvantage of sentinel surveillance?

<p>It may not represent the larger population accurately. (A)</p> Signup and view all the answers

Which of the following is true regarding community immunity?

<p>It can help prevent the spread of disease when a sufficient percentage is immune. (C)</p> Signup and view all the answers

What are the three core functions of public health?

<p>Assessment, Policy Development, Assurance (B)</p> Signup and view all the answers

What was the main purpose of establishing the Henry Street Settlement?

<p>To provide healthcare services to the urban poor (B)</p> Signup and view all the answers

Which recommendation is appropriate if a patient's LDL and cholesterol levels are high?

<p>Begin a DASH diet (B)</p> Signup and view all the answers

What is the main difference between descriptive and analytic epidemiology?

<p>Descriptive focuses on who is affected; analytic examines why and how (B)</p> Signup and view all the answers

Which term describes an outbreak of a disease that occurs sporadically and unexpectedly?

<p>Sporadic (D)</p> Signup and view all the answers

What is the most significant predictor of health outcomes according to social determinants of health?

<p>Socioeconomic status (B)</p> Signup and view all the answers

How is prevalence defined in the context of public health?

<p>The total number of existing cases at a specific time (C)</p> Signup and view all the answers

What does the positive predictive value indicate about a screening test?

<p>The likelihood that a person has the disease (A)</p> Signup and view all the answers

What does an attack rate measure?

<p>The fraction of individuals who contract a disease after exposure (B)</p> Signup and view all the answers

How is case fatality rate defined?

<p>The percentage of individuals diagnosed with a disease who die from it (B)</p> Signup and view all the answers

Which type of epidemiology focuses on the reasons and mechanisms behind health outcomes?

<p>Analytic epidemiology (C)</p> Signup and view all the answers

What dietary recommendation is appropriate for someone with high LDL cholesterol levels?

<p>Use olive oil instead of butter (D)</p> Signup and view all the answers

What does the case fatality rate measure in public health?

<p>The severity of a disease (A)</p> Signup and view all the answers

Which of the following best describes the term 'endemic'?

<p>Consistent presence of a disease within a geographical area (D)</p> Signup and view all the answers

Which factor is considered the most significant predictor of health outcomes according to social determinants of health?

<p>Socioeconomic status (C)</p> Signup and view all the answers

What does the term 'attack rate' measure in public health?

<p>The likelihood of disease transmission in a group exposed (B)</p> Signup and view all the answers

Which of the following dietary changes would likely lower LDL levels?

<p>Incorporating more whole grains (C)</p> Signup and view all the answers

What is the main purpose of the epidemiological triangle in public health?

<p>To understand the interaction between agent, host, and environment (B)</p> Signup and view all the answers

What is measured by the prevalence of a condition in a community?

<p>The total number of existing cases at a given time (A)</p> Signup and view all the answers

What defines the latency period of an infectious disease?

<p>A duration when the pathogen is present without causing illness (A)</p> Signup and view all the answers

How does herd immunity primarily protect a community?

<p>By immunizing enough individuals to prevent disease spread (A)</p> Signup and view all the answers

What is a potential consequence of 100% sensitivity in a medical test?

<p>There would be no false negatives (A)</p> Signup and view all the answers

Which age group is most vulnerable to foodborne illnesses?

<p>Children under 5 years (A)</p> Signup and view all the answers

What is a significant challenge of active surveillance in public health?

<p>It requires substantial resources and efforts (B)</p> Signup and view all the answers

Which demographic group is particularly concerned with exposure to mercury?

<p>Pregnant women (B)</p> Signup and view all the answers

What defines passive surveillance in public health?

<p>Collection of data from health records and reports (C)</p> Signup and view all the answers

What is a common misconception about the specificity of medical tests?

<p>A high specificity means no false positives (B)</p> Signup and view all the answers

What is generally required to establish a causal relationship in public health?

<p>Extensive epidemiological research (A)</p> Signup and view all the answers

What is a risk factor for environmental health issues among children?

<p>Putting objects in their mouths (C)</p> Signup and view all the answers

What is the main focus of descriptive epidemiology?

<p>Determining who is affected by a disease (C)</p> Signup and view all the answers

Which factor is most likely to increase LDL cholesterol levels?

<p>Increased intake of trans fats (D)</p> Signup and view all the answers

What does the case fatality rate indicate about a disease?

<p>The proportion of individuals who die from a disease (C)</p> Signup and view all the answers

What is the primary concern of the epidemiological triangle in public health?

<p>Understanding the interaction between agent, host, and environment (C)</p> Signup and view all the answers

What is the relationship between socioeconomic status and health outcomes?

<p>Lower socioeconomic status is a significant predictor of poorer health outcomes (C)</p> Signup and view all the answers

Which of the following best defines health promotion?

<p>Creating environments that support healthy lifestyle choices (B)</p> Signup and view all the answers

What does the term 'attack rate' refer to in public health?

<p>Proportion of exposed individuals who develop the disease (C)</p> Signup and view all the answers

Which dietary recommendation is most appropriate for someone trying to manage diabetes?

<p>Reduce consumption of simple carbohydrates (C)</p> Signup and view all the answers

What is essential in understanding the concept of prevalence in public health?

<p>It includes both existing and new cases (C)</p> Signup and view all the answers

Which dietary fat is likely to decrease HDL cholesterol levels?

<p>Trans fats (C)</p> Signup and view all the answers

What is an implication of a long latency period for infectious diseases like HIV?

<p>Transmission can occur even when symptoms are absent. (D)</p> Signup and view all the answers

How is active surveillance in public health characterized?

<p>Public health workers proactively seek out cases. (D)</p> Signup and view all the answers

What is a significant limitation of sentinel surveillance?

<p>It can miss out on broader community trends. (C)</p> Signup and view all the answers

What does 70% specificity in a flu test imply?

<p>30% of cases may be incorrectly identified as positive. (B)</p> Signup and view all the answers

Which demographic group is particularly vulnerable to foodborne illnesses due to physiological factors?

<p>Children under 5 years old. (C)</p> Signup and view all the answers

What is a consequence of decreased kidney function in the elderly regarding toxin clearance?

<p>Slower elimination of environmental toxins. (C)</p> Signup and view all the answers

What level of vaccine coverage is often targeted to achieve herd immunity?

<p>90-95% (B)</p> Signup and view all the answers

In the context of community health, what is herd immunity?

<p>Protection of individuals through overall population immunity. (A)</p> Signup and view all the answers

Which condition makes children particularly vulnerable to environmental health issues?

<p>Increased lung surface area exposure. (B)</p> Signup and view all the answers

Which type of evidence is essential to establish a causal relationship between smoking and lung cancer?

<p>Large epidemiological studies with extensive data. (A)</p> Signup and view all the answers

How does herd immunity primarily help with disease prevention?

<p>It creates a barrier preventing disease spread by ensuring most individuals are immune. (D)</p> Signup and view all the answers

What does sensitivity in a medical test refer to?

<p>The test's effectiveness in detecting the disease when it is present. (B)</p> Signup and view all the answers

What is a significant challenge associated with passive surveillance in public health?

<p>It often relies on data from select groups, causing potential bias. (A)</p> Signup and view all the answers

Which population group is at the highest risk for foodborne illnesses?

<p>Children under 5 years old. (A)</p> Signup and view all the answers

What is the primary concern regarding lead exposure in children?

<p>Children are more likely to ingest lead due to their behavioral tendencies. (D)</p> Signup and view all the answers

Why is it essential to recognize causality in public health concerns?

<p>To identify relationships that can influence health policies and interventions. (C)</p> Signup and view all the answers

What is a critical limitation of sentinel surveillance?

<p>It typically focuses on specific populations rather than the general public. (D)</p> Signup and view all the answers

What impact does reduced liver and kidney function in the elderly have on toxin clearance?

<p>It decreases the efficiency of eliminating toxins from the body. (B)</p> Signup and view all the answers

What is one of the main roles of environmental health regarding children?

<p>To minimize exposure to hazardous substances that can affect their development. (B)</p> Signup and view all the answers

How does specificity in a medical test affect the results?

<p>It measures the test's ability to correctly identify those without the disease. (D)</p> Signup and view all the answers

What is the primary focus of analytic epidemiology?

<p>To determine why and how diseases occur (B)</p> Signup and view all the answers

Which of the following dietary recommendations would be most suitable for someone with high LDL cholesterol?

<p>Replace butter with olive oil (C)</p> Signup and view all the answers

What does case fatality rate specifically measure?

<p>The proportion of individuals who die from a specific disease (C)</p> Signup and view all the answers

Which term describes a disease that occurs regularly in a population at a stable rate?

<p>Endemic (D)</p> Signup and view all the answers

Which of the following is the most critical social determinant of health?

<p>Socioeconomic status (C)</p> Signup and view all the answers

In which scenario would the positive predictive value of a screening test be most relevant?

<p>When assessing level of disease prevalence in the community (D)</p> Signup and view all the answers

What is the primary use of the epidemiological triangle in public health?

<p>To explore the relationship between agents, hosts, and environments (A)</p> Signup and view all the answers

What is the key difference between incidence and prevalence in public health?

<p>Incidence measures the rate of new disease cases, while prevalence measures total cases (D)</p> Signup and view all the answers

What dietary change is most likely to reduce inflammation associated with dietary fats?

<p>Consume more omega-3 fatty acids (C)</p> Signup and view all the answers

What factor significantly contributes to an increased attack rate in a population?

<p>Increased exposure to the infectious agent (D)</p> Signup and view all the answers

Study Notes

Public Health Overview

  • Focuses on community population health.
  • Core functions of public health include assessment, policy development, and assurance.

Lillian Wald and Henry Street Settlement

  • Lillian Wald founded the Henry Street Settlement to provide social and health services to the immigrant community in New York City.

Health Promotion and Risk Reduction

  • Interpretation of lab values is critical for health assessments, including lipid panels.
  • High LDL and cholesterol levels necessitate dietary changes and health recommendations.
  • Emphasis on lifestyle adjustments including diet modification.

Dietary Changes

  • DASH diet promotes heart health by emphasizing whole foods and reduced sodium.
  • For diabetes, weight loss and reducing simple carbohydrates are vital.
  • Trans fats elevate LDL and diminish HDL cholesterol, while saturated fats increase both.
  • Omega-3 fatty acids are healthier alternatives to avoid trans fats.

Epidemiology Concepts

  • Descriptive epidemiology (who) vs analytic epidemiology (why and how).
  • Transition from infectious diseases to chronic illnesses occurred post-1950s with advancements in antibiotics and vaccines.
  • Definitions of disease spread:
    • Sporadic: occasional cases.
    • Endemic: consistent presence in a particular area.
    • Epidemic: sudden increase above expected levels.
    • Pandemic: widespread across regions.

Social Determinants of Health

  • Socioeconomic status is the most significant predictor of health outcomes.

Prevalence and Incidence

  • Prevalence: Total number of existing cases within a specific population at a given time.
  • Incidence: Number of new cases in a population during a specific time frame.

Epidemiological Measures

  • Positive Predictive Value: Reflects disease presence in a community.
  • Attack Rates: Proportion of exposed individuals who contract the disease.
  • Case Fatality Rate: Ratio of deaths to total cases during a specific time, indicating disease severity.

Epidemiological Triangle

  • Consists of three components: agent, host, and environment.
  • The triangle is used to understand disease transmission and to implement prevention strategies.

Natural Life History of Disease

  • Investigates the onset, spread, latency, and infectious periods of a disease, e.g., HIV.

Community/Herd Immunity

  • Aim for 90-95% vaccination coverage to ensure herd immunity and control outbreaks.

Sensitivity and Specificity

  • Sensitivity measures true positive rate; specificity measures true negative rate.
  • High sensitivity and specificity reduce false positives/negatives, e.g., flu tests typically have 70% specificity.

Causality and Environmental Health

  • Strong evidence links smoking with lung cancer drawn from extensive epidemiological studies.
  • Pesticides and toxic substances pose risks, especially for vulnerable populations like children and pregnant women.

Environmental Health Considerations

  • Children, elderly, and pregnant women are at highest risk for environmental hazards due to physiological factors.
  • It's essential to take thorough environmental histories to identify potential exposures.

Surveillance in Public Health

  • Involves outbreak investigations and various types of surveillance:
    • Active Surveillance: Public health workers actively seek disease cases, which can be costly.
    • Passive Surveillance: Relies on routine data collection and reporting.
    • Sentinel Surveillance: Monitors select groups, may not reflect the broader population.

Foodborne Illnesses

  • Highest risk demographics include children under 5, immunocompromised individuals, older adults, and pregnant women.
  • Special considerations are needed for each group's vulnerability to foodborne pathogens.

Public Health Overview

  • Focuses on community population health.
  • Core functions of public health include assessment, policy development, and assurance.

Lillian Wald and Henry Street Settlement

  • Lillian Wald founded the Henry Street Settlement to provide social and health services to the immigrant community in New York City.

Health Promotion and Risk Reduction

  • Interpretation of lab values is critical for health assessments, including lipid panels.
  • High LDL and cholesterol levels necessitate dietary changes and health recommendations.
  • Emphasis on lifestyle adjustments including diet modification.

Dietary Changes

  • DASH diet promotes heart health by emphasizing whole foods and reduced sodium.
  • For diabetes, weight loss and reducing simple carbohydrates are vital.
  • Trans fats elevate LDL and diminish HDL cholesterol, while saturated fats increase both.
  • Omega-3 fatty acids are healthier alternatives to avoid trans fats.

Epidemiology Concepts

  • Descriptive epidemiology (who) vs analytic epidemiology (why and how).
  • Transition from infectious diseases to chronic illnesses occurred post-1950s with advancements in antibiotics and vaccines.
  • Definitions of disease spread:
    • Sporadic: occasional cases.
    • Endemic: consistent presence in a particular area.
    • Epidemic: sudden increase above expected levels.
    • Pandemic: widespread across regions.

Social Determinants of Health

  • Socioeconomic status is the most significant predictor of health outcomes.

Prevalence and Incidence

  • Prevalence: Total number of existing cases within a specific population at a given time.
  • Incidence: Number of new cases in a population during a specific time frame.

Epidemiological Measures

  • Positive Predictive Value: Reflects disease presence in a community.
  • Attack Rates: Proportion of exposed individuals who contract the disease.
  • Case Fatality Rate: Ratio of deaths to total cases during a specific time, indicating disease severity.

Epidemiological Triangle

  • Consists of three components: agent, host, and environment.
  • The triangle is used to understand disease transmission and to implement prevention strategies.

Natural Life History of Disease

  • Investigates the onset, spread, latency, and infectious periods of a disease, e.g., HIV.

Community/Herd Immunity

  • Aim for 90-95% vaccination coverage to ensure herd immunity and control outbreaks.

Sensitivity and Specificity

  • Sensitivity measures true positive rate; specificity measures true negative rate.
  • High sensitivity and specificity reduce false positives/negatives, e.g., flu tests typically have 70% specificity.

Causality and Environmental Health

  • Strong evidence links smoking with lung cancer drawn from extensive epidemiological studies.
  • Pesticides and toxic substances pose risks, especially for vulnerable populations like children and pregnant women.

Environmental Health Considerations

  • Children, elderly, and pregnant women are at highest risk for environmental hazards due to physiological factors.
  • It's essential to take thorough environmental histories to identify potential exposures.

Surveillance in Public Health

  • Involves outbreak investigations and various types of surveillance:
    • Active Surveillance: Public health workers actively seek disease cases, which can be costly.
    • Passive Surveillance: Relies on routine data collection and reporting.
    • Sentinel Surveillance: Monitors select groups, may not reflect the broader population.

Foodborne Illnesses

  • Highest risk demographics include children under 5, immunocompromised individuals, older adults, and pregnant women.
  • Special considerations are needed for each group's vulnerability to foodborne pathogens.

Public Health Overview

  • Focuses on community population health.
  • Core functions of public health include assessment, policy development, and assurance.

Lillian Wald and Henry Street Settlement

  • Lillian Wald founded the Henry Street Settlement to provide social and health services to the immigrant community in New York City.

Health Promotion and Risk Reduction

  • Interpretation of lab values is critical for health assessments, including lipid panels.
  • High LDL and cholesterol levels necessitate dietary changes and health recommendations.
  • Emphasis on lifestyle adjustments including diet modification.

Dietary Changes

  • DASH diet promotes heart health by emphasizing whole foods and reduced sodium.
  • For diabetes, weight loss and reducing simple carbohydrates are vital.
  • Trans fats elevate LDL and diminish HDL cholesterol, while saturated fats increase both.
  • Omega-3 fatty acids are healthier alternatives to avoid trans fats.

Epidemiology Concepts

  • Descriptive epidemiology (who) vs analytic epidemiology (why and how).
  • Transition from infectious diseases to chronic illnesses occurred post-1950s with advancements in antibiotics and vaccines.
  • Definitions of disease spread:
    • Sporadic: occasional cases.
    • Endemic: consistent presence in a particular area.
    • Epidemic: sudden increase above expected levels.
    • Pandemic: widespread across regions.

Social Determinants of Health

  • Socioeconomic status is the most significant predictor of health outcomes.

Prevalence and Incidence

  • Prevalence: Total number of existing cases within a specific population at a given time.
  • Incidence: Number of new cases in a population during a specific time frame.

Epidemiological Measures

  • Positive Predictive Value: Reflects disease presence in a community.
  • Attack Rates: Proportion of exposed individuals who contract the disease.
  • Case Fatality Rate: Ratio of deaths to total cases during a specific time, indicating disease severity.

Epidemiological Triangle

  • Consists of three components: agent, host, and environment.
  • The triangle is used to understand disease transmission and to implement prevention strategies.

Natural Life History of Disease

  • Investigates the onset, spread, latency, and infectious periods of a disease, e.g., HIV.

Community/Herd Immunity

  • Aim for 90-95% vaccination coverage to ensure herd immunity and control outbreaks.

Sensitivity and Specificity

  • Sensitivity measures true positive rate; specificity measures true negative rate.
  • High sensitivity and specificity reduce false positives/negatives, e.g., flu tests typically have 70% specificity.

Causality and Environmental Health

  • Strong evidence links smoking with lung cancer drawn from extensive epidemiological studies.
  • Pesticides and toxic substances pose risks, especially for vulnerable populations like children and pregnant women.

Environmental Health Considerations

  • Children, elderly, and pregnant women are at highest risk for environmental hazards due to physiological factors.
  • It's essential to take thorough environmental histories to identify potential exposures.

Surveillance in Public Health

  • Involves outbreak investigations and various types of surveillance:
    • Active Surveillance: Public health workers actively seek disease cases, which can be costly.
    • Passive Surveillance: Relies on routine data collection and reporting.
    • Sentinel Surveillance: Monitors select groups, may not reflect the broader population.

Foodborne Illnesses

  • Highest risk demographics include children under 5, immunocompromised individuals, older adults, and pregnant women.
  • Special considerations are needed for each group's vulnerability to foodborne pathogens.

Public Health Overview

  • Focuses on community population health.
  • Core functions of public health include assessment, policy development, and assurance.

Lillian Wald and Henry Street Settlement

  • Lillian Wald founded the Henry Street Settlement to provide social and health services to the immigrant community in New York City.

Health Promotion and Risk Reduction

  • Interpretation of lab values is critical for health assessments, including lipid panels.
  • High LDL and cholesterol levels necessitate dietary changes and health recommendations.
  • Emphasis on lifestyle adjustments including diet modification.

Dietary Changes

  • DASH diet promotes heart health by emphasizing whole foods and reduced sodium.
  • For diabetes, weight loss and reducing simple carbohydrates are vital.
  • Trans fats elevate LDL and diminish HDL cholesterol, while saturated fats increase both.
  • Omega-3 fatty acids are healthier alternatives to avoid trans fats.

Epidemiology Concepts

  • Descriptive epidemiology (who) vs analytic epidemiology (why and how).
  • Transition from infectious diseases to chronic illnesses occurred post-1950s with advancements in antibiotics and vaccines.
  • Definitions of disease spread:
    • Sporadic: occasional cases.
    • Endemic: consistent presence in a particular area.
    • Epidemic: sudden increase above expected levels.
    • Pandemic: widespread across regions.

Social Determinants of Health

  • Socioeconomic status is the most significant predictor of health outcomes.

Prevalence and Incidence

  • Prevalence: Total number of existing cases within a specific population at a given time.
  • Incidence: Number of new cases in a population during a specific time frame.

Epidemiological Measures

  • Positive Predictive Value: Reflects disease presence in a community.
  • Attack Rates: Proportion of exposed individuals who contract the disease.
  • Case Fatality Rate: Ratio of deaths to total cases during a specific time, indicating disease severity.

Epidemiological Triangle

  • Consists of three components: agent, host, and environment.
  • The triangle is used to understand disease transmission and to implement prevention strategies.

Natural Life History of Disease

  • Investigates the onset, spread, latency, and infectious periods of a disease, e.g., HIV.

Community/Herd Immunity

  • Aim for 90-95% vaccination coverage to ensure herd immunity and control outbreaks.

Sensitivity and Specificity

  • Sensitivity measures true positive rate; specificity measures true negative rate.
  • High sensitivity and specificity reduce false positives/negatives, e.g., flu tests typically have 70% specificity.

Causality and Environmental Health

  • Strong evidence links smoking with lung cancer drawn from extensive epidemiological studies.
  • Pesticides and toxic substances pose risks, especially for vulnerable populations like children and pregnant women.

Environmental Health Considerations

  • Children, elderly, and pregnant women are at highest risk for environmental hazards due to physiological factors.
  • It's essential to take thorough environmental histories to identify potential exposures.

Surveillance in Public Health

  • Involves outbreak investigations and various types of surveillance:
    • Active Surveillance: Public health workers actively seek disease cases, which can be costly.
    • Passive Surveillance: Relies on routine data collection and reporting.
    • Sentinel Surveillance: Monitors select groups, may not reflect the broader population.

Foodborne Illnesses

  • Highest risk demographics include children under 5, immunocompromised individuals, older adults, and pregnant women.
  • Special considerations are needed for each group's vulnerability to foodborne pathogens.

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Description

This quiz covers essential aspects of public health, including key figures like Lillian Wald and the impact of dietary changes on health assessments. You will explore the core functions of public health, health promotion strategies, and the importance of interpreting lab values. The focus will also be on effective dietary choices for better health outcomes.

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