Unit 2: Developing Interventions Quiz

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Questions and Answers

What should public health officials consider when making decisions about interventions?

  • The political implications of the intervention
  • The weather conditions at the time of the intervention
  • The cost-effectiveness of the intervention
  • Selecting the appropriate intervention, facilitating implementation, and assessing effectiveness (correct)

What does Sir Austin Bradford Hill emphasize regarding scientific work?

  • It should be ignored until all knowledge is gathered
  • It is often upset or modified by advancing knowledge (correct)
  • It should be postponed indefinitely
  • It is always perfect and complete

When should public health interventions be scientifically driven?

  • On established facts, data, current investigation findings, and knowledge from previous investigations (correct)
  • Based on rumors and speculations
  • Only when political pressure demands it
  • Randomly without any basis

What societal and public health responsibility exists when an acute public health problem is detected?

<p>To intervene as quickly as possible to minimize preventable morbidity and mortality (A)</p> Signup and view all the answers

What is a crucial determinant that field epidemiologists must consider when deciding to employ a public health intervention?

<p>Severity of the problem (A)</p> Signup and view all the answers

Why might adapting intervention components sometimes be necessary?

<p>To make them more acceptable and responsive to the community needs (C)</p> Signup and view all the answers

What is one example that highlights the importance of identifying the source in public health investigations?

<p>Botulism cases due to its consequences and low probability (B)</p> Signup and view all the answers

Which factor tends to drive the perception of the importance of intervening according to the text?

<p>The consequences of the event (D)</p> Signup and view all the answers

Why is it important for interventions to be based on evidence?

<p>To optimize their responsiveness and effectiveness (C)</p> Signup and view all the answers

What are some common determinants that field epidemiologists must consider when choosing a public health intervention?

<p>Levels of certainty about key epidemiologic factors (D)</p> Signup and view all the answers

What element is critical for developing control measures in an epidemiologic field investigation according to the text?

<p>Certainty about agents, sources, and modes of spread (A)</p> Signup and view all the answers

What plays a significant role in determining interventions according to the text?

<p>Sociopolitical context (C)</p> Signup and view all the answers

What might demand open, two-way communication according to the text?

<p>Most public health interventions (C)</p> Signup and view all the answers

What factor influences the urgency of a public health intervention?

<p>The severity of the problem (D)</p> Signup and view all the answers

How do consequences influence perceptions about intervening?

<p>They highlight the necessity of rapid action (B)</p> Signup and view all the answers

What role does certainty about key epidemiologic factors play in selecting interventions?

<p>It is crucial for optimally matching interventions to public health problems (D)</p> Signup and view all the answers

What is the primary focus of Haddon’s injury prevention model?

<p>Intervention strategies at the preevent phase (B)</p> Signup and view all the answers

During the Ebola virus disease epidemic in 2014–2015, what intervention measure was directed at persons in whom Ebola virus disease was diagnosed?

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

What is an example of an intervention measure that can be directed at persons susceptible to infectious agents?

<p>Monitor exposed persons for signs of illness (C)</p> Signup and view all the answers

In the context of outbreak investigations, what type of corrective measures can be applied during early stages based on established guidelines for disease control?

<p>Excluding symptomatic employees from work (C)</p> Signup and view all the answers

What type of intervention measures were advised during the 2016–2017 Zika virus infection outbreak to reduce the risk for exposure among susceptible pregnant women?

<p>Use of condoms by men returning from travel to epidemic areas (B)</p> Signup and view all the answers

Which factor might influence decision-makers when considering intervention options besides the specific etiologic agent?

<p>The operational and logistical feasibility (D)</p> Signup and view all the answers

Which criteria did Austin Bradford Hill propose for assessing causal associations in epidemiology?

<p>Temporality, strength of association, biologic gradient, coherence (A)</p> Signup and view all the answers

What did the Legionnaires’ disease outbreak in 1976 demonstrate according to the text?

<p>The challenges in identifying the cause and source of a disease outbreak (A)</p> Signup and view all the answers

Why might acceptance of epidemiologic conclusions be slower in certain sectors, as mentioned in the text?

<p>Reluctance to act based on associations rather than hard proof (D)</p> Signup and view all the answers

What is the primary distinction between epidemiologic evidence and hard, irrefutable proof as stated in the text?

<p>Epidemiologic evidence establishes associations rather than providing indisputable proof (C)</p> Signup and view all the answers

What role do criteria like strength of association, dose-response, and temporality play in field investigations according to the text?

<p>They increase confidence in initiating actions during investigations (A)</p> Signup and view all the answers

Why might field investigators try to collect data using multiple criteria during an investigation as suggested in the text?

<p>To ensure that every possible angle is explored for evidence collection (B)</p> Signup and view all the answers

What did the story of toxic shock syndrome illustrate regarding acceptance of epidemiologic evidence?

<p>The reluctance of certain sectors to accept epidemiologic evidence during a nationwide epidemic (A)</p> Signup and view all the answers

What is the main concern of a restaurant patron in a suspected foodborne illness outbreak?

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

What standard of proof must a plaintiff's attorney meet in civil cases?

<p>Preponderance of evidence (A)</p> Signup and view all the answers

What might lead to political pressure for closing a school or hospital?

<p>Deaths due to specific diseases (D)</p> Signup and view all the answers

During the 2014–2015 Ebola virus epidemic in West Africa, what did many US jurisdictions implement for travelers from affected countries?

<p>Quarantine and health monitoring (B)</p> Signup and view all the answers

What is one essential component of any intervention during a public health crisis?

<p>Effective communication (C)</p> Signup and view all the answers

In infectious disease outbreaks, what might politicians wish to demonstrate when dealing with the public?

<p>Protection of the public (B)</p> Signup and view all the answers

What does the strength of association criterion focus on in epidemiological investigations?

<p>Relation between exposure and illness (A)</p> Signup and view all the answers

How does a legal framework for causation differ from epidemiologic causation?

<p>'Preponderance of evidence' standard is unique to legal framework (C)</p> Signup and view all the answers

What is the primary objective of the field investigation during epidemics or acute disease occurrences?

<p>To determine a rational and appropriate response (B)</p> Signup and view all the answers

When should data from epidemiologic investigations be used to assess intervention effectiveness?

<p>At the earliest possible moment (C)</p> Signup and view all the answers

What influences decisions about public health interventions' timing and selection according to the text?

<p>Severity of the problem, scientific certainty levels, causal criteria, feasibility, public and political perceptions, and legal considerations (B)</p> Signup and view all the answers

Why might a decision be made to permanently leave an intervention in place?

<p>When the public health risk remains an ongoing threat (D)</p> Signup and view all the answers

What is one critical factor to consider when selecting and implementing public health interventions?

<p>A balance among severity of the problem, scientific certainty levels, causal criteria, feasibility, public and political perceptions, and legal considerations (D)</p> Signup and view all the answers

In what situations might empiric interventions be considered during an epidemiologic field investigation?

<p>When potential reasons for an outbreak are ongoing (B)</p> Signup and view all the answers

What does the scope of an investigation for acute disease outbreaks depend on?

<p>The levels of certainty about the etiology and source or mode of spread (A)</p> Signup and view all the answers

When can control measures follow policy or practice guidelines during disease outbreaks?

<p>When the source is easily identifiable (B)</p> Signup and view all the answers

What does the response to a suspected norovirus outbreak in a restaurant include?

<p>Monitoring food-handling practices until more specific information is available (D)</p> Signup and view all the answers

Why might epidemiologists need to extend an investigation during an outbreak?

<p>To identify possible sources of contamination (B)</p> Signup and view all the answers

In outbreaks involving a presumed source but unknown etiology, what is the challenge?

<p>Determining the cause of the illness (C)</p> Signup and view all the answers

How do control measures vary depending on gastrointestinal outbreaks?

<p>Depending on whether transmission is person-to-person, foodborne, or waterborne (A)</p> Signup and view all the answers

What triggered the extensive epidemiologic field investigations during the Salmonella outbreak in 2008?

<p>Multiple states being involved (C)</p> Signup and view all the answers

What was eventually identified as the transmission vehicles in the Salmonella outbreak?

<p>Peanut butter and peanut butter–containing products (D)</p> Signup and view all the answers

What is one of the key actions to modify the affected environment in public health interventions?

<p>Modify the affected environment through vector control (A)</p> Signup and view all the answers

Why might public health officials face challenges in selecting and implementing interventions according to the text?

<p>Lack of science-based information (A)</p> Signup and view all the answers

What is an example of modifying behavior to reduce risks to self or others in public health interventions?

<p>Using barrier methods like face masks (D)</p> Signup and view all the answers

What is a potential challenge when limited science-based information is available for public health interventions?

<p>Difficulty in assessing societal costs (B)</p> Signup and view all the answers

What is a crucial aspect of ensuring the success of investigations and control measures in public health according to the text?

<p>Increasing community trust and support (C)</p> Signup and view all the answers

Which intervention method involves excluding unvaccinated persons from groups of vaccinated individuals?

<p>Excluding unvaccinated persons from cohorts of vaccinated persons (D)</p> Signup and view all the answers

What can disable or constrain the impact of investigations in public health problems?

<p>Decreasing community involvement (B)</p> Signup and view all the answers

Which approach has increasingly played a role in selecting and implementing public health interventions?

<p>'Bottom-up' community involvement (D)</p> Signup and view all the answers

What can help disseminate information to high-risk individuals in public health problems?

<p>Community representatives through various communication channels like blogs and social media (A)</p> Signup and view all the answers

What can be a significant impact of failing to obtain community trust and support in public health investigations according to the text?

<p>Disabling or constraining the investigation's impact (D)</p> Signup and view all the answers

Which measure involves modifying the environment through restricting or controlling dangerous drugs or contaminants?

<p>Modifying the affected environment by restricting or controlling dangerous drugs or contaminants (B)</p> Signup and view all the answers

What is a critical aspect of explaining interventions to the community according to the text?

<p>Explaining both the rationale for and potential limitations of an intervention (C)</p> Signup and view all the answers

What age group do the USPSTF recommendations for lung cancer screening apply to?

<p>60-69 years (A)</p> Signup and view all the answers

Which condition does the USPSTF provide screening guidelines for in pregnant women?

<p>Gestational diabetes (B)</p> Signup and view all the answers

What is one area where the USPSTF provides recommendations for prevention in women at high risk?

<p>Preventing neural tube defects (A)</p> Signup and view all the answers

Which of the following is not an area covered by the USPSTF recommendations?

<p>Breastfeeding recommendations (A)</p> Signup and view all the answers

What is the USPSTF recommendation regarding screening for colorectal cancer in adults aged 76 to 85 years?

<p>Screening should be selectively offered in this age group (A)</p> Signup and view all the answers

What does the USPSTF recommend regarding screening for unhealthy drug use in adolescents?

<p>No screening is recommended (A)</p> Signup and view all the answers

What is the USPSTF recommendation for screening for hepatitis C virus (HCV) infection?

<p>Screening is recommended for adults aged 18 to 79 years (A)</p> Signup and view all the answers

For men aged 65 to 75 years who have never smoked, what does the USPSTF recommend regarding screening for abdominal aortic aneurysm (AAA)?

<p>Selective offering of screening (C)</p> Signup and view all the answers

What is the USPSTF recommendation for screening for hypertension in adults without known hypertension?

<p>Screening with blood pressure measurement (OBPM) (D)</p> Signup and view all the answers

According to the USPSTF, what intervention should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred?

<p>'Asking questions about unhealthy drug use' (B)</p> Signup and view all the answers

What does the USPSTF recommend for pregnant women during their first pregnancy-related care visit?

<p>Both Rh(D) blood typing and antibody testing (A)</p> Signup and view all the answers

For which group of pregnant women does the USPSTF recommend repeated Rh(D) antibody testing at 24 to 28 weeks' gestation?

<p>Unsensitized Rh(D)-negative women (A)</p> Signup and view all the answers

Which adults aged 40 to 75 years with cardiovascular risk factors are strongly recommended by the USPSTF to be prescribed a statin for CVD prevention?

<p>Those with a 10% or greater 10-year CVD risk (D)</p> Signup and view all the answers

What is the USPSTF's conclusion regarding initiating a statin for CVD prevention in adults aged 76 years or older?

<p>Insufficient evidence to assess benefits and harms (C)</p> Signup and view all the answers

Which group of adults aged 40 to 75 years with cardiovascular risk factors and an estimated 10-year CVD risk between 7.5% and less than 10% would clinicians selectively offer a statin for primary prevention of CVD?

<p>Those with a history of smoking only (A)</p> Signup and view all the answers

What is the USPSTF's recommendation for early screening for syphilis infection in pregnant women?

<p>Screening in all pregnant women (C)</p> Signup and view all the answers

What age group is recommended for screening by the USPSTF for prediabetes and type 2 diabetes?

<p>35 to 70 years (D)</p> Signup and view all the answers

How are overweight and obesity defined for screening purposes by the USPSTF?

<p>BMI ≥25 and ≥30, respectively (D)</p> Signup and view all the answers

For which populations does the USPSTF recommend considering screening at an earlier age and at a lower BMI?

<p>American Indian/Alaska Native, Black, Hispanic/Latino, Native Hawaiian/Pacific Islander individuals (D)</p> Signup and view all the answers

How often does the USPSTF recommend screening for adults with an initial normal glucose test result?

<p>Every 3 years (B)</p> Signup and view all the answers

What is the recommendation grade by the USPSTF for screening asymptomatic bacteriuria in pregnant persons?

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

For pregnant persons at high risk for preeclampsia, what preventive medication does the USPSTF recommend?

<p>Low-dose aspirin (81 mg/day) (C)</p> Signup and view all the answers

What should clinicians offer pregnant adolescents and adults according to the USPSTF?

<p>Behavioral counseling interventions aimed at promoting healthy weight gain in pregnancy (B)</p> Signup and view all the answers

What does the USPSTF recommend for women aged 65 to 75 years who have ever smoked?

<p>No screening for AAA with ultrasonography (B)</p> Signup and view all the answers

What does the USPSTF recommend against for women aged 21 to 29 years regarding screening for cervical cancer?

<p>No screening for cervical cancer (A)</p> Signup and view all the answers

For which population does the USPSTF recommend risk-reducing medications for breast cancer?

<p>Women at increased risk for breast cancer (A)</p> Signup and view all the answers

What does the USPSTF recommend for men regarding screening for osteoporosis?

<p>No screening for osteoporosis (A)</p> Signup and view all the answers

What does the USPSTF recommend regarding screening for cervical cancer in women who have had a hysterectomy?

<p>No screening for cervical cancer (D)</p> Signup and view all the answers

For asymptomatic adults aged 35 to 70 years who have overweight or obesity, what does the USPSTF recommend screening for?

<p>Prediabetes and type 2 diabetes (C)</p> Signup and view all the answers

What does the USPSTF recommend for women older than 65 years regarding screening for cervical cancer?

<p>No screening for cervical cancer (C)</p> Signup and view all the answers

What does the USPSTF recommend for postmenopausal women younger than 65 years at increased risk of osteoporosis?

<p>Routine screening with bone measurement testing (D)</p> Signup and view all the answers

What does the USPSTF recommend regarding low-dose aspirin use for adults 60 years or older?

<p>Recommends against initiating low-dose aspirin use (C)</p> Signup and view all the answers

"To whom does this recommendation apply?" - Which population is being referred to in this question?

<p>&quot;Adults aged 35 to 70 years who have overweight or obesity&quot; (D)</p> Signup and view all the answers

In which group does the USPSTF recommend screening for depression?

<p>Adults, including pregnant and postpartum persons (D)</p> Signup and view all the answers

"What plays a significant role in determining interventions according to the text?" - What is being referred to by "interventions" in this context?

<p>&quot;Public health actions and measures&quot; (C)</p> Signup and view all the answers

For which population does the USPSTF recommend taking a daily supplement containing folic acid?

<p>Persons planning to become pregnant (B)</p> Signup and view all the answers

What does the USPSTF recommend regarding screening for AAA with ultrasonography in women who have never smoked and have no family history of AAA?

<p>No routine screening for AAA with ultrasonography (A)</p> Signup and view all the answers

What is the USPSTF recommendation for women aged 30 to 65 years regarding screening for cervical cancer?

<p>High-risk human papillomavirus (hrHPV) testing in combination with cytology every 5 years (B)</p> Signup and view all the answers

When does the USPSTF recommend screening for gestational diabetes in pregnant persons?

<p>At 24 weeks of gestation or after (D)</p> Signup and view all the answers

Who should clinicians screen for intimate partner violence (IPV) according to the USPSTF?

<p>Women of reproductive age (B)</p> Signup and view all the answers

What does the USPSTF recommend for adults aged 50 to 80 years with a smoking history?

<p>Annual screening for lung cancer with LDCT (B)</p> Signup and view all the answers

For whom does the USPSTF recommend the use of low-dose aspirin as preventive medication after 12 weeks of gestation?

<p>High-risk persons for preeclampsia (A)</p> Signup and view all the answers

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