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Exam II Review

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What is the main purpose of Relative Risk in etiologic studies?

Quantifying the strength of association between exposure and disease

In the context provided, what does Attributable Risk measure?

The proportion of deaths that can be attributed to a specific exposure

If the attributable risk percentage for a certain disease is 80%, what does this imply?

80% of the disease risk is attributed to a specific exposure

Which term best describes the measure of how many deaths in a population would be prevented if a certain exposure was eliminated?

<p>Population attributable risk</p> Signup and view all the answers

Why might there be fewer deaths prevented for lung cancer compared to CHD when smoking is eliminated, despite a higher proportion of deaths being attributed to smoking in lung cancer patients?

<p>Other factors contribute significantly to lung cancer deaths</p> Signup and view all the answers

What does Attributable Risk measure?

<p>The proportion of disease incidence due to exposure</p> Signup and view all the answers

How is Attributable Risk % calculated?

<p>By dividing the incidence of disease in the exposed by the incidence of disease in the unexposed</p> Signup and view all the answers

In calculating Population Attributable Risk, what does the term 'population' refer to?

<p>The specific group being studied for a particular exposure</p> Signup and view all the answers

What distinguishes Attributable Risk from Population Attributable Risk?

<p>Attributable Risk considers individual exposures, while Population Attributable Risk considers group exposures</p> Signup and view all the answers

What does Population Attributable Risk % indicate?

<p>The proportion of disease incidence in the entire population due to an exposure</p> Signup and view all the answers

What measure provides an indication of the magnitude of risk for a group of people with a certain exposure?

<p>Attributable risk</p> Signup and view all the answers

What is the formula to calculate the attributable risk percent?

<p>Attributable risk divided by disease incidence and the exposed multiplied by 100</p> Signup and view all the answers

What does population attributable risk represent?

<p>The amount of disease in the whole population that may be prevented if one risk factor was completely removed</p> Signup and view all the answers

Which measure indicates the likelihood of an individual in a population developing a certain disease?

<p>Cumulative incidence</p> Signup and view all the answers

What measure evaluates the proportion of disease incidence in a population that can be attributed to exposure?

<p>Population attributable risk</p> Signup and view all the answers

What is the formula to calculate the attributable risk?

<p>Type 2 diabetes among the exposed minus type 2 diabetes among the unexposed</p> Signup and view all the answers

In the context provided, what does the rate of type 2 diabetes among individuals who are considered unexposed indicate?

<p>The percentage of individuals with normal weight in the population</p> Signup and view all the answers

Which measure provides information about the strength of association between exposure and disease?

<p>Relative risk</p> Signup and view all the answers

What does the Population Attributable Risk % measure?

<p>Proportion of disease incidence attributable to exposure</p> Signup and view all the answers

What does attributable risk measure?

<p>The proportion of disease incidence that can be attributed to an exposure</p> Signup and view all the answers

Why might there be fewer deaths prevented for lung cancer compared to CHD if smoking was eliminated, despite a higher proportion of deaths being attributed to smoking in lung cancer patients?

<p>The mortality level is much higher for CHD smokers than for lung cancer smokers.</p> Signup and view all the answers

In epidemiological studies, which measure of association is considered appropriate when individuals with or without the disease are recruited and then there is a retrospective assessment of exposure status?

<p>Odds Ratio</p> Signup and view all the answers

Which study design can calculate both Relative Risk and Odds Ratio without the need to establish temporality?

<p>Cohort Study</p> Signup and view all the answers

If you think of a cohort study, which measure of association should come to mind?

<p>Relative Risk</p> Signup and view all the answers

Which measure of association can be calculated in both case control and cohort studies and does not require the establishment of temporality?

<p>Odds Ratio</p> Signup and view all the answers

What does the 95% Confidence Interval help us understand in a study?

<p>The variability in study estimates due to chance in sampling process</p> Signup and view all the answers

In the context of Relative Risk (RR), what does a 95% CI that includes the null value of 1.00 suggest?

<p>No association between exposure and outcome</p> Signup and view all the answers

What is the next step after estimating the Relative Risk (RR) for calculating the 95% Confidence Interval?

<p>Estimate standard error (SE)</p> Signup and view all the answers

What does it mean when a Relative Risk (RR) value is reported as 2.1 with a 95% CI of (0.7-2.4)?

<p>There is no association between exposure and outcome</p> Signup and view all the answers

In the context of interpreting Odds Ratio (OR) matching on a third variable, what does 'matched OR' refer to?

<p>The OR that accounts for matched pairs in a study</p> Signup and view all the answers

In a matched case-control study, when are concordant pairs typically ignored?

<p>When they involve cases and controls with the same exposure status</p> Signup and view all the answers

What is the primary reason for matching cases to controls in a matched case-control study?

<p>To reduce bias by controlling for known confounding variables</p> Signup and view all the answers

How are discordant pairs used in calculating the matched odds ratio in a matched case-control study?

<p>To determine the strength of association between exposure and disease</p> Signup and view all the answers

Which statement best describes the calculation of a matched odds ratio in a case-control study?

<p>It estimates the effect of exposure on disease risk while controlling for matching variables</p> Signup and view all the answers

What is a key advantage of using matched case-control pairs when calculating odds ratios?

<p>Increases the power to detect an association between exposure and disease</p> Signup and view all the answers

What does the Odds Ratio in Case Control Studies compare?

<p>The odds of those exposed to the risk factor and the odds of those unexposed</p> Signup and view all the answers

How is the Odds Ratio calculated for a Case Control Disease?

<p>Odds of Exposure in Diseased divided by Odds of Exposure in Nondiseased</p> Signup and view all the answers

In statistical terms, what does an Odds Ratio greater than 1 indicate?

<p>Positive association between exposure and outcome</p> Signup and view all the answers

What does a 95% Confidence Interval around an Odds Ratio that includes 1 suggest?

<p>There is no association between exposure and outcome</p> Signup and view all the answers

Which measure is used to evaluate the strength of association in matched case-control studies?

<p>Odds Ratio</p> Signup and view all the answers

What type of bias occurs when the people included in a study are not representative of the population in terms of exposure or disease status?

<p>Selection bias</p> Signup and view all the answers

In what scenario does selection bias occur due to a pre-existing relationship between the hypothesis?

<p>When there is a pre-existing relationship between the hypothesis</p> Signup and view all the answers

What method assists in reducing selection bias related to differences in surveillance, diagnosis, or referral criteria for cases?

<p>Standardization of procedures</p> Signup and view all the answers

Which scenario is an example of information bias as opposed to selection bias?

<p>Misclassification of exposure status</p> Signup and view all the answers

What approach can help minimize information bias in an epidemiological study?

<p>Blinding researchers to exposure status</p> Signup and view all the answers

What type of bias occurs when the means for obtaining information about the subjects in a study are inadequate?

<p>Information bias</p> Signup and view all the answers

What type of misclassification bias is characterized by cases being misclassified as controls and exposed as non-exposed?

<p>Differential misclassification</p> Signup and view all the answers

In a case-control study, what kind of bias might occur if interviewers have subconscious beliefs about the hypothesis?

<p>Interviewer bias</p> Signup and view all the answers

What method can help minimize interviewer or recorder bias in a case-control study?

<p>Standardizing criteria for approaching cases and controls</p> Signup and view all the answers

Which type of information bias is likely to occur if individuals with a particular outcome remember events more clearly or amplify their recollections?

<p>Recall bias</p> Signup and view all the answers

What type of misclassification bias occurs when the rate of misclassification is different between groups?

<p>Differential misclassification bias</p> Signup and view all the answers

How can selection bias be minimized in a study?

<p>Having standardized criteria for enrolling cases and controls</p> Signup and view all the answers

What is the primary way to avoid misclassification bias in a study?

<p>Having clear and standardized criteria for classifying exposure or disease status</p> Signup and view all the answers

What is the recommended approach to minimize information bias in studies?

<p>Blinding study personnel to participant status</p> Signup and view all the answers

What is the major difference between selection bias and information bias in epidemiological studies?

<p>Selection bias refers to bias in choosing the study sample, while information bias refers to errors in measuring exposure or outcome.</p> Signup and view all the answers

How can researchers minimize selection bias in epidemiological studies?

<p>By using randomization techniques to assign participants to study groups.</p> Signup and view all the answers

What is a common method to minimize information bias in epidemiological studies?

<p>Using objective measurements for exposure and outcome variables.</p> Signup and view all the answers

Why is it essential to consider both selection and information biases in epidemiological studies?

<p>To accurately estimate associations between exposure and outcome variables.</p> Signup and view all the answers

Which statement best describes the impact of selection bias on study outcomes?

<p>Selection bias influences the accuracy of associations by skewing the study sample.</p> Signup and view all the answers

In the context of reducing confounding, what method evaluates the relationship between exposure and outcome in homogenous categories?

<p>Stratified analysis</p> Signup and view all the answers

Which method of controlling for confounding involves restricting enrollment to subjects who have specific values or ranges of the confounding variable?

<p>Restriction</p> Signup and view all the answers

What technique involves evaluating only non-exposed subjects who match those in the comparison group in terms of confounders?

<p>Matching</p> Signup and view all the answers

Which scenario would potentially lead to residual confounding despite efforts to control for it?

<p>Restricting enrollment based on a specific value of the confounder</p> Signup and view all the answers

What method involves randomly assigning study participants to exposure groups to minimize the impact of confounders?

<p>Randomization</p> Signup and view all the answers

Which term describes a scenario where the association between exposure and outcome changes when the effects of a third variable are taken into account?

<p>Confounding</p> Signup and view all the answers

What characterizes a variable as a confounder in a study?

<p>It is associated with both the exposure and outcome of interest</p> Signup and view all the answers

When does confounding occur in a study?

<p>When the confounder is associated with both the exposure and outcome of interest</p> Signup and view all the answers

What does interaction (effect measure modification) refer to in epidemiological studies?

<p>The situation where a variable changes the strength or direction of the association between exposure and outcome</p> Signup and view all the answers

Which factor plays a role in creating random error in study results?

<p>Chance or statistical variation</p> Signup and view all the answers

Which term best describes a situation when the association between two variables is different at different levels of a third variable?

<p>Interaction</p> Signup and view all the answers

In epidemiologic studies, what effect can arise simply due to random variation?

<p>Chance</p> Signup and view all the answers

What is the key problem that arises when confounders are not accounted for in the results and interpretation of a study?

<p>Bias</p> Signup and view all the answers

If the observed Relative Risk (RR) is greater than the expected RR, it suggests the presence of:

<p>Interaction</p> Signup and view all the answers

What method can help reduce random variability in measurements and make clear the true association in a study?

<p>Increasing sample size</p> Signup and view all the answers

Which statement about confounding is accurate?

<p>Confounding can either create an association that does not exist or mask a true association.</p> Signup and view all the answers

What is the primary reason confounding occurs in epidemiological studies?

<p>As a result of the presence of unmeasured or unconsidered third variables.</p> Signup and view all the answers

How do confounder criteria help identify a variable as a confounder?

<p>By establishing an association with the exposure but not being a result of the exposure.</p> Signup and view all the answers

In epidemiological terms, what does effect measure modification refer to?

<p>When the relationship between exposure and outcome changes based on levels of a third variable.</p> Signup and view all the answers

Which scenario best describes chance in epidemiological studies?

<p>A random variation in outcomes that may lead to incorrect conclusions about associations.</p> Signup and view all the answers

What does the 10% rule of thumb in confounding suggest?

<p>Confounding is present when a variable changes the effect estimate by 10%.</p> Signup and view all the answers

In the context of multiplicative interaction, what does a significant interaction term in regression analysis suggest?

<p>The effect of one variable on the outcome differs depending on the level of another variable.</p> Signup and view all the answers

What does it mean if after adjusting for a confounder, the association between exposure and outcome changes?

<p>The initial association was likely confounded by the variable adjusted for.</p> Signup and view all the answers

When conducting a stratified analysis, what is the purpose of examining measures of association within strata?

<p>To assess if there is an interaction between the stratifying variable and exposure.</p> Signup and view all the answers

In multiple regression analysis, what does it indicate if including a confounder changes the relationship between exposure and outcome?

<p>The initial association was affected by confounding.</p> Signup and view all the answers

What is the main purpose of reducing confounding in epidemiologic studies?

<p>To create a single unconfounded estimate for the relationship in question</p> Signup and view all the answers

How is stratified analysis helpful in epidemiology?

<p>It removes the effect of the confounder within each stratum</p> Signup and view all the answers

What does an adjusted measure of association help to achieve in epidemiologic studies?

<p>Account for the effects of potential confounders on the relationship being studied</p> Signup and view all the answers

In epidemiology, what does multiplicative interaction refer to?

<p>The interaction between two variables that changes the magnitude of association</p> Signup and view all the answers

What is the primary benefit of pooling stratum-specific estimates in epidemiologic studies when there is no interaction?

<p>To obtain an unbiased overall estimate of the relationship being studied</p> Signup and view all the answers

What is the primary purpose of addressing issues of confounding in epidemiological studies?

<p>To obscure the relationship between the factor of interest and the outcome</p> Signup and view all the answers

When do associations tend to arise simply due to random variation in a study?

<p>In small studies with limited power</p> Signup and view all the answers

What does it mean when the observed Relative Risk (RR) is greater than the expected RR in epidemiological studies?

<p>There is a synergistic interaction present</p> Signup and view all the answers

How can chance be minimized in epidemiological studies?

<p>By increasing sample size and measurement precision</p> Signup and view all the answers

What do large sample sizes provide in epidemiological studies compared to small sample sizes?

<p>More representative results and more precise measures</p> Signup and view all the answers

What does it indicate when the observed relative risk exceeds the expected relative risk?

<p>Synergistic interaction</p> Signup and view all the answers

In the context of epidemiological studies, what does the term 'multiplicative model' refer to?

<p>Additive effects of exposures</p> Signup and view all the answers

What characteristic is associated with small studies with limited power in terms of chance occurrence?

<p>Higher likelihood of chance occurrence</p> Signup and view all the answers

If the expected relative risk is equal to the observed relative risk, what does this suggest about the interaction?

<p>Absence of interaction</p> Signup and view all the answers

What does the observed relative risk being lower than expected relative risk indicate in terms of interaction?

<p>Presence of interaction</p> Signup and view all the answers

What type of causal relationship involves a factor that without it, the disease never happens, and with it, the disease always happens?

<p>Necessary and Sufficient</p> Signup and view all the answers

Which of Hill's criteria for causation emphasizes that the factor must come before the outcome to establish causation?

<p>Temporal Relationship</p> Signup and view all the answers

In a causal relationship where neither Factor A nor Factor B alone causes the disease, but together they do, what type of relationship is this?

<p>Necessary, but not Sufficient</p> Signup and view all the answers

Which Hill's criterion focuses on the idea that a larger effect size strengthens the credibility of a causal relationship?

<p>Dose-response</p> Signup and view all the answers

In assessing whether a risk factor is causal, which criterion examines whether the findings can be replicated in different study populations?

<p>Replication of Findings</p> Signup and view all the answers

What is the main purpose of Austin Bradford Hill's Criteria for causation?

<p>To assess whether a risk factor is causal</p> Signup and view all the answers

Which criteria from Hill's list are the ones that actually establish causation?

<p>Criteria with a Red Star next to them</p> Signup and view all the answers

How can exposure be considered as potentially causal in relation to disease development?

<p>If the exposure precedes the disease development</p> Signup and view all the answers

What do temporality and latency of disease development emphasize in assessing causation?

<p>The need for exposure to occur before disease</p> Signup and view all the answers

What is a key consideration when using relative risk as a measure of association in epidemiological studies?

<p>The type of study design used</p> Signup and view all the answers

Which criterion of Hills Criteria for Causation emphasizes the concept that an exposure and outcome relationship should be consistently observed in different studies?

<p>Replication of Findings</p> Signup and view all the answers

In epidemiology, what does the consideration of alternate explanations aim to achieve when establishing causation?

<p>Biological Plausibility</p> Signup and view all the answers

If the cessation of exposure leads to a decrease in the frequency of a disease, what aspect of Hills Criteria for Causation does this scenario support?

<p>Cessation of Exposure</p> Signup and view all the answers

Which factor is considered when analyzing whether an association fits with existing biological knowledge in the context of establishing causation?

<p>Consistency with Other Knowledge</p> Signup and view all the answers

When using epidemiology to infer causal pathways in populations, what aspect is crucial even though it may not describe the cause for an individual case?

<p>Population-based Causation</p> Signup and view all the answers

What does Hill's criteria for causation not establish?

<p>Confounding factors in the study</p> Signup and view all the answers

Which of the following is a key aspect of establishing causation according to the text?

<p>Alignment of findings with existing knowledge</p> Signup and view all the answers

In the context of measuring causation, what does the succession of exposure refer to?

<p>Removal of exposure leading to an increase in disease incidence</p> Signup and view all the answers

What is the primary purpose of critically examining a study according to the text?

<p>To identify confounding factors that may have affected the findings</p> Signup and view all the answers

When considering causation, what role does consistency with other knowledge play?

<p>Ensuring unexplained study outcomes are valid</p> Signup and view all the answers

Which type of causal relationship involves a chain of events from factor exposure to the disease?

<p>Indirect causal relationship</p> Signup and view all the answers

What is the term used for causes that must occur prior to the onset of a disease?

<p>Necessary causes</p> Signup and view all the answers

What does a direct causal relationship imply about intermediates?

<p>They are approximate causes of the outcome.</p> Signup and view all the answers

When it comes to assessing causation, what is the role of necessary causes according to the text?

<p>They are crucial and if absent, the disease will not occur.</p> Signup and view all the answers

What differentiates indirect causal relationships from direct causal relationships?

<p>The involvement of intermediates</p> Signup and view all the answers

How does the specificity of exposure relate to the likelihood of causation?

<p>The exposure is less likely to be causal if it is associated with only one disease.</p> Signup and view all the answers

How does the temporality criterion contribute to establishing causation?

<p>It ensures that the outcome precedes the exposure in time.</p> Signup and view all the answers

Which method can be used to measure temporality in epidemiological studies?

<p>Dose-response curves</p> Signup and view all the answers

What is the significance of breaking down exposures into different categories?

<p>It helps determine the dose-response relationship.</p> Signup and view all the answers

In epidemiological studies, what type of exposures are more likely to be deemed causal?

<p>Exposures that are associated with only one disease</p> Signup and view all the answers

What distinguishes an association from causation?

<p>Association implies a relationship, while causation implies a mechanism.</p> Signup and view all the answers

What is the primary challenge in establishing causation?

<p>Explaining the mechanism after it occurs.</p> Signup and view all the answers

What type of studies can randomly assign animals to exposures for causation research?

<p>Animal Studies</p> Signup and view all the answers

Which term describes exposures linked to differences in disease risk?

<p>Risk Factors</p> Signup and view all the answers

What is the key implication of causation in the exposure-outcome relationship?

<p>The existence of a true mechanism from exposure to disease.</p> Signup and view all the answers

Why is it unethical to expose people to substances believed to cause harm?

<p>To prevent unnecessary risks to human health.</p> Signup and view all the answers

Which term refers to the capacity of an infectious agent to enter and multiply in a susceptible host?

<p>Infectivity</p> Signup and view all the answers

What characteristic of an infectious agent is indicated by the proportion of infected individuals with clinically apparent disease?

<p>Pathogenicity</p> Signup and view all the answers

Which of the following best describes a measure of the severity of a disease after infection occurs?

<p>High Virulence</p> Signup and view all the answers

What aspect of an infectious agent is characterized by the capacity to produce a toxin or poison?

<p>Endotoxins</p> Signup and view all the answers

Which factor plays a key role in determining the susceptibility of a host to infectious agents?

<p>Immune response</p> Signup and view all the answers

What aspect of an infectious agent is defined by its ability to induce antibody production in the host?

<p>Antigenicity</p> Signup and view all the answers

Which type of immunity protects the human body without prior exposure to a pathogen?

<p>Innate immunity</p> Signup and view all the answers

Which of the following best describes a host characteristic related to susceptibility due to genetics, resiliency, and behavioral factors?

<p>Resiliency</p> Signup and view all the answers

In the context of infection concepts, what do you call an organism that takes the opportunity provided by a defect in the host defense to infect the host?

<p>Opportunistic infection</p> Signup and view all the answers

Which term describes the constant presence of a disease or infectious agent within a given geographic area or population?

<p>Endemic</p> Signup and view all the answers

What is the mode of transmission that involves inhalation of contaminated air?

<p>Airborne</p> Signup and view all the answers

Which characteristic of an infectious agent pertains to its ability to survive adverse environmental conditions?

<p>Resistance</p> Signup and view all the answers

What public health action aims to prevent and treat disease by genetically modifying the disease agent?

<p>Eradication interventions</p> Signup and view all the answers

Which individual prevention measure is aimed at preventing vector-borne diseases through the use of physical, electronic, and chemical barriers?

<p>Chemoprophylaxis</p> Signup and view all the answers

In the epidemiologic triangle, which component is influenced by factors such as climate, building design, and sanitation?

<p>Environment</p> Signup and view all the answers

Which factor is most critical for the disease agent in the Epidemiologic Triangle?

<p>Virulence, pathogenicity, ability to infect</p> Signup and view all the answers

What is the primary mode of transmission for Treponema pallidum?

<p>Person-to-person contact via bodily fluids</p> Signup and view all the answers

Which host characteristic makes individuals less susceptible to disease?

<p>High nutritional status</p> Signup and view all the answers

What is a common prevention measure for Yersinia pestis infection?

<p>Doxycycline treatment</p> Signup and view all the answers

In the Epidemiologic Triangle, what aspect of the environment plays a crucial role in disease transmission?

<p>Social environment and access to healthcare</p> Signup and view all the answers

What is the purpose of conducting a secondary attack rate calculation in an outbreak investigation?

<p>Assessing the infectivity of an infectious disease agent</p> Signup and view all the answers

Which factor is NOT a difficulty encountered when investigating cancer clusters?

<p>Development of cancer within weeks of exposure</p> Signup and view all the answers

In epidemiologic studies, what does the Attack Rate measure?

<p>The number of new cases relative to the initial cases</p> Signup and view all the answers

Which characteristic is NOT typical of cases representing a cancer cluster?

<p>Cancer development over several decades</p> Signup and view all the answers

What is the primary benefit of establishing a case definition during an outbreak investigation?

<p>Implementing disease control measures effectively</p> Signup and view all the answers

What is the main purpose of surveillance of infectious diseases?

<p>To control the spread of disease</p> Signup and view all the answers

In the context of epidemic curves, what does a propagated curve represent?

<p>Successive waves with more cases until saturation or control measures are implemented</p> Signup and view all the answers

What defines a cluster in epidemiology?

<p>An aggregation of relatively uncommon events or diseases perceived to be greater than expected by chance</p> Signup and view all the answers

Which factor triggers an epidemic according to the text?

<p>Change in number of susceptible individuals in the population</p> Signup and view all the answers

What distinguishes a point source epidemic curve from other types?

<p>Involves exposures over a brief period with rapid case increase and slow decline within one incubation period</p> Signup and view all the answers

Which of the following correctly describes the incubation period of infectious diseases?

<p>It is the time from exposure to pathogen to the onset of symptoms</p> Signup and view all the answers

What is the primary mode of transmission for carbuncles, syphilis, and gonorrhea?

<p>Direct contact</p> Signup and view all the answers

Which disease is associated with conjunctival exudate as a portal of exit?

<p>Trachoma</p> Signup and view all the answers

For which infectious disease, the portal of entry is most likely through skin (broken)?

<p>Malaria</p> Signup and view all the answers

Which infectious disease is correctly matched with its respective trimester of perinatal infection transmission?

<p>HIV – Delivery</p> Signup and view all the answers

In epidemiological terms, what does 'TORCH' refer to regarding perinatal infections?

<p>A group of infections that can be transmitted from mother to fetus</p> Signup and view all the answers

What level of infection involves the entry and development of an infectious agent in the body?

<p>Infection</p> Signup and view all the answers

Which mode of transmission is characteristic of rabies and tularemia?

<p>Bloodsucking arthropod vector</p> Signup and view all the answers

What host characteristic is important for diseases like carbuncles and syphilis that are transmitted through direct contact?

<p>Weakened immune system</p> Signup and view all the answers

In terms of prevention measures, which mode of transmission would be targeted by improving sanitation and personal hygiene?

<p>Fecal-oral route</p> Signup and view all the answers

Which term best describes the constant presence of a disease or infectious agent within a given geographic area or population?

<p>Endemic</p> Signup and view all the answers

What is the term used to describe the unusual occurrence of a disease in a community that is considered an excess of the expected occurrence?

<p>Epidemic</p> Signup and view all the answers

In epidemiology, what is the term for immunity that occurs when epidemics happen on several continents?

<p>Pandemic Immunity</p> Signup and view all the answers

What measure evaluates the average number of secondary infections resulting from a single index case during an epidemic?

<p>Basic reproduction number</p> Signup and view all the answers

Which term refers to an organism that infects the host and causes disease by taking advantage of defects in the host's defense mechanisms?

<p>Opportunistic infection</p> Signup and view all the answers

In epidemiology, what is the main difference between an outbreak and a cluster?

<p>The geographic area covered</p> Signup and view all the answers

What defines a propagated epidemic curve in epidemiology?

<p>Successive waves containing more cases until saturation occurs</p> Signup and view all the answers

What triggers an epidemic according to the text?

<p>An imbalance between host, agent, and environmental factors</p> Signup and view all the answers

What is the primary objective of outbreak investigation in epidemiology?

<p>To control the spread of disease and find the source</p> Signup and view all the answers

How is surveillance of infectious diseases defined according to the provided text?

<p>The ongoing and systematic collection, analysis, and dissemination of data</p> Signup and view all the answers

What is the purpose of assessing the infectivity of an infectious disease agent through secondary attack rate?

<p>To identify the number of cases caused by a primary case within the incubation period</p> Signup and view all the answers

Which factor is NOT a difficulty encountered when investigating cancer clusters?

<p>Presence of a single type of cancer in a cluster</p> Signup and view all the answers

What does the Attack Rate measure in epidemiology?

<p>The number of new cases in a group minus the initial cases</p> Signup and view all the answers

What is the primary purpose of generating and testing hypotheses in outbreak investigations?

<p>To reason through potential explanations for the outbreak</p> Signup and view all the answers

How are secondary attack rates calculated in epidemiological investigations?

<p>(Number of new cases - Initial cases) divided by number of susceptible people</p> Signup and view all the answers

What is the primary factor affecting host susceptibility in the Epidemiologic Triangle?

<p>Genetics</p> Signup and view all the answers

Which of the following diseases has an incubation period of 1-3 weeks and is transmitted via person-to-person contact?

<p>Smallpox</p> Signup and view all the answers

What is a common feature of disease agents that contribute to virulence in the Epidemiologic Triangle?

<p>Infectivity</p> Signup and view all the answers

Which disease had one of the largest public health burdens during the 16th-19th centuries?

<p>Syphilis</p> Signup and view all the answers

In the context of emerging infectious diseases, which environmental factor is crucial in determining disease transmission?

<p>Climate</p> Signup and view all the answers

Which of the following is a correct statement regarding the relative risk (RR)?

<p>RR can be calculated in any epidemiological study design.</p> Signup and view all the answers

What does it mean when there is a 10% difference in the crude and factor-adjusted measure of association?

<p>The association is stronger after adjusting for confounders.</p> Signup and view all the answers

In epidemiology, what term describes a situation where the association between two variables changes at different levels of a third variable?

<p>Interaction or effect modification</p> Signup and view all the answers

What signifies the presence of synergistic interaction between two exposures in an epidemiological study?

<p>The combined exposure's effect is greater than the sum of individual exposures' effects.</p> Signup and view all the answers

Which Hill’s criterion does NOT establish causation but rather explains it?

<p>Biological plausibility</p> Signup and view all the answers

What type of relationship exists if the observed measure of association for two exposures is less than the expected product of the two measures of association of both exposures individually?

<p>Antagonistic interaction</p> Signup and view all the answers

'Regression to the mean' refers to:

<p>'A phenomenon where extreme values tend to move towards the average over repeated observations.'</p> Signup and view all the answers

'Investigators have no strategies available to them to reduce the occurrence of chance associations that appear simply due to random variation in the study.' - This statement is:

<p>True</p> Signup and view all the answers

What is the term for the unusual occurrence of a disease in a community that is considered in excess of the expected?

<p>Epidemic</p> Signup and view all the answers

Which factor is NOT involved in infectious disease emergence according to the text?

<p>Vector control</p> Signup and view all the answers

What is the term for the capacity of an infectious agent to survive adverse environmental conditions?

<p>Toxigenicity</p> Signup and view all the answers

Which measure is used to assess the pathogenicity of an infectious disease agent?

<p>Secondary attack rate</p> Signup and view all the answers

What concept does innate immunity provide protection against according to the text?

<p>Infections</p> Signup and view all the answers

Which of the following is NOT a component included in the epidemiologic triangle used for infectious disease epidemiology?

<p>Environment</p> Signup and view all the answers

What is the term used to describe the ability of an infectious agent to survive adverse environmental conditions?

<p>Toxigenicity</p> Signup and view all the answers

Which component of the epidemiologic triangle is NOT included for infectious disease epidemiology?

<p>Environment</p> Signup and view all the answers

What is the purpose of a cluster in epidemiology?

<p>To denote an unusual occurrence of a disease in a community</p> Signup and view all the answers

Which type of epidemic involves exposures occurring over a relatively brief period?

<p>Point common source epidemic</p> Signup and view all the answers

What is one factor involved in the emergence of infectious diseases?

<p>Economic development</p> Signup and view all the answers

What do sanitation measures primarily aim to prevent?

<p>Community transmission of diseases</p> Signup and view all the answers

'Almost all infections are clinical and will result in severe symptoms.' - This statement is:

<p><strong>False</strong></p> Signup and view all the answers

'Cancer clusters are one of the most simpler types of outcomes to investigate.' - This statement is:

<p><strong>False</strong></p> Signup and view all the answers

Which of the following describes an instance of interaction or effect modification?

<p>The association between two variables changes at different levels of a third variable</p> Signup and view all the answers

What is the significance of calculating the expected product of two measures of association in epidemiological studies?

<p>To assess the presence of interaction</p> Signup and view all the answers

Which of Hill's criteria is involved in simply explaining causation without establishing it?

<p>Biological plausibility</p> Signup and view all the answers

In epidemiology, what method do investigators have at their disposal to minimize the occurrence of chance associations?

<p>Randomization</p> Signup and view all the answers

When considering measures of association, what does a 10% difference between crude and factor-adjusted measures indicate?

<p>Presence of confounding</p> Signup and view all the answers

Which situation is indicative of synergistic interaction between two exposures in an epidemiological study?

<p>RR01 &gt; RR10 x RR11</p> Signup and view all the answers

'Investigators have no strategies available to them' to reduce what aspect in epidemiological studies?

<p>'Random' associations due to chance</p> Signup and view all the answers

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