Name ______________________________________________________________ ID N0.

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DEPARTMENT OF COMMUNITY HEALTH

Addis Ababa University, Medical faculty
EPIDEMIOLOGY FINAL QUALIFICATION EXAM
Calendar Year 2006/7

Instruction
Write your name and ID No. on the space provided above and each page. Read all questions carefully and
attempt all of them. The examination has 20 multiple choice questions. For the multiple choice questions,
unless indicated please choose the best answer of the question from the list of choices, and circle the
correct letter.

1. Descriptive study tries to answer the following EXCEPT:

a. who b. where c. why
d. when e. none of the above

2. Which of the following is NOT a measure to manage an epidemic?

a. Action to prevent transmission of disease by ingestion
b. Active immunization
c. Supervision
d. Action to reduce transmission by respiratory infection
e. Chemoprophylaxis

3. If 20 cases of tuberculosis occur during a 2-year period in a stable population of 50,000 people, then
the person-time rate of tuberculosis in that population is approximately:
a. 20 cases/ 100,000 pers.-yrs b. 20 cases/ 25,000 pers.-yrs c. 20 cases/ 49,980 pers.-yrs
d. 20 cases/ 50,000 pers.-yrs e. 20 cases/ 50,000 pers-yrs f. none of the above

4. To investigate the association between depression and experience of violence, investigators conducted
a case-control study with 200 cases and 300 controls. Among the women with depression, 100 gave a
history of recent experience of violence by their intimate partners. Among those without depression,
50 gave a history of recent experience of violence by their intimate partners. For this study, the odds
ratio is:
a. 3.0 b. 2.5 c. 3.5
d. 1.0 e. can not be calculated from the information given

5. One of the following terms is related with host susceptibility?

a. Genetic make up b. Nutrition status c. Vaccination
d. all of the above e. a & c

6. Which of the following is the objectives of SECONDARY PREVENTION?

a. to prevent exposure, and prevent disease. b. to stop or slow early in the progress of a disease
c. to limit the impact of damage d. for early detection and treatment of disease.
e. none of the above

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Name ______________________________________________________________ ID N0. ____________
7. Which of the following illnesses has soil as a reservoir?
a. Hook worm b. Malaria c. Schistosomiasis
d. Rabies e. none of the above

8. Which of the following conditions or terms describes well about PERSON?

a. age b. urban c. ethnicity
d. a & c are correct e. b & c are correct

9. Measurements of data in epidemiology include ALL, EXCEPT?

a. count b. ratio c. proportion
d. population e. none of the above

10. _____________ is comparison of rate using differences in rates.

a. Odds ratio b. Quantitative attributes c. Burden of disease
d. Relative risk e. Attributable risk

To answer Questions 11-15 use the following figure showing episodes of an illness R in a population of
200, visited for 3 consecutive months.

Date of onset Date of death Date of recovery

Sept. 1 Oct. 1 Nov. 1 Nov.30

11. What is the incidence of illness R among the population in the month Sept 1 to Oct 1?
a. 13 /1000 popn. b. 25.35 / 1000 popn. c. 35.34 / 1000 popn.
d. 65.34/ 1000 popn. e. none of the above

12. What is the prevalence of illness R among the population on Oct. 1 ?

a. 13 /1000 popn. b. 30.09/ 1000 popn. c. 35 / 1000 popn.
d. 65/ 1000 popn. e. none of the above

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Name ______________________________________________________________ ID N0. ____________

13. What is the prevalence of illness R among the population from Sept. 1 to Nov. 30?
a. 122.42 /1000 popn. b. 81.63 / 1000 popn. c. 130.33/ 1000 popn.
d. 120.00/ 1000 popn. e. none of the above

14. What is the mid year population of the population between Sept. 1 and Nov. 30?
a. 200 people b. 197 people c. 196 people
d. 198 people e. None of the above

15. What is the nominator for the incidence of illness R among the population from Sept. 1 to Nov 30?
a. 12 b. 9 c. 10
d. 13 e. None of the above

16. The fraction shown below is a: (Circle all that apply)

. # of women in Ethiopia who died from malaria in 1991 .

# of women in Ethiopia who died from cervical cancer in 1991
a. ratio b. proportion c. mortality rate
d. incidence rate e. rate

17. The ability of a surveillance system to detect the cases it is intended to detect is referred to as:
a. predictive value positive b. representativeness c. sensitivity
d. specificity e. none of the above

18. The time course of a disease outbreak is usually displayed using:

a. secular trend b. epidemic curve c. outbreak curve
d. endemic curve e. none of the above

19. Major difference between mechanical and biologic vector in transmission of a disease is/
a. Mechanical V. favors growth of agent b. Biological V. favors growth of agent
c. Mosquito is an example of mechanical V. d. A and C are correct
e. B and C are correct

20. Sporadic outbreak is an epidemic of a disease that occurs worldwide, e.g. influenza, cholera, AIDS
a. True b. False c. difficult to judge
d. no terminology e. none of the above