PH II Midterms Recalls

PUBLIC HEALTH II-A
MIDTERM RECALLS
Carol V. Narra, MD, MPH
11/28/2020
I. MIDTERMS D. Communicate findings

1. This step of epidemiological investigation emphasizes that E. Maintain surveillance
one must have the appropriate scientific knowledge, E. Maintain surveillance
supplies, and equipment to carry out the investigation
A. Identify investigation team and resources
7. The following statements are TRUE regarding
B. Establish the existence of an outbreak implementing control measures when doing an
C. Verify the diagnosis epidemiological investigation EXCEPT
D. Construct case definition A. Must be done at the end of the period of the outbreak
E. Find cases systematically and develop line listing B. Includes isolation, cohorting, and product recall
A. Identify investigation team and resources C. Balance between preventing further disease and protecting
credibility and reputation of institution
2. This step of epidemiological investigation is being done to D. Should be guided by epidemiologic results in conjunction
ensure that the disease has been properly identified with environmental investigation
A. Identify investigation team and resources A. Must be done at the end of the period of the outbreak
B. Establish the existence of an outbreak
C. Verify the diagnosis 8. The following statements are TRUE of a point source
D. Construct case definition outbreak EXCEPT
E. Find cases systematically and develop line listing A. All cases appear to occur within one incubation period.
C. Verify the diagnosis B. It suggests that cases did not arise from person-to-person
spread.
3. This is when you make a standard set of criteria for C. It suggests that it was a single, brief exposure that did not
deciding whether an individual should be classified as persist over time.
having the health condition of interest in the investigation D. None of the above
A. Identify investigation team and resources B. It suggests that cases did not arise from person-to-person
B. Establish the existence of an outbreak spread
C. Verify the diagnosis
D. Construct case definition 9. The following statements are TRUE of a continuing source
E. Find cases systematically and develop line listing outbreak EXCEPT
D. Construct case definition A. A group of people are exposed to different noxious
influences
4. Contact tracing is one strategy that is being done in this B. The exposure continues over a longer time
particular step of epidemiological investigation C. The outbreak persists for longer time
A. Identify investigation team and resources D. It suggests that many people were exposed simultaneously
B. Establish the existence of an outbreak A. A group of people are exposed to different noxious
C. Verify the diagnosis influences – single noxious influences
D. Construct case definition
E. Find cases systematically and develop line listing 10. The following statements are TRUE of an intermittent
E. Find cases systematically and develop line listing exposure source outbreak EXCEPT
A. This seems to be a common source that is not well
5. This is when you gather identifying, demographic, clinical controlled.
and risk factor information B. It could be seasonal or weather-related depending on the
A. Perform descriptive epidemiology time-frame.
B. Evaluate hypotheses/ Perform additional studies C. It could be due to a common source such as an industrial
C. Implement control measures contaminant being emitted at intervals
D. Communicate findings D. None of the above
E. Maintain surveillance D. None of the above
A. Perform descriptive epidemiology
11. The following statements are TRUE of a propagated
source outbreak EXCEPT
6. Contact tracing is one strategy that is being done in this
particular step of epidemiological investigation A. It is one that is spread from person to person
A. Perform descriptive epidemiology B. It lasts shorter than common source epidemics
B. Evaluate hypotheses/ Perform additional studies C. It may lead to multiple waves of infection
C. Implement control measures
Transers: Minor Subjects Trans Group 1 of 4

D. This begins like an infection from an index case but then 18. Which of the following statements best describes a
develops into a full-blown epidemic Relative Risk Ratio?
B. It lasts shorter than common source epidemics – it last A. RR = 1.0 - rate of disease among the exposed is LOWER
longer than common source epidemics from the risk of disease among the non-exposed
B. RR > 1.0 - NO association between exposure and the
12. This type of epidemic curve shows a rapid increase in outcome under study
cases followed by a somewhat slower decline, and all of C. RR < 1.0 - risk is NOT DIFFERENT among the exposed
the cases tend to fall within one incubation period D. This measurement is being used in Cohort Study
A. Point-source outbreak D. This measurement is being used in Cohort Study
B. Continuous common source
C. Intermittent exposure source 19. Which of the following statements best describes an Odds
D. Propagated or progressive source Ratio?
A. Point-source outbreak A. OR > 1 - positive association between exposure and disease
B. OR < 1 - no association
13. This type of epidemic curve may also rise to a peak and C. OR = 1 - exposure might be a protective factor
then fall, but the cases do not all occur within the span of a D. None of the above
single incubation period A. OR > 1 - positive association between exposure and
A. Point-source outbreak disease
C. Intermittent exposure source 20. A patient with a communicable disease such as
D. Propagated or progressive source tuberculosis, whether symptomatic or asymptomatic, may
be treated with antibiotics both to clear the infection and to
reduce the risk of transmission to others. What type of
control measure is implemented here?
14. This type of epidemic curve is exemplified by an outbreak
A. Controlling the source of pathogen
of measles that began with a single index case who
infected a number of other individuals
B. Interrupting the transmission
C. Modifying the host response
A. Point-source outbreak
B. Continuous common source D. All of the above
C. Intermittent exposure source D. All of the above
D. Propagated or progressive source
D. Propagated or progressive source
21. Isolation of someone with infection, or counseling
persons to avoid the specific type of contact is a control
measure directed towards
15. This study design identifies a people exposed to a
A. Controlling the source of pathogen
particular factor and a comparison group that was not
exposed to that factor and measures and compares the
B. Interrupting the transmission
incidence of disease in the two groups C. Modifying the host response
A. Cohort study D. All of the above
B. Case control study B. Interrupting the transmission
A. Cohort study
22. Prophylactic use of antimalarial drugs, recommended for
visitors to malaria-endemic areas is a control measure
16. This study design identify a group of individuals who had
directed towards
developed the disease and a comparison of individuals
who did not have the disease of interest A. Controlling the source of pathogen
A. Cohort study B. Interrupting the transmission
B. Case control study C. Modifying the host response
D. All of the above
B. Case control study
C. Modifying the host response
17. What type of cohort study is done one after some people
have already developed the outcomes of interest 23. This pathogen causes severe diarrhea that is often bloody,
A. Prospective cohort abdominal pain and vomiting and is accompanied usually
with little or no fever.
B. Retrospective cohort
A. Salmonella spp.
C. Historical prospective cohort
B. Campylobacter jejuni
B. Retrospective cohort C. EHEC
D. Listeria
C. EHEC

24. This pathogen causes profuse watery diarrhea and 31. These are caused by parasites found in intermediate hosts
vomiting which can lead to severe dehydration and death living in water
within hours A. Water-borne diseases
A. Vibrio cholera B. Water-washed diseases
B. Norovirus C. Water-related diseases
C. Hepatitis A D. Water-based diseases
D. Entamoeba hystolytica D. Water-based diseases
A. Vibrio cholera
32. These are caused by poor personal hygiene
25. This pathogen causes diarrhea, dark urine, jaundice and A. Water-borne diseases
flu-like symptoms B. Water-washed diseases
A. Vibrio cholera C. Water-related diseases
B. Norovirus D. Water-based diseases
C. Hepatitis A
B. Water-washed diseases
D. Entamoeba hystolytica
C. Hepatitis A 33. The following microorganisms cause a food-borne
infection
26. Which statement is INCORRECT with regards to norovirus A. Bacteria
as a pathogen causing a food-borne illness? B. Viruses
A. Incubation period is 28 days C. Parasites
B. Signs and symptoms are nausea, vomiting, abdominal D. All of the above
cramping, diarrhea, myalgia and headache
D. All of the above
C. Duration of illness is 12-60 hours
D. Associated foods are shellfish, fecally contaminated foods,
34. The following conditions of food favor transmission of
ready to eat foods touched by infected food workers
foodborne illnesses EXCEPT
A. Incubation period is 28 days – incubation period is 12-48 A. Improperly processed fruits & veggies
hours B. Protein-rich foods
C. High-moisture content foods
27. Dracunculiasis, schistosomiasis and some other D. Foods with high pH level
helminths are examples of
B. Protein-rich foods
A. Water-borne diseases
35. The following vector-borne diseases are spread by
C. Water-related diseases
mosquitoes and ticks EXCEPT
D. Water-based diseases
A. Chikungunya
D. Water-based diseases B. Yellow Fever
C. Zika Virus
28. Dengue, filariasis, malaria, onchocerciasis, D. Plague
trypanosomiasis and yellow fever are examples of
D.Plague – transmitted by fleas
36. For most vector-borne diseases, this is the first and best
approach
A. Control by targeting vectors
C. Water-related diseases B. Controlling the source of pathogen
C. Interrupting the transmission
29. This includes scabies, trachoma and flea-, lice-and tick- D. Modifying the host response
borne diseases
A. Control by targeting vectors
37. Which of the following is responsible for the spread of
dengue?
A. Anopheles mosquito
B. Water-washed diseases B. Culex mosquito
C. Aedes mosquito
30. These are transmitted by insect vectors which breed in D. Housefly
water
C. Aedes mosquito

38. Which infective organism is responsible for dengue?
A. Bacteria
B. Virus
C. Fungus
D. Protozoa
B. Virus
39. Dengue can spread by direct contact with an infected

patient
A. True
B. False
A. True – Maternal transmission
40 How many viruses is dengue related with?

A. 1
B. 3
C. 5
D. 4
D. 4
41-50. Which vector transmits the specific diseases shown

below?
Mosquitoes Fleas Ticks Lice

Dengue X
Thypus X
Rickettsial disease X
Plague X
Malaria X
Lyme disease X
Japanese encephalitis X
Chikungunya X
Tungiasis X
West nile fever X

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PH II Midterms Recalls

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PUBLIC HEALTH II-A

I. MIDTERMS D. Communicate findings

Transers: Minor Subjects Trans Group 1 of 4

Transers: Minor Subjects Trans Group 2 of 4

Transers: Minor Subjects Trans Group 3 of 4

39. Dengue can spread by direct contact with an infected

40 How many viruses is dengue related with?

41-50. Which vector transmits the specific diseases shown

Mosquitoes Fleas Ticks Lice

Transers: Minor Subjects Trans Group 4 of 4

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