ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
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SECTION 1: CORE FUNCTIONS & 10 ESSENTIAL SERVICES (Questions 1-30)
1. The Institute of Medicine (IOM) established three core functions of public
health.
Which of the following correctly lists these functions?
A) Research, Enforcement, and Evaluation
B) Assessment, Policy Development, and Assurance
C) Diagnosis, Treatment, and Prevention
D) Planning, Implementation, and Quality Control
Correct Answer: B
Rationale: The 1988 IOM report defined the three core functions as Assessment
(diagnosing the problem), Policy Development (creating solutions), and Assurance
(ensuring services are delivered). Options A, C, and D describe general
management or clinical tasks, not the specific IOM framework.
2. A public health officer is analyzing vital statistics (births, deaths, and disease
reports) to identify emerging health threats in a county. Which core function is
being performed?
A) Assurance
B) Policy Development
C) Assessment
D) Quality Improvement
Correct Answer: C
Rationale: Assessment involves systematic data collection, analysis, and
dissemination of health information (e.g., vital statistics) to identify community
health problems. Assurance focuses on service delivery, and Policy Development
focuses on creating regulations or laws.
3. When a local health department enforces restaurant sanitation codes to
prevent foodborne illness, which core function and essential service are being
utilized?
A) Assessment – Monitor health status
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,B) Policy Development – Develop policies
C) Assurance – Enforce laws and regulations
D) Assurance – Link people to health services
Correct Answer: C
Rationale: Enforcing laws and regulations that protect health and ensure safety is
Essential Service #6, which falls directly under the Assurance core function.
4. Which core function answers the question: "What should be done to address
the health problem?"
A) Assessment
B) Policy Development
C) Assurance
D) Evaluation
Correct Answer: B
Rationale: Policy Development is the process of creating public policies, plans, and
laws based on the data gathered during assessment to solve identified health
issues.
5. A health department conducts a community health survey to determine the
prevalence
of diabetes. This is an example of which essential service?
A) Inform, educate, and empower people
B) Monitor health status to identify problems
C) Develop policies and plans
D) Evaluate effectiveness of services
Correct Answer: B
Rationale: Essential Service #1 is "Monitor health status to identify community
health problems." Conducting surveys to determine disease prevalence is a classic
monitoring activity.
6. Which federal agency is primarily responsible for tracking disease outbreaks,
providing health data, and responding to public health emergencies in the U.S.?
A) NIH
B) WHO
C) CDC
D) HRSA
Correct Answer: C
Rationale: The Centers for Disease Control and Prevention (CDC) is the national
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,public health agency that conducts disease surveillance, provides epidemiological
data, and leads emergency response efforts.
7. A public health nurse connects a low-income family with a community health
center for affordable primary care. This action fulfills which essential service?
A) Enforce laws and regulations
B) Link people to needed personal health services
C) Mobilize community partnerships
D) Research for new insights
Correct Answer: B
Rationale: Essential Service #7 is "Link people to needed personal health services
and assure the provision of health care when otherwise unavailable." This is a
core Assurance activity.
8. Which core function ensures that the public health workforce is competent and
available to deliver necessary services?
A) Assessment
B) Policy Development
C) Assurance
D) Research
Correct Answer: C
Rationale: Assurance includes ensuring a competent public health and personal
healthcare workforce (Essential Service #8). Without a competent workforce,
services cannot be reliably delivered.
9. Developing a smoke-free workplace ordinance based on data showing high
rates of
lung cancer in a community is an example of:
A) Assessment
B) Assurance
C) Policy Development
D) Evaluation
Correct Answer: C
Rationale: Creating a new law or regulation (smoke-free ordinance) to address a
health issue identified by data is the definition of Policy Development.
10. The World Health Organization (WHO) is a federal agency that directs
international health efforts.
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, A) True
B) False
Correct Answer: B
Rationale: WHO is an international agency under the United Nations, not a U.S.
federal agency. U.S. federal agencies include CDC, NIH, and HRSA.
11. Which essential service involves conducting research to find innovative
solutions to health problems?
A) Service #6 – Enforce laws
B) Service #8 – Ensure competent workforce
C) Service #9 – Evaluate quality
D) Service #10 – Research for new insights
Correct Answer: D
Rationale: Essential Service #10 explicitly calls for "Research for new insights
and innovative solutions to health problems," which drives public health forward.
12. Evaluating whether a school-based vaccination program actually reduced flu
cases is an example of which essential service?
A) Monitor health status
B) Inform and educate
C) Evaluate effectiveness
D) Develop policies
Correct Answer: C
Rationale: Essential Service #9 is "Evaluate effectiveness, accessibility, and
quality of personal and population-based health services." This evaluation
measures
program impact.
13. The Occupational Safety and Health Administration (OSHA) is responsible for:
A) Conducting medical research
B) Ensuring workplace safety
C) Improving access to healthcare for underserved populations
D) Tracking global disease outbreaks
Correct Answer: B
Rationale: OSHA (Occupational Safety and Health Administration) sets and
enforces standards to ensure safe and healthy working conditions.
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