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Exam (elaborations)

CPH Exam Questions & Answers | Certified in Public Health Exam Study Guide & Exam Prep 2026/2027

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CPH Exam Questions & Answers | Certified in Public Health Exam Study Guide & Exam Prep 2026/2027

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CPH Exam
A 22-year-old Latina woman brings her 13-month-old daughter to a health department clinic for
routine well-child care. Both are enrolled in the Medicaid program. They live in an inner-city
apartment building that the mother describes as "old and run down." The infant's diet consists of
table foods; the principal protein sources are eggs, peanut butter, cheese, and canned tuna.
Screening of the infant for which of the following conditions is recommended by the Centers for
Disease Control and Prevention (CDC)? - ANS-elevated blood lead concentration

A case-control study comparing ovarian cancer cases with community controls found an odds
ratio of 2.0 in relation to exposure to radiation. Which is the correct interpretation of the measure
of association?
1.Women exposed to radiation had 2.0 times the risk of ovarian cancer when compared to
women not exposed to radiation
2.Women exposed to radiation had 2.0 times the risk of ovarian cancer when compared to
women without ovarian cancer
3.Ovarian cancer cases had 2.0 times the odds of exposure to radiation when compared to
controls
4.Ovarian cancer cases had 2.0 times the odds of exposure to radiation when compared to
controls with other cancers - ANS-Ovarian cancer cases had 2.0 times the odds of exposure to
radiation when compared to controls

A common bacterial contaminant of poultry products is: - ANS-Salmonella

A county public health department has prepared the annual operating budget for its childhood
vaccination program. It forecasts that 90,000 children will be vaccinated, requiring a total of
48,000 hours of nursing labor at an average cost of $25 per hour and 100,000 doses of
vaccination at an average cost of $1.50 per dose. Fixed costs of the vaccination program, such
as administration and overhead, are estimated at $50,000. Which of the following calculations is
most appropriate to obtain the forecastA county public health department has prepared the
annual operating budget for its childhood vaccination program. It forecasts that 90,000 children
will be vaccinated, requiring a total of 48,000 hours of nursing labor at an average cost of $25
per hour and 100,000 doses of vaccination at an average cost of $1.50 per dose. Fixed costs of
the vaccination program, such as administration and overhead, are estimated at $50,0 -
ANS-(100,000 x $1.50) / 90,000

A district health department is trying to decide whether to invest in interpretation services and
translated materials to address local language barriers, address needs of limited English
proficient (LEP) clients and meet Federal requirements. The Four Factor Analysis-to guide
LHDs in meeting these mandates and to provide recommendations for providing translated
materials and interpretation services- is part of a - ANS-Language Needs Assessment

,A doctor would like to estimate a patients' weight based on their age and sex. Age and sex are
known as?
1.Response variables
2.Dependent variables
3.Outcome variables
4.Independent variables - ANS-Independent variables

A federal law is passed requiring labeling on food products. In subsequent years, the rate of
obesity among adults decreases. Which of the following terms best describes the relationship
between the law and the change in obesity rates? - ANS-correlated

A group uses problem solving to reconcile underlying differences and create a win-win situation
for the mutual benefit of all parties. This approach exemplifies which of the following styles of
conflict management? - ANS-collaborating

A health behaviors survey conducted in a large urban area includes a question about whether a
person is a smoker. The company conducting the survey decides to increase the size of its
random sample of survey participants from 1,500 people to approximately 20,000 people. This
change will most likely have which of the following effects? - ANS-decreasing the variability of
the estimate

A health services researcher is studying a new influenza vaccination to determine whether it
should be recommended for all senior citizens. Which of the following vaccination attributes is
most appropriate to evaluate first in the process of assessing the new vaccination? -
ANS-efficacy

A local health department establishes a program with community outreach and clinical
components that is intended to reduce the number of drug-resistant tuberculosis cases. A
measure of the program's outcomes is the number of - ANS-drug-resistant tuberculosis cases

A local public health department (LHD) must make significant budget cuts. Area managers are
directed to review and compare current services, service utilization and cost to areas of need
identified a recent community health needs assessment completed by the LHD. This approach,
as a prelude to decision-making, is based on: - ANS-Internal assessment and external
assessment

A management/leadership theory which posits that when staff are able to grow and develop staff
performance results are better, is an example of: - ANS-Douglas McGregor Theory Y

A multi-state regional coalition is in place to identify successful state-level strategies for
enhancing health care and other community services for children with special health needs. The
coalition membership currently includes health care professionals and representatives from
state departments of public health, housing, education, Medicaid, and social services. There is

, one remaining open seat. Which of the following representatives is most appropriate to fill the
open slot? - ANS-a member of a parent advocacy group

A person states, "As an African-American male in my 60s, I am at risk for prostate cancer."
Which of the following is the construct of the Health Belief Model that is best illustrated by this
statement? - ANS-perceived susceptibility

A public health department government employee manages that department's non-infectious
conditions epidemiology program. The program's recent report on traffic accident deaths has
attracted attention. Mothers Against Drunk Drivers, a non-profit incorporation, has asked that
person to simultaneously take a leadership role in MADD's program to oversee fund-raising
activities and promote compliance with laws about drinking and driving. Would it be ethical for
this person to accept MADD's offer of simultaneous employment? - ANS-Yes, provided the
outside activity is not operated within the government agency, and the employee does not incur
conflicts of interest, divulge confidential information nor receive special privileges or benefits.

A public health professional is asked to conduct a needs assessment for a community. A needs
assessment: - ANS-Assists to identify and prioritize health problems

A public health worker is charged with investigating family violence in a community of nearly 1
million residents. The worker uses principles of systems theory in her approach. She
incorporates individuals, groups, and their environments. Which of the following terms best
describes this concept? - ANS-social ecology

A researcher is calculating the infant mortality rate of several states. Which of the following
methods is most appropriate to use during this analysis to adjust for racial differences in infant
mortality rates among the states? - ANS-direct standardization

A researcher is designing a new questionnaire to examine patient stress levels on a scale of 0
to 5. What scale, or level, of measurement is being used for the outcome variable?
1.Ratio
2.Nominal
3.Interval
4.Ordinal - ANS-Ordinal

A researcher is working with local barber shops to plan a health promotion intervention. The
intervention activities will include health education training workshops and educational print
materials for the customers. The intervention activities are hypothesized to lead to changes in
customers' fruit/vegetable intake, physical activity, and screening adherence. Which of the
following statements describes how the researcher might start a formative evaluation plan? -
ANS-Convene focus groups in two barber shops to discuss print materials

A short narrative or statement that describes the general focus and purpose of a program is
called: - ANS-A mission statement

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