f f f f f
ST BANK
f
,GORDIS EPIDEMIOLOGY 6TH EDITION C
f f f f
ELENTANO TEST BANK f f
Chapter 01: Introduction
f f
Celentano:fGordisfEpidemiology,f6thfEditionfTestf
Bank
MULTIPLEfCHOICE
1. Whichfofftheffollowingfisfanfexamplefofftertiaryfprevention?
a. Vaccinationfforfrotavirusfforfchildrenfyoungerfthanfthefagefoff1fyear
b. Surgicalfamputationfoffanfextremityfwithfosteosarcomaf(bonefcancer)
c. Screeningfforfgestationalfdiabetesfafterf24fweeksfoffpregnancy
d. Sexualfeducationfprogramfinfelementaryfschools
e. Increasingftaxesfforfbuyingfcigarettesf
ANS:fB
Surgicalfamputationfoffanfextremityfwithfosteosarcomaf(bonefcancer)fisfanfexamplefinfwhichfwhe
nfafdiseasefisfpresentftheftreatmentf(amputation)fisfdoneftofreducefthefimpactfoffdiseasefbyfpreventi
ngftheftumorffromfdissemination.fVaccinationfforfrotavirusfforfchildrenfyoungerfthanfthefagefoff1f
year,fsexualfeducationfprogramfinfelementaryfschools,fandfincreasingftaxesfforfbuyingfcigarettesfr
epresentfexamplesfoffprimaryfprevention.fScreeningfforfgestationalfdiabetesfafterf24fweeksfoffpre
gnancyfisfanfexamplefoffsecondaryfprevention.
N R I G B . C
2. Thisfhistoricfcharacterfobserved tUha tfSch ilNdb eTdf fe ve rfOm ortalityfwas
M
morefcommonfamongfwomenftreatedfbyfphysiciansfandfmedicalfstudentsfcomparedfwithfwomenft
reatedfbyfmidwives.fBasedfonfhisfobservations,fhefimplementedfafhandfwashfpolicyfthatfresultedfin
afdecreasefinfmortality.fNamefthefcharacterfthatfwefareftalkingfabout.
f
,a. JohnfSnow
b. EdwardfJenner
c. D.A.fHenderson
d. LeonfGordis
e. IgnazfSemmelweisf
ANS:fE
IgnazfSemmelweisfidentifiedfthatfmedicalfstudentsfandfphysiciansftransmittedfthefdiseasefbyfnotfwa
shingftheirfhandsfafterfexaminingfbodiesfatfautopsiesfandfconductingfmultiplefexaminationsfinfthefc
linic.
3. ThanksftofthefcontributionsfoffEdwardfJenner,ftheffollowingfdiseasefwasferadicatedflaterfbyfeff
ortsforganizedfbyfD.A.fHenderson:
a. Cholera
b. Smallpox
c. Chickenpox
d. Polio
e. Zika
ANS:fB
Smallpoxfwasferadicatedfinf1980.fEdwardfJennerfvaccinatedfJamesfPhippsfinf1796fagainstfsmallpox.f
Almostf200fyearsflater,fthefWorldfHealthfOrganizationf(WHO)fcommissioned
D.A.fHendersonftofleadfthefeffortsftoferadicatefthefdisease.
4. Overfthefpastfcentury,fafmarkedfdeclinefinfthefmortalityfratesfoffmanyfinfectiousfdiseasesfhasfbe
enfobserved.fWhichfofftheffollowingfisfthefmostflikelyfreasonfforfthefobservedfdeclinefinfmortalityfr
atesffromfcommonfinfectiousfdiseases?
a. Developmentfoffpenicillin
b. Developmentfoffinsulin
c. Developmentfoffvaccines
, d. Improvementfinfsocialfconditions
e. Worsefsanitationfandfunsafefwaterf
ANS:fD
Althoughfmedicalftreatmentsfpotentiallyfhelpedfinfthefdecreasefoffinfectiousfdiseases,fthefadv
ancementfinfsocialfconditionsfplayedfafmajorfrole.fThesefimprovementsfincludefbetterfsanitati
on,fsafefdisposalfoffwaste,fbetterfnutrition,fandfimprovementfinfhousingfconditions.