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PUBHEPI 2410 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026

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PUBHEPI 2410 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026 Epidemiologists examine a health event by looking at what three things? - Answers Person, Place, Time Who was the English physician who developed a vaccine against smallpox using material from dairymaids who were infected with cowpox? - Answers Edward Jenner In the definition of epidemiology, "determinants" generally includes: (check all that apply) - Answers Causes, Risk Factors Epidemiologists are concerned with learning about_________ - Answers The causes of disease and how to cure or control them. The causal relationships between diseases The frequency and geographic distribution of disease Epidemiology is the study of the distribution and determinants of disease frequency in human populations and the application of this study to control health problems. - Answers True Which of the following are NOT one of Robert Koch's four postulates? - Answers The microorganism must reproduce the disease in an animal every time In the definition of epidemiology, "distribution" refers to (select all that apply): - Answers When Who Where This city in Massachusetts is the site of one of the largest studies on cardiovascular health. - Answers Framingham Who was the English physician who removed the pump handle from the Broad Street pump during the Cholera outbreak in London during the mid-19th Century? - Answers John Snow A researcher is looking at the possible association between a chemical compound and a disease condition. The researcher observes that as the amount of exposure increased, so did the risk of developing disease. Which criterion of judgement is the researcher assessing? - Answers Biological gradient The state of Ohio has one of the highest rates of infant mortality in the country. This would be an example of which variable? - Answers Health related outcome Nurses educating women to take vitamins before and in the early stages of pregnancy on healthy behaviors would be an example of what level of prevention for infant mortality? - Answers Primary prevention A researcher observes that after prolonged exposure to a chemical, some individuals will in the future develop a disease condition due to that exposure. Which of Hill's criteria does this idea address? - Answers Temporality This person first put forth the theory of epidemiologic transition. - Answers Abdel Omran The epidemiologic transition refers to the observation that: - Answers The rate of communicable or infectious diseases is decreasing The National Cancer Institute recently conducted a lung cancer screening program. This is an example of: - Answers Secondary prevention What component of Hill's Aspects of Association asks if the same health effect is observed from an agent at different times, in different locations and under different circumstances. - Answers Consistency This transition would be marked by a shift from death by infectious disease to death by chronic conditions - Answers Age of Degenerative and Man-Made Diseases Because incidence measures a person's transition from a healthy to disease state, time must pass for this change to occur and be observed. - Answers True Which measure of disease frequency is usually reserved for infectious disease outbreaks? - Answers attack rate In January 2000 you began a one-year study of tuberculosis (TB) in a subsidized housing community in the Lower East Side of New York City. You enrolled 500 residents in your study and checked on their TB status on a monthly basis. At the start of your study on January 1st, you screened all 500 residents. Upon screening, you found that 20 of the healthy residents were immigrants who were vaccinated for TB and so were not at risk. Another 30 residents already had existing cases of TB on January 1st. On February 1st, 5 residents developed TB. On April 1st, 5 more residents developed TB. On June 1st, 10 healthy residents moved away from New York City were lost to follow-up. On July 1st, 10 of the residents who had existing TB on January 1st died from their disease. The study ended on December 31, 2000. Assume that once a person gets TB, they have it for the duration of the study, and assume that all remaining residents s - Answers True Which of the following can be thought of as the average risk of getting a disease over a certain period of time? - Answers cumulative incidence Membership of which type of population is always defined by a life event? - Answers fixed population The incidence rate is the: - Answers Number of new cases of a disease divided by the total population at risk A long term care facility that houses 80 residents has an outbreak of an adenovirus. Of those residents, 24 (or 0.3) of the residents have been infected. This is an example of: - Answers Proportion Which of the following is true of the prevalence measure of morbidity? - Answers It gives health departments and hospital administrators information for health planning It does not give an estimate of the risk of developing a disease It is good for describing a health burden Which measure is most useful for evaluating the effectiveness of programs that try to prevent disease from occurring in the first place? - Answers incidence In January 2000 you began a one-year study of tuberculosis (TB) in a subsidized housing community in the Lower East Side of New York City. You enrolled 500 residents in your study and checked on their TB status on a monthly basis. At the start of your study on January 1st, you screened all 500 residents. Upon screening, you found that 20 of the healthy residents were immigrants who were vaccinated for TB and so were not at risk. Another 30 residents already had existing cases of TB on January 1st. On February 1st, 5 residents developed TB. On April 1st, 5 more residents developed TB. On June 1st, 10 healthy residents moved away from New York City were lost to follow-up. On July 1st, 10 of the residents who had existing TB on January 1st died from their disease. The study ended on December 31, 2000. Assume that once a person gets TB, they have it for the duration of the study, and assume that all remaining residents s - Answers 6.0% In January 2000 you began a one-year study of tuberculosis (TB) in a subsidized housing community in the Lower East Side of New York City. You enrolled 500 residents in your study and checked on their TB status on a monthly basis. At the start of your study on January 1st, you screened all 500 residents. Upon screening, you found that 20 of the healthy residents were immigrants who were vaccinated for TB and so were not at risk. Another 30 residents already had existing cases of TB on January 1st. On February 1st, 5 residents developed TB. On April 1st, 5 more residents developed TB. On June 1st, 10 healthy residents moved away from New York City were lost to follow-up. On July 1st, 10 of the residents who had existing TB on January 1st died from their disease. The study ended on December 31, 2000. Assume that once a person gets TB, they have it for the duration of the study, and assume that all remaining residents s - Answers 22.2 per 1,000 A population of 1,600 healthy, at risk people is monitored for one year starting on January 1st and the development of cases of chicken pox is noted. No one has chicken pox at the start of the investigation. Twenty people develop chicken pox on June 30th and forty people develop chicken pox on September 30th. Assume that you can get chicken pox only once. What is the cumulative incidence of chicken pox in this population during the one-year period from January 1st through December 31st? - Answers 3.8% Among 13,963,753 males and 14,272,325 females there were 20,734 cases of prostate cancer and 19,107 cases of female breast cancer. What is the incidence of female breast cancer per 100,000? - Answers 133.9 per 100,000 A population of 1,600 healthy, at risk people is monitored for one year starting on January 1st and the development of chicken pox cases is noted. No one has chicken pox at the start of the investigation. Twenty people develop chicken pox on June 30th and forty people develop chicken pox on September 30th. Twenty-four people were lost to follow-up on March 31st and twenty-four people were lost to follow-up on November 30th. None of those lost to follow-up had developed chicken pox prior to becoming lost. Assume that you can get chicken pox only once. What is the person-time incidence rate of chicken pox in this population during the one-year period from January 1st through December 31st per 1,000 person years? - Answers 38.5 per 1,000 person-years Race/Ethnicity is an example of a: - Answers Person variable Increases and decreases in the frequency of a disease or other phenomenon within each year are: - Answers Cyclic fluctuations Descriptive epidemiology - Answers Can be used to identify specific etiological factors that are investigated in analytical studies Makes use of readily available information from vital statistics and censuses Is the study of the distribution of disease by characteristics of person, place and time Death rates are the same across different age groups. - Answers False Descriptive epidemiology involves all of the following questions EXCEPT: - Answers Why? Socioeconomic factors do not affect the occurrence of disease - Answers False The graph identifying the pattern of a disease over a long period of time is an example of: - Answers Secular trend The comparison of rates of tuberculosis among Mexican Americans in rural versus urban settings would be a comparison of characteristic by - Answers Place Disease rates are different for different racial groups. - Answers True The National Vital Statistics System collects data on which of the following outcomes? - Answers Births Deaths The Surveillance, Epidemiology, and End Results (SEER) program collects data based on a mandate by which piece of legislation? - Answers The National Cancer Act Vaccination data on vaccinations such as diphtheria and tetanus, pertussis, polio, and measles are collected through the use of which survey? - Answers National Immunization Survey The Centers for Disease Control and Prevention's (CDC) Morbidity and Mortality Weekly Report (MMWR) defines which type of disease as "one for which regular, frequent, and timely information regarding individual cases is considered necessary for the prevention and control of the disease"? - Answers notifiable disease Which survey includes both a home interview and health tests done in a mobile examination center? - Answers National Health and Nutrition Examination Survey Which of the following is a telephone survey of adults in each state? - Answers Behavioral Risk Factor Surveillance Survey What survey would be most useful in examining alcohol consumption in the United States by adults? - Answers National Health and Nutrition Examination Survey Which of the following, mandated by the National Health Survey Act of 1956, is currently the principal source of information on the health of the civilian non-institutionalized population of the United States? - Answers National Health Interview Survey The main disadvantage of using which type of controls is the difficulty in determining appropriate illnesses for inclusion? - Answers Hospital and clinic controls The exposed group can also be referred to as which of the following? - Answers Index group Observational studies take advantage of the fact that people expose themselves to noxious or healthy substances through their personal habits. - Answers True Which type of study evaluates an association using the population rather than the individual as the unit of analysis? - Answers Ecological study The high degree if validity in which type of study stems mainly from the investigator's ability to randomize subjects to either the treatment group or the comparison group and thereby control for distortions produced by confounding variables? - Answers Experimental study Which type of studies typically take a snapshot of a population at a single point in time and therefore usually measures the disease prevalence, exposure prevalence, or relationship between the two? - Answers Cross-sectional study Which type of observational study examines one or more health effects/outcomes of exposure to a single agent? - Answers Cohort study Which of the following is a method of sampling a population in which researchers identify and enroll cases of disease and a sample of the source population that gave rise to the cases? - Answers Case-control study Consider a cohort of 2,000 people, of whom 800 are smokers and 1,200 are non-smokers. The entire cohort is observed for 20 years, and 100 participants develop lung cancer, of who 90 are smokers and 10 are not. Which is the correct interpretation for relative risk? - Answers Smokers are "x" times as likely to develop lung cancer as compared to non-smokers Although there are several advantages to using the general population as a comparison group, which of the following is the main disadvantage? - Answers Healthy worker effect British investigators conducted a study to compare measles-mumps-rubella (MMR) vaccine history among 1,294 children with pervasive development disorder (e.g., autism and Asperger's syndrome) and 4,469 children without such disorders. (They found no association.) This is an example of which type(s) of study? - Answers Case-control Prospective cohort studies make use of historical data. - Answers False A cohort study must have at least how many points of measurement? - Answers Two Cohort studies are good for studying rare exposures but are not as efficient as case-control studies for studying rare outcomes. - Answers True Lung Cancer No Lung Cancer Smokers 90 40 Nonsmokers 10 60 Total 100 100 A study is conducted looking at a group of smokers and a group of nonsmokers to compare their rates of developing lung cancer. The 2 x 2 table shows the distribution of the disease for these groups. Using the data given above, calculate the numeric value of this measure of association. The numeric value is... - Answers 13.5 A cohort study of coffee drinking and anxiety was conducted at a university campus. There were a total of 30,000 freshmen who participated. 10,000 were coffee drinkers and 20,000 were not. Of the coffee drinkers, 500 developed anxiety during the 4 year follow-up period. Of the non-coffee drinkers, 200 developed anxiety during the same time period. Assume that no one in the population died or was lost during the follow-up period. What was the cumulative incidence of anxiety among coffee drinkers? Which of the following is the correct interpretation of the relative risk? - Answers Coffee drinkers are "x" times as likely to develop anxiety as compared to non-coffee drinkers Relative risk estimates the strength of association between exposure and disease - Answers True One advantage to using prospective cohort studies is that results of the study can be retrieved quickly - Answers False British investigators conducted a study to compare measles-mumps-rubella (MMR) vaccine history among 1,294 children with pervasive development disorder (e.g., autism and Asperger's syndrome) and 4,469 children without such disorders. (They found no association.) This is an example of which type of study? - Answers Case-control A case-control study is more efficient than a cohort study when the disease is rare. - Answers True Early heart disease No early heart disease High trans-fat diet 25 50 Low trans-fat diet 25 100 Total 50 150

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PUBHEPI 2410 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026

Epidemiologists examine a health event by looking at what three things? - Answers Person, Place,
Time
Who was the English physician who developed a vaccine against smallpox using material from
dairymaids who were infected with cowpox? - Answers Edward Jenner
In the definition of epidemiology, "determinants" generally includes: (check all that apply) - Answers
Causes, Risk Factors
Epidemiologists are concerned with learning about_________ - Answers The causes of disease and
how to cure or control them.
The causal relationships between diseases
The frequency and geographic distribution of disease
Epidemiology is the study of the distribution and determinants of disease frequency in human
populations and the application of this study to control health problems. - Answers True
Which of the following are NOT one of Robert Koch's four postulates? - Answers The microorganism
must reproduce the disease in an animal every time
In the definition of epidemiology, "distribution" refers to (select all that apply): - Answers When
Who
Where
This city in Massachusetts is the site of one of the largest studies on cardiovascular health. - Answers
Framingham
Who was the English physician who removed the pump handle from the Broad Street pump during
the Cholera outbreak in London during the mid-19th Century? - Answers John Snow
A researcher is looking at the possible association between a chemical compound and a disease
condition. The researcher observes that as the amount of exposure increased, so did the risk of
developing disease. Which criterion of judgement is the researcher assessing? - Answers Biological
gradient
The state of Ohio has one of the highest rates of infant mortality in the country. This would be an
example of which variable? - Answers Health related outcome
Nurses educating women to take vitamins before and in the early stages of pregnancy on healthy
behaviors would be an example of what level of prevention for infant mortality? - Answers Primary
prevention
A researcher observes that after prolonged exposure to a chemical, some individuals will in the future
develop a disease condition due to that exposure. Which of Hill's criteria does this idea address? -
Answers Temporality
This person first put forth the theory of epidemiologic transition. - Answers Abdel Omran
The epidemiologic transition refers to the observation that: - Answers The rate of communicable or
infectious diseases is decreasing
The National Cancer Institute recently conducted a lung cancer screening program. This is an example
of: - Answers Secondary prevention
What component of Hill's Aspects of Association asks if the same health effect is observed from an
agent at different times, in different locations and under different circumstances. - Answers
Consistency
This transition would be marked by a shift from death by infectious disease to death by chronic
conditions - Answers Age of Degenerative and Man-Made Diseases
Because incidence measures a person's transition from a healthy to disease state, time must pass for
this change to occur and be observed. - Answers True
Which measure of disease frequency is usually reserved for infectious disease outbreaks? - Answers
attack rate
In January 2000 you began a one-year study of tuberculosis (TB) in a subsidized housing community in
the Lower East Side of New York City. You enrolled 500 residents in your study and checked on their
TB status on a monthly basis. At the start of your study on January 1st, you screened all 500 residents.
Upon screening, you found that 20 of the healthy residents were immigrants who were vaccinated for
TB and so were not at risk. Another 30 residents already had existing cases of TB on January 1st. On
February 1st, 5 residents developed TB. On April 1st, 5 more residents developed TB. On June 1st, 10
healthy residents moved away from New York City were lost to follow-up. On July 1st, 10 of the
residents who had existing TB on January 1st died from their disease. The study ended on December

, 31, 2000. Assume that once a person gets TB, they have it for the duration of the study, and assume
that all remaining residents s - Answers True
Which of the following can be thought of as the average risk of getting a disease over a certain period
of time? - Answers cumulative incidence
Membership of which type of population is always defined by a life event? - Answers fixed population
The incidence rate is the: - Answers Number of new cases of a disease divided by the total population
at risk
A long term care facility that houses 80 residents has an outbreak of an adenovirus. Of those
residents, 24 (or 0.3) of the residents have been infected. This is an example of: - Answers Proportion
Which of the following is true of the prevalence measure of morbidity? - Answers It gives health
departments and hospital administrators information for health planning
It does not give an estimate of the risk of developing a disease
It is good for describing a health burden
Which measure is most useful for evaluating the effectiveness of programs that try to prevent disease
from occurring in the first place? - Answers incidence
In January 2000 you began a one-year study of tuberculosis (TB) in a subsidized housing community in
the Lower East Side of New York City. You enrolled 500 residents in your study and checked on their
TB status on a monthly basis. At the start of your study on January 1st, you screened all 500 residents.
Upon screening, you found that 20 of the healthy residents were immigrants who were vaccinated for
TB and so were not at risk. Another 30 residents already had existing cases of TB on January 1st. On
February 1st, 5 residents developed TB. On April 1st, 5 more residents developed TB. On June 1st, 10
healthy residents moved away from New York City were lost to follow-up. On July 1st, 10 of the
residents who had existing TB on January 1st died from their disease. The study ended on December
31, 2000. Assume that once a person gets TB, they have it for the duration of the study, and assume
that all remaining residents s - Answers 6.0%
In January 2000 you began a one-year study of tuberculosis (TB) in a subsidized housing community in
the Lower East Side of New York City. You enrolled 500 residents in your study and checked on their
TB status on a monthly basis. At the start of your study on January 1st, you screened all 500 residents.
Upon screening, you found that 20 of the healthy residents were immigrants who were vaccinated for
TB and so were not at risk. Another 30 residents already had existing cases of TB on January 1st. On
February 1st, 5 residents developed TB. On April 1st, 5 more residents developed TB. On June 1st, 10
healthy residents moved away from New York City were lost to follow-up. On July 1st, 10 of the
residents who had existing TB on January 1st died from their disease. The study ended on December
31, 2000. Assume that once a person gets TB, they have it for the duration of the study, and assume
that all remaining residents s - Answers 22.2 per 1,000
A population of 1,600 healthy, at risk people is monitored for one year starting on January 1st and the
development of cases of chicken pox is noted. No one has chicken pox at the start of the
investigation. Twenty people develop chicken pox on June 30th and forty people develop chicken pox
on September 30th. Assume that you can get chicken pox only once. What is the cumulative incidence
of chicken pox in this population during the one-year period from January 1st through December
31st? - Answers 3.8%
Among 13,963,753 males and 14,272,325 females there were 20,734 cases of prostate cancer and
19,107 cases of female breast cancer. What is the incidence of female breast cancer per 100,000? -
Answers 133.9 per 100,000
A population of 1,600 healthy, at risk people is monitored for one year starting on January 1st and the
development of chicken pox cases is noted. No one has chicken pox at the start of the investigation.
Twenty people develop chicken pox on June 30th and forty people develop chicken pox on September
30th. Twenty-four people were lost to follow-up on March 31st and twenty-four people were lost to
follow-up on November 30th. None of those lost to follow-up had developed chicken pox prior to
becoming lost. Assume that you can get chicken pox only once. What is the person-time incidence
rate of chicken pox in this population during the one-year period from January 1st through December
31st per 1,000 person years? - Answers 38.5 per 1,000 person-years
Race/Ethnicity is an example of a: - Answers Person variable
Increases and decreases in the frequency of a disease or other phenomenon within each year are: -
Answers Cyclic fluctuations
Descriptive epidemiology - Answers Can be used to identify specific etiological factors that are
investigated in analytical studies

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13 de abril de 2026
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