Sample Chapter

INSTANT DOWNLOAD COMPLETE TEST BANK WITH ANSWERS

 

Essentials of Public Health 2nd Edition Turnock – Test Bank

 

SAMPLE QUESTIONS

 

File: chap01, Chapter 1.

 

 

 

Multiple Choice

 

 

 

  1. Major eras in the history of the American public health system were characterized by all of the following EXCEPT:

 

  1. Intermittent epidemics throughout the 18th and 19th centuries.
  2. Edwin Chadwick’s epidemiological investigations of cholera.
  3. The development of state and local public health systems into the mid-20th century.
  4. The movement into the provision of medical care services after about 1950.

 

Ans: B

 

 

 

  1. Which of the following statements characterizes an important difference between public health and most other professions?

 

  1. Education and training beyond the undergraduate (college) level is not available for public health.
  2. Large professional organizations are not available for public health.
  3. Public health professionals work only in the public sector.
  4. Although they come from many professions and disciplines, their common bond is not one of a shared body of knowledge or academic preparation, but a commitment to the goals of the improved population health.

 

Ans: D

 

 

 

  1. Which of these important public health figures from the 19th century advanced the argument that the factors contributing to fatal diseases should be identified as the official causes of death?

 

  1. Edwin Chadwick
  2. Lemuel Shattuck
  3. William Farr
  4. John Snow

 

Ans: C

 

 

 

  1. Based on a quick examination of Internet web sites, which of these organizations is most closely affiliated with local public health agencies across the U.S.?

 

  1. NACCHO
  2. ASTHO
  3. APHA
  4. CDC

 

Ans: A

 

 

 

  1. Based on a quick examination of Internet web sites, which of these federal health agencies places the greatest emphasis on prevention?

 

  1. Food and Drug Administration
  2. Health Resources and Services Administration
  3. American Public Health Association
  4. Centers for Disease Control

 

Ans: D

 

 

 

  1. In which form of justice are collective actions leading to the assumption of additional burdens often necessary in order to assure the fair distribution of societal benefits?

 

  1. Market justice
  2. Judicial justice
  3. Social justice
  4. Individual justice

 

Ans: C

 

 

 

  1. As a result of legislation enacted by Congress, this agency was moved out of the US Treasury Department and placed in the Department of Health, Education, and Welfare (now the Department of Health and Human Services). It was first established as the Marine Hospital Service in 1789.

 

  1. World Health Organization
  2. American Public Health Association
  3. National Foundation—March of Dimes
  4. US Public Health Service

 

Ans: D

 

 

 

  1. In 1900, the leading cause of death in the United States was which of the following conditions?”

 

  1. tuberculosis
  2. diphtheria
  3. typhoid fever
  4. pneumonia and influenza

 

Ans: D

 

 

 

  1. Public health was characterized as fulfilling society’s interest in assuring conditions in which people could be healthy by:

 

  1. US Centers for Disease Control and Prevention (CDC) in Healthy People 2000
  2. Institute of Medicine in The Future of Public Health
  3. E.A. Winslow
  4. Sir Geoffrey Vickers

 

Ans: B

 

 

 

  1. Which of the following does not represent an important achievement of public health in twentieth century America?

 

  1. fluoridation of drinking water to prevent dental caries
  2. control of infectious diseases
  3. prevention of bio-terrorism threats
  4. decline in deaths from heart disease and stroke

 

Ans: C

 

 

 

  1. The Report on the Sanitary Commission of Massachusetts—perhaps the most outstanding treatise in the history of American public health—was written by:

 

  1. John Snow
  2. Edwin Chadwick
  3. Lemuel Shattuck
  4. H. Frost

 

Ans: C

 

 

 

  1. Public health systems and services have evolved differently in various parts of the world, as well as in the United States among the various states. Which of the following pairs best identifies the two major forces that have shaped public health activities over time and geography?

 

  1. religion and transportation
  2. science and social values
  3. epidemics and nationalism
  4. capitalism and culture

 

Ans: B

 

 

 

  1. Introduction of smallpox vaccination is credited to which of these individuals?

 

  1. Virchow
  2. Pasteur
  3. Lister
  4. Jenner

 

Ans: D

 

 

 

  1. Two important frameworks for modern public health practice are

 

  1. Centers for Disease Control Charter and the US Constitution
  2. Ten commitments of public health and interstate public health compact
  3. Ecological model and essential public health services
  4. NACCO Profile of Local Health Departments and Healthy People 1990

 

Ans: C

 

 

 

  1. Compared with the situation in the US in 1900, the number of deaths due to infectious diseases is:

 

  1. About the same
  2. Much less
  3. Much more
  4. About the same but caused by different pathogens such as HIV

 

Ans: B

 

 

 

  1. Which of the follow statements best characterize the term public health ethics

 

  1. Motivation based on ideas of right and wrong
  2. Values that guide actions to promote health and prevent injury and disease in the population
  3. Principles of conduct governing an individual or profession
  4. Branch of philosophy dealing with value relating to human conduct with respect to the goodness and badness of the motives and ends of such actions

 

Ans: B

 

 

 

  1. Which of the following had the greatest impact on average life expectancy in the US between 1900 and 2000?

 

  1. Vaccinations for infectious diseases
  2. Improvements in sanitation and hygiene
  3. Advances in medical care technology
  4. Health education

 

Ans: B

 

 

 

  1. Which of the following pairs of values are most likely to conflict during a response to a public health emergency?

 

  1. Truth-telling versus justice
  2. Beneficence versus justice
  3. Individual autonomy versus community welfare
  4. Community welfare versus truth-telling

 

Ans: C

 

 

 

True or False

 

 

 

  1. The Public Health Code of Ethics is an exhaustive set of health principles that should be held by people in the public health discipline

 

Ans: False

 

 

 

  1. The Cholera epidemic of the 1854 afflicted poverty stricken individuals more than affluent individuals.

 

Ans: False

File: chap03, Chapter 3.

 

 

 

Multiple Choice

 

 

 

  1. The total level of health expenditures for health and medical care services in the United States for 2010 is closest to which of these figures?

 

  1. $750 million
  2. $750 billion
  3. $2.5 trillion
  4. $7.5 trillion

 

Ans: C

 

 

 

  1. All of the following comparisons of the US and Canadian health care systems are true EXCEPT:

 

  1. the percentage of the national GDP devoted to health care is higher in the US
  2. the percentage of people who are uninsured is higher in the US.
  3. fees for physician services are higher in the US.
  4. life expectancy is greater in the US.

 

Ans: D

 

 

 

  1. What major public health intervention strategy has the purpose of eliminating or reducing exposure to harmful factors by modifying human behavior?

 

  1. heath promotion
  2. emergency medical services
  3. health monitoring
  4. environmental scanning

 

Ans: A

 

 

 

  1. Medical services (including clinical preventive services such as immunizations and screening tests) account for what share of the 30-year increased life expectancy achieved for Americans between 1900 and 2000?

 

  1. 1 year
  2. 5 years
  3. 15 years
  4. 25 years

 

Ans: B

 

 

 

  1. Which of the following were the two over-arching goals of Healthy People 2010?

 

  1. increase access to preventive services and increase the span of healthy life
  2. reduce health disparities and increase immunization rates for all age groups
  3. increase the quality and years of healthy life and reduce health disparities
  4. increase immunization rates for all age groups and increase access to preventive services

 

Ans: C

 

 

 

  1. Health care expenditures in the United States increased from $12.7 billion in 1950 to over $2.5 trillion in 2010. About what proportion of the gross national product was spent on health care in 2010?

 

  1. 6 percent
  2. 10 percent
  3. 12 percent
  4. 16 percent

 

Ans: D

 

 

 

  1. Appropriate considerations for implementation of a screening test include all the following EXCEPT:

 

  1. cost of screening test
  2. efficacy of treatment
  3. the physician’s familiarity with the disease
  4. potential adverse effects of screening test

 

Ans: C

 

 

 

  1. Early detection of disease and interventions to reverse, halt, or at least slow the progression of a condition, often performed when disease is not yet symptomatic, is a description of:

 

  1. primary prevention
  2. secondary prevention
  3. tertiary prevention
  4. none of the above

 

Ans: B

 

 

 

  1. Important factors shaping health policy in the United States include all of the following EXCEPT:

 

  1. federalism
  2. pluralism
  3. socialism
  4. incrementalism

 

Ans: C

 

 

 

  1. Immunizations fall into what category of disease prevention?

 

  1. primary prevention
  2. secondary prevention
  3. tertiary prevention
  4. none of the above

 

Ans: A

 

 

 

  1. The approximate percentage of all health and medical care expenditures in the United States spent on clinical preventive and public health services is:

 

  1. 25-30 percent
  2. 15-20 percent
  3. 5-10 percent
  4. less than 5 percent

 

Ans: D

 

 

 

  1. Principal findings of the United States Preventive Services (USPS) Task Force include all the following EXCEPT:

 

  1. acute care visits are an appropriate setting for preventive services
  2. interventions that address personal health behavior are among the most effective
  3. more data and research are necessary to assess the effectiveness of various preventive services
  4. screening tests should be applied uniformly

 

Ans: D

 

 

 

  1. The difference between primary and secondary prevention of disease is:

 

  1. Primary prevention focuses on control of causal factors, while secondary prevention focuses on control of symptoms.
  2. Primary prevention focuses on control of acute disease, while secondary prevention focuses on control of chronic disease.
  3. Primary prevention focuses on control of causal factors, while secondary prevention focuses on early detection and treatment of disease.
  4. Primary prevention focuses on increasing resistance to disease, while secondary prevention focuses on decreasing exposure to disease.

 

Ans: C

 

 

 

  1. The two largest categories of expenditures for national health expenditures in the US are:

 

  1. Hospitals and nursing homes
  2. Physicians and hospitals
  3. Public health and physicians
  4. Hospitals and pharmaceuticals

 

Ans: B

 

 

 

  1. Which of the following statements accurately describes the financing of health care in the US?

 

  1. Public health services represent approximately one-half of the total expenditures for health care.
  2. Health care expenditures as a percentage of GDP have remained stable within the range of 5%-8% since the 1970s.
  3. Medicare funds most of the services received by the elderly living in institutional long term care facilities.
  4. Medicaid is a Federal-State partnership which covers some health care and related services for low income individuals who are elderly, blind, or disabled.

 

Ans: D

 

 

 

  1. When a person is healthy, without signs and symptoms of disease, illness or injury, the level of prevention most appropriate would be:

 

  1. Primary prevention
  2. Secondary prevention
  3. Tertiary prevention
  4. No prevention is needed

 

Ans: A

 

 

 

  1. Public health authorities argue that the current focus of the US health system is on tertiary prevention. Such a focus would be most likely to produce which of the following outcomes:

 

  1. Minimize overall prevalence of a disease or condition in the population.
  2. Minimize overall financial expenditure for treatment of a disease or condition.
  3. Minimize the cost of lost wages from a disease or condition.
  4. Minimize or delay mortality from a disease or condition.

 

Ans: D

 

 

 

True or False

 

 

 

  1. Private insurance in the US pays for more than one-half of all national expenditures.

 

Ans: False

 

 

 

  1. By the year 2025, non-Hispanic whites will comprise less than one-half of the of the total US population.

 

Ans: False

 

 

 

  1. The majority of the uninsured population in the US in 2010 fall below 100% of the federal poverty level.

 

Ans: False