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UWF MPH Comp Exam Review 2023 with complete solution LATEST UPDATE
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UWF MPH Comp Exam Review 2023 withcomplete solution LATEST UPDATE
The substance of public health, its core functions, and its essential services must
integrate in the framework of public health performance. Assessment if one of the core
functions of public health as declared by the Institute of Medicine. Which of the
following activities will be considered in meeting the essential public health services of
this core function?
A. Assessment of community health needs
B. Investigation of health hazards and effects
C. Analysis of disease risk factors
D. a and c only
E. All of the above - -E. All of the above
-The Institute of Medicine, in The Future of Public Health landmark release on the
mission and vision of public health, stated categorically that "assurance" is one of the
core functions of public health. As a public health professional assigned to a local health
department to direct a newly-created unit for public health service assurance, which of
the following should you expect to be included among your areas of responsibility?
A. Management resources
B. Implementation of programs
C. Planning and developing policies
D. a and b only
E. All of the above - -D. a and b only
-The lessons from the state of California's Tobacco Taxation Program are indicative of
the essential role of policy in disease prevention and health promotion. In 1988,
Californian Proposition 99 placed a 25 cent tax on cigarette packaging ($90 million per
year to change social norms/behavior). Ten years later (1999), there had been a 27%
,reduction in smoking and a 19% decrease in lung cancer death rates in the state.
Therefore, governmental policies such as taxing tobacco to reduce tobacco smoking
among youths who are most sensitive to price increases are essential for the
improvement of population health. Policy development as a core function of public
health embraces all of the following activities except:
A. Advocating for community needs and issues
B. Prioritizing health needs
C. Planning and developing policies
D. Evaluating programs
E. None of the above - -D. Evaluating programs
-Public health achievement in the 21st century includes motor vehicle safety. During
1925 there were 18 deaths per million vehicle miles traveled (VMT) and in 1997 there
were 1.7 deaths per million VMT. The decrease in motor vehicle deaths can be attributed
primarily to the public health focus on:
A. Improvements in vehicle safety features
B. Public education on the importance of safety belts
C. Enforcement of traffic laws
D. Improved streets and highways
E. All of the above - -E. All of the above
-In 1990, more than 30% of all deaths occurred among children younger than 5 years
old, primarily from infectious diseases. Today, that thought it staggering. Public health
initiatives such as immunizations, improved sanitation, clean water, and improved food
safety have virtually eliminated myriad infectious diseases, including typhoid and
cholera- two major causes of illness and death early in the 20th century. Which of the
following conditions resulted in safe and healthier food?
A. Refrigeration
B. Pasteurization
,C. Healthier animal care, feeding, and processing
D. Improved food supply safety
E. All of the above - -E. All of the above
-Compared with the 1900s, average life span has increased in the United States as the
direct result of public health initiatives such as vaccinations, sanitation, chlorination,
motor vehicle and workplace safety, and improving people's awareness of the
importance of health lifestyle choices. Which of the following are considered the broad
health issues of public health today?
A. Preventing and controlling disease
B. Keeping our environment clean, healthy, and safe
C. Promoting good health practices
D. All of the above
E. None of the above - -D. All of the above
-Clinicians may examine men who are diabetic more often or more thoroughly than
men who are not. If this observation is accurate, and if an association is observed
between erectile dysfunction (ED) and diabetes mellitus in men, the association may be
due to which of the following bias?
a. Misclassification bias
b. Recall bias
c. Surveillance bias
d. Interviewer bias
e. None of the above - -C. Surveillance bias
, -If the relative risk in all subjects differs from the relative risk in the subjects stratified
by BMI, which of the following statements may explain this observation?
A. BMI itself is a factor in type II DM
B. BMI is related to exercise
C. BMI is a confounder
D. All of the above
E. None of the above - -D. All of the above
-The incidence rate of chronic obstructive pulmonary disease (COPD) in those who
smoke is 400 per 10,000 person-years; in those who are exposed to air pollution, it is
200; and in those with neither exposure, it is 40. Estimate the incidence rate in those
with both exposure, assuming an additive model.
A. 560 per 10,000 person-years
B. 640 per 10,000 person-years
C. 600 per 10,000 person-years
D. 240 per 10,000 person-years
E. 440 per 10,000 person-years - -A. 560 per 10,000 person-years
Using the additive model:
(baseline rate) + (rate in those with smoke minus the baseline rate) + (rate in those
exposed to air pollution minus the baseline rate)
40+360+160 = 560 per 10,000 person-years
-Assuming that smoke and air pollution exert independent effects on COPD in question
10**, rendering this joint effect multiplicative, calculate the joint effects of these two
variables in the multiplicative model.
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