1. C.Q. was recently exposed to group A hemolytic Streptococcus and subsequently developed a phar
3 3 3 3 3 3 3 3 3 3 3 3 3
yngeal infection. His clinic examination reveals an oral temperature of 102.3°F, skin rash, dysphag
3 3 3 3 3 3 3 3 3 3 3 3 3
ia, and reddened throat mucosa with multiple pustules. He complains of sore throat, malaise, and jo
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
int stiffness. A throat culture is positive for Streptococcus, and antibiotics have been prescribed. Th
3 3 3 3 3 3 3 3 3 3 3 3 3 3
e etiology of C.Q.’s disease is
3 3 3 3 3
a. a sore throat. 3 3
b. streptococcal infection. 3
c. genetic susceptibility. 3
d. pharyngitis.
ANS: B 3
Etiology refers to the proposed cause or causes of a particular disease process. A sore throat is the
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
3manifestation of the disease process. Genetic susceptibility refers to inherited tendency to devel
3 3 3 3 3 3 3 3 3 3 3 3
op a disease. Pharyngitis refers to inflammation of the throat and is also a clinical manifestation o
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
f the disease process.
3 3 3
2. A 17-year-old college-
3 3
bound student receives a vaccine against an organism that causes meningitis. This is an exa
3 3 3 3 3 3 3 3 3 3 3 3 3 3
mple of 3
a. primary prevention. 3
b. secondary prevention. 3
c. tertiary prevention. 3
d. disease treatment. 3
ANS: A 3
Primary prevention is prevention of disease by altering susceptibility or reducing exposure for su
3 3 3 3 3 3 3 3 3 3 3 3 3
sceptible individuals, in this case by providing vaccination. Secondary prevention is the early
3 3 3 3 3 3 3 3 3 3 3 3
detection, screening, and management of the disease. Tertiary prevention includes rehabilitative
3 3 3 3 3 3 3 3 3 3 3 3
and supportive care and attempts to alleviate disability and restore effective functioning. Disease
3 3 3 3 3 3 3 3 3 3 3 3
3treatment involves management of the disease once it has developed.3 3 3 3 3 3 3 3 3
3. An obese but otherwise healthy teen is given a prescription for a low-
3 3 3 3 3 3 3 3 3 3 3 3
calorie diet and exercise program. This is an example of
3 3 3 3 3 3 3 3 3
a. primary prevention. 3
b. secondary prevention. 3
c. tertiary prevention. 3
d. disease treatment. 3
ANS: B 3
Secondary prevention is the early detection, screening, and management of the disease such as pr
3 3 3 3 3 3 3 3 3 3 3 3 3 3
escribing diet and exercise for an individual who has already developed obesity. Primary prevent
3 3 3 3 3 3 3 3 3 3 3 3 3
ion is prevention of disease by altering susceptibility or reducing exposure for susceptible indivi
3 3 3 3 3 3 3 3 3 3 3 3 3
duals. Tertiary prevention includes rehabilitative and supportive care and attempts to alleviate di
3 3 3 3 3 3 3 3 3 3 3 3
sability and restore effective functioning. Disease treatment involves management of the disease
3 3 3 3 3 3 3 3 3 3 3 3
once it has developed. 3 3 3
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4. A patient with high blood pressure who is otherwise healthy is counseled to restrict sodium inta
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
ke. This is an example of
3 3 3 3 3
a. primary prevention. 3
b. secondary prevention. 3
c. tertiary prevention. 3
d. disease treatment. 3
ANS: B 3
Secondary prevention is the early detection, screening, and management of the disease, such as
3 3 3 3 3 3 3 3 3 3 3 3 3
by prescribing sodium restriction for high blood pressure. Primary prevention is prevention of dis
3 3 3 3 3 3 3 3 3 3 3 3 3 3
ease by altering susceptibility or reducing exposure for susceptible individuals. Tertiary preventio
3 3 3 3 3 3 3 3 3 3 3
n includes rehabilitative and supportive care and attempts to alleviate disability and restore effecti
3 3 3 3 3 3 3 3 3 3 3 3 3
ve functioning. Disease treatment involves management of the disease once it has developed.
3 3 3 3 3 3 3 3 3 3 3 3
5. After suffering a heart attack, a middle-aged man is counseled to take a cholesterol-
3 3 3 3 3 3 3 3 3 3 3 3 3
lowering medication. This is an example of 3 3 3 3 3 3
a. primary prevention. 3
b. secondary prevention. 3
c. tertiary prevention. 3
d. disease treatment. 3
ANS: C 3
Tertiary prevention includes rehabilitative and supportive care and attempts to alleviate disability
3 3 3 3 3 3 3 3 3 3 3
3and restore effective functioning such as prescribing a cholesterol-
3 3 3 3 3 3 3 3
lowering medication following a heart attack. Primary prevention is prevention of disease by alte
3 3 3 3 3 3 3 3 3 3 3 3 3
ring susceptibility or reducing exposure for susceptible individuals. Secondary prevention is the
3 3 3 3 3 3 3 3 3 3 3 3
early detection, screening, and management of the disease. Disease treatment involves managem
3 3 3 3 3 3 3 3 3 3 3
ent of the disease once it has developed.
3 3 3 3 3 3 3
6. A patient has been exposed to meningococcal meningitis, but is not yet demonstrating signs of this
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
disease. This stage of illness is called the3 3 3 3 3 3 3 3 3 stage.
a. prodromal
b. latent
c. sequela
d. convalescence
ANS: B 3
Incubation refers to the interval between exposure of a tissue to an injurious agent and the first ap
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
pearance of signs and symptoms. In infectious diseases, this period is often called the incubation (
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
latent) period. Prodromal refers to the appearance of the first signs and symptoms indicating the
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
onset of a disease. These are often nonspecific, such as headache, malaise, anorexia, and nausea,
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
which are associated with a number of different diseases. Sequela refers to subsequent pathologi
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c condition resulting from a disease. Convalescence is the stage of recovery after a disease, injury
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
, or surgical operation.
3 3 3
7. A disease that is native to a particular region is called
3 3 3 3 3 3 3 3 3 3
a. epidemic.
b. endemic.
c. pandemic.
d. ethnographic.
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