PHC 6003 Final Exam questions with correct answers
In 2000 and at five-year review in 2005, which diseases are not
mentioned. Correct Answer-Cardiovascular disease and other chronic
diseases
In 2000 and at five-year review in 2005, what are the 3 of 8 focused on
health Correct Answer-Reduce child mortality.
Improve maternal maternity. Prevent the spread of HIV/AIDS and other
diseases
Myths about Cardiovascular Disease in Developing Countries Correct
Answer-CVD affects only men
CVD only affects older people
CVD only affects the rich.
A CVD epidemic is inevitable.
CVD prevention programs are not affordable.
Factors influencing the epidemiologic transition Correct Answer-
Urbanization
Industrialization
Affluence (disposable income)
Commerce
Education
Public health technology
Medical technology
,thrifty genotype Correct Answer-genes that promoted storage of energy
as fat and considered advantageous to survival during famine are
detrimental now because of access to calorie-rich foods.
Thrifty genotype increases the risk of ? Correct Answer-Metabolic
syndrome and CVD
Global View of Heart Disease and Stroke in 21st Century Correct
Answer-Cardiovascular Disease is the leading cause of death worldwide
Leading cause in developed countries for >50 years
Leading cause in developing countries since late 1990's
True/Flase: 85% of CVD death and disability occurs in low-and-middle-
income countries. Correct Answer-True
Explanations for CVD Trends in the U.S. Since 1990 Correct Answer-
Continued improvements in secondary prevention
Inability of health care system to provide e;ective primary prevention
Stagnation of public health campaigns to reduce deleterious health
behaviors
Trends of smoking in the U.S. Since 1990* Correct Answer-stable at
25% of adults
,TRENDS IN HYPERTENSION DETECTION, TREATMENT, AND
CONTROL SINCE 1990 Correct Answer-STABLE OR MODESTLY
IMPROVED
DIABETES PREVALENCE SINCE 1990 Correct Answer-
INCREASED 14% TO 28%
TRENDS OF PHYSICAL ACTIVITY SINCE 1990 Correct Answer-
40% OF ADULTS ARE SEDENTARY AND ONLY 26% ARE
REGULARLY ACTIVE
TRENDS IN DIETARY IN CHOLESTEROL AND SATURATED
FAT SINCE 1990 Correct Answer-REDUCED
TRENDS IN CARBOHYDRATES (+23%) AND CALORIES SINCE
1990 Correct Answer-INCREASED
TRENDS OF OBESITY SINCE 1990 Correct Answer-IN EPIDEMIC
PROPORTIONS
T/F: Chronic disease burdens are the same between countries and
regions, with di;erences explained by the epidemiologic transition.
Correct Answer-F
T/F: Large incidences in cardiovascular and other chronic diseases are
expected in low income countries, explained by many factors. Correct
Answer-T
, T/F: Cardiovascular disease burdens in US enjoyed constant declines up
to 2010, but the mortality rates and number of deaths have leveled o;.
Correct Answer-T
Reasons To Believe Some Countries Will Be Quickly and Severely
Affected by Cardiovascular Disease Correct Answer-Rapid growth in
population aged 60+ years.
Thrifty phenotype:
High prevalences of hypertension, smoking, diabetes result in rapid rise
in CVD with increases in blood lipid levels.
T/F: In utero or early childhood deprivation predisposes persons to
metabolic syndrome and CVD. Correct Answer-T
T/F: The impact of hypertension, diabetes, and smoking remain
unchanged in setting of low LDL-C (e.g. Asia-Paci6c, Caribbean) as
compared to normal to high LDL-Cs Correct Answer-F ( Reduced
impact)
T/F: The effect of LDL-C is potentiated in presence of hypertension,
diabetes, and smoking (Eastern Europe) Correct Answer-T
T/F: Disease profiles in low LDL-C societies was not impacted by
hypertension, diabetes, smoking. Correct Answer-F (still negatively
impacted)
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