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· Question 1
0 out of 2 points
The chi-square statistic is often used in behavioral data to test
for relationships between variables. This procedure is based on
the null hypothesis of no association or independence. Which of
the following statements is incorrect regarding this analytic
technique?
· Question 2
2 out of 2 points
Multiple logistic regression analysis applies when there is a
single dichotomous outcome and more than one independent
variable.
· Question 3
2 out of 2 points
For a two-tailed test using z values at the 5% significance level
we reject H0:
· Question 4
0 out of 2 points
Which of the following measures is least affected by extreme or
outlying values in a dataset?
· Question 5
0 out of 2 points
What is the first summary statistic for a continuous variable?
· Question 6
0 out of 2 points
The following are HDL levels measured in healthy females.
60 63 60 58 60 70 54 72 8
0 75 78 77
Calculate the range
· Question 7
2 out of 2 points
What is the median blood glucose level of the following data set
collected from 8 individuals: 89, 95, 99, 102, 107, 108, 111, and
119?
· Question 8
0 out of 2 points
Which of the following types of bias is most commonly
associated with a case-control study?
· Question 9
0 out of 2 points
A study is designed to evaluate the impact of a daily
multivitamin on students’ academic performance. One hundred
sixty students are randomly assigned to receive either the
multivitamin or a placebo and are instructed to take the
assigned drug daily for 20 days. On day 20, each student takes a
standardized exam and the mean exam scores are compared
between groups. This study is an example of a
· Question 10
0 out of 2 points
Which of the following is true about a positively skewed
distribution of data?
· Question 11
0 out of 2 points
Which of the following types of mutation describes a point
mutation?
· Question 12
2 out of 2 points
“Agent Orange” was used in Vietnam by the U.S. military as a:
· Question 13
2 out of 2 points
Health consequences of secondhand tobacco smoke have been
persistently observed. There is biological plausibility of
exposure to secondhand smoke causing adverse
neurodevelopmental effects in children whose parents smoke.
Which of the following statements is (are) accurate concerning
the health effects of secondhand smoke?
· Question 14
2 out of 2 points
The first large-scale use of DDT occurred in Italy in 1943 when
the insecticide was used for dusting refugees in a successful
attempt to prevent an outbreak of a deadly disease spread by
body lice which frequently occurs under wartime conditions of
overcrowding and poor sanitation. What disease did DDT
prevent in this situation?
· Question 15
2 out of 2 points
About ranges of tolerance for limiting factors, which of the
following population groups is most sensitive to adverse
environmental conditions?
· Question 16
2 out of 2 points
What is the most common type of genetic mutation in humans?
· Question 17
2 out of 2 points
Which waterborne disease that is caused by a protozoan present
in the intestinal tract of both humans and wild animals may
occur among campers in wilderness areas who unwittingly
swallow pathogenic cysts when they drink unfiltered water from
mountain streams?
· Question 18
0 out of 2 points
Long-term, low-level exposure electromagnetic fields may
cause adverse health effects via “chronic” health impacts, or
otherwise influence people’s wellbeing. Scientific knowledge
about the health effects of electromagnetic fields is substantial
and is based on a large number of epidemiological, animal, and
in vitro studies. Many health outcomes have been examined.
Which of the following health outcomes have been consistently
linked with electromagnetic fields?
· Question 19
2 out of 2 points
Which of the following teratogens is associated with vaginal
cancer in girls and genital cancer in boys?
· Question 20
0 out of 2 points
What does the term “hazard” refer to?
· Question 21
2 out of 2 points
A new screening test for Lyme disease is developed for use in
the general population. The sensitivity and specificity of the
new test are 65% and 75%, respectively. Four hundred people
are screened at a clinic during the first year the new test is
implemented. Assume the true prevalence of Lyme disease
among clinic attendees is 15%. Calculate the predictive value of
a positive test.
· Question 22
2 out of 2 points
A total of 850 insulation workers employed between 1940 and
1945 was identified from the personnel records of three large
insulation manufacturing plants in the Midwestern U.S. in 1980.
During the period 1940-1980, 28 deaths from lung cancer were
discovered among the workers. Only eight lung cancer deaths,
however, were reported among a comparable group of 800
coworkers who did not work with insulation during the same
time period. The investigators had hypothesized that exposure
to the insulation material increases the risk of lung cancer.
Which epidemiology study design best represents this
description?
· Question 23
2 out of 2 points
Which of the following measures of disease burden is
determined from a screening test?
· Question 24
0 out of 2 points
An epidemiologic survey of skate board injuries in Caseville, a
city with a population of 100,000 (population size at midpoint
(mid-interval) of the year), had the following data for a given
year:
Number of skate boarders in Caseville during any
given month 9,000
Skate board injuries
in Caseville 500
Total number of residents injured from
skate boarding 1,200
Total number of deaths from
skate boarding 50
Total number of deaths from
all causes 900
The cause-specific mortality rate from skate boarding was:
· Question 25
2 out of 2 points
The major disadvantage of crude rates is that:
· Question 26
2 out of 2 points
A type of bias that occurs due to measurement error in
assessment of both exposure and disease is:
· Question 27
2 out of 2 points
In a trial of a cytotoxic drug for lung cancer treatment, the
investigators reported 6 deaths among 60 patients treated with
this agent, compared with 15 deaths among 58 controls on
placebo. Calculate the attributable benefit of this agent in
reducing lung cancer-related mortality in this population.
· Question 28
2 out of 2 points
In a clinical trial, an important aspect of the study design often
involves the subjects not being aware of their group assignment
with regard to treatment or placebo; this technique is used to
alleviate bias in study results and is known as:
· Question 29
2 out of 2 points
A new screening test for Lyme disease is developed for use in
the general population. The sensitivity and specificity of the
new test are 65% and 75%, respectively. Four hundred people
are screened at a clinic during the first year the new test is
implemented. Assume the true prevalence of Lyme disease
among clinic attendees is 15%. Calculate the predictive value of
a negative test.
· Question 30
2 out of 2 points
In a case-control study of osteoporosis, 150 women were
enrolled as cases and an equal number as controls. Among the
cases 50 reported low calcium intake, while only 20 of the
controls reported low calcium intake. Calculate the odds ratio in
the association between low calcium intake and developing
osteoporosis in this population.
· Question 31
0 out of 2 points
All of the following are commonly used to address quality
chasms in healthcare except:
· Question 32
0 out of 2 points
You are part of a state health department performance
management team tasked to evaluate the effectiveness of local
public health departments statewide. Which of the following
planning tools are you most likely to use to guide your
performance measurements?
· Question 33
0 out of 2 points
The first ancient people to implement widespread use of public
health practices were the
· Question 34
0 out of 2 points
While some skills overlap, it is commonly agreed that
leadership and management are distinct functions that require
different skill sets. This is true in public health as well as in
private industry. You are the director of a large voluntary health
agency. Which one of the following activities are you likely to
perform in your role as the leader of the organization? (Note:
differentiate this activity from those normally performed by
managers.)
· Question 35
2 out of 2 points
You are the recreation director at a large inner city. You notice
a dramatic drop in attendance in a usually popular aerobics
class shortly after hiring a new instructor. You interview the
dropouts who inform you they don’t like the calisthenics-like
exercise routines the new instructor, a former Marine Corps PT
trainer, uses in the class. This is an example of what type of
program evaluation?
· Question 36
0 out of 2 points
Public health infrastructure can be measured in part by:
· Question 37
0 out of 2 points
Which of the following national public health interventions for
the primary prevention of tobacco use is likely to have the
greatest effect?
· Question 38
2 out of 2 points
The Healthy People initiative was introduced in 1979 as a/an:
· Question 39
2 out of 2 points
In an attempt to increase diversity in your local public health
department workforce you decide to obtain more information
from candidates than merely their skills and experience. Which
of the following questions can you legally ask in a face-to-face
job interview when the information is not provided on the
application?
· Question 40
2 out of 2 points
The FDA functions as the nation’s largest consumer protection
agency. Among its activities, it investigates and regulates the
efficacy and safety of:
· Question 41
2 out of 2 points
The United States spends significantly more on annual per
capita health care costs than other industrialized countries but
has only a mediocre life expectancy rate of its citizens. Which
of the following statements best describes the implication of
this finding?
· Question 42
2 out of 2 points
In the Genesis account of the fall, Eve decides to eat the fruit
offered by the serpent after mentally rehearsing the
benefits: “So when the woman saw that the tree was good for
food, and that it was a delight to the eyes, and that the tree was
to be desired to make one wise, she took of its fruit and ate, and
she also gave some to her husband who was with her, and he
ate” (Gen. 3:6). According to the PRECEDE Model, Eve was
identifying __________ factors of her action.
· Question 43
2 out of 2 points
Which of the following statements is true about the PRECEDE-
PROCEED Model?
· Question 44
0 out of 2 points
“Upstream” public health interventions are typically more
effective than “downstream” ones in mitigating a health
problem. All but one of the following are examples of
“upstream” public health approaches. Which one is it?
· Question 45
2 out of 2 points
Sam wants to maintain a consistent practice of Bible study and
prayer. He has tried doing regular devotions a few times, but
just can’t seem to stay with them. He is now looking for study
resources that might help in stay on track. Which stage of the
Transtheoretical Model of Change is Sam in?
· Question 46
2 out of 2 points
An investigator is interested in a behavioral intervention that
will increase self-efficacy in participants. In which of the
following conditions will self-efficacy be an effective
intervention tool in reducing risky behavior and maintaining
healthful behavior?
· Question 47
2 out of 2 points
Which statement and its example is not true about self-efficacy
as it relates to behavior change?
· Question 48
2 out of 2 points
As a health education specialist for a large national voluntary
health agency, you are charged with promoting a new internet-
based screening tool for breast cancer risk. It has already been
beta tested and the research has been promising; now the agency
wants to go public with it and encourage its use by the priority
population of at risk women in America. Using diffusion theory
as your guide, you choose to focus your initial promotional
efforts on:
· Question 49
0 out of 2 points
Which part of a SMART objective is missing from the following
learner outcome statement? Use the ABCDE model to guide
your response. “By the end of the class on behavioral theory,
students will accurately recall the stages of change in proper
order, measured by a quiz.”
· Question 50
0 out of 2 points
Exam
Which one of the following is not associated with the
PROCEED stage of the PRECEDE-PROCEED Model?
· Question 1
0 out of 2 points
What is the most appropriate graphical display for an ordinal
variable?
· Question 2
2 out of 2 points
A new non-invasive screening test is proposed that is claimed to
be able to identify patients with impaired glucose tolerance
based on a battery of questions related to health behaviors. The
new test is given to 75 patients. Based on each patient’s
responses to the questions they are classified as positive or
negative for impaired glucose tolerance. Each patient also
submits a blood sample and their glucose tolerance status is
determined. The results are tabulated below.
Screening Test
Impaired Glucose Tolerance
Not Impaired
Positive
17
13
Negative
8
37
What is the sensitivity of the screening test?
· Question 3
2 out of 2 points
Which of the following is true concerning confounding?
· Question 4
0 out of 2 points
With a binomial distribution with n = 25 and p = 0.48, which is
larger?
· Question 5
0 out of 2 points
An experiment is designed to investigate the impact of different
positions of the mother during ultrasound on fetal heart rate.
Fetal heart rate is measured by ultrasound in beats per minute.
The study includes 20 women who are assigned to one position
and have the fetal heart rate measured in that position. Each
woman is between 28 and 32 weeks gestation.
Source of variation
Sums of Squares (SS)
Degrees of Freedom (df)
Mean Squares (MS)
F
F Critical
Between treatments
96.2
3
32.1
4.7
3.24
Error or residual
110.8
16
6.9
Total
207.0
19
Based on the ANOVA results above which of the following is
the correct conclusion?
· Question 6
2 out of 2 points
The following are advantages of a prospective cohort study,
except:
· Question 7
2 out of 2 points
Five hundred people are enrolled in a 10-year cohort study. At
the start of the study, 50 have diagnosed CVD. Over the course
of the study, 40 people who were free of CVD at baseline
develop CVD. What is the cumulative incidence of CVD over 10
years?
· Question 8
0 out of 2 points
The following are HDL levels measured in healthy females.
60 63 60 58 60 70 54 72 8
0 75 78 77
Calculate the mean
· Question 9
2 out of 2 points
Which of the following measures is least affected by extreme or
outlying values in a dataset?
· Question 10
2 out of 2 points
A simple random sample of 25,000 individuals are surveyed to
determine the prevalence of individuals that contracted the flu
in the past year. Assuming 4,250 individuals indicated they had
been diagnosed with the flu at some point in the past year, what
is the prevalence of flu for the past year, as indicated from the
survey participants?
· Question 11
2 out of 2 points
The first large-scale use of DDT occurred in Italy in 1943 when
the insecticide was used for dusting refugees in a successful
attempt to prevent an outbreak of a deadly disease spread by
body lice which frequently occurs under wartime conditions of
overcrowding and poor sanitation. What disease did DDT
prevent in this situation?
· Question 12
2 out of 2 points
Why is radon gas in homes considered a problem?
· Question 13
2 out of 2 points
The limit beyond which an environment cannot support a
population is called its:
· Question 14
0 out of 2 points
Which of the following statements about noise is false?
· Question 15
2 out of 2 points
Which of the following foodborne diseases is particularly
worrisome to public health officials because the pathogen
involved can grow quite well at temperatures considerably
lower than those within the “Danger Zone”?
· Question 16
0 out of 2 points
Health consequences of secondhand tobacco smoke have been
persistently observed. There is biological plausibility of
exposure to secondhand smoke causing adverse
neurodevelopmental effects in children whose parents smoke.
Which of the following statements is (are) accurate concerning
the health effects of secondhand smoke?
· Question 17
0 out of 2 points
Transport is the dominant means of air pollution in urban areas.
Which of the following is a (are) known source(s) of air
pollution that has been associated with transport?
· Question 18
2 out of 2 points
Which waterborne disease that is caused by a protozoan present
in the intestinal tract of both humans and wild animals may
occur among campers in wilderness areas who unwittingly
swallow pathogenic cysts when they drink unfiltered water from
mountain streams?
· Question 19
2 out of 2 points
About ranges of tolerance for limiting factors, which of the
following population groups is most sensitive to adverse
environmental conditions?
· Question 20
2 out of 2 points
Lyme disease is a newly recognized ailment transmitted by the
bite of which of these pests?
· Question 21
2 out of 2 points
The major disadvantage of crude rates is that:
· Question 22
2 out of 2 points
Based on the following data, what is the most likely infective
food that caused illness?
People Who Ate Food
People Who Did Not Eat
Food
Sick
Well
Sick
Well
Herring
200
800
100
900
Oysters
300
700
400
600
Spinach
200
800
500
500
Chicken
650
350
100
900
· Question 23
2 out of 2 points
A total of 850 insulation workers employed between 1940 and
1945 was identified from the personnel records of three large
insulation manufacturing plants in the Midwestern U.S. in 1980.
During the period 1940-1980, 28 deaths from lung cancer were
discovered among the workers. Only eight lung cancer deaths,
however, were reported among a comparable group of 800
coworkers who did not work with insulation during the same
time period. The investigators had hypothesized that exposure
to the insulation material increases the risk of lung cancer.
Which epidemiology study design best represents this
description?
· Question 24
2 out of 2 points
A major health insurance company is considering nationwide
implementation of a test using biomarkers to screen for colon
cancer. The test is delivered in health clinics in two similar
regions of the country, with the following results:
Region A
Region B
Sensitivity
73%
84%
Specificity
86%
97%
What is the most likely cause of the difference in the test’s
sensitivity and specificity between the two regions?
· Question 25
0 out of 2 points
In women with deep venous thrombosis (DVT), a case-control
study was conducted to test the association between DVT and
past exposure to oral contraceptive (OC) use. Based on the data
below, what is the unadjusted odds of exposure to OC use
among the cases of women with DVT compared to that among
the controls without DVT?
Oral Contraceptive Use Cases
of DVT Controls
Yes 67
23
No 108
152
Total 175
175
· Question 26
2 out of 2 points
Examples of descriptive epidemiologic studies do not usually
include:
· Question 27
0 out of 2 points
An investigator wants to assess whether smoking is a risk factor
for bladder cancer. Electronic medical records at a city hospital
will be used to identify one hundred patients with pancreatic
cancer. Two hundred patients who are similar but free of
bladder cancer will also be selected. Each participant’s medical
record will be analyzed for smoking history. Which of the
following is not true about this study?
· Question 28
2 out of 2 points
Which of the following measures of disease burden is
determined from a screening test?
· Question 29
2 out of 2 points
In a clinical trial, an important aspect of the study design often
involves the subjects not being aware of their group assignment
with regard to treatment or placebo; this technique is used to
alleviate bias in study results and is known as:
· Question 30
0 out of 2 points
A new screening test for Lyme disease is developed for use in
the general population. The sensitivity and specificity of the
new test are 65% and 75%, respectively. Four hundred people
are screened at a clinic during the first year the new test is
implemented. Assume the true prevalence of Lyme disease
among clinic attendees is 15%. Calculate the predictive value of
a positive test.
· Question 31
0 out of 2 points
While some skills overlap, it is commonly agreed that
leadership and management are distinct functions that require
different skill sets. This is true in public health as well as in
private industry. You are the director of a large voluntary health
agency. Which one of the following activities are you likely to
perform in your role as the leader of the organization? (Note:
differentiate this activity from those normally performed by
managers.)
· Question 32
0 out of 2 points
Which of the following national public health interventions for
the primary prevention of tobacco use is likely to have the
greatest effect?
· Question 33
2 out of 2 points
When you are working to identify social determinants of
maternal health in a priority population, you are primarily
operating in the essential public health service area of:
· Question 34
2 out of 2 points
The epidemiologic transition of mortality from communicable to
noncommunicable diseases that occurred in the 18th-19th
centuries, was mainly the result of widespread application of
· Question 35
2 out of 2 points
A sentinel health event is one in which public health alarm is
triggered by:
· Question 36
0 out of 2 points
Ancient Israel’s health code, as stated in the biblical book of
Leviticus, is an example of an __________ intervention at the
community level.
· Question 37
2 out of 2 points
Your community health coalition is applying for a grant to
address social determinants of health in your neighborhood.
Which of the following would not be appropriate to include in
the application because it is not an example of a social
determinant of health?
· Question 38
2 out of 2 points
You are the recreation director at a large inner city. You notice
a dramatic drop in attendance in a usually popular aerobics
class shortly after hiring a new instructor. You interview the
dropouts who inform you they don’t like the calisthenics-like
exercise routines the new instructor, a former Marine Corps PT
trainer, uses in the class. This is an example of what type of
program evaluation?
· Question 39
0 out of 2 points
Geographical Information System (GIS) mapping has become an
indispensable tool in public health needs assessment and
intervention evaluation. It typically analyzes and integrates all
of the following types of data into a digital display except:
· Question 40
0 out of 2 points
In an attempt to increase diversity in your local public health
department workforce you decide to obtain more information
from candidates than merely their skills and experience. Which
of the following questions can you legally ask in a face-to-face
job interview when the information is not provided on the
application?
· Question 41
0 out of 2 points
Which of the following theoretical models is likely to help the
most in moving an innovation across the social chasm defined in
diffusion theory?
· Question 42
2 out of 2 points
To be a culturally competent public health professional with a
diverse priority population, you must:
· Question 43
2 out of 2 points
Sam wants to maintain a consistent practice of Bible study and
prayer. He has tried doing regular devotions a few times, but
just can’t seem to stay with them. He is now looking for study
resources that might help in stay on track. Which stage of the
Transtheoretical Model of Change is Sam in?
· Question 44
2 out of 2 points
You wish to expand a new exercise program offered as part of
the women’s ministry of your church. The most effective
communication channel to influence attitudesabout participating
is:
· Question 45
2 out of 2 points
You are planning a weight control program in your church. You
have assessed the need and interest; you have identified
program goals and outcomes; you have selected resources and
materials; all you have left to do is plan the evaluation. You
choose several measures of process evaluation, some of which
are listed below. Which one of the following would not
be a measure of process evaluation for the program?
· Question 46
0 out of 2 points
“Upstream” public health interventions are typically more
effective than “downstream” ones in mitigating a health
problem. All but one of the following are examples of
“upstream” public health approaches. Which one is it?
· Question 47
2 out of 2 points
You are a health counselor in an employee wellness program. In
your intake interviews with employees joining the program, you
identify many cigarette smokers who have never seriously
considered quitting. Which of the following theoretical
frameworks would be most effective in moving them from the
precontemplation to contemplation stage of the Transtheoretical
Model of Change?
· Question 48
2 out of 2 points
Which one of the following is associated with the PROCEED
stage of the PRECEDE-PROCEED Model?
· Question 49
0 out of 2 points
You are a health educator in a local public health agency. The
principal of a local high school has noticed an increase in
cigarette smoking among its students and has appealed to the
county school board for help. At a school board meeting, the
superintendent asks you for ideas on how to mitigate the
problem. One week later you submit your suggestions, all of
which are shown in the responses below. Which of these is most
likely to have the greatest deterrent effect on smoking among
students in the high school?
· Question 50
2 out of 2 points
An investigator is interested in a behavioral intervention that
will increase self-efficacy in participants. In which of the
following conditions will self-efficacy be an effective
intervention tool in reducing risky behavior and maintaining
healthful behavior?
Exam 3
· Question 1
0 out of 2 points
A study is run to estimate the mean Systolic Blood Pressure
level in adults 60 to 80 years of age. A sample of 10
participants is selected and their Systolic Blood Pressure levels
are measured as follows.
125 135 160 146 135 140 154 170 11
0 140
Compute Quartiles 1 and 3
· Question 2
0 out of 2 points
Which of the following is true about a positively skewed
distribution of data?
· Question 3
0 out of 2 points
Which of the following types of bias is most commonly
associated with a case-control study?
· Question 4
0 out of 2 points
What is the most appropriate graphical display for an ordinal
variable?
· Question 5
2 out of 2 points
A new non-invasive screening test is proposed that is claimed to
be able to identify patients with impaired glucose tolerance
based on a battery of questions related to health behaviors. The
new test is given to 75 patients. Based on each patient’s
responses to the questions they are classified as positive or
negative for impaired glucose tolerance. Each patient also
submits a blood sample and their glucose tolerance status is
determined. The results are tabulated below.
Screening Test
Impaired Glucose Tolerance
Not Impaired
Positive
17
13
Negative
8
37
What is the false positive fraction of the screening test?
· Question 6
2 out of 2 points
A researcher suspects that the actual prevalence of generalized
anxiety among children and adolescents is higher than the
previously reported prevalence of generalized anxiety disorder
among children and adolescents. The previously reported
prevalence of generalized anxiety disorder among children and
adolescents is 3.9%, and the researcher conducts a study to test
the accuracy of the previously reported prevalence of
generalized anxiety disorder by recruiting 98 children and
adolescents from various pediatricians’ offices and tests them
for generalized anxiety disorder using the DSM-5. The
researcher determines that the prevalence of generalized anxiety
disorder among the participants of the study is 6.1%. For a level
of significance of 5%, what should the researcher’s decision
rule look like?
· Question 7
2 out of 2 points
What is the first summary statistic for a continuous variable?
· Question 8
0 out of 2 points
The following are advantages of a prospective cohort study,
except:
· Question 9
0 out of 2 points
A school district has a population of 2,000 students. A
researcher intends to select a small sample of these students for
a study on physical activity. Using a simple random sampling
technique, what is the probability that any of the students in the
school is selected into the sample?
· Question 10
2 out of 2 points
Multiple logistic regression analysis applies when there is a
single dichotomous outcome and more than one independent
variable.
· Question 11
2 out of 2 points
About ranges of tolerance for limiting factors, which of the
following population groups is most sensitive to adverse
environmental conditions?
· Question 12
2 out of 2 points
Which of the following would be a likely target of public health
efforts to control breeding of the Asian tiger mosquito?
· Question 13
2 out of 2 points
Long-term, low-level exposure electromagnetic fields may
cause adverse health effects via “chronic” health impacts, or
otherwise influence people’s wellbeing. Scientific knowledge
about the health effects of electromagnetic fields is substantial
and is based on a large number of epidemiological, animal, and
in vitro studies. Many health outcomes have been examined.
Which of the following health outcomes have been consistently
linked with electromagnetic fields?
· Question 14
2 out of 2 points
Why is radon gas in homes considered a problem?
· Question 15
2 out of 2 points
Transport is the dominant means of air pollution in urban areas.
Which of the following is a (are) known source(s) of air
pollution that has been associated with transport?
· Question 16
0 out of 2 points
Which of the following is not one of the basic steps involved in
risk assessment?
· Question 17
0 out of 2 points
Dioxin is chemically related to polychlorinated biphenyls
(PCBs) and other chlorinated hydrocarbons. All the following
are correct about dioxins, except:
· Question 18
2 out of 2 points
In the food chain, which of the following is a (are) producer(s)?
· Question 19
2 out of 2 points
Lyme disease is a newly recognized ailment transmitted by the
bite of which of these pests?
· Question 20
2 out of 2 points
Cigarette smoking is the most common cause of lung cancer.
The second leading cause of lung cancer is:
· Question 21
2 out of 2 points
An investigator wants to assess whether smoking is a risk factor
for bladder cancer. Electronic medical records at a city hospital
will be used to identify one hundred patients with pancreatic
cancer. Two hundred patients who are similar but free of
bladder cancer will also be selected. Each participant’s medical
record will be analyzed for smoking history. Which of the
following is not true about this study?
· Question 22
0 out of 2 points
In women with deep venous thrombosis (DVT), a case-control
study was conducted to test the association between DVT and
past exposure to oral contraceptive (OC) use. Based on the data
below, what is the unadjusted odds of exposure to OC use
among the cases of women with DVT compared to that among
the controls without DVT?
Oral Contraceptive Use Cases
of DVT Controls
Yes 67
23
No 108
152
Total 175
175
· Question 23
0 out of 2 points
In the following table, which value represents “false positives”
in a screening test for diabetes?
Condition According to Gold Standard (True Diagnosis)
Screening Test Result
Positive
Negative
Total
Positive
240
25
265
Negative
15
220
235
Total
255
245
500
· Question 24
2 out of 2 points
An outbreak due to exposure of a group of persons to the same
harmful influence common to the individuals in the group is
known as:
· Question 25
0 out of 2 points
Which screening measure best represents the following
statement? Eighty percent of those with diabetes had a positive
screening test.
· Question 26
2 out of 2 points
Based on the following data, what is the most likely infective
food that caused illness?
People Who Ate Food
People Who Did Not Eat
Food
Sick
Well
Sick
Well
Herring
200
800
100
900
Oysters
300
700
400
600
Spinach
200
800
500
500
Chicken
650
350
100
900
· Question 27
0 out of 2 points
A new screening test for Lyme disease is developed for use in
the general population. The sensitivity and specificity of the
new test are 65% and 75%, respectively. Four hundred people
are screened at a clinic during the first year the new test is
implemented. Assume the true prevalence of Lyme disease
among clinic attendees is 15%. Calculate the predictive value of
a negative test.
· Question 28
0 out of 2 points
In a case-control study of osteoporosis, 150 women were
enrolled as cases and an equal number as controls. Among the
cases 50 reported low calcium intake, while only 20 of the
controls reported low calcium intake. Calculate the odds ratio in
the association between low calcium intake and developing
osteoporosis in this population.
· Question 29
2 out of 2 points
The capacity of an agent to enter and multiply in a susceptible
host and thus produce infection or disease is:
· Question 30
0 out of 2 points
Which of the following measures of disease burden is
determined from a screening test?
· Question 31
2 out of 2 points
The Healthy People initiative was introduced in 1979 as a/an:
· Question 32
0 out of 2 points
Which of the following national public health interventions for
the primary prevention of tobacco use is likely to have the
greatest effect?
· Question 33
2 out of 2 points
The CDC administers a range of programs designed to prevent
and control disease, injury, and disability risks on a national
level. Which of the following activities does it not typically do?
· Question 34
2 out of 2 points
Your community health coalition is applying for a grant to
address social determinants of health in your neighborhood.
Which of the following would not be appropriate to include in
the application because it is not an example of a social
determinant of health?
· Question 35
0 out of 2 points
Given the responsibility to create an effective public health
intervention on a limited budget, you start by exploring
evidence-based approaches to address your area of interest.
Which of the following published sources provides the best,
most trustworthy evidence?
· Question 36
0 out of 2 points
You are an MPH student intern in a local church. Part of your
assigned tasks is to research the possibility of getting a grant to
fund a new Head Start preschool program in the church. You
find out the following:
· Question 37
2 out of 2 points
Mobilizing community partnerships to identify and solve health
problems is:
· Question 38
0 out of 2 points
Public health infrastructure can be measured in part by:
· Question 39
0 out of 2 points
The FDA functions as the nation’s largest consumer protection
agency. Among its activities, it investigates and regulates the
efficacy and safety of:
· Question 40
2 out of 2 points
Geographical Information System (GIS) mapping has become an
indispensable tool in public health needs assessment and
intervention evaluation. It typically analyzes and integrates all
of the following types of data into a digital display except:
· Question 41
0 out of 2 points
To be a culturally competent public health professional with a
diverse priority population, you must:
· Question 42
2 out of 2 points
An investigator is interested in a behavioral intervention that
will increase self-efficacy in participants. In which of the
following conditions will self-efficacy be an effective
intervention tool in reducing risky behavior and maintaining
healthful behavior?
· Question 43
2 out of 2 points
“Upstream” public health interventions are typically more
effective than “downstream” ones in mitigating a health
problem. All but one of the following are examples of
“upstream” public health approaches. Which one is it?
· Question 44
0 out of 2 points
Which aspect of health is not clearly identified in the World
Health Organization’s definition of health?
· Question 45
0 out of 2 points
Which one of the following is associated with the PROCEED
stage of the PRECEDE-PROCEED Model?
· Question 46
0 out of 2 points
You wish to test the validity of a questionnaire you designed for
use with HIV patients attending a self-care educational
program. The simplest and most common way to do this is by:
· Question 47
2 out of 2 points
You are planning a weight control program in your church. You
have assessed the need and interest; you have identified
program goals and outcomes; you have selected resources and
materials; all you have left to do is plan the evaluation. You
choose several measures of process evaluation, some of which
are listed below. Which one of the following would not
be a measure of process evaluation for the program?
· Question 48
0 out of 2 points
Which statement and its example is not true about self-efficacy
as it relates to behavior change?
· Question 49
0 out of 2 points
Which part of a SMART objective is missing from the following
learner outcome statement? Use the ABCDE model to guide
your response. “By the end of the class on behavioral theory,
students will accurately recall the stages of change in proper
order, measured by a quiz.”
· Question 50
0 out of 2 points
You are providing prenatal counseling to a first time pregnant
woman who continues to smoke a few cigarettes a day even
after completing a stop smoking program. She explains that her
mother smoked during all of her pregnancies and she and her
siblings turned out fine. Which of the following constructs
should be the initial focus of your attention to help motivate
mental processing leading to her totally quitting smoking?
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Results DisplayedFeedback· Question 10 out of 2 points.docx

  • 1. Results Displayed Feedback · Question 1 0 out of 2 points The chi-square statistic is often used in behavioral data to test for relationships between variables. This procedure is based on the null hypothesis of no association or independence. Which of the following statements is incorrect regarding this analytic technique? · Question 2 2 out of 2 points Multiple logistic regression analysis applies when there is a single dichotomous outcome and more than one independent variable.
  • 2. · Question 3 2 out of 2 points For a two-tailed test using z values at the 5% significance level we reject H0: · Question 4 0 out of 2 points Which of the following measures is least affected by extreme or outlying values in a dataset?
  • 3. · Question 5 0 out of 2 points What is the first summary statistic for a continuous variable? · Question 6 0 out of 2 points The following are HDL levels measured in healthy females. 60 63 60 58 60 70 54 72 8 0 75 78 77 Calculate the range · Question 7 2 out of 2 points
  • 4. What is the median blood glucose level of the following data set collected from 8 individuals: 89, 95, 99, 102, 107, 108, 111, and 119? · Question 8 0 out of 2 points Which of the following types of bias is most commonly associated with a case-control study? · Question 9 0 out of 2 points
  • 5. A study is designed to evaluate the impact of a daily multivitamin on students’ academic performance. One hundred sixty students are randomly assigned to receive either the multivitamin or a placebo and are instructed to take the assigned drug daily for 20 days. On day 20, each student takes a standardized exam and the mean exam scores are compared between groups. This study is an example of a · Question 10 0 out of 2 points Which of the following is true about a positively skewed distribution of data? · Question 11 0 out of 2 points
  • 6. Which of the following types of mutation describes a point mutation? · Question 12 2 out of 2 points “Agent Orange” was used in Vietnam by the U.S. military as a: · Question 13 2 out of 2 points Health consequences of secondhand tobacco smoke have been persistently observed. There is biological plausibility of exposure to secondhand smoke causing adverse neurodevelopmental effects in children whose parents smoke.
  • 7. Which of the following statements is (are) accurate concerning the health effects of secondhand smoke? · Question 14 2 out of 2 points The first large-scale use of DDT occurred in Italy in 1943 when the insecticide was used for dusting refugees in a successful attempt to prevent an outbreak of a deadly disease spread by body lice which frequently occurs under wartime conditions of overcrowding and poor sanitation. What disease did DDT prevent in this situation? · Question 15 2 out of 2 points
  • 8. About ranges of tolerance for limiting factors, which of the following population groups is most sensitive to adverse environmental conditions? · Question 16 2 out of 2 points What is the most common type of genetic mutation in humans? · Question 17 2 out of 2 points Which waterborne disease that is caused by a protozoan present in the intestinal tract of both humans and wild animals may occur among campers in wilderness areas who unwittingly swallow pathogenic cysts when they drink unfiltered water from
  • 9. mountain streams? · Question 18 0 out of 2 points Long-term, low-level exposure electromagnetic fields may cause adverse health effects via “chronic” health impacts, or otherwise influence people’s wellbeing. Scientific knowledge about the health effects of electromagnetic fields is substantial and is based on a large number of epidemiological, animal, and in vitro studies. Many health outcomes have been examined. Which of the following health outcomes have been consistently linked with electromagnetic fields? · Question 19 2 out of 2 points
  • 10. Which of the following teratogens is associated with vaginal cancer in girls and genital cancer in boys? · Question 20 0 out of 2 points What does the term “hazard” refer to? · Question 21 2 out of 2 points A new screening test for Lyme disease is developed for use in the general population. The sensitivity and specificity of the new test are 65% and 75%, respectively. Four hundred people are screened at a clinic during the first year the new test is
  • 11. implemented. Assume the true prevalence of Lyme disease among clinic attendees is 15%. Calculate the predictive value of a positive test. · Question 22 2 out of 2 points A total of 850 insulation workers employed between 1940 and 1945 was identified from the personnel records of three large insulation manufacturing plants in the Midwestern U.S. in 1980. During the period 1940-1980, 28 deaths from lung cancer were discovered among the workers. Only eight lung cancer deaths, however, were reported among a comparable group of 800 coworkers who did not work with insulation during the same time period. The investigators had hypothesized that exposure to the insulation material increases the risk of lung cancer. Which epidemiology study design best represents this description?
  • 12. · Question 23 2 out of 2 points Which of the following measures of disease burden is determined from a screening test? · Question 24 0 out of 2 points An epidemiologic survey of skate board injuries in Caseville, a city with a population of 100,000 (population size at midpoint (mid-interval) of the year), had the following data for a given year: Number of skate boarders in Caseville during any given month 9,000 Skate board injuries in Caseville 500 Total number of residents injured from skate boarding 1,200 Total number of deaths from skate boarding 50 Total number of deaths from all causes 900
  • 13. The cause-specific mortality rate from skate boarding was: · Question 25 2 out of 2 points The major disadvantage of crude rates is that: · Question 26 2 out of 2 points A type of bias that occurs due to measurement error in assessment of both exposure and disease is:
  • 14. · Question 27 2 out of 2 points In a trial of a cytotoxic drug for lung cancer treatment, the investigators reported 6 deaths among 60 patients treated with this agent, compared with 15 deaths among 58 controls on placebo. Calculate the attributable benefit of this agent in reducing lung cancer-related mortality in this population. · Question 28 2 out of 2 points In a clinical trial, an important aspect of the study design often involves the subjects not being aware of their group assignment with regard to treatment or placebo; this technique is used to alleviate bias in study results and is known as:
  • 15. · Question 29 2 out of 2 points A new screening test for Lyme disease is developed for use in the general population. The sensitivity and specificity of the new test are 65% and 75%, respectively. Four hundred people are screened at a clinic during the first year the new test is implemented. Assume the true prevalence of Lyme disease among clinic attendees is 15%. Calculate the predictive value of a negative test. · Question 30 2 out of 2 points In a case-control study of osteoporosis, 150 women were enrolled as cases and an equal number as controls. Among the cases 50 reported low calcium intake, while only 20 of the
  • 16. controls reported low calcium intake. Calculate the odds ratio in the association between low calcium intake and developing osteoporosis in this population. · Question 31 0 out of 2 points All of the following are commonly used to address quality chasms in healthcare except: · Question 32 0 out of 2 points You are part of a state health department performance management team tasked to evaluate the effectiveness of local public health departments statewide. Which of the following
  • 17. planning tools are you most likely to use to guide your performance measurements? · Question 33 0 out of 2 points The first ancient people to implement widespread use of public health practices were the · Question 34 0 out of 2 points While some skills overlap, it is commonly agreed that leadership and management are distinct functions that require different skill sets. This is true in public health as well as in private industry. You are the director of a large voluntary health
  • 18. agency. Which one of the following activities are you likely to perform in your role as the leader of the organization? (Note: differentiate this activity from those normally performed by managers.) · Question 35 2 out of 2 points You are the recreation director at a large inner city. You notice a dramatic drop in attendance in a usually popular aerobics class shortly after hiring a new instructor. You interview the dropouts who inform you they don’t like the calisthenics-like exercise routines the new instructor, a former Marine Corps PT trainer, uses in the class. This is an example of what type of program evaluation? · Question 36 0 out of 2 points
  • 19. Public health infrastructure can be measured in part by: · Question 37 0 out of 2 points Which of the following national public health interventions for the primary prevention of tobacco use is likely to have the greatest effect? · Question 38 2 out of 2 points The Healthy People initiative was introduced in 1979 as a/an:
  • 20. · Question 39 2 out of 2 points In an attempt to increase diversity in your local public health department workforce you decide to obtain more information from candidates than merely their skills and experience. Which of the following questions can you legally ask in a face-to-face job interview when the information is not provided on the application? · Question 40 2 out of 2 points The FDA functions as the nation’s largest consumer protection agency. Among its activities, it investigates and regulates the
  • 21. efficacy and safety of: · Question 41 2 out of 2 points The United States spends significantly more on annual per capita health care costs than other industrialized countries but has only a mediocre life expectancy rate of its citizens. Which of the following statements best describes the implication of this finding? · Question 42 2 out of 2 points In the Genesis account of the fall, Eve decides to eat the fruit offered by the serpent after mentally rehearsing the
  • 22. benefits: “So when the woman saw that the tree was good for food, and that it was a delight to the eyes, and that the tree was to be desired to make one wise, she took of its fruit and ate, and she also gave some to her husband who was with her, and he ate” (Gen. 3:6). According to the PRECEDE Model, Eve was identifying __________ factors of her action. · Question 43 2 out of 2 points Which of the following statements is true about the PRECEDE- PROCEED Model? · Question 44 0 out of 2 points
  • 23. “Upstream” public health interventions are typically more effective than “downstream” ones in mitigating a health problem. All but one of the following are examples of “upstream” public health approaches. Which one is it? · Question 45 2 out of 2 points Sam wants to maintain a consistent practice of Bible study and prayer. He has tried doing regular devotions a few times, but just can’t seem to stay with them. He is now looking for study resources that might help in stay on track. Which stage of the Transtheoretical Model of Change is Sam in? · Question 46 2 out of 2 points
  • 24. An investigator is interested in a behavioral intervention that will increase self-efficacy in participants. In which of the following conditions will self-efficacy be an effective intervention tool in reducing risky behavior and maintaining healthful behavior? · Question 47 2 out of 2 points Which statement and its example is not true about self-efficacy as it relates to behavior change? · Question 48 2 out of 2 points
  • 25. As a health education specialist for a large national voluntary health agency, you are charged with promoting a new internet- based screening tool for breast cancer risk. It has already been beta tested and the research has been promising; now the agency wants to go public with it and encourage its use by the priority population of at risk women in America. Using diffusion theory as your guide, you choose to focus your initial promotional efforts on: · Question 49 0 out of 2 points Which part of a SMART objective is missing from the following learner outcome statement? Use the ABCDE model to guide your response. “By the end of the class on behavioral theory, students will accurately recall the stages of change in proper order, measured by a quiz.”
  • 26. · Question 50 0 out of 2 points Exam Which one of the following is not associated with the PROCEED stage of the PRECEDE-PROCEED Model? · Question 1 0 out of 2 points What is the most appropriate graphical display for an ordinal variable?
  • 27. · Question 2 2 out of 2 points A new non-invasive screening test is proposed that is claimed to be able to identify patients with impaired glucose tolerance based on a battery of questions related to health behaviors. The new test is given to 75 patients. Based on each patient’s responses to the questions they are classified as positive or negative for impaired glucose tolerance. Each patient also submits a blood sample and their glucose tolerance status is determined. The results are tabulated below. Screening Test Impaired Glucose Tolerance Not Impaired Positive 17 13 Negative 8 37 What is the sensitivity of the screening test?
  • 28. · Question 3 2 out of 2 points Which of the following is true concerning confounding? · Question 4 0 out of 2 points With a binomial distribution with n = 25 and p = 0.48, which is larger? · Question 5 0 out of 2 points
  • 29. An experiment is designed to investigate the impact of different positions of the mother during ultrasound on fetal heart rate. Fetal heart rate is measured by ultrasound in beats per minute. The study includes 20 women who are assigned to one position and have the fetal heart rate measured in that position. Each woman is between 28 and 32 weeks gestation. Source of variation Sums of Squares (SS) Degrees of Freedom (df) Mean Squares (MS) F F Critical Between treatments 96.2 3 32.1 4.7 3.24 Error or residual 110.8 16 6.9 Total 207.0 19 Based on the ANOVA results above which of the following is
  • 30. the correct conclusion? · Question 6 2 out of 2 points The following are advantages of a prospective cohort study, except: · Question 7 2 out of 2 points Five hundred people are enrolled in a 10-year cohort study. At the start of the study, 50 have diagnosed CVD. Over the course of the study, 40 people who were free of CVD at baseline develop CVD. What is the cumulative incidence of CVD over 10 years?
  • 31. · Question 8 0 out of 2 points The following are HDL levels measured in healthy females. 60 63 60 58 60 70 54 72 8 0 75 78 77 Calculate the mean · Question 9 2 out of 2 points Which of the following measures is least affected by extreme or outlying values in a dataset?
  • 32. · Question 10 2 out of 2 points A simple random sample of 25,000 individuals are surveyed to determine the prevalence of individuals that contracted the flu in the past year. Assuming 4,250 individuals indicated they had been diagnosed with the flu at some point in the past year, what is the prevalence of flu for the past year, as indicated from the survey participants? · Question 11 2 out of 2 points The first large-scale use of DDT occurred in Italy in 1943 when the insecticide was used for dusting refugees in a successful attempt to prevent an outbreak of a deadly disease spread by body lice which frequently occurs under wartime conditions of
  • 33. overcrowding and poor sanitation. What disease did DDT prevent in this situation? · Question 12 2 out of 2 points Why is radon gas in homes considered a problem? · Question 13 2 out of 2 points The limit beyond which an environment cannot support a population is called its:
  • 34. · Question 14 0 out of 2 points Which of the following statements about noise is false? · Question 15 2 out of 2 points Which of the following foodborne diseases is particularly worrisome to public health officials because the pathogen involved can grow quite well at temperatures considerably lower than those within the “Danger Zone”?
  • 35. · Question 16 0 out of 2 points Health consequences of secondhand tobacco smoke have been persistently observed. There is biological plausibility of exposure to secondhand smoke causing adverse neurodevelopmental effects in children whose parents smoke. Which of the following statements is (are) accurate concerning the health effects of secondhand smoke? · Question 17 0 out of 2 points Transport is the dominant means of air pollution in urban areas. Which of the following is a (are) known source(s) of air pollution that has been associated with transport?
  • 36. · Question 18 2 out of 2 points Which waterborne disease that is caused by a protozoan present in the intestinal tract of both humans and wild animals may occur among campers in wilderness areas who unwittingly swallow pathogenic cysts when they drink unfiltered water from mountain streams? · Question 19 2 out of 2 points About ranges of tolerance for limiting factors, which of the following population groups is most sensitive to adverse environmental conditions?
  • 37. · Question 20 2 out of 2 points Lyme disease is a newly recognized ailment transmitted by the bite of which of these pests? · Question 21 2 out of 2 points The major disadvantage of crude rates is that: · Question 22
  • 38. 2 out of 2 points Based on the following data, what is the most likely infective food that caused illness? People Who Ate Food People Who Did Not Eat Food Sick Well Sick Well Herring 200 800 100 900 Oysters 300 700 400 600 Spinach 200 800 500 500 Chicken 650 350 100 900
  • 39. · Question 23 2 out of 2 points A total of 850 insulation workers employed between 1940 and 1945 was identified from the personnel records of three large insulation manufacturing plants in the Midwestern U.S. in 1980. During the period 1940-1980, 28 deaths from lung cancer were discovered among the workers. Only eight lung cancer deaths, however, were reported among a comparable group of 800 coworkers who did not work with insulation during the same time period. The investigators had hypothesized that exposure to the insulation material increases the risk of lung cancer. Which epidemiology study design best represents this description? · Question 24 2 out of 2 points
  • 40. A major health insurance company is considering nationwide implementation of a test using biomarkers to screen for colon cancer. The test is delivered in health clinics in two similar regions of the country, with the following results: Region A Region B Sensitivity 73% 84% Specificity 86% 97% What is the most likely cause of the difference in the test’s sensitivity and specificity between the two regions? · Question 25 0 out of 2 points In women with deep venous thrombosis (DVT), a case-control study was conducted to test the association between DVT and past exposure to oral contraceptive (OC) use. Based on the data below, what is the unadjusted odds of exposure to OC use
  • 41. among the cases of women with DVT compared to that among the controls without DVT? Oral Contraceptive Use Cases of DVT Controls Yes 67 23 No 108 152 Total 175 175 · Question 26 2 out of 2 points Examples of descriptive epidemiologic studies do not usually include: · Question 27
  • 42. 0 out of 2 points An investigator wants to assess whether smoking is a risk factor for bladder cancer. Electronic medical records at a city hospital will be used to identify one hundred patients with pancreatic cancer. Two hundred patients who are similar but free of bladder cancer will also be selected. Each participant’s medical record will be analyzed for smoking history. Which of the following is not true about this study? · Question 28 2 out of 2 points Which of the following measures of disease burden is determined from a screening test?
  • 43. · Question 29 2 out of 2 points In a clinical trial, an important aspect of the study design often involves the subjects not being aware of their group assignment with regard to treatment or placebo; this technique is used to alleviate bias in study results and is known as: · Question 30 0 out of 2 points A new screening test for Lyme disease is developed for use in the general population. The sensitivity and specificity of the new test are 65% and 75%, respectively. Four hundred people are screened at a clinic during the first year the new test is implemented. Assume the true prevalence of Lyme disease among clinic attendees is 15%. Calculate the predictive value of a positive test.
  • 44. · Question 31 0 out of 2 points While some skills overlap, it is commonly agreed that leadership and management are distinct functions that require different skill sets. This is true in public health as well as in private industry. You are the director of a large voluntary health agency. Which one of the following activities are you likely to perform in your role as the leader of the organization? (Note: differentiate this activity from those normally performed by managers.) · Question 32 0 out of 2 points Which of the following national public health interventions for the primary prevention of tobacco use is likely to have the greatest effect?
  • 45. · Question 33 2 out of 2 points When you are working to identify social determinants of maternal health in a priority population, you are primarily operating in the essential public health service area of: · Question 34 2 out of 2 points The epidemiologic transition of mortality from communicable to noncommunicable diseases that occurred in the 18th-19th centuries, was mainly the result of widespread application of
  • 46. · Question 35 2 out of 2 points A sentinel health event is one in which public health alarm is triggered by: · Question 36 0 out of 2 points Ancient Israel’s health code, as stated in the biblical book of Leviticus, is an example of an __________ intervention at the community level.
  • 47. · Question 37 2 out of 2 points Your community health coalition is applying for a grant to address social determinants of health in your neighborhood. Which of the following would not be appropriate to include in the application because it is not an example of a social determinant of health? · Question 38 2 out of 2 points You are the recreation director at a large inner city. You notice a dramatic drop in attendance in a usually popular aerobics class shortly after hiring a new instructor. You interview the dropouts who inform you they don’t like the calisthenics-like exercise routines the new instructor, a former Marine Corps PT trainer, uses in the class. This is an example of what type of program evaluation?
  • 48. · Question 39 0 out of 2 points Geographical Information System (GIS) mapping has become an indispensable tool in public health needs assessment and intervention evaluation. It typically analyzes and integrates all of the following types of data into a digital display except: · Question 40 0 out of 2 points In an attempt to increase diversity in your local public health department workforce you decide to obtain more information from candidates than merely their skills and experience. Which of the following questions can you legally ask in a face-to-face job interview when the information is not provided on the application?
  • 49. · Question 41 0 out of 2 points Which of the following theoretical models is likely to help the most in moving an innovation across the social chasm defined in diffusion theory? · Question 42 2 out of 2 points To be a culturally competent public health professional with a diverse priority population, you must:
  • 50. · Question 43 2 out of 2 points Sam wants to maintain a consistent practice of Bible study and prayer. He has tried doing regular devotions a few times, but just can’t seem to stay with them. He is now looking for study resources that might help in stay on track. Which stage of the Transtheoretical Model of Change is Sam in? · Question 44 2 out of 2 points You wish to expand a new exercise program offered as part of the women’s ministry of your church. The most effective communication channel to influence attitudesabout participating is:
  • 51. · Question 45 2 out of 2 points You are planning a weight control program in your church. You have assessed the need and interest; you have identified program goals and outcomes; you have selected resources and materials; all you have left to do is plan the evaluation. You choose several measures of process evaluation, some of which are listed below. Which one of the following would not be a measure of process evaluation for the program? · Question 46 0 out of 2 points “Upstream” public health interventions are typically more effective than “downstream” ones in mitigating a health problem. All but one of the following are examples of “upstream” public health approaches. Which one is it?
  • 52. · Question 47 2 out of 2 points You are a health counselor in an employee wellness program. In your intake interviews with employees joining the program, you identify many cigarette smokers who have never seriously considered quitting. Which of the following theoretical frameworks would be most effective in moving them from the precontemplation to contemplation stage of the Transtheoretical Model of Change? · Question 48 2 out of 2 points Which one of the following is associated with the PROCEED stage of the PRECEDE-PROCEED Model?
  • 53. · Question 49 0 out of 2 points You are a health educator in a local public health agency. The principal of a local high school has noticed an increase in cigarette smoking among its students and has appealed to the county school board for help. At a school board meeting, the superintendent asks you for ideas on how to mitigate the problem. One week later you submit your suggestions, all of which are shown in the responses below. Which of these is most likely to have the greatest deterrent effect on smoking among students in the high school? · Question 50 2 out of 2 points
  • 54. An investigator is interested in a behavioral intervention that will increase self-efficacy in participants. In which of the following conditions will self-efficacy be an effective intervention tool in reducing risky behavior and maintaining healthful behavior? Exam 3 · Question 1 0 out of 2 points A study is run to estimate the mean Systolic Blood Pressure level in adults 60 to 80 years of age. A sample of 10 participants is selected and their Systolic Blood Pressure levels are measured as follows. 125 135 160 146 135 140 154 170 11 0 140 Compute Quartiles 1 and 3
  • 55. · Question 2 0 out of 2 points Which of the following is true about a positively skewed distribution of data? · Question 3 0 out of 2 points Which of the following types of bias is most commonly associated with a case-control study? · Question 4 0 out of 2 points
  • 56. What is the most appropriate graphical display for an ordinal variable? · Question 5 2 out of 2 points A new non-invasive screening test is proposed that is claimed to be able to identify patients with impaired glucose tolerance based on a battery of questions related to health behaviors. The new test is given to 75 patients. Based on each patient’s responses to the questions they are classified as positive or negative for impaired glucose tolerance. Each patient also submits a blood sample and their glucose tolerance status is determined. The results are tabulated below. Screening Test Impaired Glucose Tolerance Not Impaired Positive 17 13 Negative 8 37
  • 57. What is the false positive fraction of the screening test? · Question 6 2 out of 2 points A researcher suspects that the actual prevalence of generalized anxiety among children and adolescents is higher than the previously reported prevalence of generalized anxiety disorder among children and adolescents. The previously reported prevalence of generalized anxiety disorder among children and adolescents is 3.9%, and the researcher conducts a study to test the accuracy of the previously reported prevalence of generalized anxiety disorder by recruiting 98 children and adolescents from various pediatricians’ offices and tests them for generalized anxiety disorder using the DSM-5. The researcher determines that the prevalence of generalized anxiety disorder among the participants of the study is 6.1%. For a level of significance of 5%, what should the researcher’s decision rule look like?
  • 58. · Question 7 2 out of 2 points What is the first summary statistic for a continuous variable? · Question 8 0 out of 2 points The following are advantages of a prospective cohort study, except: · Question 9 0 out of 2 points
  • 59. A school district has a population of 2,000 students. A researcher intends to select a small sample of these students for a study on physical activity. Using a simple random sampling technique, what is the probability that any of the students in the school is selected into the sample? · Question 10 2 out of 2 points Multiple logistic regression analysis applies when there is a single dichotomous outcome and more than one independent variable. · Question 11 2 out of 2 points
  • 60. About ranges of tolerance for limiting factors, which of the following population groups is most sensitive to adverse environmental conditions? · Question 12 2 out of 2 points Which of the following would be a likely target of public health efforts to control breeding of the Asian tiger mosquito? · Question 13 2 out of 2 points
  • 61. Long-term, low-level exposure electromagnetic fields may cause adverse health effects via “chronic” health impacts, or otherwise influence people’s wellbeing. Scientific knowledge about the health effects of electromagnetic fields is substantial and is based on a large number of epidemiological, animal, and in vitro studies. Many health outcomes have been examined. Which of the following health outcomes have been consistently linked with electromagnetic fields? · Question 14 2 out of 2 points Why is radon gas in homes considered a problem? · Question 15 2 out of 2 points
  • 62. Transport is the dominant means of air pollution in urban areas. Which of the following is a (are) known source(s) of air pollution that has been associated with transport? · Question 16 0 out of 2 points Which of the following is not one of the basic steps involved in risk assessment? · Question 17 0 out of 2 points Dioxin is chemically related to polychlorinated biphenyls (PCBs) and other chlorinated hydrocarbons. All the following
  • 63. are correct about dioxins, except: · Question 18 2 out of 2 points In the food chain, which of the following is a (are) producer(s)? · Question 19 2 out of 2 points Lyme disease is a newly recognized ailment transmitted by the bite of which of these pests?
  • 64. · Question 20 2 out of 2 points Cigarette smoking is the most common cause of lung cancer. The second leading cause of lung cancer is: · Question 21 2 out of 2 points An investigator wants to assess whether smoking is a risk factor for bladder cancer. Electronic medical records at a city hospital will be used to identify one hundred patients with pancreatic cancer. Two hundred patients who are similar but free of bladder cancer will also be selected. Each participant’s medical record will be analyzed for smoking history. Which of the following is not true about this study?
  • 65. · Question 22 0 out of 2 points In women with deep venous thrombosis (DVT), a case-control study was conducted to test the association between DVT and past exposure to oral contraceptive (OC) use. Based on the data below, what is the unadjusted odds of exposure to OC use among the cases of women with DVT compared to that among the controls without DVT? Oral Contraceptive Use Cases of DVT Controls Yes 67 23 No 108 152 Total 175 175 · Question 23 0 out of 2 points
  • 66. In the following table, which value represents “false positives” in a screening test for diabetes? Condition According to Gold Standard (True Diagnosis) Screening Test Result Positive Negative Total Positive 240 25 265 Negative 15 220 235 Total 255 245 500 · Question 24 2 out of 2 points
  • 67. An outbreak due to exposure of a group of persons to the same harmful influence common to the individuals in the group is known as: · Question 25 0 out of 2 points Which screening measure best represents the following statement? Eighty percent of those with diabetes had a positive screening test. · Question 26 2 out of 2 points
  • 68. Based on the following data, what is the most likely infective food that caused illness? People Who Ate Food People Who Did Not Eat Food Sick Well Sick Well Herring 200 800 100 900 Oysters 300 700 400 600 Spinach 200 800 500 500 Chicken 650 350 100 900
  • 69. · Question 27 0 out of 2 points A new screening test for Lyme disease is developed for use in the general population. The sensitivity and specificity of the new test are 65% and 75%, respectively. Four hundred people are screened at a clinic during the first year the new test is implemented. Assume the true prevalence of Lyme disease among clinic attendees is 15%. Calculate the predictive value of a negative test. · Question 28 0 out of 2 points In a case-control study of osteoporosis, 150 women were enrolled as cases and an equal number as controls. Among the cases 50 reported low calcium intake, while only 20 of the controls reported low calcium intake. Calculate the odds ratio in the association between low calcium intake and developing osteoporosis in this population.
  • 70. · Question 29 2 out of 2 points The capacity of an agent to enter and multiply in a susceptible host and thus produce infection or disease is: · Question 30 0 out of 2 points Which of the following measures of disease burden is determined from a screening test?
  • 71. · Question 31 2 out of 2 points The Healthy People initiative was introduced in 1979 as a/an: · Question 32 0 out of 2 points Which of the following national public health interventions for the primary prevention of tobacco use is likely to have the greatest effect?
  • 72. · Question 33 2 out of 2 points The CDC administers a range of programs designed to prevent and control disease, injury, and disability risks on a national level. Which of the following activities does it not typically do? · Question 34 2 out of 2 points Your community health coalition is applying for a grant to address social determinants of health in your neighborhood. Which of the following would not be appropriate to include in the application because it is not an example of a social determinant of health?
  • 73. · Question 35 0 out of 2 points Given the responsibility to create an effective public health intervention on a limited budget, you start by exploring evidence-based approaches to address your area of interest. Which of the following published sources provides the best, most trustworthy evidence? · Question 36 0 out of 2 points You are an MPH student intern in a local church. Part of your assigned tasks is to research the possibility of getting a grant to fund a new Head Start preschool program in the church. You find out the following:
  • 74. · Question 37 2 out of 2 points Mobilizing community partnerships to identify and solve health problems is: · Question 38 0 out of 2 points Public health infrastructure can be measured in part by: · Question 39 0 out of 2 points
  • 75. The FDA functions as the nation’s largest consumer protection agency. Among its activities, it investigates and regulates the efficacy and safety of: · Question 40 2 out of 2 points Geographical Information System (GIS) mapping has become an indispensable tool in public health needs assessment and intervention evaluation. It typically analyzes and integrates all of the following types of data into a digital display except: · Question 41 0 out of 2 points
  • 76. To be a culturally competent public health professional with a diverse priority population, you must: · Question 42 2 out of 2 points An investigator is interested in a behavioral intervention that will increase self-efficacy in participants. In which of the following conditions will self-efficacy be an effective intervention tool in reducing risky behavior and maintaining healthful behavior? · Question 43 2 out of 2 points
  • 77. “Upstream” public health interventions are typically more effective than “downstream” ones in mitigating a health problem. All but one of the following are examples of “upstream” public health approaches. Which one is it? · Question 44 0 out of 2 points Which aspect of health is not clearly identified in the World Health Organization’s definition of health? · Question 45 0 out of 2 points Which one of the following is associated with the PROCEED stage of the PRECEDE-PROCEED Model?
  • 78. · Question 46 0 out of 2 points You wish to test the validity of a questionnaire you designed for use with HIV patients attending a self-care educational program. The simplest and most common way to do this is by: · Question 47 2 out of 2 points You are planning a weight control program in your church. You have assessed the need and interest; you have identified program goals and outcomes; you have selected resources and materials; all you have left to do is plan the evaluation. You choose several measures of process evaluation, some of which
  • 79. are listed below. Which one of the following would not be a measure of process evaluation for the program? · Question 48 0 out of 2 points Which statement and its example is not true about self-efficacy as it relates to behavior change? · Question 49 0 out of 2 points Which part of a SMART objective is missing from the following learner outcome statement? Use the ABCDE model to guide your response. “By the end of the class on behavioral theory, students will accurately recall the stages of change in proper
  • 80. order, measured by a quiz.” · Question 50 0 out of 2 points You are providing prenatal counseling to a first time pregnant woman who continues to smoke a few cigarettes a day even after completing a stop smoking program. She explains that her mother smoked during all of her pregnancies and she and her siblings turned out fine. Which of the following constructs should be the initial focus of your attention to help motivate mental processing leading to her totally quitting smoking?