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I. Introduction
1. What are the measures of health?
a) index of health
b) potential of health
c) number of population
d) balance of health
e) health resources
a, b, d, e
2. What is the subject of the study of Public Health and Medical Care Organization?
a) public health
b) risk factors and epidemiology of health
c) medical care organization management
d) health of an individual
e) medical technologies
f) international trends in health and health care
a, b, c, e, f
3. What types of Public Health measures do you know?
a) index of health
b) potential of health
c) general national product
d) balance of health
a, b, d
How does the Public Health influence the creation of the General National Product (GNP)?
a) positively
b) negatively
b
5. What elements does the definition of health contain according to WHO?
a) the condition of whole physical, mental and social wellbeing
b) absence of illness or disability (invalidity)
c) the ability to lead social and economically productive life
d) favorable environment
a, b, c
6. What are medical and social levels of health?
a) health of a population
b) health of different groups of people
c) health of a family
d) health of an individual
a, b, c, d
7. What factor which causes a disease is the most important?
a) the activity of medical institutions
b) heredity of a person
c) the lifestyle (the way of life) of a person
d) environment
c
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II. Demography
What does the term Ā«dynamicĀ» (the moving of population) include?
a) hospitalization
b) immigration
c) mortality
d) morbidity
b c
2. Infant mortality is the mortality of children:
a) from 0 till 7 days old
b) till 1 month old
c) till 1 year old
c
3. What does the term " static" of include?
a) immigration
b) number of population
c) mortality
d) sex composition of the population
e) morbidity
b, d
4. The structure of the population of Russia is:
a) stable
b) regressive
c) progressive
b
5. What is the difference of the expectation of the life for men and women in Russia?
less 4 years
5-8 years
more 9 years
c
III. Morbidity
1. Incidence is:
a) the number of new cases of illness commencing or of persons falling ill, during a specified time
period
b) the proportion of persons with a particular disease within a given population at a given time
a
2. Method for investigation of morbidity by the number of patients, seeking medical advice at
medical institutions has the following positive sides:
a) this method is economically cheaper, than the others
b) this method permits to recognize the early or latent stages of the diseases
c) it is the basic method of information about the acute and chronic diseases
a c
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3. Method for investigation of morbidity by causes of death of the people has the following
positive sides:
a) it is a general source of information about the diseases with lethal outcome
b) this method shows the level of mild diseases in a population
c) it is the basic method of information about the acute and chronic diseases
a
4. What is the type of the examination of pregnant women?
a) professional
b) periodical preventive
c) preliminary
b
5. Prevalence is:
a) the number of new cases of illness commencing or of persons falling ill, during a specified time
period
b) the proportion of persons with a particular disease within a given population at a given time
b
IV. Statistics
1. How many steps are there in the statistical research?
a) 2
b) 3
c) 4
d) 5
c
2. How many predicates are there in the simple table?
a) no one
b) 1
c) 2
a
3. What are the stages of statistical trial?
a) data collecting
b) choosing the object of trial
c) choosing the quantity of sample
d) working out the plan and the program of trial
e) data analysis
a, d, e
4. What is the unit of statistical trial?
a) each of elements of totality
b) sample, from which we will take the information
a
5. What is quantitative representativeness?
a) enough quantity of units
b) conformity of variables of sample and population
a
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6. What are the types of tables?
a) grouped
b) simple
c) combined (combinational)
a, b, c
7. How many predicates are there in the grouped table?
a) no one
b) two or more predicts; the predicates are related to each other
c) one or more predicates; the predicates arenā€™t related to each other
c
8. What does the program of statistical trial include?
a) working out the program of elaboration of data
b) choosing the quantity of sample
c) working out the program of analysis of data
d) data analysis
a, c
9. With the aim of studying the state of health of students at the Academy the investigator selected
the sample from the 1st
course. Is this sample representative?
a) yes, it is
b) no, it isnā€™t representative in quality
c) no, it isnā€™t representative in quantity
b
10. What is qualitative representativeness?
a) conformity of variables of sample and population
b) enough quantity of units
a
11. Which variables are ordinal?
a) sex
b) age
c) length of service
d) diagnosis
b c
12. Which variables are categorical?
a) habits
b) number of smoked cigarettes
c) sex
d) length of disease
a c
13. What is a frequency table (a variational series)?
a) the table of ranged variables
b) the table of ranged variables with their frequencies
b
14. What are the types of frequency tables (variational series)?
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a) simple
b) weighted
c) grouped
a, b
15. In a simple frequency table (variational series):
a) each variable is present only one time
b) each variable is present many times with different frequency
a
16. What is the application of mean?
a) for assessment of state of health
b) for assessment of environment
c) for assessment of the reliability of investigation outcome
d) for assessment of organization of medical care
a, b, d
17. What is the range of frequency table (variational series)?
a) maximum and minimum of frequency table
b) the difference between maximum and minimum of frequency table
c) statistical index of the degree of deviation from central tendency
b
18. What is standard deviation?
a) the difference between maximum and minimum of frequency table
b) statistical index of the degree of deviation from central tendency
c) average value calculated by taking the sum of all values and dividing by the total number of
values
b
19. What part of variables is there in interval ŠœĀ±3ļ³?
a) 65,8 %
b) 95,5 %
c) 99,7 %
с
20. What part of variables is there in interval ŠœĀ±2ļ³?
a) 65,8 %
b) 95,5 %
c) 99,7 %
b
21. What part of variables is there in interval ŠœĀ±ļ³?
a) 65,8 %
b) 95,5 %
c) 99,7 %
a
22. What method is used for comparing intensive rates in populations differing by their structure?
a) correlation
b) standardization
c) the assessment of the reliability of the resultā€™s subtraction
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b
23. Standardized rates are:
a) real rates, which reflect the true value of appearance
b) conventional, hypothetic rates, they don,
t reflect the true value of appearance
b
24. Standardization is used for:
a) assessment of direction and strength of relationship between variables
b) assessment of the reliability of the result
c) comparing intensive rates in populations differing by their structure
c
25. What are the types of relationship between variables?
a) functional
b) grouped
c) correlation
d) combinational
a, c
26. What are the methods of calculating correlation coefficient?
a) Spearman's method
b) Studentā€™s method
c) Pearson's method
a, c
27. When is Spearman's method used?
a) it is not necessary to define the exact relationship between variables
b) the variables are not only ordinal, but categorical
c) it is necessary to define the exact relationship between variables
d) expressions of data values include open variables
a, b, d
28. When is Pearson's method used?
a) the variables are ordinal
b) expressions of data values include open variables
c) it is necessary to define the exact relationship between variables
d) it is not necessary to define the exact relationship between variables
e) the variables are not only ordinal, but categorical
a, c
29. The correlation coefficient is rxy = + 0,72. What are the direction and the strength of the
correlation:
a) positive and weak
b) positive and strong
c) direct and middle
d) negative and weak
b
30. The correlation coefficient is rxy = - 0,52. What are the direction and the strength of the
correlation:
a) negative and strong
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b) positive and middle
c) negative and weak
d) negative and middle
d
31. What does correlation coefficient show?
a) the strength of correlation
b) the significance of correlation
c) the direction of correlation
a, c
32. The difference between mean rates or relative sizes is reliable, if
a) t ā‰¤ 1
b) t ā‰¤ 2
c) t ā‰„ 2
с
33. What is standard error of mean?
a) a statistical index of the probability that a given sample mean is representative of the mean of the
population from which the sample was drawn.
b) a statistical index of the degree of deviation from central tendency
c) a statistical index of the probability that a difference between two sample means is greater than
zero
a
34. Mean rate is reliable if:
a) M ā‰„ m (standard error of mean)
b) M < m (standard error of mean)
c) M ā‰„ 2m or 3m (standard error of mean)
с
35. What is P-value (the degree of the probability) for medical and biological researches ?
a) 68, 3 %
b) 90, 0 %
c) 95, 5 %
с
36. What does t-criterion show?
a) the direction and the strength of the correlation
b) the degree of the probability
c) the degree of deviation from central tendency
b
37. What are the types of relative sizes?
a) intensive index
b) index of the relation
c) absolute size
d) index of the appearance (visual index)
e) extensive index
a, b, d, e
38. What does intensive index show?
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a) frequency or the level of phenomenon, which is produced in a definite environment
b) the changes in size of the same phenomenon in different groups during a definite period of time
c) the distribution of study phenomenon on different components
d) the relation between two (or more) groups which have no connection
a
39. What index describes the relation between two (or more) groups which have no connection?
a) extensive index
b) index of the relation
c) intensive index
d) index of the appearance (visual index)
b
40. What does index of the appearance show?
a) the distribution of study phenomenon on different components
b) the relation between two (or more) groups which have no connection
c) frequency or the level of phenomenon, which is produced in a definite environment
d) the changes in size of the same phenomenon in different groups during a definite period of time
d
41. What diagrams are used for showing extensive index?
a) inside the post
b) line
c) round
d) bar
a, c
42. What does extensive index show?
a) frequency or the level of phenomenon, which is produced in a definite environment
b) the changes in size of the same phenomenon in different groups during a definite period of time
c) the distribution of study phenomenon on different components
d) the relation between two (or more) groups which have no connection
c
43. What diagrams are used for showing intensive index?
a) the map of the country with a diagram
b) inside the post
c) line
d) round
e) bar
a, c, e
V. Organization of the Treatment and Preventive Aid in the Russian Federation
1. What types of treatment and preventive aid are there in Russia?
a) hospital medical aid
b) rehabilitation, sanatorium-and-spa aid
c) out-patient aid
d) sanitary-epidemiological service
e) emergency and urgent aid
a,b,c,e
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2. When was the International Conference on PMSA in Alma-Ata (USSR) held, which triggered the
development of modern primary medico-sanitary aid in Russia?
a) in 1975
b) in 1978
c) in 1987
d) in 1993
b
3. What types of treatment and preventive aid are there in Russia?
a) hospital medical aid
b) rehabilitation, sanatorium-and-spa aid
c) out-patient aid
d) sanitary-epidemiological service
e) emergency and urgent aid
a,b,c,e
4. Classification of hospitals depending on administrative-territorial location includes:
a) municipal hospitals
b) multifield hospitals
c) district hospitals
d) first aid hospitals
a, c
5. Classification of hospitals depending on the profile includes:
a) hospital for scheduled hospitalization
b) multifield hospitals
c) specialized hospitals
d) affiliated to polyclinics hospitals
b, c
6. Classification of hospitals depending on the regulations of hospitalization includes:
a) hospital for scheduled hospitalization
b) municipal hospital
c) affiliated with to polyclinics hospitals
d) first aid hospitals
a, d
7. Classification of hospitals depending on the regulations of hospitalization includes:
a) district hospital
b) hospital for scheduled hospitalization
c) local hospitals
d) first aid hospitals
b, d
8. Structure of in-patient establishment includes:
a) administrative departments
b) polyclinic
c) management
d) hospital
a, b, c, d
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9. Functions of inpatient care facilities are:
a) rehabilitation
b) preventive
c) research
d) educational
a, b, c, d
10. Parameters of activity of inpatient (hospital) medical aid include:
a) parameters of bed use
b) parameters of quality of treatment in a hospital
c) cost indices
a, b, c
11. What is mean annual occupation of a bed for municipal hospitals?
a) 300-310 days
b) 280-290 days
c) 330-340 days
d) 310 days
c
12. Parameters of quality of treatment in a hospital include:
a) frequency of postoperative complications
b) mean duration of patient's stay in a hospital
c) general hospital parameter of lethality
a, c
13. Planning of a hospital work consists of determination of the following parameters:
a) finances necessary for the maintenance of a hospital
b) capacity of a hospital
c) the staff and parameters of activity of a medical position
a, b, с
14. What is the norm of requirement in inpatient aid?
a) 11, 2 beds per 1000 people
b) 13, 2 beds per 1000 people
c) 14, 5 beds per 1000 people
b
15. Parameters of bed use include:
a) mean annual occupation of a bed
b) lethality rate
c) cost of one bed-day
d) bed turnover
a, d
16. What information is necessary for planning of public health services?
a) demographic parameters, morbidity rate and other data on health of the population
b) medical-geographical characteristic, ecological conditions of the district
c) economic situation of the district
d) decisions of the local administration and other having legal effect state statements
a, b, c, d
17. What factors can affect the parameter of long-lasting treatment?
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a) severity of disease;
b) late diagnostics of disease and beginning of treatment;
c) cases when patients are not prepared by a polyclinic for hospitalization (are not examined, etc.)
a, b, c
18. Tasks of a municipal polyclinic are:
a) organization and conduct of prophylactic medical examination
b) organization and activity associated with sanitary-and-hygienic education of the population
c) delivery of qualified medical aid to the population of the catchment area
d) organization and implementation of a complex of preventive actions
a, b, c, d
What are the main principles of work of a municipal polyclinic for adults in Russia?
a) highly specific medical aid
b) dispensary method
c) prevention
d) district character of medical aid
e) social support
f) sanitary-and-hygienic education of the population
b, c, d, f
20. What are the main principles of primary medico-sanitary aid (PMSA)?
a) immunization
b) control over local epidemic diseases
c) prevention
d) highly specific medical aid
e) treatment of common diseases
f) education of the community
a,b,c,e,f
21. What are the main structural units of the municipal polyclinic?
a) registry
b) management of a polyclinic
c) preventive departments
d) nutrition units
e) treatment departments
f) laundry
g) diagnostic rooms
a,b,c,e,g
22. What is the dispensarization of people?
a) the organization of the immunization of elderly people
b) dynamic medical observation of the state of health of patients, teenagers, disabled people and
others
c) the organization of medico-social expertise of disabled people
b
23. What results characterize the efficiency of the dispensarization in the municipal polyclinic?
a) increase in the period of remission with patients with chronic diseases
b) decrease in the death rate of the population
c) increase in number of days of temporary disability of patients
d) increase in life expectancy of the population
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e) increase in number of patients recovered
a,b,d,e
24. The main principles of organization of medical aid to children are:
a) the principle of obligatory medical insurance
b) the principle of one pediatrician
c) the principle of legal protection
d) the state character
a, b, c, d
25. The main principles of organization of medical aid to children are:
a) the principle of obligatory medical insurance
b) the principle of continuity
c) the principle of legal protection
d) the principle of the district pediatrician
a, b, c, d
26. Directions of activity of the district physician-pediatrician are:
a) curative
b) sanitary-epidemiological supervision
c) preventive
a, c
27. The obstetrician-gynecologic district includes:
a) 1500-2000 women
b) 3000-4000 women
c) 800 women
b
28. Tasks of emergency care are:
a) transportation of patients, pregnant women and newborn children and their mothers
b) cooperation with other medical institutions of public health services for rendering medical aid
c) 24 hours qualified medical aid to patients within the shortest possible period from the moment of
the occurrence of such emergency case
d) development of preventive measures among the population on the basis of the analysis of the
factors which caused emergency cases (accidents) for the prevention of such cases
a b c d
29. The main tasks and functions of the station of emergency care are all, except for:
a) transportation of pregnant women
b) rendering of medical aid to the citizens
c) the dispensarization of adults
d) cooperation with other medical institutions of public care services
c
30. What factors influence a level of the frequency of emergency care?
a) climate conditions
b) medico-sanitary education of the population
c) heredity
e) medico-diagnostic activity of the district therapist in a polyclinic and at home
a,b,e
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31. The main tasks of a children's polyclinic are:
a) medical - consultative aid at home and in a polyclinic
b) organization and implementation of preventive measures
c) analysis of data describing health of children and quality of work
d) maintenance of legal protection of children
a b c d
32. In-patient departments of a maternity home have the following sub-units:
a) reception block
b) pregnancy pathology department
c) maternity departments
d) observation (second) obstetric department
e) laboratory
a b c d e
33. The main causes of maternal death are:
a) criminal abortions
b) sepsis
c) hypertensive disorders
d) uterine bleedings
e) obstetric trauma
a b d
34. The norm of district (territory) for 1 post of a district therapist in polyclinic is:
a) 1500 persons
b) 1700 persons
c) 2000 persons
b
35. A pediatric district comprises:
a) 1200 children
b) 800 children
c) 500 children
b
36. A pediatric district comprises:
a) 3000-4000 children
b) 1200 children
c) 800 children
c
37. Main parameters of activity of a children's policlinic are:
a) parameters, characterizing staff of a polyclinic and total staff
b) parameters characterizing organization of work of district pediatricians
c) parameters of disease rate, morbidity, disablement, death rate of children
d) parameters of preventive activity of a polyclinic
a, b, c, d
38. The structure of a childrenā€™s polyclinic includes:
a) registry
b) department (room) for medico-social aid
c) department of medical - diagnostic aid
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d) department (room) for medical rehabilitation
a, b, c, d
39. What are the new types of outpatient aid to the population in Russia?
a) day time hospital
b) hospital at home
c) sanatorium
a,b
VI. Disability
1. What diseases are in the 1st
place among the causes of primary disability of adult:
a) trauma or injury consequences
b) malignant diseases
c) diseases of the digestive system
d) cardiovascular diseases
e) endocrine, nutritional and metabolic diseases
d
2. What diseases are in the 1st place among the causes of primary disability of adult:
a) cardiovascular diseases
b) endocrine, nutritional and metabolic diseases
c) diseases of the digestive system
d) neuro-psychiatric disorders
e) malignant diseases
a
3. What diseases are in the 1st place among the causes of primary disability of children:
a) cardiovascular diseases
b) congenital anomalies
c) diseases of the digestive system
d) neuro-psychiatric disorders
e) diseases of the nervous system
d
4. What diseases are in the 1st place among the causes of primary disability of children:
a) congenital anomalies
b) neuro-psychiatric disorders
c) diseases of the digestive system
d) muscular system disorders
b
5. Professional rehabilitation of invalids includes the following:
a) career guidance
b) fostering an active attitude to life
c) professional education and consulting
d) supplying with technical aids
e) individual adaptation to the workplace
a c e
6. The types of rehabilitation of invalids are:
a) medical
b) professional
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c) psychological
d) social
a b c d
VII. Medical insurance
1. What are the types of medical insurance in the Russian Federation?
a) voluntary
b) mixed
c) legal
d) obligatory
a,d
2. Voluntary medical insurance is:
a) a component of the state social insurance
b) a part of private commercial insurance
b
3. The rights of citizens of the Russian Federation in the system of obligatory medical insurance are:
a) choice of the insurance medical organization, medical institution and the
doctor
b) delivery of guaranteed (free-of-charge) medical aid throughout the Russian Federation
c) delivery of the medical services corresponding in volume and quality to conditions of the
agreement, irrespective of the size of actually paid insurance payment
d) presentation of the claim to the insurant, the insurance medical organization, medical institution
a b c d
4. Subjects of medical insurance are:
a) citizens
b) insurance risk
c) insurant
d) insurance medical organization
e) medical institution
a c d e
5. Obligatory (compulsory) medical insurance is:
a) a component of the state social insurance
b) a part of private commercial insurance
a
6. Object of medical insurance is:
a) citizens
b) insurant
c) insurance risk
d) insurance medical organization
e) medical institution
c
7. Insurants at obligatory medical insurance for the non-working (idle) population are:
executive powers of the subjects of the Russian Federation and local self-government organs
enterprises, establishments, the organizations
legal entities or individuals
a
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8. What are the main financial sources of obligatory medical insurance?
a) state budget
b) income of individuals
c) payments of employers
d) payments of banks
a,c
9. What is licensing?
a) selection of a group of experts for the examination of the material base of the medical
institutions
b) the activity of government authorities on checking the compliance of the medical institution to
the established standards for such medical institutions
b
10. What are the types of medical mistakes?
a) objective
b) universal
c) subjective
d) poorly educated
e) unidentified
a,c
What is accreditation?
a) the permission to be given to a medical institution to carry out some activities
b) the presentation of a medical institution to the insurance medical organizations
a
12. What are the main functions of a federal fund of obligatory medical insurance (FFOMI)?
a) to finance individual programs under voluntary medical insurance
b) to implement the state policy in the field of obligatory medical insurance
c) to finance insurance medical organizations within the framework of OMI territorial programs
b,c
VIII. Economics of public health, quality of medical care
1. Types of efficiency of public health services are:
a) medical efficiency
b) political efficiency
c) economic efficiency
d) social efficiency
a c d
2. Quality of health services in hospital can be estimated on the basis of the following parameters:
a) subsidiary services (educational programs, sociologists)
b) hospital staffs and services (specialization, frequency of implementation of procedures, use of
laboratory and radiological services, etc.)
c) degree of satisfaction of patients, quality of filling in of medical cards, death rate, level of
nozocomial infections
d) organizational structures (financing, organization of medical-ethical commissions, etc.)
a b c d
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3. Methods of evaluation of the activity of medical and preventive treatment facilities are:
a) statistical method
b) a method of expert evaluations
c) clinical-and-economical analysis
d) sociological method
e) combined method
a b c d e
4. A. Donabedianā€™s method of evaluation of the quality of medical aid includes:
a) the procedural approach
b) the structural approach
c) the effective approach
a b c
5. A. Donabedianā€™s method of evaluation of the quality of medical aid includes:
a) the structural approach
b) clinical-and-economical analysis
c) the effective approach
d) statistical analysis
a c
6. Types of the control of the quality of medical aid are:
a) professional control
b) state control
c) economic control
d) social control
e) political control
f) patient's control
a, b, d, f
7. What are the types of professional standards in Russia?
a) organizational
b) medical-economic
c) obligatory
d) technological
e) combinative
a,b,d
8. What are the main features of quality of medical aid?
a) safety of medical aid
b) timeliness of medical aid
c) refusal to provide medical aid
d) justification of actions and technologies
e) impossibility to provide medical aid
a,b,d
9. What are the types of levels of economic relations?
a) microeconomic
b) socioeconomic
c) medioeconomic
d) macroeconomic
e) minieconomic
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a d
10. What are the features of the medical efficiency?
a) increase in the number of recoveries
b) increase in the number of complication
c) decrease in the number of lethal outcomes
d) increase in the mean duration of a disease
a, c
11. What are the elements of economic damage in case of morbidity with temporary disability?
a) cost of medical aid
b) cost of products not created due to such illness
c) cost of building medical institutions
d) payment on the sick leave
a, b, d
12. What is the criterion of economic efficiency?
a) the proportion of the economic damage prevented to the cost of medicine used for recovery
b) the proportion of the cost of medical aid to the cost of medical transport
c) the proportion of prevented economic damage to the cost of medical aid
с
13. What are the tasks of economy of public health service?
a) to form high level economic culture
b) to put theoretical knowledge in to practice
c) to develop new economic methods
d) to implement new methods of protection of the population against socially important infectious
diseases
a, b, c
14. What are the types of efficiency of public health services?
a) therapeutic
b) economic
c) social
d) national
e) medical
f) pharmacologic
b, c, e
15. What are the features of social efficiency?
a) decrease in disease rate
b) increase in mortality
c) increase in birth rate
d) decrease in average life expectancy
e) increase in the degree of satisfaction of the population by medical aid
a, c, e
IX. Sanitary-epidemiological wellbeing of the population, prevention
1. Law "Sanitary-epidemiological wellbeing of the population" describes:
a) main principles of medical insurance
b) the major activities of the Federal Service for Supervision of Consumer Protection and Welfare
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c) main principles of protection of health of the population
b
2. Primary prevention is:
a) science about activities directed to health formation, health protection and creation of healthy
way of life
b) science about high risk, creation of special schemes and modifications for outpatient observation
for early diagnosis of diseases
c) science about prevention of relapses of chronic diseases, disability and social deadaptation of an
ill patient
a
3. Secondary prevention is:
a) science about high risk, creation of special schemes and modifications for outpatient observation
for early diagnosis of diseases
b) science about prevention of relapses of chronic diseases, disability and social deadaptation of an
ill patient
c) science about activities directed to health formation, health protection and creation of healthy
way of life
a
4. Tertiary prevention is:
a) science about prevention of relapses of chronic diseases, disability and social deadaptation of an
ill patient
b) science about activities directed to health formation, health protection and creation of healthy
way of life
c) science about high risk, creation of special schemes and modifications for outpatient observation
for early diagnosis of diseases
a
5. What risk factors are uncontrolled?
a) age
b) smoking
c) sedentary lifestyle
d) heredity
a,d
6. What is "medicine of health "?
a) science about revealing and assessment of risk of disease origin
b) science about early diagnostic and effective disease treatment
c) science about health and methods of its formation
c
7. What is "risk medicine "?
a) science about revealing and assessment of risk of disease origin
b) science about early diagnostic and effective disease treatment
c) science about health and methods of its formation
a
8. What is Ā«medicine of diseasesĀ»?
a) science about revealing and assessment of risk of disease origin
b) science about early diagnostic and effective disease treatment
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c) science about health and methods of its formation
b
9. What is absolute risk:
a) difference between risk (or incidence) of a particular disease among people exposed to a risk
factor and that among people not so exposed
b) ratio of risk (or incidence) of a particular disease among people exposed to a risk factor to that
among people not so exposed
a
10. The sanitary and epidemiological well-being of the population shall be ensured by means of:
a) elaboration and realization of federal target-oriented programmes for establishing the sanitary
and epidemiological well-being of the population, as well as regional target-oriented programmes
and scientific and scientific-technical programmes in the given spheres
b) the state registration of the potentially dangerous chemical and biological substances, individual
products, radioactive substances, production and consumption waste, and also of individual products
brought for the first time into the Russian Federation
c) measures for the hygienic education and training of the population and propaganda of the healthy
way of life
d) the prophylaxis of diseases in accordance with the sanitary and epidemiological situation and the
forecast of its change
a b c d
11. The sanitary and epidemiological well-being of the population shall be ensured by means of:
a) the prophylaxis of diseases in accordance with the sanitary and epidemiological situation and the
forecast of its change
b) the fulfillment of sanitary antiepidemic (preventive) measures and the obligatory observance by
citizens, individual entrepreneurs and legal entities of sanitary rules as a component part of their
activity
c) state sanitary and epidemiological supervision
d) the licensing of the activities of potentially dangerous individuals
e) the socio-hygienic monitoring
a b c d e
12. Criteria of medico-social problems are:
a) priority ranks in the structure of causes of death
b) priority ranks in the structure of causes of disability
c) difficult prevention
d) priority ranks in the structure of causes of morbidity
a b c d
13. Functions of Federal Service for Supervision of Consumer Protection and Welfare are:
a) to conduct regular sanitary and epidemiological surveillance
b) to protect the health of the working population by setting and monitoring the standards for work
conditions
c) to prevent radioactive contamination of the country by controlling incoming products and
controlling radioactive substances located in the country
d) to protect the health of children by setting and monitoring the standards for conditions at schools,
kindergartens and orphanages or any other organization
a b c d
14. Socially important diseases are:
a) tuberculosis
21
b) AIDS
c) influenza
d) malignant diseases
e) gastric ulcer
a b d
15. What is socio-hygienic monitoring?
a) special service which is carrying out the state sanitary-epidemiological control
b) the state system of observations of the health of the population and the environment, of their
analysis, assessment and forecasting
b
X. Protection of health of the population. Organizational forms of public health service of
foreign countries.
1. Systems of health service according to the law of Russian Federation "On protection of health of
the population" are:
a) national (federal, state)
b) private
c) insurance medicine
d) municipal
a b d
2. Financing of state system of public health services in the Russian Federation is carried out
basically through:
a) funds of the obligatory medical insurance
b) funds for preparation and realization of a complex of target programs in public health services
c) means of the state budget
d) voluntary deductions from the incomes of organizations, establishments and enterprises,
donations of the legal and physical persons
a b c d
3. The law of the Russian Federation "On protection of health of the population" describes:
a) the rights of the citizens in the area of protection of health
b) the rights of special groups of the citizens in the area of protection of health
c) the major activities of Federal Service for Supervision of Consumer Protection and Welfare
d) the rights and social protection of medical and pharmaceutical workers
e) the rights of the citizens in the system of obligatory medical insurance
a b d
4. The basic principles of protection of health of the population are:
a) protection of the citizens who had lost their health
b) realization of preventive measures in the field of protection of health of the population
c) state support of the rights of man and citizen in the field of protection of health of the population
and the attendant responsibility of the legal and physical persons
d) general availability of medicine and social help
a b c d
5. Classification of organizational forms of public health service according to financing systems
includes:
a) primary system of private practice
22
b) state system
c) mixed state-insurance
d) insurance medicine
a b c d
6. Basic drawbacks of private (market) system of public health service system are:
a) high cost
b) insufficient comfort of hospitals
c) low availability for deprived part of population
d) not enough stimulus for increase of medical work efficiency
e) the big number of litigations
a c e
7. What is the title of new strategy of the World Health Organization?
a) Health for children
b) Health for mothers
c) Health for elderly people
d) Health for all
d
8. What are the main causes of adverse impact on public health care system in Russia?
a) mismanagement
b) unfavourable demographic situation
c) weeknesses in the system of planning
d) excessive financing of medical science
e) lack of cooperation between government structures and public organizations
a,b,c,e
9. What are the features of the public health service of less developed countries?
a) the prevalence of infectious and parasitic diseases in the structure of morbidity
b) low level of birth rate
c) great number of nontraditional methods of treatment
d) high level of death rate
a,c,d
10. What are the main directions of the reorganization of PMSA in Russia?
a) the improvement of the rehabilitation aid
b) the reorganization of the emergency care
c) the introduction of the voluntary medical insurance in the country
d) the increase in the volumes of inpatient aid
a,b
11. What is the proportion of doctors of general practice and paramedical staff in PMSA system in
Russia?
a) 1 : 1.3
b) 1 : 2.5
c) 1 : 7.2
b
12. What are the basic trends of WHO activity?
a) prevention of infectious and non-infectious diseases
b) development of international medical and biologic research
23
c) health protection of mothers and children
d) the increase in the financing of inpatient medical aid
e) the improvement of environment
a,b,c,e
13. When was the charter of the World Health Organization ratified?
a) in 1943
b) in 1948
c) in 1952
d) in 1956
b
14. What are the primary WHO goals?
a) coordination of the international efforts in the field of public health service
b) provision for the availability of the specialized medical aid
c) joint researches in the field of public health service
d) lack of attention to preventive medicine
e) assistance in the preparation of medical staff
a,c,e
XI. Family and Health. Family and Illness. Medico-social aspects of healthy lifestyle. Hygienic
education and upbringing of population
1. Functions of the family are:
a) keeping the house
b) care of sick member of the family
c) emotional
d) financing of medical care
a, b, c, d
2. Hygienic education and instruction shall be carried out:
a) in the process of education and instruction in preschool and other educational establishments
b) during the vocational hygienic training and the certification of officials and workers of the
organizations whose activity is connected with the production, storage, transportation and sale of
food products, etc.
c) during the training, retraining of workers by means of including in curricula sections on hygienic
knowledge
a, b, с
3. Directions of creation of healthy way of life are:
a) medical activity
b) safety of working conditions
c) favorable family relationship
d) rational and balanced diet
a, b, c, d
4. The main principles of hygienic education and instruction are:
a) development of motivation
b) beginning in kindergarten
c) continuous education during the whole of life
a, b, c
24
5. Directions of creation of healthy way of life are:
a) ecological safety
b) prevention of disability
c) healthy heredity
a, с
6. Types of support and using of patientā€™s family resources are:
a) financial supporting
b) information
c) upbringing
d) Ā«advocacyĀ»
a, b, d
7. The most common problems in case of illness of one of the members of the family are:
a) sexual problems
b) feelings of uselessness and helplessness
c) depression
a, b, c
8. Methods of creation of healthy way of life are:
a) social marketing
b) attracting TV, famous people
c) hygienic education
a, b, c
9. Creation of healthy way of life is the aim of:
a) community organizations
b) medical establishments
c) state
d) individual
a, b, c, d
10. Hygienic education and instruction should be carried out:
a) in the process of education and instruction in preschool and other educational establishments
b) during the vocational hygienic training and the certification of officials and workers of the
organizations whose activity is connected with the production, storage, transportation and sale of
food products, etc.
c) during the training, retraining of workers by means of including in curricula sections on hygienic
knowledge
a, b, с

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Tests

  • 1. 1 I. Introduction 1. What are the measures of health? a) index of health b) potential of health c) number of population d) balance of health e) health resources a, b, d, e 2. What is the subject of the study of Public Health and Medical Care Organization? a) public health b) risk factors and epidemiology of health c) medical care organization management d) health of an individual e) medical technologies f) international trends in health and health care a, b, c, e, f 3. What types of Public Health measures do you know? a) index of health b) potential of health c) general national product d) balance of health a, b, d How does the Public Health influence the creation of the General National Product (GNP)? a) positively b) negatively b 5. What elements does the definition of health contain according to WHO? a) the condition of whole physical, mental and social wellbeing b) absence of illness or disability (invalidity) c) the ability to lead social and economically productive life d) favorable environment a, b, c 6. What are medical and social levels of health? a) health of a population b) health of different groups of people c) health of a family d) health of an individual a, b, c, d 7. What factor which causes a disease is the most important? a) the activity of medical institutions b) heredity of a person c) the lifestyle (the way of life) of a person d) environment c
  • 2. 2 II. Demography What does the term Ā«dynamicĀ» (the moving of population) include? a) hospitalization b) immigration c) mortality d) morbidity b c 2. Infant mortality is the mortality of children: a) from 0 till 7 days old b) till 1 month old c) till 1 year old c 3. What does the term " static" of include? a) immigration b) number of population c) mortality d) sex composition of the population e) morbidity b, d 4. The structure of the population of Russia is: a) stable b) regressive c) progressive b 5. What is the difference of the expectation of the life for men and women in Russia? less 4 years 5-8 years more 9 years c III. Morbidity 1. Incidence is: a) the number of new cases of illness commencing or of persons falling ill, during a specified time period b) the proportion of persons with a particular disease within a given population at a given time a 2. Method for investigation of morbidity by the number of patients, seeking medical advice at medical institutions has the following positive sides: a) this method is economically cheaper, than the others b) this method permits to recognize the early or latent stages of the diseases c) it is the basic method of information about the acute and chronic diseases a c
  • 3. 3 3. Method for investigation of morbidity by causes of death of the people has the following positive sides: a) it is a general source of information about the diseases with lethal outcome b) this method shows the level of mild diseases in a population c) it is the basic method of information about the acute and chronic diseases a 4. What is the type of the examination of pregnant women? a) professional b) periodical preventive c) preliminary b 5. Prevalence is: a) the number of new cases of illness commencing or of persons falling ill, during a specified time period b) the proportion of persons with a particular disease within a given population at a given time b IV. Statistics 1. How many steps are there in the statistical research? a) 2 b) 3 c) 4 d) 5 c 2. How many predicates are there in the simple table? a) no one b) 1 c) 2 a 3. What are the stages of statistical trial? a) data collecting b) choosing the object of trial c) choosing the quantity of sample d) working out the plan and the program of trial e) data analysis a, d, e 4. What is the unit of statistical trial? a) each of elements of totality b) sample, from which we will take the information a 5. What is quantitative representativeness? a) enough quantity of units b) conformity of variables of sample and population a
  • 4. 4 6. What are the types of tables? a) grouped b) simple c) combined (combinational) a, b, c 7. How many predicates are there in the grouped table? a) no one b) two or more predicts; the predicates are related to each other c) one or more predicates; the predicates arenā€™t related to each other c 8. What does the program of statistical trial include? a) working out the program of elaboration of data b) choosing the quantity of sample c) working out the program of analysis of data d) data analysis a, c 9. With the aim of studying the state of health of students at the Academy the investigator selected the sample from the 1st course. Is this sample representative? a) yes, it is b) no, it isnā€™t representative in quality c) no, it isnā€™t representative in quantity b 10. What is qualitative representativeness? a) conformity of variables of sample and population b) enough quantity of units a 11. Which variables are ordinal? a) sex b) age c) length of service d) diagnosis b c 12. Which variables are categorical? a) habits b) number of smoked cigarettes c) sex d) length of disease a c 13. What is a frequency table (a variational series)? a) the table of ranged variables b) the table of ranged variables with their frequencies b 14. What are the types of frequency tables (variational series)?
  • 5. 5 a) simple b) weighted c) grouped a, b 15. In a simple frequency table (variational series): a) each variable is present only one time b) each variable is present many times with different frequency a 16. What is the application of mean? a) for assessment of state of health b) for assessment of environment c) for assessment of the reliability of investigation outcome d) for assessment of organization of medical care a, b, d 17. What is the range of frequency table (variational series)? a) maximum and minimum of frequency table b) the difference between maximum and minimum of frequency table c) statistical index of the degree of deviation from central tendency b 18. What is standard deviation? a) the difference between maximum and minimum of frequency table b) statistical index of the degree of deviation from central tendency c) average value calculated by taking the sum of all values and dividing by the total number of values b 19. What part of variables is there in interval ŠœĀ±3ļ³? a) 65,8 % b) 95,5 % c) 99,7 % с 20. What part of variables is there in interval ŠœĀ±2ļ³? a) 65,8 % b) 95,5 % c) 99,7 % b 21. What part of variables is there in interval ŠœĀ±ļ³? a) 65,8 % b) 95,5 % c) 99,7 % a 22. What method is used for comparing intensive rates in populations differing by their structure? a) correlation b) standardization c) the assessment of the reliability of the resultā€™s subtraction
  • 6. 6 b 23. Standardized rates are: a) real rates, which reflect the true value of appearance b) conventional, hypothetic rates, they don, t reflect the true value of appearance b 24. Standardization is used for: a) assessment of direction and strength of relationship between variables b) assessment of the reliability of the result c) comparing intensive rates in populations differing by their structure c 25. What are the types of relationship between variables? a) functional b) grouped c) correlation d) combinational a, c 26. What are the methods of calculating correlation coefficient? a) Spearman's method b) Studentā€™s method c) Pearson's method a, c 27. When is Spearman's method used? a) it is not necessary to define the exact relationship between variables b) the variables are not only ordinal, but categorical c) it is necessary to define the exact relationship between variables d) expressions of data values include open variables a, b, d 28. When is Pearson's method used? a) the variables are ordinal b) expressions of data values include open variables c) it is necessary to define the exact relationship between variables d) it is not necessary to define the exact relationship between variables e) the variables are not only ordinal, but categorical a, c 29. The correlation coefficient is rxy = + 0,72. What are the direction and the strength of the correlation: a) positive and weak b) positive and strong c) direct and middle d) negative and weak b 30. The correlation coefficient is rxy = - 0,52. What are the direction and the strength of the correlation: a) negative and strong
  • 7. 7 b) positive and middle c) negative and weak d) negative and middle d 31. What does correlation coefficient show? a) the strength of correlation b) the significance of correlation c) the direction of correlation a, c 32. The difference between mean rates or relative sizes is reliable, if a) t ā‰¤ 1 b) t ā‰¤ 2 c) t ā‰„ 2 с 33. What is standard error of mean? a) a statistical index of the probability that a given sample mean is representative of the mean of the population from which the sample was drawn. b) a statistical index of the degree of deviation from central tendency c) a statistical index of the probability that a difference between two sample means is greater than zero a 34. Mean rate is reliable if: a) M ā‰„ m (standard error of mean) b) M < m (standard error of mean) c) M ā‰„ 2m or 3m (standard error of mean) с 35. What is P-value (the degree of the probability) for medical and biological researches ? a) 68, 3 % b) 90, 0 % c) 95, 5 % с 36. What does t-criterion show? a) the direction and the strength of the correlation b) the degree of the probability c) the degree of deviation from central tendency b 37. What are the types of relative sizes? a) intensive index b) index of the relation c) absolute size d) index of the appearance (visual index) e) extensive index a, b, d, e 38. What does intensive index show?
  • 8. 8 a) frequency or the level of phenomenon, which is produced in a definite environment b) the changes in size of the same phenomenon in different groups during a definite period of time c) the distribution of study phenomenon on different components d) the relation between two (or more) groups which have no connection a 39. What index describes the relation between two (or more) groups which have no connection? a) extensive index b) index of the relation c) intensive index d) index of the appearance (visual index) b 40. What does index of the appearance show? a) the distribution of study phenomenon on different components b) the relation between two (or more) groups which have no connection c) frequency or the level of phenomenon, which is produced in a definite environment d) the changes in size of the same phenomenon in different groups during a definite period of time d 41. What diagrams are used for showing extensive index? a) inside the post b) line c) round d) bar a, c 42. What does extensive index show? a) frequency or the level of phenomenon, which is produced in a definite environment b) the changes in size of the same phenomenon in different groups during a definite period of time c) the distribution of study phenomenon on different components d) the relation between two (or more) groups which have no connection c 43. What diagrams are used for showing intensive index? a) the map of the country with a diagram b) inside the post c) line d) round e) bar a, c, e V. Organization of the Treatment and Preventive Aid in the Russian Federation 1. What types of treatment and preventive aid are there in Russia? a) hospital medical aid b) rehabilitation, sanatorium-and-spa aid c) out-patient aid d) sanitary-epidemiological service e) emergency and urgent aid a,b,c,e
  • 9. 9 2. When was the International Conference on PMSA in Alma-Ata (USSR) held, which triggered the development of modern primary medico-sanitary aid in Russia? a) in 1975 b) in 1978 c) in 1987 d) in 1993 b 3. What types of treatment and preventive aid are there in Russia? a) hospital medical aid b) rehabilitation, sanatorium-and-spa aid c) out-patient aid d) sanitary-epidemiological service e) emergency and urgent aid a,b,c,e 4. Classification of hospitals depending on administrative-territorial location includes: a) municipal hospitals b) multifield hospitals c) district hospitals d) first aid hospitals a, c 5. Classification of hospitals depending on the profile includes: a) hospital for scheduled hospitalization b) multifield hospitals c) specialized hospitals d) affiliated to polyclinics hospitals b, c 6. Classification of hospitals depending on the regulations of hospitalization includes: a) hospital for scheduled hospitalization b) municipal hospital c) affiliated with to polyclinics hospitals d) first aid hospitals a, d 7. Classification of hospitals depending on the regulations of hospitalization includes: a) district hospital b) hospital for scheduled hospitalization c) local hospitals d) first aid hospitals b, d 8. Structure of in-patient establishment includes: a) administrative departments b) polyclinic c) management d) hospital a, b, c, d
  • 10. 10 9. Functions of inpatient care facilities are: a) rehabilitation b) preventive c) research d) educational a, b, c, d 10. Parameters of activity of inpatient (hospital) medical aid include: a) parameters of bed use b) parameters of quality of treatment in a hospital c) cost indices a, b, c 11. What is mean annual occupation of a bed for municipal hospitals? a) 300-310 days b) 280-290 days c) 330-340 days d) 310 days c 12. Parameters of quality of treatment in a hospital include: a) frequency of postoperative complications b) mean duration of patient's stay in a hospital c) general hospital parameter of lethality a, c 13. Planning of a hospital work consists of determination of the following parameters: a) finances necessary for the maintenance of a hospital b) capacity of a hospital c) the staff and parameters of activity of a medical position a, b, с 14. What is the norm of requirement in inpatient aid? a) 11, 2 beds per 1000 people b) 13, 2 beds per 1000 people c) 14, 5 beds per 1000 people b 15. Parameters of bed use include: a) mean annual occupation of a bed b) lethality rate c) cost of one bed-day d) bed turnover a, d 16. What information is necessary for planning of public health services? a) demographic parameters, morbidity rate and other data on health of the population b) medical-geographical characteristic, ecological conditions of the district c) economic situation of the district d) decisions of the local administration and other having legal effect state statements a, b, c, d 17. What factors can affect the parameter of long-lasting treatment?
  • 11. 11 a) severity of disease; b) late diagnostics of disease and beginning of treatment; c) cases when patients are not prepared by a polyclinic for hospitalization (are not examined, etc.) a, b, c 18. Tasks of a municipal polyclinic are: a) organization and conduct of prophylactic medical examination b) organization and activity associated with sanitary-and-hygienic education of the population c) delivery of qualified medical aid to the population of the catchment area d) organization and implementation of a complex of preventive actions a, b, c, d What are the main principles of work of a municipal polyclinic for adults in Russia? a) highly specific medical aid b) dispensary method c) prevention d) district character of medical aid e) social support f) sanitary-and-hygienic education of the population b, c, d, f 20. What are the main principles of primary medico-sanitary aid (PMSA)? a) immunization b) control over local epidemic diseases c) prevention d) highly specific medical aid e) treatment of common diseases f) education of the community a,b,c,e,f 21. What are the main structural units of the municipal polyclinic? a) registry b) management of a polyclinic c) preventive departments d) nutrition units e) treatment departments f) laundry g) diagnostic rooms a,b,c,e,g 22. What is the dispensarization of people? a) the organization of the immunization of elderly people b) dynamic medical observation of the state of health of patients, teenagers, disabled people and others c) the organization of medico-social expertise of disabled people b 23. What results characterize the efficiency of the dispensarization in the municipal polyclinic? a) increase in the period of remission with patients with chronic diseases b) decrease in the death rate of the population c) increase in number of days of temporary disability of patients d) increase in life expectancy of the population
  • 12. 12 e) increase in number of patients recovered a,b,d,e 24. The main principles of organization of medical aid to children are: a) the principle of obligatory medical insurance b) the principle of one pediatrician c) the principle of legal protection d) the state character a, b, c, d 25. The main principles of organization of medical aid to children are: a) the principle of obligatory medical insurance b) the principle of continuity c) the principle of legal protection d) the principle of the district pediatrician a, b, c, d 26. Directions of activity of the district physician-pediatrician are: a) curative b) sanitary-epidemiological supervision c) preventive a, c 27. The obstetrician-gynecologic district includes: a) 1500-2000 women b) 3000-4000 women c) 800 women b 28. Tasks of emergency care are: a) transportation of patients, pregnant women and newborn children and their mothers b) cooperation with other medical institutions of public health services for rendering medical aid c) 24 hours qualified medical aid to patients within the shortest possible period from the moment of the occurrence of such emergency case d) development of preventive measures among the population on the basis of the analysis of the factors which caused emergency cases (accidents) for the prevention of such cases a b c d 29. The main tasks and functions of the station of emergency care are all, except for: a) transportation of pregnant women b) rendering of medical aid to the citizens c) the dispensarization of adults d) cooperation with other medical institutions of public care services c 30. What factors influence a level of the frequency of emergency care? a) climate conditions b) medico-sanitary education of the population c) heredity e) medico-diagnostic activity of the district therapist in a polyclinic and at home a,b,e
  • 13. 13 31. The main tasks of a children's polyclinic are: a) medical - consultative aid at home and in a polyclinic b) organization and implementation of preventive measures c) analysis of data describing health of children and quality of work d) maintenance of legal protection of children a b c d 32. In-patient departments of a maternity home have the following sub-units: a) reception block b) pregnancy pathology department c) maternity departments d) observation (second) obstetric department e) laboratory a b c d e 33. The main causes of maternal death are: a) criminal abortions b) sepsis c) hypertensive disorders d) uterine bleedings e) obstetric trauma a b d 34. The norm of district (territory) for 1 post of a district therapist in polyclinic is: a) 1500 persons b) 1700 persons c) 2000 persons b 35. A pediatric district comprises: a) 1200 children b) 800 children c) 500 children b 36. A pediatric district comprises: a) 3000-4000 children b) 1200 children c) 800 children c 37. Main parameters of activity of a children's policlinic are: a) parameters, characterizing staff of a polyclinic and total staff b) parameters characterizing organization of work of district pediatricians c) parameters of disease rate, morbidity, disablement, death rate of children d) parameters of preventive activity of a polyclinic a, b, c, d 38. The structure of a childrenā€™s polyclinic includes: a) registry b) department (room) for medico-social aid c) department of medical - diagnostic aid
  • 14. 14 d) department (room) for medical rehabilitation a, b, c, d 39. What are the new types of outpatient aid to the population in Russia? a) day time hospital b) hospital at home c) sanatorium a,b VI. Disability 1. What diseases are in the 1st place among the causes of primary disability of adult: a) trauma or injury consequences b) malignant diseases c) diseases of the digestive system d) cardiovascular diseases e) endocrine, nutritional and metabolic diseases d 2. What diseases are in the 1st place among the causes of primary disability of adult: a) cardiovascular diseases b) endocrine, nutritional and metabolic diseases c) diseases of the digestive system d) neuro-psychiatric disorders e) malignant diseases a 3. What diseases are in the 1st place among the causes of primary disability of children: a) cardiovascular diseases b) congenital anomalies c) diseases of the digestive system d) neuro-psychiatric disorders e) diseases of the nervous system d 4. What diseases are in the 1st place among the causes of primary disability of children: a) congenital anomalies b) neuro-psychiatric disorders c) diseases of the digestive system d) muscular system disorders b 5. Professional rehabilitation of invalids includes the following: a) career guidance b) fostering an active attitude to life c) professional education and consulting d) supplying with technical aids e) individual adaptation to the workplace a c e 6. The types of rehabilitation of invalids are: a) medical b) professional
  • 15. 15 c) psychological d) social a b c d VII. Medical insurance 1. What are the types of medical insurance in the Russian Federation? a) voluntary b) mixed c) legal d) obligatory a,d 2. Voluntary medical insurance is: a) a component of the state social insurance b) a part of private commercial insurance b 3. The rights of citizens of the Russian Federation in the system of obligatory medical insurance are: a) choice of the insurance medical organization, medical institution and the doctor b) delivery of guaranteed (free-of-charge) medical aid throughout the Russian Federation c) delivery of the medical services corresponding in volume and quality to conditions of the agreement, irrespective of the size of actually paid insurance payment d) presentation of the claim to the insurant, the insurance medical organization, medical institution a b c d 4. Subjects of medical insurance are: a) citizens b) insurance risk c) insurant d) insurance medical organization e) medical institution a c d e 5. Obligatory (compulsory) medical insurance is: a) a component of the state social insurance b) a part of private commercial insurance a 6. Object of medical insurance is: a) citizens b) insurant c) insurance risk d) insurance medical organization e) medical institution c 7. Insurants at obligatory medical insurance for the non-working (idle) population are: executive powers of the subjects of the Russian Federation and local self-government organs enterprises, establishments, the organizations legal entities or individuals a
  • 16. 16 8. What are the main financial sources of obligatory medical insurance? a) state budget b) income of individuals c) payments of employers d) payments of banks a,c 9. What is licensing? a) selection of a group of experts for the examination of the material base of the medical institutions b) the activity of government authorities on checking the compliance of the medical institution to the established standards for such medical institutions b 10. What are the types of medical mistakes? a) objective b) universal c) subjective d) poorly educated e) unidentified a,c What is accreditation? a) the permission to be given to a medical institution to carry out some activities b) the presentation of a medical institution to the insurance medical organizations a 12. What are the main functions of a federal fund of obligatory medical insurance (FFOMI)? a) to finance individual programs under voluntary medical insurance b) to implement the state policy in the field of obligatory medical insurance c) to finance insurance medical organizations within the framework of OMI territorial programs b,c VIII. Economics of public health, quality of medical care 1. Types of efficiency of public health services are: a) medical efficiency b) political efficiency c) economic efficiency d) social efficiency a c d 2. Quality of health services in hospital can be estimated on the basis of the following parameters: a) subsidiary services (educational programs, sociologists) b) hospital staffs and services (specialization, frequency of implementation of procedures, use of laboratory and radiological services, etc.) c) degree of satisfaction of patients, quality of filling in of medical cards, death rate, level of nozocomial infections d) organizational structures (financing, organization of medical-ethical commissions, etc.) a b c d
  • 17. 17 3. Methods of evaluation of the activity of medical and preventive treatment facilities are: a) statistical method b) a method of expert evaluations c) clinical-and-economical analysis d) sociological method e) combined method a b c d e 4. A. Donabedianā€™s method of evaluation of the quality of medical aid includes: a) the procedural approach b) the structural approach c) the effective approach a b c 5. A. Donabedianā€™s method of evaluation of the quality of medical aid includes: a) the structural approach b) clinical-and-economical analysis c) the effective approach d) statistical analysis a c 6. Types of the control of the quality of medical aid are: a) professional control b) state control c) economic control d) social control e) political control f) patient's control a, b, d, f 7. What are the types of professional standards in Russia? a) organizational b) medical-economic c) obligatory d) technological e) combinative a,b,d 8. What are the main features of quality of medical aid? a) safety of medical aid b) timeliness of medical aid c) refusal to provide medical aid d) justification of actions and technologies e) impossibility to provide medical aid a,b,d 9. What are the types of levels of economic relations? a) microeconomic b) socioeconomic c) medioeconomic d) macroeconomic e) minieconomic
  • 18. 18 a d 10. What are the features of the medical efficiency? a) increase in the number of recoveries b) increase in the number of complication c) decrease in the number of lethal outcomes d) increase in the mean duration of a disease a, c 11. What are the elements of economic damage in case of morbidity with temporary disability? a) cost of medical aid b) cost of products not created due to such illness c) cost of building medical institutions d) payment on the sick leave a, b, d 12. What is the criterion of economic efficiency? a) the proportion of the economic damage prevented to the cost of medicine used for recovery b) the proportion of the cost of medical aid to the cost of medical transport c) the proportion of prevented economic damage to the cost of medical aid с 13. What are the tasks of economy of public health service? a) to form high level economic culture b) to put theoretical knowledge in to practice c) to develop new economic methods d) to implement new methods of protection of the population against socially important infectious diseases a, b, c 14. What are the types of efficiency of public health services? a) therapeutic b) economic c) social d) national e) medical f) pharmacologic b, c, e 15. What are the features of social efficiency? a) decrease in disease rate b) increase in mortality c) increase in birth rate d) decrease in average life expectancy e) increase in the degree of satisfaction of the population by medical aid a, c, e IX. Sanitary-epidemiological wellbeing of the population, prevention 1. Law "Sanitary-epidemiological wellbeing of the population" describes: a) main principles of medical insurance b) the major activities of the Federal Service for Supervision of Consumer Protection and Welfare
  • 19. 19 c) main principles of protection of health of the population b 2. Primary prevention is: a) science about activities directed to health formation, health protection and creation of healthy way of life b) science about high risk, creation of special schemes and modifications for outpatient observation for early diagnosis of diseases c) science about prevention of relapses of chronic diseases, disability and social deadaptation of an ill patient a 3. Secondary prevention is: a) science about high risk, creation of special schemes and modifications for outpatient observation for early diagnosis of diseases b) science about prevention of relapses of chronic diseases, disability and social deadaptation of an ill patient c) science about activities directed to health formation, health protection and creation of healthy way of life a 4. Tertiary prevention is: a) science about prevention of relapses of chronic diseases, disability and social deadaptation of an ill patient b) science about activities directed to health formation, health protection and creation of healthy way of life c) science about high risk, creation of special schemes and modifications for outpatient observation for early diagnosis of diseases a 5. What risk factors are uncontrolled? a) age b) smoking c) sedentary lifestyle d) heredity a,d 6. What is "medicine of health "? a) science about revealing and assessment of risk of disease origin b) science about early diagnostic and effective disease treatment c) science about health and methods of its formation c 7. What is "risk medicine "? a) science about revealing and assessment of risk of disease origin b) science about early diagnostic and effective disease treatment c) science about health and methods of its formation a 8. What is Ā«medicine of diseasesĀ»? a) science about revealing and assessment of risk of disease origin b) science about early diagnostic and effective disease treatment
  • 20. 20 c) science about health and methods of its formation b 9. What is absolute risk: a) difference between risk (or incidence) of a particular disease among people exposed to a risk factor and that among people not so exposed b) ratio of risk (or incidence) of a particular disease among people exposed to a risk factor to that among people not so exposed a 10. The sanitary and epidemiological well-being of the population shall be ensured by means of: a) elaboration and realization of federal target-oriented programmes for establishing the sanitary and epidemiological well-being of the population, as well as regional target-oriented programmes and scientific and scientific-technical programmes in the given spheres b) the state registration of the potentially dangerous chemical and biological substances, individual products, radioactive substances, production and consumption waste, and also of individual products brought for the first time into the Russian Federation c) measures for the hygienic education and training of the population and propaganda of the healthy way of life d) the prophylaxis of diseases in accordance with the sanitary and epidemiological situation and the forecast of its change a b c d 11. The sanitary and epidemiological well-being of the population shall be ensured by means of: a) the prophylaxis of diseases in accordance with the sanitary and epidemiological situation and the forecast of its change b) the fulfillment of sanitary antiepidemic (preventive) measures and the obligatory observance by citizens, individual entrepreneurs and legal entities of sanitary rules as a component part of their activity c) state sanitary and epidemiological supervision d) the licensing of the activities of potentially dangerous individuals e) the socio-hygienic monitoring a b c d e 12. Criteria of medico-social problems are: a) priority ranks in the structure of causes of death b) priority ranks in the structure of causes of disability c) difficult prevention d) priority ranks in the structure of causes of morbidity a b c d 13. Functions of Federal Service for Supervision of Consumer Protection and Welfare are: a) to conduct regular sanitary and epidemiological surveillance b) to protect the health of the working population by setting and monitoring the standards for work conditions c) to prevent radioactive contamination of the country by controlling incoming products and controlling radioactive substances located in the country d) to protect the health of children by setting and monitoring the standards for conditions at schools, kindergartens and orphanages or any other organization a b c d 14. Socially important diseases are: a) tuberculosis
  • 21. 21 b) AIDS c) influenza d) malignant diseases e) gastric ulcer a b d 15. What is socio-hygienic monitoring? a) special service which is carrying out the state sanitary-epidemiological control b) the state system of observations of the health of the population and the environment, of their analysis, assessment and forecasting b X. Protection of health of the population. Organizational forms of public health service of foreign countries. 1. Systems of health service according to the law of Russian Federation "On protection of health of the population" are: a) national (federal, state) b) private c) insurance medicine d) municipal a b d 2. Financing of state system of public health services in the Russian Federation is carried out basically through: a) funds of the obligatory medical insurance b) funds for preparation and realization of a complex of target programs in public health services c) means of the state budget d) voluntary deductions from the incomes of organizations, establishments and enterprises, donations of the legal and physical persons a b c d 3. The law of the Russian Federation "On protection of health of the population" describes: a) the rights of the citizens in the area of protection of health b) the rights of special groups of the citizens in the area of protection of health c) the major activities of Federal Service for Supervision of Consumer Protection and Welfare d) the rights and social protection of medical and pharmaceutical workers e) the rights of the citizens in the system of obligatory medical insurance a b d 4. The basic principles of protection of health of the population are: a) protection of the citizens who had lost their health b) realization of preventive measures in the field of protection of health of the population c) state support of the rights of man and citizen in the field of protection of health of the population and the attendant responsibility of the legal and physical persons d) general availability of medicine and social help a b c d 5. Classification of organizational forms of public health service according to financing systems includes: a) primary system of private practice
  • 22. 22 b) state system c) mixed state-insurance d) insurance medicine a b c d 6. Basic drawbacks of private (market) system of public health service system are: a) high cost b) insufficient comfort of hospitals c) low availability for deprived part of population d) not enough stimulus for increase of medical work efficiency e) the big number of litigations a c e 7. What is the title of new strategy of the World Health Organization? a) Health for children b) Health for mothers c) Health for elderly people d) Health for all d 8. What are the main causes of adverse impact on public health care system in Russia? a) mismanagement b) unfavourable demographic situation c) weeknesses in the system of planning d) excessive financing of medical science e) lack of cooperation between government structures and public organizations a,b,c,e 9. What are the features of the public health service of less developed countries? a) the prevalence of infectious and parasitic diseases in the structure of morbidity b) low level of birth rate c) great number of nontraditional methods of treatment d) high level of death rate a,c,d 10. What are the main directions of the reorganization of PMSA in Russia? a) the improvement of the rehabilitation aid b) the reorganization of the emergency care c) the introduction of the voluntary medical insurance in the country d) the increase in the volumes of inpatient aid a,b 11. What is the proportion of doctors of general practice and paramedical staff in PMSA system in Russia? a) 1 : 1.3 b) 1 : 2.5 c) 1 : 7.2 b 12. What are the basic trends of WHO activity? a) prevention of infectious and non-infectious diseases b) development of international medical and biologic research
  • 23. 23 c) health protection of mothers and children d) the increase in the financing of inpatient medical aid e) the improvement of environment a,b,c,e 13. When was the charter of the World Health Organization ratified? a) in 1943 b) in 1948 c) in 1952 d) in 1956 b 14. What are the primary WHO goals? a) coordination of the international efforts in the field of public health service b) provision for the availability of the specialized medical aid c) joint researches in the field of public health service d) lack of attention to preventive medicine e) assistance in the preparation of medical staff a,c,e XI. Family and Health. Family and Illness. Medico-social aspects of healthy lifestyle. Hygienic education and upbringing of population 1. Functions of the family are: a) keeping the house b) care of sick member of the family c) emotional d) financing of medical care a, b, c, d 2. Hygienic education and instruction shall be carried out: a) in the process of education and instruction in preschool and other educational establishments b) during the vocational hygienic training and the certification of officials and workers of the organizations whose activity is connected with the production, storage, transportation and sale of food products, etc. c) during the training, retraining of workers by means of including in curricula sections on hygienic knowledge a, b, с 3. Directions of creation of healthy way of life are: a) medical activity b) safety of working conditions c) favorable family relationship d) rational and balanced diet a, b, c, d 4. The main principles of hygienic education and instruction are: a) development of motivation b) beginning in kindergarten c) continuous education during the whole of life a, b, c
  • 24. 24 5. Directions of creation of healthy way of life are: a) ecological safety b) prevention of disability c) healthy heredity a, с 6. Types of support and using of patientā€™s family resources are: a) financial supporting b) information c) upbringing d) Ā«advocacyĀ» a, b, d 7. The most common problems in case of illness of one of the members of the family are: a) sexual problems b) feelings of uselessness and helplessness c) depression a, b, c 8. Methods of creation of healthy way of life are: a) social marketing b) attracting TV, famous people c) hygienic education a, b, c 9. Creation of healthy way of life is the aim of: a) community organizations b) medical establishments c) state d) individual a, b, c, d 10. Hygienic education and instruction should be carried out: a) in the process of education and instruction in preschool and other educational establishments b) during the vocational hygienic training and the certification of officials and workers of the organizations whose activity is connected with the production, storage, transportation and sale of food products, etc. c) during the training, retraining of workers by means of including in curricula sections on hygienic knowledge a, b, с