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The first large-scale permanent European colony to settle in Canada was:
Canada formally became a fully independent nation as part of the British North America Act in:
Choose the correct statement regarding Canada's demographics.
A Between 1985 and 2015 the median age increased by 5 years.
B The average age of Canadian Aboriginals is approximately 27 years.
C As of the 2011 census, 52% of Canadians aged 25-64 years had obtained some level of post-secondary education.
D In 2016 Canada's population slightly exceeded 62 million.
What is the leading cause of mortality in Canada?
B Heart disease
Which of the following statements accurately describes the history of the Canadian healthcare system?
A Prior to the late 19th century hospitals were only available to the rich.
B Its first hospital opened in 1639.
C The government began implementing standardized certification procedures in the late 18thcentury.
D The first school of public health opened in 1944.
How is Canada's public health organized?
A It is integrated into the medical care delivery system.
B It focuses on population health issues.
C It is largely centralized at the federal level.
D In Quebec, the system separates population health and individual medical care to a greater degree than in other provinces.
Which statement best describes healthcare expenditure trends in Canada?
A Quebec is projected to have the highest per capita spending.
B Between 1975 and 1991 healthcare costs rose at a rate of 1.2% per year.
C Budget cuts in the early to mid 1990s resulted in a 3.3% per year decline in expenditures.
D Healthcare expenditures in 2013 represented 38% of the national budget.
According to a 2010 survey, what % of Canadians consider excessive wait times for appointments to be "unacceptable"?
What was determined by the Romanow Commission?
A That waiting times for a significant number of services and procedures are longer in Canada than in comparable nations.
B That problems with access to care are centered around availability as opposed to financial access.
C That Canada is operating well within a supportable and sustainable range
D That the sustainability of the healthcare system lies with the willingness of Canadians to accept the expense of universal health care.
Cross-border sales of drugs from Canada to the U.S. is estimated at approximately:
A 10.2 million
B 102 million
C 10.2 billion
D 1.2 billion
What is the total life expectancy at birth in France?
A 76.8 years
B 79.7 years
C 80.7 years
D 81.8 years
In what year were feudalism and privileges for elite classes abolished in France?
Which disease or condition accounts for the most premature deaths in France?
C Circulatory diseases
D Respiratory diseases
At the start of World War II, what proportion of the French population had healthcare coverage for illness?
A One-third of all citizens
B One-third of employed citizens.
C Two-thirds of employed citizens.
D Three-quarters of employed citizens.
Which of the following statements correctly describes the 2010-2012 Hospital, Patients, Health and Territories Bill?
A It was launched by President Francois Hollande
B It sought to merge hospitals and polarize resources in major hospitals.
C It aimed to decentralize powers exercised by health agencies.
D It reinforced goals of universal vaccinations for children.
By comparison to the U.S., the number of non-physician personnel per bed in French hospitals is:
A 67% lower.
B 50% higher.
C 46% lower.
D approximatelt on par.
At what annual rate has the French medical equipment manufacturing market grown in recent years?
Choose the correct statement regarding healthcare costs in France.
A The French consult doctors less frequently than Americans.
B Per capita healthcare expenditures are lower in France than in the U.S.
C Health prices in France for goods and services are slightly lower than in most European countries.
D Growth in health spending decreased in 2009 amidst the global financial crisis but has since increased to to pre-crisis levels.
As stipulated by France's Assurance Maladie, what is the maximum amount that a general practitioner can charge for a consultation, in U.S. dollars?
In what year was a strategic plan introduced for the purpose of fostering health workforce development?
Which of the following statements describes a current issue facing France's healthcare system?
A Excess alcohol consumption is the main cause of death.
B Chronic diseases were responsible for more than 50% of deaths in 2016.
C France has one of the highest retirement ages in Europe.
D As the population ages, fewer citizens of working age are paying into the system
What % of Germans are 65 years of age and over, according to 2016 statistics?
How much of Germany's total land area is used for agriculture?
Choose the correct statement describing Germany's macroeconomics.
A The German economy represents 3% of the world economy.
B Germany is the third largest exporter in the world.
C Germany is rich in raw materials.
D In the 1950s railways surpassed roads as the most important means of transportation.
Which of the following is the primary role of the German government in the provision of healthcare services?
B System administration
D Payment of services
What was the primary motivation for Germany's National Health Insurance Act of 1883?
A Political gain
B Social justice
C Increased economic productivity
D Public health and safety
What did the 1933 Law for the Prevention of Progeny of Hereditary Disease do?
A It allowed forcible abortions up to the sixth month of pregnancy.
B It allowed for compulsory sterilizations of people with mental handicaps.
C It prohibited reproduction by people defined as genetically inferior.
D It excluded Jewish citizens from national health insurance coverage.
The common understanding that social action should be transferred to the most appropriate level, particularly local and communal levels, is known as:
How has the German healthcare workforce been trending in recent years?
A There has been a steady decline in the number of physicians since the 1990s.
B Physician density has remained below the EU average.
C There has been an increase in foreign doctors practicing in Germany.
D Specialists income has declined relative to general practitioner income.
Which category accounted for the lowest percentage of total healthcare expenditures in Germany in 2012?
A Health administration & health insurance
B Long-term nursing care services
C Prevention & public health services
D Ancillary services
Which of the following statements describes access to healthcare in Germany?
A By law, insured have free choice of physicians but not psychotherapists.
B Migrants and refugees have equitable access to health care under the Asylum Seekers' Benefits Act.
C Since the enactment of the U.S. Patient Protection and Affordable Care Act the number of insured people in Germany has decline significantly.
D Currently, 1.5% of employed people in Germany have no health insurance.
During which period of time did Peru experience dramatic economic improvement and progress in reducing terrorist guerilla activity?
What % of Peru's land area is occupied by the Amazon forest?
Which of the following statements correctly describes Peru's government?
A It is a democratic republic.
B The president appoints members of the Supreme Court of Justice.
C There are three political parties.
D The president and members of congress hold five-year terms.
Peru is the world's second largest producer of:
What is the labor rate for children ages 5 to 14 years in Peru?
Over the past 40 years what has been the population trend for those aged 60 years and above in Peru?
A It has halved.
B It has doubled.
C It has tripled.
D It has remained stable.
Which Peruvian president took responsibility for solving the country's hyperinflation problem?
A Alberto Fuimori
B José Luis Bustamante y Rivero
C Pedro Pablo Kuczynski Godard
D Alan Garcia
Choose the statement that most accurately describes the current healthcare system of Peru.
A The health sector is highly equitable.
B Technical standards and procedures are issued by EsSalud.
C The role of regional governments is being diminished.
D Regional health directorates are extensions of MINSA.
Between 1972 and 2015, Peru's infant mortality rate declined from 96 deaths per 1,000 live births to:
A 83 deaths per 1,000 live births.
B 77 deaths per 1,000 live births.
C 38 deaths per 1,000 live births.
D 19 deaths per 1,000 live births.
What was the most common cause of death in Peru in 2014?
A Coronary heart disease
B Road traffic accidents
C Influenza and pneumonia
What was Brazil's population growth rate in 2016?
In which year was slavery abolished in Brazil?
Which of the following statements accurately describes Brazil's macroeconomics?
A Income disparity has risen over the past 14 years.
B President Dilma Rousseff was committed to fiscal restraint and controlling inflation.
C It was one of the last countries to recover from the 2008 global financial crisis.
D Unemployment was 6% in 2015.
During Brazil's imperial phase, which of the following diseases received the greatest medical attention?
B yellow fever
C small pox
The Vaccination Revolt took place in response to mandatory vaccination for which disease?
B Small pox
D Yellow fever
In which year did Brazil begin acquiring and distributing free antiretroviral drugs for treating HIV?
Choose the most accurate statement describing Brazil's healthcare workforce.
A According to the Brazilian Demographic Study 2013, Brazil exceeded Argentina in the number of practicing physicians per 1,000 population.
B The number of physicians has increased in the past few decades due, in part, to the opening of private medical schools.
C Since 2009, the number of female doctors has reached parity with the number of male doctors.
D In 2013, the average age of all actively practicing physicians was 36.
By how much did the budget for Brazil's Universal Health System (SUS) increase between 2001 and 2011?
Which of the following is a current or emerging challenge facing Brazil's healthcare system?
A Increased epidemics of emerging infectious diseases.
B Population becoming increasingly younger.
C The need to update the national electronic health registry.
D The need to expand the use of the judiciary in reducing the use of dubious and experimental treatments.
What % of adults infected with zika virus are asymptomatic?
The most prevalent religion in Japan in 2012 was:
Japan's net migration rate is:
A -0.4 migrants/1,000 population
B 0 migrants/1,000 population
C 1.24 migrants/1,000 population
D 3.1 migrants/1,000 population
Japan's population aged 65 years and over represents what % of the total population?
During the 1930s and 1940s the leading cause of death in Japan was:
Japan ranks 11th among OECD countries in number of:
A CT scanners per 1 million population.
B units of radiation therapy equipment per 1 million population.
C dentists per 100,000 population.
D assistant nurses per 100,000 population.
Japanese companies are required to contribute to a health insurance plan for their employees if they employ at least:
A 5 workers.
B 50 workers.
C 150 workers.
D 500 workers.
In 2013 in Japan, medical expenditure per capita was:
A 5.88% of national income.
B 8.76% of national income.
C 11.08% of national income.
D 14.21% of national income.
Which of the following is an accurate statistic describing Japan's cardiovascular disease rates?
A Ischemic heart disease accounted for 7% of mortality in 2013.
B The 30-day acute myocardial infarction case-fatality rate is 3 times greater than that of Australia.
C The 30-day case-fatality rate for ischemic stroke is 6%.
D Japan's combined mortality rate from heart attack and stroke is approximately equal to its mortality rate from cancer.
What was Japan's ranking among OECD countries for childhood DTP vaccination in 2013?
By 2050, the % of Japan's population aged 65 years and over is projected to be: A 21
According to 2015 estimates, female life expectancy in Korea is:
A 80.04 years.
B 83.34 years.
C 85.67 years.
D 88.12 years.
Korea achieved universal health coverage through the National Health Insurance (NHI) system in:
Korea fell under Japanese rule in:
During the mid-20th century, Korea grew at an average rate of GDP growth per year of:
In which year was Korea's Health Insurance Review and Assessment Service (HIRA) was established?
Choose the correct statement describing Korea's current healthcare system.
A Total numbers have remained steady over time.
B In 2014, oriental medicine facilities accounted for 15.8% of all hospitals and clinics.
C Existing regulations for long-term care facilities have been expanded since 2008.
D Most healthcare facilities are publicly owned and operated.
Korea currently faces a shortage of:
A general physicians.
Between 1990 and 2011 the number of CT scanners per million population in Korea:
A increased by 20%.
Choose the correct statement regarding Korea's healthcare costs.
A Public spending on health was 55.6% of total healthcare expenditure in 2015.
B Rate of growth in health spending was double the OECD average from 2005-2015.
C Healthcare expenditure as % of GDP in 2015 was slightly above the OECD average.
D The Korean National Health Insurance (NHI) program covers approximately 92.0% of citizens.
What % of healthcare is privately financed in Korea?
Choose the most accurate statement regarding quality of healthcare in Korea.
A Infant mortality rate decreased from 45.0 per 1,000 live births in 1970 to 3.0 in 2016.
B Providers compete for patients on the basis of price.
C Breast cancer was among Korea's top 5 highest incidence forms of cancer in 2012.
D In 2012, the 10 leading causes of death accounted for 90.5% of total deaths.
In what year did Ireland gain independence from Britain?
Which of the following statements correctly describes Ireland's government and political system?
A It is a constitutional republic.
B The prime minister is elected directly by the people.
C Its election system uses a single transferable vote.
D General elections are held every four years.
The Irish senate is known as the:
A Seanad Éireann
B Dáil Éireann
D Teachta Dála
Irish presidents are elected for terms of:
A four years.
B five years.
C six years.
D seven years.
Which of the following describes Ireland's current healthcare system?
A Primary healthcare is universal.
B Patients pay no out-of-pocket costs general practitioner visits.
C It is a two-tiered system.
D Access is based on need, not income.
Choose the correct statement regarding alcohol consumption in Ireland.
A Poorer residents tend to drink more.
B Costs related to alcohol-associated traffic accidents and use of healthcare totaled $189 million in 2013.
C Alcohol is involved in approximately 70% of domestic violence in Ireland.
D During the boom years of the Celtic Tiger, alcohol consumption slowed slightly.
What change will be enacted during Phase II of Ireland's health system reform begun in 2015?
A Restructuring the management system.
B Implementation of a hybrid universal health insurance for acute care.
C Shifting the system toward a market model.
D Implementation of Activity-Based Funding.
What is the ratio of general practitioners per 1,000 population in Ireland?
Which component of Ireland's healthcare system is in greatest need of improvement?
A Capacity and supply
B Public health
C Per capita spending
D Ratio of nurses per 1,000 population
Which of the following statements accurately describes wait times in Ireland's healthcare system?
A The government states that wait times for surgeries are no longer than 12 months.
B In 2015, over 35,000 patients waited more than 18 months for an appointment with a healthcare provider.
C The system does not provide access for patients to seek second opinions.
D The system ranks above average in web-based health options.
What was the net migration rate of the United Kingdom in 2016?
A 3.86 migrants/1,000 population
B 2.5 migrants/1,000 population
C 1.68 migrants/1,000 population
D 1.2 migrants/1,000 population
How does a Briton become a member of the House of Lords?
A Appointment by the monarch.
B Appointment by the prime minister.
C Election by party governing commission.
D Popular election.
In what year was the NHS established?
Which of the following statements best characterizes the healthcare system of the United Kingdom before World War II?
A Hospitals provided care for the wealthy while the majority of the poor were treated by a small number of doctors who would agree to treat them in their homes.
B Hospital physician jobs were few in number but paid well.
C Some altruistic individuals organized to endow hospitals that were free or asked for voluntary payments according to patients' ability to pay.
D Voluntary hospitals evolved into the public hospital system.
Which NHS position oversees the Cancer Drugs Fund?
A Parliamentary Under Secretary of State for Public Health
B Parliamentary Under Secretary of State for Life Sciences
C Parliamentary Under Secretary of State for Care Quality
D Minister of State for Community and Social Care
Which of the following statements accurately describes the current healthcare system in the U.K.?
A About three-quarters of GPs are private contractors.
B Contracts for GPs operate on a capitation only basis.
C GPs are required to provide a certain number of out-of-hours care.
D GPs who prefer salary to practice ownership can opt for a primary medical service (PMS) contract.
How is secondary care practice organized under the NHS?
A Providers are paid hourly.
B Providers work in 4-hour blocks of time.
C Providers are barred from engaging in private practice.
D Patients are assigned to specialists by case managers.
How many people does the NHS in England employ?
B 1 million
C 1.2 million
D 1.5 million
What was the leading cause of death in the U.K. In 2012?
B Respiratory cancers
C Ischemic heart disease
In the fourth quarter of 2015/2016, what % of patients were able to get a same day appointment with their GP when sick?
Which of the following conclusions was reported in the 2015 King's Fund report titled The NHS Under the Coalition Government?
A Quality and perceived relative value of mental health services remains a concern.
B Workload among NHS staff has improved in recent years, with staff reporting reduced job stress.
C Reforms have resulted in a more even distribution of authority within the NHS.
D Public confidence has waned in the wake of greater marketization resulting from coalition government reforms.
What was the per capita gross domestic product of Bangladesh in 2015?
Choose the correct statement describing Bangladesh's size and geography.
A It is slightly bigger than the state of Wyoming.
B It has a population density of approximately 10,500 people per square kilometer.
C It is the 6th most populous country in the world.
D It has a population of approximately 256 million
In 2016 the Bangladesh economy grew at a rate of:
According to WHO estimates, the prevalence of tuberculosis in Bangladesh in 2014 was:
A 104 per 100,000 people
B 335 per 100,000 people
C 404 per 100,000 people
D 515 per 100,000 people
Bangladesh is one of the most endemic areas for which disease?
C Dengue fever
D Yellow fever
The disease with the highest number of cases in Bangladesh in 2014 was:
B neonatal tetanus.
C whooping cough.
The most common micronutrient deficiency disorder among children in the developing world is:
A vitamin A.
Which of the following statements regarding non-governmental organizations in Bangladesh is accurate?
A 70% of Bangladesh Rural Advancement Committee (BRAC) employees are rural women.
B According to the NGO Monitor: Annual Report 2015, there are 1,333 NGOs registered in Bangladesh.
C The Bill and Melinda Gates Foundation is the largest NGO in the world.
D The International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDRB) is the second largest health research institution in the Asian region.
According to a report published in 2014, what % of the Bangladesh population were prediabetic?
Choose the correct statement regarding emerging healthcare challenges in Bangladesh.
A Declining numbers of private medical colleges placing increased burden government-funded schools.
B 52% of the Bangladesh population live under the national poverty line of US $2 per day.
C Widespread demand for affordable health insurance plans combined with insufficient number of plans being offered.
D Lack of sufficient lower level administration of the family welfare services system.
What % of Indians practice Islam?
Which of the following statements regarding India's history is accurate?
A Buddhism began in India.
B Christianity was introduced in the country in the mid 1700s.
C India's caste system was abolished soon after independence from British rule.
D One of the major premises of Hinduism is that the self and self-discipline form the basis of health and healing.
In 2002, India became the world's leading producer of:
D heavy machinery.
Choose the correct statement regarding India's demographics.
A India has 8.7% of the world's population living on 2.4% of the world's land area.
B Adult literacy rate of females 15 years and older is 80%.
C India's population is increasing at a rate of 2% per year.
D Total life expectancy is 64.2 years.
According to a 2009 survey, what % of Indian children aged 12-23 months were fully vaccinated?
When were the first rural primary healthcare centers in India established?
Which Indian institution provides health coverage to the greatest number of people?
A Indian Railways Health Service
B Central Government Employees Insurance (CGHS)
C Employees State Insurance Corporation (ESIC)
D Private closed-panel (in-house)/contracted health care
Foreign-funded NGOs account for what % of India's total health expenditures, according to estimates?
Which of the following statements accurately describes costs associated with India's healthcare system?
A Combined public and private per capita expenditure on health is US $96.
B Government spending on prevention and health promotion is proportionately lower than that of China.
C Out-of-pocket expenditure represents a relatively high % of expenditure on personal healthcare for the middle class.
D Health expenditure is the leading cause of family debt among the middle class.
State health facilities in India are funded by:
A state income tax revenue.
B sales tax.
C sweepstakes lotteries.
D tax revenues generated from the economic boom fueled by the IT and technology sector.
According to 2015 statistics, the literacy rate for female Ghanains age 15 and over is:
In what year did the Portuguese build their first permanent trading post in Ghana?
Ghanaians were provided with European healthcare starting in what year?
Which of the following statements describes healthcare services in Ghana since World War II?
A Korle Bu Hospital was shut down and replaced with a more modern facility.
B Medical services were provided free of charge to all citizens.
C A national health service was started, funded partly by state revenue and partly by international aid.
D Quality of care in rural areas was exceptional.
What proportion of Ghana's health facilities are publicly owned?
According to a 2005 World Health Organization report on international migration, what % of Ghana's loss of skilled labor up to that time consisted of healthcare professionals?
According to an ABCE study, between 2007 and 2011, average expenditure by health facilities in Ghana increased by:
The largest private foundation sponsor of health-related projects in Ghana is:
A the Rockefeller Foundation.
B the Wellcome Trust
C Project Hope
D the Gates Foundation.
With the 2004 National Health Insurance Levy,:
A Ghana entered into a single tax rate system.
B an entire family is required to enroll in the plan.
C those under 18 years of age and over 70 years of age pay reduced rate premiums.
D co-payments are levied for services but not for drugs.
The main cause of mortality and morbidity in Ghana is:
The unemployment rate in Nigeria in 2011 was:
In what year did Nigeria gain independence from Britain?
Which of the following statements accurately describes Nigeria's macroeconomics?
A 90% of the country's export income is derived from petroleum.
B Nigeria is an oil-based economy.
C The government has made considerable progress toward more equitable distribution of oil rents in the past decade.
D The government announced privatization of the country's oil refineries in 2008.
According to 2016 statistics, what % of the Nigerian population is over 65 years of age?
Nigeria's federal Ministry of Health was established in:
Private health facilities provide what % of the country's healthcare?
In 2009, the number of dentists per 10,000 population in Nigeria was:
Choose the correct statement regarding quality of healthcare in Nigeria.
A The country has the fourth highest rate of communicable diseases in the world.
B 2.5 million Nigerians were living with HIV in 2015.
C The infant mortality rate is 69.4 per 1,000 live births.
D Approximately 35% of women have at least four prenatal visits per year.
In 2014,what % 1-year-olds in Nigeria received DPT vaccines?
Which of the following describes a current or emerging challenge for Nigeria's healthcare system?
A Death from malaria is showing an upward trend.
B The River Blindness Programme has achieved a prevalence rate of 3% in all but one inflicted states.
C In 2014 36% of Nigerian children under 5 years of age were stunted by malnutrition.
D Due to corruption, it is estimated that only about 50% of budgetary allocations for healthcare are released from the national budget.
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