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Intro. to Public Health Final Exam Study Guide Pt. 2
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Mississippi State
Terms in this set (255)
In the mid-19th century, what was the single largest cause of death?
Tuberculosis
The discovery of which of the following allowed medicine to gain the power to work miracles of healing, leading to a period of rapidly growing influence?
Antibiotics
What type of prevention seeks to minimize the severity of the illness or the damage due to an injury-causing event once the event has occurred?
Secondary prevention
The mission of ___________ health is the fulfillment of society's interest in ensuring the conditions in which people can be healthy.
Public
As part of the ___________________ function, public health seeks to understand the medical care system in an area of study generally referred to as health policy and management or health administration, which also includes the administration and functioning of the public health system.
Assurance
Concern about runaway costs, lack of access, and questionable quality of care has led to an increasing interest in studying the medical care system and its effectiveness, efficiency, and equity, leading to a science called health ________________ research.
Services
__________ collects data that serves as diagnostic tools to inform experts on how healthy or sick a society is and where its weaknesses are.
Government
According to Beauchamp, market ____________________ emphasizes individual responsibility, minimal obligation to the common good, and the fundamental freedom to all individuals to be left alone.
Justice
The UCS report put pressure on the Centers for Disease Control and Prevention to promote abstinence-only programs for preventing ____________ pregnancy.
Teenage
An example of __________ is children and young people can be restricted in their behavior on the basis that they are not yet mature enough to make considered judgments as to their own best interests.
Paternalism
The _____________ omitted an entire climate change section from a major report rather than compromise its credibility by misrepresenting the scientific consensus.
EPA
Public health often arouses controversy on moral grounds, most often when it confronts what type of issues?
Sexual and reproductive issues
In 2003, what publication reported that the National Cancer Institute's website contained information suggesting that having an abortion increased a woman's risk of breast cancer?
New York Times
The Bush administration especially sought to suppress information and to discredit scientific evidence regarding which of the following issues?
Global Warming
The Constitution, in the _____________________, includes among the fundamental purposes of government, "to promote the general welfare."
Preamble
Congress removed the financial penalty for lack of motorcycle helmet laws in _________.
1976
As recently as the late 19th century, milk was commonly watered down, then doctored with __________________ to make it look normal.
chalk or plaster of Paris
____________ discusses new infectious diseases that occur naturally as well as potential bio-terrorist threats.
The journal of Emerging Infectious Diseases
Which of the following is the nation's leading spokesperson on matters of public health?
Surgeon General of the United States
The first published report that heralded the onset of the AIDS epidemic appeared in what publication on June 4, 1981?
Morbidity and Mortality Weekly Report
What agency has often been attacked by Congress and often had its policies watered down by the George W. Bush administration?
Environmental Protection Agency
Epidemiology is used to perform what function of public health?
Assessment
Cryptosporidiosis was added to the national list of notifiable diseases in 1995 after a widespread outbreak in which American city?
Milwaukee
The eosinophilia-myalgia syndrome outbreak resembled an illness with similar symptoms that affected some 20,000 people in Spain as a result of what household item being contaminated?
Cooking oil
The study on the cholera outbreak that struck London in 1848 was conducted by British physician _____________________, who is known as the father of modern epidemiology.
John Snow
A county may normally record only a few cases of hepatitis each year; this represents the ______________, or the background level, in a population.
Endemic level
The cholera outbreak occurred in _________ and lasted from 1853 and 1854.
London
The first major epidemiologic study of a chronic disease was the _____________.
Framingham Heart Study
In defining a disease to be studied, epidemiologists use the term disease broadly, but ________________ is a more accurate but cumbersome description of what is to be studied.
Health outcomes
A group that is exposed to the intervention is called the _________ group.
Experimental
__________ studies are the most convincing type of clinical trials.
Randomized double-blind
Information on the distribution of disease gives clues about the ____________________ of disease.
Causes
When calculating the rate of a disease, which of the following is generally the denominator of the calculation?
Population at risk
Which of the following is calculated by dividing the ratio of exposed subjects to nonexposed subjects in the case group by the ratio of exposed subjects to nonexposed subjects in the control group?
Odds ratio
___________ is a systematic error that may be introduced into a study in a number of ways.
Bias
The Women's Health Initiative was a _________________________, the gold standard for epidemiologic studies, and thus was much less likely to be subject to bias.
Clinical trial
Most epidemiologic studies are ______________________ and have little potential for harm.
Observational
The U.S. Public Health Service and scientists from the Tuskegee Institute began similar studies regarding syphilis in the year ___________.
1932
Case-control studies that attempt to determine which of the following are especially subject to recall bias?
Causes of birth defects
Which of the following was used as a treatment for almost any illness by 18th-century physicians?
Bleeding
What surgical procedure was performed on more than half of all children in the 1930s through the 1950s in the belief that the operation prevented rheumatic fever?
Tonsillectomy
The numbers that describe the health of populations and the science that helps to interpret those numbers is referred to as _____________________.
Statistics
For most public health screening programs, ___________________ tests are desirable in order to avoid missing any individual with a serious disease who could be helped by some intervention.
Sensitive
_____________ identifies events and exposures that may be harmful to humans and estimates the probabilities of their occurrence as well as the extent of harm they may cause.
Risks assessment
In _________ the states of Illinois and Louisiana mandated premarital screening for HIV.
1987
Which of the following expresses the probability that the observed result could have occurred by chance alone?
p-value
If an experiment was repeated 100 times and got the same answer 95 times but got a different answer 5 times, what is the p-value of this experiment?
0.05
An unusual concentration of some kind of cancer, such as childhood leukemia, that alarms everyone in the community is referred to as which of the following?
Cancer cluster
_______________________ are a vital part of the public health's assessment function and are used to identify special risk groups, to detect new health threats, to plan public health programs and evaluate their successes, and to prepare government budgets.
Statistics
In the past decades, many states have added a question regarding the mother's use of _______________ to the birth certificate.
Tobacco
The ________ is part of the Department of Commerce and collects data regarding the American population.
US Census Bureau
The ____________ carries out surveillance for health hazards in the environment, including air pollutants and releases of toxic chemicals.
EPA
Which of the following is an important public health issue, causing the NCHS to set up a special computer system that links vital records of infants born during a given year who died before their first birthday?
Infant mortality
The Census Bureau decided against which of the following categories but allowed individuals to check more than one racial category for themselves?
Interracial
In an attempt to make the collection of detailed information more efficient and more timely, the Census Bureau in 2005 launched which ongoing survey that collects the same information previously collected on the long form?
American Community Survey
HIV is what type of virus that uses RNA as its genetic material instead of the ore usual DNA?
A) Oncovirus
B) Circovirus
C) Retrovirus
D) Herpesvirus
Retrovirus
Symptoms are likely to begin appearing and the person is vulnerable to opportunistic infections and certain tumors when the number of T4 cells drops below which level?
A) 200/cubic millimeter
B) 400/cubic millimeter
C) 600/cubic millimeter
D) 800/cubic millimeter
200 cubic/millimeters
Which of the following is the most common route of transmission of the HIV virus in developing countries?
A) Homosexual relations
B) Heterosexual relations
C) Sharing of needles
D) In utero transmission
heterosexual relations
Retroviruses have long been known to cause ____________ in animals
cancer
Zidovudine (AZT) was approved by the Food and Drug Administration in the year __________
1987
The _____________ held a meeting with vaccine researchers in march 2008 to reassess whether an HIV vaccine will ever be possible and what new approaches could be tried
National Institute of Health (NIH)
In ________, Stanley Prusiner won the Noble Prize for his controversial theory that Creutzfeldt-Jakob disease is caused by particles called prions, which contain protein but no nucleic acid and thus no traditional genetic material
1997
True or False? Transfusion with HIV-contaminated blood is no longer a significant source of HIV infection in the United States.
True
True or False? Testing a baby's blood for HIV antibodies provides evidence of the mother's HIV status.
True
True or False? Investigators trying to track the early spread of HIV found HIV-infected blood samples from as early as 1956, in the blood of a widely traveled Norwegian sailor who died of immune deficiency.
False
The growth of the __________________, which sponsors most of the biomedical research in the United States, has reflected the growth of concern about chronic degenerative diseases.
National Institute of Health
In the year _______, Congress created the National Cancer Institute.
1937
Much of the research on HIV has been done using ____________________, and a great deal has been learned.
cultured human cells
The ___________ estimates that almost one-third of cancer deaths in the United States are due to tobacco use.
American Cancer Society
Which of the following is the only animal able to be infected with HIV but can no longer be used for research due to ethical reasons and cost?
A) Asian macaque monkeys
B) Chimpanzees
C) Guinea pigs
D) Mice
chimpanzees
Which of the following refers to the presence of high blood pressure without a known cause?
A) Essential hypertension
B) Occult hypertension
C) Malignant hypertension
D) Benign hypertension
essential hypertension
Birth defects may be caused by a variety of environmental agents, called _________________, which include some bacteria and viruses, various drugs and chemicals, and radiation
teratogens
____________________ is best prevented by education—warning pregnant women about the risks of contracting the disease through gardening and contact with litter boxes.
Toxoplasmosis
Dr. ________ is a pediatrician from Buffalo, New York, who is considered the "father of newborn screening."
Robert Gutherie
In the ____________, a plastics factory contaminated the bay in Minamata, Japan, with high levels of mercury.
1950s
Which of the following was the blood test for syphilis that was required for all couples about to be married in an effort to identify and treat infected people before they could transmit the disease to a child?
A) Wasserman test
B) Kline test
C) Kahn test
D) Kolmer test
Wasserman Test
What medical condition was identified as the cause of mental retardation in a significant number of institutionalized adults?
A) Tay-Sachs disease
B) Toxoplasmosis
C) Phenylketonuria
D) Thalassemia
Phenylketonuria
Of the 435,000 deaths attributed to tobacco smoking in 2000, how many were caused by secondhand smoke?
A) 15,000
B) 30,000
C) 45,000
D) 60,000
30,000
Once AIDS was introduced, what controversy became more intense because it meant that sexual behavior could be a matter of life and death?
A) Monogamy
B) Homosexuality
C) Sex education in schools
D) Use of condoms
Sex education in schools
Which of the following was among the top five causes of death in 1900 and 2013?
A) Cancer
B) Heart disease
C) Cancer
D) Tuberculosis
Heart Disease
True or False? The behavioral choices of individuals is now the biggest challenge faced by public health.
True
True or False? During Prohibition, the rate of cirrhosis of the liver declined to half that of 1910.
True
The ______________________ to health education has become popular with college administrators to curb high-risk student drinking.
social norms approach
The __________________ is clearly warranted when its intent is to restrain people from harming others.
regulatory approach
In ________, Prohibition was passed by a constitutional amendment.
1919
___________ was forced to resign from the position of surgeon general after speaking openly regarding the use of condoms and masturbation.
Joycelyn Elders
________ is the sense of having control over one's life.
Self-efficacy
The ___________ model looks at how the social environment, including interpersonal, organizational, community, and public policy factors, supports and maintains unhealthy behaviors.
ecological
Absence of ___________________ has been related to an increase in coronary heart disease, complications in pregnancy and delivery, suicide, and other unhealthy outcomes.
social support
Stress due to the adverse physical and social conditions associated with lower________________ status may act directly by affecting physiological processes and indirectly by influencing behavior.
socioeconomic (SES)
Which of the following is a pattern described as a "numbed acceptance of a negative situation so that an individual no longer tries to change that situation for the better because he or she does not expect those efforts to make any difference"?
A) Passive aggression
B) Learned helplessness
C) Perceived failure
D) Behavioral regression
Learned helplessness
Application of which model at the interpersonal level would lead to different strategies in a teen drug prevention program, depending on the nature of the teens' social relationships?
A) Health belief model
B) Transtheoretical model
C) Ecological model
D) Socioeconomic model
Ecological model
Which of the following influence people's diet and activity patterns, which are the second most important factor in American's poor health?
A) Interpersonal factors
B) Intrapersonal factors
C) Community factors
D) Environmental factors
Environmental factors
Which of the following is clearly the nation's most significant public health issue?
A) Bioterrorism
B) Teen pregnancy
C) Illicit drug use
D) Cigarette smoking
cigarette smoking
Which agency imposes requirements that cigarette packages contain warning labels?
A) Federal Trade Commission
B) Federal Communications Commission
C) World Health Organization
D) Centers for Disease Control and Prevention
Federal Trade Commission
What component of tobacco smoke provides the flavor in cigarette smoke and is also a major source of its carcinogenicity?
A) Nicotine
B) Carbon monoxide
C) Tars
D) Benzene
Tars
. _______________________ provided the first solid evidence that smoking caused cancer and heart disease and has continued to yield information on the health effects of this very human habit.
Epidemiology
. In __________, Camel, followed by other brands, began mass marketing campaigns.
1913
In _________, the Environmental Protection Agency issued a report that declared environment tobacco smoke to be a carcinogen causing 3000 lung cancer deaths a year.
1992
Over the past four decades, new awareness of the harm cause by ________________________ smoke has led to some of the most effective actions against smoking.
second-hand
True or False? A 1991 study found that 91 percent of 6-year-olds recognized Joe Camel, the same percentage that recognized the Mickey Mouse logo of the Disney Channel.
True
Which of the following are especially unlikely to have a high BMI?
A) Caucasian girls
B) Hispanic girls
C) African American girls
D) Asian girls
Asian girls
Obese children are, for the first time, being diagnosed with what medical condition that was believed to occur almost exclusively in adults?
A) Hypertension
B) Hypercholesterolemia
C) Type 1 diabetes
D) Type 2 diabetes
Type 2 diabetes
In _________, the Institute of Medicine published a report called Preventing Childhood Obesity: Health in the Balance, which refers to obesity as a "critical public health threat."
2005
__________ is calculated by dividing a person's weight in kilograms by the square of his/her height in meters.
BMI (body mass index)
_______________________ can be improved by "point of choice" postings of nutritional information, which can help shoppers who are concerned about the nutritional content of food but do not know how to make wise choices.
Self-efficacy
The ________________________ suggest that bariatric surgery may be appropriate for obese people with a BMI of at least 40 and for people with a BMI of 35 together with serious coexisting medical conditions such as diabetes
National Institute of Health
True or False? In addition to the people being killed by injuries, there are almost as many survivors left with permanent disabilities, a major economic and emotional drain on families and on society in general.
True
True or False? Prevention of injury, like the prevention of most diseases, is based on epidemiology.
True
True or False? Violence is traditionally thought of as a public health issue rather than a criminal justice issue.
False
High ______________ levels are found in the blood of more than one-third of adult pedestrians killed by motor vehicles.
alcohol
The availability and quality of emergency care are major factors in _____________________.
tertiary prevention
In _________, Congress imposed a national speed limit of 55 miles per hour.
1974
In the year _________, over 15,000 Americans were reported to have died on the job.
1907
The majority of motor vehicle accidents in 2013 were:
Unintentional
Which of the following was the first category of injuries to be analyzed and subjected to systematic prevention efforts?
A) Suicides
B) Homicides
C) Drug overdoses
D) Motor vehicle injuries
Motor vehicle injuries
The "Three Es" of injury prevention—education, enforcement, and engineering—were first applied in which industry?
A) Manufacturing
B) Health care
C) Construction
D) Auto
Auto
Which of the following are most commonly involved in unintentional deaths?
A) Opioid pain medications
B) Cocaine
C) Heroin
D) Psychoactive drugs
Opioid pain medications
Tertiary prevention
Actions taken to contain damage once a disease or disability has progressed beyond its early stages
__% of U.S. households surveyed possess at least one firearm.
38
Residents of a household with a gun are ____ times more likely to die in a homicide.
Three
_________ deaths a year are from occupational injuries.
>4,600
Name the two most dangerous occupations.
Logging and Fishing
The epidemic of birth defects in Minamata, Japan, caused by mercury contamination of the bay from an industrial source, is an extreme example of what type of cause of infant mortality?
A) Nutritional
B) Medical
C) Environmental
D) Social
Environmental
Which of the following is highly toxic to the developing nervous system and is a common contaminant in the American inner city, both from deteriorating paint and old plumbing?
A) Mercury
B) Sulfur
C) Lead
D) Zinc
Lead
Which agency recommends that all pregnant women be screened for common infections and treated if infected?
A) World Health Organization
B) Centers for Disease Control and Prevention
C) American Medical Association
D) National Institutes of Health
Centers for Disease Control and Prevention
____________________ is a state that occurs when people perceive that demands exceed their ability to cope.
Stress
Alcohol is a ___________________, and fetal alcohol syndrome is a risk for children of mothers who are problem drinkers.
teratogen
_______ increases the risk of premature birth and certain birth defects, such as cleft lip and cleft palate.
smoking during pregnancy
___________ account for more than 20 percent of infant deaths and are preventable in many cases.
congenital anomalies
What country has the highest number of infant deaths per 1000 live births in OECD countries in 2011?
Mexico
The "__________________" campaign led to fewer cases of SIDS.
Back to Sleep
Name a permanent kind of contraception.
Sterilization
Name 3 reversible kinds of contraception.
IUD, Birth Control Pill, Condom
What is WIC?
Governmental nutrition program that provides vouchers for nutritious foods for pregnant women, lactating mothers, and children up to age 5.
HIGHLY EFFECTIVE
According to the World Health Organization, mental illnesses account for more disability in developed countries than any other group of illnesses, including cancer and heart disease.
True
Anxiety and mood disorders are often associated with chronic diseases, including cardiovascular disease, diabetes, asthma, epilepsy, and cancer.
True
The evidence for a genetic influence of autism includes twin studies that found that identical twins of autistic individuals will also have autism in 9 out of 10 cases.
True
The ____________________ is the source of the commonly cited findings about the high incidence and prevalence of mental illness in the United States.
National Comorbidity Survey (NCS)
. The __________ conducts in-person interviews with carefully selected representative households to identify serious psychological distress in the past 30 days.
national health interview study
________ factors are important in some mental disorders, including schizophrenia, bipolar disorder, autism, and attention deficit hyperactivity disorder.
Genetic
_____________________ is the most commonly diagnosed behavior disorder of childhood.
ADHD
Which is the only category in which the prevalence among the older cohort is comparable to the younger groups?
A) Anxiety disorders
B) Mood disorders
C) Impulse-control disorders
D) Nicotine dependence
nicotine dependence
Which area of the United States generally has the highest prevalence of depression, serious psychological distress, and mean number of mentally unhealthy days?
A) Northeastern
B) Northwestern
C) Southeastern
D) Southwestern
southeastern
President Obama signed an executive order to strengthen access to mental health care, including suicide prevention efforts, for which group of people?
A) Teens and young adults
B) Elderly
C) Uninsured Americans
D) Veterans
veterans
Which of the following is a reason to avoid using fossil fuels as an energy source?
A. Landscape Destruction
B. Water Pollution
C. Greenhouse Gas emissions
D. All of the above
D, All of the above
Which of the following energy sources does not use steam to spin a turbine and create electricity?
Hydroelectric Energy
Archaeological evidence shows that the earliest cities were designed with consideration for the health of their inhabitants.
true
Neurotoxins may be even more insidious than carcinogens because the damage they do may mimic common aspects of aging.
true
Until recently, the public health approach has been to focus on economic factors in seeking risk reduction.
false
The first Earth Day, celebrated in the United States on April 22, ______, marked the beginning of the modern environmental movement with coast-to-coast rallies and teach-ins.
1970
Over the past three decades, evidence has accumulated that even low levels of _______ can slow a child's development and cause learning and behavior problems.
lead
______, "the king of poisons," has been well known as a common means of homicide through the centuries.
Arsenic
In the mid-1890s, the discovery of which of the following aroused great public excitement and led to extensive human exposures before the danger was recognized?
Xrays
A scandal surrounding medication containing what radioactive material led to the
strengthening of the Food and Drug Administration's power to regulate patent medicines as well as set specific limitations on radioactive materials?
Radium
The first emission standards for automobiles were passed in 1965, to take effect with cars of what model year?
1968
most visible form of air pollution
particulate matter
Which of the following is especially harmful to patients with cardiovascular disease, who are more likely to suffer heart attacks when exposed to higher concentrations of the pollutant?
carbon monoxide
The Clean Air Act and its amendments require monitoring and regulation of six common air pollutants called_______________________.
criteria air pollutants
When an area does not meet the air quality standard for one of the criteria pollutants, the EPA may designate it a _____________________ and may impose measures designed to force the area to achieve the standard.
nonattainment area
The Emergency Planning and Community Right-to-Know Act was established in _________.
1988
A number of studies, including the study of six cities, suggest that the largest particles are the most dangerous because they can invade the body's natural defenses and penetrate deeply into the lungs, becoming a chronic source of irritation
false
While Americans support most measures to ensure cleaner air, they consistently resist efforts to move them out of their private automobiles.
true
True or False? The "New Source Review" set standards for newly built power plants and gave strict requirements for changes to existing plants
false
Each year between 1991 and 2010, the CDC and the EPA recorded an average of how many outbreaks associated with contaminated drinking water?
16
Discharges from industrial sources are the second major category of point-source pollution and were strictly regulated by which piece of legislation?
Clean Water Act
If coliform bacteria is present in the water supply, what step in the water treatment process has failed?
Disinfection
Until the early 1970s, the federal government was responsible for the quality of the waterways and the purity of the drinking water.
false
The Safe Drinking Water Act requires pretreatment of industrial wastes that are discharged into sewers.
false
The general approach to water treatment is directed primarily against__________________ disease, the most common and historically devastating type of waterborne disease.
bacterial
The 1986 reauthorization of the ___________________ specified 83 contaminants to be regulated by the EPA and set deadlines for action.
Safe Drinking Water Act
The leading cause of water pollution in the United States is _________.
agriculture
Americans dispose of how much municipal solid waste each year?
250 million tons
Which of the following is the biggest drawback of using sanitary landfills as a method of waste disposal?
takes up too much space
The Resource Conservation and Recovery Act requires what type of wastes to be accounted for "from cradle to grave" and there are criminal penalties for those who violate the laws?
hazardous waste
____________________ solid wastes include durable goods, nondurable goods, containers and packaging, food scraps, yard trimmings, and miscellaneous inorganic wastes.
Municipal
The Fresh Kills landfill on Staten Island has been closed since March of 2001 except for it use to dispose of debris from the ______________________.
World Trade Center
Fifty-three percent of municipal solid wastes as well as wastes from other sources are disposed of in ___________.
landfills
__________ provides identification and cleanup of hazardous waste sites.
Superfund legislation
True or False? Until the 1970s, little attention was paid to what was done with the garbage after it was taken away from residential neighborhoods.
true
True or False? Legal disposal of hazardous wastes is expensive and no one knows how much illegal "midnight dumping" may actually go on today.
true
True or False? Since only the most serious cases of foodborne diseases are reported, the extent of the problem is unclear.
true
True or false? For the period 2002 to 2011, fruits and vegetables cause more cases of illness than beef, poultry, and seafood combined.
true
All foods that have been irradiated are required to be labeled as such.
true
Because they grow in shallow coastal waters, which are likely to be polluted, which shellfish may carry cholera-related bacteria, hepatitis A virus, and the common Norwalk virus?
oysters & raw clams
What virus is frequently transmitted by food handlers who are careless about hygiene?
hepatitis A
Because of budgetary constraints, how often can the FDA inspect food-processing facilities under its jurisdiction?
every 10 yrs
Uncooked fish used in Japanese dishes such as sashimi and South American ceviche may carry __________________ that are harmful to humans
parasites
Regulation of the fish industry, which falls mainly under the jurisdiction of the _________________, is especially difficult because most fish are caught in the wild by independent fishermen in relatively small boats.
FDA
Iodine in table salt helps prevent a condition called __________.
goiter
All organisms tend to produce more offspring than would be needed to maintain a stable population.
true
Even if the U.S. borders are sealed, human population growth threatens to change the environment of the entire globe, posing health threats that no one could escape.
true
In the ____________________, the population expands rapidly past the carrying capacity and then crashes.
J curve
Global warming is due to the ____________________, where the energy of sunlight is absorbed by carbon dioxide in the air and turned into heat rather than radiating back into outer space.
Greenhouse effect
Predictions about the Earth's carrying capacity have typically centered on which of the following?
food
Which of the following, released by microbial activity in the intestines of cattle and in paddy fields where rice is grown, also contributes to the greenhouse effect?
methane
Immunizations against infectious diseases, monitoring of pregnancies, and the provision of "well-baby care" to ensure that children develop normally are all considered to be _____________ care.
preventive
In response to increasing evidence that the U.S. health care system was dysfunctional, even the _______________________ endorsed President Obama's efforts to change the system.
American Medical Association
To confirm that they provide high-quality care, health care institutions may seek accreditation by which private organization?
Joint Commission
True or False? The most contentious legal cases have concerned the system's insistence on providing expensive, intrusive, and unwanted treatment to patients whose conditions are judged medically hopeless.
true
In a ________, patients are required to seek care from participating providers who have agreed to provide services at lower rates.
Preferred Provider Organization
In what state does the law allows health care institutions to withdraw life support when further treatment is judged futile, even against the wishes of the patient as expressed in an advance directive?
California
The percentage of children who are uninsured has declined to less than 10 percent because of _________________________.
Children's Health Insurance Program
True or False? Each year, the Medicare program pays out more money than it collects in premiums.
true
True or False? The health status of the American population is poor in international comparison, which is evidence that all the spending on medical care cannot compensate for failures in the public health system.
true
What percentage of Medicaid beneficiaries are children, their parents, and pregnant women?
85%
_____________________ analysis called attention to the lack of scientific evidence on which doctors and patients base decisions about how various medical conditions should be treated.
small-area
Businesses with how many employees that do not provide medical coverage are required to pay an assessment of $2,000 per employee?
50+
The percentage of children who are uninsured has declined to less than 10 percent because of
Children's Health Insurance Program
In a preferred provider organization (PPO), patients are required to?
Seek care from participating providers who have agreed to provide services at lower rates.
Controlled clinical trials are one form of ______________________ research, but there are practical, financial, and ethical barriers that prevent conducting controlled trials aimed at answering many important questions about medical care.
outcomes
Four years after its "near-death experience," what agency had regained all the funding it lost and its budget has held roughly steady at over twice the original level through 2015?
Agency for Health Care Policy and Research
In a study conducted by Dartmouth researchers, what type of data was used to compare two cohorts of men who live in areas with different practice patterns for screening and treatment?
medicare data
States began to move _____ recipients into managed care plans in the hope of providing them with higher-quality care and more continuity of care, as well as controlling costs.
Medicaid
In ________, nearly 70 percent of the children had their tonsils removed by the time they were 15 years old.
Vermont
The __________ was asked to investigate and recommend a strategy that would lead to improvements in quality of care.
Institute of Medicine
True or False? It is clear that the variability in the use of different treatments reflects the degree of uncertainty facing physicians regarding their relative efficacy.
true
True or False? The evidence suggests that, for many medical conditions, there is only one appropriate response or treatment.
false
True or False? The rise of preventive medicine contributed to an increasing interest in the measurement of the quality and efficiency, or cost-effectiveness, of medical care.
false
Which of the following has documented extensive evidence that the delivery of medical care in inequitable and that ethnic and racial minorities may receive poorer quality care than white Americans?
health services research
An experimental vaccine was developed for what disease by injecting beta-amyloid into mice, which stimulated antibodies to the protein and reduced the number of plaques?
Alzheimer's disease
Non-Hispanic whites constituted 80 percent of the older population in 2010, but that proportion is projected to shrink to _______ percent in 2050.
58
__________________ prevention, such as the use of drugs to treat diabetes, high blood pressure, and high cholesterol, has undoubtedly reduced morbidity and mortality in many older people.
secondary
The_________ generation is individuals born between 1946 and 1964.
baby-boom
The reduced prevalence of __________________ over the past several decades is partly why the elderly are healthier than they used to be.
smoking
True or False? Cardiovascular disease has become more prevalent as deaths from cardiovascular disease have declined.
true
True or False? Racial differences in health grow smaller in the oldest populations and African Americans who survive to join the oldest-old category have a slightly longer life expectancy than whites of the same age.
true
True or False? The Institute of Medicine predicts that the current workforce is sufficient to meet the needs of the growing number of the elderly.
false
Which of the following is the most prevalent cause of eye disease?
cataracts
Which of the following medical conditions could lead to increased sensitivity to drugs in older people?
impaired renal function
Non-Hispanic whites constituted 80 percent of the older population in 2010, but that proportion is projected to shrink to _______ percent in 2050.
58%
The_________ generation is individuals born between 1946 and 1964.
baby-boom
The reduced prevalence of __________________ over the past several decades is partly why the elderly are healthier than they used to be.
smoking
__________________ prevention, such as the use of drugs to treat diabetes, high blood pressure, and high cholesterol, has undoubtedly reduced morbidity and mortality in many older people.
secondary
True or False? Racial differences in health grow smaller in the oldest populations and African Americans who survive to join the oldest-old category have a slightly longer life expectancy than whites of the same age.
true
True or False? Cardiovascular disease has become more prevalent as deaths from cardiovascular disease have declined.
true
True or False? The Institute of Medicine predicts that the current workforce is sufficient to meet the needs of the growing number of the elderly.
false
Which of the following medical conditions could lead to increased sensitivity to drugs in older people?
impaired renal function
Which of the following is the most prevalent cause of eye disease?
cataracts
An experimental vaccine was developed for what disease by injecting beta-amyloid into mice, which stimulated antibodies to the protein and reduced the number of plaques?
Alzheimer's disease
A transportation accident that causes a release of radioactive materials would be classified as which of the following?
technological disaster
Which agency was accused of covering up the environmental risk following the 9/11 attacks on the World Trade Center?
EPA
Under President Bush, which agency was incorporated into the U.S. Department of Homeland Security where the focus was on terrorism?
FEMA
True or False? Most terrorist events fall into the category of technological disasters.
true
True or False? An unambiguous message to evacuate New Orleans in response to Hurricane Katrina came too close to the time the hurricane struck for it to be acted on by the most vulnerable of the population.
true
True or False? In the event of an emergency, federal personnel can deliver supplies from the Strategic National Stockpile anywhere in the United States within 8 hours.
false
Because there was concern the 9/11 attack on the World Trade Center might have included biological agents, the ________________________ sent officers to monitor hospital emergency rooms for patients with unusual symptoms.
CDC
FEMA had supplied trailers for people whose homes had been destroy during Hurricane Katrina and later it became apparent that the air in these trailers was contaminated with unhealthy levels of ____________________.
formaldehyde 8
The ___________ puts a single person, who has the responsibility for managing and coordinating the response, in charge at the scene.
ICS
___________ is the most dreaded of the possible bioterrorism agents.
smallpox
In 1979, the U.S. Public Health Service adopted ___________________, which requires managers to jointly define a set of measurable goals as a guide to their actions and regularly measures progress toward achieving them.
management by objectives
The publication ____________ prompted public health agencies, policy makers, and academic institutions to initiate a national discussion on the role of public health and the steps necessary to strengthen its capacity to fulfill its role.
The Future of Public Health
President Obama's reform of the health care system includes incentives for physicians, hospitals, and medical providers to use ______________________ to improve the efficiency and quality of medical care for all American citizens.
health information technology
__________ promises to solve many medical problems with new drugs and procedures that will contribute to the spiraling costs of medical care.
biotechnology
When the results of the first planning cycle were tallied in 1990, the numerical mortality goals were met for three of the four age groups. Which age group still needed to meet its goal?
adolescents and young adults
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