Community Medicine Flashcards

1
Q

Epidemiology is the study of_____,_____,&_____ of health related states and events in a defined population the _______ of this study to the control of health problems

A

Distribution
Dynamic
Determinants
Application

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2
Q

Distribution includes a description of the disease frequency by?

A

Person, time and place

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3
Q

The interaction between different factors in transmission of a disease is

A

Dynamics of a disease

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4
Q

Risk factors or the factors that determine the probability of occurrence of a disease is also called

A

Determinants of the disease

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5
Q

Infection is:

A

The entry and multiplication of an infectious agent

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6
Q

Endemic is

A

a constant presence of a disease in a given area or population

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7
Q

The occurrence of a disease in the community in excess number of cases more than expected to this specified location and during the specified period of time during the past years is

A

Epidemic

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8
Q

The occurrence of one case of a completely and globally, eradicated disease should drink the bell for the beginning of an?

A

Epidemic

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9
Q

When the epidemic occurs in a small confined area, for example, school, camp or hospital, we call this

A

An Outbreak (a localized epidemic)

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10
Q

An epidemic affecting more than one country or a wide geographical area or region is called

A

A pandemic

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11
Q

Mention the components of the epidemiologic triad

A

agent
host
environment

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12
Q

For a disease to occur, a harmful agent should come into contact with a susceptible host under specified environmental condition. This is known as.

A

The epidemiologic triad

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13
Q

What is the difference between risk attributes and social traits?

A

Risk attributes are non-modifiable host factors
social traits are the modifiable host factors

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14
Q

Give a an example for each of a physical biological and sociocultural environmental factors

A

Physical: climate, pollution, residency
Biological: vectors such as mosquitoes
Socio-cultural: overcrowding, poverty, dietary habits

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15
Q

What is the role of community medicine in the stage of positive health?

A

Primary preventative measures such as health, promotion, counseling, and care of special groups

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16
Q

What is the role of community medicine in the stage of susceptibility?

A

Its role is primary preventative measures such as risk assessment, preventative measures, and susceptibility detection

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17
Q

What are the stages in the natural history of diseases?

A

Stage of positive health
Stage of susceptibility
Stage of pre-pathogenesis and subclinical
Stage of manifest disease, clinical disease
Stage of disability
Stage of death

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18
Q

What is the role of community medicine in the stage of manifest disease?

A

Its role is secondary preventative, measures such as control, epidemiology, registry, and disease burden

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19
Q

What is the role of community medicine in the stage of disability?

A

It is a tertiary preventative measures, such as disability evaluation, assessment of burden and rehabitation

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20
Q

Mention the role of community medicine in the stage of death

A

Registry, mortality rates, and economic impact

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21
Q

What is the stage of susceptibility?

A

The stage at which the disease has not developed, but the presence of risk factors favours it’s occurrence

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22
Q

What is the stage of pre pathogenesis?

A

The stage at which disease process has begun, but there are no detectible signs or symptom
E.g atherosclerosis happening before any sign of the disease appear

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23
Q

The practice of preventative medicine include includes:

A
  1. prevent the occurrence of the disease
  2. Health promotion
  3. Restore health impairment and minimize suffering
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24
Q

Examples of incubatory carriers

A

Mumps
Poliomyelitis
Hepatitis B

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25
Examples of convalescent carrier
Typhoid fever
26
What is a healthy carrier and give an example?
Our contact carriers that emerge from clinical or sub clinical case, they are apparently healthy, but they are shedding the organism Eg poliomylities and cholera
27
Examples of chronic carriers
Typhoid, gonorrhea, and hepatitis B
28
Human carriers are classified according to duration into
Temporary carriers : shed for short periods of such as incubatory, convalescent, and healthy carriers chronic carriers: shed for indefinite periods months and years: typhoid, hepatitis B, and gonorrhoea
29
Mention modes of direct infection transmission
Direct contact: HIV, gonorrhea, leprosy, eye infection Droplet : mumps and common cold Transplacental : German measles ( rubella ), HIV, toxoplasmosis
30
What is the difference between droplet borne and airborne infections?
Droplet borne is a direct MOT, agent is more than 5 µm example mumps and common cold Airborne is an indirect MOT, agent is less than 5 µm example TB and influenza
31
Examples of a vector borne infections
Malaria, plague, filariasis, and rift Valley fever
32
Fomite borne Infections
Hepatitis A and eye diseases
33
Enumerate the indirect modes of transmission
Vector borne Vehicle transmission Airborne Fomite-borne
34
Examples of common droplet infection
Measles, rubella, mumps, chickenpox, Rheumatic fever, influenza (airborne), COVID-19 meningitis tuberclosis (airbirne)
35
Indications of screening for STDs
High risk groups: sexually active females, pregnant females, and homosexuals
36
Mention specific measures to reduce transmission of sexually transmitted disease diseases
Immunization against HPV Co-treatment of sexual partners Screening for STDs
37
Examples of common contact transmitted diseases
Tetanus, schistosomiasis, perpural sepsis, Ebola virus disease
38
What are general and special measures to reduce transmission of common contact diseases?
General measure: Proper chemotherapy Snail control (schistosomiasis) Health education Environmental sanitation Care during delivery and puerperium Special measures: Active immunization (tetanus) Mass and individual treatment (schistosomiasis)
39
What are the four isolation categories (precautions in hospital)
Standard precaution Airborne precaution Droplet precaution Contact precaution
40
What are the eight items of standard precautions?
Hand hygiene PPE Aseptic techniques Proper waste management Environmental cleaning Safe injection practises Reprocessing of instruments Respiratory hygiene and cough etiquette
41
What are the airborne precautions made at the hospital?
Standard precautions plus -Negative air pressure room -Limited movement and transport of patient -Patient use surgical mask if are moved
42
Six core component or building blocks of health care systems are:
Service delivery Health workforce (human resource) Health information Access to essential medicines Financing Leadership and governance
43
What are the 3 vaccinations that could be administered at birth to a newborn?
BCG Polio Hepatitis B
44
High risk children are those who have/ is?
1. Congenital anomaly. 2. Mental abnormalities. 3. Malnutrition. 4. Chronic diseases. 5. Birth weight < 2.5 KG. 6. Stunted weight and height during the first 3 months. 7. Bottle fed child 8. Dead parents. 9. Born in a big family.
45
When is the second tetanus toxoid dose taken during pregnancy?
4 weeks after first dose or 3 weeks before delivery
46
What is the percent protection of the first tetanus toxoid vaccination during pregnancy? When is it given?
Zero% At 1st antenatal visit provided being after 12 weeks of gestation
47
Neonatal death rate is an indicator of?
Effective woman health care service (mortality rate)
48
_________ is the most suitable health education method for elderly In egypt
Mass education
49
Mention 2 methods of healthcare education in elderly
Mass media Counselling
50
Pap smears are done every_____ after a woman has had a normal smear
3 yrs
51
What are the screening tests done for the elderly?
Weight and height Dipstick for diabetes Blood pressure Hearing and visual acuity Annual mammography Pap smear Bone density for osteoporosis Annual PSA Annual faecal occult blood test Alpha-fetoprotein
52
T/F Screening for hepatocellular carcinoma using alpha-fetoprotein is done for all the elderly group
False; only for individuals serologically positive for hepatitis B surface antigen or hepatitis C virus positive
53
The activities of daily living (ADL) and the instrumental activities of daily living(IADL) is a measure of
Secondary prevention in the elderly (early detection, assessment and screening)
54
Travellers are advised to consult a physician________weeks before departure in order to allow sufficient time for immunization schedule
4-8 weeks
55
17D vaccine is
Yellow fever vaccine
56
Yellow fever, single injection vaccine validity begins after______ and persists for_______
10 days, life
57
Booster of tetanus and diphtheria is are recommended to be taken every____
10 years
58
Typhim Vi is a single dose given intramuscularly at least______ before travel
2 weeks
59
Dramaamine (antihistaminic anticholinergic) is used to prevent travellers from?
Motion sickness
60
_______ is the leading cause of travellers’ diarrhea
Enterotoxigenic E.Coli
61
Which vaccination must be shown for the Hajj visa
Meningococcal vaccination
62
Most common causes of hospital admission during Hajj season is
Pneumonia
63
The most feared trauma hazard in Hajj is
Stampede
64
A person with experience in coding the causes of death according to the ICD
Nosologist
65
Define the viability of the fetus
The point at which the fetus can be supported to live outside his mother’s uterus
66
What is the international and Western timeline for viability of the foetus
Internationally 28th weeks of gestation Western countries 20th weeks of gestation
67
The duration from point of viability (28th week) till the 7th day after birth is called
Perinatal period
68
The most sensitive index for the health status of a community and one of the indices used to evaluate the development of a country is
Infant mortality rate
69
What is the most common and important cause of maternal mortality?
Hemorrhage (Anti-partum and postpartum)
70
Incidence rate of disease is a measure of
Risk; estimate the probability of healthy people to develop the disease during a specific time.
71
Prevalence rate measure_________ in the community and it’s measured by______ studies
The burden of diseases, cross-sectional
72
Child bearing period is
15-49yrs
73
Crude fertility rate is an indicator for
Fertility and population estimation in-between census years
74
Reproduction rates measure the replacement of the _________ population only
Female
75
The ultimate goal of family planning program is to______ the net reproduction rate to________
Reduce, one