Past Paper 3 Flashcards

1
Q

Which of the following are quality strategy?

a) Accreditation
b) Clinical guidelines
c) Quality indicators
d) Peer review
e) Satisfaction survey for customers

A

ABCDE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In the Italian NHS, who is in charge to define the level of care that has to be granted to all the citizens regardless of their economic, social status, and the region they live in?

a) The Health Care Units
b) The Central Level
c) The Regions
d) The National Agency for Regional Health Services
e) None of them

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Are considered contraindications for vaccination

a) Febrile illness (>38°C)
b) Prematurity at birth
c) Pregnancy
d) HIV seropositivity
e) Hypersensitivity to any vaccine components

A

AE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

If you are interested in the magnitude of a certain health problem in a defined population, which (choose two) would be appropriate risk measure?

a) Odd’s ratio
b) Risk ratio
c) Absolute risk
d) Incidence rate ratio
e) Prevalence

A

CE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which of the following statements on West Nile Virus (WNV) infection are true

a) WNV belongs to the Caliciviridae family
b) WNV infection can be transmitted by blood transfusion
c) WNV infection can be transmitted by ticks
d) A vaccine for the prevention of WNV infection is available
e) WNV is transmitted to human through bites of infected mosquitos

A

BE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which of the following are examples of good practice?

a) Pre-operative assessment
b) Attention to technology
c) Establishing standards and procedures
d) A robust accident and incident reporting system
e) A high standard of clinical documentation

A

ABCDE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The origin from which a host acquires infection is defined as

a) Reservoir of infection
b) Source of infection
c) Pathogen
d) Host susceptible
e) Vehicle

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which (one or more) of the following is/are a threat to the internal validity of a study?

a) Measurement bias (for example a systematic error in a blood analysis)
b) Selected study population (for example including only 20-25 year old women)
c) Power problems (too few participants)
d) Confounding
e) Recall bias (people with a disease remember their exposure differently than healthy people)

A

ADE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pathogens more frequently associated with lower respiratory tract infections are

a) Pseudomonas aeruginosa
b) Candida albicans
c) Clostridium difficile
d) Coagulase negative staphylococci
e) Escherichia coli

A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which (one or more) of the following factors can be regarded as confounding?
a) Smoking on the association between alcohol use and lung cancer
b) Alcohol use on the association between smoking and lung cancer
c) Obesity on the association between physical activity and cancer d) A high fat diet on the association between atherosclerosis and myocardial infarction
e) Warm air temperature on the association between ice cream consumption and death by
drowning

A

ACE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which (one or more) of the following is a method to deal with confounding?

a) Restriction
b) Stratification
c) Regression analysis and adjustment
d) Matching
e) Randomization of the exposure groups

A

ABCDE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which of the following sentences best describe the steps that health authorities need to consider when establishing a new surveillance system?
a) Statement of objectives, identification of adequate personnel, and implementation of
procedures for collecting, interpreting, and disseminating information, continuous evaluation of
the system
b) Statement of objectives, definition of the disease/condition under surveillance, and
implementation of procedures for collecting, interpreting, and disseminating information
c) Definition of the disease/condition under surveillance, identification of adequate personnel, and
implementation of procedures for collecting, interpreting, and disseminating information
d) Statement of objectives, definition of the disease/condition under surveillance, identification of
adequate personnel, and implementation of procedures for collecting, interpreting, and
disseminating information, continuous evaluation of the system
e) Statement of objectives, definition of the disease/condition under surveillance, identification of
adequate personnel, and implementation of procedures for collecting information, continuous
evaluation of the system

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which of the following statements on Human Papillomavirus (HPV) infection are true?
a) Integrated viral DNA permanently expresses “early” viral genes
b) HPV types belonging to the Group 3 (2011 IARC classification) are not classifiable as
carcinogenic to humans
c) HPV-16 and HPV-18 are associated with over 70% of cervical cancers
d) HPV testing is able to detect only infections caused by high-risk oncogenic types (HR-HPV)
e) The HPV vaccine consists of virus-like particles (VLPs) and is type-specific

A

ABCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are DRGs?

a) A system of fixed tariffs to reimburse hospital inpatient service
b) A system of fixed tariffs to reimburse hospital outpatient service c) A set of assets
d) A source of profit
e) None of the others

A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

In an experimental study to assess the toxicity of a chemical agent, what of the following parameters is not relevant?

a) The exposure route
b) The exposure duration
c) The diet of the animals
d) The animal species
e) The dose

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are fix and variable costs dependent on?

a) Dividends
b) Profit
c) Revenues
d) Assets
e) Pharmaceuticals

A

C

17
Q

Speaking about an epidemiological study to assess the cancerogenicity of a chemical agent, what is the false statement?

a) Performed on humans
b) Referred to previous exposures
c) Feasible for a limited number of chemicals
d) Confounders can be easily reduced
e) Difficult when exposures become low

A

D

18
Q

What’s the role of the head of an operative unit in managing a hospital?
a) None
b) Among other clinical responsibilities, he’s responsible for the economic result of the operative
unit he runs
c) He has to save resources
d) He has to reduce costs
e) He has to increase profits

A

B

19
Q

Which of the following groups are made of variable costs?

a) Pharmaceuticals, materials, and medical devices
b) Cleanings, personnel, and materials
c) Medical devices, equipments, and laundry
d) Personnel, equipment, and maintenance
e) None of the others

A

A

(!) Whereas fixed costs are made of: personnel, equipment, and maintenance.

20
Q

Considering the definition of occupational limit values, which of the following statements is wrong?

a) They are based on the best scientific evidence
b) They must be technically feasible
c) They are fully protective of workers’ health
d) They must consider people’s perception
e) They must be sustainable for the society

A

C

21
Q

Which of the following is not caused by agricultural dusts?

a) Bronchitis
b) Pharyngitis
c) Well’s disease
d) Mucous membrane irritation
e) Hypersensitivity pneumonitis

A

C

22
Q

Which is the most critical task variable of the S.I. the observer/researcher is required to estimate?

a) Intensity of exertion
b) Duration of task
c) Frequency
d) Wrist posture
e) Speed of exertion

A

A

23
Q

Which of the following is not a phase in agricultural pesticide use?

a) Mixing
b) Loading
c) Trimming
d) Application
e) Maintenance of equipment

A

C

24
Q

Which one of the following statements regarding plasma microvesicles is true?
a) Plasma microvesicles are spherical structures limited by a lipid bilayer. They may be gener-
(ated by?) different cell types and secreted into the extracellular space
b) Microvesicles can contain mRNA, miRNAs, and proteins
c) Microvesicles external membranes are enriched in molecules coming from their mother cells
d) Microvesicles contain small cells
e) None of the above

A

ABC

25
Q

Which chronotype does better tolerate shift work?

a) The morning type
b) The intermediate type
c) The type serotine
d) Neither
e) Both

A

D

26
Q

The author of the first treatise on atmospheric pollution “Fumifugium” was

a) John Evelyn
b) John Snow
c) Bernardino Ramazzini
d) Paracelsus
e) Chris Barnard

A

A

27
Q

What makes up the histone code?

a) Histone variants
b) Histone modifications
c) Enzymes providing histone modifications
d) Protein domains that bind the modified histones
e) DNA methylation

A

ABCD

28
Q

Which one of the following health effects hasn’t been linked to exposure to PM10/2.5?

a) Breast cancer
b) Diabetes
c) Incident coronary events
d) Natural cause mortality
e) Lung cancer

A

A

29
Q

Pesticide exposure and cancer. An outstanding issue is

a) Prenatal and childhood exposure
b) Vulnerable subgroups exposure
c) Women exposure
d) Elderly exposure
e) All of the answers are correct

A

E

30
Q

Which of the following is not caused by exposure to vibrating tools/equipment?

a) White fingers
b) Back pain
c) Motion sickness
d) Neuropathy
e) Coxarthrosis

A

E

31
Q

The first association between an environmental agent and cancer risk in humans was reported by…

a) E. Vigliani in young women exposed to benzene
b) P. Pott in chimney sweepers
c) B. Ramazzini among nuns compared to midwives
d) Hartmann and Hesse in Moravian miners
e) L. Rehn in dyestuff manufacturers

A

B

32
Q

According to EODS, aka “European Occupational Diseases Statistics”, which is the most frequent occupational disease among European workers?

a) Silicosis
b) COPD
c) Burn out
d) Lung cancer
e) Musculoskeletal disorders

A

E