Public Health

Question 1

Alcohol withdrawal symptoms

Answer 1

Tremulousness
Activation syndrome 
Seizures
Hallucinations 
Delirium tremens

Question 2

UK alcohol limit

Answer 2

14 units a week

Question 3

One unit of alcohol

Answer 3

8g/10ml

Question 4

Foetal alcohol syndrome

Answer 4

Growth retardation
CNS abnormalities
Craniofacial abnormalities

Question 5

Alcohol assessment t

Answer 5

CAGE
AUDIT
FRAMES (motivational advice for quitting)

Question 6

Medications for alcoholism

Answer 6

Naltrexone - competitive agonist for opioid receptors
Disulfiram - worst hangover
Acampeosate - stabilises fhemical balance

Question 7

Breast screening

Answer 7

50-70 mammogram every 3 years

Question 8

Bowel cancer screening

Answer 8

60-74 faecal occult blood every 2 years

And at 56 as a one off

Question 9

Cervical screening

Answer 9

25s every 3 years. 50-64 every 5 years

Question 10

AAA

Answer 10

Over 65s. US

Question 11

Wilson Jugner screening criteria

Answer 11

Important problem; acceptable treatment; recognisable at early stage; diagnosis/treatment available; suitable test; acceptable test; natural history of disease known; continuous process of case finding; early treatment improves prognosis; economical

Question 12

Sensitivity

Answer 12

How well a test picks up those with the disease

Question 13

Specificity

Answer 13

How well test recognises those without the disease

Question 14

Prevalence

Answer 14

Proportion of population who have the disease in a given period/day etc

Question 15

Incidence

Answer 15

Number of new cases

Question 16

Normal BMI

Answer 16

18.5-24.9 kg/m^2

Question 17

Overweight BMI

Answer 17

25-29.9

Question 18

Obese class 1-4

Answer 18

1) 30-34.9
2) 35-39.9
3) 40-49.9
4) over 50

Question 19

Is anorexia or bulimia harder to treat

Answer 19

Anorexia

Question 20

Health

Answer 20

State of complete physical mental and social well-being and not merely the absence of disease or infirmity

Question 21

Utilitarianism

Answer 21

Act is evaluated solely on its consequences

Question 22

Deontology

Answer 22

Act is evaluated baded on character of the act itself

Question 23

Virtue ethics

Answer 23

Intention of the person /character for the agent
Compassion/discernment/trustworthiness/integrity/conscientiousness
Often conflicting & non specific

Question 24

4 principles

Answer 24

Autonomy
Beneficence
Non maleficence
Justice

Question 25

Millennium development goals

Answer 25

``` Eradicate extreme poverty and hunger Achieve universal primary education Promote gender equality and empower women Reduce child mortality Improve maternal health Combat HIV/AIDS malaria etc Ensure environmental sustainability Develop a global partnership for development ```

Question 26

Cdiff SIGHT

Answer 26

``` Suspect cdiff Isolate case Gloves & apron Hand washing soap and water Test stool for toxin (Control antibiotic usage & treat with metronidazole/vancomycin) ```

Question 27

Cause of death

Answer 27

1) a) disease/condition leading directly to death. B) disease leading to that etc 2) other significant conditions contributing to death but not related to the disease or condition causing it

Question 28

Prevalence calculation

Answer 28

Incidence x average duration

Question 29

Ecological study

Answer 29

Population based data

Question 30

Cross sectional

Answer 30

Prevalence study

Question 31

Case control

Answer 31

People with a disease compared to a control

Question 32

Cohort

Answer 32

Follow a group of people over time

Question 33

Intervention study

Answer 33

Do something & compare to no intervention

Question 34

RAAMbo critical appraisal

Answer 34

Representative Allocated or adjusted Accounted for Measurement blind or objective

Question 35

Linear regression

Answer 35

Used for predictive analysis (relationship between a dependent and one or more independent)

Question 36

Logistic regression

Answer 36

To calculate the probability of a binary (yes/no) event occurring Dependent = yes/no Independent = factors that influence the outcome

Question 37

Assumptions of logistic regression

Answer 37

Dependent variable is binary Predictor variables should be dependent of each other Independent variables should be linearly related to log odds Fairly large sample size

Question 38

Survival analysis

Answer 38

Time to event | E.g. number of days of treatment before pt goes into remission