Public Health 3

Question 1

Bulimia treatment:

Answer 1

1. Education
2. Stabilise eating patterns
3. Strategies to manage urge to binge/purge
4. Introduction of avoided foods
5. Problem solving
6. Reduction of body checking
7. Modification if beliefs

Question 2

Anorexia treatment :

Answer 2

1. Stabilisation of eating, self monitoring, and weekly weighing
2. Initial focus on enhancing motivation
3. Behaviour change
4. Cognitive restructuring
5. Relapse prevention

Question 3

List 3 millennium development goals directly related to health

Answer 3

Reduce child mortality
Improve maternal health
Combat HIV/AIDS, malaria and other diseases

Question 4

4 ways of functional assessment of the elderly:

Answer 4

? Activities of daily living scale
? Instrumental activities of daily living scale
? Mini mental state examination
? Barthel ADL index

Question 5

Phases of managing infectious threat

Answer 5

1. Identification of new threat
2. Containment phase - few cases
3. Management phase - many cases

Question 6

C diff

Answer 6

SIGHT
S - suspect c diff as cause of diarrhoea
I - isolate case
G - gloves and aprons worn 
H - hand washing
T - test stool for toxin

➡️control antibiotic usage and treat (metronidazole/vancomycin)

Question 7

At risk groups diarrhoea:

Answer 7

? doubtful personal hygiene
? children at preschool/nursery
? people who’s work involves preparing/serving unwrapped/uncooked food
? HCW/social worker working with vulnerable people

Question 8

Ecological studies=?

Answer 8

Population based data rather than individual data

Question 9

Cross sectional study=?

Answer 9

Prevalence study

Question 10

What kind of study looks at people with a disease and compares to a control?

Answer 10

Case control

Question 11

What study follows a group of people over a period time (=incidence study)

Answer 11

Cohort study

Question 12

Define intervention study

Answer 12

Do something and compare to no intervention

Question 13

What is meant by confounding?

Answer 13

When effect of an intervention is distorted because of the association with other factor that influences outcome

Question 14

What term is given to systematic disposition of certain trial designs to produce results consistently better or worse than other designs?

Answer 14

Bias (= systematic deviation from estimation between exposure and outcome)

Question 15

Critical appraisal

Answer 15

RAAMbo
R - representative?
A - allocated or adjusted?
A -accounted for?
Mbo - measurement blind or objective?

Question 16

Public health=?

Answer 16

Science and art of preventing disease, prolonging life and promoting health through organised efforts of society

Question 17

3 domains of public health ?

Answer 17

Health improvement
Health protection
Improving services

Question 18

What can cause association?

Answer 18

?Bias,
? chance,
? confounding,
? reverse causality (outcome causing exposure)
? and true association.

Question 19

Screening principles?

Answer 19

1) Condition - important and has a preclinical phase
2) test - sensitive, specific, inexpensive and acceptable
3) Treatment - effective and must have a policy
4) Organisation - need facilities and benefits must outweigh costs