Essentials of Public Health 2nd Edition Turnock – Test Bank

 

 

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Sample Test

File: chap03, Chapter 3.

 

 

 

Multiple Choice

 

 

 

1.    The total level of health expenditures for health and medical care services in the United States for 2010 is closest to which of these figures?

 

1.    $750 million

2.    $750 billion

3.    $2.5 trillion

4.    $7.5 trillion

 

Ans: C

 

 

 

2.    All of the following comparisons of the US and Canadian health care systems are true EXCEPT:

 

1.    the percentage of the national GDP devoted to health care is higher in the US

2.    the percentage of people who are uninsured is higher in the US.

3.    fees for physician services are higher in the US.

4.    life expectancy is greater in the US.

 

Ans: D

 

 

 

3.    What major public health intervention strategy has the purpose of eliminating or reducing exposure to harmful factors by modifying human behavior?

 

1.    heath promotion

2.    emergency medical services

3.    health monitoring

4.    environmental scanning

 

Ans: A

 

 

 

4.    Medical services (including clinical preventive services such as immunizations and screening tests) account for what share of the 30-year increased life expectancy achieved for Americans between 1900 and 2000?

 

1.    1 year

2.    5 years

3.    15 years

4.    25 years

 

Ans: B

 

 

 

5.    Which of the following were the two over-arching goals of Healthy People 2010?

 

1.    increase access to preventive services and increase the span of healthy life

2.    reduce health disparities and increase immunization rates for all age groups

3.    increase the quality and years of healthy life and reduce health disparities

4.    increase immunization rates for all age groups and increase access to preventive services

 

Ans: C

 

 

 

6.    Health care expenditures in the United States increased from $12.7 billion in 1950 to over $2.5 trillion in 2010. About what proportion of the gross national product was spent on health care in 2010?

 

1.    6 percent

2.    10 percent

3.    12 percent

4.    16 percent

 

Ans: D

 

 

 

7.    Appropriate considerations for implementation of a screening test include all the following EXCEPT:

 

1.    cost of screening test

2.    efficacy of treatment

3.    the physician’s familiarity with the disease

4.    potential adverse effects of screening test

 

Ans: C

 

 

 

8.    Early detection of disease and interventions to reverse, halt, or at least slow the progression of a condition, often performed when disease is not yet symptomatic, is a description of:

 

1.    primary prevention

2.    secondary prevention

3.    tertiary prevention

4.    none of the above

 

Ans: B

 

 

 

9.    Important factors shaping health policy in the United States include all of the following EXCEPT:

 

1.    federalism

2.    pluralism

3.    socialism

4.    incrementalism

 

Ans: C

 

 

 

10.  Immunizations fall into what category of disease prevention?

 

1.    primary prevention

2.    secondary prevention

3.    tertiary prevention

4.    none of the above

 

Ans: A

 

 

 

11.  The approximate percentage of all health and medical care expenditures in the United States spent on clinical preventive and public health services is:

 

1.    25-30 percent

2.    15-20 percent

3.    5-10 percent

4.    less than 5 percent

 

Ans: D

 

 

 

12.  Principal findings of the United States Preventive Services (USPS) Task Force include all the following EXCEPT:

 

1.    acute care visits are an appropriate setting for preventive services

2.    interventions that address personal health behavior are among the most effective

3.    more data and research are necessary to assess the effectiveness of various preventive services

4.    screening tests should be applied uniformly

 

Ans: D

 

 

 

13.  The difference between primary and secondary prevention of disease is:

 

1.    Primary prevention focuses on control of causal factors, while secondary prevention focuses on control of symptoms.

2.    Primary prevention focuses on control of acute disease, while secondary prevention focuses on control of chronic disease.

3.    Primary prevention focuses on control of causal factors, while secondary prevention focuses on early detection and treatment of disease.

4.    Primary prevention focuses on increasing resistance to disease, while secondary prevention focuses on decreasing exposure to disease.

 

Ans: C

 

 

 

14.  The two largest categories of expenditures for national health expenditures in the US are:

 

1.    Hospitals and nursing homes

2.    Physicians and hospitals

3.    Public health and physicians

4.    Hospitals and pharmaceuticals

 

Ans: B

 

 

 

15.  Which of the following statements accurately describes the financing of health care in the US?

 

1.    Public health services represent approximately one-half of the total expenditures for health care.

2.    Health care expenditures as a percentage of GDP have remained stable within the range of 5%-8% since the 1970s.

3.    Medicare funds most of the services received by the elderly living in institutional long term care facilities.

4.    Medicaid is a Federal-State partnership which covers some health care and related services for low income individuals who are elderly, blind, or disabled.

 

Ans: D

 

 

 

16.  When a person is healthy, without signs and symptoms of disease, illness or injury, the level of prevention most appropriate would be:

 

1.    Primary prevention

2.    Secondary prevention

3.    Tertiary prevention

4.    No prevention is needed

 

Ans: A

 

 

 

17.  Public health authorities argue that the current focus of the US health system is on tertiary prevention. Such a focus would be most likely to produce which of the following outcomes:

 

1.    Minimize overall prevalence of a disease or condition in the population.

2.    Minimize overall financial expenditure for treatment of a disease or condition.

3.    Minimize the cost of lost wages from a disease or condition.

4.    Minimize or delay mortality from a disease or condition.

 

Ans: D

 

 

 

True or False

 

 

 

18.  Private insurance in the US pays for more than one-half of all national expenditures.

 

Ans: False

 

 

 

19.  By the year 2025, non-Hispanic whites will comprise less than one-half of the of the total US population.

 

Ans: False

 

 

 

20.  The majority of the uninsured population in the US in 2010 fall below 100% of the federal poverty level.

 

Ans: False

 

 

File: chap04, Chapter 4.

 

 

 

Multiple Choice

 

 

 

1.    As a society, we endorse the delegation of executive, legislative, and judicial authority to administrative agencies for many reasons, EXCEPT which of these?

 

1.    Because the complexity of modern society calls for more regulatory bodies to fulfill government’s expanded regulatory roles

2.    Because of the need to rely upon the technical and professional expertise of agency personnel to carry out the public policy behind the legislation

3.    Because of the need to lessen the burden on the civil court system

4.    Because it is not always possible or even wise to include extensive detailed and technical information in a statute

 

Ans: C

 

 

 

2.    More than three-fourths of all US local health departments are organized at this level of government?

 

1.    County

2.    City

3.    Township

4.    State

 

Ans: A

 

 

 

3.    The term “Title XVIII” which was signed into law on July 30, 1965, is better known as:

 

1.    Medicaid

2.    Medical Assistance

3.    Medicare

4.    CHAMPUS

 

Ans: C

 

 

 

4.    The organizational unit in the federal government created in 1939 to bring together health, education, and welfare services.

 

1.    Federal Security Agency

2.    Children’s Bureau

3.    Department of Homeland Security

4.    Centers for Disease Control

 

Ans: A

 

 

 

5.    The Food and Drug Administration (FDA) is responsible for:

 

1.    Overseeing the science of preventive services

2.    Conducting research into the treatment of major categories of disease

3.    Providing services to indigenous populations

4.    Evaluating the safety of food and drugs

 

Ans: D

 

 

 

6.    The Centers for Disease Control (CDC) does which of the following?

 

1.    Oversees the science of preventive medicine through basic science and applied research

2.    Conducts research into the treatment of major categories of disease

3.    Provides funds for the clinical services for the poor, aged, and totally disabled

4.    Provides services to indigenous populations

 

Ans: A

 

 

 

7.    The State Health Officer is usually appointed by the

 

1.    US Public Health Service

2.    state legislature

3.    governor

4.    state board of health

 

Ans: C

 

 

 

8.    The National Institutes of Health does which of the following?

 

1.    Oversees the science of preventive medicine through basic science and applied research

2.    Conducts research into the treatment of major categories of disease

3.    Provides funds for the clinical services for the poor, aged, and totally disabled

4.    Evaluates the safety of food and drugs

 

Ans: B