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Chapter: Chapter 01 - Quiz
True/False
1. Public health practice is oriented toward disease prevention and continuing health improvement.
Ans: True
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2. E. coli O157:H7 is not considered a threat to the food supply of the United States.
Ans: False
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3. In the United States, anthrax usually affects livestock, some wild animals, and humans. Ans: False
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4. Most of the time, epidemiologic researchers confront a problem that has a clear etiologic basis. Ans: False
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5. The epidemiologic and clinical descriptions of a disease are different. Ans: True Feedback: Page 12
6. In current thinking, the term epidemic is used only to describe outbreaks of infectious disease. Ans: False Feedback: Page 17
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7. Socrates popularized the notion that the environment is associated with human disease. Ans: False
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8. John Graunt is known as the Columbus of biostatistics. Ans: True
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9. John Snow is credited with developing the smallpox vaccination.
Ans: False
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10. One of William Farr’s contributions to public health and epidemiology included the development of a more sophisticated system for codifying medical conditions.
Ans: True
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11. Koch published Die Aetiologie der Tuberkulose in 1882, a breakthrough that led to improved classification of disease by specific causal organisms.
Ans: True
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12. The 1918 influenza pandemic is also known as “the Mother of All Pandemics.”
Ans: True
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13. The Framingham Heart Study, begun in 1948, pioneered research into coronary heart disease risk factors.
Ans: True
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14. Environmental and occupational health problems are a specialization of epidemiology.
Ans: True
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15. The study of diseases linked to harmful physical energy, such as ionizing radiation, would be outside the scope of epidemiology.
Ans: False
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16. Molecular epidemiology applies the techniques of molecular biology to epidemiologic studies.
Ans: True
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Multiple Choice
1. Which of the following activities characterizes a clinical approach (as opposed to an epidemiologic approach)?
A) Description of specific signs and symptoms in a patient
B) Description of seasonal trends in disease occurrence
C) Examination of disease occurrence among population groups
D) Demonstration of geographic variations in disease frequency
Ans: A
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2. In the Yearly Mortality Bill for 1632, consumption referred to: A) dysentery. B) tuberculosis. C) smallpox.
D) edema.
Ans: B
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3. John Snow, in Snow on Cholera:
A) was the father of modern biostatistics.
B) established postulates for transmission of infectious disease.
C) was an early epidemiologist who used natural experiments.
D) argued that the environment was associated with diseases such as malaria.
Ans: C
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4. Which of the following activities characterizes an epidemiologic approach (as opposed to a clinical approach)?
A) Description of a single individual’s symptoms
B) Surveillance of a population
C) Treatment of a patient with diagnosed illness
D) Description of a single individual’s symptoms and treatment of a patient with a diagnosed illness
Ans: B
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5. Cyclic variations in the occurrence of pneumonia and influenza mortality may reflect:
A) seasonal variations in cases of influenza.
B) the fact that influenza is a disappearing disorder.
C) long-term changes in mortality trends.
D) seasonal variations in cases of influenza and the fact that influenza is a disappearing disorder.
Ans: A
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6. Which of the following is not usually an aim of epidemiology?
A) To describe the health status of the population
B) To fund new public health programs
C) To explain the etiology of disease
D) To predict the occurrence of disease
E. To control the distribution of disease
Ans: B
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7. The Epidemic Intelligence Service (EIS) is responsible for:
A) tracking down disease outbreaks in the United States and foreign countries.
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B) collecting routine epidemiologic data for local health departments.
C) printing epidemiologic reports for members of the community.
D) reporting suspicious bioterrorism agents to governmental agencies.
Ans: A
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Essay
1. Trace the history of epidemiology from approximately 400 BC to the late 1800s. Identify at least three major historical developments and three major historical figures and their contributions to the field of epidemiology.