Which surveillance can watch for disease before patient seeks care?
- A. Surveillance based on a specific case definition for a disease(e.g., listeriosis).
- B. Syndromic surveillance based on symptoms, signs, or other characteristics of a disease.
- C. Both.
- D. Neither.
Correct Answer: B
Rationale: Syndromic surveillance detects outbreaks based on early symptoms reported even before patients seek medical care.
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The geometric mean is the value that:
- A. Is midway between the lowest and highest value on a log scale
- B. Occurs most often on a log scale
- C. Has half the observations below it and half above it on a log scale
- D. Is statistically closest to all of the values in the distribution on a log scale
Correct Answer: A
Rationale: Geometric mean finds the central tendency for a set of numbers by using the product of their values.
A case definition during an outbreak investigation should specify:
- A. Clinical features
- B. Time
- C. Place
- D. Person
Correct Answer: A
Rationale: A good case definition includes clinical criteria and details on time, place, and person to ensure consistent identification of cases.
PNMR refers to:
- A. post Neonatal mortality rate
- B. post natal mortality rate
- C. perinatal mortality rate
- D. prenatal mortality rate
Correct Answer: A
Rationale: Post-neonatal mortality rate refers to deaths occurring between 28 days and one year of age.
Two automated blood cell counters are tested twice using a prepared suspension of leukocytes containing 8,000 cells/mm3. The cell counts by device A are 8,400 cells/mm3 the first time and 8,350 cells/mm3 the second. Device B's counts are 8,200 and 7,850 cells/mm3, respectively. Which device(A or B) gives leukocyte counts with greater validity?
- A. Device A
- B. Device B
- C. Both devices have equal validity
- D. Neither device is valid
Correct Answer: A
Rationale: Validity refers to how close the measurements are to the true value (8,000 cells/mm3). Device A's measurements (8,400 and 8,350) are closer to the true value than Device B's (8,200 and 7,850).
SAP stands for
- A. reducing public sector subsidy
- B. increasing public sector subsidy
- C. increasing government sector subsidy
- D. none
Correct Answer: A
Rationale: Structural Adjustment Programs (SAPs) often aim at reducing public sector subsidies.