Dilawar H.
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Social Medicine 2 Final MCQs- 3rd Year- PMU

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Social Medicine 2 Final MCQs- 3rd Year- PMU

Question 1 of 105

1

Fill the blank space to complete the text.

The average number of years that people can expect to live in a country
Ans:

Explanation

Question 2 of 105

1

Fill the blank space to complete the text.

Birthrate minus the death rate, without regard for migration, (birthrate-death rate):
Ans: Annual Population Rate

Explanation

Question 3 of 105

1

Fill the blank space to complete the text.

The total economic value of all goods and services produced by a country in a year:
Ans:

Explanation

Question 4 of 105

1

Fill the blank space to complete the text.

The number of deaths per 1000 people each year:
Ans: Crude Rate

Explanation

Question 5 of 105

1

Fill the blank space to complete the text.

The study of human populations, including their size, growth, density, distribution, and rates of births, deaths, education, etc. :
Ans:

Explanation

Question 6 of 105

1

Select from the dropdown lists to complete the text.

Matching Questions

1. ( a, b, c, d, e ) - Gross Domestic Product (GDP)
2. ( d, e, a, b, c ) - Birth Rate
3. ( c, d, e, a, b ) - Population Distribution
4. ( e, a, b, c, d ) - Fertility Rate
5. ( b, c, d, e, a ) - Migration

a. The total economic value of goods and services produced within a country in a year.
b. The large-scale and continual movement of people.
c. The pattern of where a population settles in a given place.
d. Number of live births per 1000 people each year.
e. The average number of children that would be born per woman if all women lived to the end of their childbearing years.

Explanation

Question 7 of 105

1

A person who moves into a country is a

Select one of the following:

  • Demography

  • Migration

  • Emigrant

  • Immigrant

Explanation

Question 8 of 105

1

A person who is admitted in a country (other than their own) who is unable or unwilling to return because of turmoil or disaster

Select one of the following:

  • Emigrant

  • Rural

  • Refugee

  • Urban

Explanation

Question 9 of 105

1

The average number of people who can read and write in a country.

Select one of the following:

  • Birth Rate

  • Per Capita

  • Fertility Rate

  • Literacy Rate

Explanation

Question 10 of 105

1

Rural → A city area.

Select one of the following:

  • True
  • False

Explanation

Question 11 of 105

1

Population Growth → The percent change in population, resulting from a surplus (or deficit) of births over deaths, and the difference between immigrants and emigrants each year. The percent change can be positive or negative, but is usually positive.

Select one of the following:

  • True
  • False

Explanation

Question 12 of 105

1

Zero Population Growth → When the birthrate and number of immigrants moving into a country equals the death rate and the number of emigrants moving out of a country each year.

Select one of the following:

  • True
  • False

Explanation

Question 13 of 105

1

Urban → A city area.

Select one of the following:

  • True
  • False

Explanation

Question 14 of 105

1

Infant Mortality Rate → The number of babies that die before the age of 1 year per 1000 live births each year.

Select one of the following:

  • True
  • False

Explanation

Question 15 of 105

1

Life Expectancy → The average number of people who can read and write in a country

Select one of the following:

  • True
  • False

Explanation

Question 16 of 105

1

Standard of Living → The conscious effort to educate couples on how to regulate the number and spacing of births with the use of artificial and natural methods of contraception, how to keep children healthy, and the impact of children on their finances.

Select one of the following:

  • True
  • False

Explanation

Question 17 of 105

1

Fill the blank spaces to complete the text.

WHO : Health Organisation is the United Nations specialised agency for . It’s objective, as set out the Constitution, is the attainment by all peoples of the possible level of health. Health is defined as a state of complete physical, mental and social well-being and not merely the absence of disease of infirmity.

Explanation

Question 18 of 105

1

Fill the blank spaces to complete the text.

Regional offices (WHO): are created to establish a regional organisation to and decisions about the special of an area. For example : Africa, Americas, Europe, south-east Asia, eastern Mediterranean, western Pacific.

Explanation

Question 19 of 105

1

Fill the blank spaces to complete the text.

Health is defined as a state of complete , and well- and not merely the absence of .

Explanation

Question 20 of 105

1

Fill the blank spaces to complete the text.

GOBIFFF:
G-
O- Promotion of for the management of diarrhea
B- Promotion of
I-
F-
F-
F- .

Explanation

Question 21 of 105

1

Fill the blank spaces to complete the text.

Rare disease: (RD) represent about % of all human medical illnesses and infirmities. A rare disease is a disease that occurs or in the general population. In order to be considered as rare, each specific disease cannot affect more than a number of people out of the whole population.

Explanation

Question 22 of 105

1

Fill the blank spaces to complete the text.

Bias: is the systematic in an epidemiological study, that could lead to results and conclusion.
They are 3 types:
1. bias
2. () bias
3. bias

Explanation

Question 23 of 105

1

Fill the blank spaces to complete the text.

Relative risk: is the ratio of the incidence in the group (Ie) compared to the incidence in the group (Ine).
RR= Ie / Ine

Explanation

Question 24 of 105

1

Medical sickness certificate is issued for

Select one of the following:

  • Calendar days

  • Working days

  • Both answers are correct

Explanation

Question 25 of 105

1

In case of premature birth when 45 day sick leave has not expired the women

Select one of the following:

  • Is entitled to use the days left or unused days for leave , due to pregnancy, which are included in the third medical sickness certificate

  • is entitled to use the days left or the unused days to leave, due to pregnancy, which are included in the second medical sickness certificate

  • is not entitled to use what is remained or the unused days due to pregnacy

Explanation

Question 26 of 105

1

Health insurance in Bulgaria is

Select one of the following:

  • Obligatory and voluntary

  • Non-obligatory

  • Obligatory

Explanation

Question 27 of 105

1

The expert evaluation of permanent incapacity of work can not be carried out by

Select one of the following:

  • Medical consultative commission

  • Territorial expert medical commission

  • National expert medical commission

Explanation

Question 28 of 105

1

According to its scope health policy is

Select one of the following:

  • National, regional, municipal

  • Regional, municipal, primary health policy

  • Drug policy, policy of specific disease or group of disease

Explanation

Question 29 of 105

1

WHO primary health care strategy was adopted at

Select one of the following:

  • The International Conference in Alma Ata

  • The International meeting in Manila

  • The International Conference in Otawa

Explanation

Question 30 of 105

1

The Health care system in the United States refers to

Select one of the following:

  • Health Insurance System

  • Voluntary Healthcare system

  • Budgetary Healthcare System

Explanation

Question 31 of 105

1

Natural growth of the population is determined by

Select one of the following:

  • The difference between general fertility and marital fertility

  • The difference between birth rate and mortality

  • The difference between birth rate and marriage

Explanation

Question 32 of 105

1

The main function of Territorial expert medical commission is

Select one of the following:

  • Expert evaluation of permanent incapacity for work

  • Expert evaluation of temporary incapacity for work less than 6 months

  • Expert evaluation of certain professional activity

Explanation

Question 33 of 105

1

Perinatal mortality is defined

Select one of the following:

  • Neonatal and post-neonatal mortality

  • Early and late neonatal mortality

  • Stillbirths and early neonatal mortality

Explanation

Question 34 of 105

1

Social Rehabilitation refers to

Select one of the following:

  • secondary prevention

  • tertiary prevention

  • primary prevention

Explanation

Question 35 of 105

1

Public health is determined by 3 main groups of indices

Select one of the following:

  • Demographic indices, physical development and activity, Disease indices

  • Age structure, Prevalence, Acceleration

  • Birth rate, Mortality rate, Physical development and activity

Explanation

Question 36 of 105

1

The medical sickness certificate has

Select one of the following:

  • Financial, legal, medical function

  • Social, legal, documentary function

  • Documentary, financial, legal function

Explanation

Question 37 of 105

1

Medical consulting commission include

Select one of the following:

  • No less than 2 permanent members- physician with a specialty

  • No less than 5 permanent members- physician with a specialty

  • No less than 3 permanent members- physician with a specialty

Explanation

Question 38 of 105

1

The medical establishment for hospital care shall consist of

Select one of the following:

  • clinics and/or departments with beds, medical diagnostic and medical technical laboratories, departments without beds, hospital pharmacy, consulting rooms, units for administrative, economic and service activities

  • medical-technical laboratories, clinics with beds, administration

  • consultative diagnostic block, pharmacy, station block, administrative economic block, registration, departments

Explanation

Question 39 of 105

1

Health care syatem in Bulgaria is

Select one of the following:

  • Health Insurance

  • Voluntary health insurance

  • Budget health service

Explanation

Question 40 of 105

1

What is the shortest duration of the medical sickness certificate?

Select one of the following:

  • 1 day

  • 7 days

  • 3 days

Explanation

Question 41 of 105

1

In the case of normal pregnancy women have the right to

Select one of the following:

  • 2 free ultrasound examinations- once in the first trimester of pregnancy and once at the fifth month of pregnancy

  • 3 free ultrasound examination- once in the first trimester and two at the third month and once at the fifth month of pregnancy

  • 4 free ultrasound examination- two in the first trimester of pregnancy, once at the fifth month and once at the ninth month

Explanation

Question 42 of 105

1

Fertile age is from to?

Select one of the following:

  • 20-36 years

  • 15-49 years

  • 25-55 years

Explanation

Question 43 of 105

1

The medical establishments are registered under

Select one of the following:

  • Health act

  • Law for medical establishments

  • Trade Law or Corporate Law

Explanation

Question 44 of 105

1

The second medical sickness certificate due to pregnancy and childbirth is issued by

Select one of the following:

  • a GP or an obstetrician-gynecologists

  • a pediatrician

  • obstetrician-gynaecologist in the units of the hospital care

Explanation

Question 45 of 105

1

Health establishments are created under

Select one of the following:

  • the law for medical medical establishments

  • the health act

  • the trade Law or Corperation Law

Explanation

Question 46 of 105

1

The National Health Programme is adopted by:

Select one of the following:

  • Minister of Health

  • Council of Ministers

  • National Assembly

Explanation

Question 47 of 105

1

The medical consultation commission has mandative to issue

Select one of the following:

  • medical sickness certificate up to 30 days at once and up to 180 calendar per year

  • extension of the medical sickness certificate for more than 14 days

  • medical sickness certificate up to 60 days at once and up to 180 calendar days per year

  • an expert decision (evaluation)

Explanation

Question 48 of 105

1

The instalment shaft be made by the employer or by an administrative body and by the insured person in the following proportion

Select one of the following:

  • 70-30

  • 80-20

  • 60-40

Explanation

Question 49 of 105

1

Which are the top death causes by ICD-10 classes

Select one of the following:

  • Trauma and poisoning, neoplasms, disease of circulatory system, disease of the respiratory system

  • Disease of the circulatory system, diseases of the respiratory system, neoplasms, trauma and poisoning

  • Diseases of the circulatory system, neoplasms, diseases of the respiratory system, diseases of the digestive system

Explanation

Question 50 of 105

1

Which of the following statements are CORRECT

Select one or more of the following:

  • Territorial expert medical commission has the mandate to issue medical sickness certificate based on a clinical examination and expert evaluation of the medical records

  • Temporary inability for work (sick leave) is the present in the occasions of looking after a diseased or quarantined member of the family, urgent accompany of a sick family member for medical examination

  • Territorial expert medical commission has the right to give more than 6 months

  • A medical sickness certificate may be issued retroactively

Explanation

Question 51 of 105

1

The National Expert Medical Commission is:

Select one of the following:

  • other establishment under the law for medical establishments

  • health establishments under the health act

  • medical establishments for hospital care under the law for medical establishments

Explanation

Question 52 of 105

1

Genetic counselling is mandatory in which cases

Select one of the following:

  • in case of a woman over 35 years or partner is older than 50 years

  • having a child with congenital anomalies of the previous pregnancy

  • all of the answers are correct

  • in case of unknown father

Explanation

Question 53 of 105

1

Mass neonatal screening for phenylketonaria, congenital hypothyroidism, 21-hydroxylase deficiency is conducted

Select one of the following:

  • 2-5 days after birth

  • Up to 30 days after birth

  • In 30-32 g.w.

Explanation

Question 54 of 105

1

Under the law for the medical establishments, a patient should

Select one of the following:

  • take care of his own health

  • observe the order of the medical and healthcare establishments

  • pay for the provided medical service

Explanation

Question 55 of 105

1

Medical establishments for hospital care include

Select one or more of the following:

  • Complex oncological centre

  • Hospital for active treatment

  • Hospital for rehabilitation, long-term treatment and rehabilitation

Explanation

Question 56 of 105

1

Which of the following statements about primary medical care is not correct

Select one of the following:

  • Assistance involving comprehensive health care for patients

  • Primary medical care is a key element of the national health system

  • Primary medical care services provides qualified stationary assistance

Explanation

Question 57 of 105

1

Reasons for hospitalisation include

Select one of the following:

  • acute or chronic illness, maternity

  • acute or chronic illness, disease

  • medical, social, medico-social

Explanation

Question 58 of 105

1

Non-government humanitarian activities are carried out by

Select one or more of the following:

  • Ministry of Health

  • The Red Cross

  • Regional Health Inspectorate

  • Rescue services

Explanation

Question 59 of 105

1

The healthcare system in England refers to

Select one of the following:

  • Health insurance system

  • Voluntary healthcare system

  • Budgetary healthcare system

Explanation

Question 60 of 105

1

The law for medical establishments was adopted in

Select one of the following:

  • 1999

  • 1998

  • 1997

Explanation

Question 61 of 105

1

The National Framework Contract shall be concluded between

Select one of the following:

  • The National Health Insurance Fund and professional organisation

  • The National Health Insurance Fund and people who use health services

  • The National Health Insurance Fund and the Healthcare facilities

Explanation

Question 62 of 105

1

What are the conditions for registering a DCC/Diagnostic and consultative center

Select one of the following:

  • Minimum 3 physicians in various specailties, registry and diagnostic imaging

  • Minimum 10 physicians in various specailties, registry and diagnostic imaging and clinical laboratory

  • Minimum 15 physicians in various specailties, laboratory and one-day surgery

Explanation

Question 63 of 105

1

Leading cause of death in Bulgaria are

Select one of the following:

  • Diseases of the respiratory system

  • Diseases of the digestive system

  • Diseases of the blood circulatory system

Explanation

Question 64 of 105

1

The main method of active follow-up, observation, treating and recovery the individual health is

Select one of the following:

  • prophylactic method

  • clinical method

  • dispensary method

Explanation

Question 65 of 105

1

Secondary prevention includes

Select one or more of the following:

  • Selective screening of newborns

  • Neonatal mass screening

  • Taking folic acid before contraception

  • Biochemical screening of pregnant women

  • Health information and health education

Explanation

Question 66 of 105

1

Which of the following statements are correct for "term births"

Select one of the following:

  • birth from 35 completed weeks to less than 40 completed weeks of gestation

  • birth from 40 completed weeks to less than 48 completed weeks of gestation

  • birth from 37 completed weeks to less than 42 completed weeks of gestation

Explanation

Question 67 of 105

1

The third medical sickness certificate due to pregnancy and childbirth is issued by

Select one of the following:

  • a GP or an obstetrician-gynaecologist

  • a paediatrician

  • obstetrician-gynaecologist in the units of the hospital care

Explanation

Question 68 of 105

1

Early neonatal infant mortality is determined by the the deaths of liveborn infants in the period of

Select one of the following:

  • 0-28

  • 0-1

  • 0-7

Explanation

Question 69 of 105

1

Primary prevention induces

Select one of the following:

  • Immunisation

  • Screening

  • Social rehabilitation

  • Iodization of salt

  • Prophylaxis establishment

Explanation

Question 70 of 105

1

Medical establishments for hospital care are

Select one of the following:

  • specialised and multi-profile hospitals, for active treatment and university hospitals

  • specialised and multi-profile hospitals, for active or long-term treatment, rehabilitation, long-term treatment and rehabilitation and university hospitals

  • long-term treatment, rehabilitation, long-term treatment and rehabilitation and university hospitals

Explanation

Question 71 of 105

1

The GP/dental practitioner has the mandate to issue medical sickness certificate

Select one of the following:

  • up to 7 days at once generally

  • up to 14 days at once generally

  • up to 40 days at once generally

Explanation

Question 72 of 105

1

The first medical sickness certificate due to pregnancy and childbirth is issued by

Select one of the following:

  • a GP or an obstetrician-gynaecologist

  • a pediatrician

  • obstetrician-gynaecologist in the units of the hospital care

Explanation

Question 73 of 105

1

Biochemical screening of pregnant women is conducted in

Select one of the following:

  • 11-14 (early) or 15-20 (late) gw

  • 6-7 (early) or 22-24 (late) gw

  • 15-20 (early) or 30-321 (late) gw

Explanation

Question 74 of 105

1

Legalisation of the healthcare system of Bulgaria is done by

Select one of the following:

  • Minister of Health

  • Council of Ministers

  • National Assembly

Explanation

Question 75 of 105

1

The medical sickness certificate for pregnancy and birth is divided into 3 medical sickness certificates as follows

Select one of the following:

  • I for 42 calendar days, II for 48 calendar days, III for 45 calendar days

  • I for 48 calendar days, II for 42 calendar days, III for 45 calendar days

  • I for 45 calendar days, II for 42 calendar days, III for 48 calendar days

Explanation

Question 76 of 105

1

In which cases a GP makes referrals to outpatient specialist and inpatient services

Select one or more of the following:

  • Need for advisory obligatory opinion for prophylaxis and dispensary examinations

  • Assessment of the health condition at upon patient's request

  • Emergency

Explanation

Question 77 of 105

1

Tertiary prevention include

Select one of the following:

  • Prophylactic examination

  • Immunisation (vaccinations)

  • Screening tests

  • Iodisation of salt

  • Social rehabilitation

Explanation

Question 78 of 105

1

How many medical sickness certificates are issued in case of delivery of a dead child

Select one of the following:

  • Only the first medical sickness certificate

  • Three medical sickness certificates

  • First and second medical sickness certificates

Explanation

Question 79 of 105

1

Which of the following statements are correct

Select one of the following:

  • The right of the individual or couple to make decisions about the number of children they want to have, the time of their birth is a basic human right and is called family planning

  • In case of pregnancy and maternity

  • All women planning a pregnancy are recommended to take 200 micrograms of folic acid (Vitamin B9) daily at least 1 month before the concept

Explanation

Question 80 of 105

1

The National Health Strategy is adopted by:

Select one of the following:

  • Minister of Health

  • Council of Ministers

  • National Health Assembly

Explanation

Question 81 of 105

1

Under the Law for medical establishments, the outpatient care establishments are

Select one of the following:

  • Ambulatory for primary medical care, ambulatory for specialised medical care, medical and medical dental centre, diagnostic consultative centre, Independent medical diagnostic and medical technical laboratories, dental centres

  • Ambulatory for primary medical care, ambulatory for specialised medical care

  • Ambulatory for primary medical care, ambulatory for specialised medical care, medical and medical dental centre, diagnostic consultative centre, Independent medical diagnostic and medical technical laboratories, dental centres, complex centres

Explanation

Question 82 of 105

1

Healthcare system in Germany is

Select one of the following:

  • Health insurance

  • Voluntary Health Insurance

  • Budget Health Service

Explanation

Question 83 of 105

1

Which certificate is given in 45 days of pregnancy

Select one of the following:

  • By GP

  • Ob-Gyn

Explanation

Question 84 of 105

1

Secondary prevention of congenital diseases

Select one of the following:

  • Prenatal selective screening

  • Prenatal biochemical screening

  • Massive neonatal screening – 2-5days after birth

Explanation

Question 85 of 105

1

How many weeks of gestation for the term birth?

Select one of the following:

  • 37 to 42 weeks

  • 40 to 48 weeks

  • 35 to 40 weeks

Explanation

Question 86 of 105

1

You lose medical insurance if you haven’t paid for how many months?

Select one of the following:

  • 6 months

  • 3 months

  • 1 month

Explanation

Question 87 of 105

1

What is the main method of follow up/ observance studies?

Select one of the following:

  • dispensary method

  • prophylaxis

Explanation

Question 88 of 105

1

Fill the blank spaces to complete the text.

What is ECDC and where is it based?
Ans: center for and based in ,

Explanation

Question 89 of 105

1

Which one about primary medical care is not correct?

Select one of the following:

  • assistance that provides comprehensive care to the patients

  • one of the main elements of the national health system

  • provides high quality stationary medical assistance

Explanation

Question 90 of 105

1

Year of the medical establishment act?

Select one of the following:

  • 1998

  • 1999

Explanation

Question 91 of 105

1

Minimum number of doctors in the medical commission?

Select one of the following:

  • 2

  • 5

  • 3

Explanation

Question 92 of 105

1

NGO bodies

Select one of the following:

  • Red cross

  • Rescue service

Explanation

Question 93 of 105

1

Fill the blank space to complete the text.

World health organisation was established in the year
Ans:

Explanation

Question 94 of 105

1

Fill the blank space to complete the text.

The highest authority of world health organization is
Ans:

Explanation

Question 95 of 105

1

The types of analytical studies are:

Select one or more of the following:

  • field studies

  • experimental

  • cross-sectional

  • environmental

  • descriptive

  • case-control

  • observational

  • cohort

Explanation

Question 96 of 105

1

There is an association between the exposure and disease of interest beyond what might be expected from error alone.

Select one of the following:

  • H0

  • H1

Explanation

Question 97 of 105

1

Select from the dropdown lists to complete the text.

Matching Questions

1. Virulence ( c, d, e, a, b )
2. Epidemic ( a, b, c, d, e )
3. Case Definition ( b, c, d, e, a )
4. Prognosis ( d, e, a, b, c )
5. Source for the Agent ( e, a, b, c, d )

a) Occurrence of more cases of disease than would normally be expected in a specific place or group of people over a given period of time
b) Set of standard criteria for deciding whether or not a person has a certain disease
c) The severity of disease that the agent causes in the host
d) The possible outcomes of a disease or condition and the likelihood that each one will occur
e) Place where the agent originates, lives, grows, and multiples.

Explanation

Question 98 of 105

1

Fill the blank spaces to complete the text.

The natural changes of the population consist of and

Explanation

Question 99 of 105

1

Fill the blank space to complete the text.

The population where the number of people over 50 in is higher than the number of people under age 12 is the

Explanation

Question 100 of 105

1

Fill the blank spaces to complete the text.

The common purposes of the health assessment include and

Explanation

Question 101 of 105

1

The elements of PHC are

Select one or more of the following:

  • Education

  • Health promotion

  • Local disease control

  • Expanded program of immunisation

  • Social history

  • Maternal and childcare

  • Essential Drugs

  • Nutrition and food supply

  • Injuries

  • Treatment for common diseases

Explanation

Question 102 of 105

1

Risk factors: Patient characteristics or factors associated with an increased probability of developing disease on condition

Select one of the following:

  • True
  • False

Explanation

Question 103 of 105

1

Portal of entry: Pathway by which the agent can leave the source

Select one of the following:

  • True
  • False

Explanation

Question 104 of 105

1

Host= The organism that is susceptible to the effect of the agent

Select one of the following:

  • True
  • False

Explanation

Question 105 of 105

1

Bias= The organism that is susceptible to the effect of the agent

Select one of the following:

  • True
  • False

Explanation

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