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HP5 MSE 3 2011


Which one of the following is NOT a Millennium Development Goal?

  To halve world poverty by 2015

  To achieve universal primary education

  To reduce child mortality by two-thirds

  To reduce maternal mortality by three-quarters

  To halve new cases of HIV/AIDS


Which one of the following is NOT basic clinical service in developing world heath care?

  Short course chemotherapy for tuberculosis

  Management of cardiovascular disease

  Prenatal care

  Family planning

  Limited care of common conditions


The epidemic curve of a particular disease spans 6 incubation periods of the disease. Which one of the following is inconsistent with this finding?

  The outbreak was a point-source outbreak associated with a food-borne toxin

  The disease was transmitted from person-to-person

  The outbreak was a continuing-source food-borne outbreak

  The outbreak was due to a vector-borne disease

  Public health interventions curtailed the outbreak


Which one of the following methods is most often used in epidemiological studies of infectious disease outbreaks?

  Cross-sectional survey

  Case-control study

  Prospective cohort study

  Retrospective cohort study



In a population with a very high prevalence of human immunodeficiency virus (HIV) infection, which one of the following factors is the most important contributor to high rates of tuberculosis disease in such settings?

  The many deaths from tuberculosis

  The difficulty of diagnosing tuberculosis cases

  The high proportion of tuberculosis infections that eventually progress to disease

  The adverse effects from tuberculosis medication experienced by severely ill persons

  Cases infected with multiple drug-resistant M. tuberculosis which respond poorly to conventional therapy


Which one of the following factors is most likely to favour the eradication of an infectious disease of humans?

  The pathogen causes chronic human infections

  Chronic illness is obvious and distinctive

  Animals may be infected

  The available vaccine has poor efficacy if subjected to high environmental temperatures

  The causative organism can survive in the natural environment


The following steps are all important elements in a typical outbreak investigation conducted by a State Health Department:


  Analyse data by time, place, and person\n

  Conduct a case-control study\n


  Generate hypotheses\n



  Conduct active surveillance for additional cases\n


  Verify the diagnosis\n

  Confirm that the number of cases exceeds the expected number\n

  Define the roles (investigators, laboratory support, press liaison etc.) of persons involved in the investigation\n\n In what order should the activities listed above be conducted?