Title: Public Health: What It Is and How It Works Gears
Third Edition Bernard J. Turnock

Self-Assessment Quizzes

Please read each question and select your answer from the choices provided. You must complete all of the questions in order to view your results. At the end of each exam, you have the option to e-mail your results to your instructor.

1:  The total level of health expenditures for health and medical care services in the United States for 2003 is likely to be closest to which of these figures?
A: 500 million dollars
B: 50 billion dollars
C: 1.5 trillion dollars
D: 100 trillion dollars

2:  All of the following comparisons of the U.S. and Canadian health care systems are true EXCEPT
A: the percentage of the GNP devoted to health care is higher is the US
B: the percentage of people who are uninsured is higher in the U.S.
C: fees for physician services per capita is higher in the U.S.
D: The relative quantity of physician services is greater in U.S. than in Canada.
E: net incomes of physicians are higher in the U.S.

3:  What major public health intervention strategy has the purpose of eliminating or reducing exposure to harmful factors by modifying human behavior?
A: heath promotion
B: disease prevention
C: health monitoring
D: environmental scanning

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?
A: 1 year
B: 5 years
C: 15 years
D: 25 years

5:  Which of the following was not one of the three over-arching goals of Healthy People 2000?
A: increase access to preventive services
B: reduce health disparities
C: increase the span of healthy life
D: increase immunization rates for all age groups

6:  Guidelines for effective patient education and counseling include all the following EXCEPT
A: obtaining commitment from patients to change behavior
B: involving office staff
C: involving patients in selection of risk factors that require change
D: using a single strategy
E: monitoring progress through follow-up contact

7:  Health care expenditures in the United States have increased from $12.7 billion in 1950 to $1.5 trillion in 2003. About what proportion of the gross national product was spent on health care in 2003?
A: 2 percent
B: 6 percent
C: 10 percent
D: 14 percent
E: 20 percent

8:  The world population is currently estimated to be growing at a rate such that the time required for the population to double is about:
A: 15 years
B: 35 years
C: 70 years
D: 105 years
E: 140 years

9:  Appropriate considerations for implementation of a screening test include all the following EXCEPT:
A: cost of screening test
B: burden of suffering
C: the physician's familiarity with the disease
D: potential adverse effects of screening test
E: efficacy of treatment

10:  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:
A: primary prevention
B: secondary prevention
C: tertiary prevention
D: none of the above

11:  Factors shaping health policy in the United States include all of the following EXCEPT:
A: federalism
B: pluralism
C: socialism
D: incrementalism

12:  Immunizations fall into what category of disease prevention?
A: primary prevention
B: secondary prevention
C: tertiary prevention
D: none of the above

13:  The major strategy used by the federal government in the U.S. after about 1935 to influence the health policies and services of states and local governments was:
A: appointment of state and local health commissioners
B: development of unified national policy through federal legislation
C: establishment of direct federal health service systems
D: grants-in-aid

14:  The approximate percentage of all health and medical care expenditures in the United States spent on clinical preventive and public health services is:
A: 25-30 percent
B: 15-20 percent
C: 5-10 percent
D: less than 5 percent

15:  Principal findings of the United States Preventive Services (USPS) Task Force include all the following EXCEPT:
A: acute care visits are an appropriate setting for preventive services
B: interventions that address personal health behavior are among the most effective
C: more data and research are necessary to assess the effectiveness of various preventive services
D: screening tests should be applied uniformly

Optional: Enter your name and your instructor's E-mail address to have your results E-mailed to him or her.
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