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3307 Collection of test questions




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Ministry of Education, Science, Youth and Sports of Ukraine

Sumy State University




3307 Collection of test questions

in social medicine,

health organization and economics

for preparation for the licensing examination «Krok-2»

for foreign students of the speciality «Medical Care»

of the full-time course of study


Sumy
Sumy State University
2012

Collection of test questions in social medicine, health organization and economics for preparation for the licensing examination «Krok-2» / compilers: V. A. Smiyanov, S. V. Pavlicheva, O. I. Smiyanova, Yu. K. Vasylyev. – Sumy : Sumy State University, 2012. – 32 p.


Department of Social Medicine and Public Health Protection


1. A number of viable foetuses per 1000 women at the age between 15 and 44 are determined by:

A. Genital index.

B. Reproductive level.

C. Birth rate.

D. Perinatal rate.

E. Obstetric rate.


2. Point out the unit for statistical observation for the determination of blood sugar level influence on the wound surface healing during postoperative period.

A. The patient in a postoperative period.

B. Blood sugar level.

C. Blood test.

D. The patient who has a wound surface.

E. The patient who was discharged to outpatient treatment.


3. What information gathering method is preferable to study housing conditions of medical students during training period?

A. Questionnaire.

B. Interviewing.

C. Materials selection.

D. Directed selection method.

E. Statistical method.


4. What methods of the collecting of the information are preferable for study of housing conditions of students of medical higher school for the training period?

A. Questioning.

B. Interviewing.

C. Selecting of materials.

D. A method of the directed selection.

E. Statistical method.


5. Choose a method of a graphic representation of monthly information about number of the registered cases of acute intestinal infection and their comparisons to the average monthly values, obtained for 5 previous years:

A. The linear diagram.

B. The radial diagram.

C. The sector diagram.

D. The figured diagram.

E. The curvilinear diagram.


6. The parameter of infantile mortality for the last year was 16.3, in present year – 15.7. Name a kind of the diagram that can be used for a graphic representation of it.

A. Stylar.

B. Linear.

C. Intrastylar.

D. Sector.

E. Radial.


7. The average body length of newborn boys is 50.9 cm at sigma 1.66; and average mass is 3432 g at sigma 5.00. What criterion is necessary in order to compare degree of variability of the following signs?

A. Coefficient of variation.

B. Sigma.

C. Limit.

D. Amplitude.

E. Coefficient of association.


8. What method is applied to establish the rate of correlation between age of men and their mortality due to myocardial infarction?

A. Method of grade correlation (Spirman).

B. Correlation ratio.

C. The quadrate method (Pirson).

D. The Indirect method (Student).

E. Method of graduated correlation (Armler).


9. Indicate the registration medical document for the patient, who on February, 21 was addressed to the doctor with diagnosis ARVD for the first time in this year.

A. The statistical coupon is to be filled in and it is necessary to deliver on a sign (+).

B. The statistical coupon for registration of final diagnosis is not necessary.

C. The statistical coupon is to be filled in, but a sign (+) is not necessary to be put in.

D. It is necessary to fill in the emergency notice on a case of contagion.

E. The necessary registration form is not indicated.


10. Define the basic registration document at the profound study of the case rate with temporary lost labour ability at the industrial enterprise:

A. A card of the personal account of a case rate.

B. «The report on reasons of a temporary lost labour ability».

C. The sick-leave certificate.

D. An ambulatory medical card.

E. The inpatient medical record.


11. The head of the department and trade-union group have appealed to the head of the hospital about dismissal of the senior nurse who has 17 year record of service. The facts of charge were confirmed and recognized by the nurse herself. This nurse lives with a daughter (who is divorced and unemployed) and a 9-month-old grandson. Make an administrative decision:

A. To continue the work in office with a warning of dismissal in case of repeated violation of labour discipline.

B. To discharge the worker, i.e. to satisfy demands of the collective.

C. To issue the sick list.

D. To shift the solution of this problem on other officials or public organizations.

E. No action is taken.


12. 25 unorganized children in the age of 2–3 year will be observed on a paediatric district in the current year. What scheduled number of initial visitations will make to this group of children?

A. 50.

B. 20.

C. 40.

D. 100.

E. 200.


13. A child is 6 years old. Within one year of observation he had URI that lasted 8 days. Physical state is satisfactory. Specify his health group:

A. 1-st group.

B. 2-nd group.

C. 3-rd (a) group.

D. 3-rd (b) group.

E. 3-rd (c) group.


14. A 38 year old man was admitted to a hospital from his working place on July, 19 because of hip fracture. He was invalid till November, 19. Requires prolongation of treatment. Who decides on the issue of further temporary invalidity?

A. Specialized (traumatology) medical and social expert commission.

B. Medical-advisory commission.

C. The head physician of the polyclinic.

D. Interregional general medical and social expert commission.

E. Regional medical and social expert commission.


15. What is the maximum duration of medical certificate in case of tuberculosis?

A. 2 months.

B. Week.

C. 2 weeks.

D. Month.

E. 10 months.


16. An engineer-chemist at the age of 47 often falls ill with an occupational skin disease. Who makes a decision to transfer him to other job accepts?

A. Medical-advisory commission.

B. Head physician.

C. Attending physician.

D. Chief of the shop.

E. Medical and social expert commission.


17. A patient with high temperature came to a first-aid post in the evening. The fact of temporary disability was established. Indicate the order of examination in this case:

A. The night duty doctor should issue a medical certificate, which will be subsequently used for issuing a sick list from the date of the previous day.

B. The sick list for 1 day should be issued.

C. The sick list for up to 3 days should be issued.

D. The sick list for 3 days should be issued.

E. Any document shouldn't be issued.


18. A 9-year-old girl has an average height and harmonic growth development. She was ill with acute respiratory infection for five times. Define the group of her health.

A. 2nd group.

B. 1st group.

C. 3rd group.

D. 4th group.

E. 5th group.


19. A 30-year-old patient with complaints of occipital headache, disturbed sleeps with nightmares came to a policlinic. BP was 150/95 mm Hg. He was diagnosed with hypertonic crisis. The patient should be registered in the following dispensary group for arterial hypertension surveillance:

A. In the second group.

B. In the first group.

C. In the fourth group.

D. In the third group.

E. In the fifth group.


20. A young patient who came to a policlinic was diagnosed with the 1st stage of hypertension. How often should he undergo the medical check-up?

A. Twice a year.

B. Once a year.

C. 3 times a year.

D. 4 times a year.

E. 5 times a year.


21. 25 children at the age of 2–3 years who don't attend any child welfare institutions should be observed by a district pediatrician within the current year. How many initial visits of this children group should be planned?

A. 50.

B. 20.

C. 40.

D. 100.

E. 200.


22. Studying of pulmonary tuberculosis incidence provided data about patients' socioeconomic living conditions and bad habits. What method allows estimating the impact of these factors on tuberculosis incidence?

A. Calculation of correlation coefficient.

B. Calculation of correspondence index.

C. Calculation of regression coefficient.

D. Standardized index calculation.

E. Calculation of reliability coefficient.


23. A teacher of a secondary school was diagnosed with pulmonary tuberculosis. What is the maximum duration of his medical certificate?

A. Ten months.

B. Five months.

C. Four months.

D. Two months.

E. A month.


24. An employee of a private company was ill with acute respiratory viral infection. Consulted a district doctor, who determined the fact of temporary loss of working ability, but refused to issue a sick-list, arguing that the patient worked in the private and not state-owned company. Should the sick-list be issued to the employees of private companies?

A. Issued regardless of company's ownership.

B. Issued only to empties of state-owned companies.

C. Issued only on condition of payment guarantee by the company's proprietor.

D. Issued a medical certificate of a set form.

E. Issued a medical certificate of a free form.


25. A maternity hospital registered 616 live births, 1 stillbirth, and 1 death on the 5th day of life over 1 year period. What index allows the most precise estimation of this situation?

A. Perinatal mortality.

B. Crude mortality rate.

C. Natality.

D. Neonatal mortality.

E. Natural increase.


26. A 37 year old patient applied to a local therapeutist. As a result of exacerbation of chronic obstructive bronchitis the patient had been temporarily disabled for 117 days within 1 year. What tactics will be legally correct?

A. The patient should be referred to the medicosocial expertise.

B. The therapeutist should extend a medical certificate.

C. The patient should be referred to the medical consultation commission for extension of medical certificate.

D. The therapeutist should issue a new medical certificate.

E. The patient should be referred to the sanatorium-and-spa treatment.


27. In treatment and prevention establishments, regardless of their organizational and proprietary form, the rights of patients should be observed. Which of these rights is the most significant?

A. The right to the protection of the patient's interests.

B. The right to the free choice.

C. The right to the information.

D. The right to be heard.

E. The right to the protection from incompetence.


28. A district doctor was commissioned with a task to work out a plan of treatment-and-prophylaxis actions for the population of his district. What actions of secondary prophylaxis must he include into this plan?

A. Prevention of disease complications.

B. Disease prevention.

C. Elimination of disease causes.

D. Improvement of population's living conditions.

E. Rehabilitation actions.


29. The district pediatrician is charged with the analysis of infant mortality. What is taken for the unit of observation in infant mortality investigation?

A. A baby dead at the age up to 12 months.

B. A baby dead at the age up to 1 month.

C. A baby dead at the age over 28 days.

D. A baby dead at the age up to 6 days.

E. A baby dead at birth.


30. Chief district pediatrician has to carry out analysis of infant mortality rate. What should he take as a unit of the observation?

A. Child death case at the age up to 1 year.

B. Child death case at the age up to the first month.

C. Child death case after 28 days of life.

D. Child death case during first 7 days of life.

E. Child death case on labor.


31. Deputy of chief medical officer carried out a study of morbidity rate for population which had been served at the polyclinics for the last 5 years. What statistical values can help in calculations of diseases level dissemination?

A. Relative values.

B. Standard values.

C. Average values.

D. Absolute values.

E. Dynamic row.


32. There were registered 500 cases of urolithiasis per 10000 inhabitants. What kind of statistical indices is presented?

A. Prevalence rate.

B. Correlation coefficient.

C. Index of visualization.

D. Incidence rate.

E. Index of compliance.


33. At year-end hospital administration has obtained the following data: annual number of treated patients and average annual number of beds used for patients' treatment. What index of hospital work can be calculated on the base of this data?

A. Bed turnover.

B. Bed resources of the hospital.

C. Average annual bed occupancy.

D. Average duration of patients' presence in the hospital.

E. Average bed idle time.


34. An outpatient hospital made record of 11600 diseases within one year. Among them influenza and ARD make up 5800, circulatory system diseases – 3480, digestion diseases – 1300, other diseases – 1020. What relative index can be calculated according to this data?

A. Extensive index.

B. Intensive index.

C. Visualization index.

D. Correlation index.

E. Standardized index.


35. Prevalence of a disease in region N amounted 1156 occurrences per 1000 of inhabitants. Which of the mentioned indices characterizes the disease prevalence?

A. Intensive index.

B. Extensive index.

C. Ratio index.

D. Visual index index.

E. Standardized index.


36. District physician was charged with plan drafting concerning medical and preventive measures among the population in the area he is assigned to. What measures must he include in this plan as regards primary prevention of illness?

A. Prevention of disease onset.

B. Referral of patients to sanatorium.

C. Measures to increase patients’ life quality.

D. Measures to improve patients’ life conditions.

E. Prevention of disease complications.


37. A therapeutist needs to analyze adult health in the area of service. Which groups of indicators will be included into this analysis?

A. Demographic, sickness rates, disability.

B. Demographic, sickness rates, physical development.

C. Sickness rates, disability, death rates.

D. Birth rates, sickness rates, disability.

E. Sickness rates, death rates, physical development.


38. A district pediatrician has carried out infant mortality rate analysis in his area. What data has been used?

A. Mortality of children under 1 year structured by age, sex, causes.

B. Mortality of children under 1 year, natimortality.

C. Hospital mortality of children, structured by age.

D. Mortality of district adolescents.

E. Mortality of district newborn.


39. A local doctor has to prepare a report about the health condition of the population of his region. What medical indexes of population health condition should he use?

A. Morbidity, disabilities, demographic, physical development.

B. Social welfare, satisfaction of life quality.

C. Way of life, genetic, pollution.

D. Average treatment duration, complications.

E. Average longevity.


40. Study of morbidity with temporary disability among workers of a machine building plant revealed that average duration of a case was 20 days. What diseases influence upon the index value?

A. Chronic.

B. Acute.

C. Subacute.

D. Preexisting diseases.

E. Hard to determine.


41. A patient consulted a doctor about acute respiratory viral infection. The patient was acknowledged to be off work. The doctor issued him a medical certificate for 5 days. The patient is not recovering. What measures should the doctor take in order to legalize the further disability of patient?

A. To prolong the medical certificate at his own discretion but no more than for 10 days in total.

B. To prolong the medical certificate at his own discretion but no more than for 6 days in total.

C. To prolong the medical certificate together with department superintendent.

D. To send the patient to the medical consultative commission.

E. To send the patient to the medical social expert commission.


42. A patient is on the sick leave for 4 months continuously from the date of injury. The treatment is going to last for 1–2 months. Who has the right to extend the duration of medical certificate for this patient?

A. Medical advisory commission after medical and social expert commission examination.

B. Medical superintendent.

C. Medical advisory commission after inpatient treatment.

D. District doctor by agreement with a department chief.

E. Medical and social expert commission.


43. It is determined that 30 of 100 women with risk factor had preterm labor, and 5 of 100 women without risk factor had preterm labor. What method of statistic data processing should the doctor use in order to estimate reliability of differences between the compared groups?

A. Student's criterion calculation.

B. Average computing.

C. Relative numbers calculation.

D. Standardization method.


44. 350 workers of a metallurgical plant had to undergo a yearly preventive examination. A territorial polyclinic carried out preventive examination of 325 workers. As a result of it, 1 worker was recognized as temporarily disabled, 15 workers underwent further rehabilitation at an after-work sanatorium, and 10 workers were provided with diet meal. What index characterizing the preventive work of the polyclinic should be applied in this case?

A. Coverage of preventive medical examinations.

B. Frequency of case detection during examinations.

C. Percentage of people who underwent rehabilitation at an after-work sanatorium.

D. Percentage of people who were provided with diet meal.

E. Percentage of temporarily disabled people.


45. District doctor of rural medical department was called to a 42-year-old patient. While examining the patient, the doctor suspected the dysentery. What document must the doctor issue?

A. Urgent notification of infectious disease.

B. Statistical coupon of final (precise) diagnosis.

C. Infectious disease report.

D. Abstract of outpatient medical card.

E. Report addressed to the Head of the village.


46. A district doctor keeps the record of reconvalescents after infectious diseases, people who are disposed to frequent and long-lasting diseases, patients with chronic pathologies. What category of patients should belong to the III health group?

A. People with chronic diseases.

B. People disposed to frequent and long-lasting diseases.

C. People with chronic pathologies and disposed to frequent and long-lasting diseases.

D. Reconvalescents after infectious diseases and patients with chronic pathologies.

E. All above mentioned categories.


47. Over a current year among workers of an institution 10% haven't been ill a single time, 30% have been ill once, 15% – twice, 5% – 4 times, the rest – 5 and more times. What is the percentage of workers relating to the I health group?

A. 55%.

B. 10%.

C. 40%.

D. 60%.

E. 22%.

48. 200 patients suffering from essential hypertension were examined in order to obtain data about patients' arterial pressure and age. What statistic value should be applied in order to measure relation between these characteristics?

A. Correlation coefficient.

B. Student's coefficient.

C. Coefficient of variation.

D. Representation error.

E. Sygmal deviation.


49. A doctor of the general practice has registered the following death causes for the previous year: the first place was taken by cardiovascular diseases (60%), the second – by tumors (18%), then – traumas (8.3%) etc. What diagrams will provide the most substantial information about the registered occurrences?

A. Pie diagram.

B. Cartogram.

C. Line diagram.

D. Circle diagram.

E. Column diagram.


50. Study of morbidity rate in a city N revealed that population of different administrative districts differed in age structure. What statistic method allows eliminating influence of this factor upon morbidity indices?

A. Standardization.

B. Wilcoxon's t-criterion.

C. Correlative regressive analysis.

D. Analysis of dynamic series.

E. Calculation of average values.


51. A worker who undergoes regular medical check-up for duodenal ulcer received a subsidized 24-day sanatorium voucher from his plant. The term of annual leave of a worker is 24 calendar days, it will take 4 days more to get to the sanatorium and back home. What is the procedure of obtaining a 4-day sick-leave?

A. Medical Expert Commission issues a 4-day sick list.

B. Medical Expert Commission issues a 28-day sick list.

C. The doctor in charge issues a 4-day sick list.

D. The doctor in charge issues a health certificate and sanatorium patient's file for 28 days.

E. Medical Expert Commission issues a 4-day health certificate.


52. A mother who is on partially paid maternity leave got sick and was hospitalized. What document is to be issued to a working father who will be taking care of a child during his mother's illness?

A. Sick-leave.

B. Certificate of mother's illness.

C. Certificate of child's care necessity.

D. Extract from the medical card of out- or in-patient.

E. Free-form certificate.


53. Clinical and statistical study was devoted to the effect of a new pharmacological medication upon the patients with coronary heart disease. What parametric criterion (coefficient) can be used for estimation of the results validity?

A. Student's coefficient (t).

B. Sign criterion.

C. Conformity coefficient.

D. Wilcoxon's t-criterion.

E. Kolmogorov-Smirnov's criterion.


54. Indices that characterize population health include demographic indices. What environment is used for calculation of these indices?

A. Population number.

B. Employment number.

C. Number of hospitalized people.

D. Number of patients.

E. Number of population being liable to preventive examination.


55. The results of 5 year monitoring allowed estimating the level of environmental influence upon health indices of population. What statistic method should be chosen?

A. Calculation of correlation coefficient.

B. Calculation of conformity coefficient.

C. Calculation of coefficient of difference validity.

D. Calculation of regression coefficient.

E. Calculation of dynamic indices.


56. In a city with population 400000 people 5600 fatal cases were recorded, including 3300 cases because of blood circulation diseases, 730 – because of tumors. What index will allow characterizing mortality from blood circulation diseases in this city?

A. Intensive index.

B. Extensive index.

C. Relative intensity index.

D. Visual index.

E. Correlation index.


57. Statistic of patients of common medical practice displays constant increase in elderly and old people number. What kind of pathology is expected to prevail in the morbidity structure of population in question?

A. Chronic pathology.

B. Occupational pathology.

C. Non-epidemic pathology.

D. Acute pathology.

E. Infectious pathology.


58. In the current year general practitioners of the municipal polyclinic have referred 11 patients with coronary artery disease to the in-patient hospital. In 3 cases the diagnosis wasn't confirmed. What managerial decision should be made in such case?

A. Analysis of each case of diagnostic divergence.

B. Analysis of medical check-up quality.

C. Analysis of diagnostic examination quality.

D. Analysis of doctors' skill level.

E. Analysis of material and technical basis of the polyclinic.


59. A factory worker has ARD complicated by acute bronchitis. He receives treatment in the outpatient setting. The attending doctor has issued him a medical certificate for 5 days and then extended its duration by 5 more days. Patient can't get down to work because of his health status. Who should extend the duration of medical certificate for this patient?

A. A department chief.

B. Medical superintendent.

C. Deputy medical superintendent in charge of temporary disability examination.

D. Deputy medical superintendent in charge of medical treatment.

E. Medical advisory commission.


60. A 2 year old child has been ill with acute respiratory viral infection thrice a year – in February, in April and in December. How should these occurrences be recorded?

A. It is necessary to fill in 3 statistic talons signed (+).

B. It is necessary to fill in 3 statistic talons signed (-).

C. It is necessary to fill in 1 statistic talon signed (+).

D. It is necessary to fill in 1 statistic talon signed (+) and 2 statistic talons signed (-).

E. It is necessary to fill in 1 statistic talon signed (-).


61. A worker diagnosed with acute dysentery was sent to the infectious department by a doctor of aid post. What document should be used for registration of this disease?

A. Urgent report on infectious disease.

B. Statistic coupon for registration of final diagnoses.

C. Outpatient's card.

D. Inpatient's card.

E. Statistic card of the patient who left an in-patient hospital.


62. Researchers have studied disease incidence of influenza and acute respiratory viral infection within the last 5 years. What kind of graphic presentation should be used for the best visualization of these data?

A. Linear diagram.

B. Pie diagram.

C. Bar diagram.

D. Histogram.

E. Radial diagram.


63. The correlation between the service record and eosinophil concentration in blood was studied in workers at dyeing shops of textile factories. What index will be the most informative for the analysis of these data?

A. Correlation factor.

B. Student's criterion.

C. Standardized index.

D. Fitting criterion.

E. Sign index.


64. The correlation between the service record and eosinophil concentration in blood has been studied in female workers of dyeing shops of textile factories. What index will be the most informative for the analysis of these data?

A. Correlation factor.

B. Student's criterion.

C. Standardized index.

D. Fitting criterion.

E. Sign index.


65. A department chief of an in-patient hospital is going to inspect resident doctors as to observation of medical and technological standards of patient service. What documentation should be checked for this purpose?

A. Health cards of in-patients.

B. Statistic cards of discharged patients.

C. Treatment sheets.

D. Registry of operative interventions.

E. Annual report of a patient care institution.


66. A department chief of an in-patient hospital is going to inspect resident doctors as to observation of medical and technological standards of patient service. What documentation should be checked for this purpose?

A. Health cards of in-patients.

B. Statistic cards of discharged patients.

C. Treatment sheets.

D. Registry of operative interventions.

E. Annual report of a patient care institution.


67. While assessing the health status of graduates of a secondary school, the doctor found one of them to have tonsillar hypertrophy, chronic rhinitis and vasoneurosis. The organism functionality is reduced. This student belongs to the following health group:

A. III group.

B. II group.

C. I group.

D. IV group.

E. V group.


68. At the first appointment with an obstetrician-gynecologist a pregnant woman is referred to other medical specialists. She must be obligatory examined by the following specialists:

A. Therapeutist and dentist.

B. Therapeutist and endocrinologist.

C. Dentist and phthisiatrician.

D. Endocrinologist and ophthalmologist.

E. Dentist and cardiologist.


69. Estimation of community health level involved analysis of a report on diseases registered among the population of district under charge (reporting form 12). What index is calculated on the ground of this report?

A. Common morbidity rate.

B. Index of pathological affection.

C. Index of morbidity with temporary disability.

D. Index of hospitalized morbidity.

E. Index of basic non-epidemic morbidity.


70. A 50-year-old suburbanite male underwent treatment in rural outpatient clinic for pneumonia. The treatment didn't have effect and the disease got complicated by exudative pleuritis. What prevention and treatment facility should the patient be referred to for further aid?

A. Central district hospital.

B. Regional hospital.

C. Phthisio-pulmonological dispensary.

D. Municipal hospital.

E. Tuberculosis dispensary.


71. A 46-year-old patient was issued a 10-day sick list because of exacerbation of chronic cholecystitis. The patient's general condition got better, but the clinical manifestations of the disease are still present. What authority is entitled to extend the sick list?

A. Medical Expert Commission.

B. Family doctor.

C. Deputy head doctor for therapeutic management.

D. Deputy head doctor for medical-labor expertise.

E. Head doctor.

72. A municipal hospital reported on the number of operated patients including fatal outcomes following the operations. Which index of hospital work can be calculated on the ground of these data?

A. Postoperative lethality.

B. Total lethality.

C. Index of late hospitalization since a disease incursion.

D. Standardized lethality.

E. Hospitalized lethality.


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