Download CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions and more Exams Nursing in PDF only on Docsity! CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions Many people do not attempt to decrease unhealthy behaviors such as overeating or smoking because they lack the confidence that they can successfully change. This is an example of: (A) Perceived susceptibility (B) Perceived severity (C) Perceived self-efficacy (D) Perceived response efficacy - Correct Answer ✅C The construct of normative beliefs is from which model/theory? (A) Transtheoretical model (B) Theory of reasoned action/planned behavior (C) Social cognitive theory (D) Social ecological model - Correct Answer ✅B Which of the following do social cognitive theory and the social ecological model have in common? (A) Both take into consideration factors that are within the individual and factors that operate outside the individual. (B) Both focus primarily on environmental determinants of behavior that must be addressed at the policy level. (C) Both come out of the value expectancy paradigm that associates behaviors with valued outcomes. (D) Both originally were developed exclusively to explain unhealthy versus healthy behaviors. - Correct Answer ✅A A population of rural women experiences a high rate of mortality related to breast cancer. Researchers at a local university implement a breast cancer screening intervention. This intervention is an example of: (A) Tertiary prevention (B) Advocacy (C) Secondary prevention CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (D) Primary prevention - Correct Answer ✅C All intervention messages (printed, computer-delivered, or Internet-based) must: (A) Start with the most important information first (B) Include graphics, pictures, and the like to attract people's attention (C) Be written at a reading level suitable to the target population (D) Be no longer than four sentences so that the reader does not become bored - Correct Answer ✅C Franklin's Grove is the county seat of Franklin County, a small rural county in the Southeast. On the basis of its demographic and economic profile, it was selected as a health improvement zone to receive Federal funds to implement programs to improve progress toward reaching the national health objectives. Communities receiving such funds are charged with identifying the most significant gaps between the current health status and national health objectives and with putting programs in place to narrow such gaps. What is the first step to take to address the goals of the funding? (A) Consult Healthy People 2010 to identify relevant objectives (B) Convene a group of community leaders to decide how to spend the funds (C) Convene a group of community citizens to decide how to spend the funds (D) Consult an expert in community health to draw up a program plan - Correct Answer ✅A Franklin's Grove is the county seat of Franklin County, a small rural county in the Southeast. On the basis of its demographic and economic profile, it was selected as a health improvement zone to receive Federal funds to implement programs to improve progress toward reaching the national health objectives. Communities receiving such funds are charged with identifying the most significant gaps between the current health status and national health objectives and with putting programs in place to narrow such gaps. Using the PRECEDE framework, the county health department has conducted a social and health diagnosis. Some of the most severe quality-of-life problems were related to limb amputation and kidney failure. Prevalent health problems included diabetes, hypertension, and cardiovascular disease. Which of the following CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions Which of the following terms refers to a consumer-driven application of sales and promotional techniques to the analysis (including the review of background information and formative work), planning, implementation, and evaluation of programs designed to encourage positive health behaviors within intended audiences? (A) Health communication (B) Health promotion (C) Focus group testing (D) Social marketing - Correct Answer ✅D Which of the following terms from the social cognitive theory refers to the dynamic interaction among the person, environment, and behavior? (A) Behavioral norms (B) Reciprocal determinism (C) Decisional balance (D) Bidirectional dependence - Correct Answer ✅B A community has high rates of HIV infection among injection drug users (IDUs). The community council decides to legalize needle exchange programs in an effort to provide clean syringes to prevent the sharing of contaminated needles in drug-using networks. This type of program is an example of: (A) Harm reductions (B) Policy advocacy (C) Community organization (D) Behavior change - Correct Answer ✅A Theory is defined as: (A) A branch of philosophy that deals with morality (B) A tested set of hypotheses listed in order of importance (C) A systematic relationship of constructs devised to analyze, predict, and otherwise explain the nature of behavior of a specified set of phenomena CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (D) A verified fact that the majority does not believe to be true - Correct Answer ✅C Which of the following is not a construct from the Health Belief Model? (A) Susceptibility (B) Cues to action (C) Decisional balance (D) Barriers - Correct Answer ✅C Which of the following processes from the Transtheoretical Model refers to substituting healthy behaviors for unhealthy ones? (A) Stimulus control (B) Consciousness raising (C) Reinforcement management (D) Counter-conditioning - Correct Answer ✅D Which of the following is the best example of a process evaluation for a program designed to decrease mortality from drinking and driving among high school youth? (A) Document change in mortality associated with drinking and driving (B) Document change in numbers of youth riding with impaired drivers (C) Document about risks of riding with impaired drivers (D) Document number of students who attend the school's alcohol-free party - Correct Answer ✅D Which of the following most directly deals with the issue of internal validity in program evaluation design? (A) Having a reliable and valid measurement instrument (B) Having well-written process objective (s) (C) Having a comparison group (D) Ensuring generalizability of program effects - Correct Answer ✅C CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions Which of the following is the best example of intrapersonal factors that affect an individual's behavior as outlined by the Social Ecological Model? (A) National laws and policies (B) Informal social networks (C) Personal knowledge or skills (D) Community partnerships - Correct Answer ✅C Which of the following is not an example of a methodology used during a social assessment? (A) Process evaluation (B) Focus groups research (C) Delphi method (D) Survey administration - Correct Answer ✅A Which of the following is not a principle/key concept in community organization and community building practice? (A) Critical consciousness and empowerment (B) Critical allocation of resources and sharing among partners (C) Principle of relevance or "start where the people are" (D) Principle of participation - Correct Answer ✅B When a person is healthy, without signs and symptoms of disease, illness, or injury, the level of prevention most appropriate would be: (A) Primary prevention (B) Secondary prevention (C) Tertiary prevention (D) No prevention level is needed - Correct Answer ✅A In the planning process, the group being served is referred to as the: CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions Executive managers in a not-for-profit health care organization have an obligation to: (A) Maximize return for their stockholders (B) Increase revenues annually (C) Be prudent stewards of the community's assets (D) Avoid earning any net income, i.e., profits - Correct Answer ✅C Which of the following principles of medical and public health ethics requires doing no harm while promoting the welfare of others? (A) Autonomy (B) Beneficence (C) Privacy (D) Justice - Correct Answer ✅B The "police powers" that public officials rely on to enforce compliance with public health standards and interventions are based on: (A) Explicit language in the U.S. Constitution (B) Inferences about the government's obligation to protect the health, safety, and welfare of its citizens (C) Inferences from the Racketeer Influenced and Corrupt Organization (RICO) Act legislation (D) Presidential executive orders - Correct Answer ✅B Which of the following is likely to be a major obstacle to community readiness for a public health emergency such as an act of bioterrorism? (A) People no longer feel anxiety about the risks of bioterrorism (B) The average person has faith that public officials are competent to handle such threats (C) The consequences of the anthrax-letter threat following 9/11 were far less serious than anticipated CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (D) Individuals are unsure about the practical actions to take to protect themselves and their families - Correct Answer ✅D Which of the following terms is defined as "the systematic determination of certain risks to a population incident to a disaster"? (A) Baseline data evaluation (B) Risk communication (C) Vulnerability assessment (D) Biohazard analysis - Correct Answer ✅C Which of the following is not a true statement about the policy-making process? (A) A policy is a blueprint for action relevant to some area of public concern (B) Policy-making often occurs in the absence of complete information about all relevant variables (C) Only experts trained in public policy have a meaningful role to play in policy development (D) Policies as enacted often reflect compromises among key players with conflicting interests - Correct Answer ✅C A health policy that is implemented within a representative democracy with separation of powers at all governmental levels and that is characterized by the presence of well-funded interest groups: (A) Will reflect the preferences of the majority of citizens (B) Must be based on the best scientific evidence available (C) Will represent a compromise among multiple and competing interests (D) Is doomed to failure - Correct Answer ✅C Which of the following is most likely to enhance the staff performance appraisal? (A) Deferring performance feedback until the scheduled annual appraisal (B) Setting performance goals in collaboration with the employee CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (C) Refusing to award outstanding ratings that might lead the employee to expect a merit-based salary increase (D) Ensuring that no negative information is included in the written appraisal to decrease legal liability - Correct Answer ✅B The following statement is a tenet of which of these motivational models: "Individuals are motivated to satisfy lower-order physiological needs before they can respond to higher needs such as self-fulfillment."? (A) Hierarchy of needs (Maslow) (B) Expectancy theory (Vroom) (C) Two-factor theory (Herzberg) (D) Theory X/Theory Y (McGregor) - Correct Answer ✅A What is the best explanation for the importance of liquidity to the not-for-profit health care organization (HCO) and its stakeholders? (A) Liquidity is necessary to ensure that the HCO achieves its revenue projections. (B) In the event that the HCO decides to invest heavily in plant expansion, it will have cash on hand. (C) Liquidity will allow the HCO to cover its short-term obligations and unexpected cash demands. (D) All HCO competitors have liquidity. - Correct Answer ✅C Which of the following best characterizes the "iron triangle" logic of U.S. health care policy goals? (A) Making necessary tradeoffs to achieve acceptable levels of quality of and access to health services while insuring profitability for health care providers (B) Making necessary tradeoffs to achieve acceptable quality of and access to health services while controlling cost (C) Maintaining highest quality of and full access to services regardless of cost (D) Providing highest quality of services to all who can afford to pay and rationing services for those who cannot. - Correct Answer ✅B CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (D) HEDIS (Healthcare Education Development & Improvement System) provides programmed instruction and self-assessment tools for professional development of clinical managers in health care - Correct Answer ✅C What is the term for recommendations about how to treat a patient with a particular disease that are based on findings from experimental and/or observational studies? (A) Cost analysis (B) Physician consensus statements (C) Clinical practice guidelines (D) Patient preference guidelines - Correct Answer ✅C Which of the following statements is not associated with the current paradigm of quality management in health care? (A) Sanctioning individuals for mistakes is the most appropriate method for ensuring effective quality of care (B) The appropriate locus for ensuring quality is at the system level (C) Process improvement is essential to ensuring quality of care (D) Employee satisfaction and patient satisfaction are closely linked - Correct Answer ✅A Which of the following is an example of a utilization rate used to monitor health system performance? (A) Congenital syphilis rate (B) Late stage breast cancer incidence rate (C) Infant mortality rate (D) Readmission rate for depression - Correct Answer ✅D Which of the following represents a boundary management function in public health? (A) Creating cubicles for the staff to maximize the efficiency of the work space (B) Developing maps showing the incidence of diabetes within target communities CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (C) Reprimanding an employee for behavior perceived to be sexual harassment (D) Scheduling the Director of the county health department to be interviewed by a journalist about a recent outbreak of food-borne illness - Correct Answer ✅D One implication of the claim that "the complex organization tends to map its environment" is that the public health agency: (A) Uses geographic information system (GIS) technology to map the spread of a contagious disease (B) Hires a professional to provide environmental law expertise (C) Only serves the population within its political boundaries (D) Identifies its various constituencies geographically - Correct Answer ✅B Identify which of the following terms characterizes the throughput of the health care system? (A) The geographical boundary that defines the system's market (B) Measures of patient's functionality post-surgery (C) Patient satisfaction scores (D) The core technologies involved in providing health care services - Correct Answer ✅D Which of the following statements best characterizes the contingency theory of leadership? (A) The leader's authority is unchallenged by subordinates. (B) The leader's effectiveness depends on various factors in the leadership context. (C) The leader's effectiveness is contingent primarily on the technical competence of followers. (D) The leader's authority depends on formal legislation and sanctions. - Correct Answer ✅B SCHIP is a federal program that is important for public health because: (A) It remedies the state differences in health insurance that characterize Medicaid CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (B) It covers preventive services for children who otherwise might not have access to them (C) It provides a comprehensive immunization program (D) It increases funding for school health initiatives - Correct Answer ✅B The two largest categories of expenditures for the Medicare program (not necessarily in order of magnitude) are: (A) Hospitals and nursing homes (B) Physicians and hospitals (C) Public health and physicians (D) Hospitals and pharmaceuticals - Correct Answer ✅B While the 10th amendment to the constitution gives the states primary responsibility for public health, inequities between and among the states persist because: (A) The amendment did not specify standards of care that each state had to meet (B) Standards of care are implied but implementation is left to the states (C) Each state has the right to define and delegate authority and responsibility for public health services (D) Public health services are funded through property taxes that vary from state to state - Correct Answer ✅C The principal difference between those who believe in universal health care and those who believe in a free market system for allocating care is: (A) A willingness to sustain continuing tax increases to support a predetermined level of care for those who cannot afford to pay for their own care (B) The belief that health care is an entitlement versus the belief that health care is a reward (C) A moral judgment regarding the origin of disease and the corresponding belief that we all are ultimately responsible for our own health and well being (D) A desire to not have the government involved in the health care of its citizens - Correct Answer ✅B CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (C) A management process that assesses customer wants and needs and performs the activities associated with the development, pricing, provision, and promotion of product solutions that satisfy those wants and needs (D) Multi-media outreach to a single or multiple target audiences - Correct Answer ✅C The CEO of a managed care organization praised her administrators at a national conference for exceeding their enrollment targets. She noted that long waits for care and travel distances might increase but that the members would certainly understand given the popularity of their health plan. The CEO's statements reflect: (A) A sound knowledge of quality care (B) The ability to integrate quality and organizational solvency (C) A serious lack of understanding around members' perceptions of quality of care and the consequences of poor organizational performance (D) Her perception of quality care - Correct Answer ✅D In order to effectively evaluate organizational performance, an administrator must also have: (A) Measurable performance indicators (B) Previously agreed upon performance standards (C) Measurable performance indicators benchmarked to previously agreed upon performance standards (D) Measurable performance indicators that can be used to identify acceptable and superior performance - Correct Answer ✅C It is often said that the typical manager (and health care managers are no exception) devote up to 81% of his/her time to communication daily. This implies that: (A) Managers have to be equipped with the most technological advancements for speedy communication (B) Have a thorough understanding of the communication process including the role of "noise" in the communication process (C) Know how to encode and decode a message CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (D) Have a thorough understanding of the communication process including when to use the most appropriate communication venue and how to use it most effectively - Correct Answer ✅D Information management deserves greater attention nationally from public health administrators and managers. Which of the functions below would not be a priority reason for IMs increased funding for public health departments? (A) Pivotal, all encompassing role information plays in management's organizing function (B) Strategic implications of storing information for operational decision making (C) Potential information management holds for mitigating health disparities (D) Potential for developing public health electronic medical records - Correct Answer ✅D What would be the best source of information on adult and infant mortality? (A) Disease registers (B) Vital statistics (C) Special survey study (D) Hospital clinic statistics - Correct Answer ✅B Which of the following terms is expressed as a ratio (as distinguished from a proportion)? (A) Male Births / Male + Female Births (B) Female Births / Male + Female Births (C) Male Births / Female Births (D) Stillbirths / Male + Female Birth - Correct Answer ✅C Mortality rates by sex in the United States generally show the following sex differences: (A) Males greater than females (B) Females greater than males CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (C) Males equal to females (D) Males equal to females in the first years of life - Correct Answer ✅A Morbidity rates by sex in the United States show the following sex differences: (A) Males greater than females (B) Females greater than males (C) Males equal to females (D) Males equal to females in the first years of life - Correct Answer ✅B Case-control studies are among the best observational designs to study diseases of: (A) High prevalence (B) High validity (C) Low case fatality (D) Low prevalence - Correct Answer ✅D Comparison of mortality rates due to cancer of the uterus in users and non-users of supplemental estrogen revealed the following mortality rates per 100,000: Age Users of Estrogen Non-Users of Estrogen 45-54 3.0 1.0 55-70 17.0 6.0 A valid conclusion derived from the above data concerning mortality among estrogen users is: (A) The mortality rates for cancer of the uterus are higher in estrogen users than non-users in both age groups studied (B) A causal relationship is demonstrated between the use of estrogen and incidence of uterine cancer (C) Mortality from cancer of the uterus rises with age regardless of whether estrogen is used (D) The mortality rate is lower in non-users than users because the symptoms of uterine cancer are detected earlier in the former group of women - Correct Answer ✅A CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (D) Ovarian cancer cases had 2.0 times the odds of exposure to radiation when compared to women with other cancers - Correct Answer ✅C Double-blinded (masked) studies are an important way to: (A) Achieve comparability of cases and controls (B) Avoid observer and interviewee bias (C) Avoid observer bias and sampling variation (D) Reduce the effects of sampling variation (E) Avoid interviewee bias and sampling variation - Correct Answer ✅B The difference between primary and secondary prevention of disease is: (A) Primary prevention focuses on control of causal factors, while secondary prevention focuses on control of symptoms (B) Primary prevention focuses on control of acute disease, while secondary prevention focuses on control of chronic disease (C) Primary prevention focuses on control of causal factors, while secondary prevention focuses on early detection and treatment of disease (D) Primary prevention focuses on increasing resistance to disease, while secondary prevention focuses on decreasing exposure to disease - Correct Answer ✅C A screening test is used in the same way in two similar populations, but the proportion of false-positive results among those who test positive in population B is higher than that among those who test positive in population A. What is the most likely explanation for this finding? (A) The specificity of the test is higher in population A (B) The specificity of the test is lower in population A (C) The prevalence of disease is higher in population A (D) The prevalence of disease is lower in population A - Correct Answer ✅C The relative risk of drying for smokers compared to non-smokers is: "The death rate per 100,000 for lunch cancer is 7 among non-smokers and 71 among smokers. The CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions death rate per 100,000 for coronary thrombosis is 422 among non-smokers and 599 among smokers. The prevalence of smoking in the populations is 55%. (A) 9.1 for lung cancer and 0.30 for coronary thrombosis (B) 9.1 for lung cancer and 1.4 for coronary thrombosis (C) 10.1 for lung cancer and 8.4 for coronary thrombosis (D) 10.1 for lung cancer and 1.4 for coronary thrombosis (E) 12.4 for lung cancer and 1.7 for coronary thrombosis - Correct Answer ✅D Which measure of mortality would you calculate to determine the proportion of all deaths that is caused by heart disease? (A) Case fatality (B) Cause-specific mortality rate (C) Crude mortality rate (D) Proportionate mortality ratio (E) Potential years of life lost - Correct Answer ✅D The staff at the state health department Birth Defects Registry systematically visit the labor and delivery units of all hospitals in the state on an on-going basis and review their records to identify major congenital malformations. This is an example of: (A) Sentinel surveillance (B) Active surveillance (C) Passive surveillance (D) Syndromic surveillance (E) Reportable conditions - Correct Answer ✅B Which of the following statements is true about surveillance data? (A) It cannot be used to detect geographical clusters (B) It includes information on health outcomes, but not exposures or risk factors CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (C) It provides early recognition of an infectious disease outbreak, but is much less useful for noninfectious disease events (D) It can be used to monitor temporal trends in disease (E) It only includes data pertaining to vaccine-related diseases - Correct Answer ✅D The following are characteristics of a cross-sectional study except: (A) Characteristics of "case" are clearly defined (B) The study is done on a defined population (C) All members of the population should be able to experience the outcome of interest (D) Patients are followed for a sufficient period of time for outcome events to occur (E) The study is done on a representative sample of the target population - Correct Answer ✅D All of the following statements are true about both prospective and retrospective cohort studies except: (A) They measure the incidence of disease (B) They allow assessment of possible associations between exposure and many outcomes (C) They require the manipulation of the exposure of interest by the investigator (D) They avoid bias that might occur if measurement of exposure is made after the outcome of interest is known - Correct Answer ✅C In a cross-sectional study of peptic ulcer among men and women aged 35 to 59, 70 per 100,000 men and 95 per 100,000 women met the criteria for symptomatic peptic ulcer disease. The inference that in this age group, women are at greater risk of developing peptic ulcer is: (A) Correct (B) Incorrect because of failure to distinguish between incidence and prevalence (C) Incorrect because rates were used to compare males and females (D) Incorrect because of failure to recognize a possible cohort effect CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions As a public health specialist, you have developed the ability to work effectively within the cultural context of a community that shares a diverse cultural background. This is termed: (A) Cultural awareness (B) Cultural competence (C) Cultural feasibility (D) Cultural measures - Correct Answer ✅B The most promising resolution to the problem of health disparities includes: (A) Improved data collection and evaluation of health care systems (B) An increase of diverse providers involved in disparities-reduction programs (C) Minimum standards for culturally and linguistically competent health services (D) Expansion of coverage plans for all ethnic, racial low-income groups - Correct Answer ✅D Which of the following have not been demonstrated as gender-linked health disparities? (A) Domestic and sexual violence (B) Sexually transmitted infections, including HIV/AIDS (C) Unintentional and intentional injuries (D) Health care decision-making (E) Clients being less informed about and taking less responsibility for their own health - Correct Answer ✅C The best example of culturally appropriate community engagement and empowerment refers to which of the following? (A) Teaching community members how to best communicate with providers (B) Conducting health needs and assets assessment with communities and sharing the information with them (C) Teaching self-determination to community members CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (D) Implementing health projects that result in the reciprocal transfer of knowledge and skills among all collaborators and partners - Correct Answer ✅D The practice of linguistic competency refers to all but the following: (A) The capacity of an organization and its personnel to communicate effectively (B) Conveying information in a manner that is easily understood by diverse audiences (C) Use of family members as medical interpreters (D) Assisting persons of limited English proficiency, low or no literacy skills - Correct Answer ✅C The single best predictor of poor health is: (A) Poor sanitary conditions (B) Lack of medical care (C) Genetics (D) Poverty - Correct Answer ✅D Which of the following statements is true with respect to power? (A) Power depends upon the use of force (B) The exercise of power is a last resort when politics fails to achieve organizational objectives (C) The abuse of power only adversely affects those in the subordinate position of power (D) Power is the capacity of a person to influence other persons to do things - Correct Answer ✅D Which of the following statements best characterizes the research findings on trait- based approaches to leadership theory? (A) Intelligence, high energy and initiative are proven to be the necessary and sufficient set of characteristics for effective leadership CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (B) Leadership traits are based on nature, not nurture; so leaders are born, not made (C) No one set of traits has been established as being necessary and sufficient for effective leadership behavior (D) Personality traits of leaders are irrelevant to their effectiveness in their leadership roles - Correct Answer ✅C Personal traits that are considered important for leadership success include: (A) age (B) gender (C) personality (D) self-confidence - Correct Answer ✅D Analyzing historical leaders to determine the distinguishing qualities of their leadership is the focus of the: (A) behavioral approach (B) style approach (C) trait approach (D) transformational approach - Correct Answer ✅C Leadership is a process involving influence toward goal attainment and: (A) is predicated on politics (B) relies on CQI (C) focuses on quantitative assessment (D) occurs within a group - Correct Answer ✅d Which leadership theory advances the notion that one's task-relationship orientation can only be modified within certain limits and that structural and power factors will dictate whether you have a good leadership "fit?" (A) Contingency CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (B) Pertain more to management and fiscal oversight (C) Require more collaborative approaches with cross-sector and community partners (D) Should place an emphasis on emergency preparedness - Correct Answer ✅C What are public health ethics? (A) Motivation based on ideas of right and wrong (B) Values that guide actions to promote health and prevent injury and disease among the population (C) Principles of conduct governing an individual or profession (D) Branch of philosophy dealing with values relating to human conduct, with respect to the goodness and badness of the motives and ends of such actions - Correct Answer ✅B What is the function of law in public health? (A) To govern and "police" individual interests of all citizens (B) Coercive interventions aimed at changing individual behaviors of the population (C) To create a mission for public health authorities, assign their functions, and specify the manner in which they may exercise authority (D) To empower governments to act and set limits on power - Correct Answer ✅C Dr. Sharon Smart is a senior genetics researcher for Genomatic, Inc., an emerging pharmaceutical company. Dr. Smart was the lead researcher in a recent large-scale clinical study designed to test the efficacy of Alive, a new pharmaceutical designed to successfully treat a terminal form of ovarian cancer. Dr. Smart received a call today from a colleague at Genomatic, Dr. Duit, the chief information officer, who worked in the company's headquarters in Seattle. Dr. Duit had recently received a request from the dean of the medical school at a major university that sought access to some of the company's clinical trials databases. Researchers at the medical school thought that some of Genomatic's information might further research on a joint pharmaceutical project between the university and Genomatic. Dr. Smart inquired as to whether she could share the data without specified informed consent of the subjects. Dr. Duit assu - Correct Answer ✅D CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions Dr. Sharon Smart is a senior genetics researcher for Genomatic, Inc., an emerging pharmaceutical company. Dr. Smart was the lead researcher in a recent large-scale clinical study designed to test the efficacy of Alive, a new pharmaceutical designed to successfully treat a terminal form of ovarian cancer. Dr. Smart received a call today from a colleague at Genomatic, Dr. Duit, the chief information officer, who worked in the company's headquarters in Seattle. Dr. Duit had recently received a request from the dean of the medical school at a major university that sought access to some of the company's clinical trials databases. Researchers at the medical school thought that some of Genomatic's information might further research on a joint pharmaceutical project between the university and Genomatic. Dr. Smart inquired as to whether she could share the data without specified informed consent of the subjects. Dr. Duit assu - Correct Answer ✅B Children and adolescents below the age of consent are incapable of making determinations on their own behalf when exposed to cigarette advertising and promotion. They need protection from those who seek to stimulate their desires for harmful goods. Cigarette smoking once commenced is driven by the addictive power of nicotine. By restricting advertising and promotion to children, limits would also be imposed on adults. The moral argument to support the ban is: (A) children and adolescents below the age of consent need protection (B) the public needs protection (C) nicotine has addictive power (D) advertising is manipulative - Correct Answer ✅C Children and adolescents below the age of consent are incapable of making determinations on their own behalf when exposed to cigarette advertising and promotion. They need protection from those who seek to stimulate their desires for harmful goods. Cigarette smoking once commenced is driven by the addictive power of nicotine. By restricting advertising and promotion to children, limits would also be imposed on adults. The empirical argument to support the ban is: (A) when children receive a free cigarette, they begin smoking routinely (B) outdoor advertising effects child behavior (C) advertising leads to erratic adult smoking behavior (D) restricting advertising will decrease smoking by children - Correct Answer ✅D Anonymous data is data for which identifying information was CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (A) collected (B) linked (C) retrieved (D) not maintained - Correct Answer ✅D Informed consent does not include: (A) risks and benefits (B) technical terms (C) understandable terms (D) research topic - Correct Answer ✅B Which is not one of the values and beliefs underlying the public health code of ethics? (A) Humans are inherently social and interdependent (B) Humans have a right to the resources necessary for health (C) Full knowledge is required for public health actions (D) People and their physical environment are interdependent - Correct Answer ✅C Public health actions frequently involve a balancing of individual rights vs. the good of the community. Where that balance is struck is based on: (A) Explicit direction found in the US Constitution (B) Societal values (C) Science (D) What is right and what is wrong - Correct Answer ✅B You are working within a public health setting and are planning a program to reduce cholesterol levels in men 40-60 years old. Which one of the following is the most important component of your program? (A) Organize local doctors to lecture on cholesterol reduction (B) Conduct a demonstration of cholesterol lowering foods CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions Compared with the situation in 1900, the number of deaths due to infectious diseases in the USA is: (A) About the same (B) Much less (C) Much more (D) About the same, but caused by different pathogens such as HIV - Correct Answer ✅B The backbone of the DNA double helix is made up of linked sugar and phosphate molecules. What type of molecules extend from the backbone into the helix? (A) Bases (B) Amino acids (C) Lipids (D) Carbohydrates - Correct Answer ✅A The Gram-staining technique is used to classify what type of micro-organism? (A) Viruses (B) Protozoa (C) Bacteria (D) Prions - Correct Answer ✅C What are the basic component units that are linked together to make proteins? (A) Sugars (B) Nucleotides (C) Amino acids (D) Lipids - Correct Answer ✅C How many bases make up a codon? CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (A) 3 (B) 4 (C) 20 (D) 64 - Correct Answer ✅A Hemolytic Uremic Syndrome is caused by which organism? (A) West Nile Virus (B) E. coli strain 0157:H7 (C) Cryptosporidium (D) Streptococcus pneumoniae - Correct Answer ✅B What is the "reservoir host" for West Nile Virus? (A) Birds (B) Mosquitoes (C) Humans (D) Cattle - Correct Answer ✅A The term "nosocomial" refers to infections acquired in what place? (A) The patient's home (B) The patient's workplace (C) A hospital (D) Public transportation - Correct Answer ✅C The incidence of bacteria such as Staphylococcus aureus that are resistant to antibiotics is (A) Increasing (B) Decreasing (C) Staying the same CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (D) Difficult to measure - Correct Answer ✅A In the absence of HIV infection, the CD4+ T lymphocyte count of a healthy individual is approximately 2,000 cells/µl. How much does this count have to fall to as part of the diagnosis of AIDS? (A) 1,000 (B) 500 (C) 200 (D) 10 - Correct Answer ✅C Which ethnic group has a higher proportion of HIV infections and AIDS cases than would be expected from their census population size? (A) Whites (B) Blacks (C) Hispanics (D) Asian/Pacific Islanders - Correct Answer ✅B Which method of acquiring HIV infection is the only one that is increasing in the USA? (A) Blood transfusion (B) Homosexual male-male sex (C) Heterosexual sex (D) Injection Drug Use - Correct Answer ✅C In what part of sub-Saharan Africa is HIV prevalence the greatest? (A) West (Nigeria, Chad, Mali) (B) East (Kenya, Ethiopia, Somalia) (C) Central (Congo, Malawi, Uganda) (D) South (South Africa, Zimbabwe, Zambia) - Correct Answer ✅D CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions Which type of radiation has the greatest ability to penetrate body tissue? (A) a-radiation (B) ß-radiation (C) Gamma-radiation (D) Ultraviolet radiation - Correct Answer ✅C Criteria pollutants of the National Ambient Air Quality Standards (NAAQS) include: (A) Volatile organic compounds (VOCs) (B) Particulate matter (C) Mercury (D) Two major greenhouse gases, carbon dioxide and methane - Correct Answer ✅B When a mutation alters the structure of DNA, the effect on the body results from a corresponding change in the structure of a(n): (A) Protein (B) Steroid hormone (C) Amino acid (D) Vitamin - Correct Answer ✅A Latency refers to: (A) The range of concentrations of a chemical that is below threshold (B) The period of time between exposure to a chemical and occurrence of a health outcome (C) The period of time required to remove half of the dose of a chemical from the body (D) The period of time between contact with a chemical and an increase in blood concentration - Correct Answer ✅B CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions If a threshold dose exists for an environmental agent: (A) There is a dose level below which the agent does not produce health effects (B) Any dose of the agent, no matter how small, carries some risk of adverse health effects (C) It is impossible to establish a no-observed-adverse-effect level (NOAEL) for that agent (D) The average level of exposure to the agent by the general population is assumed to be safe - Correct Answer ✅A If a food contaminated with a virus, such as hepatitis A, is left out for 4 hours in a kitchen at a temperature of 85 degrees Fahrenheit, the virus count in the food: (A) Increases exponentially because viruses multiply rapidly under these conditions (B) Increases slowly because the food temperature is still not as high as body temperature (C) Can increase or remain the same depending on the acidity of the food (D) Does not change - Correct Answer ✅D The "danger zone," in which bacteria multiply fast enough to become a hazard, is: (A) 32° - 100° F (B) 32° - 212° F (C) 40° - 140° F (D) 40° - 212° F - Correct Answer ✅C Routine monitoring of water in a reservoir has found a high count of E. coli. Of the following, you would be most concerned that the contaminated water might also contain: (A) Clostridium botulinum (B) Salmonella (C) Legionella (D) Staphylococcus aureus - Correct Answer ✅B CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions Cryptosporidium can become a problem in municipal water supplies because it: (A) Bioaccumulates in fish (B) Can survive the chlorine treatment process (C) Can infect the lungs when water is vaporized, such as in a shower (D) Can bore directly through the skin - Correct Answer ✅B New vaccines for influenza must be developed every year because: (A) Mutations result in new strains of the virus that are not affected by existing vaccines. (B) The virus produces enzymes that break down existing vaccines (C) The human body produces enzymes that break down existing vaccines (D) The human body produces antibodies that inactivate the vaccine - Correct Answer ✅A An outbreak of pneumonia has occurred at a resort, and you determine that Legionella is the organism that is responsible. To find the source of the bacteria, one of the highest priorities would be to check: (A) Food handlers for infected cuts and sores (B) For dead animals on the property (C) Hot tubs, showers, and fountains and the water sources that supply them (D) Employees who have come to work with influenza - Correct Answer ✅C The exposure standard for lead in children has been lowered over the years because even small amounts can result in: (A) Childhood cancers, such as leukemia (B) Impaired cognitive development and learning ability (C) Impaired formation of bone mineral (D) Reduced rate of growth - Correct Answer ✅B CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (B) Gives a good sense of the communication patterns between and among the various departments that comprise an organization (C) Leads to the best strategy for organizational change. (D) He can obtain an accurate accounting of the product or products produced by the organization. - Correct Answer ✅A Systems can be viewed as hierarchic in that visible events are the expression of patterns of behavior, which in turn, are the expression of or result of systemic structures. With that view, often illustrated with the image of an iceberg, which of the following statements is true? (A) A focus on events is sufficient to create a new and better system (B) A deep understanding of the systemic structures limits us to being reactive to recent events (C) Systems such as health care are so massive that the only feasible approach to change is to react with minor adjustments in response to the superficial and accessible events (D) Creative and transformative changes to the underlying systemic structure permit the creation of different futures - Correct Answer ✅D The recent pattern of U.S. per capita health care spending over the past 40 years (provided by the U.S. Congressional Budget Office), increasing at an annual average of 5% over the rate of inflation, generates: (A) A linear graph of annual spending with a slope of .05 (B) Spending that is approximately constant in real terms (C) An ever-increasing rate of growth of expenditures with a constant doubling time of about 14 years (D) An ever-increasing rate of growth of expenditures with ever-decreasing doubling times - Correct Answer ✅C The typical 'bell curve' of the incidence of new influenza cases during each year is illustrative of: (A) The combined operation of two feedback loops in which the positive (or reinforcing) feedback loop dominates early in the outbreak and the negative (or balancing or stabilizing) feedback loop dominates later in the outbreak CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (B) The isolated operation of a positive, or reinforcing, feedback loop (C) The combined operation of two constant and equally influential feedback loops; one that is positive (or reinforcing) and the second that is negative (or balancing or stabilizing) (D) The isolated operation of a negative (or balancing or stabilizing) feedback loop - Correct Answer ✅A A positive (or reinforcing) feedback loop is: (A) A relationship in which the change in one factor leads to the increase (positive change) in another factor (B) A closed circular sequence of cause and effect relationships in which the original element is made to grow ever faster (C) A closed circular sequence relationships in which, once some original element is made to change (increase or decrease), subsequent cause and effect relationships cause the original element to move ever-faster in the direction of its original change (D) A closed circular sequence of relationships in which the change of any element is restricted to reinforce the system's stability - Correct Answer ✅C In health care systems, such as those involving disease incidence related to smoking, that contain both reinforcing (positive) and balancing (negative or stabilizing) feedback loops: (A) The reinforcing loop always dominates (B) The balancing loop always dominates (C) The reinforcing loop dominates early, but dominance later switches to the balancing loop (D) The reinforcing and balancing loops may alternate in dominance, depending on the details of the overall system - Correct Answer ✅D Understanding (and ultimately affecting) the local community dynamics (incidence and prevalence) of asthma requires insights into the feedback loops within and between which areas of public health specialization? (A) Behavioral health and environmental health (B) Environmental health and epidemiology CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (C) Epidemiology, behavioral health, and health management (D) Behavioral health, epidemiology, health management, and environmental health - Correct Answer ✅D All of the following are valid uses of systems models for constructing and analyzing explicit models of public health problems except: (A) Models provide an explicit framework on which disparate stakeholders can compare their knowledge, assumptions, and beliefs about the system (B) Use of a model assures us that we will devise and pursue the best possible interventions for achieving our public health goals (C) We can test the likely results of an intervention under a wide range of conditions and for a long period of time without actually risking harm to anyone for misguided or inefficient interventions (D) Models can reveal areas of ignorance of which we were not previously aware - Correct Answer ✅B An illustration of the result of a negative (or balancing or stabilizing) feedback loop in public health can be found in: (A) A legislative mandate for infant and child inoculations (B) Rising health care costs (C) Increasing prevalence of antibiotic-resistant pathogens (D) The growth of available medical technology - Correct Answer ✅A What is the next step when a baby has a positive result in the newborn screening? (A) Follow-up testing to confirm the diagnosis (B) Evaluation of the specimen handling (C) Referral to a specialist (D) Offer of genetic counseling to the family - Correct Answer ✅A HAACP is a food safety system employed to: (A) Detect bacterial contamination in food after it happens CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (C) Medical personnel, evacuation plan, and first aid kits (D) Identity of regulated facilities, evacuation plan, medical response, and procedure for notifying people named in the plan as well as the general public that a release has occurred - Correct Answer ✅D Waste management is a key environmental public health issue. Hazardous waste is managed from cradle to grave under the Federal Resource Conservation and Recovery Act. The Comprehensive Environ mental Response, Compensation, and Liability Act requires the clean-up of hazardous waste dump sites that threaten public health. States have parallel hazardous waste laws and exclusively regulate non-hazardous waste. Incorporated in these regulatory efforts are some waste management programs, of which the following is preferred: (A) Treatment of biohazards before they are disposed (B) Waste minimization through reuse, recycling, and investment in renewable energy (C) Waste disposal in sanitary landfills (D) Storage of waste in containers buried within impervious geological formations - Correct Answer ✅B Environmental risk assessment is: (A) A method of generating new empirical data on health effects (B) A method of performing basic research (C) A synthesis of existing scientific information, often aimed at addressing specific regulatory or policy issues (D) A method of determining the cause of a disease - Correct Answer ✅C Hazard identification accomplishes the following: (A) Describes the relationship between exposure and disease (B) Identifies and selects the environmental agents for assessment (C) Measures the magnitude, duration, and timing of human exposure (D) Identifies the completed exposure pathway - Correct Answer ✅B CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions Exposure assessment attempts to answer all of the following questions except: (A) Toxicity of the exposure (B) Frequency and duration of exposure (C) Population exposed (D) Route of exposure - Correct Answer ✅A A remote population of Pacific Islanders has lived without influence from the outside world for several centuries. The islanders were introduced to cigarettes as the influence of Western culture impacted their island about 25 years ago. The incidence of lung cancer is now high in the islanders who started to smoke 20 or more years ago. The observation of high levels of lung cancer after years of smoking is: (A) Unusual for Pacific Islanders who smoke (B) Typical for any population of smokers (C) Inconsistent with the standard model of tumor initiation, promotion, and progression (D) Insufficiently explained by the information above - Correct Answer ✅B Which of the following methods allows for the conduct of the most accurate exposure assessment in workers? (A) Determination of the chemical in the air (B) Biomonitoring determination of metabolites of the chemicals in blood and urine (C) Determination of the chemical on the skin (D) Estimation of the exposure by taking an occupational history - Correct Answer ✅B Several years ago, a cottage industry existed at an elevation of 1,000 meters above sea level in a mountainous region of Japan. In the wintertime, inhabitants earned their living by manufacturing tatami mats. The indoor work was carried out in so- called kakoi (closed rooms), with tightly sealed windows and wall crevices. The crowded rooms, heated by an open charcoal fire, provided approximately 5 cubic meters of air volume per person, about as much as a Boy Scout tent. In the beginning stage of disease, affected workers complained of stiffness in the shoulders, backache, fatigue, and dizziness. As the disease progressed, workers CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions became short of breath on exertion and experienced tightness and pain below the breast bone, numbness in the arms and hands, and swelling of the face. The attacks of shortness of breath occurred mostly at night, whereas the episodes of pain and tightness around the heart, a condition known as - Correct Answer ✅C Several years ago, a cottage industry existed at an elevation of 1,000 meters above sea level in a mountainous region of Japan. In the wintertime, inhabitants earned their living by manufacturing tatami mats. The indoor work was carried out in so- called kakoi (closed rooms), with tightly sealed windows and wall crevices. The crowded rooms, heated by an open charcoal fire, provided approximately 5 cubic meters of air volume per person, about as much as a Boy Scout tent. In the beginning stage of disease, affected workers complained of stiffness in the shoulders, backache, fatigue, and dizziness. As the disease progressed, workers became short of breath on exertion and experienced tightness and pain below the breast bone, numbness in the arms and hands, and swelling of the face. The attacks of shortness of breath occurred mostly at night, whereas the episodes of pain and tightness around the heart, a condition known as - Correct Answer ✅C Several years ago, a cottage industry existed at an elevation of 1,000 meters above sea level in a mountainous region of Japan. In the wintertime, inhabitants earned their living by manufacturing tatami mats. The indoor work was carried out in so- called kakoi (closed rooms), with tightly sealed windows and wall crevices. The crowded rooms, heated by an open charcoal fire, provided approximately 5 cubic meters of air volume per person, about as much as a Boy Scout tent. In the beginning stage of disease, affected workers complained of stiffness in the shoulders, backache, fatigue, and dizziness. As the disease progressed, workers became short of breath on exertion and experienced tightness and pain below the breast bone, numbness in the arms and hands, and swelling of the face. The attacks of shortness of breath occurred mostly at night, whereas the episodes of pain and tightness around the heart, a condition known as - Correct Answer ✅B Several years ago, a cottage industry existed at an elevation of 1,000 meters above sea level in a mountainous region of Japan. In the wintertime, inhabitants earned their living by manufacturing tatami mats. The indoor work was carried out in so- called kakoi (closed rooms), with tightly sealed windows and wall crevices. The crowded rooms, heated by an open charcoal fire, provided approximately 5 cubic meters of air volume per person, about as much as a Boy Scout tent. In the beginning stage of disease, affected workers complained of stiffness in the shoulders, backache, fatigue, and dizziness. As the disease progressed, workers became short of breath on exertion and experienced tightness and pain below the breast bone, numbness in the arms and hands, and swelling of the face. The attacks CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions Municipal sewage is typically processed to remove organic material before disposing of the treated water. In large cities this treatment will generally consist of: (A) Biological treatment in an aerated activated sludge system, followed by settling to remove sludge solids, then chlorination prior to discharge. (B) Chemical treatment by coagulation and flocculation, followed by settling to remove solids, then chlorination prior to discharge. (C) Filtering through sand beds to remove organic solids, followed by chlorination prior to discharge. (D) Super-chlorination to destroy organic materials, followed by discharge. - Correct Answer ✅A The nutrient-rich solids produced as a byproduct of municipal sewage treatment and often proposed for use a soil amender in agriculture is termed: (A) Hazardous waste (B) Suspended Solids (C) Biochemical Oxygen Demand (BOD) (D) Sludge - Correct Answer ✅D The Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA): (A) Established the "Superfund" for financing cleanup of hazardous waste disposal sites, and the National Priorities List identifying such sites (B) Created the United States Environmental Protection Agency (EPA) and authorized the agency to regulate environmental pollutants (C) Established requirements and procedures for the proper disposal of municipal solid waste, e.g. via properly designed and operated municipal landfills (D) Imposed the requirement for federal agencies to prepare Environmental Assessments and Environmental Impact Statements of the environmental effects of proposed federal agency actions - Correct Answer ✅A Which of the following is not a disease that can be contracted by the food-borne route? CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (A) Salmonellosis (B) Giardiasis (C) West Nile Virus Neuroinvasive Disease (D) Hepatitis A - Correct Answer ✅C A primary technique for preventing food-borne disease in cafeteria-type food service establishments is: (A) Encouraging customers to wash their hands before eating (B) Maintaining warm foods at a sufficiently high holding temperature (C) Weekly application of pesticides to control cockroaches (D) Annual physical examinations of food service workers - Correct Answer ✅B Which of the following is the most commonly occurring mosquito-borne disease in the United States? (A) West Nile Virus Neuroinvasive Disease (B) Malaria (C) Dengue Fever (D) Yellow Fever - Correct Answer ✅A Rocky Mountain Spotted Fever and Lyme Disease are examples of diseases transmitted by: (A) Mosquitoes (B) Polluted water (C) Contaminated food (D) Ticks - Correct Answer ✅D Lead contamination of outdoor air in large cities has been greatly reduced over the past 25 years through: (A) Restrictions on the sale of lead-based paints (B) A ban on the sale of gasoline containing lead anti-knock compounds CPH Exam - All Sample Questions & Answers (Latest 2024) Verified Answers/ 235 Questions (C) Widespread use of clean-burning coal in electric power plants (D) Strict regulations on the proper disposal of batteries containing lead - Correct Answer ✅B Epidemiologic studies have shown a positive association between the concentration of particulate matter (PM) in ambient air and: (A) An increased incidence of respiratory-related morbidity and mortality (B) The destruction of the stratospheric ozone layer (C) Effects on global climate change, specifically increased Global Warming (D) Declines in bird populations due to thinning of their egg shells - Correct Answer ✅A In part due to the public attention focused on environmental pollution by Rachel Carson's book "Silent Spring", as well as studies such as those showing a drastic decline in the American Bald Eagle population, a ban was issued on the use of: (A) Chlorofluorocarbon (CFC) refrigerant gases (B) Leaded gasoline (C) DDT pesticide (D) Asbestos insulation materials - Correct Answer ✅C River water pollution due to storm water runoff from chemically fertilized farm fields is an example of: (A) Area source pollution (B) Point source pollution (C) Accidental and unforeseeable pollution (D) Unpreventable and inconsequential pollution - Correct Answer ✅A Nitrates in ground water are of particular concern in rural communities that rely on well water because: (A) Nitrates can cause Blue-Baby Syndrome in infants (B) Nitrates are potent carcinogens in adults