Institute of Nursing Sciences
Sarhad University of Science & Information Technology, Peshawar
BSN Year-3, Semester-VI (Spring-2024)
Exam: Mid Term Time: 40 Minutes Marks: 30
Course: Epidemiology: Student Name: __________________ Reg #_____________
Multiple Choice Questions
Section A:
Note: Reads all the questions carefully and encircle the accurate answer. This part
composed of 40 MCQs and each question carry 1 mark.
1. What is the literal meaning of
the word 'epidemiology'?
A) Study of diseases
B) Study of epidemics
C) Study of what is upon the
people
D) Study of medical science
2. The first stage in the natural history
of disease is:
A) Subclinical
B) Susceptibility
C) Clinical
D) Recovery, disability, or death
3. What is one of the main
purposes of epidemiology?
A) To cure individual
patients
B) To develop disease
control and prevention
measures for groups at
risk
C) To prescribe medications
D) To perform surgeries
4. Which of the following is NOT a
characteristic studied in
descriptive epidemiology?
A) Person
B) Place
C) Time
D) Cure
5. In analytic epidemiology, what
are the three phenomena
assessed?
A) Host, environment,
agent
B) Person, place, time
C) Disease, cure, prevention
D) Risk, exposure, outcome
6. Which of the following is an
example of a determinant
studied in epidemiology?
A) Disease frequency
B) Geographic location
C) Cause of disease
D) Time of disease
occurrence
7. What is the unique skill of
epidemiologists?
A) Performing surgeries
B) Measuring disease
frequency in populations
C) Developing new
medications
D) Treating individual
patients
Page 1 of 5
8. What does the 'denominator'
refer to in epidemiological
studies?
A) The number of people
who got sick
B) The population at risk
C) The number of deaths
D) The number of recovered
cases
9. When total number of deaths due to
measles is presented in relation to the
total cases of measles, it is best
labeled as:
A) Incidence rate
B) Prevalence rate
C) Case fatality rate
D) Proportional mortality
10. An expert in the field of public
health is required to estimate the
magnitude (burden) of a health
problem. Which rate would he
calculate for this?
A) Incidence
B) Prevalence
C) Case Fatality
D) Proportionate Mortality
11.A doctor examines a patient
who is not exhibiting any
symptoms of illness but feels
unwell due to stress at work.
Which concept of health best
explains this situation?
A) Biomedical concept
B) Ecological concept
C) Psychosocial concept
D) Holistic concept
12.A public health official is
investigating a recent outbreak
of food poisoning in a
community and looks at the
interaction between
contaminated food, the people
who ate it, and the conditions
that allowed the contamination
to occur. Which model of
disease causation is being
utilized?
A) Germ theory
B) Epidemiologic triad
C) Web of causation
D) Wheel of causation
13.A community health worker is
addressing multiple factors
such as air quality, access to
clean water, and social support
systems to improve the overall
health of a community. Which
concept of health does this
approach exemplify?
A) Biomedical concept
B) Ecological concept
C) Psychosocial concept
D) Holistic concept
14.A patient is diagnosed with
hypertension and is advised to
change their diet, increase
physical activity, and manage
stress to improve their health.
Which aspect of health is the
patient focusing on?
A) Physical health
B) Social health
C) Emotional health
D) Environmental health
15.An epidemiologist is tracking a
disease that has not yet shown
symptoms in most of the
infected population. This
hidden portion of the disease is
critical for understanding the
full impact on the community.
Page 2 of 5
Which concept does this
scenario describe?
A) Spectrum of disease
B) Iceberg phenomenon
C) Natural history of
disease
D) Web of causation
16.A health researcher is studying
the relative impact of genetic
factors and environmental
exposure in the development
of diabetes. Which model of
disease causation is the
researcher using?
A) Germ theory
B) Epidemiologic triad
C) Web of causation
D) Wheel of causation
17.During a community health
assessment, it is found that
high rates of tobacco use, poor
diet, and lack of physical
activity are contributing to
increased heart disease. These
factors are examples of what
kind of determinants of health?
A) Socio-economic
B) Physical
C) Behavioral
D) Environmental
18.A country reports a high infant
mortality rate, indicating many
infants die before their first
birthday. This rate is an
example of which type of
health indicator?
A) Mortality indicator
B) Morbidity indicator
C) Nutritional status
indicator
D) Health care delivery
indicator
19.A health survey in a community
shows that a significant
number of people feel happy
and satisfied with their lives
despite having chronic
illnesses. Which aspect of
health does this describe?
A) Physical health
B) Emotional well-being
C) Intellectual well-being
D) Occupational health
20. When the number of educated
females is expressed as a percentage
of total females present in a village.
It is known as:
A. Proportion
B. Rate
C. Ratio
D. Frequency
21.In a research study, 1000
individuals are observed over
one year. During this period, 50
new cases of a specific disease
are reported. What measure
would best describe the
frequency of this disease in this
population over the study
period?
A) Prevalence
B) Incidence rate
C) Cumulative incidence
D) Mortality rate
22.A health department reports
that out of a population of
10,000 people, 1,000 have a
Page 3 of 5
chronic illness at a given point
in time. Which measure does
this describe?
A) Incidence
B) Prevalence
C) Mortality rate
D) Case-fatality rate
23.An epidemiologist is comparing
the risk of developing lung
cancer between smokers and
non-smokers. They find that
the risk for smokers is 20%,
while the risk for non-smokers
is 1%. What is the attributable
risk for smokers?
A) 19%
B) 20%
C) 1%
D) 21%
24.A study observes 500 people
for two years. During this
period, there are 10 new cases
of a disease. The total person-
time observed is 900 person-
years. What is the incidence
rate of the disease?
A) 0.011 cases per person-
year
B) 0.022 cases per person-
year
C) 0.005 cases per person-
year
D) cases per person-year
25.In a city, there are 150 deaths
due to heart disease in a year,
out of a total of 10,000
populations. What is the annual
mortality rate for heart disease
in this city?
A) 1.5 Per 1,000 populations
B) 15 per 1,000 populations
C) 150 per 1,000
populations
D) 0.15 Per 1,000
populations
26. When a new treatment is developed
that delays deaths but does not
produce recovery from a chronic
disease, which of the following will
occur.
A. Prevalence of the disease will
decrease
B. Incidence of the disease will
increase
C. Prevalence of the disease will
increase
D. Incidence of the disease will
decrease
27. If the number of deaths from
tuberculosis is expressed in relation
to the total mid-year population, it is:
A. Case fatality rate
B. Proportionate mortality rate
C. Crude death rate
D. Cause specific death rate
28. Fluoridation of water would be an
example of
A. Primary prevention strategy
B. Secondary prevention
strategy
C. Tertiary prevention strategy
D. None of the above
29. A person is exposed to a virus
but does not show any
symptoms for two weeks, even
though pathological changes
are occurring in their body.
What is the term for this
asymptomatic stage in
infectious diseases?
A. Latent period
B. Incubation period
Page 4 of 5
C. Prodromal period
D. Convalescent period
30.During a routine health
screening, an individual is
found to have high blood sugar
levels but has not experienced
any symptoms of diabetes. This
asymptomatic stage of diabetes
is an example of which phase?
A) Clinical disease
B) Incubation period
C) Subclinical disease
D) Recovery phase
Institute of Nursing Sciences
Sarhad University of Science & Information Technology, Peshawar
BSN Year-3, Semester-VI (Spring-2024)
Exam: Mid Term Time: 80 Minutes Marks: 20
Course: Epidemiology: Student Name: __________________ Reg #
Section “B”
Attempt any 4 Questions, each question carries equal marks. Question No 1 is
compulsory?
1. A study finds that among 100 people who were exposed to a virus, 20 developed the
disease, while in the unexposed group of 200 people, 10 developed the disease. What
is the odds ratio for developing the disease due to exposure?
2. What are the different types of agents, explain each with example?
3. Define Risk Factor in epidemiology? Briefly explain determinants of health with
examples?
4. What are the indicators of health in epidemiology? Enlist Dimensions of wellness?
5. In experiment study, exposure relates to receiving the flu vaccine. The vaccinated
group is exposed, and the placebo control group is unexposed. The table contains the
count of infections (events) and non-infections for both groups. We want to learn
whether the vaccine protects against infections. Calculate Relative Risk?
Treatment Flu Infection No Flu Infection
Vaccine 49 5054
Placebo 74 2475
Page 5 of 5

BSN Mid Term Epidemiology Paper INS .docx

  • 1.
    Institute of NursingSciences Sarhad University of Science & Information Technology, Peshawar BSN Year-3, Semester-VI (Spring-2024) Exam: Mid Term Time: 40 Minutes Marks: 30 Course: Epidemiology: Student Name: __________________ Reg #_____________ Multiple Choice Questions Section A: Note: Reads all the questions carefully and encircle the accurate answer. This part composed of 40 MCQs and each question carry 1 mark. 1. What is the literal meaning of the word 'epidemiology'? A) Study of diseases B) Study of epidemics C) Study of what is upon the people D) Study of medical science 2. The first stage in the natural history of disease is: A) Subclinical B) Susceptibility C) Clinical D) Recovery, disability, or death 3. What is one of the main purposes of epidemiology? A) To cure individual patients B) To develop disease control and prevention measures for groups at risk C) To prescribe medications D) To perform surgeries 4. Which of the following is NOT a characteristic studied in descriptive epidemiology? A) Person B) Place C) Time D) Cure 5. In analytic epidemiology, what are the three phenomena assessed? A) Host, environment, agent B) Person, place, time C) Disease, cure, prevention D) Risk, exposure, outcome 6. Which of the following is an example of a determinant studied in epidemiology? A) Disease frequency B) Geographic location C) Cause of disease D) Time of disease occurrence 7. What is the unique skill of epidemiologists? A) Performing surgeries B) Measuring disease frequency in populations C) Developing new medications D) Treating individual patients Page 1 of 5
  • 2.
    8. What doesthe 'denominator' refer to in epidemiological studies? A) The number of people who got sick B) The population at risk C) The number of deaths D) The number of recovered cases 9. When total number of deaths due to measles is presented in relation to the total cases of measles, it is best labeled as: A) Incidence rate B) Prevalence rate C) Case fatality rate D) Proportional mortality 10. An expert in the field of public health is required to estimate the magnitude (burden) of a health problem. Which rate would he calculate for this? A) Incidence B) Prevalence C) Case Fatality D) Proportionate Mortality 11.A doctor examines a patient who is not exhibiting any symptoms of illness but feels unwell due to stress at work. Which concept of health best explains this situation? A) Biomedical concept B) Ecological concept C) Psychosocial concept D) Holistic concept 12.A public health official is investigating a recent outbreak of food poisoning in a community and looks at the interaction between contaminated food, the people who ate it, and the conditions that allowed the contamination to occur. Which model of disease causation is being utilized? A) Germ theory B) Epidemiologic triad C) Web of causation D) Wheel of causation 13.A community health worker is addressing multiple factors such as air quality, access to clean water, and social support systems to improve the overall health of a community. Which concept of health does this approach exemplify? A) Biomedical concept B) Ecological concept C) Psychosocial concept D) Holistic concept 14.A patient is diagnosed with hypertension and is advised to change their diet, increase physical activity, and manage stress to improve their health. Which aspect of health is the patient focusing on? A) Physical health B) Social health C) Emotional health D) Environmental health 15.An epidemiologist is tracking a disease that has not yet shown symptoms in most of the infected population. This hidden portion of the disease is critical for understanding the full impact on the community. Page 2 of 5
  • 3.
    Which concept doesthis scenario describe? A) Spectrum of disease B) Iceberg phenomenon C) Natural history of disease D) Web of causation 16.A health researcher is studying the relative impact of genetic factors and environmental exposure in the development of diabetes. Which model of disease causation is the researcher using? A) Germ theory B) Epidemiologic triad C) Web of causation D) Wheel of causation 17.During a community health assessment, it is found that high rates of tobacco use, poor diet, and lack of physical activity are contributing to increased heart disease. These factors are examples of what kind of determinants of health? A) Socio-economic B) Physical C) Behavioral D) Environmental 18.A country reports a high infant mortality rate, indicating many infants die before their first birthday. This rate is an example of which type of health indicator? A) Mortality indicator B) Morbidity indicator C) Nutritional status indicator D) Health care delivery indicator 19.A health survey in a community shows that a significant number of people feel happy and satisfied with their lives despite having chronic illnesses. Which aspect of health does this describe? A) Physical health B) Emotional well-being C) Intellectual well-being D) Occupational health 20. When the number of educated females is expressed as a percentage of total females present in a village. It is known as: A. Proportion B. Rate C. Ratio D. Frequency 21.In a research study, 1000 individuals are observed over one year. During this period, 50 new cases of a specific disease are reported. What measure would best describe the frequency of this disease in this population over the study period? A) Prevalence B) Incidence rate C) Cumulative incidence D) Mortality rate 22.A health department reports that out of a population of 10,000 people, 1,000 have a Page 3 of 5
  • 4.
    chronic illness ata given point in time. Which measure does this describe? A) Incidence B) Prevalence C) Mortality rate D) Case-fatality rate 23.An epidemiologist is comparing the risk of developing lung cancer between smokers and non-smokers. They find that the risk for smokers is 20%, while the risk for non-smokers is 1%. What is the attributable risk for smokers? A) 19% B) 20% C) 1% D) 21% 24.A study observes 500 people for two years. During this period, there are 10 new cases of a disease. The total person- time observed is 900 person- years. What is the incidence rate of the disease? A) 0.011 cases per person- year B) 0.022 cases per person- year C) 0.005 cases per person- year D) cases per person-year 25.In a city, there are 150 deaths due to heart disease in a year, out of a total of 10,000 populations. What is the annual mortality rate for heart disease in this city? A) 1.5 Per 1,000 populations B) 15 per 1,000 populations C) 150 per 1,000 populations D) 0.15 Per 1,000 populations 26. When a new treatment is developed that delays deaths but does not produce recovery from a chronic disease, which of the following will occur. A. Prevalence of the disease will decrease B. Incidence of the disease will increase C. Prevalence of the disease will increase D. Incidence of the disease will decrease 27. If the number of deaths from tuberculosis is expressed in relation to the total mid-year population, it is: A. Case fatality rate B. Proportionate mortality rate C. Crude death rate D. Cause specific death rate 28. Fluoridation of water would be an example of A. Primary prevention strategy B. Secondary prevention strategy C. Tertiary prevention strategy D. None of the above 29. A person is exposed to a virus but does not show any symptoms for two weeks, even though pathological changes are occurring in their body. What is the term for this asymptomatic stage in infectious diseases? A. Latent period B. Incubation period Page 4 of 5
  • 5.
    C. Prodromal period D.Convalescent period 30.During a routine health screening, an individual is found to have high blood sugar levels but has not experienced any symptoms of diabetes. This asymptomatic stage of diabetes is an example of which phase? A) Clinical disease B) Incubation period C) Subclinical disease D) Recovery phase Institute of Nursing Sciences Sarhad University of Science & Information Technology, Peshawar BSN Year-3, Semester-VI (Spring-2024) Exam: Mid Term Time: 80 Minutes Marks: 20 Course: Epidemiology: Student Name: __________________ Reg # Section “B” Attempt any 4 Questions, each question carries equal marks. Question No 1 is compulsory? 1. A study finds that among 100 people who were exposed to a virus, 20 developed the disease, while in the unexposed group of 200 people, 10 developed the disease. What is the odds ratio for developing the disease due to exposure? 2. What are the different types of agents, explain each with example? 3. Define Risk Factor in epidemiology? Briefly explain determinants of health with examples? 4. What are the indicators of health in epidemiology? Enlist Dimensions of wellness? 5. In experiment study, exposure relates to receiving the flu vaccine. The vaccinated group is exposed, and the placebo control group is unexposed. The table contains the count of infections (events) and non-infections for both groups. We want to learn whether the vaccine protects against infections. Calculate Relative Risk? Treatment Flu Infection No Flu Infection Vaccine 49 5054 Placebo 74 2475 Page 5 of 5