A school nurse conducted a small study with 10 students to


A school nurse conducted a small study with 10 students to assess the presence or absence of cold symptoms at baseline (day 0) and each of the 10 subsequent days. The letter C in the table below indicates, for each student, when cold symptoms (C) were identified by the school nurse. What was the incidence of new colds in these 10 students during the entire time period of observation?

7/10

5/10

5/8

5/7

What was the period prevalence of colds in these 10 students during the entire time period of observation?

7/10

5/10

5/8

5/7

What was the incidence of new colds through and including day 4?

3/8

5/8

3/10

5/10

What was the point prevalence of colds on day 4

5/7

5/8

5/10

5

What was the point prevalence of colds on day 6?

3/8

6/8

3/10

6/10

What was the period prevalence of colds from day 2 through and including day 6?

5/8

6/8

5/10

6/10

Which of the following should be considered in assessing changes in mortality due to a specific disease?

Changes in diagnostic  criteria

Changes in age distribution

Changes in coding

All of the above

Assuming there is a treatment for a condition that prolongs survival without curing it, and that other factors remain unchanged, which of the following statements would be true.

Prevalence will decrease

Prevalence will increase

Incidence will increase

Incidence will decrease

Please refer to Figure 2 to answer questions 9 and 10. Figure 2  

Follow-up for Complications after Surgery

An investigator is following up with a group of surgical patients for a particular complication. Five patients are followed for up to two months (60 days). As can be seen in Figure A above, patients A and D did not experience the complication within the period of follow-up, whereas patients B, C, and E did at day 42, 8, and 30 respectively.

What were the total number of person-days in the study?

5

60

80

200

Referencing the chart and problem, in question 9, what was the incidence rate per 1000 person-days?

3

15

60

600

Please refer to Table 1 to answer questions 11 through 15.

POPULATION A

Age Range           # Population     # Deaths             Death Rate

<20                      50,000            50

2065                     30,000               60

>65                      20,000            200

POPULATION B

Age Range           # Population     # Deaths             Death Rate

<20                        25,000                   25

2065                       25,000                   50         

>65                        50,000                   500    

Table 1. Deaths by age group, Population A and Population B.

Referencing Table 1, what was the crude (overall) death rate per 100,000 for area A?

31

57.5

200

310

Referencing Table 1, what was the crude (overall) death rate per 100,000 for area B?

57.5

310

500

575

Referencing Table 1, what was the age-specific death rate per 100,000 in area A for those 2065 years?

50

60

200

500

Referencing Table 1, using the distribution of the sum of the two populations as the standard population, what was the adjusted death rate per 100,000 for area A?

425

443

532

885

Referencing Table 1, using the distribution of the sum of the two populations as the standard population, what was the adjusted death rate per 100,000 for  area B?

425

443

532

885

In an outbreak of botulism there were 50 cases identified (26 in males and 24 in females). A total of 13 deaths (8 in males and 5 in females) were attributed to this outbreak. The case fatality rate among males was:

10%

16%

26%

30.8%

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