Professional Documents
Culture Documents
Self-Assessment Quiz
Now that you have read Lesson 6 and have completed the exercises, you should be ready to take the self-assessment quiz.
This quiz is designed to help you assess how well you have learned the content of this lesson. You may refer to the lesson
Unless instructed otherwise, choose ALL correct answers for each question.
1. Which are the most common ways that a local health department uncovers outbreaks?
A. Performing descriptive analysis of surveillance data each week
B. Performing time series analysis to detect deviations from expected values based on the previous few weeks and comparable
periods during the previous few years
E. Reviewing all case reports received each week to detect common features
2. Factors that influence a health department's decision whether or not to conduct a field investigation in response to one or more
cases of disease include:
C. Resources available
3. If a particular outbreak presents an unusual opportunity to learn more about the disease and its epidemiology by conducting a
study, but early disease control measures would interfere with the study, one should conduct the study quickly, then implement
control measures immediately afterwards.
A. True
B. False
A. Disease control and prevention efforts take priority over investigation efforts
B. Investigation efforts take priority over disease control and prevention efforts
a. __a_ Outbreak with known causative agent, source, and mode of transmission
b. _b__ Outbreak with known causative agent, but unknown source and mode of transmission
c. __b_ Outbreak with unknown causative agent, source, and mode of transmission
For an investigation of an outbreak, what is the logical conceptual order of the steps listed above?
A. 1-2-3-4-5-6-7
B. 5-6-4-1-2-3-7
C. 6-5-3-1-2-7-4
D. 6-5-7-4-1-3-2
6. To avoid skipping a critical step, investigators should conduct the steps of an outbreak investigation in the precise order you
answered in Question 5.
A. True
B. False
B. Epidemic
C. Outbreak
a. _B__ 200 cases of Marburg virus infection in several districts in Angola over several months (usually none)
b. __C_ 40 cases ofSalmonella Enteritidis in 1 week traced to a single meal served at a cafeteria (usually none)
c. _A__ 10 cases of cancer diagnosed over 2 years among residents of a single neighborhood (previous data not available)
8. Why should an investigator who has no clinical background nonetheless talk to a patient or two as an early step in the outbreak
investigation?
A. To advise the patient about common risk factors and the usual course of the illness, after reviewing such information in
appropriate reference material
C. Place
D. Person
E. Hypothesized exposure
10. Ideally, a case definition is 100% accurate in identifying who does and does not have the disease in question, but in reality few case
definitions achieve this ideal.
A. True
B. False
11. Once a case definition for an outbreak investigation has been established, it should not be changed.
A. True
B. False
12. Common methods of identifying additional cases (expanding surveillance) as part of an outbreak investigation include:
A. Advising the public through newspapers, TV, radio, and the health department's website to contact the local health department
B. Asking case-patients who they were with at the time of exposure (if known)
13. A case report form devised for an outbreak investigation usually includes which of the following types of information?
A. Identifying information
B. Demographic information
C. Clinical information
14. Descriptive epidemiology is essential for "characterizing the outbreak" by time, place, and person, but has little bearing on the
analytic epidemiology.
A. True
B. False
Use the following epi curves as choices for Questions 15ac.
Image Description
Image Description
(http://www.cdc.gov/OPHSS/CSELS/DSEPD/SS1978/Lesson6/Quiz.html#ALTQ15a)
(http://www.cdc.gov/OPHSS/CSELS/DSEPD/SS1978/Lesson6/Quiz.html#ALTQ1
Image Description
Image Description
(http://www.cdc.gov/OPHSS/CSELS/DSEPD/SS1978/Lesson6/Quiz.html#ALTQ15c)
(http://www.cdc.gov/OPHSS/CSELS/DSEPD/SS1978/Lesson6/Quiz.html#ALTQ1
a. __C_ A malfunctioning space heater was used each time the outside temperature dropped below freezing
b. __A_ At the Eclipse Restaurant, sodium nitrite was mistaken for table salt in the preparation of breakfast one morning only
c. _D__ Common cold passed from classmate to classmate
Image Description
(http://www.cdc.gov/OPHSS/CSELS/DSEPD/SS1978/Lesson6/Quiz.html#ALTQ16)
16. A group of tourists on a weeklong bus tour of a European country experienced an outbreak of norovirus. The group had followed a
consistent meal time pattern: each morning they had breakfast together in whichever hotel they had stayed from 6:00 a.m. to 7:00
a.m., stopped for lunch from 1:00 p.m. to 2:00 p.m., then had dinner together either at the next hotel or at a restaurant at about 7:00
p.m. The incubation period for norovirus is about 24-48 hours, with a median of about 33 hours. On which day and at which meal
was exposure most likely?
A. April 19 Dinner
B. April 20 Breakfast
C. April 20 Lunch
D. April 20 Dinner
E. April 21 Breakfast
17. Possible explanations for a case that occurs substantially later than the other cases in an outbreak include:
A. Similar but unrelated disease
B. Secondary case
19. Which of the following may be useful in generating hypotheses in an outbreak setting?
A. Review the literature
20. The key feature of an analytic (epidemiologic) study is: (Select only one answer)
A. Analysis by time, place, and person
B. Source
C. Mode of transmission
D. Portal of entry
E. Host susceptibility
Use the information in the following paragraph and data in the table for Questions 2225.
An outbreak of gastrointestinal disease occurred 24-36 hours after people had attended a wedding. Of the 203 attendees (including
the bride and groom), 200 completed questionnaires, and 50 reported illness compatible with the case definition. Tabulated food
consumption histories are presented in the table below.
Food Item
Punch
Wedding Cake
Sushi
B. False
23. The most appropriate measure of association for these data is the:
A. Attributable risk percent
B. Chi-square
C. Odds ratio
D. Risk ratio
B. Wedding cake
C. Sushi
B. Local officials
Figure Description: Epi curve shows the number of cases by date and time of symptom onset with breakfast, lunch, and dinner
indicated. Cases start at dinner on April 21, peak around midnight and decrease to 0 after 4 p.m. on April 22. Return to text.
(http://www.cdc.gov/OPHSS/CSELS/DSEPD/SS1978/Lesson6/Quiz.html#TXTQ16)
Content source: Office of Public Health Scientific Services (/ophss/index.html); Center for Surveillance, Epidemiology,
and Laboratory Services (/ophss/csels/index.html); Division of Scientific Education and Professional Development
(/ophss/csels/dsepd/index.html)