MINISTRTY OF PUBLIC HEALTH OF UKRAINЕ

CRIMEAN STATE MEDICAL UNIVERSITY

NAMED AFTER S.I. GEORGYIEVSKY

________________________________________________________________________

Faculty: International medical

For speciality: General medicine

Curse: 5

Department: Social medicine and Public Health organization

QUESTION CARD № 1

1. Social medicine and organization of Public Health. Content of discipline.

2. Demography. The use of the demographic data in medical practice.

3. Primary tasks, principles and structure of Automatic system of management (ASM) "Public health".

Test

Employee Р. has been made abortion. In connection with complication she was disabled 12 days. How to register the fact of disability?

QUESTION CARD № 2

1. Budgetary and off budget sources of insurance medicine financing.

2. Medical-sanitary department, organization, parameters of work.

3. Social - psychological methods in management of Public Health services. Motivations by Maslow. Effective characteristics of manager.

Test

Define the quality of diagnostic work in polyclinic and hospital:

а) All clinical diagnoses - 890, from which 800 coincide with polyclinic diagnoses;

в) Number of all autopsies in hospital is 209, including 170 clinical diagnoses which coincide with pathological-anatomical diagnoses.

QUESTION CARD № 3

1. Mother and child care system (problems, tasks, organization of work).

2. Regional hospital, its structure, indices of work.

3. Marketing (definition). Profit and profitability of medical services.

Test

Define economic damage in connection with disease of worker. The number of days of disability is 900. Cost of 1 day of disability – 3.5 hrv. Income for 1 working day is 7 hrv.

QUESTION CARD № 4

1. Bases of medical ethics and deontology.

2. Doctor (medical) consulting commission DCC (MCC). Rules of temporary disability registration.

3. Marketing: definition, basic functions, structure. Medical service (pricing). Segmentation of the market of health.

Test

In city N. number of women of 15-49 years was 30000, 2100 children were born alive. The number of induced abortions was 1050. Count the fertility index and frequency of induced abortions.

QUESTION CARD № 5

1. Health definition and "gradation". Healthy way of life (Program). Factors of way of life.

2. Central district hospital (CDH) as the centre of the specialized help for rural population. Tasks, structure, improvement of work.

3. Information: definition, types, requirements. Types of decisions of the head in medical-preventive establishments.

Test

Cook Z. is discharged from work because of exacerbation of conjunctivitis of infectious etiology. It is not possible to realize her employment, though the patient is able to work. How to register the fact of disability?

QUESTION CARD № 6

1. Economics of Public Health, main directions and methods. Effectiveness of Public Health (social, medical, economic).

2. Children's polyclinic, its functions and structure. Prophylactic and

antiepidemical work of children's polyclinic.

3. Medical statistics, its significance. Stages of statistical research. Graphic representations in statistics.

Test

Patient М. is delivered in traumatologic department of the city hospital with diagnosis of fracture of shinbone in alcohol intoxication condition. He was disabled for 56 days. How to register the fact of disability?

QUESTION CARD № 7

1. Process of Public Health Management (the main parts). Factors of quality and efficiency of an administrative cycle.

2. Cardiovascular system diseases as a social-medical problem.

3. Variable set and its parameters. Application of average numbers in medical practice.

Test

985 person was delivered to the hospital by ambulance during the month. Among them 875 was hospitalized. Last year % of hospitalization was 82 % during the same period.

Count % of hospitalization by ambulance in comparison with the previous year.

QUESTION CARD № 8

1. System of Public Health: insurance, state, private and their peculiarities. Main principles of insurance medicine organization.

2. Role and place of the district physician in system of Primary Health Care organization for urban population.

3. Definition of Automatic System of Management (ASM). The formula and functional subsystems of ASM "Public Health”.

Test

There are data of the sick-leave length stay of dispensary patients with arterial hypertension in the city polyclinics. The urban index for this group is 23,8 days, t = 4,6, σ =5,2. Length stay is 14, 17, 21, 25, 28, 30, 33 days. The number of the patients who undergo a regular medical check-up is 4, 8, 7, 18, 20, 8 and 5. n =70.

Calculate M, C_v, estimate results, make conclusions, compare with the results of other researches.

Question card № 9

1. System of Public Health services in developed countries.

2. Medical establishments that provide medical services on the rural medical division and the organization of their work.

3. Estimation of reliability of research results. Error of Mean (m_M) and error of relative numbers (m_P).

Test

Define character and degree of connection. There are height and weight of 12 girls at the age of 5 years.

Height is 87, 95, 115, 89, 90, 90, 101, 95, 110, 110, 88, 93 (cm).

Weight is 13,14, 20, 22,14,15, 17, 15, 18, 21, 14, 16 (kg).

Question card № 10

1. Non-specific diseases of respiratory system as a social - medical problem.

2. Organization of medical care to urban population (polyclinic, hospital, dispensary).

3. Morbidity kinds, their analysis and main indices.

Test

Define the error of Mean / m_M / while measuring of weight of 100 girls at the age of 16 years, if standard deviation (σ) is 6,2 kg.

Question card № 11

1. Traumatism as a social - medical problem.

2. Examination of temporary disability of the population. Doctor (medical) consulting commission DCC (MCC): functions and structure.

3. Average numbers, calculation and practical application.

Test

Determine character and degree of connection by a method of rank correlation between % of patients with chronic bronchopulmonary pathology who are on sanatorium treatment and frequency of exacerbations of these diseases in different regions

Regions A B C D E F

% of coverage of patients

who are on sanatorium treatment 50 42 38 24 24 10

Number of patients with individual

exacerbations (% from total number 21 38 43 52 50 60

of patient’s with chronic

bronchopulmonary pathology)

QUESTION CARD № 12

1. Management. New principles, methods and the basis of modern management in Public Health.

2. Dispensary method of population service (purposes, stages, criteria of efficiency, groups). Management Automatic System of population examinations.

3. Questions and techniques of concrete economics of Public Health.

Test

Employee С. has adopted the child from a maternity hospital on the 10-th day after birth. How to register a fact of disability?

QUESTION CARD № 13

1. Insurance medicine. Medical insurance of population. Program “Common Medical insurance”.

2. Examination of stable disability. Types of medical social expert commission (MSEC) (memberships, main documents). Invalidity groups.

3. Reproduction of population, fertility, its indices.

Test

Determine the error of mean (m_M) while measuring of height of 7-year boys (n=100), if standard deviation (σ) is 12,3.

QUESTION CARD № 14

1. Prophylaxis of diseases and the basic ways of its improvement. The law "Prophylaxis of AIDS".

2. Organization of sanitary-epidemiologic service. Structure and functions of city SES. Rights and responsibilities of a sanitary inspector.

3. Statistical totality (observation unit, statistical totality size, classification of variables).

Test

Define lethality and its error (m) if 5 person has died, and 995 were discharged from the hospital.

QUESTION CARD № 15

1. Primary Health Care as a basis of WHO strategy to achieve achievement population’s health (main principles and tasks).

2. Formation of healthy way of life. Risk factors. Health centers and their role in hygienic education of population.

3. Process of management (integrity, continuity, recurrence).

Types of management decisions and organization of their application. Ways of Public Health management.

Test

According to examination of 25 patients with myocardial infarction in cardiological department of hospital, average Erythrocyte Sedimentation Rate (ESR) at the end of the first week from the disease beginning was 36 mm / hour, σ is 10 mm/hour. Determine m_M and M (confidence limits).

QUESTION CARD № 16

1. Legal bases of Public Health system. Principles of Public Health in Ukraine.

2. Organization of the sanatorium and health resort stage of rehabilitation (main principles).

3. Average numbers: criteria of parameters variety (standard deviation, coefficient of variation). Practical application.

Test

In town N the population is 100 000 persons. 820 children were born alive, and 1270 persons died. Define birth rate, death rate, natural growth, estimate these indices.

QUESTION CARD № 17

1. International cooperation in the sector of Public Health.

Structure of WHO. Criteria of WHO program "Health for all in 21st century" for Ukraine.

2. Examination of temporary disability. The rules of registration and prolongation of statistical forms. Functions of Doctor (medical) consulting commission DCC (MCC).

3. Estimation of reliability of a results difference of statistical research. Estimation of criteria.

Test

What degree of the weight variety in young men of 20 years at average weight of 71,6 kg. Standard deviation (σ) is 1,79.

Define coefficient of variation(C_v).

QUESTION CARD № 18

1. System of Mother and Child Care, social - medical significance. Parameters of maternal and infant mortality in Ukraine.

2. Incorporated city hospital. Indices of hospital and polyclinic activity.

3. Medical statistics. Confidence limits. Method of its definition.

Test

The average result of spirometry of 35-years old men who are not fond of sports is 2800 sm³ (m₁ ± 200 sm³), and of the men of the same age regularly engaged in sports - 3400 sm³ (m₂ = ± 200 sm³).

Determine reliability of the difference between average numbers (t_M).

QUESTION CARD № 19

1. Demography, its importance. Number, components, structure, mechanical movement of the population.

2. Organization and indices of city polyclinic activity: contents, methods and forms of work of the local physician.

3. Relative numbers (characteristics of parameters).

Test

In. town N in 1999 4200 children were born alive (in 1998-3800), 60 - stillborn. 100 children died before 1 year. 30 newborns have died during 0-6 days. Infant death - rate in 1998 was 18,7 %, perinatal death - rate was 16,9 %.

Calculate indices: infant mortality, perinatal mortality, give the estimation and the comparative characteristic with 1998.

QUESTION CARD № 20

1. Definition of family doctor and family medicine (main principles). Models of family doctors practice in Ukraine and other countries.

2. Physical development of population (basic attributes, methods of supervision).

3. System of health protection. System thinking of a manager and a technique of the system approach in management. System analysis.

Features of Public Health management.

Test

In town A the number of children appeal with active phase during one year was investigated in cardiorheumatologic dispensary. The number of appeals was 2, 3, 4, 5, 6, 7; the children number - 5, 10, 15, 10, 4, 1. n=45. Annual frequency of children appeals with active phase of rheumatism in town A. is 3,6; t = ± 1,3; σ=1,2.

Calculate M, C_v, estimate results, draw up conclusions. Compare with the results of other researches.

QUESTION CARD № 21

1. Way of life (categories). Forming of healthy mode of living, its components. The factors influencing on population health.

2. Temporary disability(its kinds), a sick leave document (registration, terms of prolongation, functions).

3. General concepts about automatic system of management (ASM) (system, model). Medical information systems.

Test

There are 200 knitters working in textile company. In 2000 were registered 31 cases of influenza and acute respiratory diseases at 14 patients, 4 persons had З and more cases during one year. Count morbidity with temporary disability in that group.

1. Number of patients per 100 workers.

2. Frequency rate (repeatability).

3. % of the patients having 3 and more cases for year.

QUESTION CARD № 22

1. Public Health System in developing countries (basic difficulties and problems).

2. Birth rate and age mortality of the population in Ukraine and Crimea, method of calculation and analysis of indices.

3. Reliability of statistic data (definition, calculations, estimation).

Test

In republic hospital the annual number of beds is 1000. 20 000 patients has passed during 2000, the general number of bed-days of work in hospital is 340 000. Determine use of bed, turnover of bed and average length of stay. Give their estimation.

QUESTION CARD № 23

1. Economics of Public Health. Subject of study and actual problems. Methods of economic study, economic parameters of Public Health.

2. Organization of the obstetric-gynecologic help. Maternity hospital, organization of work, the analysis of indices.

3. Process of medical service planning.

Test

There were examined 200 patients with rheumatoid arthritis. It was defined that disease began mainly from affection of large joints in 20 % of cases.

Determine the m_p (error of relative number).

QUESTION CARD № 24

1. Medical service, (characteristic and kinds). Licensing and accreditation of medical establishments.

2. Incorporated city hospital, indices of hospital activity.

3. Perinatal mortality, method of calculation, ways of reduction.

Test

Annual population of able-bodied age in district center С. is 30 500 persons. Primary invalidity cases are 250 persons during one year.

Account invalidity index among the population due to an initial outlet on invalidity.

QUESTION CARD № 25

1. Sanitary - demographic indices (birth rate, death rate, a natural growth, infant mortality etc.).

2. Organization and indices of activity in woman consultation.

3. Statistic totality (its kinds). Sample (selection totality), principle of representativity.

Test

There were registered 12 344 persons with chronic diseases. 400 persons had exacerbations.

Account the index of exacerbations frequency of chronic diseases.

QUESTION CARD № 26

1. Social and economic factors that determine health state of population.

2. Morbidity and methods of its study. Regional peculiarities of morbidity and death rate of population in Ukraine after Chernobyl catastrophe.

3. SES (Sanitary-Epidemiological Station) organization, structure, methods of work, indices.

Test

Patient K., (58 years) got the second group of invalidity on the general disease (toxic goiter of 3-rd degree), connected with accident in Chernobyl. When must he have a re-examination?

QUESTION CARD № 27

1. Stages of medico-preventive aid in Mother and Child Care system.

2. Oncological diseases as a social - medical problem.

3. Normative-legal documents in system of medical aid. A package of the basic documents of out-patient establishments.

Test

There were examined 10 000 persons in the region with the population 50 000 during preventive examinations,. The total number of sick people is 4500. Calculate % of population with prophylactic examination and pathological affection per 1 000 persons.

QUESTION CARD № 28

1. Infant mortality as a social - medical problem. Method of calculation, main causes.

2. Peculiarities of medical aid to rural population. Stages.

3. Coefficient of rank correlation. (ρ)

Test

There are 50 000 people in the region. In 1998 11 000 person was required and treated in hospitals. In out - patient establishments attendance was 400 000. Account the hospitalization level and number of visits per 1 inhabitant for one year, give a comparative estimation with parameters of 2000. In 2000 hospitalization level was 26 %, number of visits per 1 inhabitant for one year was 7,2.