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TESTS 1. What activities of secondary prevention should be included in the work plan of a general practitioner? *Medical examination of contractual population Vaccination Promotion of healthy lifestyle Hygiene education Sanitary measures 2. What should be chosen by pediatrician as unit of observation for analyzing neonatal mortality rate? *Every child who died before 28 days from birth Every child who died before 1 year after the birth Every child that dies in the first week of life Every child died during childbirth Every child who died after 28 days from birth 3. Which source of information to study morbidity will allow primary care physician to take greater account of the incidence of acute diseases? *Data of patient visits to a doctor in medical institutions Data of special selective studies Data about causes of death Survey of the population Data of medical examinations 4. What medical records are used by physicians to study morbidity with temporary disability in the enterprise? *Report on temporary disability, sick leave Report on temporary disability, “Control card of dispensary observation” Report on temporary disability, Report on morbidity of population Sick leave, “Statistic card of patient discharged from hospital” Sick leave, “Medical certificate about temporary disability” 5. What medical document is used by general practitioners to study infectious morbidity? *“Emergency notification about infectious diseases…” “Outpatient medical card” “Vaccination card “ “Coupon of patient who receives outpatient care” “Notification about primary registration tuberculosis case” 6. Health care manager need to analyze incidence and prevalence of population in the region of service of polyclinic. What method of statistical analysis he need to use? *Relative values calculation 1 Averages calculation Standardization Correlation analysis Time series analysis 7. Indicate time period when doctor can independently register and prolong sick leave according to regulation about temporary disability: *15 days 10 days 14 days 30 days All period of patients` disability 8. A man needs constant outside care after amputation of both low extremities. What group of invalidity he can receive according to decision of Bureau of medico-social examination? *I II III II-A II-B 9. What type of indices is used in Healthcare practice to calculate provision of population with physicians? *Ratio Proportion ( Percentage) Rate Dynamics Standardized 10. What type of indices is calculated by Healthcare managers to analyze age structure of mortality? *Percentage (Proportion) Ratio Rate Standardized Dynamics 11. What type of indices is used in Healthcare practice to calculate incidence or prevalence? *Rate Dynamics Standardized Percentage (Proportion) Ratio 2 12. What indicator to analyze efficiency of bed resources use can be calculated if we know the average annual number of beds and the number of discharged patients (including died) during the year? *Bed turnover Bed occupancy Length stay Bed capacity Bed population ratio 13. Determine the type of age structure of the population if the proportion of population from 0 to 14 is 30%, from 15 to 49 - 50% and 50 and older - 20%? *Progressive Intermediate Stationary Regressive Depopulation 14. What medical documentation should be registered by physicians of polyclinic or hospital when revealing or suspected infectious disease in a patient? * “Emergency notification about infectious disease…” “Outpatient medical card” “Inpatient medical card” “Sick leave” “Referral to hospital, observation, consultation” 15. What statistical medical form should be used by primary care physicians in Russian Federation for recording and analysis of general morbidity (prevalence)? * “Coupon of patient who receives outpatient care” “Outpatient medical card” “Statistic card of patient discharged from hospital” “Sick leave” “Medical death certificate” 16. What document should be registered by pediatrician when identifying case of epidemic parotitis on a serviced district? *“Emergency notification about infectious disease…” “Outpatient medical card” “History of child development” “Vaccination card” “Coupon of patient who receives outpatient care” 17. Which indicator can be calculated by healthcare manager, if he knows the total number of diseases identified by polyclinic physicians for year and amount of 3 illnesses on the single systems or reasons? *Percentage (Proportion) Ratio Rate Standardized Dynamics 18. Which coefficient can be calculated, if we know mid-year population in the region and total number of illnesses registered for year? *Prevalence rate Incidence rate Pathological affection Infectious morbidity Standardized 19. Choose from the list below demographic index: *Crude death rate Incidence rate Lethality Primary invalidity rate Pathological affection rate 20. Which indicator to analyze morbidity with temporary disability can be calculated if we know the total number of cases and the total number of days of temporary disability of workers in the enterprise? *Average duration of one case of disability No. of cases of temporary disability per 100 workers No. of days of temporary disability per 100 workers Portion of workers which never sick during the year Portion of long-lasting and frequently sick workers 21. What maximum term of sick leave due to child care can be given to working mother of baby at the age 0-7? *On 60 days during the year due to all causes On 30 days during the year On 14 days during the month On 120 days during the year due to all causes During all period of child disease 22. What activities of primary prevention should be included in the work plan of a General practitioner? *Planned vaccination Rehabilitation Hygiene education Sanitary measures 4 Medical examination of contractual population 23. Which indicators should be used by the general practitioner to analyze the health of the serviced population? *Demographic, morbidity, invalidity, physical development Lethality, incidence, postoperative complications, invalidity Demographic, prevalence, pathological affection, lethality Complains, invalidity, physical development, prevalence Exacerbations, complications, morbidity, invalidity 24. How many groups of dispensary observation should be formed by a primary care doctor on the serviced district for active dynamic observation of the population? *5 3 4 6 7 25. What should be chosen by pediatrician as unit of observation for analyzing infant mortality rate? *Every child who died before 1 year Every child who died before 28 days from birth Every child that dies in the first week of life Every child died during childbirth Every child who died after 28 days from birth 26. “Coupon of patient who receives outpatient care” with what signs are used by primary care doctors to study incidence rate on the serviced district ? *With (+) With (-) With (+) and (-) Without any sign According to doctor`s wish 27. A primary care physician carried out the analysis of morbidity in a serviced district. What kind of morbidity can be used to study the group of long-lasting and frequently sick working patients? *With temporal disability Admission rate General Infectious Social important illnesses 5 28. A working man had inpatient treatment for three months due to a severe injury. What maximum term of sick leave can be given to the patient to continue outpatient treatment and rehabilitation by Medical commission? *12 months 10 month 9 months 3 months 4 months 29. The study of the region N. showed the increase in the proportion of people of retirement age for last 15 years. What about prognosis of Health Care economists about changes of share of funding for health care in this region? *Increase Reduction Without changes Considerable rise Insignificant downcome 30. The analysis of Healthcare in the region N. showed the rise of lethality rate of a myocardial infarction for the past 5 years. There are need to study medical efficiency of management of these patients. What do we need to use like unit of observation? *Cardiologic hospital Case of admission to cardiology hospital due to myocardial infarction Case of myocardial infarction City polyclinic Cardiology ward 31. What are the main directions of the studies in demography? *Statics and dynamics of the population Population size in different age and sex groups Natural and mechanical movement of the population Population distribution and migration Internal and pendular type migration 32. Statics is the section of demography to study: *Number, composition and density of the population General and age-specific fertility Geographical features of birth rate and structure of the population Migration in different regions of the country Birth rate, mortality rate and reproduction of the population 33. Dynamics is the section of demography to study: *Mechanical and natural movement of the population 6 Number and type of population Reproduction of the population Migration and birth rate Natural movement of population and birth rate 34. Statistics of natural dynamics of population includes: *Birth rate, mortality rate, population growth, life expectancy at birth Natural increase, life expectancy at birth, morbidity rate, death rate Birth rate, marriages, divorces, infant mortality rate, incidence rate Birth rate, mortality rate, incidence rate, prevalence rate Fertility, crude death rate, birth rate, pathological affection 35. To calculate crude birth rate need the following data: *Number of birth alive this year / Mid-year population. Number of birth alive this year / Number of birth alive last year Number of stillborn and birth alive this year / Number of birth alive this year Number of stillborn and birth alive this year / Mid-year population Mid-year population this year / Mid-year population last year 36. To calculate crude mortality rate need the following data: *Number of died people this year / Mid-year population. Mid-year population this year / Mid-year population last year Number of dead this year / Number of births this year 2/3 dead this year + 1/3 dead previous year / Number of population Number of dead this year + number of stillborn this year / Number of population 37. Name the requirements to primary data to calculate averages? *Sufficient number of observations and qualitative likeness of data Null variations of studied variable Coding of variables Grouping of the primary data Statement of Null hypothesis 38. What index we can calculate if the total number of diseases in population is divided into mid-year population and multiply by 1000? *Prevalence rate Incidence rate Pathological affection rate Structure of morbidity Standardized index 39. To calculate infant mortality rate need to use the following data: *No. of died before 1 year this year / No. of born alive this year No. of died before 1 week this year / No. of born alive this year No. of died before 1 month this year / No. of born alive this year 7 No. of born alive this year + number of born alive and died before 1 week / Midyear population. No. of died before 1 year this year / Mid-year population. 40. What medical document is a source of data to study death rate: *“Medical death certificate” “Protocol of postmortem examination “ “Coupon of patient who receives outpatient care” Information about health care setting “Statistical card of patient discharged from hospital“ 41. Characterize essence of the Ratio: *Relationship between two unconnected totalities (sets) Analyzes homogeneous values Divides totality into components Shows level of the phenomenon Shows changes of the phenomenon in dynamics 42. There is the following models Health care funding: *Budgetary, insurance, private models Integration, contract, compensation models Budgetary, federal, municipal models Contract, compensation, insurance models Federal, state, private models 43. To calculate fertility rate we need to use the following data: *No. of born alive this year / No. of fertile age women; No. of born alive and dead this year in women of fertile age / Mid-year population. No. of fertile age women/ Mid-year population. No. born alive and dead this year / Mid-year population. No. of born alive this year / No. of born alive in previous year 44. To calculate maternal mortality rate we need to use the following data: *No. of maternal deaths /Total number of live births No. of maternal deaths / Total number of pregnant women. No. of maternal deaths / Total number of births. No. of maternal deaths / Total number of stillborn No. of maternal deaths / Total number of fertile age women 45. What are the main sources of funding under compulsory health insurance (CHI): *Employer contributions, budget allocation Budget allocation, citizens’ fee Citizens` fee, employer contributions Profit enterprises, voluntary donations Budget allocation, donations of citizens 8 46. Public health and health care is a science: *About strategy and tactics of the health system aimed at improving public health About prevention and timely treatment of diseases About health preservation whole population in order to improve well-being About strategy and tactics of the health care system in interaction with the environment. 47. Pediatrician after examination of 7 years old child made diagnosis diphtheria. During what time period the doctor has to send "Emergency notification about infectious disease..." to the Center of Hygiene and Epidemiology? *For 12 hours. For 6 hours. For 24 hours. For 2 days For 3 days 48. Marketing in Health care means activities in the area: *Market of medical services or goods Insurance of social interests of the children Services for the poor Emergency system Prevention of diseases 49. Which method to assess quality of care includes analysis of indicators of efficiency and defects? *The model of outcomes Licensing of Health care institutions Certification of medical personnel Current inspection of subdivisions Standardization of care 50. Management decision means: *Expanded in time a logical, psychological and legal act, aimed at achieving the goal The mode of action on the system Social action, which includes goal setting, transfer of techniques and methods to achieve it The way of action which includes rules, regulations, recommendations and establishes subordination The choice of the mode of action and declaration about desired results 51. In accordance with the Federal Law «About bases of health protection of citizens in the Russian Federation" Primary health care (PHC) may be granted in the 9 following conditions: *Outpatiently and in day hospital Outside medical establishments, outpatiently and in day hospital In rural and urban ambulatories In medical establishments, outpatiently and in a hospital Outpatiently and in a hospital 52. District pediatrician after examination of nine-year-old child diagnosed diphtheria. What medical form should be registered by a doctor in this case? *"Emergency notification about infectious disease…” Report on health care services for children “History of child development” “Outpatient medical card” “Vaccination card” 53. What types of medical care are provided to the population in a city polyclinic? *Primary health care including primary pre-medical , primary care and primary specialized care Primary health care and specialized care Primary care, specialized care including high technological medical care Emergency care and palliative medical care Primary health care and emergency care 54. Specify one of the basic efficiency indicators of primary prevention measures: *Increase the proportion of healthy people in the population Dynamics of incidence rate Reduce the acute diseases Dynamics of temporal disability Dynamics of prevalence rate 55. Specify the purpose of secondary prevention: *Early detection of the diseases, prevention of their exacerbations, complications and chronization Early detection of abnormalities in the functioning of the body of every person Reduce prevalence rate and mortality rate Multi-level screening Reduce of primary invalidity Rehabilitation 56. Describe the essence of compulsory health insurance (MHI)? *State guarantees the provision of free health care Medical care in full Additional services above the guaranteed medical insurance Medical assistance during natural disasters 10 Medical services including rehabilitation programs 57. Describe the main principles of outpatient care in Russian Federation: *District principle of service, continuity and stages, prevention priority, availability Preventive focus, professionalism, compassion, accessibility Сontinuity and stages, preventive orientation, professionalism Preventive orientation, compassion, accessibility Professionalism, preventive orientation, availability, compassion 58. What are the main sources to study morbidity? * Appealability in medical facilities, data of medical examinations, and data of death causes Data of death causes, data of medical records, data of survey Data of medical examinations, data of survey, data of outpatient cards Data of the census, data of polyclinic visits, data of medical records Admission data, data of census, data of press reports 59. Which of the following indices does not apply to morbidity? *Crude mortality rate Incidence rate Prevalence rate Pathological affection. The structure of morbidity 60. What means prevalence rate? *The total number of cases of a disease in a given population at a specific time The share of diseases among the population The changes of incidence rate over time The number of new cases of a disease within a time period The presence of socially important diseases 61. To calculate incidence rate the following data are used: *The number of new cases of a disease within a time period / Mid-year population The number of diseases for the previous year / the number of diseases this year. Diseases detected during medical examinations / Mid-year population. The number of new cases of a disease within a time period / The total number of cases of a disease in a given population at a specific time The total number of cases of a disease in a given population at a specific time/ Mid-year population 62. To calculate prevalence rate the following data are used: *The total number of cases of a disease in a given population at a specific time/ 11 Mid-year population The number of new cases of a disease within a time period / Mid-year population Diseases detected during medical examinations / Mid-year population The number of diseases for the previous year / the number of diseases this year. The number of new cases of a disease within a time period / the total number of cases of a disease in a given population at a specific time 63. What medical document is source of data to study morbidity? *«Coupon of patient who receives outpatient care» « Diary of a general practitioner » «Outpatient medical card» «Coupon to see a doctor» «Inpatient medical card» 64. To calculate pathological affection the following data are used: *Diseases and premorbid conditions detected during medical examinations / number of examined people The total number of cases of a disease in a given population at a specific time/ Mid-year population The number of new cases of a disease within a time period / Mid-year population The number of diseases for the previous year / the number of diseases this year. The number of new cases of a disease within a time period / the total number of cases of a disease in a given population at a specific time 65. To calculate morbidity structure the following data are used: *The cases of the particular disease / total number of diseases Total number of diseases / mid-year population Total number of diseases this year / mid-year population Total number of all diseases this year / total number of diseases for previous year Diseases detected during medical examinations this year / the number of complaints about the disease this year 66. Sick leave for woman adopting one child before 2 months from birth can be registered from the date of birth maximal on: *70 calendar days 110 calendar days 56 calendar days 65 calendar days 90 calendar days 12 67. What way a primary care physician has to fill «Coupon of patient who receives outpatient care» on the patient twice a year got sick with acute respiratory viral infection to register these cases of diseases? *Each case with (+) First case - (+), second - (-) Each case with (-) Need not fill this document in both cases First case with (+), second - is not filled. 68. What is the best source to study morbidity with aim of maximal registration of "acute" diseases? *Data of visits to medical establishments Epidemiological study Medical examinations Population surveys Data of death causes 69. "Sick leave" due to pregnancy and labor is given to pregnant (if no complications in labor) on : *140 calendar days 126 calendar days 156 calendar days 180 calendar days 194 calendar days 70. What is the best source to study morbidity with aim of maximal registration of "chronic" diseases? *Data of medical examinations Data of visits to medical establishments Epidemiological study Population surveys Data of death causes 71. Hospital report includes data about number of operated patients and number of deaths after surgery. Which efficiency index of inpatient care can be calculated on the basis of these data? *Postoperative lethality rate Admission rate Standardized lethality rate General lethality rate Postoperative mortality rate 72. Lethality rate is used to analyze: *Efficiency of inpatient care 13 Morbidity Bed fund Efficiency of outpatient care Natural dynamics of population 73. This year in the region N. 500 births alive, stillborn -5, 8 children died in first week of life. Which indicator can be calculated on the base of these data? *Perinatal mortality rate Crude mortality rate Fertility rate Natural growth Neonatal mortality rate 74. Specify the main cause of infant mortality rate: *The pathology during perinatal period Diseases of the digestive system Outside causes Respiratory system diseases Congenital defects 75. Choose variant to calculate perinatal mortality rate: *No. of stillborn + died up 7 days/ No. of born alive and dead No. of neonatal deaths/ Total number of live births No. of deaths in antenatal period / No. of live births No. of died up 7 days/ No. of live births No. of stillbirths / No. of deaths during first week 76. Determine type of infant mortality in the region, if it is known that 54% of all died infants died in neonatal period : *A B C Regressive Progressive 77. Who in Russian Federation has right to conduct examination of temporal disability and to issue sick leave? *Physicians of medical establishments, clinics of research institutions and prosthetics, dentists and medical assistants Physicians and clinics of research institutions and prosthetics, doctors of ambulance Physicians of blood transfusion stations, medical assistants and dentists Physicians, medical assistants and dentists Physicians of hospitals, medical assistants and dentists 78. What medical form district physician have to use to analyze pathologic affection after preventive examination of the serviced population? 14 *«Journal of prophylactic examinations» «Coupon of patient who receives outpatient care» with (+) «Coupon of patient who receives outpatient care» with (-) «Coupon to see a doctor» «Outpatient medical card» 79. Name the types of health insurance: *Compulsory and voluntary Private and public Individual and collective Passive and active Territorial and state 80. What medical services are not included in the compulsory health insurance (СHI)? *The treatment of socially significant diseases (HIV, tuberculosis, etc.). Emergency care Outpatient care in the polyclinic, at home and in day care Inpatient care Planned hospitalization 81. The health system in the country is financed: 30% - budget, 20% - private sources and 50% - health insurance. What model of Health Care is in this country? *Mixed model with domination of insurance part Private model State model Insurance medicine Mixed model with domination of state part 82. How can be calculated "health index" of the children? *According to the number of children who did not visit doctor due to disease for year Taking into account the number of frequently ill Taking into account the number of chronic ill children According to children without chronic diseases According to children without dysfunctions 83. Which duration of maternity leave is when complications in childbirth? *156 calendar days 140 calendar days 194 calendar days 126 calendar days 160 calendar days 15 84. Consultations of which specialists are obligatory for pregnant during observation in the antenatal clinic? *Therapist, dentist, ophthalmologist, ENT. Physician, surgeon, endocrinologist, ophthalmologist Dentist, surgeon, ophthalmologist, therapist Surgeon, ophthalmologist, therapist, ENT Therapist, surgeon, endocrinologist, ENT 85. Which document is obligatory registered for pregnant in antenatal clinic for admission to maternity hospital ? *"Exchange card" "Individual card of pregnant and parturient" "Outpatient card" "Statistical coupon to register final/exacted diagnoses" "Control card of dispensary observation" 86. What method of statistical analysis can be used to compare morbidity rate in two regions with non-homogeneous population structure? *Direct standardization Hypothesis testing Correlation analysis Time Series analysis Cluster analysis 87. What method of statistical analysis can be used to study relationships between samples? *Correlation analysis Cluster analysis Hypothesis testing Standardization Time series analysis 88. What relative value should be calculated to analyze the structure of mortality? *Percentage Rate Ratio Dynamic Standardized 89. What graph can be used to show structure of the phenomenon? *Pie chart Linear diagram Cartogram Bar chart Radial diagram 16 90. What graph can be used for visual comparing of mortality level of men and women in population? *Bar chart Linear diagram Cartogram Pie chart Radial diagram 91. How to start a statistical research? *Work out program of research and work plan Collect data Make decision Handle information Determine object 92. Name the types of statistical totality *Population, Sample General, maximal Selective, minimal Typical, atypical General, typical 93. What indicators characterize the natural dynamics of the population? *Birth rate, mortality rate, population growth, life expectancy at birth; Population growth, life expectancy, morbidity, mortality; Marriages, divorces, infant mortality rate, incidence; Birth rate, mortality rate, incidence, prevalence; Maternal death rate, mortality rate, fertility rate, population growth 94. What are the main sections of the demography? *Statics and dynamics of the population. Natural and mechanical dynamics of the population Statics and migration of the population Population structure by age and sex Structure and migration of the population 95. Which group of health should be determined for 11 years old boy who 5 times was sick by acute viral respiratory infections last year? *II. I V IV III 96. Which group of health should be determined for 10 years old girl with a 17 diagnosis of chronic bronchitis in the stage of compensation, disharmonious physical development? *III. I V IV II 97. Which document should be registered in Maternity home in child's birth? *Medical birth certificate History of child development Journal of births Inpatient card History of the newborn 98. What medical organization conducts medical and social examination of permanent disability on the municipal level? *Bureau of medico-social examination Regional Medical and Social Commission Main Bureau of medical examination Special Bureau of medico-social examination Republican medico-social examination 99. What types of rehabilitation are used for disabled? *Medical, psychological, professional, social Medical, psychological, social, complex Occupational, labor, complex, partial Psychological, professional, full, partial Medical, professional, complex, partial 100. What are the basic criteria to determine group of invalidity? *The degree of dysfunctions and life activity limitation Ability to work and self-care The presence of chronic disease The frequency of complications and recurrences of chronic diseases The presence of comorbidities 101. What medical document is used to register new cases of cancer? *"Notification of patients with first registered cancer" "Data on patients with malignant neoplasms" "Control card of dispensary observation of patient with malignant tumor" "Card of patients with malignant tumors" "Report about cases of cancer" 102. What types of medical care are provided in outpatient conditions? 18 *Primary health care including primary specialized medical care Specialized including high technological medical care Primary health care including emergency medical care First aid including emergency medical care Specialized including palliative medical care 103. Specify the standard number of serviced population on the one therapeutic district in a city polyclinic: *1700 people 1900 people 1955 people 2200 people 2500 people 104. What medical document is used to register new cases of tuberculosis? *"Notification of patients with first registered tuberculosis or recurrent tuberculosis " "Control card of dispensary observation of tbc patient" "Data on patients with tuberculosis" "Data of new cases and relapse of tuberculosis" "Medical card of tbc patient" 105. What are the basic principles of public health protection in the Russian Federation? *Priority of prevention, accessibility and quality of care, priority of the patients` interests, social guarantee in case of health loss, priority of children's health, medical secret Preventive orientation, professionalism, compassion, accessibility District approach of service, continuity and stages, preventive orientation, professionalism, priority of adults health Continuity and stages, preventive orientation, compassion, accessibility Professionalism, preventive orientation, availability, compassion, medical secret 106. General morbidity characterizes: *The prevalence of diseases among the population Proportion of diseases among the population Changes of incidence over time True morbidity The prevalence of socially significant diseases 107. Medical and social importance of morbidity like criterion of population health is determined by: 19 *The leading role in mortality, temporal and permanent disability, negative impact on the health of generations and economical loss due to needs in medical care Significance in the structure of causes of death The cost of health education of the population Socio-economic consequences in society The cost of health care 108. The patient under dispensary observation due to chronic pneumonia visited doctor three times this year due to exacerbations. How do need statistically register these visiting? *Register "Statistical coupon" on the primary visit this year with (-) Register "Statistical coupon" on all visiting this year with (+) Need not register any documents Register "Statistical coupon" on the primary visit this year with (+), another two - with (-) Register "Statistical coupon" on all visiting this year with (-) 109. What statistical document is used to study hospitalized morbidity? *"Statistical card of the patient discharged from hospital" "List of patients’ movement in a hospital" "Diary of the inpatient doctor" "Statistical coupon" "Sick leave" 110. The contract of voluntary health insurance (VHI) insures to the insured person: *Additional medical and other services provided besides the program of compulsory health insurance Services according to program of compulsory health insurance, but better quality Additional services at the request of the patient Additional services after decision of Medical commission Additional services according to decision of the employer 111. What indicators can be defined when we have: population number, total amount of hospitalized patients and on separate nosologies? *Admission rate in the whole and on specific nosologies General morbidity and its structure on specific nosologies Incidence rate in hospitals Incidence rate structure on disease classes General morbidity rate 112. Fatality rate is indicator which characterizes: *Hospital activities Morbidity rate 20 Bed turnover Work of the polyclinic Natural dynamics of population 113. What age mortality rate first of all affects life expectancy? *Infant mortality rate Neonatal death rate Mortality in the working age Mortality of the elderly Perinatal death rate 114. What periods are allocated in infancy? *Neonatal and post-neonatal Perinatal and intranatal Intranatal and post-neonatal Early and late neonatal Early neonatal and post-neonatal 115. What preventive direction to be applied in the region with high levels of infant mortality? *Antenatal prophylaxis. Prevention of infectious diseases in newborns Prevention of respiratory system diseases in newborns Medico - genetic counseling Optimization of environmental factors 116. A child with congenital heart disease died on the 32 day of life. Which special death rate will include this case? *Postneonatal mortality Intranatal mortality Early neonatal mortality Late neonatal mortality Perinatal mortality 117. This year in a city Maternity hospital 705 children were born alive, 1 baby died on the 7th day of life. This death case will be used to calculate what demographic coefficient? *Early neonatal mortality rate Crude death rate Birth rate Infant mortality rate Late neonatal mortality rate 118. What medical document is registered in the maternity hospital in the case of stillbirth? 21 *"Medical certificate about perinatal death" "Medical death certificate" "Exchange card" "Medical birth certificate" "Discharge from history of childbirth" 119. Which from following functions is not duty of the district therapist? *Participation in the work of Bureau of medical and social examination Timely and qualified Primary Health Care Temporal disability examination Timely hospitalization of patients Preventive arrangements 120. In case of multiple pregnancies maternity leave is issued in 28 weeks on the term: *194 days 140 days 126 days 156 days 190 days 121. Report of the polyclinic includes information on the population size, number of doctors, number of reported diseases (total and by specific classes of diseases) and number of visits. The ratio of what data corresponds to the notion of Rate? *No. of diseases/ population size No. of doctors/ population size No. of cases of specific disease / total number of diseases Mid-year population/ number of doctors No. of visits/mid-year population 122. Specify aim of dispensarization of adults: *Early detection of chronic non-epidemical diseases Determination of health groups Preventive consultation Determination of dispensary groups All variants are correct 123. According to the results of dispensarization citizens are divided into ..... health groups: *3 2 4 5 7 22 124. Specify criteria to determine health groups of adults according to results of dispensarization: *Presence/absence of chronic non-epidemical disease; presence/absence of risk factors Number of acute respiratory virus infections for year; number of visits to doctor due to diseases for year Number of exacerbations for year; amount of acute diseases for year Presence/absence of complains; data of physical examination Data of laboratory analyses; presence of risk factors of social important diseases 125. What medical organizations are included in the structure of Emergency care in Russia? *Emergency care stations, substations, hospitals and emergency care departments in hospitals Emergency departments in polyclinic, hospitals, dispensaries, sanatoriums Ambulatories, polyclinics, emergency hospitals, dispensaries Emergency care stations, blood transfusion station, emergency clinics Centers of disaster medicine, blood transfusion station, emergency care departments in hospitals 126. What index is used to analyze level of diagnostics and continuity in the work of ambulance and inpatient facilities? *Divergence of diagnoses of ambulance and inpatient facilities Fatality rate Proportion of successful reanimations Provision of population with emergency care Timeliness of departures of the ambulance 127. Which documents can be issued by the doctors of emergency station or emergency department? *Freeform certificate about diagnosis and rendered services Sick leave Medical certificate about temporal disability Conclusion about alcoholic intoxication Medicolegal report 128. Which indicators are used to analyze satisfaction of population in inpatient care? *Bed population ratio; structure of bed fund Admission rate; inpatient care sufficiency Bed turnover; average length stay Inpatient lethality rate; frequency of refusals in hospitalization Timeliness of hospitalization; bed use 23 129. Specify basic forms of inpatient primary medical records: *"Inpatient medical card"; "Statistical card of the patient discharged hospital" "Inpatient medical card"; "Outpatient medical card" "Medical death certificate"; "Vaccination card" "Control card of dispensary observation"; "Inpatient medical card" "Statistical coupon"; "Extract from inpatient medical card" 130. What subdivision of City polyclinic is responsible for dispensarization of population? *Department of prophylaxis Day hospital Department of rehabilitation Therapeutic department Registry 131. Specify basic criterion to refer patients in the Day Hospital: *Health state when need not round-the-clock observation Absence of exacerbations Social indications Age of patients Absence of pain 132. Indicate basic functions of inpatient facilities according to WHO: *Medical and rehabilitative, preventive and anti-epidemic, educative and research Preventive, emergency care, research, educative Therapeutic, anti-epidemic, informational, educative Dispensarization, medical, preventive, emergency care Medical, statistical, educative, research 133. Specify basic peculiarity of medical care in the countryside: *Stages Prevention of infectious diseases Medical service at home Anti-epidemic arrangements Dispensarization of population 134. Indicate basic types of medical examinations in Russian Federation: *Preventive, preliminary, periodical Complex, target, advanced Before and after work/study Current, periodical, one-time Preliminary, special, dispensary 24 135. What type of medical examination is used to determine group of invalidity? *Medico-social examination Temporal disability examination Military medical examination Examination of quality of medical care Forensic medical examination 136. What are the main characteristics of the quality of care? *Availability, continuity, safety, adequacy to patients needs Accuracy, universality, district - based care, timeliness for patients Sensitivity, efficiency, effectiveness, motivation Stability, timeliness, free care, specificity Stages, repeatability, efficiency, accessibility 137. Quality of care includes the following components *Quality of structure, quality of technology, quality of outcome Quality of process, quality of outcome, quality of health Quality of service, quality of result, quality of security Quality of prophylaxis, quality of care, quality of rehabilitation Quality of process, quality of outcome, quality of work 138. Specify main parameters of quality of structure: *Competence of medical staff, state of buildings, medicines use accordance to standards State of the transport, free care, satisfaction of the population Competence of health managers, funding, availability Mortality of working age population, incidence of child population, invalidity Fatality rate, postoperative complications, detection of cancer at last stages 139. What are the main procedures to control quality of medical care? *Licensing, accreditation, certification, attestation Standardization, analysis of activity, expert assessment Quality assurance, evaluation, external and internal audit Licensing, external and internal audit, expert assessment Analysis of activity, training, internal audit 140. Indicate basic parameters of quality of the result in relation to the population as a whole: *Mortality rate of the working population, incidence of child population, level of invalidity Fatality rate, postoperative complications, detection of cancer at last stages Frequency of complications in childbirth, hospital lethality, maternal death rate Proportion of complications after tooth extraction, infant death rate, divergence of clinical and post-mortem diagnoses Detection of cancer at last stages, hospital lethality, morbidity 25 26