Information MSQ KROK 2 Medicine 2007 2021 SOCIAL MEDICINE
Information MSQ KROK 2 Medicine 2007 2021 SOCIAL MEDICINE
№ krok 2016
Topic Organization of sanitary and epidemiological control. Methods and means of hygienic upbringing of the population. Organization of work
of the Public Health Center of the Ministry of Health.
Task A regional cardiologist is tasked with the development of a plan for medioprophylactic measures aimed at decrease of cardiovascular
mortality. What measures should be planned for secondary prevention?
Correct answer Prevention of recurrences and complications
B Referring patients for sanatorium-and-spa treatment
C Prevention of diseases
D Referring patients for in-patient treatment
E Optimization of life style and living conditions
№ krok 2016
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task A patient is on the sick leave for 4 months continuously from the date of injury. The treatment is going to last for another 1-2 months.
Who has the right to extend the duration of medical certificate for this patient?
Correct answer Medical advisory commission after medico-social expert commission examination
B Medical superintendent
C Medical advisory commission after inpati-ent treatment
D District doctor upon agreement with a department chief
E Medico-social expert commission
№ KROK 2017
Topic Methodological foundations for organizing statistical research in the health care system. Relative values. Graphical methods of analysis.
Task Monthly dysentery morbidity in the region given in absolute figures is as follows: January - 6; February - 9; March - 11; April - 10; May -
16; June - 23; July - 19; August - 33; September - 58; October - 19; November - 11; December - 5. Annual total is 220 cases. What graphic
presentation would provide the best visual for monthly deviations of dysentery morbidity from the average?
Correct answer Radar chart
B Map
C Cartogram
D Pie chart
E Bar chart
1
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
№ krok 2016
Topic Methodology of conducting medical examination.
Task The institutions that take part in medi-cal examinations include prevention and treatment facilities, medical board of Ministry of Defense,
medical board of Ministry of Home Affairs, medico-social expert commissions, forensic medical boards etc. What institutions are
responsible for temporary disability examination?
Correct answer Prevention and treatment facilities
B Sanitary-and-prophylactic institutions
C Medico-social expert commissions
D Medical boards of Ministry of Defense
E Medical boards of Ministry of Home Affairs
№ krok 2016
Topic Parametric and nonparametric methods for estimating and analyzing statistical hypotheses.
Task Clinical statistical investigation was performed to determine efficiency of a new pharmacological preparation for patients with ischemic
heart disease. What parametric test (coefficient) can be used to estimate reli-ability of the results?
Correct answer Student’s t-distribution
B Sign test
C Matching factor
D Wilcoxon signed-rank test
E Kolmogorov-Smirnov test
№ krok 2016, 2015, 2012, 2010
Topic Parametric and nonparametric methods for estimating and analyzing statistical hypotheses.
Task The correlation between the service record and eosinophil concentration in blood was studied in workers at dyeing shops of textile
factories. What index will be most informative for the analysis of this data?
Correct answer Correlation factor
B Student’s criterion
C Standardized index
D Fitting criterion
E Sign index
№ krok 2016, 2012
Topic Methodology of planning and organization of statistical study of the health of the population.
2
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task The objective of a statistical study was to find out the extent of seeking medical care by the population. For this purpose 300 residents of
the area were interviewed. Information was collected by means of a special questionnaire. What method of collecting information was
used by researchers?
Correct answer Anamnestic
B Immediate registration
C Immediate examination
D Doing extracts
E -
№ krok 2016, 2015
Topic Organization of work of children's hospitals and their activity record.
Task In a rural health care area there is a case of child dying during the first month of life. To analyse this situation, among other measures, an
expert assessment of medical records is performed. What medical document should be considered first?
Correct answer Child development history
B Infant development history
C Vaccination card
D Outpatient medical record
E Child’s medical record
№ krok 2016
Topic Models of medical systems. Medical Insurance. Medical management.
Task A region attended by a central regional hospital demonstrates increased hemorrhagic stroke morbidity. Essential hypertension morbidity,
however, remains at the same level and is below the average level registered within the larger area. What managerial decision should be
made in this case?
Correct answer To design and implement measures for early diagnostics of arterial hypertension
B To design and implement measures for primary prevention of essential hypertension
C To design and implement measures for secondary prevention of hypertension complications
D To design and implement measures for professional development of medical workers
E To design and implement improved dispensary system for hypertensive patients
№ krok 2016
Topic Models of medical systems. Medical Insurance. Medical management.
3
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task A region attended by a central regional hospital demonstrates increased hemorrhagic stroke morbidity. Essential hypertension morbidity,
however, remains at the same level and is below the average level registered wi-thin the larger area. What managerial decision should be
made in this case?
Correct answer To design and implement measures for early diagnostics of arterial hypertension
B To design and implement measures for primary prevention of essential hypertension
C To design and implement measures for secondary prevention of hypertension complications
D To design and implement measures for professional development of medical workers
E To design and implement improved dispensary system for hypertensive patients
№ krok 2016, 2010, 2009
Topic Assessment of health based on a set of statistical indicators of the state.
Task Estimation of community health level involved analysis of a report on diseases regi-stered among the population of district under charge
(reporting form 12). What index is calculated based on this report?
Correct answer Common morbidity rate
B Index of pathological affection
C Index of morbidity with temporary disability
D Index of hospitalized morbidity
E Index of basic non-epidemic morbidity
№ krok 2016
Topic Assessment of health based on a set of statistical indicators of the state.
Task Annual report of an in-patient ward presents data about the number of patient days and the number of patients, who have undergone
treatment within a year. What work indicator of the in-patient ward can be calculated based on these data?
Correct answer Average duration of in-patient treatment of a patient
B Bed occupancy rate
C Hospital bed turnover rate
D Mortality
E Efficient use of the hospital bed capacity
№ krok 2015
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
4
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task A patient with cardiac infarction is on sick leave with his medical certificate being continuously extended for 4 months according to a
standard procedure. The disease is progressing. The issue is put forward to refer the patient to the industrial injury assessment board. Who
among the medical staff of medical and preventive treatment facility is authorized to do this?
Correct answer Medical expert committee
B Attending medical doctor
C Head doctor of hospital department
D Deputy head doctor for assessment of temporary disability
E Head doctor
№ krok 2015
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task A patient is on sick leave for 4 months continuously from the date of injury. The treatment is going to last for another 1-2 months. Who is
authorised to extend the duration of medical certificate for this patient?
Correct answer Medical advisory commission after medicosocial expert commission examination
B Medical superintendent
C Medical advisory commission after inpatient treatment
D District doctor by agreement with a department chief
E Medico-social expert commission
№ krok 2015, 2010
Topic Health of the population as a medical and social problem. Health strategies in modern conditions.
Task Over a current year among workers of an institution 10% have not been ill a single time, 30% have been ill once, 15% - twice, 5% - 4
times, the rest - 5 and more times. What is the percentage of workers belonging to the I health group?
Correct answer 55%
B 10%
C 40%
D 60%
E 22%
№ krok 2015
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
5
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task Establishments participating in medical examinations include: medical and preventive treatment facility, hygiene and preventive treatment
facility, sociomedical expert committees, Ministry of Defence medical committees, Ministry of Domestic Affairs medical committees,
forensic medicine agency, etc. Specify what service deals with sociomedical assessment of temporary disability:
Correct answer Medical and preventive treatment facility
B Hygiene and preventive treatment facility
C Sociomedical expert committees
D Ministry of Defence medical committees
E Ministry of Domestic Affairs medical committees
№ krok 2015
Topic Methodological foundations for organizing statistical research in the health care system. Relative values. Graphical methods of analysis.
Task Various population groups mortality has been studied for a long time; territorial distribution of population and resulting changes in
mortality trends are considered. What statstical method can be applied?
Correct answer Time series analysis
B Standardized ratio analysis
C Correlation and regression analysis
D Assessment of parameter difference reliability
E Analysis of relative values
№ krok 2015
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task A workshop resident doctor makes a list of workers, who are often ill, for special supervision. He takes into account the number of
etiologically connected cases resulting in temporary disability that occurred in the span of a year for each worker. How many such cases
should a worker have to be included in this group?
Correct answer 4 and more
B 1 and more
C 2 and more
D 3 and more
E 6 and more
№ krok 2015
6
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task A workshop resident doctor makes a list of workers, who are often ill, for special supervision. He takes into account the number of
etiologically connected cases resulting in temporary disability that occurred in the span of a year for each worker. How many such cases
should a worker have to be included in this group?
Correct answer 4 and more
B 1 and more
C 2 and more
D 3 and more
E 6 and more
№ krok 2015
Topic Methodology for studying and estimating natural movement indicators.
Task Estimation of community health level involved analysis of a report on diseases registered among the population of catchment area
(reporting form 12). What index is calculated basing on this report?
Correct answer Common morbidity rate
B Index of pathological affection
C Index of morbidity with temporary disability
D Index of hospitalized morbidity
E Index of basic non-epidemic morbidity
№ krok 2014
Topic Models of medical systems. Medical Insurance. Medical management.
Task Head of a department and a trade-union group have appealed to the head of a hospital about dismissal of the senior nurse who has 17-year
record of service. The facts of charge were confirmed and recognized by the nurse herself. The nurse lives with a daughter (who is
divorced and unemployed) and a 9-month-old grandson. Make an administrative decision:
Correct answer To continue the worker in office with a warning of dismissal in case of repeated violation of labor discipline
B To discharge the worker, i.e. to satisfy demands of the collective
C To issue the sick leave
D To embark other officials or public organizations with this problem
E -
№ krok 2014
Topic Organization and maintenance of maternity hospitals, accounting and analysis of their activities.
7
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task Within a year, in a maternity hospital there were 616 livebirths, one stillbirth, one infant died on the 5th day of life. What index can most
accurately describe this situation?
Correct answer Perinatal mortality
B Total mortality
C Birthrate
D Infant mortality
E Natural increase
№ krok 2014
Topic Parametric and nonparametric methods for estimating and analyzing statistical hypotheses.
Task A study of the structure of death causes in the urban population revealed that cardiovascular diseases accounted for 55,0% of all deaths.
What statistic value represents these data?
Correct answer Extensive index
B Intensive index
C Index of evidence
D Index of correlation
E Correspondence index
№ krok 2014
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task An employee has been diseased for 4 months, further treatment is necessary, the patient is incapacitated. Who is authorized to provide
further disability examination of this patient?
Correct answer Medical and social expert board
B Medical consultative board
C Physician in charge and chief of department
D Chief physician of a medical facility
E Deputy chief responsible for disability examination
№ KROK 2014
Topic Methodology for studying and evaluating indicators morbidity: infectious, non-epidemic, hospitalized, with temporary disability.
Task A factory’s sectorial doctor selects a group of persons who often fall ill for thorough monitoring. At the same time he takes into
consideration the number of etiologically related cases with temporary disability in each of the employees over the last year. An employee
falls into this group if the number of sickness cases is:
8
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
9
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
E Immigration of population
№ krok 2013
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task A patient is on the sick leave for 4 months continuously from the date of injury. The treatment is going to last for 1-2 months more. Who
has the right to extend the duration of medical certificate for this patient?
Correct answer Medical advisory commission after medico-social expert commission examination
B Medical superintendent
C Medical advisory commission after inpatient treatment
D District doctor by agreement with a department chief
E Medico-social expert commission
№ krok 2013
Topic Assessment of health status based on a set of statistical indicators of the state.
Task A rural hospital serves 6200 people. Preventive examinations were planned for 560 farm workers with different risk factors. 400 workers
underwent preventive examination. 120 individuals were found to have cardiovascular problems, 90 of them were registered with a
dispensary department for health care maintenance. Which indicator should be used to assess the organization of health care maintenance
at the hospital?
Correct answer Share of workers who actually underwent preventive examinations
B Share of newly diagnosed patients
C Share of persons subject to preventive examinations
D Share of diseased persons
E Incidence of cardiovascular diseases
№ krok 2013
Topic Assessment of health status based on a set of statistical indicators of the state.
Task The share of circulatory diseases was 15% in the total of registered diseases among city population. What statistic indicator is it?
Correct answer Extensive
B Intensive
C Demonstrative
D Ratio
E Average
№ krok 2013
10
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task An employee was on a business trip to another city, where he fell ill and was hospitalized. The sick leave certificate can be issued:
Correct answer With the permission of the head doctor of the city hospital
B With the permission of the deputy head doctor after the disability examination
C With the permission of the deputy chief doctor in charge of medical work
D By doctor in charge and chief of department
E By doctor in charge
№ krok 2013
Topic Methodology of conducting medical examination.
Task A man abused alcohol, drank away the property and wages thus getting himself, his wife and two underage children into deep financial
problems. He was registered in a local drug abuse clinic. His wife asked a family doctor, what kind of petition she could file in court:
11
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task Doctors of a polyclinic conduct a statistical research of the disease outcomes in two groups of patients (those registered with dispensary
departments and unregistered ones), depending on age and level of hygiene. What type of statistical tables would be most suitable for
profound analysis of the interrelation between the above-mentioned variables?
Correct answer Cross tabulation
B Analytical
C Group
D Simple
E Developing
№ krok 2013
Topic Organization of provision of primary medical and sanitary assistance to the population by medical and preventive institutions on the basis
of the priority development of family medicine.
Task It is planned to build a multidisciplinary hospital with 500 beds in a town. Specify the location of a polyclinic within the medical centre:
Correct answer At the main entrance
B In the garden and park area
C In the centre of the territory near medical buildings
D It is not allowed to place the polyclinic within the centre territory
E In the service zone
№ krok 2012, 2010
Topic Models of medical systems. Medical Insurance. Medical management.
Task Head of a department and a tradeunion group have appealed to the head of a hospital about dismissal of the senior nurse who has 17 year
record of service. The facts of charge were confirmed and recognized by the nurse herself. This nurse lives with a daughter (who is
divorced and unemployed) and a 9-monthold grandson. Make an administrative decision:
Correct answer To continue the worker in office with a warning of dismissal in case of repeated violation of labor discipline
B To discharge the worker, i.e. to satisfy demands of the collective
C To issue the sick list
D To shift the solution of this problem on other officials or public organizations
E -
№ krok 2012
Topic Assessment of health status based on a set of statistical indicators of the state.
Task Deputy of chief medical officer carried out a study of morbidity rate for population which had been served at the polyclinics within the
last 5 years. What statistical values can help in calculation of morbidity rates?
12
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task A patient is on the sick leave for 4 months continuously from the date of injury. The treatment is going to last for 1-2 months. Who has the
right to extend the duration of medical certificate for this patient?
Correct answer Medical advisory commission after medico-social expert commission examination
B Medical superintendent
C Medical advisory commission after inpatient treatment
D District doctor by agreement with a department chief
E Medico-social expert commission
№ krok 2012, 2009, 2008
Topic Parametric and nonparametric methods for estimating and analyzing statistical hypotheses.
Task The results of 5 year monitoring allowed to estimate the level of environmental influence upon health indices of popultaion. What statistic
method should be chosen?
Correct answer Calculation of correlation coefficient
B Calculation of conformity coefficient
C Calculation of coefficient of difference validity
13
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
14
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
15
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task A factory worker has ARD complicated by acute bronchitis. He receives treatment in the outpatient setting. The attending doctor has
issued him a medical certificate for 5 days and then extended its duration by 5 more days. Patient can’t get down to work because of his
health status. Who should extend the duration of medical certificate for this patient?
Correct answer A department chief
B Medical superintendent
C Deputy medical superintendent in charge of temporary disability examination
16
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
17
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task 25 unorganized children in the age 2-3 year will be observed on a pediatric district it in the current year. What scheduled number of initial
visitations will make to this group of children?
Correct answer 50
B 20
C 40
D 100
E 200
№ krok 2010
Topic Organization of provision of primary medical and sanitary assistance to the population by medical and preventive institutions on the basis
of the priority development of family medicine.
Task A young patient who came to a policlinic was diagnosed with the 1 stage of hypertension. How often should he undergo the medical check-
up?
Correct answer Twice a year
B Once a year
C 3 times a year
D 4 times a year
E 5 times a year
№ krok 2010
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task A painter working at a motorcar plant was diagnosed with acute intoxication with amide compounds of benzene, moderate severity grade.
The in-patient treatment resulted in considerable health improvement. What expert decision should be made in this case?
Correct answer The patient should be issued a sick list for out-patient treatment
B The patient may get back to work providing he will keep to hygiene and sanitary regulations
C The patient should be referred to the Medical and Social Expert Commission for assigning the disability group because of an occupational
disease
D The patient should be referred to the Medical and Social Expert Commission for determination of percentage of work capicty loss
E -
№ krok 2010, 2009
Topic Organization and maintenance of maternity hospitals, accounting and analysis of their activities.
18
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task A maternity hospital registered 616 live births, 1 stillbirth, 1 death on the 5th day of life over a 1 year period. What index allows the most
precise estimation of this situation?
Correct answer Perinatal mortality
B Crude mortality rate
C Natality
D Neonatal mortality
E Natural increase
№ krok 2010, 2009
Topic Organization and maintenance of maternity hospitals, accounting and analysis of their activities.
Task A maternity hospital registered 616 live births, 1 stillbirth, 1 death on the 5th day of life over a 1 year period. What index allows the most
precise estimation of this situation?
Correct answer Perinatal mortality
B Crude mortality rate
C Natality
D Neonatal mortality
E Natural increase
№ krok 2010, 2009
Topic Standardization method.
Task Study of morbidity rate in a city N revealed that population of different administrative districts differed in age structure. What statistic
method allows to eliminate influence of this factor upon morbidity indices?
Correct answer Standardization
B Wilcoxon’s t-criterion
C Correlative regressive analysis
D Analysis of dynamic series
E Calculation of average values
№ krok 2010
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task A worker who undergoes regular medical check-up for duodenal ulcer received a subsidized 24-day sanatorium voucher from his plant.
The term of annual leave of a worker is 24 calender days, it will take 4 days more to get to the sanatorium and back home. What is the
procedure of obtaining a 4-day sick-leave?
19
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task A 46-year-old patient was issued a 10-day sick list because of exacerbation of chronic cholecystitis. The patient’s general condition got
better, but the clinical manifestations of the disease are still present. What authority is entitled to extend the sick list?
Correct answer Medical Expert Commission
B Family doctor
C Deputy head doctor for terapeutic management
D Deputy head doctor for medical-labour expertise
E Head doctor
№ krok 2009, 2008
Topic Parametric and nonparametric methods for estimating and analyzing statistical hypotheses.
Task The average body lenth of newborn boys is 50,9 cm at a sigma 1,66; and average mass - 3432 at a sigma 5,00. What criterion is necessary
in order to compare degree of variability of these signs?
Correct answer Coefficient of variation
B Sigma
C Limit
20
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
D Amplitude
E Coefficient of association
№ krok 2009
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task Indicate the registration medical document for the patient, who 21.02. was addressed to the doctor with diagnosis ARVD for the first time
in this year:
Correct answer The statistical coupon is to be filled in and it is necessary to deliver on a sign (+)
B The statistical coupon for registration of final diagnosis is not necessary
C The statistical coupon is to be filled in, but a sign (+) is not necessary to be put in
D It is necessary to fill in the emergency notice on a case of a contagion
E The necessary registration form is not indicated
№ krok 2009
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task Indicate the registration medical document for the patient, who 21.02. was addressed to the doctor with diagnosis ARVD for the first time
in this year:
Correct answer The statistical coupon is to be filled in and it is necessary to deliver on a sign (+)
B The statistical coupon for registration of final diagnosis is not necessary
C The statistical coupon is to be filled in, but a sign (+) is not necessary to be put in
D It is necessary to fill in the emergency notice on a case of a contagion
E The necessary registration form is not indicated
№ krok 2009
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
21
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
№ krok 2009
Topic Organization of work of children's hospitals and their activity record.
Task 25 children at the age of 2-3 years who don’t attend any child welfare insti-tutions should be observed by a district pediatrician within the
current year. How many initial visits of this group of chi-ldren should be planned?
Correct answer 50
B 20
C 40
D 100
E 200
№ krok 2009
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task A 37 year old patient applied to a local therapeutist. As a result of exacerbation of chronic obstructive bronchitis the patient had
been temporarily disabled for 117 days within 1 year. What tactics will be legally correct?
Correct answer The patient should be referred to the medicosocial expertise
B The therapeutist should extend a medical certificate
C The patient should be referred to the medical consultation comission for extension of medical certificate
D The therapeutist should issue a new medical certificate
E The patient shoul be referred to the sanatorium-and-spa treatment
№ krok 2009, 2008, 2007
Topic The organization and content of the work of outpatient clinics of different levels. accounting and analysis of outpatient clinics of different
levels.
Task At year-end hospital administration has obtained the following data: annual number of treated patients and average annual number of beds
used for patients’ treatment. What index of hospital work can be calculated on the base of this data?
Correct answer Bed turnover
B Bed resources of the hospital
C Average annual bed occupancy
D Average duration of patients’ presence in the hospital
E Average bed idle time
№ krok 2009
Topic Methodology for studying and evaluating indicators morbidity: infectious, non-epidemic, hospitalized, with temporary disability
22
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task Study of morbidity with temporary disability among workers of a machine building plant revealed that average duration of a case was 20
days. What diseases influenced upon the index value?
Correct answer Chronic
B Acute
C Subacute
D Preexisting diseases
E Hard to determine
№ krok 2009
Topic Methodology of conducting medical examination.
Task Administration of a plant producing red lead paint intends to form a group of medical specialists for periodical medical examinations.
What specialist must be obligatory included into this group?
Correct answer Neuropathologist
B Gynaecologist
C Psychiatrist
D Dermatologist
E Otolaryngologyst
№ krok 2009
Topic Methodology for studying and estimating natural movement indicators.
Task Indices that characterize population health include demographic indices. What environment is used for calculation of these indices?
Correct answer Population number
B Employment number
C Number of hospitalized people
D Number of patients
E Number of population being liable to preventive examination
№ krok 2009
Topic Organization and maintenance of work of inpatient institutions of different levels, accounting and analysis of their activities.
Task A plot of land with total area of 2,0 hectare was intended for building of a hospital. The maximal capacity of the hospital will be:
Correct answer 100 beds
B 200 beds
C 400 beds
D 800 beds
23
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task A 38 year old man was admitted to a hospital from his working place on July because of hip fracture. He was invalid till November 19.
Requires prolongation of treatment. Who decides on the issue of further temporary invalidity?
Correct answer Specialized (traumatologic) MSEC
B DCC
C The head physician of a polyclinic
D Interregional general MSEC
E Regional MSEC
№ krok 2008
Topic Parametric and nonparametric methods for estimating and analyzing statistical hypotheses.
24
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task An outpatient hospital made record of 11600 diseases within one year. Among them influenza and ARD make up 5800, circulatory system
diseases - 3480, digesti-on diseases - 1300, other diseases - 1020. What relative index can be calculated according this data?
Task A 34 year old coal miner who has been in service for 10 years was discharged from an occupational disease clinic after examination and
treatment. He was diagnosed with the I stage of anthracosilicosis, peribronchitis, 0 stage of respiratory failure. What expert decision
should be taken about his working capacity?
Correct answer He should be referred to the local medical expert comission for determination of his disability group for the period of re-training
B He can continue working as coal miner provided that sanitary and hygienic conditions are observed
C He should be given medical certificate for the further out-patient treatment
D He should stay on the sick-list to consolidate treatment results
E He should be referred to the local medical expert comission for determination of percentage of working capacity loss
№ krok 2008
Topic Parametric and nonparametric methods for estimating and analyzing statistical hypotheses.
25
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task Clinical and statistical study was devoted to the effect of a new pharmacological medication upon the patients with coronary heart disease.
What parametric criterion (coefficient) can be used for estimation of results validity?
Correct answer Student’s coefficient (t)
B Sign criterion
C Conformity coefficient
D Wilcoxon’s t-criterion
E Kolmogorov-Smirnov’s criterion
№ krok 2008
Topic Characteristics and analysis of statistical data. average values and variations.
Task In order to improve organism tolerance of boarding-school pupils a doctor developed a program. The program is based upon the
following principles: graduality, consistency, indivi-uality, coomplexity. What of the main principles of organism tempering wasn’t taken
into account?
Correct answer Systematicness
B Autodefense increase
C Increase of influence force
D Increase of influence intensity
E Increase of resistance
№ krok 2008
Topic Methodological foundations for organizing statistical research in the health care system. relative values. graphical methods of analysis.
Task Researchers studied disease incidence of influenza and acute respiratory viral infection within the last 5 years. What kind of graphic
presentation should be used for the best visualization of this data?
Correct answer Linear diagram
B Pie diagram
C Bar diagram
D Histogram
E Radial diagram
№ krok 2007
Topic Organization and maintenance of maternity hospitals, accounting and analysis of their activities.
Task A number of viable fetuses per 1000 women at the age between 15 and 44 is determined by:
Correct answer Genital index
B Reproductive level
26
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
C Birth rate
D Perinatal rate
E Obstetric rate
№ krok 2007
Topic Parametric and nonparametric methods for estimating and analyzing statistical hypotheses.
Task The parameter of infantile mortality for the last year was - 16,3, in present year - 15,7. Name a kind of the diagram that can be used for a
graphic representation of it:
Correct answer Stylar
B Linear
C Intrastylar
D Sector
E Radial
№ krok 2007
Topic Standardization method.
Task Prevalence of a disease in region N amounted 1156 occurences per 1000 of inhabitants. What of the mentioned indices characterizes the
disease prevalence?
Correct answer Intensive
B Extensive
C Ratio
D Visual index
E Standardized
№ krok 2007
Topic Methodology of examination of temporary disability, procedure of implementation. Organization of examination of permanent disability.
Task A patient consulted a doctor about acure respiratory viral infection. The patient was acknowledged to be off work. The doctor issued him a
medical certificate for 5 days. The patient is not recovering. What measures should the doctor take in order to legalize the further
disability of patient?
Correct answer To prolong the medical certificate at his own discretion but no more than for 10 days in total
B To prolong the medical certificate at his own discretion but no more than for 6 days in total
C To prolong the medical certificate together with department superintendent
D To send the patient to the medical consultative commission
27
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
28
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task The inpatient surgery unit has introduced the method of laparoscopic cholecystectomy into its practice. As the result the average duration
of postoperative care provided to the patients could be reduced to 3.4±0.8 days compared to 7.3±1.1 days that were required after non-
laparoscopic cholecystectomy. What method of medical statistics can confirm the statistical significance of the difference between these
two estimates?
Correct answer Calculation of Student’s confidence interval
B Calculation of correlation coefficient
C Calculation of standardized ratio
D Calculation of average values (measures ofcentral tendency)
E Calculation of relative values
№ krok 2018
Topic Parametric and nonparametric methods of estimation of probability
Task Due to introduction of a new treatment method, average duration of therapy in the experimental group was 12.3±0.2 days compared to
15.4±0.4 days in the control group that was treated by the old method. What calculations should be made to estimate the statistical
significance of the difference in the results?
Correct answer T-test (Student’s t-distribution)
B Sign test (Z-test)
C Matching factor (chisquared test)
D Wilcoxon T-test
E Kolmogorov-Smirnov test
№ krok 2018
Topic Medical and social aspects of temporary disability
Task Establishments participating in medical examinations include: medical and preventive treatment facilities, hygiene and preventive
treatment facilities, sociomedical expert committees, Ministry of Defence medical committees, Ministry of Domestic Affairs medical
committees, forensic medicine agency, etc. Specify what service deals with sociomedical assessment of temporary disability:
Correct answer Medical and preventive treatment facilities
B Hygiene and preventive treatment facilities
C Sociomedical expert committees
D Ministry of Defence medical committees
E Ministry of Domestic Affairs medical committees
№ krok 2018
Topic Medical and social aspects of permanent disability
29
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task An employee has been sick for 4 months, further treatment is necessary, the patient is unable to work. Who is authorized to provide further
disability examination of this patient?
Correct answer Sociomedical expert committee
B Medical consultative board
C Physician in charge and the head of thedepartment
D Chief physician of a medical facility
E Deputy chief responsible for disability examination
№ krok 2018
Topic Correlation and regression analysis
Task To assess the effectiveness of medical technologies and determine the power and direction of their effect on the public health indicators,
the research was conducted to study the immunization rate of children and measles incidence rate by district. What method of statistical
analysis should be applied in this case?
Correct answer Calculation of correlation coefficient
B Calculation of morbidity index among thenonvaccinated
C Calculation of coefficient of agreement
D Calculation of standardized ratio
E Calculation of statistical significance of thedifference between two estimates
№ krok 2018
Topic Statistical information for the assessment activity of medical institutions
Task Estimation of community health level involved analysis of a report on diseases registered among the population of district under charge
(reporting form 12). What index is calculated based on this report?
Correct answer Prevalence
B Index of pathological affection
C Index of morbidity with temporary disability
D Index of hospitalized morbidity
E Index of basic non-epidemic morbidity
№ krok 2018
Topic Organization of secondary (specialized) medical and preventive care
Task A 52 year old man came to see his family physician complaining of pain in the chest. After taking history and performing physical exam
the doctor decided to direct the patient to cardiologist for a consultation. What level of medical care is being proposed to the patient?
30
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
31
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
32
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
33
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
Task In the process of hiring.a prospective employee has undergone preventive medical examination and was declared fit to work in this
manufacturing environment. What type of preventive medical examination was it?
Correct answer Preliminary
B Scheduled
C Periodical
D Comprehensive
E Specific
№ krok 2019
Topic Design of epidemiological studies, case-control, cohort, randomized clinical trials
Task Clinical trials have proved the “Lipoflavon” drug to be effective for treatment of unstable angina pectoris in the control group and
experimental group of patients. Neither patients nor researchers knew who belonged to which group. Name this type of study:
Correct answer Double blind study
B Simple blind study
C Total-blind study
D Multicenter study
E Triple-blind study
№ krok 2019
Topic Prevention in Public Health
Task In a rural health care area there is an increasing cervical cancer morbidity observed. The decision is made to conduct a medical
examination of the women living in thislocality. What type of medical examination is it?
Correct answer Target
B Screening
C Complex
D Preliminary
E Regular
№ krok 2020
Topic The methodology of the medical and social expertise of temporary and permanent disability
Task A 37-year-old woman received an occupational trauma that resulted in a severe vision impairment. Now she needs to be trained for
another occupation. What type of rehabilitation should the doctor choose for the patient in this case?
Correct answer Occupational rehabilitation
B Target rehabilitation
34
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
C Psychological rehabilitation
D Social rehabilitation
E Medical rehabilitation
№ krok 2020
Topic Organization of primary medical care medical institutions on the basis of priority development of family medicine
Task A 30-year-old woman made an appointment with the family doctor for scheduled vaccination of her 2-year-old child. What type of
healthcare provides such medical services?
Correct answer Primary healthcare
B Emergency aid
C Secondary healthcare
D Tertiary healthcare
E Palliative care
№ krok 2020
Topic Epidemiological studies in health care, their classification
Task For 20 years the role of excessive weight in ischemic heart disease development among the working age male population over 40 was
studied. It was determined that overweight men developed ischemic heart disease more often. What type of epidemiological study is it?
35
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
№ krok 2020
Topic Health assessment based on a set of statistical indicators
Task A district doctor has diagnosed one of his patients with dysentery. What accounting document reflects this type of morbidity?
Correct answer Urgent report
B Certificate of temporary disability
C Statistical report
D Report on a major non-epidemic disease
E Control card of a patient registered for regular check-ups
№ krok 2020
Topic Communication and social mobilization in the interests of health
Task What modern organizational method can provide the patients in the remote settlements with timely access to quality medical aid and such
medical services as consulting, diagnostics, and treatment, especially in the situations when time and distance are crucial?
Correct answer Telemedicine
B Air medical services
C Ambulance services
D Field medical teams
E Mobile communication
№ Krok 2021
Topic Standardization methods
Task text During analysis of morbidity in the city, it was determined that age structure of population is different in each district. What statistical
method allows to exclude this factor, so that it would not skew the morbidity data?
Correct answer Standardization
B Wilcoxon signed-rank test
C Dynamic time series analysis
D Analysis of average values
E Correlation-regression analysis
№ Krok 2021
Topic Health Promotion.
Task text A regional cardiologist is given a task to develop a plan for preventive measures aimed at decreasing cardiovascular mortality rates. What
measures should be planned for secondary prevention?
Correct answer Referring patients for inpatient treatment
36
Крок 2 Medicine 2007-2021 -SOCIAL MEDICINE
37