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PREVENTIVE MEDICINE ESSAY QUESTIONS AND EXPLANATIONS PREVENTIVE MEDICINE ESSAY QUESTIONS AND EXPLANATIONS.
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1. Define primary, secondary, and tertiary prevention and give an example of each. Primary prevention: Prevents disease before it occurs (e.g., vaccination). Secondary prevention: Early detection and treatment to prevent progression (e.g., cancer screening). Tertiary prevention: Reduces complications of established disease (e.g., rehabilitation after stroke). 2. What is primordial prevention, and how does it differ from primary prevention? Primordial prevention aims to prevent the development of risk factors themselves (e.g., policies to reduce tobacco use), whereas primary prevention targets existing risk factors to prevent disease. 3. Describe the role of screening in secondary prevention. Screening identifies asymptomatic individuals with early disease or risk factors to enable early intervention and reduce morbidity and mortality. 4. What criteria make a disease suitable for screening? The disease should have a significant health impact, a detectable early stage, an effective treatment, and a reliable, acceptable, and cost-effective screening test. 5. Explain the concept of herd immunity and its importance in vaccination programs. Herd immunity occurs when a high proportion of a population is immune, reducing disease spread and protecting those who are not immune. 6. List three modifiable risk factors for cardiovascular disease and preventive measures for each.
Smoking (cessation programs), hypertension (diet and medication), and sedentary lifestyle (exercise promotion).
7. How does epidemiology support preventive medicine? It identifies disease patterns, risk factors, and populations at risk, guiding targeted prevention strategies. 8. What is the difference between incidence and prevalence? Incidence refers to new cases over a period; prevalence is the total number of cases at a point in time. 9. Describe the importance of lifestyle interventions in chronic disease prevention. Lifestyle changes such as diet, exercise, and smoking cessation reduce risk factors and prevent diseases like diabetes and hypertension. 10. What is the role of counseling in preventive medicine? Counseling educates and motivates patients to adopt healthy behaviors and adhere to preventive measures. 11. Explain the significance of the “number needed to treat” (NNT) in preventive interventions. NNT indicates how many patients need an intervention to prevent one adverse outcome, helping evaluate effectiveness. 12. What are the common barriers to implementing preventive services in clinical practice? Time constraints, lack of resources, patient non-compliance, and insufficient reimbursement. 13. Define vaccine efficacy and vaccine effectiveness. Efficacy is performance under controlled trials; effectiveness is performance in real-world settings. 14. What is the difference between active and passive immunity?
23. Explain the importance of adherence in the success of preventive interventions. Non-adherence reduces the effectiveness of preventive measures and increases disease risk. 24. What role do community health workers play in preventive medicine? They provide education, support, and linkage to services, especially in underserved populations. 25. How does screening for hypertension contribute to secondary prevention? Early detection allows timely treatment to prevent complications like stroke and heart disease. 26. What factors influence the choice of a screening test? Sensitivity, specificity, cost, acceptability, and disease prevalence. 27. Describe the difference between morbidity and mortality in public health. Morbidity refers to disease incidence and impact; mortality refers to death rates. 28. What is the purpose of a health risk assessment? To identify individual risk factors and guide personalized preventive strategies. 29. How can technology improve preventive medicine delivery? Electronic health records, reminders, telemedicine, and mobile apps enhance screening and lifestyle interventions. 30. Discuss the impact of vaccination hesitancy on public health. Hesitancy reduces coverage, undermines herd immunity, and increases outbreaks of preventable diseases.