9. Quiz

1. Which of the following principles and values is most important for global health?

• a) Humility
• b) Sustainability
• c) Equity
• d) All principles and values are equally important.

The answer is: d) All principles and values are equally important.

2. What is essential for a career in global health?

• a) Service learning abroad
• b) Global health knowledge, skills and values
• c) Ability to speak more than one language
• d) Medical degree

The answer is: b) Global health knowledge, skills and values.

3. Based on evidence from patients who cannot communicate effectively with their doctors due to a language barrier, which of the following demonstrate(s) the need for medical interpretation?

• a) Patients are less satisfied with care received.
• b) Patients seek less care in the Emergency Department.
• c) Patients have a higher chance of being misdiagnosed and/or prescribed inappropriate medication.
• d) A & C

The answer is: d) A & C

4. Which one of the following is true in terms of family members acting as interpreters?

• a) Family members can assure confidentiality.
• b) Family members can effectively address sensitive subjects.
• c) Family members sometimes withhold important information.
• d) Family members understand the medical conditions of their loved ones.

The answer is: c) Family members sometimes withhold important information.

5. During the patient/doctor interview, which of the following should be followed?

• a) Triangle seating arrangement is preferred to improve the physician-patient connection.
• b) Interpreter should sit next to the patients or slightly behind to improve the physician-patient connection.
• c) To save time, there is no need for lengthy introductions.
• d) All of the above

The answer is: b) Interpreter should sit next to the patients or slightly behind to improve the physician-patient connection.

6. Which of the following is not a step to be taken at the end of the interview session?

• a) Explain the interpreter’s role to the patient.
• b) Repeat important concepts.
• c) Review treatment plan carefully.
• d) Encourage patients to ask questions.

The answer is: a) Explain the interpreter’s role to the patient.

7. The role of the medical expert includes:

• a) An awareness of how war, conflict and famine impact the health of individuals.
• b) Having an understanding of the barriers refugees face when trying to access health care.
• c) The ability to discover the challenges of treating and preventing disease in resource-limited settings.
• d) All of the above

The answer is: d) All of the above

8. The key to treating refugee health problems is:

• a) A thorough understanding of the pathophysiology of tropical diseases.
• b) Maintaining a reliable supply of electricity in the clinic.
• c) Disease prevention strategies and understanding the context of the situations patients are coming from.
• d) Having samples of antibiotics to give to patients.

The answer is: c) Disease prevention strategies and understanding the context of the situations patients are coming from.

9. Which of the following is/are barrier(s) refugees face when accessing the Canadian health care system?

• a) The provider’s beliefs, knowledge, cultural sensitivity and cultural competence
• b) Cost of interpretation services
• c) Education level of the refugees
• d) All of the above

The answer is: d) All of the above

10. When assessing older immigrants’ health condition, medical experts must take into account:

• a) The patient’s migration journey
• b) The previous discontinuity in the patient’s healthcare
• c) The challenges of chronic disease and ageing the patient is facing
• d) B and C
• e) All of the above

The answer is: e) All of the above

11. Which of the following are needed for health advocacy?

• a) Adaptability
• b) Mobility
• c) Neutrality
• d) All of the above

The answer is: d) All of the above

12. What does ethical engagement lead to?

• a) Safety
• b) Quality care
• c) Sustainability
• d) All of the above

The answer is: d) All of the above

13. What activities should be done prior to embarking on a global health elective? Choose the best answer.

• a) Visit a tropical medicine specialist.
• b) Act ethically when engaging in medical practice including self-reflection, journaling and discussing issues with peers and mentors.
• c) Participate in pre departure training including topics such as health and safety, cultural and language competency and ethical considerations.
• d) De-brief with other students or mentors and plan to better prepare for subsequent trips.

The answer is: c) Participate in pre departure training including topics such as health and safety, cultural and language competency and ethical considerations.

14. You are working within a resource-limited setting in Canada or overseas. A supervisor asks you to perform a task that you know you are not qualified to do. How should you proceed?

• a) Go with your gut feeling.
• b) Follow your supervisor’s directions.
• c) Reflect on the ethical implications of your actions and practice within your knowledge and skills level.
• d) Do whatever benefits your personal learning the most.

The answer is: c) Reflect on the ethical implications of your actions and practice within your knowledge and skills level.

15. Which of the following statements accurately describe(s) collaboration to improve health care delivery?

• a) Evidence indicates that lack of communication and collaboration between healthcare providers can seriously harm patients.
• b) Collaboration requires the capacity to adjust with different approaches and skills to work in multi-cultural settings to ensure optimum care of vulnerable populations.
• c) Interdisciplinary teams provide a diverse approach to care, which is helpful in chronic disease management.
• d) All of the above

The answer is: d) All of the above

16. In order to effectively manage collaborative teams, individuals need to:

• a) Respect difference and become skilful in managing errors and misunderstandings with others to maintain positive working environments.
• b) Possess essential skills in being able to assess problems, identify key players, listen to team members, and work together to design and implement programs.
• c) Have the physician take the lead in discussions.
• d) A & B

The answer is: d) A & B

17. The role of the leader in the healthcare setting is:

• a) To obtain research funding.
• b) To deal with all administrative duties.
• c) To ensure the clinic is able to deal with complex situations and provide quality care in resource-limited settings.
• d) To act as a locum physician when needed.

The answer is: c) To ensure the clinic is able to deal with complex situations and provide quality care in resource-limited settings.

18. Some of the most vulnerable refugees are (select the best answer):

• a) Urban refugees in an urban environment.
• b) Women and children.
• c) Male-headed households.
• d) Refugees resettled with their family.

The answer is: b) Women and children.

19. What approach is useful in developing evidence-based recommendations?

• a) GRADE (Grading of Recommendations Assessment, Development & Evaluation)
• b) SOPs (Standard Operating Procedures)
• c) ICRC (International Committee of the Red Cross)
• d) LEARN (Listen, Explain, Acknowledge, Recommend, Negotiate)

The answer is: a) GRADE (Grading of Recommendations Assessment, Development & Evaluation)

20. Which two parasites warrant routine serology testing in certain sub-populations?

• a) Strongyloides & Ascaris lumbricoides
• b) Schistosoma & Ancylostoma duodenale
• c) Schistosoma & Strongyloides
• d) Strongyloides & Enterobius vermicularis

The answer is: c) Schistosoma & Strongyloides