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test 5

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

Chronic exposure to PM2.5 increases atherosclerosis primarily via:

a)

Increased blood volume

b)

Systemic oxidative stress and inflammation

c)

Hypoglycemia

d)

Reduced hemoglobin

2.

The One Health concept is MOST relevant for preventing:

a)

Zoonotic pandemics

b)

Autoimmune diseases

c)

Congenital anomalies

d)

Genetic syndromes

3.

Which air pollutant is MOST associated with asthma exacerbations?

a)

Carbon monoxide

b)

Nitrogen

c)

Methane

d)

Ozone

4.

Heat-related mortality is highest in patients with:

a)

Visual impairment

b)

Musculoskeletal disorders

c)

Cardiovascular and renal disease

d)

Dermatological diseases

5.

Chronic arsenic exposure causes all EXCEPT:

a)

Bronchial asthma

b)

Skin hyperpigmentation

c)

Peripheral neuropathy

d)

Bladder cancer

6.

Which pesticide class inhibits acetylcholinesterase reversibly or irreversibly?

a)

Neonicotinoids

b)

Organophosphates

c)

Pyrethroids

d)

Organochlorines

7.

Indoor air pollution in low-income households is mainly due to:

a)

Ozone

b)

Poor insulation

c)

Biomass fuel combustion

d)

Tobacco smoke

8.

Ozone damages lung tissue primarily through:

a)

Oxidative epithelial injury

b)

Immune suppression

c)

Hypoxia

d)

Bronchoconstriction only

9.

Rising global temperatures expand vector-borne diseases by:

a)

Reducing transmission

b)

Reducing rainfall

c)

Increasing immunity

d)

Extending vector survival and breeding

10.

Environmental noise increases cardiovascular risk via:

a)

Endocrine failure

b)

Chronic stress and autonomic imbalance

11.

Asbestos exposure is MOST strongly linked to:

a)

Silicosis

b)

Mesothelioma

c)

Lung abscess

d)

Pneumonia

12.

Persistent organic pollutants are dangerous because they:

a)

Are water soluble

b)

Bioaccumulate and disrupt endocrine function

c)

Decompose rapidly

d)

Are non-toxic

13.

Cadmium toxicity primarily affects:

a)

Liver and lungs

b)

Brain

c)

Kidneys and bones

d)

Heart muscle

14.

Climate change increases malnutrition mainly through:

a)

Increased food imports

b)

Food insecurity and extreme weather

c)

Reduced pests

d)

Improved crop yields

15.

Which anesthetic gas has the greatest climate impact?

a)

Nitrous oxide

b)

Isoflurane

c)

Sevoflurane

d)

Desflurane

16.

Scope 3 healthcare emissions MOSTLY originate from:

a)

Medical imaging

b)

Supply chains and pharmaceuticals

c)

Electricity use

d)

Hospital boilers

17.

Microplastics pose health risks mainly because they:

a)

Improve gut microbiota

b)

Carry toxic chemicals and microorganisms

c)

Neutralize pollutants

d)

Are digested easily

18.

Endocrine disruption is strongly associated with:

a)

Ozone exposure

b)

Bisphenol A and phthalates

c)

Carbon dioxide

d)

Nitric oxide

19.

Flood-related disease outbreaks most commonly include:

a)

Diarrheal and leptospiral infections

b)

Lung cancer

c)

Tuberculosis

d)

Diabetes

20.

Best indicator of hospital environmental performance:

a)

Staff size

b)

CO₂ emissions per treated patient

c)

Number of beds

d)

Hospital revenue

21.

Air pollution reduction provides the greatest health co-benefit by lowering:

a)

Obesity

b)

Genetic disorders

c)

Cardiovascular and respiratory mortality

d)

Trauma

22.

Heatwaves disproportionately affect:

a)

Elderly with chronic disease

b)

Athletes

c)

Healthy adults

d)

Adolescents

23.

Chronic benzene exposure increases risk of:

a)

Liver cirrhosis

b)

Leukemia

c)

Thyroid cancer

d)

Lung cancer

24.

Sustainable healthcare procurement emphasizes:

a)

Speed only

b)

Lowest price

c)

Life-cycle environmental impact

d)

Disposable preference

25.

MOST climate-sensitive infectious disease:

a)

Alzheimer’s disease

b)

Malaria

c)

Osteoarthritis

d)

Epilepsy

26.

Improper medical waste management increases risk of:

a)

Reduced emissions

b)

Healthcare-associated infections

c)

Cost reduction

d)

Better recycling

27.

Urban green spaces improve health primarily by:

a)

Reducing stress and promoting activity

b)

Increasing pollen

c)

Increasing humidity

d)

Increasing noise

28.

Lead toxicity primarily damages:

a)

Lungs

b)

Skin

c)

Nervous system

d)

Digestive tract

29.

Climate-resilient hospitals require:

a)

More beds

b)

Heat- and flood-resistant infrastructure

30.

Health Impact Assessment is used to:

a)

Diagnose patients

b)

Replace clinical trials

c)

Predict health effects of policies/projects

d)

Reduce hospital costs

31.

Sulfur dioxide exposure mainly affects:

a)

Liver

b)

Respiratory system

c)

Brain

d)

Kidneys

32.

The MOST effective climate mitigation in healthcare is:

a)

Facility expansion

b)

Increased disposables

c)

Clean energy transition

d)

Paperless systems

33.

Prenatal exposure MOST associated with neurodevelopmental delay:

a)

Noise

b)

Lead

c)

Heat

d)

UV radiation

34.

Antibiotic residues in water lead to:

a)

Antimicrobial resistance

b)

Reduced infections

c)

Viral pandemics

d)

Improved sanitation

35.

Chronic silica inhalation causes:

a)

Silicosis

b)

Asbestosis

c)

Pulmonary edema

d)

Emphysema

36.

Ethical basis of sustainable medicine:

a)

Market competition

b)

Profit maximization

c)

Intergenerational equity

d)

Cost reduction

37.

Environmental factor MOST worsening asthma:

a)

Heat alone

b)

Noise

c)

Ozone and PM

d)

Soil salinity

38.

Climate-sensitive surveillance focuses on:

a)

Trauma

b)

Early detection of climate-related diseases

c)

Oncology

d)

Genetics

39.

Informal e-waste recycling exposes workers mainly to:

a)

Allergens

b)

Heavy metals and dioxins

c)

Viruses

d)

Radiation

40.

Major medical benefit of improved air quality:

a)

Reduced obesity

b)

Reduced cardiovascular mortality

c)

Reduced fractures

d)

Reduced cancer only

41.

Heavy metal MOST associated with nephrotoxicity:

a)

Mercury

b)

Cadmium

c)

Lead

d)

Chromium

42.

Climate mitigation in healthcare focuses on reducing:

a)

Admissions

b)

Infrastructure

c)

Energy and supply-chain emissions

d)

Staff numbers

43.

Long-term noise exposure is associated with:

a)

Diabetes type 1

b)

Hypertension and ischemic heart disease

c)

Arthritis

d)

Liver disease

44.

Sustainable urban planning reduces disease burden by:

a)

Increasing density

b)

Promoting active transport and green areas

c)

Expanding highways

d)

Increasing traffic

45.

Most effective individual action to reduce health-related emissions:

a)

Increased travel

b)

Ignoring policies

c)

Increased consumption

d)

Active transport and reduced meat intake

46.

Long-term UV exposure MOST increases risk of:

a)

Liver cancer

b)

Skin cancer

c)

Lung cancer

d)

Brain tumors

47.

Pharmaceutical residues in aquatic environments cause:

a)

Reduced toxicity

b)

Ecological disruption and resistance

c)

Improved biodiversity

d)

No impact

48.

Droughts affect health mainly by causing:

a)

Improved sanitation

b)

Malnutrition and water scarcity

c)

Reduced mortality

d)

Reduced infections

49.

Primary goal of environmental health:

a)

Reduce costs

b)

Expand hospitals

c)

Prevent disease via healthy environments

d)

Treat disease

50.

Sustainable medicine ultimately aims to:

a)

Limit care

b)

Protect health within planetary limits

c)

Increase short-term profit

d)

Reduce innovation

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