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Social Medicine 2 Final MCQs- 3rd Year- PMU

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Social Medicine 2 Final MCQs- 3rd Year- PMU

Questão 1 de 105

1

Preencha o espaço em branco para completar o texto.

The average number of years that people can expect to live in a country
Ans:

Explicação

Questão 2 de 105

1

Preencha o espaço em branco para completar o texto.

Birthrate minus the death rate, without regard for migration, (birthrate-death rate):
Ans: Annual Population Rate

Explicação

Questão 3 de 105

1

Preencha o espaço em branco para completar o texto.

The total economic value of all goods and services produced by a country in a year:
Ans:

Explicação

Questão 4 de 105

1

Preencha o espaço em branco para completar o texto.

The number of deaths per 1000 people each year:
Ans: Crude Rate

Explicação

Questão 5 de 105

1

Preencha o espaço em branco para completar o texto.

The study of human populations, including their size, growth, density, distribution, and rates of births, deaths, education, etc. :
Ans:

Explicação

Questão 6 de 105

1

Selecione das listas do Menu para completar o texto.

Matching Questions

1. ( a, b, c, d, e ) - Gross Domestic Product (GDP)
2. ( d, e, a, b, c ) - Birth Rate
3. ( c, d, e, a, b ) - Population Distribution
4. ( e, a, b, c, d ) - Fertility Rate
5. ( b, c, d, e, a ) - Migration

a. The total economic value of goods and services produced within a country in a year.
b. The large-scale and continual movement of people.
c. The pattern of where a population settles in a given place.
d. Number of live births per 1000 people each year.
e. The average number of children that would be born per woman if all women lived to the end of their childbearing years.

Explicação

Questão 7 de 105

1

A person who moves into a country is a

Selecione uma das seguintes:

  • Demography

  • Migration

  • Emigrant

  • Immigrant

Explicação

Questão 8 de 105

1

A person who is admitted in a country (other than their own) who is unable or unwilling to return because of turmoil or disaster

Selecione uma das seguintes:

  • Emigrant

  • Rural

  • Refugee

  • Urban

Explicação

Questão 9 de 105

1

The average number of people who can read and write in a country.

Selecione uma das seguintes:

  • Birth Rate

  • Per Capita

  • Fertility Rate

  • Literacy Rate

Explicação

Questão 10 de 105

1

Rural → A city area.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 11 de 105

1

Population Growth → The percent change in population, resulting from a surplus (or deficit) of births over deaths, and the difference between immigrants and emigrants each year. The percent change can be positive or negative, but is usually positive.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 12 de 105

1

Zero Population Growth → When the birthrate and number of immigrants moving into a country equals the death rate and the number of emigrants moving out of a country each year.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 13 de 105

1

Urban → A city area.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 14 de 105

1

Infant Mortality Rate → The number of babies that die before the age of 1 year per 1000 live births each year.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 15 de 105

1

Life Expectancy → The average number of people who can read and write in a country

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 16 de 105

1

Standard of Living → The conscious effort to educate couples on how to regulate the number and spacing of births with the use of artificial and natural methods of contraception, how to keep children healthy, and the impact of children on their finances.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 17 de 105

1

Preencha os espaços em branco para completar o texto.

WHO : Health Organisation is the United Nations specialised agency for . It’s objective, as set out the Constitution, is the attainment by all peoples of the possible level of health. Health is defined as a state of complete physical, mental and social well-being and not merely the absence of disease of infirmity.

Explicação

Questão 18 de 105

1

Preencha os espaços em branco para completar o texto.

Regional offices (WHO): are created to establish a regional organisation to and decisions about the special of an area. For example : Africa, Americas, Europe, south-east Asia, eastern Mediterranean, western Pacific.

Explicação

Questão 19 de 105

1

Preencha os espaços em branco para completar o texto.

Health is defined as a state of complete , and well- and not merely the absence of .

Explicação

Questão 20 de 105

1

Preencha os espaços em branco para completar o texto.

GOBIFFF:
G-
O- Promotion of for the management of diarrhea
B- Promotion of
I-
F-
F-
F- .

Explicação

Questão 21 de 105

1

Preencha os espaços em branco para completar o texto.

Rare disease: (RD) represent about % of all human medical illnesses and infirmities. A rare disease is a disease that occurs or in the general population. In order to be considered as rare, each specific disease cannot affect more than a number of people out of the whole population.

Explicação

Questão 22 de 105

1

Preencha os espaços em branco para completar o texto.

Bias: is the systematic in an epidemiological study, that could lead to results and conclusion.
They are 3 types:
1. bias
2. () bias
3. bias

Explicação

Questão 23 de 105

1

Preencha os espaços em branco para completar o texto.

Relative risk: is the ratio of the incidence in the group (Ie) compared to the incidence in the group (Ine).
RR= Ie / Ine

Explicação

Questão 24 de 105

1

Medical sickness certificate is issued for

Selecione uma das seguintes:

  • Calendar days

  • Working days

  • Both answers are correct

Explicação

Questão 25 de 105

1

In case of premature birth when 45 day sick leave has not expired the women

Selecione uma das seguintes:

  • Is entitled to use the days left or unused days for leave , due to pregnancy, which are included in the third medical sickness certificate

  • is entitled to use the days left or the unused days to leave, due to pregnancy, which are included in the second medical sickness certificate

  • is not entitled to use what is remained or the unused days due to pregnacy

Explicação

Questão 26 de 105

1

Health insurance in Bulgaria is

Selecione uma das seguintes:

  • Obligatory and voluntary

  • Non-obligatory

  • Obligatory

Explicação

Questão 27 de 105

1

The expert evaluation of permanent incapacity of work can not be carried out by

Selecione uma das seguintes:

  • Medical consultative commission

  • Territorial expert medical commission

  • National expert medical commission

Explicação

Questão 28 de 105

1

According to its scope health policy is

Selecione uma das seguintes:

  • National, regional, municipal

  • Regional, municipal, primary health policy

  • Drug policy, policy of specific disease or group of disease

Explicação

Questão 29 de 105

1

WHO primary health care strategy was adopted at

Selecione uma das seguintes:

  • The International Conference in Alma Ata

  • The International meeting in Manila

  • The International Conference in Otawa

Explicação

Questão 30 de 105

1

The Health care system in the United States refers to

Selecione uma das seguintes:

  • Health Insurance System

  • Voluntary Healthcare system

  • Budgetary Healthcare System

Explicação

Questão 31 de 105

1

Natural growth of the population is determined by

Selecione uma das seguintes:

  • The difference between general fertility and marital fertility

  • The difference between birth rate and mortality

  • The difference between birth rate and marriage

Explicação

Questão 32 de 105

1

The main function of Territorial expert medical commission is

Selecione uma das seguintes:

  • Expert evaluation of permanent incapacity for work

  • Expert evaluation of temporary incapacity for work less than 6 months

  • Expert evaluation of certain professional activity

Explicação

Questão 33 de 105

1

Perinatal mortality is defined

Selecione uma das seguintes:

  • Neonatal and post-neonatal mortality

  • Early and late neonatal mortality

  • Stillbirths and early neonatal mortality

Explicação

Questão 34 de 105

1

Social Rehabilitation refers to

Selecione uma das seguintes:

  • secondary prevention

  • tertiary prevention

  • primary prevention

Explicação

Questão 35 de 105

1

Public health is determined by 3 main groups of indices

Selecione uma das seguintes:

  • Demographic indices, physical development and activity, Disease indices

  • Age structure, Prevalence, Acceleration

  • Birth rate, Mortality rate, Physical development and activity

Explicação

Questão 36 de 105

1

The medical sickness certificate has

Selecione uma das seguintes:

  • Financial, legal, medical function

  • Social, legal, documentary function

  • Documentary, financial, legal function

Explicação

Questão 37 de 105

1

Medical consulting commission include

Selecione uma das seguintes:

  • No less than 2 permanent members- physician with a specialty

  • No less than 5 permanent members- physician with a specialty

  • No less than 3 permanent members- physician with a specialty

Explicação

Questão 38 de 105

1

The medical establishment for hospital care shall consist of

Selecione uma das seguintes:

  • clinics and/or departments with beds, medical diagnostic and medical technical laboratories, departments without beds, hospital pharmacy, consulting rooms, units for administrative, economic and service activities

  • medical-technical laboratories, clinics with beds, administration

  • consultative diagnostic block, pharmacy, station block, administrative economic block, registration, departments

Explicação

Questão 39 de 105

1

Health care syatem in Bulgaria is

Selecione uma das seguintes:

  • Health Insurance

  • Voluntary health insurance

  • Budget health service

Explicação

Questão 40 de 105

1

What is the shortest duration of the medical sickness certificate?

Selecione uma das seguintes:

  • 1 day

  • 7 days

  • 3 days

Explicação

Questão 41 de 105

1

In the case of normal pregnancy women have the right to

Selecione uma das seguintes:

  • 2 free ultrasound examinations- once in the first trimester of pregnancy and once at the fifth month of pregnancy

  • 3 free ultrasound examination- once in the first trimester and two at the third month and once at the fifth month of pregnancy

  • 4 free ultrasound examination- two in the first trimester of pregnancy, once at the fifth month and once at the ninth month

Explicação

Questão 42 de 105

1

Fertile age is from to?

Selecione uma das seguintes:

  • 20-36 years

  • 15-49 years

  • 25-55 years

Explicação

Questão 43 de 105

1

The medical establishments are registered under

Selecione uma das seguintes:

  • Health act

  • Law for medical establishments

  • Trade Law or Corporate Law

Explicação

Questão 44 de 105

1

The second medical sickness certificate due to pregnancy and childbirth is issued by

Selecione uma das seguintes:

  • a GP or an obstetrician-gynecologists

  • a pediatrician

  • obstetrician-gynaecologist in the units of the hospital care

Explicação

Questão 45 de 105

1

Health establishments are created under

Selecione uma das seguintes:

  • the law for medical medical establishments

  • the health act

  • the trade Law or Corperation Law

Explicação

Questão 46 de 105

1

The National Health Programme is adopted by:

Selecione uma das seguintes:

  • Minister of Health

  • Council of Ministers

  • National Assembly

Explicação

Questão 47 de 105

1

The medical consultation commission has mandative to issue

Selecione uma das seguintes:

  • medical sickness certificate up to 30 days at once and up to 180 calendar per year

  • extension of the medical sickness certificate for more than 14 days

  • medical sickness certificate up to 60 days at once and up to 180 calendar days per year

  • an expert decision (evaluation)

Explicação

Questão 48 de 105

1

The instalment shaft be made by the employer or by an administrative body and by the insured person in the following proportion

Selecione uma das seguintes:

  • 70-30

  • 80-20

  • 60-40

Explicação

Questão 49 de 105

1

Which are the top death causes by ICD-10 classes

Selecione uma das seguintes:

  • Trauma and poisoning, neoplasms, disease of circulatory system, disease of the respiratory system

  • Disease of the circulatory system, diseases of the respiratory system, neoplasms, trauma and poisoning

  • Diseases of the circulatory system, neoplasms, diseases of the respiratory system, diseases of the digestive system

Explicação

Questão 50 de 105

1

Which of the following statements are CORRECT

Selecione uma ou mais das seguintes:

  • Territorial expert medical commission has the mandate to issue medical sickness certificate based on a clinical examination and expert evaluation of the medical records

  • Temporary inability for work (sick leave) is the present in the occasions of looking after a diseased or quarantined member of the family, urgent accompany of a sick family member for medical examination

  • Territorial expert medical commission has the right to give more than 6 months

  • A medical sickness certificate may be issued retroactively

Explicação

Questão 51 de 105

1

The National Expert Medical Commission is:

Selecione uma das seguintes:

  • other establishment under the law for medical establishments

  • health establishments under the health act

  • medical establishments for hospital care under the law for medical establishments

Explicação

Questão 52 de 105

1

Genetic counselling is mandatory in which cases

Selecione uma das seguintes:

  • in case of a woman over 35 years or partner is older than 50 years

  • having a child with congenital anomalies of the previous pregnancy

  • all of the answers are correct

  • in case of unknown father

Explicação

Questão 53 de 105

1

Mass neonatal screening for phenylketonaria, congenital hypothyroidism, 21-hydroxylase deficiency is conducted

Selecione uma das seguintes:

  • 2-5 days after birth

  • Up to 30 days after birth

  • In 30-32 g.w.

Explicação

Questão 54 de 105

1

Under the law for the medical establishments, a patient should

Selecione uma das seguintes:

  • take care of his own health

  • observe the order of the medical and healthcare establishments

  • pay for the provided medical service

Explicação

Questão 55 de 105

1

Medical establishments for hospital care include

Selecione uma ou mais das seguintes:

  • Complex oncological centre

  • Hospital for active treatment

  • Hospital for rehabilitation, long-term treatment and rehabilitation

Explicação

Questão 56 de 105

1

Which of the following statements about primary medical care is not correct

Selecione uma das seguintes:

  • Assistance involving comprehensive health care for patients

  • Primary medical care is a key element of the national health system

  • Primary medical care services provides qualified stationary assistance

Explicação

Questão 57 de 105

1

Reasons for hospitalisation include

Selecione uma das seguintes:

  • acute or chronic illness, maternity

  • acute or chronic illness, disease

  • medical, social, medico-social

Explicação

Questão 58 de 105

1

Non-government humanitarian activities are carried out by

Selecione uma ou mais das seguintes:

  • Ministry of Health

  • The Red Cross

  • Regional Health Inspectorate

  • Rescue services

Explicação

Questão 59 de 105

1

The healthcare system in England refers to

Selecione uma das seguintes:

  • Health insurance system

  • Voluntary healthcare system

  • Budgetary healthcare system

Explicação

Questão 60 de 105

1

The law for medical establishments was adopted in

Selecione uma das seguintes:

  • 1999

  • 1998

  • 1997

Explicação

Questão 61 de 105

1

The National Framework Contract shall be concluded between

Selecione uma das seguintes:

  • The National Health Insurance Fund and professional organisation

  • The National Health Insurance Fund and people who use health services

  • The National Health Insurance Fund and the Healthcare facilities

Explicação

Questão 62 de 105

1

What are the conditions for registering a DCC/Diagnostic and consultative center

Selecione uma das seguintes:

  • Minimum 3 physicians in various specailties, registry and diagnostic imaging

  • Minimum 10 physicians in various specailties, registry and diagnostic imaging and clinical laboratory

  • Minimum 15 physicians in various specailties, laboratory and one-day surgery

Explicação

Questão 63 de 105

1

Leading cause of death in Bulgaria are

Selecione uma das seguintes:

  • Diseases of the respiratory system

  • Diseases of the digestive system

  • Diseases of the blood circulatory system

Explicação

Questão 64 de 105

1

The main method of active follow-up, observation, treating and recovery the individual health is

Selecione uma das seguintes:

  • prophylactic method

  • clinical method

  • dispensary method

Explicação

Questão 65 de 105

1

Secondary prevention includes

Selecione uma ou mais das seguintes:

  • Selective screening of newborns

  • Neonatal mass screening

  • Taking folic acid before contraception

  • Biochemical screening of pregnant women

  • Health information and health education

Explicação

Questão 66 de 105

1

Which of the following statements are correct for "term births"

Selecione uma das seguintes:

  • birth from 35 completed weeks to less than 40 completed weeks of gestation

  • birth from 40 completed weeks to less than 48 completed weeks of gestation

  • birth from 37 completed weeks to less than 42 completed weeks of gestation

Explicação

Questão 67 de 105

1

The third medical sickness certificate due to pregnancy and childbirth is issued by

Selecione uma das seguintes:

  • a GP or an obstetrician-gynaecologist

  • a paediatrician

  • obstetrician-gynaecologist in the units of the hospital care

Explicação

Questão 68 de 105

1

Early neonatal infant mortality is determined by the the deaths of liveborn infants in the period of

Selecione uma das seguintes:

  • 0-28

  • 0-1

  • 0-7

Explicação

Questão 69 de 105

1

Primary prevention induces

Selecione uma das seguintes:

  • Immunisation

  • Screening

  • Social rehabilitation

  • Iodization of salt

  • Prophylaxis establishment

Explicação

Questão 70 de 105

1

Medical establishments for hospital care are

Selecione uma das seguintes:

  • specialised and multi-profile hospitals, for active treatment and university hospitals

  • specialised and multi-profile hospitals, for active or long-term treatment, rehabilitation, long-term treatment and rehabilitation and university hospitals

  • long-term treatment, rehabilitation, long-term treatment and rehabilitation and university hospitals

Explicação

Questão 71 de 105

1

The GP/dental practitioner has the mandate to issue medical sickness certificate

Selecione uma das seguintes:

  • up to 7 days at once generally

  • up to 14 days at once generally

  • up to 40 days at once generally

Explicação

Questão 72 de 105

1

The first medical sickness certificate due to pregnancy and childbirth is issued by

Selecione uma das seguintes:

  • a GP or an obstetrician-gynaecologist

  • a pediatrician

  • obstetrician-gynaecologist in the units of the hospital care

Explicação

Questão 73 de 105

1

Biochemical screening of pregnant women is conducted in

Selecione uma das seguintes:

  • 11-14 (early) or 15-20 (late) gw

  • 6-7 (early) or 22-24 (late) gw

  • 15-20 (early) or 30-321 (late) gw

Explicação

Questão 74 de 105

1

Legalisation of the healthcare system of Bulgaria is done by

Selecione uma das seguintes:

  • Minister of Health

  • Council of Ministers

  • National Assembly

Explicação

Questão 75 de 105

1

The medical sickness certificate for pregnancy and birth is divided into 3 medical sickness certificates as follows

Selecione uma das seguintes:

  • I for 42 calendar days, II for 48 calendar days, III for 45 calendar days

  • I for 48 calendar days, II for 42 calendar days, III for 45 calendar days

  • I for 45 calendar days, II for 42 calendar days, III for 48 calendar days

Explicação

Questão 76 de 105

1

In which cases a GP makes referrals to outpatient specialist and inpatient services

Selecione uma ou mais das seguintes:

  • Need for advisory obligatory opinion for prophylaxis and dispensary examinations

  • Assessment of the health condition at upon patient's request

  • Emergency

Explicação

Questão 77 de 105

1

Tertiary prevention include

Selecione uma das seguintes:

  • Prophylactic examination

  • Immunisation (vaccinations)

  • Screening tests

  • Iodisation of salt

  • Social rehabilitation

Explicação

Questão 78 de 105

1

How many medical sickness certificates are issued in case of delivery of a dead child

Selecione uma das seguintes:

  • Only the first medical sickness certificate

  • Three medical sickness certificates

  • First and second medical sickness certificates

Explicação

Questão 79 de 105

1

Which of the following statements are correct

Selecione uma das seguintes:

  • The right of the individual or couple to make decisions about the number of children they want to have, the time of their birth is a basic human right and is called family planning

  • In case of pregnancy and maternity

  • All women planning a pregnancy are recommended to take 200 micrograms of folic acid (Vitamin B9) daily at least 1 month before the concept

Explicação

Questão 80 de 105

1

The National Health Strategy is adopted by:

Selecione uma das seguintes:

  • Minister of Health

  • Council of Ministers

  • National Health Assembly

Explicação

Questão 81 de 105

1

Under the Law for medical establishments, the outpatient care establishments are

Selecione uma das seguintes:

  • Ambulatory for primary medical care, ambulatory for specialised medical care, medical and medical dental centre, diagnostic consultative centre, Independent medical diagnostic and medical technical laboratories, dental centres

  • Ambulatory for primary medical care, ambulatory for specialised medical care

  • Ambulatory for primary medical care, ambulatory for specialised medical care, medical and medical dental centre, diagnostic consultative centre, Independent medical diagnostic and medical technical laboratories, dental centres, complex centres

Explicação

Questão 82 de 105

1

Healthcare system in Germany is

Selecione uma das seguintes:

  • Health insurance

  • Voluntary Health Insurance

  • Budget Health Service

Explicação

Questão 83 de 105

1

Which certificate is given in 45 days of pregnancy

Selecione uma das seguintes:

  • By GP

  • Ob-Gyn

Explicação

Questão 84 de 105

1

Secondary prevention of congenital diseases

Selecione uma das seguintes:

  • Prenatal selective screening

  • Prenatal biochemical screening

  • Massive neonatal screening – 2-5days after birth

Explicação

Questão 85 de 105

1

How many weeks of gestation for the term birth?

Selecione uma das seguintes:

  • 37 to 42 weeks

  • 40 to 48 weeks

  • 35 to 40 weeks

Explicação

Questão 86 de 105

1

You lose medical insurance if you haven’t paid for how many months?

Selecione uma das seguintes:

  • 6 months

  • 3 months

  • 1 month

Explicação

Questão 87 de 105

1

What is the main method of follow up/ observance studies?

Selecione uma das seguintes:

  • dispensary method

  • prophylaxis

Explicação

Questão 88 de 105

1

Preencha os espaços em branco para completar o texto.

What is ECDC and where is it based?
Ans: center for and based in ,

Explicação

Questão 89 de 105

1

Which one about primary medical care is not correct?

Selecione uma das seguintes:

  • assistance that provides comprehensive care to the patients

  • one of the main elements of the national health system

  • provides high quality stationary medical assistance

Explicação

Questão 90 de 105

1

Year of the medical establishment act?

Selecione uma das seguintes:

  • 1998

  • 1999

Explicação

Questão 91 de 105

1

Minimum number of doctors in the medical commission?

Selecione uma das seguintes:

  • 2

  • 5

  • 3

Explicação

Questão 92 de 105

1

NGO bodies

Selecione uma das seguintes:

  • Red cross

  • Rescue service

Explicação

Questão 93 de 105

1

Preencha o espaço em branco para completar o texto.

World health organisation was established in the year
Ans:

Explicação

Questão 94 de 105

1

Preencha o espaço em branco para completar o texto.

The highest authority of world health organization is
Ans:

Explicação

Questão 95 de 105

1

The types of analytical studies are:

Selecione uma ou mais das seguintes:

  • field studies

  • experimental

  • cross-sectional

  • environmental

  • descriptive

  • case-control

  • observational

  • cohort

Explicação

Questão 96 de 105

1

There is an association between the exposure and disease of interest beyond what might be expected from error alone.

Selecione uma das seguintes:

  • H0

  • H1

Explicação

Questão 97 de 105

1

Selecione das listas do Menu para completar o texto.

Matching Questions

1. Virulence ( c, d, e, a, b )
2. Epidemic ( a, b, c, d, e )
3. Case Definition ( b, c, d, e, a )
4. Prognosis ( d, e, a, b, c )
5. Source for the Agent ( e, a, b, c, d )

a) Occurrence of more cases of disease than would normally be expected in a specific place or group of people over a given period of time
b) Set of standard criteria for deciding whether or not a person has a certain disease
c) The severity of disease that the agent causes in the host
d) The possible outcomes of a disease or condition and the likelihood that each one will occur
e) Place where the agent originates, lives, grows, and multiples.

Explicação

Questão 98 de 105

1

Preencha os espaços em branco para completar o texto.

The natural changes of the population consist of and

Explicação

Questão 99 de 105

1

Preencha o espaço em branco para completar o texto.

The population where the number of people over 50 in is higher than the number of people under age 12 is the

Explicação

Questão 100 de 105

1

Preencha os espaços em branco para completar o texto.

The common purposes of the health assessment include and

Explicação

Questão 101 de 105

1

The elements of PHC are

Selecione uma ou mais das seguintes:

  • Education

  • Health promotion

  • Local disease control

  • Expanded program of immunisation

  • Social history

  • Maternal and childcare

  • Essential Drugs

  • Nutrition and food supply

  • Injuries

  • Treatment for common diseases

Explicação

Questão 102 de 105

1

Risk factors: Patient characteristics or factors associated with an increased probability of developing disease on condition

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 103 de 105

1

Portal of entry: Pathway by which the agent can leave the source

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 104 de 105

1

Host= The organism that is susceptible to the effect of the agent

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 105 de 105

1

Bias= The organism that is susceptible to the effect of the agent

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

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