Water and Health BCQs

  1. The hydrological cycle refers to the:

a) Movement of air masses in the atmosphere

b) Continuous movement of water on, above, and below the surface of the Earth

c) Formation of rocks and minerals

d) Process of energy transfer in ecosystems

e) None of the above

  1. Which of the following is NOT a naturally occurring chemical contaminant in water?

a) Nitrates

b) Fluoride

c) Arsenic

d) Chloroform

e) Toxins produced by microorganisms

  1. The term “eutrophication” refers to:

a) The process of water purification

b) The accumulation of salt in water bodies

c) Excessive richness of nutrients in a lake or other body of water, frequently due to runoff from the land, which causes a dense growth of plant life and death of animal life from lack of oxygen

d) The depletion of the ozone layer

e) The increase in global temperatures

  1. The majority of the Earth’s water is:

a) Fresh water

b) Salt water

c) Frozen in glaciers

d) Groundwater

e) In the atmosphere

  1. The process by which organic compounds are converted to less toxic forms by microbes is called:

a) Chemical transformation

b) Bioaccumulation

c) Eutrophication

d) Biological transformation

e) Biomagnification

  1. Which of the following waterborne diseases is caused by a protozoan parasite?

a) Cholera

b) Typhoid fever

c) Hepatitis A

d) Cryptosporidiosis

e) Legionnaires’ disease

  1. What percentage of the world’s water is freshwater?
  2. a) 50%
  3. b) 25%
  4. c) 10%
  5. d) 5%
  6. e) 3%
  7. Which of the following is a major source of nitrate contamination in water?

a) Industrial discharge

b) Fertilizer use

c) Mining activities

d) Volcanic eruptions

e) None of the above

  1. The presence of high levels of fluoride in drinking water can lead to:

a) Blue baby syndrome

b) Dental and skeletal fluorosis

c) Skin diseases and cancers

d) Diarrhea and vomiting

e) Neurological disorders

  1. The “Blue Baby Syndrome” is associated with which water contaminant?

a) Fluoride

b) Arsenic

c) Nitrates

d) Lead

e) Mercury

  1. The hydrological cycle involves the continuous movement of water on, above, and below the surface of the Earth. Which of the following is NOT a key component of this cycle?

a) Evaporation

b) Condensation

c) Precipitation

d) Photosynthesis

e) Runoff

  1. The text states that the majority of the world’s freshwater is locked in ice caps and glaciers. Approximately what percentage of the Earth’s total water is readily available freshwater?

a) 50%

b) 25%

c) 10%

d) 5%

e) Less than 1%

  1. The concept of ‘water stress’ is introduced in the text. If a region has a per capita water availability of 1500 cubic meters per year, would it be considered under water stress?

a) Yes, because it’s less than 1000 cubic meters

b) Yes, because it’s less than 1700 cubic meters

c) No, because it’s more than 1000 cubic meters

d) No, because it’s close to the global average

e) Cannot be determined from the information given

  1. The text highlights the connection between water scarcity and population growth. Which of the following statements best captures this relationship?

a) Population growth directly causes water scarcity

b) Water scarcity directly causes population growth

c) There’s no relationship between the two

d) Population growth can exacerbate water scarcity

e) Water scarcity can lead to population decline

  1. The text discusses various sanitation options, from open defecation to sewerage systems. Which of these options poses the LEAST risk to public health and the environment?

a) Open defecation

b) Pit latrines

c) Septic tanks

d) Sewerage systems with proper treatment

e) All pose equal risks

  1. What is the primary source of nitrate contamination in water?

a) Industrial effluents

b) Agricultural runoff and wastewater

c) Natural mineral deposits

d) Atmospheric deposition

e) Leaking underground storage tanks

  1. The text mentions “blue baby syndrome.” This condition is associated with excessive levels of which contaminant in drinking water?

a) Fluoride

b) Arsenic

c) Nitrates

d) Lead

e) Mercury

  1. You’re reviewing a water quality report that shows high levels of fluoride. What potential health effects might you be concerned about in the local population?

a) Skin diseases and cancers

b) Neurological disorders

c) Dental and skeletal fluorosis

d) Gastrointestinal illnesses

e) Respiratory problems

  1. The text describes the process of eutrophication. How does this process impact the quality of water bodies?

a) It increases water clarity

b) It enhances oxygen levels in the water

c) It promotes biodiversity

d) It leads to algal blooms and oxygen depletion

e) It has no significant impact on water quality

  1. Several factors contribute to the global issue of water scarcity. Which of the following do you consider to be the MOST significant driver of this problem?

a) Climate change

b) Population growth

c) Industrial pollution

d) Agricultural practices

e) Deforestation

  1. What are PPCPs as mentioned in the context of water contamination?

a) Persistent Organic Pollutants

b) Pharmaceuticals and Personal Care Products

c) Polychlorinated Biphenyls

d) Petroleum and Coal Hydrocarbons

e) Plant Protection Chemicals

  1. The text discusses the transformation of contaminants in aquatic environments. What is the primary role of microbial metabolism in this process?

a) It always increases the toxicity of contaminants

b) It has no effect on contaminants

c) It can convert contaminants to less toxic forms

d) It only affects organic contaminants

e) It solely promotes the bioaccumulation of contaminants

  1. The bioaccumulation of methylmercury is a concern in aquatic ecosystems. Which of the following organisms is most likely to have the highest concentration of methylmercury in its tissues?

a) Phytoplankton

b) Zooplankton

c) Small fish

d) Large fish

e) Predatory birds

  1. The text highlights the importance of biofilm in the context of water contamination. How does biofilm contribute to the persistence of pathogens in water systems?

a) It provides a nutrient-rich environment for microbial growth

b) It offers protection against disinfectants like chlorine

c) It can facilitate the exchange of genetic material among microbes

d) All of the above

e) None of the above

  1. The text presents various water treatment options. Which step in wastewater treatment is primarily responsible for removing suspended solids?

a) Preliminary treatment

b) Primary treatment

c) Secondary treatment

d) Tertiary treatment

e) Disinfection

  1. What is the main health concern associated with exposure to high levels of arsenic in drinking water?

a) Neurological disorders

b) Skin diseases and cancers

c) Respiratory problems

d) Cardiovascular diseases

e) Reproductive issues

  1. The text mentions that certain pathogens can persist in the environment. What characteristic allows them to do so?

a) Their ability to form spores

b) Their resistance to disinfectants

c) Their ability to survive in a wide range of temperatures

d) Their capacity to replicate rapidly

e) All of the above

  1. Legionella pneumophila is an example of an environmental pathogen. What is the primary mode of transmission for this bacterium?

a) Ingestion of contaminated food

b) Direct contact with infected individuals

c) Inhalation of contaminated aerosols

d) Insect bites

e) Exposure to contaminated soil

  1. The text discusses the impact of human activities on aquatic systems. Which of the following activities is LEAST likely to directly contribute to water pollution?

a) Industrial discharge

b) Agricultural runoff

c) Construction of dams

d) Sewage disposal

e) Urban development

  1. Climate change is expected to have significant implications for water resources. Which of the following is the most likely consequence of climate change on water availability?

a) Increased overall water availability globally

b) Reduced frequency of droughts

c) Changes in precipitation patterns and increased water scarcity in some regions

d) Uniform distribution of water resources

e) None of the above

  1. The text refers to the concept of “resource wars.” What does this term imply in the context of water resources?

a) Wars fought over control of oil reserves

b) Conflicts arising from competition for limited water resources

c) Disputes related to mineral extraction

d) Battles fought to protect endangered species

e) None of the aboveA

 

Environmental Health BCQs

  1. The concept of ‘Biophilia’, which suggests humans’ innate connection to nature, was introduced by:

(a) John Snow

(b) Rachel Carson

(c) E.O. Wilson

(d) Alice Hamilton

(e) Edwin Chadwick

  1. The book “Silent Spring,” which raised awareness about the environmental impact of DDT, was written by:

(a) John Graunt

(b) Rachel Carson

(c) E.O. Wilson

(d) Alice Hamilton

(e) Edwin Chadwick

  1. The modern environmental justice movement primarily focuses on:

(a) Promoting economic growth

(b) Eliminating disparities in environmental burdens

(c) Increasing industrialization

(d) Expanding urban areas

(e) Reducing global population

  1. Which of the following is NOT a major domain of environmental health?

(a) Air quality

(b) Water quality

(c) Food protection

(d) Genetic engineering

(e) Radiation protection

  1. The concept of ‘Carrying Capacity’ refers to:

(a) The amount of waste an ecosystem can absorb

(b) The number of species in an ecosystem

(c) The maximum population an environment can sustainably support

(d) The rate of resource depletion

(e) The level of pollution in an environment

  1. The WHO defines environmental health as those aspects of human health determined by:

(a) Genetic factors

(b) Physical, chemical, biological, social, and psychosocial factors in the environment

(c) Economic factors

(d) Political factors

(e) Cultural factors

  1. The equation EI = PT represents:

(a) The rate of population growth

(b) The level of biodiversity loss

(c) The environmental impact of population and industrialization

(d) The carrying capacity of an ecosystem

(e) The rate of climate change

  1. Which of the following is a renewable resource?

(a) Coal

(b) Oil

(c) Natural gas

(d) Solar energy

(e) Nuclear energy

  1. The primary focus of ‘Ecohealth’ is:

(a) Economic development

(b) Social justice

(c) Integrating ecology with human health

(d) Technological advancement

(e) Political stability

  1. The Industrial Revolution led to significant advancements in:

(a) Agriculture

(b) Manufacturing

(c) Healthcare

(d) Education

(e) Transportation

  1. ‘Sustainability’ is defined as:

(a) Maximizing economic growth

(b) Exploiting natural resources

(c) Meeting present needs without compromising the ability of future generations to meet their own needs

(d) Increasing industrialization

(e) Expanding urban areas

  1. The report “Sanitary Conditions of the Laboring Population” highlighted the link between:

(a) Overcrowding, impure water, and health

(b) Industrialization and economic growth

(c) Education and social mobility

(d) Technology and environmental degradation

(e) Globalization and cultural exchange

  1. The London Cholera Outbreak in 1854 was investigated by:

(a) John Graunt

(b) Rachel Carson

(c) E.O. Wilson

(d) John Snow

(e) Edwin Chadwick

  1. The book “Industrial Poisons in the United States” was authored by:

(a) John Graunt

(b) Rachel Carson

(c) E.O. Wilson

(d) Alice Hamilton

(e) Edwin Chadwick

  1. Which of the following is NOT an emerging issue in environmental health?

(a) Climate change

(b) Urbanization

(c) Energy use

(d) Industrialization

(e) Food stresses

  1. According to the WHO, approximately what percentage of global deaths are attributed to environmental factors?

(a) 5%

(b) 10%

(c) 15%

(d) 20%

(e) 25%

  1. In 2012, the WHO estimated that around how many people died as a result of air pollution exposure?

(a) 3 million

(b) 5 million

(c) 7 million

(d) 9 million

(e) 11 million

  1. Approximately how many infants die each year in developing countries due to diarrhea caused by contaminated food and water?

(a) 1 million

(b) 2 million

(c) 3 million

(d) 4 million

(e) 5 million

  1. The “Factory Act” was passed in the UK in which year?

(a) 1733

(b) 1783

(c) 1833

(d) 1883

(e) 1933

  1. The “Mines Act” was passed in the UK in which year?

(a) 1832

(b) 1842

(c) 1852

(d) 1862

(e) 1872

  1. John Graunt’s “Natural and Political Observations Upon the Bills of Mortality” was published in which year?

(a) 1562

(b) 1662

(c) 1762

(d) 1862

(e) 1962

  1. Rachel Carson’s “Silent Spring” was published in which year?

(a) 1942

(b) 1952

(c) 1962

(d) 1972

(e) 1982

  1. Around how many people are infected with Malaria each year?

(a) 167 million

(b) 267 million

(c) 367 million

(d) 467 million

(e) 567 million

  1. How many premature deaths annually are linked to air pollution according to WHO?

(a) 3 million

(b) 5 million

(c) 7 million

(d) 9 million

(e) 11 million

  1. How many people die from Malaria each year?

(a) 0.5 million

(b) 1 million

(c) 1.5 million

(d) 2 million

(e) 2.5 million

Environmental Health Policy BCQs

  1. The concept of “Health in All Policies” (HiAP) emphasizes:
    • (a) The economic benefits of healthcare investments.
    • (b) The political aspects of healthcare reform.
    • (c) The integration of health considerations into all policymaking across sectors.
    • (d) The technological advancements in healthcare delivery.
    • (e) The social justice aspects of healthcare access.
  2. Which of the following is NOT a tool or tactic to achieve HiAP?
    • (a) Creating cross-sector government structures.
    • (b) Integrating health into planning processes.
    • (c) Developing health-related grant scoring criteria.
    • (d) Privatizing healthcare services.
    • (e) Using Health Impact Assessment (HIA).
  3. The primary goal of environmental health policy is to:
    • (a) Maximize economic growth at all costs.
    • (b) Promote industrial development without restrictions.
    • (c) Establish and maintain a healthy and livable environment for all.
    • (d) Prioritize human needs over the needs of other species.
    • (e) Focus solely on cleaning up existing environmental damage.
  4. The principle of “environmental justice” in environmental health policy emphasizes:
    • (a) The fair distribution of environmental benefits to all communities.
    • (b) The equal sharing of environmental burdens among all populations.
    • (c) The elimination of disparities in environmental health risks and impacts.
    • (d) The prioritization of economic development over environmental protection.
    • (e) The exclusion of community voices in environmental decision-making.
  5. The concept of “intergenerational equity” in environmental health policy refers to:
    • (a) The equal distribution of resources among different age groups.
    • (b) The prioritization of the needs of the current generation.
    • (c) The responsibility to protect the environment for future generations.
    • (d) The disregard for the long-term consequences of environmental actions.
    • (e) The focus on short-term economic gains over environmental sustainability.
  6. Which of the following is NOT a component of environmental health?
    • (a) Natural environment
    • (b) Built environment
    • (c) Social environment
    • (d) Political environment
    • (e) All of the above are components of environmental health
  7. The “polluter pays” principle in environmental policy suggests that:
    • (a) The government should bear the cost of environmental cleanup.
    • (b) The entities responsible for pollution should bear the cost of its remediation.
    • (c) The general public should pay for the environmental damage caused by industries.
    • (d) Environmental protection is not a financial responsibility.
    • (e) The cost of pollution control should be shared equally among all stakeholders.
  8. Environmental health policies operate at multiple levels, including:
    • (a) Global
    • (b) National
    • (c) State and local
    • (d) Nongovernmental
    • (e) All of the above
  9. The case of Childhood Lead Poisoning in the late 1960s highlights the importance of:
    • (a) Ignoring environmental health threats.
    • (b) Relying solely on individual behavior change.
    • (c) Implementing strong environmental health policies and regulations.
    • (d) Accepting high levels of environmental toxins as inevitable.
    • (e) Focusing on treatment rather than prevention.
  10. Which of the following policies is NOT directly related to environmental health?
    • (a) Clean Air Act
    • (b) Clean Water Act
    • (c) Affordable Care Act
    • (d) Toxic Substances Control Act
    • (e) Food Quality Protection Act
  11. The concept of “health equity” refers to:
    • (a) Equal healthcare access for all.
    • (b) The absence of health disparities.
    • (c) The attainment of the highest level of health for all people, regardless of social or environmental factors.
    • (d) The prioritization of healthcare for the wealthy.
    • (e) The fair distribution of healthcare resources based on individual contributions.
  12. Which of the following is an example of how housing policy can intersect with environmental health?
    • (a) Building energy-efficient homes
    • (b) Reducing exposure to lead paint
    • (c) Ensuring access to clean water and sanitation
    • (d) Promoting healthy indoor air quality
    • (e) All of the above
  13. The reading assignment “The Path to Carbon Neutral” focuses on:
    • (a) The role of the healthcare sector in climate change mitigation.
    • (b) Strategies for reducing greenhouse gas emissions in healthcare facilities.
    • (c) The health impacts of climate change on vulnerable populations.
    • (d) The economic benefits of sustainable healthcare practices.
    • (e) All of the above
  14. Which of the following is NOT one of the “Three P’s” often considered in environmental health policy?
    • (a) Pollution
    • (b) Population
    • (c) Poverty
    • (d) All of the above are considered the “Three P’s”
    • (e) None of the above are considered the “Three P’s”
  15. The concept of “precautionary principle” in environmental health policy suggests that:
    • (a) Action should be taken only after scientific evidence of harm is conclusive.
    • (b) Economic considerations should outweigh environmental concerns.
    • (c) Protective measures should be taken even in the face of scientific uncertainty about potential harm.
    • (d) The burden of proof lies with those advocating for environmental protection.
    • (e) Environmental regulations should be minimized to avoid hindering economic growth.
  16. In the late 1960s, what was the average blood lead level in the US?
    • (a) 5 mcg/dl
    • (b) 10 mcg/dl
    • (c) 15 mcg/dl
    • (d) 22 mcg/dl
    • (e) 30 mcg/dl
  17. In the late 1960s, large Eastern cities experienced approximately how many lead poisoning deaths per year?
    • (a) 1
    • (b) 5
    • (c) ~10
    • (d) 20
    • (e) 50
  18. The reading assignment “The Path to Carbon Neutral” was co-authored by which organizations?
    • (a) World Health Organization and Greenpeace
    • (b) Centers for Disease Control and Prevention and Environmental Protection Agency
    • (c) Kaiser Permanente and Health Care Without Harm
    • (d) American Medical Association and American Public Health Association
    • (e) United Nations and World Bank
  19. The year the reading assignment “The Path to Carbon Neutral” was published?
    • (a) 2018
    • (b) 2019
    • (c) 2020
    • (d) 2021
    • (e) 2022
  20. Which of the following blood lead levels was considered toxic in the late 1960s?
    • (a) 10 mcg/dl
    • (b) 20 mcg/dl
    • (c) 30 mcg/dl
    • (d) 40 mcg/dl
    • (e) Over 60 mcg/dl
  21. Abraham Lincoln’s quote mentioned in the presentation emphasizes:
    • (a) The importance of adhering to rigid policies.
    • (b) The need for long-term policy planning.
    • (c) The value of adaptability and making the best decisions in the moment.
    • (d) The irrelevance of personal judgment in policymaking.
    • (e) The importance of following expert opinions blindly.
  22. Which of the following is NOT mentioned as a factor affecting health?
    • (a) Genes and biology
    • (b) Health behaviors
    • (c) Political affiliation
    • (d) Social environment or social characteristics
    • (e) Health services or medical care

Climate Change BCQs

  1. The Intergovernmental Panel on Climate Change (IPCC) predicts that the average global temperature by 2100 will rise between:
    • (a) 0.5 and 1.5 °C
    • (b) 1.8 and 4.0 °C
    • (c) 3.0 and 5.5 °C
    • (d) 4.5 and 6.0 °C
    • (e) 5.0 and 7.5 °C
  2. Which of the following is NOT a major greenhouse gas contributing to climate change?
    • (a) Carbon dioxide
    • (b) Methane
    • (c) Nitrous oxide
    • (d) Oxygen
    • (e) Water vapor
  3. The term ‘albedo’ refers to:
    • (a) The ability of a surface to absorb heat
    • (b) The amount of greenhouse gases in the atmosphere
    • (c) The reflectivity of a surface
    • (d) The rate of sea level rise
    • (e) The intensity of a hurricane
  4. The melting of Arctic tundra is a concern due to the potential release of which greenhouse gas?
    • (a) Carbon dioxide
    • (b) Methane
    • (c) Nitrous oxide
    • (d) Water vapor
    • (e) Ozone
  5. Which of the following is NOT a direct health impact of heat waves?
    • (a) Heat stroke
    • (b) Dehydration
    • (c) Cardiovascular stress
    • (d) Respiratory infections
    • (e) Heat exhaustion
  6. The increase in ocean temperatures is linked to:
    • (a) Decreased hurricane intensity
    • (b) Increased coral reef growth
    • (c) Increased hurricane intensity
    • (d) Decreased sea level rise
    • (e) Increased fish populations
  7. Which of the following regions are considered particularly vulnerable to the health impacts of climate change?
    • (a) North America and Europe
    • (b) Australia and New Zealand
    • (c) China, Bangladesh, and African countries
    • (d) South America and Antarctica
    • (e) Russia and Greenland
  8. Ocean acidification, a consequence of increased carbon dioxide in the atmosphere, poses a threat to which marine organisms?
    • (a) Sharks
    • (b) Whales
    • (c) Dolphins
    • (d) Shellfish
    • (e) Jellyfish
  9. Climate change can impact food production through all of the following EXCEPT:
    • (a) Changes in temperature and precipitation patterns
    • (b) Increased soil quality
    • (c) Sea level rise affecting coastal agriculture
    • (d) Increased plant diseases and pests
    • (e) Food spoilage due to extreme weather events
  10. Which of the following air pollutants may increase in concentration due to climate change?
    • (a) Particulate matter
    • (b) Ozone
    • (c) Pollen
    • (d) All of the above
    • (e) None of the above
  11. The proliferation of which of the following pathogens is associated with climate change?
    • (a) Vibrio cholerae (cholera)
    • (b) Harmful algal blooms
    • (c) Mosquitoes (malaria, dengue)
    • (d) Rodents (plague)
    • (e) All of the above
  12. Public health responses to climate change can be broadly categorized into:
    • (a) Mitigation and adaptation
    • (b) Prevention and treatment
    • (c) Education and awareness
    • (d) Research and development
    • (e) Policy and advocacy
  13. Which of the following is an example of a mitigation strategy to address climate change?
    • (a) Developing heat-resistant crops
    • (b) Building sea walls to protect against flooding
    • (c) Reducing greenhouse gas emissions
    • (d) Creating early warning systems for extreme weather events
    • (e) Relocating communities away from vulnerable areas
  14. The concept of “co-benefits” in climate change interventions refers to:
    • (a) The economic benefits of climate action
    • (b) The political advantages of environmental policies
    • (c) The additional health or environmental benefits beyond the primary goal of reducing greenhouse gas emissions
    • (d) The technological advancements resulting from climate research
    • (e) The social justice implications of climate change policies
  15. Which of the following is an example of an unintended consequence of a climate change intervention?
    • (a) Reduced air pollution from renewable energy sources
    • (b) Increased food security from climate-smart agriculture
    • (c) Deforestation for biofuel production
    • (d) Improved water quality from sustainable land management
    • (e) Enhanced biodiversity from ecosystem restoration

Numeric Fact-Based Questions

  1. The IPCC estimates that the rate of change in climate is faster than it has been in the last how many years?
    • (a) 100 years
    • (b) 500 years
    • (c) 1,000 years
    • (d) 5,000 years
    • (e) 10,000 years
  2. A heat wave is typically defined as five or more days with temperatures exceeding the average maximum by how many degrees Celsius?
    • (a) 2 °C
    • (b) 3 °C
    • (c) 5 °C
    • (d) 7 °C
    • (e) 10 °C
  3. The global warming potential (GWP) of a greenhouse gas is typically measured over what time horizon?
    • (a) 10 years
    • (b) 20 years
    • (c) 50 years
    • (d) 100 years
    • (e) 500 years
  4. Approximately how many people die each year from malaria, a vector-borne disease influenced by climate?
    • (a) 100,000
    • (b) 500,000
    • (c) 1 million
    • (d) Over 500,000
    • (e) Over 1 million
  5. The Age of Industrialization, a period of significant greenhouse gas emissions, primarily occurred during which centuries?
    • (a) 14th and 15th
    • (b) 15th and 16th
    • (c) 17th and 18th
    • (d) 19th and 20th
    • (e) 20th and 21st
  6. According to a 2014 WHO news release, approximately how many premature deaths annually are linked to air pollution?
    • (a) 3 million
    • (b) 5 million
    • (c) 7 million
    • (d) 9 million
    • (e) 11 million
  7. Climate change can lead to the salinization of freshwater sources. What is the primary cause of this salinization?
    • (a) Increased rainfall
    • (b) Decreased evaporation
    • (c) Sea level rise
    • (d) Ocean acidification
    • (e) Increased agricultural runoff
  8. Which of the following greenhouse gases has the highest global warming potential over a 100-year time horizon?
    • (a) Carbon dioxide
    • (b) Methane
    • (c) Nitrous oxide
    • (d) Sulfur hexafluoride
    • (e) Hydrofluorocarbons
  9. The Earth’s climate system consists of five components. Which of the following is NOT one of these components?
    • (a) Atmosphere
    • (b) Hydrosphere
    • (c) Cryosphere
    • (d) Lithosphere
    • (e) Biosphere
  10. The concept of “radiative forcing” is used to quantify the change in energy balance of the Earth’s climate system. Which of the following has a positive radiative forcing, contributing to warming?
    • (a) Increased cloud cover
    • (b) Volcanic eruptions
    • (c) Greenhouse gas emissions
    • (d) Aerosols from industrial pollution
    • (e) Deforestation