ENARE multiprofessional residency: Veterinary Medicine · Brazil · EBSERH / FGV
Original practice questions written to the published syllabus · not past papersAnimal, human and environmental health as one system: One Health governance, AMR surveillance and stewardship, emerging diseases, climate and the Sustainable Development Goals.
In the exams: RPSC One Health unit; EAEVE Day One competences (One Health, SDGs); proposed MSVE revision (AMR and One Health awareness)
How our questions for ENARE multiprofessional residency spread across the units of One Health, Antimicrobial Resistance & Global Health. Difficulty: 12 easy, 33 medium, 18 hard.
| AMR surveillance | 14 | |
| One Health in national policy | 13 | |
| Quadripartite governance: FAO, UNEP, WHO and WOAH | 9 | |
| Emerging and re-emerging diseases | 7 | |
| The One Health concept | 6 | |
| Climate and health | 6 | |
| The UN Sustainable Development Goals | 5 | |
| Antimicrobial stewardship | 3 |
Choose an answer, then open the working. Each explanation says why the right answer is right and why the others are not.
A dairy farmer develops undulant fever, and his herd has a history of abortions. At which One Health interface did the infection most plausibly occur?
B. The livestock-human occupational interface
Undulant fever with herd abortions points to brucellosis, a classic occupational zoonosis acquired by direct contact with livestock, birth fluids or raw milk. The other interfaces matter for other hazards but not here.
Which is NOT one of the six action tracks of the One Health Joint Plan of Action (2022-2026)?
D. Harmonising veterinary degree curricula across member countries
The six tracks are One Health capacities for health systems; emerging zoonotic epidemics and pandemics; endemic zoonotic, neglected tropical and vector-borne diseases; food safety risks; AMR; and the environment. Veterinary curriculum harmonisation is not a track.
A country has 2 million pigs with a standard weight at treatment of 65 kg and 10 million broilers with a standard weight of 1 kg. What is the total population correction unit for these two categories?
C. 140,000 tonnes
PCU = animals x standard weight. Pigs 2,000,000 x 65 = 130,000,000 kg; broilers 10,000,000 x 1 = 10,000,000 kg; total 140,000,000 kg = 140,000 tonnes. 130,000 forgets the broilers; 12,000 adds the 12 million head as if each weighed 1 kg; 1,400,000 is a factor-of-ten slip.
Out of 230 indicator E. coli isolates from broiler caeca, 46 were non-wild-type for third-generation cephalosporins. What is the percentage of non-wild-type isolates?
D. 20%
46 / 230 = 0.20 = 20%. 46% treats the count as a percentage; 25% comes from dividing 46 by 184 (the wild-type isolates) instead of by the total; 4.6% is a decimal slip.
Which national programme, begun in 1995, is regarded as the first fully integrated AMR monitoring programme covering animals, food and humans?
C. DANMAP in Denmark
DANMAP started in 1995 and reported animal and human use and resistance together. NARMS began in 1996; CIPARS and JVARM followed similar models later.
In the WHO AGISAR guidance on integrated surveillance of resistance in foodborne bacteria, what makes surveillance 'integrated'?
C. Same species and harmonised methods along the food chain and in people, with use data reported too
AGISAR guidance samples healthy animals at slaughter, retail meat and people with the same species and methods, and reports use with resistance, so trends can be compared and sources traced. Collecting reports in one office without harmonised methods is not integration.
Which group of antimicrobial classes is ranked highest priority both by WHO for human medicine and in WOAH guidance for veterinary use, and should be used in animals only as a last resort?
B. Third-generation cephalosporins, fluoroquinolones and polymyxins
Third- and higher-generation cephalosporins, fluoroquinolones and polymyxins (colistin) are highest-priority critically important antimicrobials for human medicine, and WOAH advises they not be used for prevention or as first choice in animals. The other groups are of lower human importance.
WOAH's Wildlife Health Framework (2021) asks member countries mainly to:
C. Build wildlife health into national surveillance and risk management
The framework aims to integrate wildlife health into national systems for early detection and risk reduction. It does not require culling, a total trade ban or a shift of reporting to WHO.
SDG indicator 3.d.2 measures antimicrobial resistance using bloodstream infections due to which organisms?
A. Methicillin-resistant S. aureus and E. coli resistant to third-generation cephalosporins
Indicator 3.d.2 is the percentage of bloodstream infections due to MRSA and to E. coli resistant to third-generation cephalosporins, reported through GLASS. It is a human-health indicator; there is no SDG indicator for animal antimicrobial use.
Under Codex, which four steps make up risk assessment for a foodborne hazard?
D. Hazard identification, hazard characterisation, exposure assessment and risk characterisation
Codex risk assessment comprises hazard identification, hazard characterisation, exposure assessment and risk characterisation. The WOAH import framework uses entry, exposure, consequence and risk estimation; HACCP terms describe process control, not risk assessment.
Ten here, 63 in the app. The Laisha app has every practice question we have written to ENARE multiprofessional residency in this subject, marked as you go, with timed papers, a jump-to-unanswered list and a certificate when you pass at 70 per cent.
Free for ten days, then one subscription of US$10 a month. We would rather say so here than have you find it later.
An AI operating system for agriculture: free guides, manuals and tools written for every country.