National Veterinary Examination (獣医師国家試験) · Japan · Ministry of Agriculture, Forestry and Fisheries (MAFF), with the Veterinary Affairs Council
Original practice questions written to the published syllabus · not past papersHow disease is measured, studied and controlled in populations, from incidence and prevalence to surveillance and outbreak investigation, plus the major zoonoses and One Health.
In the exams: Nepal NLEV Epidemiology & Public Health 6; SAVC epidemiology 15 and zoonoses 25; EGEL Plus epidemiology 15; ICAR AICE-JRF core group 06
How our questions for National Veterinary Examination spread across the units of Veterinary Epidemiology & Zoonoses. Difficulty: 21 easy, 19 medium, 1 hard.
| Measures of disease frequency: incidence, prevalence, morbidity, mortality and case fatality | 5 | |
| Zoonoses: rabies, brucellosis, tuberculosis and anthrax | 5 | |
| Evaluation of diagnostic tests: sensitivity and specificity | 4 | |
| Zoonoses: leptospirosis, glanders, KFD, avian influenza and Japanese encephalitis | 4 | |
| Terms of disease occurrence: sporadic, enzootic, epizootic, panzootic and exotic | 3 | |
| Epidemiological study designs | 3 | |
| Sampling for disease surveys | 3 | |
| Surveillance | 3 | |
| Risk analysis | 3 | |
| Outbreak investigation | 3 | |
| Transboundary animal diseases and WOAH | 3 | |
| One Health | 2 |
Choose an answer, then open the working. Each explanation says why the right answer is right and why the others are not.
A disease that is present in a cattle population at a usual, fairly constant and predictable frequency is described as:
A. Enzootic
Enzootic (the animal equivalent of endemic) means present at the expected, stable level. Epizootic means clearly above the expected level; sporadic means irregular and unpredictable; exotic means not normally present in the country.
Further reading: Thrusfield M et al., Veterinary Epidemiology, 4th ed.
In a cross-sectional survey, 48 of 600 goats tested are positive for an infection on the day of sampling. What is the prevalence?
A. 8.0%
Prevalence = existing cases / animals examined = 48/600 = 0.08 = 8%. 0.8% is a decimal-place slip; 12.5% is 600/48 read wrongly; 8.7% divides by the 552 negatives (48/552), giving odds, not prevalence.
Further reading: Thrusfield M et al., Veterinary Epidemiology, 4th ed.
During an outbreak of respiratory disease, 40 calves become ill and 6 of them die. What is the case fatality rate?
D. 15%
Case fatality = deaths / cases = 6/40 = 15%. It measures severity. Dividing deaths by the whole herd gives mortality, not case fatality; 17.6% divides by the 34 survivors (6/34).
Further reading: Thrusfield M et al., Veterinary Epidemiology, 4th ed.
A case-control study of salmonellosis in herds gives: cases exposed 40, cases unexposed 60, controls exposed 20, controls unexposed 80. What is the odds ratio?
A. 2.67
OR = ad/bc = (40 x 80)/(20 x 60) = 3200/1200 = 2.67. 2.00 is 40/20, a ratio of exposed counts. 1.56 comes from treating the table as if risks could be computed, which a case-control design does not allow. 0.38 is the inverse.
Further reading: Thrusfield M et al., Veterinary Epidemiology, 4th ed.
A national system relies on farmers and private veterinarians to report suspect cases of disease to the veterinary authority. This is:
A. Passive surveillance
Passive surveillance depends on reports initiated by others. It is continuous and cheap but misses mild or unrecognised disease. Active surveillance is initiated by the authority through planned sampling.
Further reading: Thrusfield M et al., Veterinary Epidemiology, 4th ed.
In a feed-associated outbreak, 80 broilers received a particular batch of feed and 20 became ill. What is the attack rate among birds that received it?
C. 25%
Attack rate = ill / exposed = 20/80 = 25%. The value is compared with the attack rate in birds not fed that batch to implicate or exonerate it. 4% inverts the ratio (80/20 = 4).
Further reading: Thrusfield M et al., Veterinary Epidemiology, 4th ed.
A cow is found dead with dark unclotted blood oozing from the nostrils and anus and no rigor mortis. What should be done first?
C. Do not open the carcass; take a peripheral blood smear for polychrome methylene blue stain and inform the authorities
These signs suggest anthrax. Opening the carcass exposes vegetative bacilli to air, and they then sporulate and contaminate the site for decades. A blood smear shows square-ended bacilli with a pink capsule (M'Fadyean reaction). The case must be reported and the carcass destroyed as national rules require.
Further reading: Thrusfield M et al., Veterinary Epidemiology, 4th ed.
Why are H5 and H7 low pathogenicity avian influenza viruses in poultry a regulatory concern?
B. HPAI viruses have so far arisen only from H5 and H7 subtypes, which can mutate to high pathogenicity in poultry
HPAI has emerged from H5 and H7 LPAI precursors through changes at the haemagglutinin cleavage site during circulation in poultry, so these subtypes are monitored even when mild.
Further reading: WOAH Manual of Diagnostic Tests and Vaccines for Terrestrial Animals
Point prevalence measured in a single cross-sectional survey is most useful for:
B. Estimating the current burden of disease to plan treatment or control work
Prevalence describes how much disease exists at one time, useful for planning. Risk and speed of new cases are incidence measures; how often cases die is case fatality.
Further reading: Thrusfield M et al., Veterinary Epidemiology, 4th ed.
Planned testing of a random sample of herds by the veterinary authority to measure brucellosis prevalence is an example of:
C. Active surveillance
The authority initiates and designs the data collection, so it is active surveillance.
Further reading: Thrusfield M et al., Veterinary Epidemiology, 4th ed.
Ten here, 41 in the app. The Laisha app has every practice question we have written to National Veterinary Examination 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.
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