A child uses a phone late every night and gets little sleep. Which daily routine would help protect the child's health?
(a)Limited screen time and enough sleep
(b)Extra screen time before bed to help with sleep
(c)Short sleep during childhood, with enough sleep only in adulthood
(d)Long screen time with breaks only for the eyes
Show answer
(a) Limited screen time and enough sleep
Limiting screen time and getting enough sleep help protect health. Too much screen time can affect sleep and mental well-being as well as the eyes. Children need enough sleep for the body and mind to rest and recover.
Question 2
Vikram cycles to school and back every day. He also gets too little sleep each night. What change would make his routine healthier?
(a)Skipping a meal to make up for it
(b)More exercise to cancel the harm
(c)Getting enough sleep each night
(d)Stopping his daily exercise
Show answer
(c) Getting enough sleep each night
Exercise supports health, but it cannot cancel the harm from eating fast food too often or getting too little sleep. Vikram should get enough sleep each night while continuing to exercise. Skipping meals is not a healthy way to make up for either problem.
What health means
Question 3
A child has no disease or injury. The child feels worried about school and finds it hard to cope. Which aspect of well-being most directly needs support?
(a)Physical well-being
(b)Social well-being
(c)Mental well-being
(d)No aspect of well-being
Show answer
(c) Mental well-being
Health includes physical, mental and social well-being. Having no diagnosed disease does not establish complete well-being. The stated worries or unwanted social difficulties deserve support. These aspects can interact; the question asks which is most directly described.
Question 4
After moving to a new city, a student feels lonely and spends more time on his phone. He then cannot sleep through the night. Which changes described here may be affecting his health?
(a)Only the new city's climate
(b)His increased phone use alone, without any effect from loneliness
(c)Only the health he was born with
(d)His loneliness and increased phone use
Show answer
(d) His loneliness and increased phone use
Loneliness and increased phone use can affect health. These changes may play a part in his illness, but the account does not tell us the exact cause.
Our surroundings and our health
Question 5
The same children play in two areas, keeping their personal habits unchanged. One area is clean and well kept; in the other, the air is thick with smoke and dust. How does the children’s illness risk compare between the areas?
(a)Lower illness risk in the second area
(b)Only less pleasant surroundings, with unchanged illness risk
(c)Higher illness risk in the second area
(d)Equal illness risk whenever personal habits are the same
Show answer
(c) Higher illness risk in the second area
The second area has unhealthy surroundings that can increase illness risk even when personal habits stay the same. Health depends on both personal habits and surroundings. Higher risk does not mean every child will become ill.
Question 6
What health problems can breathing polluted air from a row of factories cause?
(a)Coughing and increased breathing trouble in people with asthma
(b)Illness from a lack of nutrients
(c)Only discomfort, with no harm to health
(d)Illness from dirty drinking water
Show answer
(a) Coughing and increased breathing trouble in people with asthma
Polluted air can cause coughing. It can also make breathing harder for people with asthma.
How communicable diseases spread
Question 7
Which disease can spread by the route paired with it?
(a)Cholera — a mosquito bite
(b)Malaria — breathing the same air as a patient
(c)Dengue — shaking hands with a patient
(d)Cholera — drinking contaminated water
Show answer
(d) Cholera — drinking contaminated water
Cholera can spread through contaminated drinking water. Malaria spreads through infected mosquito bites, not shared air. Dengue does not spread through handshakes. Cholera spreads through contaminated water or food, not mosquito bites.
Non-communicable diseases
Question 8
For type 2 diabetes, which approach can help reduce risk or support management?
(a)Avoiding people with it is the main way to prevent it.
(b)Antibiotics are the main way to manage it.
(c)Nothing can help because it is not caused by a germ.
(d)Healthy habits and advice from a doctor or health worker can reduce risk or help manage the condition.
Show answer
(d) Healthy habits and advice from a doctor or health worker can reduce risk or help manage the condition.
These conditions are not caught by sitting near someone who has them. Appropriate diet and activity can support risk reduction or management. Care depends on the condition and the person. Type 1 diabetes is different and is not prevented by these lifestyle changes.
Stopping the spread
Question 9
Dengue can spread when a mosquito carrying the pathogen bites a person. Which measure directly reduces that risk?
(a)Wearing only a mask, since the same precaution prevents every disease.
(b)Sitting far away from anyone who already has the disease, and never touching them.
(c)Using mosquito nets and repellents, and removing mosquito breeding sites.
(d)Taking a vaccine after falling ill, so that the illness is cured quickly.
Show answer
(c) Using mosquito nets and repellents, and removing mosquito breeding sites.
Prevention should address the route of exposure. Nets, repellents and removing breeding sites reduce mosquito exposure. Safe water and hygienic food handling reduce exposure through food and water. A preventive vaccine is not a treatment for an established infection.
What a disease is, and its two kinds
Question 10
Can chickenpox spread from one person to another?
(a)No. Mild illnesses do not spread.
(b)Yes. Sharing a water bottle is the only way.
(c)Yes. Every illness is caught from someone.
(d)Yes. A pathogen causes it.
Show answer
(d) Yes. A pathogen causes it.
A disease spreads from person to person only when a pathogen causes it. Diabetes and asthma are non-communicable: no pathogen causes them, so there is nothing to pass on. The flu and chickenpox are communicable, caused by pathogens, and can pass to others. How mild or serious a disease feels does not decide whether it spreads.
Signs and symptoms
Question 11
A patient reports spells of dizziness, and every measurement the doctor takes comes back normal. What follows from that?
(a)Nothing at all is wrong, because nothing can be seen or measured in this patient.
(b)Something may still be wrong, because what the patient feels is evidence in its own right.
(c)Something is wrong, and the report itself is one of the signs the doctor has found.
(d)Nothing can be said either way until the same measurements are taken a second time.
Show answer
(b) Something may still be wrong, because what the patient feels is evidence in its own right.
A symptom is a person’s reported experience, such as pain, tiredness or dizziness. A sign is an observable or measurable finding. Normal results from the checks performed do not rule out every problem. The doctor considers the symptoms alongside examination and test findings.
Which pathogen causes which disease
Question 12
Which kind of pathogen causes influenza?
(a)Worms
(b)Viruses
(c)Fungi
(d)Bacteria
Show answer
(b) Viruses
Table 3.1 lists viruses as the causal agents of both influenza and hepatitis A.
Immunity and vaccines
Question 13
A child developed protection after the recommended measles vaccination, without having measles. How was this protection acquired?
(a)Taking antibiotics
(b)Vaccination
(c)Inborn protection against every illness
(d)Catching the disease and recovering
Show answer
(b) Vaccination
Vaccination can train the immune system without the person having the disease. The case describes acquired protection through vaccination.
Jenner and the first vaccine
Question 14
What does the chapter credit with ending smallpox worldwide?
(a)More people working with cows
(b)Smallpox fading away naturally as living conditions improved
(c)Mass vaccination worldwide
(d)Better hospital treatment alone
Show answer
(c) Mass vaccination worldwide
The chapter credits mass vaccination with ending smallpox worldwide. Vaccination protected people against smallpox and helped stop its spread.
Antibiotics and antibiotic resistance
Question 15
Antibiotics are given routinely to cows and hens on a farm. How can resistant bacteria from these animals reach people through a crop grown in a manured field?
(a)No spread from farm animals to people
(b)Through manure carrying resistant bacteria into soil and onto crops
(c)Spread only to the farmer who used the antibiotics
(d)Spread only from animals that are ill
Show answer
(b) Through manure carrying resistant bacteria into soil and onto crops
Farm animals can carry resistant bacteria even when they appear healthy. These bacteria can reach people through animal food products. Milk and butter come from cows, while eggs come from hens. Resistant bacteria can also pass through manure into soil and onto crops that people handle or eat.
Common misconception in Health: The Ultimate Treasure
Why it feels right. A medicine for one infection seems useful for every infection.
Right
Antibiotics act on bacteria. Viral infections involve different targets.
Worked example
Example bacterial target
Bacterial cell wall→Some antibiotics block its formation
Cold virus
No bacterial cell wall→Same target is absent
The antibiotic's bacterial target is absent in a cold virus.
A common cold is caused by viruses.
Its virus lacks the bacterial structures that many antibiotics target.
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