Community Health and Communicable Diseases IV Situation: Recognizing present health issues, the Ministry of Health uses innovative

approach addressed to multisectoral agencies, thus, using the partnership strategy to achieve the goal of health for all Filipinos. 1. The partnership strategy requires that each organization become as follows, except: A. responsive to needs and open to multisectoral influences B. holistic and integrated planning and managing programs C. concerned with personal and professional staff development D. compete with conflicting commitment and objectives 2. The elements of Primary Health Care are the following except: A. promotive, protective, curative and rehabilitative B. integrated health services C. accessible and available to all D. availability of medical specialties 3. One of the aims of Primary Health Care is: A. promotion of self-reliance in the community, individual and as a group B. mobilization of barangays to solve health problems C. dependency of health resources D. looking for alternatives of care in the community 4. Primary Health Care is a practical approach to health development and improve quality and quantity of care, to include the following except: A. recognizes inter-relationship between health and socioeconomic development B. effective provision of community based, sustainable at cost, government and community can afford C. achieve acceptable level of health and well-being by active participation of community D. organize health task force with specialists to screen patients for hospitalization 5. Primary Health Care is true responsibility of the: A. outpatient department B. private clinics C. health centers D. hospitals 6. Rural health units provide care in the A. family level B. primary level C. private clinic level D. hospital dispensary level 7. The advent of the restructured health care delivery system has brought about: A. more effective utilization of man power B. more emphasis on specialization C. lesser case load for community health nurses

D. provision of restructured health care in the rural areas 8. Public Health is the science and art of having an organized community program/efforts designed for the following purposes except: A. to prolong efficient life in a state of optimum functioning B. to consider a complete state of well-being of the community C. to be concerned with good environmental sanitation D. to promote physical health and efficiency and prevent diseases Situation: Community development is a collective endeavour hence a partnership strategy to improve community health have doctors, nurses, and parties involved in the provision of a restructured quality community health service hence nurses must be aware of what it involves, to function as a public health nurse: 9. Republic 1082 is an act to: A. provide pre-licensure requirements of medical and nursing graduates B. strengthen health and dental services of rural health units C. provide rural health services by government employees D. provide midwives as primary care givers 10. Community Health Nursing means the following concerns, except: A. all community total health inputs are considered and analyzed B. focus on prevention, promotion and maintenance of the highest level of health and wellbeing C. utilizes nursing care in therapeutic institutions D. sets goals for implementation, intervention and evaluation of community care 11. The basic purpose of community health nursing is A. working in rural areas B. provision of emotional support to people C. furtherance of community health D. treating sick families 12. Developing a family nursing care plan must be based on: A. accident hazards B. education of the family C. current illness D. expectation of nursing service and community 13. The Public Health Nurse helps the family accept its health needs by: A. refusing to offer agencies B. relating health needs to family needs C. explaining the implications of the situation D. classifying doubts of the family 14. The levels of cure that is/are most easily conceptualized is/are the: A. community B. family

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C. the aged group D. individual The nurses behaviour as community health worker is principally influenced by: A. her ethnic and socio-economic backgrounds B. her background of knowledge and skills C. her mentor teaching prowess D. her values and attitude Making arrangements for the social workers to evaluate the family for possible aid is a: A. developmental intervention B. supplemental intervention C. facilitative intervention D. complemental intervention Teaching post-partum mothers on the care of the newborn are: A. developmental intervention B. supplemental intervention C. facilitative intervention. D. complemental intervention Factors affecting priority setting and family health care are the following except: A. nursing care priorities of the family B. nature of family problems related to nursing care C. nursing hours requirements D. modifiability of the family nursing problems The study of the history, source, and occurrence of diseases in the community is: A. immunology B. bacteriology C. epidemiology D. physiology The philosophy of community health nursing is based on the concept of: A. rights of man B. unified whole C. ability of man to relate D. worth and dignity of the individual The basis for a community health program planning are: A. the most immediate problem B. present problem C. total needs of the population D. future needs of the community Community participation in the total health effort begins at the level of the: A. barangays B. family C. community D. primary individual

23. A health deficit is a compound of assessment which means the following: A. no regular check-up of health B. lack of health resources C. untimely death, illness or disability D. accidents occurrence 24. Any biological happening current and cumulative pertinent to a given population is: A. epidemiology B. vital statistics C. ecology D. sanitation Situation: In the national health plan, the community health services maybe conceptualized by analyzing the entities concerned in its delivery. 25. The objective of the National Health Plan is: A. to provide restructured health care delivery system B. to promote the optimum health care service C. to promote health care services to most rural areas D. to provide secondary health services 26. Problems of the National Health Plan are divided into three sections and these are the following, EXCEPT: A. policy and administrative problems B. health problems C. resource problems D. facility problems 27. The medicare program covers the following legal dependents, EXCEPT: A. legally adopted children B. children with congenital defects C. illegitimate spouse D. parents totally dependent on children for support 28. The Philhealth provides hospitalization coverage for: A. 1 month B. 45 days C. 2 months D. 3 months 29. In family planning program, the community health nurse assume this role, EXCEPT: A. educator B. motivator C. initiative D. drug agent 30. The recommended approach in family planning is: A. total integrated development approach

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B. integrated individual approach C. total group approach D. contraceptive development approach The National Nutrition Program has nutrition intervention status of the population which includes: A. good food combination B. family planning nutrition education C. all vitamin rich food stuff D. diet planning intervention Malnutrition is best prevented if nutritional requirements for growth are started at the: A. pre-school age B. age seven/school age C. first year of life D. second year of life Breastfeeding is encourage because it: A. gives artificially acquired active immunity B. increase neonates resistance to infection C. develops permanent immunity within the newborn D. gives 5-6 months naturally acquired passive immunity In order to get the picture of the community it is necessary that he/she conducts: A. home visits B. mass information drive C. community health survey D. mothers class The indicators of health status of the community are statistically related to all, EXCEPT: A. mortality and morbidity B. marriage and birth C. births and death D. population The aim of occupation health nursing service is: A. prompt efficient nursing care B. attend emergency cases C. cooperate with plant management D. promote and maintain positive health to employees Health threats exist in the community when: A. theres streesful occurrence of death in family B. population is inadequately immunized against preventable disease C. theres relocation in the community D. if theres gap between actual and achievable health The sanitary inspector in the organization set up of Rural Health unit belongs to the: A. primary level B. secondary level

C. tertiary level D. barangay level 39. When taken by a mother who is breastfeeding her infant; all of the following drugs may cause adverse effect in infants, EXCEPT: A. valium B. streptomycin C. aspirin D. ferrous sulphate 40. To get the birth rate of the area is to compute it using the formula of: A. total live birth for calendar year x 1000 over population B. total live birth for the past year x 1000 over population C. total live birth for two years x 1000 over total population D. total no. of live birth for the year x 1000 over total death Situation: In Jaro, being socially economically depressed area, infectious communicable diseases are leading causes of morbidity and mortality. Compounding these problems are poor environmental sanitation and malnutrition; hence, despite the governments expanded program of immunization and provision of other health services, there are still upsurge of communicable diseases; thus following terms/ conditions are observed/ used. 41. One who harbours and disseminates a pathogenic organism, but shows a sign and symptom of the disease is known as a: A. contact B. contaminated person C. carrier D. convalescent 42. While in the course of patients isolation at home, a continuous decontamination of infected discharges and articles used is: A. terminal disinfection B. quarantine disinfection C. concurrent disinfection D. primary disinfection 43. The legal responsibilities of the nurse with regards to the care of communicable disease patients are the following: A. carry out quarantine laws B. report to public health authorities C. prevent spread of infection D. maintain own immunization and protection 44. Infection acquired by health worker thru direct contact, sneezing, coughing and talking with patient is thru the process of: A. cross infection B. secondary infection

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C. droplet infection D. primary infection The pathognomonics of the disease is meant to be the: A. untoward signs and symptoms of the disease B. characteristics of the disease C. prodromal signs of the disease D. pathology of the disease Repeated exposure of barangay health workers to small doses of specific disease microorganism develops what type of immunity: A. artificially acquired passive B. artificially acquired active C. naturally acquired active D. naturally acquired passive Occurrence of a continuous disease in a given locality suddenly increase in incidence affecting a large number of people at one time is what we call: A. pandemic B. epidemic C. endemic D. sporadic Antigens made of live attenuated micro-organisms are used as: A. toxins B. antitoxin C. vaccines D. serum To protect the public, the community health nurse should include in its health teaching, that pork and pork products be cooked properly to prevent: A. hepatitis B. trichinosis C. enterobiasis D. amebiasis The sum of total body mechanism which interposes barriers to the progress of invasion of an infectious agent is A. immunity B. sensitivity C. resistance D. susceptibility

Situation: Mr. Pedro Gil was admitted with chief complaints of high fever, accompanied by headache, nausea, vomiting, which started PTA, stool exam, widal test and blood cultures were ordered. Medications like chloromycetin 500 mg every 6 hours; Novaldin Amp. 1 for fever every 4 hrs for 39C was given. Diagnosis- Typhoid fever.

51. The disease is characterized by the following except: A. enlargement of spleen and hyperplasia of lymph nodes B. ulceration of pyloric patches C. vomiting and loose bowel movement D. liberation of endotoxin in the blood 52. It is acquired through the following mode of entry except: A. ingestion of infected food B. direct inoculation or break in the skin and mucous membrane C. direct contact urine and fecal discharge of patients or carrier D. eating food prepared by healthy carrier 53. A patient with typhoid subjected to widal agglutination test, needs for laboratory examination specimen, like: A. feces B. urine C. sputum D. blood 54. If Mr. Gil complains of sudden abdominal pain it is probably due to: A. ruptured spleen B. intestinal hemorrhage C. intestinal perforation D. acute enlargement of the stomach 55. The diet indicated for Mr. Gil must be: A. food high in roughage, regular diet B. high calorie, high fat, regular diet C. low residue, bland or nourishing liquid diet D. regular diet with high residue 56. Cholera, dysentery, typhoid vaccine given subcutaneously is given as a form of active immunization to children of: A. 2-3 months B. 6-8 months C. over a year of age D. 8-10 mos. old Situation: Miss Amy Tui, 25 years old, a laundry woman with a visible wounding the right foot, came to the health center with complains of inability to open her mouth, muscle spasm, fever, diaphoresis and spasm. She was initially diagnosed as a tetanus case. 57. The kind of tetanus she has is: A. dormant tetanus B. idiopathic tetanus C. tetanus neonatorum D. cataplasmic tetanus

58. The causative agent has the following characteristics, except A. bacilli B. sporeforming C. aerobic and highly mobile D. toxin producing 59. The most important function of the nurse, in the care of patients with tetanus, are: A. observe strict isolation B. divert attention by listening to his radio C. liberalize meticulous with frequent touching and handling D. minimize all forms of external stimulation 60. Whenever feedings are given to a tetanus patient, the nurse must consider the following: A. use of plastic straw and rubber tipped tube B. serve food neither too hot not too cold C. oral hygiene before and after feedings is omitted to reduce spasm D. gavage feeding given when secretion accumulates, causing difficulty in swallowing and breathing 61. Observable signs manifested by a tetanus patient are the following, except: A. risus sardonicus B. trismus C. clonic muscular spasm D. opisthotonus 62. These factor brings about a good prognosis for tetanus patient: A. size and strong resistance of patient B. age and early administration of tetanus antitoxin C. early dressing and sedation of a patient D. early isolation and age of patient 63. When a dog bites a person, this dog should be:

A. killed immediately
B. subjected to test for rabies C. confined and observed for at least 24 hours D. allowed to roam around 64. Sources of infection in the body discharge of rabies patients are: A. urinary discharge B. fecal discharge C. salivary discharge D. sex organ discharge 65. Once frank observable symptom appear, patients with rabies can be considered: A. curable with early administration of anti-rabies vaccine B. curable with massive doses of antibodies C. incurable but hope to live after massive doses of anti-rabies injections and IV fluids D. incurable and fatal despite massive dose of anti-rabies injection

66. Medications usually ordered for rabies patient include: A. antibiotics B. analgesics C. choral hydrate D. tetanus toxoid 67. Nursing care of influenza is generally: A. prophylactic B. symptomatic and supportive C. therapeutic D. preventive 68. The nurse should remember that during the acute stage of mumps patient should be given: A. low purine diet B. low fat diet C. soft/bland diet D. high calorie full diet 69. Waterhouse-Friderichsen syndrome is seen in: A. tuberculosis meningitis B. cryptococci meningitis C. meningococci meningitis D. aseptic meningitis 70. The most common complication of pertussis A. emphysema B. bronchopneumonia C. atelectasis D. pulmonary TB 71. Whooping cough is highly communicable in the: A. spasmodic stage B. invasion stage C. catarrhal stage D. convalescence stage 72. In the patient with serum hepatitis the earliest indication of parenchymal damage to the liver usually is: A. elevation in transaminase B. rise in bilirubin C. alteration in protein D. rise in alkaline phosphatase 73. One of the most prevalent protozoan disease in the country is: A. hookworm B. malaria C. dysentery D. tinea

Situation: Lately it has been broadcasted thru TV and radio, that polio seem to have found affecting/infecting children using public swimming facilities; thus there has been a campaign pertaining immunization against this disease to prevent its spread. 74. A trivalent oral vaccine against poliomyelitis is: A. DPT B. salk vaccine C. immune serum globulin D. orimune 75. The target population of polio vaccination are the following age group: A. 1 year to 5 years B. 3 months to 3 years C. 9 months to 14 months D. 1 month to 3 months 76. Involvement of both cranial and spinal nerves by polio virus results in: A. spinal type B. bulbar type C. bulbo-spinal type D. encephalitis 77. Respiratory paralysis is the most serious complication of: A. abortive paralytic polio B. bulbar paralytic polio C. spinal paralytic polio D. bulbo-spinal type 78. In planning the care of polio, the following factors are considered: A. explaining to person giving direct care B. explain care regimen to patient and family C. plan care with patient only D. plan care yourself and explain to family 79. Precautionary measures applied in the home for polio cases, are: A. use isolation gowns and masks B. separate eating utensils of patients C. wash hand with soap and water every after contact with patient D. use tin can with cover for sputum 80. Death in poliomyelitis is due to: A. cor pulmonale B. myocarditis C. respiratory difficulties D. shock due to injury of bulbar center

Situation: A 40 year old patient was referred to a CHN with complaints of increasing fatigue, loss of appetite, night sweating and afternoon fever, a skin test and sputum test for acid fast bacilli is ordered. 81. A skin test for TB is called: A. tine test B. friends test C. widal test D. mantoux est 82. The above test for Tb where 5 units of purified protein derivative is given is done by injecting: A. subdermally B. intradermally C. subcutaneously D. intramuscularly 83. The mantoux test is read in: A. 6-12 hours B. 48-72 hours C. 12-24 hours D. 24-48 hours 84. Which of the following vitamins is frequently prescribed to patients receiving INH and RMP (rifampin) to prevent peripheral neuritis? A. Pyridoxine (Vit. B6) B. Ascorbic acid (Vit. C) C. Vit. B D. Vit. B 12 85. With chemotherapy, patient becomes non-infectious after a few days of a few weeks, but theres a need to continue INH for: A. six months B. one year C. two years D. the rest of her life 86. Which of the following laboratory technology is used most widely to identify tubercle bacilli? A. sensitivity test B. acid fast staining C. agglutination D. darkfield illumination 87. The most common means of transmitting tubercle bacilli from one person to the other is by contamination thru: A. dust particles B. food and water C. linens and eating utensils D. droplet nuclei

Situation: The community health nurse aside from being prepared of following the principles, definitions of terms used in communicable disease nursing must also be aware of the disease peculiarities, symptoms treatment, nursing care and diet therapy pertaining different communicable disease. 88. The CHN must understand that gonorrhoea is highly infectious disease and that it: A. can produce sterility B. can easily be cured C. occurs very rarely D. affects external genitalia 89. Drug therapy for venereal disease can produce actions like, it can: A. prevent complication B. cure infection C. control transmission D. reverse pathological change 90. The symptoms the nurse should identify as a difference between rubeola/measles and rubella/german measles are: A. cold rash B. high fever, kopliks spot C. nausea, vomiting, cramps D. rash of trunk, pruritus 91. An infectious hepatitis patient may have an impaired function of the liver like the storage of: A. glycogen B. bile C. fats D. protein 92. Infectious from a rabid patient is thru: A. fecal discharge B. vaginal discharge C. urinary discharge D. oral discharge 93. To keep micro-organism is most active with greatest vitality and highest infection potency in patients is a period called: A. toxicity B. communicability C. virulence D. incubation 94. Resistance inherent in body tissues against infection brought about by previous attacks of disease, produces: A. natural immunity B. passive immunity C. active immunity

D. artificial immunity 95. Poliomyelitis vaccines as a preventive measure can best be given to age groups: A. 3 mos.-3 years B. 3 years-6 years C. 10 years-14 years D. 7 years-10 years 96. Syphilis causes sterility among males due to: A. massive urethra infection B. chancres and high temperature C. damage sperm cell production D. blocks sperm cells passages to urethra 97. The CHN immediate action for diarrheal observed is by: A. case finding B. water sampling C. operation linis D. family health survey 98. A diagnostic test for H-fever is: A. Lepromans test B. Feri test C. Rumpel Lead D. Schick test 99. The incubation period of chicken pox is: A. 5-10 days B. 12-16 days C. 1-5 days D. 16-21 days 100. Meningitis is an acute infection of the para-arachnoid membranes, thus observe for the following symptoms EXCEPT: A. severe headache, photophobia and vomiting B. Kernigs and Brudzinkis signs C. diplopia, ptosis and blurred vision D. stupor, coma, irritability, fever and seizure

Community Health and Communicable Disease Nursing V Situation: The country has a national health plan reviewed periodically to evaluate its relevance. It is incumbent on health workers to know there are, and problems met in the implementation. 1. The National Health Plan is part of the National Development Plan has identified two major problems, namely: A. inadequate facilities and high cost of drug B. health problems and resource problems C. sanitation and communicable disease D. malnutrition and rapid population growth 2. By involving people in the community to identify common health problems and motivate them to participate in the solution of the same, the nurse is concerned with: A. community survey B. community organization C. community counselling D. community education 3. Community participation in the total health care delivery, begins at the level of: A. a barangay B. the individual C. organized group D. the family 4. Community diagnosis is best attained thru: A. referral system B. clinic services C. conference D. survey 5. The philosophy of community health nursing is based on the concept of: A. a unified whole B. the rights of man C. the ability of man to relate D. the worth and dignity of the individual 6. The following concepts best describe the medicare program, EXCEPT: A. equal benefits B. the healthy care of the sick C. refund given to members getting out of service D. those who have more give more 7. When theres a gap between actual and achievable health status in the community, there occurs: A. health threats B. heath deficits C. health evaluation

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D. health incidence If only 50 % of the eligible population are immunized against preventable disease that has incidence in the community there exists: A. health threats B. health deficits C. health incidence D. health accidents Rural health units provide care in the: A. primary level B. secondary level C. family level D. tertiary level A basic approach of looking for the history , signs and symptoms of the communitys health is: A. demography B. epidemiology C. etiology D. ecology Health is defined as: A. a complete state of wellness B. a state of optimum level of functioning C. a complete absence of disease D. a state where theres no problem of illness The objectives of the Restructured Health Delivery System are the following, EXCEPT: A. to effect a more efficient delivery health care B. to bring service to the people C. to improve the preventive and curative aspects of health care D. look into facility construction and loans Being a member of a medicare programs, one is entitled to a hospitalization for: A. 30 days a year B. 45 days a year C. 55 days a year D. 75 days a year Which of the following concepts of medicare program benefits ones complete recovery? A. equal contribution regardless of income B. equal benefits regardless of contribution C. members prepare in time of sickness D. healthy care of the sick

Situation: When health for all is concerned, much can be accomplished by the individual and community in partnership underscores community leadership, and initiative in the development of the individual.

15. The primary goal of Primary Health Care is: A. healthy citizenry at all levels B. self reliance of people for their own health C. economics upliftment of a nation D. adequate health services to everyone 16. Primary Health Care focuses its services to the: A. people in rural and urban areas B. entire citizenry C. unserved and underserved population D. patients in clinics and hospitals 17. The key strategy to achieve the goal of PHC approach is partnership to include: A. recognition of interrelationship between health and socio-economic agencies involved in health services B. family with five/more children encouraged to submit for sterilization C. full active participation of community towards self-reliance D. effectively providing acceptable and sustainable health services 18. Support health care mechanisms to sustain Primary Health Care includes all, EXCEPT: A. improvement of working conditions of health personnel B. formation and use of information system C. provision of maternal and child health care D. improvement of the referral system Situation: You are assigned as a community health nurse is one of the varied positions in your province; hence, you need to be clarified with meanings, concepts, philosophy, objectives and nursing processes in carrying out responsibilities effectively and efficiently. 19. Community health nursing is a synthetic of nursing practice and public health practice applied to promoting and preserving the health of the population, which is: A. directed to crisis condition B. directed to cases of mothers and children C. general and comprehensive prevention, promoting cure and rehabilitative care D. directed to curative care most often 20. The essential component of community health nursing practice is: A. community survey of home B. knowledge and understanding of resources and health providers C. specialization in different areas of nursing D. formation of barangay clinics 21. To get the specific death rate per 100,000 population it is computed as: A. Death from given cause in a year x 100000 Estimated midyear population for same year B. Deaths from given cause x 100000 Estimated population of age group

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C. No. of deaths x 100000 Live births in the year D. Deaths from a given cause x 100000 Live births in the year To get mortality rate of age group per 1000 is computed by: A. No. of death in stated age group divided by estimated population of age group, then multiply by 1000 B. No. of death in age group divided by live births, then multiply by 1000. C. No. of deaths in age group divided by total population then multiply by 1000 D. No. of deaths divided by live births, then multiply by 1000 The smallest unit to which community health nursing care is provided by: A. individual B. family C. barangay D. community Other information about the community, particularly vital statistics may be obtained from the: A. civil registrar B. midwife C. mayor D. sanitary inspector When the nurse takes note of the family coping index as a basis for her nursing care plan she is involved in: A. intervention B. assessment C. evaluation D. diagnosis A nursing intervention where the community health nurse explains to mothers waiting for prenatal consultation that they participate in the prevention of mental retardation and its problems is called: A. facilitative B. development C. supplement D. complemental The first step of the community health nursing purposes and goals which process is engaged in establishing working relationships include: A. collecting and studying data B. initiating contact and showing interest C. deciding priority and set goals D. implementing the plan The most sanitary type of toilet that can be recommended in rural areas is: A. antipolo B. pits

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C. pail D. water seals The most important factor to note for health planning is: A. prevailing health problem B. health attitudes of the people C. total statistics D. health resources The process of stimulating the individual in the community to make full use of resources is: A. administration B. ministration C. mobilization D. assessment If the couple have decided to stop having babies and use the more permanent method they can choose between: A. pill and condom B. vasectomy and tubal ligation C. pill and IUD D. IUD and tubal ligation School health program for an area where parasitism is rampant include among others: A. provision of good cafeteria services B. physical fitness program C. milk and other food supplement program D. deworming program When disease is constantly present to a lesser or greater degree in a certain locality, it is called; A. pandemic B. sporadic C. endemic D. epidemic Republic Act 1080 is the: A. Board of Nursing eligibility B. professional eligibility C. civil service eligibility D. employment eligibility The successful entry and multiplication of an infectious agent into the living body is: A. suspect B. contact C. infection D. carrier Number and kind of families a nurse handles at any given time is a: A. client B. vulnerable family C. family case load

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D. multiproblem family In planning for the nursing care of patients at home, the nurse primary concern is: A. economic level of the family B. availability of nearest hospital C. who will be responsible of patient during her absence D. whether or not the patient is under a physicians care A very important area for dental health in community health education is the: A. well baby clinic B. prenatal clinic C. school health clinic D. industrial health In practice, the community health nurse must be a: A. specialist B. generalist C. clinician D. teacher The commitment of the community health nurse for comprehensive and family centered approach raises her efficacy in: A. home visiting B. case interview C. case finding D. classes group

Situation: With rapid stides in medical research the control of communicable diseases depends to a large measure upon the knowledge of the medical terms, esp. community health nurses on the nature of the disease, term used, application, and practice proven to be effective in providing barriers against spread of infection. 41. An inherent resistance to specific disease in the body tissues not brought about by previous encounters with disease agent or by artificial method of immunizations: A. natural immunity B. passive immunity C. acquired immunity D. active immunity 42. Incubation period of an infectious disease starts: A. at the appearance of the first sign and symptoms B. when fever elevates C. at first exposure to appearance of signs and symptoms D. at first 2-3 weeks 43. If the proportion of the immune is much greater than that of susceptible in a population; the communitys response to disease agent invasion is in the form of: A. epidemic occurrence

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B. sporadic occurrence C. endemic occurrence D. pandemic occurrence Period of communicability means: A. when body discharges are positive with infectious agent B. the duration the patient is a source of infection C. when fever elevates D. when signs and symptoms appear An individual who harbours pathogenic organisms but has no signs and symptom of the disease is a: A. contact B. carrier C. suspect D. convalescent Generally the spread of communicable disease can be inhibited by: A. isolation of frank cases and early case finding B. early immunization of children C. improving economic status of the family D. free hospitalization offer by the government When patient suffering from a first communicable disease contracts another disease due to a break in medical asepsis, there is: A. Cross-infection B. re-infection C. secondary infection D. vaccination Infection control in the hospital environment depends primarily upon the: A. nurse B. physician C. medical technicians D. all health personnel

Situation: As a Community Health Nurse you should be well informed of the nature of communicable diseases found in any locality assigned to, with their etiologic agent, source and reservoir of infection, susceptibility, methods of control, nursing care, and responsibilities specific to such type of communicable diseases. 49. Tubercle bacilli is destroyed readily by: A. exposure to direct sunlight B. exposure to air C. exposure to insecticides D. exposure to aerosols 50. To be effective BCG is given:

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A. intradermally B. subcutaneously C. intramuscularly D. multiple pressure The mode of transmission of cholera is thru the following, EXCEPT A. ingestion of contaminated foods and water B. contact with infected persons and carrier C. contamination thru flies D. infecting blood thru insect bites The most important complication of mumps in postpubertal males and females is: A. decrease of libido B. hypopituitarism C. sterility D. disease in adrogens The communicability of mumps is: A. 1 week before, to 1 weeks after symptoms appear B. 2 weeks after symptoms appear C. after swelling has already appeared D. two weeks after swelling has appeared accompanied with fever Flies are vectors for: A. typhoid fever B. malaria C. measles D. diphtheria Measles is transmitted through: A. food and water B. secretion of nose and throat C. bites of insect D. skin to skin contact The signs and symptoms that would indicate the difference between rubeola (German Measles) and rubella is that a child with rubeola (measles) has: A. symptoms like cold and followed by rash B. high fever and koplik spots C. nausea, vomiting and abdominal cramps D. rash on trunk and pruritus Tetanus toxoid second dose is given on what month to pregnant women: A. on the 5th month of pregnancy B. after delivery C. not later than 1 month prior to EDC D. any of the above Which of the following vaccines are given three doses? A. DPT

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B. BCG C. measles D. tetanus Which of the following vaccine is prevented by storing it in: A. the freezer B. the refrigerator not in freezer C. cold water D. room temperature Leprosy infection is transmitted through: A. contaminated food B. sexual relationship C. skin to skin contact D. droplet infection The symptoms of typhoid which usually appear on the abdomen are: A. petechiae B. rose spots C. forscheimers sign D. hematoma Chicken pox (varicella) is contaminated during one of the following: A. 1 day before onset to appearance of first vesicle B. during incubation period C. after all vesicles has appeared D. after all vesicles appeared till after it has disappeared The giving of DPT immunization is an example of nursing intervention called: A. complemental B. supplemental C. facilitative D. developmental Viral hepatitis A (infectious hepatitis) is transmitted mainly thru the: A. genital route B. oral route C. parenteral route D. respiratory route Prophylaxis for serum hepatitis includes: A. enteric precaution applied to infected individual B. screening of blood donors C. case finding and treatment of infection D. patient isolation In the patient with serum hepatitis, the earliest indication of parenchymal drainage to the liver usually is: A. elevation in transaminase B. rise in bilirubin

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C. alteration in protein D. rise in alkaline phosphatase When the patient with hepatitis is cared for at home the nurse teaches the patient and family the following, Except: A. use of separate dishes B. lye disinfection of feces C. use of separate thermometers D. meticulous handwashing The family and other contacts of the patient with infectious hepatitis are given: A. hyperimmune globulin B. corticosteroids C. immune globulin D. adrenalin The management of primary herpes simplex includes use of all of the following EXCEPT: A. analgesics B. sitz bath C. intravenous fluids D. systemic antipruritus A plasmodium which is a protozoan, and a casue of malaria has four species and the most severe of which is: A. plasmodium vivax B. plasmodium falcifarum C. plasmodium ovale D. plasmodium malariae The antibiotic of choice in the treatment of gonorrhoea patients allergic to penicillin is: A. tetracycline (achronomycin V) B. amoxicillin (larotid) C. ampicillin (polycillin) D. gentamycin (garamycin) The source of infection of a rabid patient is the: A. urine B. excreta C. saliva D. blood Pneumonia is caused by: A. virus B. bacilli C. cocci D. protozoan The intermediate vector of schistosomiasis is a: A. mosquito B. fresh water snail

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C. fly D. rat Nursing care of influenza is generally: A. prophylactic B. symptomatic & supportive C. therapeutic D. preventive The source of infection in all types of dysentery is the: A. urine B. bowel discharge C. sputum D. respiratory discharge Ascorbic acid is given to patients with H-fever; since it: A. promotes capillary integrity B. interferes with blood clotting C. promote resistance of body D. shorten duration The objective of first aid for snakebites are the following; EXCEPT: A. delay absorption of venom B. prevent aggravation of wound C. sustain respiration D. hasten absorption of venom An individual who harbours pathogenic organisms but has no signs and symptoms is a: A. contact B. carrier C. suspect D. convalescent The communicability of mumps is: A. 2 weeks after swelling and fever till it disappears B. after you observed swelling till it subsides C. 1 week before swelling till 1 weeks after symptoms appear D. 2 weeks after symptoms appear till it disappears Infection control in the hospital environment is primarily the responsibility of: A. nurses B. doctors C. medical technicians D. all health personnels Flies are vectors of one of the disease stated below like: A. typhoid fever B. malaria C. diphtheria D. measles

83. Leprosy infection is transmitted thru: A. foods B. sex contact C. skin contact D. droplet infection 84. The kind of tetanus a carpenter may have with a visible open wound in the foot is: A. dormant tetanus B. idiopathic tetanus C. tetanus neonaturom D. cataplasmic tetanus 85. Nursing care of influenza is generally: A. prophylactic B. symptomatic and supportive C. preventive D. curative 86. Which of the following vaccines is given in three (3) doses: A. DPT B. BCG C. tetanus D. measles 87. The period of isolation for the child with measles would be for: A. 3 days after onset of rash and coryza B. 5 days after disappearance of rash C. 4 days before 5 days after rash and coryza appears D. 7 days before and after fever subsides 88. The control of communicable disease depends largely upon: A. immunization program B. provision of potable water C. knowledge of disease nature D. effective control measure 89. Deaf mutism, cataracts, microcephaly and heart disease are its complications: A. measles B. german measles C. chicken pox D. diphtheria 90. This is the infection caused by streptococcus pyrogenes. The prevention of which is: strict cleanliness in caring for the umbilicus and asepsis in surgical operations and obstetrics: A. tetanus neonaturom B. crysipeles C. dermatitis D. septic jaundice

91. Tetanus is an acute infectious disease caused by clostridium tetani. This bacillus has for its normal habitat the intestinal tract of herbivorous animals, especially: A. dogs and cats B. cows and carabaos C. cows and horses D. rodents and horses 92. The contemporary occupational health nurse needs as the most refined professional skills in: A. assessment and communication B. emergency and diagnosis C. counselling and emergency D. rehab and record keeping 93. The scope of practice of an occupational health nurse is influences by factors within the work setting, the overriding influence will be the: A. nurse comfort with the occupational role B. number of employees C. policy established by admin within occupational health program D. cost of occupational health progress 94. Which of the following would the community mental health nurse identify as a situational crisis? A. marriage B. losing a job C. birth of first child D. retirement 95. The initial process of sorting damage in a disaster should be done immediately to detect: A. fracture B. threats to life C. consciousness D. convulsions 96. The first step in counselling a rape victim should be: A. Assist victim to confront crisis B. assist woman to view herself as a client trying to cope functionally C. examination of alternative for coping D. assist victim to gain an understanding of crisis 97. The following disease are fungus infections, EXCEPT: A. ringworm B. erysipelas C. monilliasis D. athletes foot 98. What measures or procedure is not indicated in the control of malaria? A. prophylactic drugs B. drain breeding places C. immunization D. isolation

99. Chicken pox can be fatal to some patients receiving: A. steroids B. antibiotics C. hypotensive D. antipyretics 100. Inflammation of salivary gland is: A. diphtheria B. stomatitis C. vicent angina D. parotitis