COMMUNICABLE DISEASE

1. Barangay Mendoza has been alarmed with a spreading significant number of a disease cases. The community health
nurse assigned in is aware that the disease considered to be as the “world’s deadliest disease” and remains as a major
health problem in the Philippines is:
a. HIV
b. Tuberculosis
c. Dengue
d. Malaria
2. Signs and symtoms of Tuberculosis are the following except:
a. High grade fever
b. Change in weight
c. Cough
d. SOB
3. Mycobacterium tuberculosis and M. Africanum is primarily from what living organism:
a. Cattle
b. School
c. Humans
d. Flock
4. Tuberculosis can be transmitted through:
a. Touching
b. Hugging
c. Cuddling
d. Singing
5. Which of the following statement is true about primary tuberculosis in children?
a. Children could easily spread the disease to their parents
b. Children with primary tuberculosis are very infectious
c. Mode of transmission of TB among children different from adult
d. Children with primary tuberculosis are generally not infectious
6. Which of the following correctly states the goal of National Tuberculosis Control Program?
a. Reduce mortality from TB by the year 2020
b. Reduce prevalence and mortality from TB by the year 2020
c. Ensure availability of TB-DOTS
d. Reduce prevalence and mortality from TB by half by the year 2015
7. The primary diagnostic tool in NTP case finding is:
a. Chest X-ray
b. Spirometry
c. Complete Blood Count and Direct Sputum Smear Microscopy
d. DSSM
8. Which of the following should the nurse expect to be prescribed by the physician before DSSM?
a. Vitamin C
b. Glutathione
c. Antibiotics
d. Hemostan
9. In accordance with the policies of Expanded Program on Immunization, BCG shall be given to all infants. BCG is
moderately effective and how much efficacy of protection does it can give to children?
a. 50% against any TB disease
b. 74% against TB meningitis
c. 81% against death from TB
 d. 100% protection
10. Intracing the etiopathogenesis of tuberculosis, which of the following patients are considered to be most infectious?
a. Patients with TB meningitis
b. Intestinal TB positive patients
c. Pot disease
d. Patients with cavitary and laryngeal TB
11. Dengue hemorrhagic fever is an acute febrile illness caused by:
a. Bacteria
b. Fungi
c. Protozoa
d. Virus
12. Which among the following etiologic agents of DHF is the most dangerous?
a. Type 1
b. Type 2
c. Type 3
d. Type 4
13. What is the central event of DHF pathogenesis?
a. Infection of RBC
b. Infection of Plasma
c. Infection of Platelets
d. Infection of Macrophage and monocyte
14. The nurse is admitting is assessing a patient with is suspected to be having dengue. Which of the following is not a
sign or symptom of dengue?
a. Fever
b. Severe myalgia and back pain
c. Photosensitivity
d. Retro-orbital pain
15. Common diagnostic test that helps in recognizing the disease are now available. The nurse is aware that common
findings in dengue on CBC are:
a. Leukopenia, thrombocytopenia, Increased hematocrit
b. Leukocytosis, thrombocytosis, Depressed hematocrit
c. Leukocytosis, thrombocytopenia, Increased hematocrit
d. Leukopenia, thrombocytopenia, Increased hemoglobin
16. Immunoglobulins are important components of immune system. Among these immunoglobulins, which are relatively
prominent in dengue infection?
a. IgD and IgE
b. IgM and IgA
c. IgG and IgM
d. IgG and IgE

17. Newer diagnostic test for dengue paved way to fast diagnosis of this disease. This type of immunoassay is used for
detection of antigen and aids in screening and diagnosis as early as day 1 post-onset of symptoms prior to the
detection of Imunoglobulins is called:
a. Serial hematocrit and platelet
b. C-reactive protein
c. ELISA
d. NS-1 antigen
18. In performing the tourniquet test, the BP cuff is inflated midway between systolic and diastolic pressures for 5 minutes.
This test is considered positive if the patient displays 20 or more petechiae at the:
 a. Knuckles
b. Palms
c. Dorsal aspect of the antecubital fossa
d. Volar aspect of the antecubital fossa

19. All but one are classification of dengue according to World Health Organization:
a. Probable dengue
b. Dengue with warning signs
c. Severe Dengue
d. Dengue with symptoms
20. The most important parasitic disease in humans is:
a. Dengue
b. TB
c. Malaria
d. Ascariasis
21. Malaria is caused by an organism called:
a. Bacteria
b. Fungi
c. Virus
d. Protozoa
22. All but on are etiologic agents for malaria:
a. P. falciparum
b. P. ovale
c. P. knowlesi
d. None of the above
23. Which of the following plasmodia causes nearly all deaths and neurological complications and is likely causing
malignant tertian fever among infected patients?
a. P. knowlesi
b. P. ovale
c. P. malariae
d. P. Falciparum
24. Complete blood count results of patients with malaria would reveal:
a. Anemia, thrombocytosis
b. Megaloblastic anemia
c. Macrocytic anemia, thrombocytosis
d. Normocytic normochromic anemia
25. Microspcopic examination is helpful in determining the type of plasmodia affecting the patient. Which type of smear is
use to identify the infecting species?
a. Thin smear
b. Thick smear
c. Fluid smear
d. DSSM
26. What is the drug of choice for severe malaria in adults?
a. Quinine plus Tetracycline/Doxycycline
b. Quinine plus Paracetamol
c. Quinine plus Chloroquine
d. Chloroquine plus Sulfadoxine/Pyrimethamine
27. A pregnant patient is admitted due to malaria. The nurse would expect that the drug the physician would be prescribing
is:
 a. Chloroquine
b. Clindamycin
c. Quinine plus Tetracycline
d. Quinine plus Clindamycin
28. The drug that is known to be the only drug which can eradicate extrahepatic stages of the malarial parasite:
a. Chloroquine
b. Mefloquine
c. Primaquine
d. Niyog-niyogan
29. The only anti-malarial drug that is permitted in pregnancy is called:
a. Chloroquine
b. Mefloquine
c. Primaquine
d. Diatabs

30. A 18 year old male construction worker patient sought consult due to high grade fever. On further investigation, it was
found out that this infection is potentially multi-systemic illness caused by a gram-negative microorganism. The
hallmark features of this infection are invasion and multiplication within the mononuclear phagocytic cells in the liver,
spleen, lymph nodes, and peyer’s patches of the ileum. This infection most probably is called:
a. Leptospirosis
b. Enteric Fever
c. Dengue Fever
d. Schistosomiasis