COMMUNITY HEALTH NURSING 1. Which is the primary g a! " c mm#$ity hea!th $#rsi$g% A. T s#pp rt a$& s#pp!

eme$t the e"" rts " the me&ica! pr "essi $ i$ the pr m ti $ " hea!th a$& pre'e$ti $ " i!!$ess (. T e$ha$ce the capacity " i$&i'i&#a!s) "ami!ies a$& c mm#$ities t c pe *ith their hea!th $ee&s C. T i$crease the pr &#cti'ity " the pe p!e +y pr 'i&i$g them *ith ser'ices that *i!! i$crease their !e'e! " hea!th ,. T c $tri+#te t $ati $a! &e'e! pme$t thr #gh pr m ti $ " "ami!y *e!"are) " c#si$g partic#!ar!y $ m thers a$& chi!&re$. A$s*er- .(/ T e$ha$ce the capacity " i$&i'i&#a!s) "ami!ies a$& c mm#$ities t c pe *ith their hea!th $ee&s T c $tri+#te t $ati $a! &e'e! pme$t thr #gh pr m ti $ " "ami!y *e!"are) " c#si$g partic#!ar!y $ m thers a$& chi!&re$. 0. CHN is a c mm#$ity1+ase& practice. Which +est e2p!ai$s this stateme$t% A. The ser'ice is pr 'i&e& i$ the $at#ra! e$'ir $me$t " pe p!e. (. The $#rse has t c $&#ct c mm#$ity &iag$ sis t &etermi$e $#rsi$g $ee&s a$& pr +!ems. C. The ser'ices are +ase& $ the a'ai!a+!e res #rces *ithi$ the c mm#$ity. ,. 3ri rity setti$g is +ase& $ the mag$it#&e " the hea!th pr +!ems i&e$ti"ie&. A$s*er- .(/ The $#rse has t c $&#ct c mm#$ity &iag$ sis t &etermi$e $#rsi$g $ee&s a$& pr +!ems. C mm#$ity1+ase& practice mea$s pr 'i&i$g care t pe p!e i$ their *$ $at#ra! e$'ir $me$ts- the h me) sch ! a$& * r4p!ace) " r e2amp!e. 5. 3 p#!ati $1" c#se& $#rsi$g practice re6#ires *hich " the

" !! *i$g pr cesses% A. C mm#$ity rga$i7i$g (. N#rsi$g pr cess C. C mm#$ity &iag$ sis ,. Epi&emi ! gic pr cess A$s*er- .C/ C mm#$ity &iag$ sis 3 p#!ati $1" c#se& $#rsi$g care mea$s pr 'i&i$g care +ase& $ the greater $ee& " the ma8 rity " the p p#!ati $. The greater $ee& is i&e$ti"ie& thr #gh c mm#$ity &iag$ sis. 9. R.A. 1:;9 is a!s 4$ *$ as the Occ#pati $a! Hea!th Act. Asi&e "r m $#m+er " emp! yees) *hat ther "act r m#st +e c $si&ere& i$ &etermi$i$g the cc#pati $a! hea!th pri'i!eges t *hich the * r4ers *i!! +e e$tit!e&% A. Type " cc#pati $agric#!t#ra!) c mmercia!) i$&#stria! (. L cati $ " the * r4p!ace i$ re!ati $ t hea!th "aci!ities C. C!assi"icati $ " the +#si$ess e$terprise +ase& $ $et pr "it ,. Se2 a$& age c mp siti $ " emp! yees A$s*er- .(/ L cati $ " the * r4p!ace i$ re!ati $ t hea!th "aci!ities (ase& $ R.A. 1:;9) a$ cc#pati $a! $#rse m#st +e emp! ye& *he$ there are 5: t 1:: emp! yees a$& the * r4p!ace is m re tha$ 1 4m. a*ay "r m the $earest hea!th ce$ter. ;. A +#si$ess "irm m#st emp! y a$ cc#pati $a! hea!th $#rse *he$ it has at !east h * ma$y emp! yees% A. 01 (. 1:1 C. 0:1 ,. 5:1 A$s*er- .(/ 1:1 Agai$) this is +ase& $ R.A. 1:;9. <. Whe$ the cc#pati $a! hea!th $#rse emp! ys erg $ mic pri$cip!es) she is per" rmi$g

*hich " her r !es% A. Hea!th care pr 'i&er (. Hea!th e&#cat r C. Hea!th care c r&i$at r ,. E$'ir $me$ta! ma$ager A$s*er- .,/ E$'ir $me$ta! ma$ager Erg $ mics is impr 'i$g e""icie$cy " * r4ers +y impr 'i$g the * r4er=s e$'ir $me$t thr #gh appr priate!y &esig$e& "#r$it#re) " r e2amp!e. >. A garme$t "act ry & es $ t ha'e a$ cc#pati $a! $#rse. Wh sha!! pr 'i&e the cc#pati $a! hea!th $ee&s " the "act ry * r4ers% A. Occ#pati $a! hea!th $#rse at the 3r 'i$cia! Hea!th O""ice (. 3hysicia$ emp! ye& +y the "act ry C. 3#+!ic hea!th $#rse " the RHU " their m#$icipa!ity ,. R#ra! sa$itary i$spect r " the RHU " their m#$icipa!ity A$s*er- .C/ 3#+!ic hea!th $#rse " the RHU " their m#$icipa!ity Y #=re right? This 6#esti $ is +ase& $ R.A.1:;9. @. A3#+!ic hea!th ser'ices are gi'e$ "ree " charge.B Is this stateme$t tr#e r "a!se% A. The stateme$t is tr#eC it is the resp $si+i!ity " g 'er$me$t t pr 'i&e +asic ser'ices. (. The stateme$t is "a!seC pe p!e pay i$&irect!y " r p#+!ic hea!th ser'ices. C. The stateme$t may +e tr#e r "a!se) &epe$&i$g $ the speci"ic ser'ice re6#ire&. ,. The stateme$t may +e tr#e r "a!se) &epe$&i$g $ p !icies " the g 'er$me$t c $cer$e&. A$s*er- .(/ The stateme$t is "a!seC pe p!e pay i$&irect!y " r p#+!ic hea!th ser'ices. C mm#$ity hea!th ser'ices) i$c!#&i$g p#+!ic hea!th ser'ices) are pre1pai& ser'ices) th #gh ta2ati $) " r e2amp!e. D. Acc r&i$g t C.E.Wi$s! *) *hich " the " !! *i$g is the

g a! " 3#+!ic Hea!th% A. E r pe p!e t attai$ their +irthrights " hea!th a$& ! $ge'ity (. E r pr m ti $ " hea!th a$& pre'e$ti $ " &isease C. E r pe p!e t ha'e access t +asic hea!th ser'ices ,. E r pe p!e t +e rga$i7e& i$ their hea!th e"" rts A$s*er- .A/ E r pe p!e t attai$ their +irthrights " hea!th a$& ! $ge'ity Acc r&i$g t Wi$s! *) a!! p#+!ic hea!th e"" rts are " r pe p!e t rea!i7e their +irthrights " hea!th a$& ! $ge'ity. 1:. We say that a Ei!ipi$ has attai$e& ! $ge'ity *he$ he is a+!e t reach the a'erage !i"espa$ " Ei!ipi$ s. What ther statistic may +e #se& t &etermi$e attai$me$t " ! $ge'ity% A. Age1speci"ic m rta!ity rate (. 3r p rti $ate m rta!ity rate C. S*ar p=s i$&e2 ,. Case "ata!ity rate A$s*er- .C/ S*ar p=s i$&e2 S*ar p=s i$&e2 is the perce$tage " the &eaths age& ;: years r !&er. Its i$'erse represe$ts the perce$tage " #$time!y &eaths .th se *h &ie& y #$ger tha$ ;: years/. 11. Which " the " !! *i$g is the m st pr mi$e$t "eat#re " p#+!ic hea!th $#rsi$g% A. It i$' !'es pr 'i&i$g h me care t sic4 pe p!e *h are $ t c $"i$e& i$ the h spita!. (. Ser'ices are pr 'i&e& "ree " charge t pe p!e *ithi$ the catchme$t area. C. The p#+!ic hea!th $#rse "#$cti $s as part " a team pr 'i&i$g a p#+!ic hea!th $#rsi$g ser'ices. ,. 3#+!ic hea!th $#rsi$g " c#ses $ pre'e$ti'e) $ t c#rati'e) ser'ices. A$s*er- .,/ 3#+!ic hea!th $#rsi$g " c#ses $ pre'e$ti'e) $ t c#rati'e) ser'ices.

The catchme$t area i$ 3HN c $sists " a resi&e$tia! c mm#$ity) ma$y " *h m are *e!! i$&i'i&#a!s *h ha'e greater $ee& " r pre'e$ti'e rather tha$ c#rati'e ser'ices. 10. Acc r&i$g t Margaret Shet!a$&) the phi! s phy " p#+!ic hea!th $#rsi$g is +ase& $ *hich " the " !! *i$g% A. Hea!th a$& ! $ge'ity as +irthrights (. The ma$&ate " the state t pr tect the +irthrights " its citi7e$s C. 3#+!ic hea!th $#rsi$g as a specia!i7e& "ie!& " $#rsi$g ,. The * rth a$& &ig$ity " ma$ A$s*er- .,/ The * rth a$& &ig$ity " ma$ This is a &irect 6# te "r m ,r. Margaret Shet!a$&=s stateme$ts $ 3#+!ic Hea!th N#rsi$g. 15. Which " the " !! *i$g is the missi $ " the ,epartme$t " Hea!th% A. Hea!th " r a!! Ei!ipi$ s (. E$s#re the accessi+i!ity a$& 6#a!ity " hea!th care C. Impr 'e the ge$era! hea!th stat#s " the p p#!ati $ ,. Hea!th i$ the ha$&s " the Ei!ipi$ pe p!e +y the year 0:0: A$s*er- .(/ E$s#re the accessi+i!ity a$& 6#a!ity " hea!th care .$ $e/ 19. Regi $ IF H spita! is c!assi"ie& as *hat !e'e! " "aci!ity% A. 3rimary (. Sec $&ary C. I$terme&iate ,. Tertiary A$s*er- .,/ Tertiary Regi $a! h spita!s are tertiary "aci!ities +eca#se they ser'e as trai$i$g h spita!s " r the regi $. 1;. Which is tr#e " primary "aci!ities% A. They are #s#a!!y g 'er$me$t1r#$.

(. Their ser'ices are pr 'i&e& $ a$ #t1patie$t +asis. C. They are trai$i$g "aci!ities " r hea!th pr "essi $a!s. ,. A c mm#$ity h spita! is a$ e2amp!e " this !e'e! " hea!th "aci!ities. A$s*er- .(/ Their ser'ices are pr 'i&e& $ a$ #t1patie$t +asis. 3rimary "aci!ities g 'er$me$t a$& $ $1g 'er$me$t "aci!ities that pr 'i&e +asic #t1patie$t ser'ices. 1<. Which is a$ e2amp!e " the sch ! $#rse=s hea!th care pr 'i&er "#$cti $s% A. Re6#esti$g " r (CG "r m the RHU " r sch ! e$tra$t imm#$i7ati $ (. C $&#cti$g ra$& m c!assr m i$specti $ &#ri$g a meas!es epi&emic C. Ta4i$g reme&ia! acti $ $ a$ acci&e$t ha7ar& i$ the sch ! p!aygr #$& ,. O+ser'i$g p!aces i$ the sch ! *here p#pi!s spe$& their "ree time A$s*er- .(/ C $&#cti$g ra$& m c!assr m i$specti $ &#ri$g a meas!es epi&emic Ra$& m c!assr m i$specti $ is assessme$t " p#pi!sGst#&e$ts a$& teachers " r sig$s " a hea!th pr +!em pre'a!e$t i$ the c mm#$ity. 1>. Whe$ the $#rse &etermi$es *hether res #rces *ere ma2imi7e& i$ imp!eme$ti$g Ligtas Tig&as) she is e'a!#ati$g A. E""ecti'e$ess (. E""icie$cy C. A&e6#acy ,. Appr priate$ess A$s*er- .(/ E""icie$cy E""icie$cy is &etermi$i$g *hether the g a!s *ere attai$e& at the !east p ssi+!e c st. 1@. Y # are a $e* (.S.N. gra&#ate. Y # *a$t t +ec me a 3#+!ic Hea!th N#rse. Where *i!! y # app!y% A. ,epartme$t " Hea!th

(. 3r 'i$cia! Hea!th O""ice C. Regi $a! Hea!th O""ice ,. R#ra! Hea!th U$it A$s*er- .,/ R#ra! Hea!th U$it R.A. >1<: &e' !'e& +asic hea!th ser'ices t ! ca! g 'er$me$t #$its .LGU=s /. The p#+!ic hea!th $#rse is a$ emp! yee " the LGU. 1D. R.A. >1<: ma$&ates &e' !#ti $ " +asic ser'ices "r m the $ati $a! g 'er$me$t t ! ca! g 'er$me$t #$its. Which " the " !! *i$g is the ma8 r g a! " &e' !#ti $% A. T stre$gthe$ ! ca! g 'er$me$t #$its (. T a!! * greater a#t $ my t ! ca! g 'er$me$t #$its C. T emp *er the pe p!e a$& pr m te their se!"1re!ia$ce ,. T ma4e +asic ser'ices m re accessi+!e t the pe p!e A$s*er- .C/ T emp *er the pe p!e a$& pr m te their se!"1 re!ia$ce 3e p!e emp *erme$t is the +asic m ti'ati $ +ehi$& &e' !#ti $ " +asic ser'ices t LGU=s. 0:. Wh is the Chairma$ " the M#$icipa! Hea!th ( ar&% A. May r (. M#$icipa! Hea!th O""icer C. 3#+!ic Hea!th N#rse ,. A$y 6#a!i"ie& physicia$ A$s*er- .A/ May r The ! ca! e2ec#ti'e ser'es as the chairma$ " the M#$icipa! Hea!th ( ar&. 01. Which !e'e! " hea!th "aci!ity is the #s#a! p i$t " e$try " a c!ie$t i$t the hea!th care &e!i'ery system% A. 3rimary (. Sec $&ary C. I$terme&iate ,. Tertiary A$s*er- .A/ 3rimary The e$try " a pers $ i$t the hea!th care &e!i'ery system is #s#a!!y thr #gh a c $s#!tati $ i$ #t1patie$t ser'ices.

00. The p#+!ic hea!th $#rse is the s#per'is r " r#ra! hea!th mi&*i'es. Which " the " !! *i$g is a s#per'is ry "#$cti $ " the p#+!ic hea!th $#rse% A. Re"erri$g cases r patie$ts t the mi&*i"e (. 3r 'i&i$g tech$ica! g#i&a$ce t the mi&*i"e C. 3r 'i&i$g $#rsi$g care t cases re"erre& +y the mi&*i"e ,. E rm#!ati$g a$& imp!eme$ti$g trai$i$g pr grams " r mi&*i'es A$s*er- .(/ 3r 'i&i$g tech$ica! g#i&a$ce t the mi&*i"e The $#rse pr 'i&es tech$ica! g#i&a$ce t the mi&*i"e i$ the care " c!ie$ts) partic#!ar!y i$ the imp!eme$tati $ " ma$ageme$t g#i&e!i$es) as i$ I$tegrate& Ma$ageme$t " Chi!&h & I!!$ess. 05. O$e " the participa$ts i$ a hi! t trai$i$g c!ass as4e& y # t *h m she sh #!& re"er a patie$t i$ !a+ r *h &e'e! ps a c mp!icati $. Y # *i!! a$s*er) t the A. 3#+!ic Hea!th N#rse (. R#ra! Hea!th Mi&*i"e C. M#$icipa! Hea!th O""icer ,. A$y " these hea!th pr "essi $a!s A$s*er- .C/ M#$icipa! Hea!th O""icer A p#+!ic hea!th $#rse a$& r#ra! hea!th mi&*i"e ca$ pr 'i&e care &#ri$g $ rma! chi!&+irth. A physicia$ sh #!& atte$& t a * ma$ *ith a c mp!icati $ &#ri$g !a+ r. 09. Y # are the p#+!ic hea!th $#rse i$ a m#$icipa!ity *ith a t ta! p p#!ati $ " a+ #t 0:):::. There are 5 r#ra! hea!th mi&*i'es am $g the RHU pers $$e!. H * ma$y m re mi&*i"e items *i!! the RHU $ee&% A. 1 (. 0 C. 5 ,. The RHU & es $ t $ee& a$y

m re mi&*i"e item. A$s*er- .A/ 1 Each r#ra! hea!th mi&*i"e is gi'e$ a p p#!ati $ assig$me$t " a+ #t ;):::. 0;. I" the RHU $ee&s a&&iti $a! mi&*i"e items) y # *i!! s#+mit the re6#est " r a&&iti $a! mi&*i"e items " r appr 'a! t the A. R#ra! Hea!th U$it (. ,istrict Hea!th O""ice C. 3r 'i$cia! Hea!th O""ice ,. M#$icipa! Hea!th ( ar& A$s*er- .,/ M#$icipa! Hea!th ( ar& As ma$&ate& +y R.A. >1<:) +asic hea!th ser'ices ha'e +ee$ &e' !'e& "r m the $ati $a! g 'er$me$t t ! ca! g 'er$me$t #$its. 0<. As a$ epi&emi ! gist) the $#rse is resp $si+!e " r rep rti$g cases " $ ti"ia+!e &iseases. What !a* ma$&ates rep rti$g " cases " $ ti"ia+!e &iseases% A. Act 5;>5 (. R.A. 5>;5 C. R.A. 1:;9 ,. R.A. 1:@0 A$s*er- .A/ Act 5;>5 Act 5;>5) the La* $ Rep rti$g " C mm#$ica+!e ,iseases) e$acte& i$ 1D0D) ma$&ate& the rep rti$g " &iseases !iste& i$ the !a* t the $earest hea!th stati $. 0>. Acc r&i$g t Ereema$ a$& Hei$rich) c mm#$ity hea!th $#rsi$g is a &e'e! pme$ta! ser'ice. Which " the " !! *i$g +est i!!#strates this stateme$t% A. The c mm#$ity hea!th $#rse c $ti$# #s!y &e'e! ps himse!" pers $a!!y a$& pr "essi $a!!y. (. Hea!th e&#cati $ a$& c mm#$ity rga$i7i$g are $ecessary i$ pr 'i&i$g c mm#$ity hea!th ser'ices. C. C mm#$ity hea!th $#rsi$g is i$te$&e& primari!y " r hea!th pr m ti $ a$& pre'e$ti $ a$& treatme$t " &isease.

,. The g a! " c mm#$ity hea!th $#rsi$g is t pr 'i&e $#rsi$g ser'ices t pe p!e i$ their *$ p!aces " resi&e$ce. A$s*er- .(/ Hea!th e&#cati $ a$& c mm#$ity rga$i7i$g are $ecessary i$ pr 'i&i$g c mm#$ity hea!th ser'ices. The c mm#$ity hea!th $#rse &e'e! ps the hea!th capa+i!ity " pe p!e thr #gh hea!th e&#cati $ a$& c mm#$ity rga$i7i$g acti'ities. 0@. Which &isease *as &ec!are& thr #gh 3resi&e$tia! 3r c!amati $ N . 9 as a target " r era&icati $ i$ the 3hi!ippi$es% A. 3 !i mye!itis (. Meas!es C. Ra+ies ,. Ne $ata! teta$#s A$s*er- .(/ Meas!es 3resi&e$tia! 3r c!amati $ N . 9 is $ the Ligtas Tig&as 3r gram. 0D. The p#+!ic hea!th $#rse is resp $si+!e " r prese$ti$g the m#$icipa! hea!th statistics #si$g graphs a$& ta+!es. T c mpare the "re6#e$cy " the !ea&i$g ca#ses " m rta!ity i$ the m#$icipa!ity) *hich graph *i!! y # prepare% A. Li$e (. (ar C. 3ie ,. Scatter &iagram A$s*er- .(/ (ar A +ar graph is #se& t prese$t c mparis $ " 'a!#es) a !i$e graph " r tre$&s 'er time r age) a pie graph " r p p#!ati $ c mp siti $ r &istri+#ti $) a$& a scatter &iagram " r c rre!ati $ " t* 'aria+!es. 5:. Which step i$ c mm#$ity rga$i7i$g i$' !'es trai$i$g " p te$tia! !ea&ers i$ the c mm#$ity% A. I$tegrati $ (. C mm#$ity rga$i7ati $ C. C mm#$ity st#&y ,. C re gr #p " rmati $

A$s*er- .,/ C re gr #p " rmati $ I$ c re gr #p " rmati $) the $#rse is a+!e t tra$s"er the tech$ ! gy " c mm#$ity rga$i7i$g t the p te$tia! r i$" rma! c mm#$ity !ea&ers thr #gh a trai$i$g pr gram. 51. I$ *hich step are p!a$s " rm#!ate& " r s !'i$g c mm#$ity pr +!ems% A. M +i!i7ati $ (. C mm#$ity rga$i7ati $ C. E !! *1#pGe2te$si $ ,. C re gr #p " rmati $ A$s*er- .(/ C mm#$ity rga$i7ati $ C mm#$ity rga$i7ati $ is the step *he$ c mm#$ity assem+!ies ta4e p!ace. ,#ri$g the c mm#$ity assem+!y) the pe p!e may pt t " rma!i7e the c mm#$ity rga$i7ati $ a$& ma4e p!a$s " r c mm#$ity acti $ t res !'e a c mm#$ity hea!th pr +!em. 50. The p#+!ic hea!th $#rse ta4es a$ acti'e r !e i$ c mm#$ity participati $. What is the primary g a! " c mm#$ity rga$i7i$g% A. T e&#cate the pe p!e regar&i$g c mm#$ity hea!th pr +!ems (. T m +i!i7e the pe p!e t res !'e c mm#$ity hea!th pr +!ems C. T ma2imi7e the c mm#$ity=s res #rces i$ &ea!i$g *ith hea!th pr +!ems ,. T ma2imi7e the c mm#$ity=s res #rces i$ &ea!i$g *ith hea!th pr +!ems A$s*er- .,/ T ma2imi7e the c mm#$ity=s res #rces i$ &ea!i$g *ith hea!th pr +!ems C mm#$ity rga$i7i$g is a &e'e! pme$ta! ser'ice) *ith the g a! " &e'e! pi$g the pe p!e=s se!"1re!ia$ce i$ &ea!i$g *ith c mm#$ity hea!th pr +!ems. A) ( a$& C are +8ecti'es " c $tri+#t ry +8ecti'es t this g a!. 55. A$ i$&icat r " s#ccess i$

c mm#$ity rga$i7i$g is *he$ pe p!e are a+!e t A. 3articipate i$ c mm#$ity acti'ities " r the s !#ti $ " a c mm#$ity pr +!em (. Imp!eme$t acti'ities " r the s !#ti $ " the c mm#$ity pr +!em C. 3!a$ acti'ities " r the s !#ti $ " the c mm#$ity pr +!em ,. I&e$ti"y the hea!th pr +!em as a c mm $ c $cer$ A$s*er- .A/ 3articipate i$ c mm#$ity acti'ities " r the s !#ti $ " a c mm#$ity pr +!em 3articipati $ i$ c mm#$ity acti'ities i$ res !'i$g a c mm#$ity pr +!em may +e i$ a$y " the pr cesses me$ti $e& i$ the ther ch ices. 59. Tertiary pre'e$ti $ is $ee&e& i$ *hich stage " the $at#ra! hist ry " &isease% A. 3re1path ge$esis (. 3ath ge$esis C. 3r &r ma! ,. Termi$a! A$s*er- .,/ Termi$a! Tertiary pre'e$ti $ i$' !'es reha+i!itati $) pre'e$ti $ " perma$e$t &isa+i!ity a$& &isa+i!ity !imitati $ appr priate " r c $'a!esce$ts) the &isa+!e&) c mp!icate& cases a$& the termi$a!!y i!! .th se i$ the termi$a! stage " a &isease/ 5;. Is !ati $ " a chi!& *ith meas!es +e! $gs t *hat !e'e! " pre'e$ti $% A. 3rimary (. Sec $&ary C. I$terme&iate ,. Tertiary A$s*er- .A/ 3rimary The p#rp se " is !ati$g a c!ie$t *ith a c mm#$ica+!e &isease is t pr tect th se *h are $ t sic4 .speci"ic &isease pre'e$ti $/. 5<. O$ the ther ha$&) Operati $ Tim+a$g is HHHHH pre'e$ti $. A. 3rimary

(. Sec $&ary C. I$terme&iate ,. Tertiary A$s*er- .(/ Sec $&ary Operati $ Tim+a$g is & $e t i&e$ti"y mem+ers " the s#scepti+!e p p#!ati $ *h are ma!$ #rishe&. Its p#rp se is ear!y &iag$ sis a$&) s#+se6#e$t!y) pr mpt treatme$t. 5>. Which type " "ami!y1$#rse c $tact *i!! pr 'i&e y # *ith the +est pp rt#$ity t +ser'e "ami!y &y$amics% A. C!i$ic c $s#!tati $ (. Gr #p c $"ere$ce C. H me 'isit ,. Writte$ c mm#$icati $ A$s*er- .C/ H me 'isit ,y$amics " "ami!y re!ati $ships ca$ +est +e +ser'e& i$ the "ami!y=s $at#ra! e$'ir $me$t) *hich is the h me. 5@. The typ ! gy " "ami!y $#rsi$g pr +!ems is #se& i$ the stateme$t " $#rsi$g &iag$ sis i$ the care " "ami!ies. The y #$gest chi!& " the &e ! s Reyes "ami!y has +ee$ &iag$ se& as me$ta!!y retar&e&. This is c!assi"ie& as a A. Hea!th threat (. Hea!th &e"icit C. E reseea+!e crisis ,. Stress p i$t A$s*er- .(/ Hea!th &e"icit Eai!#re " a "ami!y mem+er t &e'e! p acc r&i$g t *hat is e2pecte&) as i$ me$ta! retar&ati $) is a hea!th &e"icit. 5D. The &e ! s Reyes c #p!e ha'e a <1year !& chi!& e$teri$g sch ! " r the "irst time. The &e ! s Reyes "ami!y has a A. Hea!th threat (. Hea!th &e"icit C. E reseea+!e crisis ,. Stress p i$t A$s*er- .C/ E reseea+!e crisis E$try " the <1year !& i$t sch ! is a$ a$ticipate& peri & " #$#s#a! &ema$& $ the

"ami!y. 9:. Which " the " !! *i$g is a$ a&'a$tage " a h me 'isit% A. It a!! *s the $#rse t pr 'i&e $#rsi$g care t a greater $#m+er " pe p!e. (. It pr 'i&es a$ pp rt#$ity t & "irst ha$& appraisa! " the h me sit#ati $. C. It a!! *s shari$g " e2perie$ces am $g pe p!e *ith simi!ar hea!th pr +!ems. ,. It &e'e! ps the "ami!y=s i$itiati'e i$ pr 'i&i$g " r hea!th $ee&s " its mem+ers. A$s*er- .(/ It pr 'i&es a$ pp rt#$ity t & "irst ha$& appraisa! " the h me sit#ati $. Ch ice A is $ t c rrect si$ce a h me 'isit re6#ires that the $#rse spe$& s m#ch time *ith the "ami!y. Ch ice C is a$ a&'a$tage " a gr #p c $"ere$ce) *hi!e ch ice , is tr#e " a c!i$ic c $s#!tati $. 91. Which is CONTRARY t the pri$cip!es i$ p!a$$i$g a h me 'isit% A. A h me 'isit sh #!& ha'e a p#rp se r +8ecti'e. (. The p!a$ sh #!& re' !'e ar #$& "ami!y hea!th $ee&s. C. A h me 'isit sh #!& +e c $&#cte& i$ the ma$$er prescri+e& +y the RHU. ,. 3!a$$i$g " c $ti$#i$g care sh #!& i$' !'e a resp $si+!e "ami!y mem+er. A$s*er- .C/ A h me 'isit sh #!& +e c $&#cte& i$ the ma$$er prescri+e& +y the RHU. The h me 'isit p!a$ sh #!& +e "!e2i+!e a$& practica!) &epe$&i$g $ "act rs) s#ch as the "ami!y=s $ee&s a$& the res #rces a'ai!a+!e t the $#rse a$& the "ami!y. 90. The 3HN +ag is a$ imp rta$t t ! i$ pr 'i&i$g $#rsi$g care &#ri$g a h me 'isit. The m st imp rta$t pri$cip!e " +ag tech$i6#e states that it A. Sh #!& sa'e time a$& e"" rt. (. Sh #!& mi$imi7e i" $ t t ta!!y pre'e$t the sprea& " i$"ecti $.

C. Sh #!& $ t 'ersha& * c $cer$ " r the patie$t a$& his "ami!y. ,. May +e & $e i$ a 'ariety " *ays &epe$&i$g $ the h me sit#ati $) etc. A$s*er- .(/ Sh #!& mi$imi7e i" $ t t ta!!y pre'e$t the sprea& " i$"ecti $. (ag tech$i6#e is per" rme& +e" re a$& a"ter ha$&!i$g a c!ie$t i$ the h me t pre'e$t tra$smissi $ " i$"ecti $ t a$& "r m the c!ie$t. 95. T mai$tai$ the c!ea$!i$ess " the +ag a$& its c $te$ts) *hich " the " !! *i$g m#st the $#rse & % A. Wash hisGher ha$&s +e" re a$& a"ter pr 'i&i$g $#rsi$g care t the "ami!y mem+ers. (. I$ the care " "ami!y mem+ers) as m#ch as p ssi+!e) #se $!y artic!es ta4e$ "r m the +ag. C. 3#t $ a$ apr $ t pr tect her #$i" rm a$& " !& it *ith the right si&e #t +e" re p#tti$g it +ac4 i$t the +ag. ,. At the e$& " the 'isit) " !& the !i$i$g $ *hich the +ag *as p!ace&) e$s#ri$g that the c $tami$ate& si&e is $ the #tsi&e. A$s*er- .A/ Wash hisGher ha$&s +e" re a$& a"ter pr 'i&i$g $#rsi$g care t the "ami!y mem+ers. Ch ice ( g es agai$st the i&ea " #ti!i7i$g the "ami!y=s res #rces) *hich is e$c #rage& i$ CHN. Ch ices C a$& , g es agai$st the pri$cip!e " asepsis " c $"i$i$g the c $tami$ate& s#r"ace " +8ects. 99. The p#+!ic hea!th $#rse c $&#cts a st#&y $ the "act rs c $tri+#ti$g t the high m rta!ity rate &#e t heart &isease i$ the m#$icipa!ity *here she * r4s. Which +ra$ch " epi&emi ! gy & es the $#rse practice i$ this sit#ati $% A. ,escripti'e (. A$a!ytica!

C. Therape#tic ,. E'a!#ati $ A$s*er- .(/ A$a!ytica! A$a!ytica! epi&emi ! gy is the st#&y " "act rs r &etermi$a$ts a""ecti$g the patter$s " cc#rre$ce a$& &istri+#ti $ " &isease i$ a c mm#$ity. 9;. Which " the " !! *i$g is a "#$cti $ " epi&emi ! gy% A. I&e$ti"yi$g the &isease c $&iti $ +ase& $ ma$i"estati $s prese$te& +y a c!ie$t (. ,etermi$i$g "act rs that c $tri+#te& t the cc#rre$ce " p$e#m $ia i$ a 5 year !& C. ,etermi$i$g the e""icacy " the a$ti+i tic #se& i$ the treatme$t " the 5 year !& c!ie$t *ith p$e#m $ia ,. E'a!#ati$g the e""ecti'e$ess " the imp!eme$tati $ " the I$tegrate& Ma$ageme$t " Chi!&h & I!!$ess A$s*er- .,/ E'a!#ati$g the e""ecti'e$ess " the imp!eme$tati $ " the I$tegrate& Ma$ageme$t " Chi!&h & I!!$ess Epi&emi ! gy is #se& i$ the assessme$t " a c mm#$ity r e'a!#ati $ " i$ter'e$ti $s i$ c mm#$ity hea!th practice. 9<. Which " the " !! *i$g is a$ epi&emi ! gic "#$cti $ " the $#rse &#ri$g a$ epi&emic% A. C $&#cti$g assessme$t " s#specte& cases t &etect the c mm#$ica+!e &isease (. M $it ri$g the c $&iti $ " the cases a""ecte& +y the c mm#$ica+!e &isease C. 3articipati$g i$ the i$'estigati $ t &etermi$e the s #rce " the epi&emic ,. Teachi$g the c mm#$ity $ pre'e$ti'e meas#res agai$st the &isease A$s*er- .C/ 3articipati$g i$ the i$'estigati $ t &etermi$e the s #rce " the epi&emic Epi&emi ! gy is the st#&y " patter$s " cc#rre$ce a$&

&istri+#ti $ " &isease i$ the c mm#$ity) as *e!! as the "act rs that a""ect &isease patter$s. The p#rp se " a$ epi&emi ! gic i$'estigati $ is t i&e$ti"y the s #rce " a$ epi&emic) i.e.) *hat +r #ght a+ #t the epi&emic. 9>. The primary p#rp se " c $&#cti$g a$ epi&emi ! gic i$'estigati $ is t A. ,e!i$eate the eti ! gy " the epi&emic (. E$c #rage c perati $ a$& s#pp rt " the c mm#$ity C. I&e$ti"y gr #ps *h are at ris4 " c $tracti$g the &isease ,. I&e$ti"y ge graphica! ! cati $ " cases " the &isease i$ the c mm#$ity A$s*er- .A/ ,e!i$eate the eti ! gy " the epi&emic ,e!i$eati$g the eti ! gy " a$ epi&emic is i&e$ti"yi$g its s #rce. 9@. Which is a characteristic " pers $1t 1pers $ pr pagate& epi&emics% A. There are m re cases " the &isease tha$ e2pecte&. (. The &isease m#st $ecessari!y +e tra$smitte& thr #gh a 'ect r. C. The sprea& " the &isease ca$ +e attri+#te& t a c mm $ 'ehic!e. ,. There is a gra&#a! +#i!& #p " cases +e" re the epi&emic +ec mes easi!y $ ticea+!e. A$s*er- .,/ There is a gra&#a! +#i!& #p " cases +e" re the epi&emic +ec mes easi!y $ ticea+!e. A gra&#a! r i$si&i #s $set " the epi&emic is #s#a!!y +ser'a+!e i$ pers $1t 1pers $ pr pagate& epi&emics. 9D. I$ the i$'estigati $ " a$ epi&emic) y # c mpare the prese$t "re6#e$cy " the &isease *ith the #s#a! "re6#e$cy at this time " the year i$ this c mm#$ity. This is & $e &#ri$g *hich stage " the i$'estigati $%

A. Esta+!ishi$g the epi&emic (. Testi$g the hyp thesis C. E rm#!ati $ " the hyp thesis ,. Appraisa! " "acts A$s*er- .A/ Esta+!ishi$g the epi&emic Esta+!ishi$g the epi&emic is &etermi$i$g *hether there is a$ epi&emic r $ t. This is & $e +y c mpari$g the prese$t $#m+er " cases *ith the #s#a! $#m+er " cases " the &isease at the same time " the year) as *e!! as esta+!ishi$g the re!ate&$ess " the cases " the &isease. ;:. The $#m+er " cases " ,e$g#e "e'er #s#a!!y i$creases t *ar&s the e$& " the rai$y seas $. This patter$ " cc#rre$ce " ,e$g#e "e'er is +est &escri+e& as A. Epi&emic cc#rre$ce (. Cyc!ica! 'ariati $ C. Sp ra&ic cc#rre$ce ,. Sec#!ar 'ariati $ A$s*er- .(/ Cyc!ica! 'ariati $ A cyc!ica! 'ariati $ is a peri &ic "!#ct#ati $ i$ the $#m+er " cases " a &isease i$ the c mm#$ity. ;1. I$ the year 1D@:) the W r!& Hea!th Orga$i7ati $ &ec!are& the 3hi!ippi$es) t gether *ith s me ther c #$tries i$ the Wester$ 3aci"ic Regi $) A"reeB " *hich &isease% A. 3$e#m $ic p!ag#e (. 3 !i mye!itis C. Sma!! p 2 ,. A$thra2 A$s*er- .C/ Sma!! p 2 The !ast & c#me$te& case " Sma!! p 2 *as i$ 1D>> at S ma!ia. ;0. I$ the ce$s#s " the 3hi!ippi$es i$ 1DD;) there *ere a+ #t 5;)0DD)::: ma!es a$& a+ #t 59)D<@)::: "ema!es. What is the se2 rati % A. DD.:<-1:: (. 1::.D9-1:: C. ;:.05I ,. 9D.><I

A$s*er- .(/ 1::.D9-1:: Se2 rati is the $#m+er " ma!es " r e'ery 1:: "ema!es i$ the p p#!ati $. ;5. 3rimary hea!th care is a t ta! appr ach t c mm#$ity &e'e! pme$t. Which " the " !! *i$g is a$ i$&icat r " s#ccess i$ the #se " the primary hea!th care appr ach% A. Hea!th ser'ices are pr 'i&e& "ree " charge t i$&i'i&#a!s a$& "ami!ies. (. L ca! ""icia!s are emp *ere& as the ma8 r &ecisi $ ma4ers i$ matters " hea!th. C. Hea!th * r4ers are a+!e t pr 'i&e care +ase& $ i&e$ti"ie& hea!th $ee&s " the pe p!e. ,. Hea!th pr grams are s#stai$e& acc r&i$g t the !e'e! " &e'e! pme$t " the c mm#$ity. A$s*er- .,/ Hea!th pr grams are s#stai$e& acc r&i$g t the !e'e! " &e'e! pme$t " the c mm#$ity. 3rimary hea!th care is esse$tia! hea!th care that ca$ +e s#stai$e& i$ a!! stages " &e'e! pme$t " the c mm#$ity. ;9. Sp#t#m e2ami$ati $ is the ma8 r scree$i$g t ! " r p#!m $ary t#+erc#! sis. C!ie$ts * #!& s metimes get "a!se $egati'e res#!ts i$ this e2am. This mea$s that the test is $ t per"ect i$ terms " *hich characteristic " a &iag$ stic e2ami$ati $% A. E""ecti'e$ess (. E""icacy C. Speci"icity ,. Se$siti'ity A$s*er- .,/ Se$siti'ity Se$siti'ity is the capacity " a &iag$ stic e2ami$ati $ t &etect cases " the &isease. I" a test is 1::I se$siti'e) a!! the cases teste& *i!! ha'e a p siti'e res#!t) i.e.) there *i!! +e $ "a!se $egati'e res#!ts. ;;. Use " appr priate tech$ ! gy re6#ires 4$ *!e&ge

" i$&ige$ #s tech$ ! gy. Which me&ici$a! her+ is gi'e$ " r "e'er) hea&ache a$& c #gh% A. Sam+ $g (. Tsaa$g g#+at C. A4ap#!4 ,. Lag#$&i A$s*er- .,/ Lag#$&i Sam+ $g is #se& as a &i#retic. Tsaa$g g#+at is #se& t re!ie'e &iarrhea. A4ap#!4 is #se& " r its a$ti"#$ga! pr perty. ;<. What !a* create& the 3hi!ippi$e I$stit#te " Tra&iti $a! a$& A!ter$ati'e Hea!th Care% A. R.A. @905 (. R.A. 9@05 C. R.A. 09@5 ,. R.A. 59@0 A$s*er- .A/ R.A. @905 .$ $e/ ;>. I$ tra&iti $a! Chi$ese me&ici$e) the yie!&i$g) $egati'e a$& "emi$i$e " rce is terme& A. Yi$ (. Ya$g C. Ji ,. Chai A$s*er- .A/ Yi$ Ya$g is the ma!e & mi$ati$g) p siti'e a$& masc#!i$e " rce. ;@. What is the !ega! +asis " r 3rimary Hea!th Care appr ach i$ the 3hi!ippi$es% A. A!ma Ata ,ec!arati $ $ 3HC (. Letter " I$str#cti $ N . D9D C. 3resi&e$tia! ,ecree N . 19> ,. 3resi&e$tia! ,ecree DD< A$s*er- .(/ Letter " I$str#cti $ N . D9D Letter " I$str#cti $ D9D *as iss#e& +y the$ 3resi&e$t Eer&i$a$& Marc s) &irecti$g the " rmer!y ca!!e& Mi$istry " Hea!th) $ * the ,epartme$t " Hea!th) t #ti!i7e 3rimary Hea!th Care appr ach i$ p!a$$i$g a$& imp!eme$ti$g hea!th pr grams. ;D. Which " the " !! *i$g &em $strates i$tersect ra! !i$4ages% A. T* 1*ay re"erra! system (. Team appr ach

C. E$& rseme$t & $e +y a mi&*i"e t a$ ther mi&*i"e ,. C perati $ +et*ee$ the 3HN a$& p#+!ic sch ! teacher A$s*er- .,/ C perati $ +et*ee$ the 3HN a$& p#+!ic sch ! teacher I$tersect ra! !i$4ages re"er t * r4i$g re!ati $ships +et*ee$ the hea!th sect r a$& ther sect rs i$' !'e& i$ c mm#$ity &e'e! pme$t. <:. The m#$icipa!ity assig$e& t y # has a p p#!ati $ " a+ #t 0:):::. Estimate the $#m+er " 119 year !& chi!&re$ *h *i!! +e gi'e$ Reti$ ! caps#!e 0::)::: I.U. e'ery < m $ths. A. 1);:: (. 1)@:: C. 0)::: ,. 0)5:: A$s*er- .,/ 0)5:: (ase& $ the 3hi!ippi$e p p#!ati $ c mp siti $) t estimate the $#m+er " 119 year !& chi!&re$) m#!tip!y t ta! p p#!ati $ +y 11.;I. <1. Estimate the $#m+er " preg$a$t * me$ *h *i!! +e gi'e$ teta$#s t 2 i& &#ri$g a$ imm#$i7ati $ #treach acti'ity i$ a +ara$gay *ith a p p#!ati $ " a+ #t 1);::. A. 0<; (. 5:: C. 5>; ,. 9:: A$s*er- .A/ 0<; T estimate the $#m+er " preg$a$t * me$) m#!tip!y the t ta! p p#!ati $ +y 5.;I. <0. T &escri+e the se2 c mp siti $ " the p p#!ati $) *hich &em graphic t ! may +e #se&% A. Se2 rati (. Se2 pr p rti $ C. 3 p#!ati $ pyrami& ,. A$y " these may +e #se&. A$s*er- .,/ A$y " these may +e #se&. Se2 rati a$& se2 pr p rti $ are

#se& t &etermi$e the se2 c mp siti $ " a p p#!ati $. A p p#!ati $ pyrami& is #se& t prese$t the c mp siti $ " a p p#!ati $ +y age a$& se2. <5. Which " the " !! *i$g is a $ata!ity rate% A. Cr#&e +irth rate (. Ne $ata! m rta!ity rate C. I$"a$t m rta!ity rate ,. Ge$era! "erti!ity rate A$s*er- .A/ Cr#&e +irth rate Nata!ity mea$s +irth. A $ata!ity rate is a +irth rate. <9. Y # are c mp#ti$g the cr#&e &eath rate " y #r m#$icipa!ity) *ith a t ta! p p#!ati $ " a+ #t 1@):::) " r !ast year. There *ere D9 &eaths. Am $g th se *h &ie&) 0: &ie& +eca#se " &iseases " the heart a$& 50 *ere age& ;: years r !&er. What is the cr#&e &eath rate% A. 9.0G1)::: (. ;.0G1)::: C. <.5G1)::: ,. >.5G1)::: A$s*er- .(/ ;.0G1)::: T c mp#te cr#&e &eath rate &i'i&e t ta! $#m+er " &eaths .D9/ +y t ta! p p#!ati $ .1@):::/ a$& m#!tip!y +y 1):::. <;. K$ *i$g that ma!$#triti $ is a "re6#e$t c mm#$ity hea!th pr +!em) y # &eci&e& t c $&#ct $#triti $a! assessme$t. What p p#!ati $ is partic#!ar!y s#scepti+!e t pr tei$ e$ergy ma!$#triti $ .3EM/% A. 3reg$a$t * me$ a$& the e!&er!y (. U$&er1; year !& chi!&re$ C. 119 year !& chi!&re$ ,. Sch ! age chi!&re$ A$s*er- .C/ 119 year !& chi!&re$ 3resch !ers are the m st s#scepti+!e t 3EM +eca#se they ha'e ge$era!!y +ee$ *ea$e&. A!s ) this is the p p#!ati $ *h ) #$a+!e t "ee& themse!'es) are "te$ the 'ictims " p r i$tra"ami!ia! " & &istri+#ti $.

<<. Which statistic ca$ gi'e the m st acc#rate re"!ecti $ " the hea!th stat#s " a c mm#$ity% A. 119 year !& age1speci"ic m rta!ity rate (. I$"a$t m rta!ity rate C. S*ar p=s i$&e2 ,. Cr#&e &eath rate A$s*er- .C/ S*ar p=s i$&e2 S*ar p=s i$&e2 is the pr p rti $ " &eaths age& ;: years a$& a+ 'e. The higher the S*ar p=s i$&e2 " a p p#!ati $) the greater the pr p rti $ " the &eaths *h *ere a+!e t reach the age " at !east ;: years) i.e.) m re pe p!e gre* !& +e" re they &ie&. <>. I$ the past year) (ara$gay A ha& a$ a'erage p p#!ati $ " 1<;;. 9< +a+ies *ere + r$ i$ that year) 0 " *h m &ie& !ess tha$ 9 *ee4s a"ter they *ere + r$. There *ere 9 rec r&e& sti!!+irths. What is the $e $ata! m rta!ity rate% A. 0>.@G1)::: (. 95.;G1)::: C. @<.DG1)::: ,. 15:.9G1)::: A$s*er- .(/ 95.;G1)::: T c mp#te " r $e $ata! m rta!ity rate) &i'i&e the $#m+er " +a+ies *h &ie& +e" re reachi$g the age " 0@ &ays +y the t ta! $#m+er " !i'e +irths) the$ m#!tip!y +y 1):::. <@. Which statistic +est re"!ects the $#triti $a! stat#s " a p p#!ati $% A. 119 year !& age1speci"ic m rta!ity rate (. 3r p rti $ate m rta!ity rate C. I$"a$t m rta!ity rate ,. S*ar p=s i$&e2 A$s*er- .A/ 119 year !& age1 speci"ic m rta!ity rate Si$ce presch !ers are the m st s#scepti+!e t the e""ects " ma!$#triti $) a p p#!ati $ *ith p r $#triti $a! stat#s *i!! m st !i4e!y ha'e a high 119 year !& age1speci"ic m rta!ity rate) a!s

4$ *$ as chi!& m rta!ity rate. <D. What $#merat r is #se& i$ c mp#ti$g ge$era! "erti!ity rate% A. Estimate& mi&year p p#!ati $ (. N#m+er " registere& !i'e +irths C. N#m+er " preg$a$cies i$ the year ,. N#m+er " "ema!es " repr &#cti'e age A$s*er- .(/ N#m+er " registere& !i'e +irths T c mp#te " r ge$era! r t ta! "erti!ity rate) &i'i&e the $#m+er " registere& !i'e +irths +y the $#m+er " "ema!es " repr &#cti'e age .1;19; years/) the$ m#!tip!y +y 1):::. >:. Y # *i!! gather &ata " r $#triti $a! assessme$t " a p#r 4. Y # *i!! gather i$" rmati $ $!y "r m "ami!ies *ith mem+ers *h +e! $g t the target p p#!ati $ " r 3EM. What meth & " &ata gatheri$g is +est " r this p#rp se% A. Ce$s#s (. S#r'ey C. Rec r& re'ie* ,. Re'ie* " ci'i! registry A$s*er- .(/ S#r'ey A s#r'ey) a!s ca!!e& samp!e s#r'ey) is &ata gatheri$g a+ #t a samp!e " the p p#!ati $. >1. I$ the c $&#ct " a ce$s#s) the meth & " p p#!ati $ assig$me$t +ase& $ the act#a! physica! ! cati $ " the pe p!e is terme& A. ,e 8#re (. ,e ! c#s C. ,e "act ,. ,e $ ' A$s*er- .C/ ,e "act The ther meth & " p p#!ati $ assig$me$t) &e 8#re) is +ase& $ the #s#a! p!ace " resi&e$ce " the pe p!e. >0. The Eie!& Hea!th Ser'ices a$& I$" rmati $ System .EHSIS/ is the rec r&i$g a$& rep rti$g system i$ p#+!ic

hea!th care i$ the 3hi!ippi$es. The M $th!y Eie!& Hea!th Ser'ice Acti'ity Rep rt is a " rm #se& i$ *hich " the c mp $e$ts " the EHSIS% A. Ta!!y rep rt (. O#tp#t rep rt C. TargetGc!ie$t !ist ,. I$&i'i&#a! hea!th rec r& A$s*er- .A/ Ta!!y rep rt A ta!!y rep rt is prepare& m $th!y r 6#arter!y +y the RHU pers $$e! a$& tra$smitte& t the 3r 'i$cia! Hea!th O""ice. >5. T m $it r c!ie$ts registere& i$ ! $g1term regime$s) s#ch as the M#!ti1,r#g Therapy) *hich c mp $e$t *i!! +e m st #se"#!% A. Ta!!y rep rt (. O#tp#t rep rt C. TargetGc!ie$t !ist ,. I$&i'i&#a! hea!th rec r& A$s*er- .C/ TargetGc!ie$t !ist The M,T C!ie$t List is a rec r& " c!ie$ts e$r !!e& i$ M,T a$& ther re!e'a$t &ata) s#ch as &ates *he$ c!ie$ts c !!ecte& their m $th!y s#pp!y " &r#gs. >9. Ci'i! registries are imp rta$t s #rces " &ata. Which !a* re6#ires registrati $ " +irths *ithi$ 5: &ays "r m the cc#rre$ce " the +irth% A. 3.,. <;1 (. Act 5;>5 C. R.A. 5>;5 ,. R.A. 55>; A$s*er- .A/ 3.,. <;1 3.,. <;1 ame$&e& R.A. 5>;5) re6#iri$g the registry " +irths *ithi$ 5: &ays "r m their cc#rre$ce. >;. Which " the " !! *i$g pr "essi $a!s ca$ sig$ the +irth certi"icate% A. 3#+!ic hea!th $#rse (. R#ra! hea!th mi&*i"e C. M#$icipa! hea!th ""icer ,. A$y " these hea!th pr "essi $a!s A$s*er- .,/ A$y " these hea!th pr "essi $a!s ,. R.A. 5>;5 states that a$y

+irth atte$&a$t may sig$ the certi"icate " !i'e +irth. ><. Which criteri $ i$ pri rity setti$g " hea!th pr +!ems is #se& $!y i$ c mm#$ity hea!th care% A. M &i"ia+i!ity " the pr +!em (. Nat#re " the pr +!em prese$te& C. Mag$it#&e " the hea!th pr +!em ,. 3re'e$ti'e p te$tia! " the hea!th pr +!em A$s*er- .C/ Mag$it#&e " the hea!th pr +!em Mag$it#&e " the pr +!em re"ers t the perce$tage " the p p#!ati $ a""ecte& +y a hea!th pr +!em. The ther ch ices are criteria c $si&ere& i$ + th "ami!y a$& c mm#$ity hea!th care. >>. The Se$tr $g Sig!a M 'eme$t has +ee$ !a#$che& t impr 'e hea!th ser'ice &e!i'ery. Which " the " !! *i$g isGare tr#e " this m 'eme$t% A. This is a pr 8ect spearhea&e& +y ! ca! g 'er$me$t #$its. (. It is a +asis " r i$creasi$g "#$&i$g "r m ! ca! g 'er$me$t #$its. C. It e$c #rages hea!th ce$ters t " c#s $ &isease pre'e$ti $ a$& c $tr !. ,. Its mai$ strategy is certi"icati $ " hea!th ce$ters a+!e t c mp!y *ith sta$&ar&s. A$s*er- .,/ Its mai$ strategy is certi"icati $ " hea!th ce$ters a+!e t c mp!y *ith sta$&ar&s. Se$tr $g Sig!a M 'eme$t is a 8 i$t pr 8ect " the ,OH a$& ! ca! g 'er$me$t #$its. Its mai$ strategy is certi"icati $ " hea!th ce$ters that are a+!e t c mp!y *ith sta$&ar&s set +y the ,OH. >@. Which " the " !! *i$g * me$ sh #!& +e c $si&ere& as specia! targets " r "ami!y p!a$$i$g% A. Th se *h ha'e t* chi!&re$ r m re (. Th se *ith me&ica! c $&iti $s s#ch as a$emia

C. Th se y #$ger tha$ 0: years a$& !&er tha$ 5; years ,. Th se *h 8#st ha& a &e!i'ery *ithi$ the past 1; m $ths A$s*er- .,/ Th se *h 8#st ha& a &e!i'ery *ithi$ the past 1; m $ths The i&ea! +irth spaci$g is at !east t* years. 1; m $ths p!#s D m $ths " preg$a$cy L 0 years. >D. Eree& m " ch ice is $e " the p !icies " the Eami!y 3!a$$i$g 3r gram " the 3hi!ippi$es. Which " the " !! *i$g i!!#strates this pri$cip!e% A. I$" rmati $ &issemi$ati $ a+ #t the $ee& " r "ami!y p!a$$i$g (. S#pp rt " research a$& &e'e! pme$t i$ "ami!y p!a$$i$g meth &s C. A&e6#ate i$" rmati $ " r c #p!es regar&i$g the &i""ere$t meth &s ,. E$c #rageme$t " c #p!es t ta4e "ami!y p!a$$i$g as a 8 i$t resp $si+i!ity A$s*er- .C/ A&e6#ate i$" rmati $ " r c #p!es regar&i$g the &i""ere$t meth &s T e$a+!e the c #p!e t ch se "ree!y am $g &i""ere$t meth &s " "ami!y p!a$$i$g) they m#st +e gi'e$ "#!! i$" rmati $ regar&i$g the &i""ere$t meth &s that are a'ai!a+!e t them) c $si&eri$g the a'ai!a+i!ity " 6#a!ity ser'ices that ca$ s#pp rt their ch ice. @:. A * ma$) < m $ths preg$a$t) came t the ce$ter " r c $s#!tati $. Which " the " !! *i$g s#+sta$ces is c $trai$&icate&% A. Teta$#s t 2 i& (. Reti$ ! 0::)::: IU C. Eerr #s s#!"ate 0:: mg ,. 3 tassi#m i &ate 0:: mg. caps#!e A$s*er- .(/ Reti$ ! 0::)::: IU Reti$ ! 0::)::: IU is a " rm "

mega& se Fitami$ A. This may ha'e a terat ge$ic e""ect. @1. ,#ri$g pre$ata! c $s#!tati $) a c!ie$t as4e& y # i" she ca$ ha'e her &e!i'ery at h me. A"ter hist ry ta4i$g a$& physica! e2ami$ati $) y # a&'ise& her agai$st a h me &e!i'ery. Which " the " !! *i$g "i$&i$gs &is6#a!i"ies her " r a h me &e!i'ery% A. Her O( sc re is G;35. (. She has s me pa!mar pa!! r. C. Her +! & press#re is 15:G@:. ,. Her +a+y is i$ cepha!ic prese$tati $. A$s*er- .A/ Her O( sc re is G;35. O$!y * me$ *ith !ess tha$ ; preg$a$cies are 6#a!i"ie& " r a h me &e!i'ery. It is a!s a&'isa+!e " r a primigra'i&a t ha'e &e!i'ery at a chi!&+irth "aci!ity. @0. I$a&e6#ate i$ta4e +y the preg$a$t * ma$ " *hich 'itami$ may ca#se $e#ra! t#+e &e"ects% A. Niaci$ (. Ri+ "!a'i$ C. E !ic aci& ,. Thiami$e A$s*er- .C/ E !ic aci& It is estimate& that the i$ci&e$ce " $e#ra! t#+e &e"ects ca$ +e re&#ce& &rastica!!y i" preg$a$t * me$ ha'e a$ a&e6#ate i$ta4e " " !ic aci&. @5. Y # are i$ a c!ie$t=s h me t atte$& t a &e!i'ery. Which " the " !! *i$g *i!! y # & "irst% A. Set #p the steri!e area. (. 3#t $ a c!ea$ g *$ r apr $. C. C!ea$se the c!ie$t=s '#!'a *ith s ap a$& *ater. ,. N te the i$ter'a!) &#rati $ a$& i$te$sity " !a+ r c $tracti $s. A$s*er- .,/ N te the i$ter'a!) &#rati $ a$& i$te$sity " !a+ r c $tracti $s. Assessme$t " the * ma$

sh #!& +e & $e "irst t &etermi$e *hether she is ha'i$g tr#e !a+ r a$&) i" s ) *hat stage " !a+ r she is i$. @9. I$ prepari$g a primigra'i&a " r +reast"ee&i$g) *hich " the " !! *i$g *i!! y # & % A. Te!! her that !actati $ +egi$s *ithi$ a &ay a"ter &e!i'ery. (. Teach her $ipp!e stretchi$g e2ercises i" her $ipp!es are e'erte&. C. I$str#ct her t *ash her $ipp!es +e" re a$& a"ter each +reast"ee&i$g. ,. E2p!ai$ t her that p#tti$g the +a+y t +reast *i!! !esse$ +! & ! ss a"ter &e!i'ery. A$s*er- .,/ E2p!ai$ t her that p#tti$g the +a+y t +reast *i!! !esse$ +! & ! ss a"ter &e!i'ery. S#c4!i$g " the $ipp!e stim#!ates the re!ease " 2yt ci$ +y the p steri r pit#itary g!a$&) *hich ca#ses #teri$e c $tracti $. Lactati $ +egi$s 1 t 5 &ays a"ter &e!i'ery. Nipp!e stretchi$g e2ercises are & $e *he$ the $ipp!es are "!at r i$'erte&. Ere6#e$t *ashi$g &ries #p the $ipp!es) ma4i$g them pr $e t the " rmati $ " "iss#res. @;. A primigra'i&a is i$str#cte& t ""er her +reast t the +a+y " r the "irst time *ithi$ 5: mi$#tes a"ter &e!i'ery. What is the p#rp se " ""eri$g the +reast this ear!y% A. T i$itiate the cc#rre$ce " mi!4 !et& *$ (. T stim#!ate mi!4 pr &#cti $ +y the mammary aci$i C. T ma4e s#re that the +a+y is a+!e t get the c ! str#m ,. T a!! * the * ma$ t practice +reast"ee&i$g i$ the prese$ce " the hea!th * r4er A$s*er- .(/ T stim#!ate mi!4 pr &#cti $ +y the mammary aci$i S#c4!i$g " the $ipp!e stim#!ates pr !acti$ re"!e2 .the re!ease " pr !acti$ +y the a$teri r pit#itary g!a$&/) *hich i$itiates !actati $. @<. I$ a m thers= c!ass) y #

&isc#ss pr per +reast"ee&i$g tech$i6#e. Which is " these is a sig$ that the +a+y has A!atche& $B t the +reast pr per!y% A. The +a+y ta4es sha!! *) rapi& s#c4s. (. The m ther & es $ t "ee! $ipp!e pai$. C. The +a+y=s m #th is $!y part!y pe$. ,. O$!y the m ther=s $ipp!e is i$si&e the +a+y=s m #th. A$s*er- .(/ The m ther & es $ t "ee! $ipp!e pai$. Whe$ the +a+y has pr per!y !atche& $ t the +reast) he ta4es &eep) s! * s#c4sC his m #th is *i&e pe$C a$& m#ch " the are !a is i$si&e his m #th. A$&) y #=re right? The m ther & es $ t "ee! $ipp!e pai$. @>. Y # e2p!ai$ t a +reast"ee&i$g m ther that +reast mi!4 is s#""icie$t " r a!! " the +a+y=s $#trie$t $ee&s $!y #p t HHHH. A. 5 m $ths (. < m $ths C. 1 year ,. 0 years A$s*er- .(/ < m $ths A"ter < m $ths) the +a+y=s $#trie$t $ee&s) especia!!y the +a+y=s ir $ re6#ireme$t) ca$ $ ! $ger +e pr 'i&e& +y m ther=s mi!4 a! $e. @@. What is gi'e$ t a * ma$ *ithi$ a m $th a"ter the &e!i'ery " a +a+y% A. Ma!#$ggay caps#!e (. Eerr #s s#!"ate 1:: mg. O, C. Reti$ ! 0::)::: I.U.) 1 caps#!e ,. 3 tassi#m i &ate 0:: mg) 1 caps#!e A$s*er- .C/ Reti$ ! 0::)::: I.U.) 1 caps#!e A caps#!e " Reti$ ! 0::)::: IU is gi'e$ *ithi$ 1 m $th a"ter &e!i'ery. 3 tassi#m i &ate is gi'e$ &#ri$g preg$a$cyC ma!#$ggay caps#!e is $ t r #ti$e!y a&mi$istere& a"ter

&e!i'eryC a$& "err #s s#!"ate is ta4e$ " r t* m $ths a"ter &e!i'ery. @D. Which +i ! gica! #se& i$ E2pa$&e& 3r gram $ Imm#$i7ati $ .E3I/ is st re& i$ the "ree7er% A. ,3T (. Teta$#s t 2 i& C. Meas!es 'acci$e ,. Hepatitis ( 'acci$e A$s*er- .C/ Meas!es 'acci$e Am $g the +i ! gica!s #se& i$ the E2pa$&e& 3r gram $ Imm#$i7ati $) meas!es 'acci$e a$& O3F are high!y se$siti'e t heat) re6#iri$g st rage i$ the "ree7er. D:. U$#se& (CG sh #!& +e &iscar&e& h * ma$y h #rs a"ter rec $stit#ti $% A. 0 (. 9 C. < ,. At the e$& " the &ay A$s*er- .(/ 9 Whi!e the #$#se& p rti $ " ther +i ! gica!s i$ E3I may +e gi'e$ #$ti! the e$& " the &ay) $!y (CG is &iscar&e& 9 h #rs a"ter rec $stit#ti $. This is *hy (CG imm#$i7ati $ is sche&#!e& $!y i$ the m r$i$g. D1. I$ imm#$i7i$g sch ! e$tra$ts *ith (CG) y # are $ t +!ige& t sec#re pare$ta! c $se$t. This is +eca#se " *hich !ega! & c#me$t% A. 3.,. DD< (. R.A. >@9< C. 3resi&e$tia! 3r c!amati $ N . < ,. 3resi&e$tia! 3r c!amati $ N . 9< A$s*er- .A/ 3.,. DD< 3resi&e$tia! ,ecree DD<) e$acte& i$ 1D><) ma&e imm#$i7ati $ i$ the E3I c mp#!s ry " r chi!&re$ #$&er @ years " age. Hepatitis ( 'acci$ati $ *as ma&e c mp#!s ry " r the same age gr #p +y R.A. >@9<. D0. Which imm#$i7ati $

pr &#ces a perma$e$t scar% A. ,3T (. (CG C. Meas!es 'acci$ati $ ,. Hepatitis ( 'acci$ati $ A$s*er- .(/ (CG (CG ca#ses the " rmati $ " a s#per"icia! a+scess) *hich +egi$s 0 *ee4s a"ter imm#$i7ati $. The a+scess hea!s *ith #t treatme$t) *ith the " rmati $ " a perma$e$t scar. D5. A 91*ee4 !& +a+y *as +r #ght t the hea!th ce$ter " r his "irst imm#$i7ati $. Which ca$ +e gi'e$ t him% A. ,3T1 (. O3F1 C. I$"a$t (CG ,. Hepatitis ( 'acci$e 1 A$s*er- .C/ I$"a$t (CG I$"a$t (CG may +e gi'e$ at +irth. A!! the ther imm#$i7ati $s me$ti $e& ca$ +e gi'e$ at < *ee4s " age. D9. Y # *i!! $ t gi'e ,3T 0 i" the m ther says that the i$"a$t ha& A. Sei7#res a &ay a"ter ,3T 1. (. Ee'er " r 5 &ays a"ter ,3T 1. C. A+scess " rmati $ a"ter ,3T 1. ,. L ca! te$&er$ess " r 5 &ays a"ter ,3T 1. A$s*er- .A/ Sei7#res a &ay a"ter ,3T 1. Sei7#res *ithi$ 5 &ays a"ter a&mi$istrati $ " ,3T is a$ i$&icati $ " hyperse$siti'ity t pert#ssis 'acci$e) a c mp $e$t " ,3T. This is c $si&ere& a speci"ic c $trai$&icati $ t s#+se6#e$t & ses " ,3T. D;. A 01m $th !& i$"a$t *as +r #ght t the hea!th ce$ter " r imm#$i7ati $. ,#ri$g assessme$t) the i$"a$t=s temperat#re registere& at 5@.1MC. Which is the +est c #rse " acti $ that y # *i!! ta4e% A. G $ *ith the i$"a$t=s imm#$i7ati $s.

(. Gi'e 3aracetam ! a$& *ait " r his "e'er t s#+si&e. C. Re"er the i$"a$t t the physicia$ " r "#rther assessme$t. ,. A&'ise the i$"a$t=s m ther t +ri$g him +ac4 " r imm#$i7ati $ *he$ he is *e!!. A$s*er- .A/ G $ *ith the i$"a$t=s imm#$i7ati $s. I$ the E3I) "e'er #p t 5@.;MC is $ t a c $trai$&icati $ t imm#$i7ati $. Mi!& ac#te respirat ry tract i$"ecti $) simp!e &iarrhea a$& ma!$#triti $ are $ t c $trai$&icati $s either. D<. A preg$a$t * ma$ ha& 8#st recei'e& her 9th & se " teta$#s t 2 i&. S#+se6#e$t!y) her +a+y *i!! ha'e pr tecti $ agai$st teta$#s " r h * ! $g% A. 1 year (. 5 years C. 1: years ,. Li"etime A$s*er- .A/ 1 year The +a+y *i!! ha'e passi'e $at#ra! imm#$ity +y p!ace$ta! tra$s"er " a$ti+ &ies. The m ther *i!! ha'e acti'e arti"icia! imm#$ity !asti$g " r a+ #t 1: years. ; & ses *i!! gi'e the m ther !i"etime pr tecti $. D>. A 91m $th !& i$"a$t *as +r #ght t the hea!th ce$ter +eca#se " c #gh. Her respirat ry rate is 90Gmi$#te. Usi$g the I$tegrate& Ma$ageme$t " Chi!& I!!$ess .IMCI/ g#i&e!i$es " assessme$t) her +reathi$g is c $si&ere& A. East (. S! * C. N rma! ,. I$sig$i"ica$t A$s*er- .C/ N rma! I$ IMCI) a respirat ry rate " ;:Gmi$#te r m re is "ast +reathi$g " r a$ i$"a$t age& 0 t 10 m $ths. D@. Which " the " !! *i$g sig$s *i!! i$&icate that a y #$g chi!& is s#""eri$g "r m se'ere

p$e#m $ia% A. ,ysp$ea (. Whee7i$g C. East +reathi$g ,. Chest i$&ra*i$g A$s*er- .,/ Chest i$&ra*i$g I$ IMCI) chest i$&ra*i$g is #se& as the p siti'e sig$ " &ysp$ea) i$&icati$g se'ere p$e#m $ia. DD. Usi$g IMCI g#i&e!i$es) y # c!assi"y a chi!& as ha'i$g se'ere p$e#m $ia. What is the +est ma$ageme$t " r the chi!&% A. 3rescri+e a$ a$ti+i tic. (. Re"er him #rge$t!y t the h spita!. C. I$str#ct the m ther t i$crease "!#i& i$ta4e. ,. I$str#ct the m ther t c $ti$#e +reast"ee&i$g. A$s*er- .(/ Re"er him #rge$t!y t the h spita!. Se'ere p$e#m $ia re6#ires #rge$t re"erra! t a h spita!. A$s*ers A) C a$& , are & $e " r a c!ie$t c!assi"ie& as ha'i$g p$e#m $ia. 1::. A ;1m $th !& i$"a$t *as +r #ght +y his m ther t the hea!th ce$ter +eca#se " &iarrhea cc#rri$g 9 t ; times a &ay. His s4i$ g es +ac4 s! *!y a"ter a s4i$ pi$ch a$& his eyes are s#$4e$. Usi$g the IMCI g#i&e!i$es) y # *i!! c!assi"y this i$"a$t i$ *hich categ ry% A. N sig$s " &ehy&rati $ (. S me &ehy&rati $ C. Se'ere &ehy&rati $ ,. The &ata is i$s#""icie$t. A$s*er- .(/ S me &ehy&rati $ Usi$g the assessme$t g#i&e!i$es " IMCI) a chi!& .0 m $ths t ; years !&/ *ith &iarrhea is c!assi"ie& as ha'i$g SOME ,EHY,RATION i" he sh *s 0 r m re " the " !! *i$g sig$srest!ess r irrita+!e) s#$4e$ eyes) the s4i$ g es +ac4 s! * a"ter a s4i$ pi$ch. 1:1. (ase& $ assessme$t) y # c!assi"ie& a 51m $th !& i$"a$t *ith the chie" c mp!ai$t " &iarrhea i$ the categ ry "

SOME ,EHY,RATION. (ase& $ IMCI ma$ageme$t g#i&e!i$es) *hich " the " !! *i$g *i!! y # & % A. (ri$g the i$"a$t t the $earest "aci!ity *here IF "!#i&s ca$ +e gi'e$. (. S#per'ise the m ther i$ gi'i$g 0:: t 9:: m!. " Ores ! i$ 9 h #rs. C. Gi'e the i$"a$t=s m ther i$str#cti $s $ h me ma$ageme$t. ,. Keep the i$"a$t i$ y #r hea!th ce$ter " r c! se +ser'ati $. A$s*er- .(/ S#per'ise the m ther i$ gi'i$g 0:: t 9:: m!. " Ores ! i$ 9 h #rs. I$ the IMCI ma$ageme$t g#i&e!i$es) SOME ,EHY,RATION is treate& *ith the a&mi$istrati $ " Ores ! *ithi$ a peri & " 9 h #rs. The am #$t " Ores ! is +est c mp#te& $ the +asis " the chi!&=s *eight .>; m!G4g + &y *eight/. I" the *eight is #$4$ *$) the am #$t " Ores ! is +ase& $ the chi!&=s age. 1:0. A m ther is #si$g Ores ! i$ the ma$ageme$t " &iarrhea " her 51year !& chi!&. She as4e& y # *hat t & i" her chi!& ' mits. Y # *i!! te!! her t A. (ri$g the chi!& t the $earest h spita! " r "#rther assessme$t. (. (ri$g the chi!& t the hea!th ce$ter " r i$tra'e$ #s "!#i& therapy. C. (ri$g the chi!& t the hea!th ce$ter " r assessme$t +y the physicia$. ,. Let the chi!& rest " r 1: mi$#tes the$ c $ti$#e gi'i$g Ores ! m re s! *!y. A$s*er- .,/ Let the chi!& rest " r 1: mi$#tes the$ c $ti$#e gi'i$g Ores ! m re s! *!y. I" the chi!& ' mits persiste$t!y) that is) he ' mits e'erythi$g that he ta4es i$) he has t +e re"erre& #rge$t!y t a h spita!. Other*ise) ' miti$g is ma$age& +y !etti$g the chi!& rest " r 1:

mi$#tes a$& the$ c $ti$#i$g *ith Ores ! a&mi$istrati $. Teach the m ther t gi'e Ores ! m re s! *!y. 1:5. A 1 N year !& chi!& *as c!assi"ie& as ha'i$g 5r& &egree pr tei$ e$ergy ma!$#triti $) 4*ashi r4 r. Which " the " !! *i$g sig$s *i!! +e m st appare$t i$ this chi!&% A. F raci #s appetite (. Wasti$g C. Apathy ,. E&ema A$s*er- .,/ E&ema E&ema) a ma8 r sig$ " 4*ashi r4 r) is ca#se& +y &ecrease& c !! i&a! sm tic press#re " the +! & +r #ght a+ #t +y hyp a!+#mi$emia. ,ecrease& +! & a!+#mi$ !e'e! is &#e a pr tei$1&e"icie$t &iet. 1:9. Assessme$t " a 01year !& chi!& re'ea!e& A+aggy pa$tsB. Usi$g the IMCI g#i&e!i$es) h * *i!! y # ma$age this chi!&% A. Re"er the chi!& #rge$t!y t a h spita! " r c $"i$eme$t. (. C r&i$ate *ith the s cia! * r4er t e$r !! the chi!& i$ a "ee&i$g pr gram. C. Ma4e a teachi$g p!a$ " r the m ther) " c#si$g $ me$# p!a$$i$g " r her chi!&. ,. Assess a$& treat the chi!& " r hea!th pr +!ems !i4e i$"ecti $s a$& i$testi$a! parasitism. A$s*er- .A/ Re"er the chi!& #rge$t!y t a h spita! " r c $"i$eme$t. A(aggy pa$tsB is a sig$ " se'ere marasm#s. The +est ma$ageme$t is #rge$t re"erra! t a h spita!. 1:;. ,#ri$g the physica! e2ami$ati $ " a y #$g chi!&) *hat is the ear!iest sig$ " 2er phtha!mia that y # may +ser'e% A. Kerat ma!acia (. C r$ea! pacity C. Night +!i$&$ess ,. C $8#$cti'a! 2er sis A$s*er- .,/ C $8#$cti'a!

2er sis The ear!iest sig$ " Fitami$ A &e"icie$cy .2er phtha!mia/ is $ight +!i$&$ess. H *e'er) this is a "#$cti $a! cha$ge) *hich is $ t +ser'a+!e &#ri$g physica! e2ami$ati $.The ear!iest 'isi+!e !esi $ is c $8#$cti'a! 2er sis r &#!!$ess " the c $8#$cti'a &#e t i$a&e6#ate tear pr &#cti $. 1:<. T pre'e$t 2er phtha!mia) y #$g chi!&re$ are gi'e$ Reti$ ! caps#!e e'ery < m $ths. What is the & se gi'e$ t presch !ers% A. 1:)::: IU (. 0:)::: IU C. 1::)::: IU ,. 0::)::: IU A$s*er- .,/ 0::)::: IU 3resch !ers are gi'e$ Reti$ ! 0::)::: IU e'ery < m $ths. 1::)::: IU is gi'e$ $ce t i$"a$ts age& < t 10 m $ths. The & se " r preg$a$t * me$ is 1:)::: IU. 1:>. The ma8 r sig$ " ir $ &e"icie$cy a$emia is pa!! r. What part is +est e2ami$e& " r pa!! r% A. 3a!ms (. Nai!+e&s C. Ar #$& the !ips ,. L *er c $8#$cti'a! sac A$s*er- .A/ 3a!ms The a$at mic characteristics " the pa!ms a!! * a re!ia+!e a$& c $'e$ie$t +asis " r e2ami$ati $ " r pa!! r. 1:@. E & " rti"icati $ is $e " the strategies t pre'e$t micr $#trie$t &e"icie$cy c $&iti $s. R.A. @D>< ma$&ates " rti"icati $ " certai$ " & items. Which " the " !! *i$g is am $g these " & items% A. S#gar (. (rea& C. Margari$e ,. Ei!!e& mi!4 A$s*er- .A/ S#gar R.A. @D>< ma$&ates " rti"icati $ " rice) *heat "! #r) s#gar a$& c 4i$g i! *ith Fitami$ A) ir $

a$&G r i &i$e. 1:D. What is the +est c #rse " acti $ *he$ there is a meas!es epi&emic i$ a $ear+y m#$icipa!ity% A. Gi'e meas!es 'acci$e t +a+ies age& < t @ m $ths. (. Gi'e +a+ies age& < t 11 m $ths $e & se " 1::)::: I.U. " Reti$ ! C. I$str#ct m thers t 4eep their +a+ies at h me t pre'e$t &isease tra$smissi $. ,. I$str#ct m thers t "ee& their +a+ies a&e6#ate!y t e$ha$ce their +a+ies= resista$ce. A$s*er- .A/ Gi'e meas!es 'acci$e t +a+ies age& < t @ m $ths. Or&i$ari!y) meas!es 'acci$e is gi'e$ at D m $ths " age. ,#ri$g a$ impe$&i$g epi&emic) h *e'er) $e & se may +e gi'e$ t +a+ies age& < t @ m $ths. The m ther is i$str#cte& that the +a+y $ee&s a$ ther & se *he$ the +a+y is D m $ths !&. 11:. A m ther +r #ght her &a#ghter) 9 years !&) t the RHU +eca#se " c #gh a$& c !&s. E !! *i$g the IMCI assessme$t g#i&e) *hich " the " !! *i$g is a &a$ger sig$ that i$&icates the $ee& " r #rge$t re"erra! t a h spita!% A. I$a+i!ity t &ri$4 (. High gra&e "e'er C. Sig$s " se'ere &ehy&rati $ ,. C #gh " r m re tha$ 5: &ays A$s*er- .A/ I$a+i!ity t &ri$4 A sic4 chi!& age& 0 m $ths t ; years m#st +e re"erre& #rge$t!y t a h spita! i" heGshe has $e r m re " the " !! *i$g sig$s$ t a+!e t "ee& r &ri$4) ' mits e'erythi$g) c $'#!si $s) a+$ rma!!y s!eepy r &i""ic#!t t a*a4e$. 111. Ma$ageme$t " a chi!& *ith meas!es i$c!#&es the a&mi$istrati $ " *hich " the " !! *i$g% A. Ge$tia$ 'i !et $ m #th

!esi $s (. A$ti+i tics t pre'e$t p$e#m $ia C. Tetracyc!i$e eye i$tme$t " r c r$ea! pacity ,. Reti$ ! caps#!e regar&!ess " *he$ the !ast & se *as gi'e$ A$s*er- .,/ Reti$ ! caps#!e regar&!ess " *he$ the !ast & se *as gi'e$ A$ i$"a$t < t 10 m $ths c!assi"ie& as a case " meas!es is gi'e$ Reti$ ! 1::)::: IUC a chi!& is gi'e$ 0::)::: IU regar&!ess " *he$ the !ast & se *as gi'e$. 110. A m ther +r #ght her 1: m $th !& i$"a$t " r c $s#!tati $ +eca#se " "e'er) *hich starte& 9 &ays pri r t c $s#!tati $. T &etermi$e ma!aria ris4) *hat *i!! y # & % A. , a t #r$i6#et test. (. As4 *here the "ami!y resi&es. C. Get a specime$ " r +! & smear. ,. As4 i" the "e'er is prese$t e'ery&ay. A$s*er- .(/ As4 *here the "ami!y resi&es. (eca#se ma!aria is e$&emic) the "irst 6#esti $ t &etermi$e ma!aria ris4 is *here the c!ie$t=s "ami!y resi&es. I" the area " resi&e$ce is $ t a 4$ *$ e$&emic area) as4 i" the chi!& ha& tra'e!e& *ithi$ the past < m $ths) *here heGshe *as +r #ght a$& *hether heGshe staye& 'er$ight i$ that area. 115. The " !! *i$g are strategies imp!eme$te& +y the ,epartme$t " Hea!th t pre'e$t m s6#it 1+ r$e &iseases. Which " these is m st e""ecti'e i$ the c $tr ! " ,e$g#e "e'er% A. Stream see&i$g *ith !ar'a1 eati$g "ish (. ,estr yi$g +ree&i$g p!aces " m s6#it es C. Chem pr phy!a2is " $ $1 imm#$e pers $s g i$g t e$&emic areas ,. Teachi$g pe p!e i$ e$&emic

areas t #se chemica!!y treate& m s6#it $ets A$s*er- .(/ ,estr yi$g +ree&i$g p!aces " m s6#it es Ae&es aegypti) the 'ect r " ,e$g#e "e'er) +ree&s i$ stag$a$t) c!ear *ater. Its "ee&i$g time is #s#a!!y &#ri$g the &aytime. It has a cyc!ica! patter$ " cc#rre$ce) #$!i4e ma!aria *hich is e$&emic i$ certai$ parts " the c #$try. 119. Sec $&ary pre'e$ti $ " r ma!aria i$c!#&es A. 3!a$ti$g " $eem r e#ca!ypt#s trees (. Resi&#a! sprayi$g " i$sectici&es at $ight C. ,etermi$i$g *hether a p!ace is e$&emic r $ t ,. Gr *i$g !ar'a1eati$g "ish i$ m s6#it +ree&i$g p!aces A$s*er- .C/ ,etermi$i$g *hether a p!ace is e$&emic r $ t This is &iag$ stic a$& there" re sec $&ary !e'e! pre'e$ti $. The ther ch ices are " r primary pre'e$ti $. 11;. Sc tch tape s*a+ is & $e t chec4 " r *hich i$testi$a! parasite% A. Ascaris (. 3i$* rm C. H 4* rm ,. Schist s ma A$s*er- .(/ 3i$* rm 3i$* rm 'a are &ep site& ar #$& the a$a! ri"ice. 11<. Which " the " !! *i$g sig$s i$&icates the $ee& " r sp#t#m e2ami$ati $ " r AE(% A. Hematemesis (. Ee'er " r 1 *ee4 C. C #gh " r 5 *ee4s ,. Chest pai$ " r 1 *ee4 A$s*er- .C/ C #gh " r 5 *ee4s A c!ie$t is c $si&ere& a 3T( s#spect *he$ he has c #gh " r 0 *ee4s r m re) p!#s $e r m re " the " !! *i$g sig$s"e'er " r 1 m $th r m reC chest pai$ !asti$g " r 0 *ee4s r

m re $ t attri+#te& t ther c $&iti $sC pr gressi'e) #$e2p!ai$e& *eight ! ssC $ight s*eatsC a$& hem ptysis. 11>. Which c!ie$ts are c $si&ere& targets " r ,OTS Categ ry I% A. Sp#t#m $egati'e ca'itary cases (. C!ie$ts ret#r$i$g a"ter a &e"a#!t C. Re!apses a$& "ai!#res " pre'i #s 3T( treatme$t regime$s ,. C!ie$ts &iag$ se& " r the "irst time thr #gh a p siti'e sp#t#m e2am A$s*er- .,/ C!ie$ts &iag$ se& " r the "irst time thr #gh a p siti'e sp#t#m e2am Categ ry I is " r $e* c!ie$ts &iag$ se& +y sp#t#m e2ami$ati $ a$& c!ie$ts &iag$ se& t ha'e a seri #s " rm " e2trap#!m $ary t#+erc#! sis) s#ch as T( ste mye!itis. 11@. T impr 'e c mp!ia$ce t treatme$t) *hat i$$ 'ati $ is +ei$g imp!eme$te& i$ ,OTS% A. Ha'i$g the hea!th * r4er " !! * #p the c!ie$t at h me (. Ha'i$g the hea!th * r4er r a resp $si+!e "ami!y mem+er m $it r &r#g i$ta4e C. Ha'i$g the patie$t c me t the hea!th ce$ter e'ery m $th t get his me&icati $s ,. Ha'i$g a target !ist t chec4 $ *hether the patie$t has c !!ecte& his m $th!y s#pp!y " &r#gs A$s*er- .(/ Ha'i$g the hea!th * r4er r a resp $si+!e "ami!y mem+er m $it r &r#g i$ta4e ,irect!y O+ser'e& Treatme$t Sh rt C #rse is s 1ca!!e& +eca#se a treatme$t part$er) pre"era+!y a hea!th * r4er accessi+!e t the c!ie$t) m $it rs the c!ie$t=s c mp!ia$ce t the treatme$t. 11D. ,iag$ sis " !epr sy is high!y &epe$&e$t $ rec g$iti $ " sympt ms. Which " the

" !! *i$g is a$ ear!y sig$ " !epr sy% A. Mac#!ar !esi $s (. I$a+i!ity t c! se eye!i&s C. Thic4e$e& pai$"#! $er'es ,. Si$4i$g " the $ se+ri&ge A$s*er- .C/ Thic4e$e& pai$"#! $er'es The !esi $ " !epr sy is $ t mac#!ar. It is characteri7e& +y a cha$ge i$ s4i$ c ! r .either re&&ish r *hitish/ a$& ! ss " se$sati $) s*eati$g a$& hair gr *th 'er the !esi $. I$a+i!ity t c! se the eye!i&s .!ag phtha!m s/ a$& si$4i$g " the $ se+ri&ge are !ate sympt ms. 10:. Which " the " !! *i$g c!ie$ts sh #!& +e c!assi"ie& as a case " m#!ti+aci!!ary !epr sy% A. 5 s4i$ !esi $s) $egati'e s!it s4i$ smear (. 5 s4i$ !esi $s) p siti'e s!it s4i$ smear C. ; s4i$ !esi $s) $egati'e s!it s4i$ smear ,. ; s4i$ !esi $s) p siti'e s!it s4i$ smear A$s*er- .,/ ; s4i$ !esi $s) p siti'e s!it s4i$ smear A m#!ti+aci!!ary !epr sy case is $e *h has a p siti'e s!it s4i$ smear a$& at !east ; s4i$ !esi $s. 101. I$ the 3hi!ippi$es) *hich c $&iti $ is the m st "re6#e$t ca#se " &eath ass ciate& *ith schist s miasis% A. Li'er ca$cer (. Li'er cirrh sis C. (!a&&er ca$cer ,. I$testi$a! per" rati $ A$s*er- .(/ Li'er cirrh sis The eti ! gic age$t " schist s miasis i$ the 3hi!ippi$es is Schist s ma 8ap $ic#m) *hich a""ects the sma!! i$testi$e a$& the !i'er. Li'er &amage is a c $se6#e$ce " "i+r tic reacti $s t schist s ma eggs i$ the !i'er. 100. What is the m st e""ecti'e *ay " c $tr !!i$g

schist s miasis i$ a$ e$&emic area% A. Use " m !!#scici&es (. (#i!&i$g " " t +ri&ges C. 3r per #se " sa$itary t i!ets ,. Use " pr tecti'e " t*ear) s#ch as r#++er + ts A$s*er- .C/ 3r per #se " sa$itary t i!ets The 'a " the parasite get #t " the h#ma$ + &y t gether *ith "eces. C#tti$g the cyc!e at this stage is the m st e""ecti'e *ay " pre'e$ti$g the sprea& " the &isease t s#scepti+!e h sts. 105. Whe$ resi&e$ts +tai$ *ater "r m a$ artesia$ *e!! i$ the $eigh+ rh &) the !e'e! " this appr 'e& type " *ater "aci!ity is A. I (. II C. III ,. IF A$s*er- .(/ II A c mm#$a! "a#cet r *ater sta$&p st is c!assi"ie& as Le'e! II. 109. E r pre'e$ti $ " hepatitis A) y # &eci&e& t c $&#ct hea!th e&#cati $ acti'ities. Which " the " !! *i$g is IRRELEFANT% A. Use " steri!e syri$ges a$& $ee&!es (. Sa"e " & preparati $ a$& " & ha$&!i$g +y 'e$& rs C. 3r per &isp sa! " h#ma$ e2creta a$& pers $a! hygie$e ,. Imme&iate rep rti$g " *ater pipe !ea4s a$& i!!ega! *ater c $$ecti $s A$s*er- .A/ Use " steri!e syri$ges a$& $ee&!es Hepatitis A is tra$smitte& thr #gh the "eca! ra! r #te. Hepatitis ( is tra$smitte& thr #gh i$"ecte& + &y secreti $s !i4e +! & a$& seme$. 10<. Which +i ! gica! #se& i$ E2pa$&e& 3r gram $ Imm#$i7ati $ .E3I/ sh #!& NOT +e st re& i$ the "ree7er%

A. ,3T (. Ora! p !i 'acci$e C. Meas!es 'acci$e ,. MMR A$s*er- .A/ ,3T ,3T is se$siti'e t "ree7i$g. The appr priate st rage temperat#re " ,3T is 0 t @M C $!y. O3F a$& meas!es 'acci$e are high!y se$siti'e t heat a$& re6#ire "ree7i$g. MMR is $ t a$ imm#$i7ati $ i$ the E2pa$&e& 3r gram $ Imm#$i7ati $. 10>. Y # *i!! c $&#ct #treach imm#$i7ati $ i$ a +ara$gay *ith a p p#!ati $ " a+ #t 1;::. Estimate the $#m+er " i$"a$ts i$ the +ara$gay. A. 9; (. ;: C. ;; ,. <: A$s*er- .A/ 9; T estimate the $#m+er " i$"a$ts) m#!tip!y t ta! p p#!ati $ +y 5I. 10@. I$ I$tegrate& Ma$ageme$t " Chi!&h & I!!$ess) se'ere c $&iti $s ge$era!!y re6#ire #rge$t re"erra! t a h spita!. Which " the " !! *i$g se'ere c $&iti $s ,OES NOT a!*ays re6#ire #rge$t re"erra! t a h spita!% A. Mast i&itis (. Se'ere &ehy&rati $ C. Se'ere p$e#m $ia ,. Se'ere "e+ri!e &isease A$s*er- .(/ Se'ere &ehy&rati $ The r&er " pri rity i$ the ma$ageme$t " se'ere &ehy&rati $ is as " !! *si$tra'e$ #s "!#i& therapy) re"erra! t a "aci!ity *here IF "!#i&s ca$ +e i$itiate& *ithi$ 5: mi$#tes) Ores !G$as gastric t#+e) Ores !G rem. Whe$ the " reg i$g meas#res are $ t p ssi+!e r e""ecti'e) teh$ #rge$t re"erra! t the h spita! is & $e. 10D. A c!ie$t *as &iag$ se& as ha'i$g ,e$g#e "e'er. Y # *i!!

say that there is s! * capi!!ary re"i!! *he$ the c ! r " the $ai!+e& that y # presse& & es $ t ret#r$ *ithi$ h * ma$y sec $&s% A. 5 (. ; C. @ ,. 1: A$s*er- .A/ 5 A&e6#ate +! & s#pp!y t the area a!! *s the ret#r$ " the c ! r " the $ai!+e& *ithi$ 5 sec $&s. 15:. A 51year !& chi!& *as +r #ght +y his m ther t the hea!th ce$ter +eca#se " "e'er " 91&ay &#rati $. The chi!& ha& a p siti'e t #r$i6#et test res#!t. I$ the a+se$ce " ther sig$s) *hich is the m st appr priate meas#re that the 3HN may carry #t t pre'e$t ,e$g#e sh c4 sy$&r me% A. I$sert a$ NGT a$& gi'e "!#i&s per NGT. (. I$str#ct the m ther t gi'e the chi!& Ores !. C. Start the patie$t $ i$tra'e$ #s "!#i&s STAT. ,. Re"er the c!ie$t t the physicia$ " r appr priate ma$ageme$t. A$s*er- .(/ I$str#ct the m ther t gi'e the chi!& Ores !. Si$ce the chi!& & es $ t ma$i"est a$y ther &a$ger sig$) mai$te$a$ce " "!#i& +a!a$ce a$& rep!aceme$t " "!#i& ! ss may +e & $e +y gi'i$g the c!ie$t Ores !. 151. The path g$ m $ic sig$ " meas!es is K p!i4=s sp t. Y # may see K p!i4=s sp t +y i$specti$g the HHHHH. A. Nasa! m#c sa (. (#cca! m#c sa C. S4i$ $ the a+& me$ ,. S4i$ $ the a$tec#+ita! s#r"ace A$s*er- .(/ (#cca! m#c sa K p!i4=s sp t may +e see$ $ the m#c sa " the m #th r the thr at.

150. Am $g the " !! *i$g &iseases) *hich is air+ r$e% A. Fira! c $8#$cti'itis (. Ac#te p !i mye!itis C. ,iphtheria ,. Meas!es A$s*er- .,/ Meas!es Fira! c $8#$cti'itis is tra$smitte& +y &irect r i$&irect c $tact *ith &ischarges "r m i$"ecte& eyes. Ac#te p !i mye!itis is sprea& thr #gh the "eca!1 ra! r #te a$& c $tact *ith thr at secreti $s) *hereas &iphtheria is thr #gh &irect a$& i$&irect c $tact *ith respirat ry secreti $s. 155. Am $g chi!&re$ age& 0 m $ths t 5 years) the m st pre'a!e$t " rm " me$i$gitis is ca#se& +y *hich micr rga$ism% A. Hem phi!#s i$"!#e$7ae (. M r+i!!i'ir#s C. Stept c cc#s p$e#m $iae ,. Neisseria me$i$giti&is A$s*er- .A/ Hem phi!#s i$"!#e$7ae Hem phi!#s me$i$gitis is #$#s#a! 'er the age " ; years. I$ &e'e! pi$g c #$tries) the pea4 i$ci&e$ce is i$ chi!&re$ !ess tha$ < m $ths " age. M r+i!!i'ir#s is the eti ! gy " meas!es. Strept c cc#s p$e#m $iae a$& Neisseria me$i$giti&is may ca#se me$i$gitis) +#t age &istri+#ti $ is $ t speci"ic i$ y #$g chi!&re$. 159. H#ma$ +ei$gs are the ma8 r reser' ir " ma!aria. Which " the " !! *i$g strategies i$ ma!aria c $tr ! is +ase& $ this "act% A. Stream see&i$g (. Stream c!eari$g C. ,estr#cti $ " +ree&i$g p!aces ,. O pr phy!a2is A$s*er- .,/ O pr phy!a2is O pr phy!a2is is & $e +y p#tti$g a$ima!s !i4e catt!e r & gs c! se t *i$& *s r & r*ays 8#st +e" re $ight"a!!.

The A$ phe!es m s6#it ta4es his +! & mea! "r m the a$ima! a$& g es +ac4 t its +ree&i$g p!ace) there+y pre'e$ti$g i$"ecti $ " h#ma$s. 15;. The #se " !ar'i' r #s "ish i$ ma!aria c $tr ! is the +asis " r *hich strategy " ma!aria c $tr !% A. Stream see&i$g (. Stream c!eari$g C. ,estr#cti $ " +ree&i$g p!aces ,. O pr phy!a2is A$s*er- .A/ Stream see&i$g Stream see&i$g is & $e +y p#tti$g ti!apia "ry i$ streams r ther + &ies " *ater i&e$ti"ie& as +ree&i$g p!aces " the A$ phe!es m s6#it 15<. M s6#it 1+ r$e &iseases are pre'e$te& m st!y *ith the #se " m s6#it c $tr ! meas#res. Which " the " !! *i$g is NOT appr priate " r ma!aria c $tr !% A. Use " chemica!!y treate& m s6#it $ets (. See&i$g " +ree&i$g p!aces *ith !ar'a1eati$g "ish C. ,estr#cti $ " +ree&i$g p!aces " the m s6#it 'ect r ,. Use " m s6#it 1repe!!i$g s aps) s#ch as th se *ith +asi! r citr $e!!a A$s*er- .C/ ,estr#cti $ " +ree&i$g p!aces " the m s6#it 'ect r A$ phe!es m s6#it es +ree& i$ s! *1m 'i$g) c!ear *ater) s#ch as m #$tai$ streams. 15>. A 91year !& c!ie$t *as +r #ght t the hea!th ce$ter *ith the chie" c mp!ai$t " se'ere &iarrhea a$& the passage " Arice *aterB st !s. The c!ie$t is m st pr +a+!y s#""eri$g "r m *hich c $&iti $% A. Giar&iasis (. Ch !era C. Ame+iasis ,. ,yse$tery A$s*er- .(/ Ch !era 3assage " pr "#se *atery

st !s is the ma8 r sympt m " ch !era. ( th ame+ic a$& +aci!!ary &yse$tery are characteri7e& +y the prese$ce " +! & a$&G r m#c#s i$ the st !s. Giar&iasis is characteri7e& +y "at ma!a+s rpti $ a$&) there" re) steat rrhea. 15@. I$ the 3hi!ippi$es) *hich specie " schist s ma is e$&emic i$ certai$ regi $s% A. S. ma$s $i (. S. 8ap $ic#m C. S. ma!aye$sis ,. S. haemat +i#m A$s*er- .(/ S. 8ap $ic#m S. ma$s $i is " #$& m st!y i$ A"rica a$& S #th AmericaC S. haemat +i#m i$ A"rica a$& the Mi&&!e EastC a$& S. ma!aye$sis $!y i$ pe$i$s#!ar Ma!aysia. 15D. A 501year !& c!ie$t came " r c $s#!tati $ at the hea!th ce$ter *ith the chie" c mp!ai$t " "e'er " r a *ee4. Acc mpa$yi$g sympt ms *ere m#sc!e pai$s a$& + &y ma!aise. A *ee4 a"ter the start " "e'er) the c!ie$t $ te& ye!! *ish &isc ! rati $ " his sc!era. Hist ry sh *e& that he *a&e& i$ "! & *aters a+ #t 0 *ee4s +e" re the $set " sympt ms. (ase& $ his hist ry) *hich &isease c $&iti $ *i!! y # s#spect% A. Hepatitis A (. Hepatitis ( C. Teta$#s ,. Lept spir sis A$s*er- .,/ Lept spir sis Lept spir sis is tra$smitte& thr #gh c $tact *ith the s4i$ r m#c #s mem+ra$e *ith *ater r m ist s i! c $tami$ate& *ith #ri$e " i$"ecte& a$ima!s) !i4e rats. 19:. MWSS pr 'i&es *ater t Ma$i!a a$& ther cities i$ Metr Ma$i!a. This is a$ e2amp!e " *hich !e'e! " *ater "aci!ity% A. I (.

II C. III ,. IF A$s*er- .C/ III Water* r4s systems) s#ch as MWSS) are c!assi"ie& as !e'e! III. 191. Y # are the 3HN i$ the city hea!th ce$ter. A c!ie$t #$&er*e$t scree$i$g " r AI,S #si$g ELISA. His res#!t *as p siti'e. What is the +est c #rse " acti $ that y # may ta4e% A. Get a th r #gh hist ry " the c!ie$t) " c#si$g $ the practice " high ris4 +eha'i rs. (. As4 the c!ie$t t +e acc mpa$ie& +y a sig$i"ica$t pers $ +e" re re'ea!i$g the res#!t. C. Re"er the c!ie$t t the physicia$ si$ce he is the +est pers $ t re'ea! the res#!t t the c!ie$t. ,. Re"er the c!ie$t " r a s#pp!eme$tary test) s#ch as Wester$ +! t) si$ce the ELISA res#!t may +e "a!se. A$s*er- .,/ Re"er the c!ie$t " r a s#pp!eme$tary test) s#ch as Wester$ +! t) si$ce the ELISA res#!t may +e "a!se. A c!ie$t ha'i$g a reacti'e ELISA res#!t m#st #$&erg a m re speci"ic test) s#ch as Wester$ +! t. A $egati'e s#pp!eme$tary test res#!t mea$s that the ELISA res#!t *as "a!se a$& that) m st pr +a+!y) the c!ie$t is $ t i$"ecte&. 190. Which is the (EST c $tr ! meas#re " r AI,S% A. (ei$g "aith"#! t a si$g!e se2#a! part$er (. Usi$g a c $& m &#ri$g each se2#a! c $tact C. A' i&i$g se2#a! c $tact *ith c mmercia! se2 * r4ers ,. Ma4i$g s#re that $e=s se2#a! part$er & es $ t ha'e sig$s " AI,S A$s*er- .A/ (ei$g "aith"#! t a si$g!e se2#a! part$er Se2#a! "i&e!ity r#!es #t the

p ssi+i!ity " getti$g the &isease +y se2#a! c $tact *ith a$ ther i$"ecte& pers $. Tra$smissi $ cc#rs m st!y thr #gh se2#a! i$terc #rse a$& e2p s#re t +! & r tiss#es. 195. The m st "re6#e$t ca#ses " &eath am $g c!ie$ts *ith AI,S are pp rt#$istic &iseases. Which " the " !! *i$g pp rt#$istic i$"ecti $s is characteri7e& +y t $si!! phary$gitis% A. Respirat ry ca$&i&iasis (. I$"ecti #s m $ $#c!e sis C. Cyt mega! 'ir#s &isease ,. 3$e#m cystis cari$ii p$e#m $ia A$s*er- .(/ I$"ecti #s m $ $#c!e sis Cyt mega! 'ir#s &isease is a$ ac#te 'ira! &isease characteri7e& +y "e'er) s re thr at a$& !ympha&e$ pathy. 199. T &etermi$e p ssi+!e s #rces " se2#a!!y tra$smitte& i$"ecti $s) *hich is the (EST meth & that may +e #$&erta4e$ +y the p#+!ic hea!th $#rse% A. C $tact traci$g (. C mm#$ity s#r'ey C. Mass scree$i$g tests ,. I$ter'ie* " s#spects A$s*er- .A/ C $tact traci$g C $tact traci$g is the m st practica! a$& re!ia+!e meth & " "i$&i$g p ssi+!e s #rces " pers $1t 1pers $ tra$smitte& i$"ecti $s) s#ch as se2#a!!y tra$smitte& &iseases. 19;. A$tiretr 'ira! age$ts) s#ch as AOT) are #se& i$ the ma$ageme$t " AI,S. Which " the " !! *i$g is NOT a$ acti $ e2pecte& " these &r#gs. A. They pr ! $g the !i"e " the c!ie$t *ith AI,S. (. They re&#ce the ris4 " pp rt#$istic i$"ecti $s C. They sh rte$ the peri & " c mm#$ica+i!ity " the &isease. ,. They are a+!e t +ri$g a+ #t a c#re " the &isease c $&iti $. A$s*er- .,/ They are a+!e t

+ri$g a+ #t a c#re " the &isease c $&iti $. There is $ 4$ *$ treatme$t " r AI,S. A$tiretr 'ira! age$ts re&#ce the ris4 " pp rt#$istic i$"ecti $s a$& pr ! $g !i"e) +#t & es $ t c#re the #$&er!yi$g imm#$ &e"icie$cy. 19<. A +ara$gay ha& a$ #t+rea4 " Germa$ meas!es. T pre'e$t c $ge$ita! r#+e!!a) *hat is the (EST a&'ice that y # ca$ gi'e t * me$ i$ the "irst trimester " preg$a$cy i$ the +ara$gay% A. A&'ice them $ the sig$s " Germa$ meas!es. (. A' i& cr *&e& p!aces) s#ch as mar4ets a$& m 'ieh #ses. C. C $s#!t at the hea!th ce$ter *here r#+e!!a 'acci$e may +e gi'e$. ,. C $s#!t a physicia$ *h may gi'e them r#+e!!a imm#$ g! +#!i$. A$s*er- .,/ C $s#!t a physicia$ *h may gi'e them r#+e!!a imm#$ g! +#!i$. R#+e!!a 'acci$e is ma&e #p " atte$#ate& Germa$ meas!es 'ir#ses. This is c $trai$&icate& i$ preg$a$cy. Imm#$e g! +#!i$) a speci"ic pr phy!actic agai$st Germa$ meas!es) may +e gi'e$ t preg$a$t * me$. 19>. Y # *ere i$'ite& t +e the res #rce pers $ i$ a trai$i$g c!ass " r " & ha$&!ers. Which " the " !! *i$g * #!& y # emphasi7e regar&i$g pre'e$ti $ " staphy! c cca! " & p is $i$g% A. A!! c 4i$g a$& eati$g #te$si!s m#st +e th r #gh!y *ashe&. (. E & m#st +e c 4e& pr per!y t &estr y staphy! c cca! micr rga$isms. C. E & ha$&!ers a$& " & ser'ers m#st ha'e a $egati'e st ! e2ami$ati $ res#!t. ,. 3r per ha$&*ashi$g &#ri$g " & preparati $ is the +est *ay " pre'e$ti$g the c $&iti $. A$s*er- .,/ 3r per

ha$&*ashi$g &#ri$g " & preparati $ is the +est *ay " pre'e$ti$g the c $&iti $. Sympt ms " this " & p is $i$g are &#e t staphy! c cca! e$ter t 2i$) $ t the micr rga$isms themse!'es. C $tami$ati $ is +y " & ha$&!i$g +y pers $s *ith staphy! c cca! s4i$ r eye i$"ecti $s. 19@. I$ a m thers= c!ass) y # &isc#sse& chi!&h & &iseases s#ch as chic4e$ p 2. Which " the " !! *i$g stateme$ts a+ #t chic4e$ p 2 is c rrect% A. The !&er $e gets) the m re s#scepti+!e he +ec mes t the c mp!icati $s " chic4e$ p 2. (. A si$g!e attac4 " chic4e$ p 2 *i!! pre'e$t "#t#re epis &es) i$c!#&i$g c $&iti $s s#ch as shi$g!es. C. T pre'e$t a$ #t+rea4 i$ the c mm#$ity) 6#ara$ti$e may +e imp se& +y hea!th a#th rities. ,. Chic4e$ p 2 'acci$e is +est gi'e$ *he$ there is a$ impe$&i$g #t+rea4 i$ the c mm#$ity. A$s*er- .A/ The !&er $e gets) the m re s#scepti+!e he +ec mes t the c mp!icati $s " chic4e$ p 2. Chic4e$ p 2 is #s#a!!y m re se'ere i$ a&#!ts tha$ i$ chi!&re$. C mp!icati $s) s#ch as p$e#m $ia) are higher i$ i$ci&e$ce i$ a&#!ts. 19D. C mp!icati $s t i$"ecti #s par titis .m#mps/ may +e seri #s i$ *hich type " c!ie$ts% A. 3reg$a$t * me$ (. E!&er!y c!ie$ts C. Y #$g a&#!t ma!es ,. Y #$g i$"a$ts A$s*er- .C/ Y #$g a&#!t ma!es Epi&i&ymitis a$& rchitis are p ssi+!e c mp!icati $s " m#mps. I$ p st1a& !esce$t ma!es) +i!atera! i$"!ammati $ " the testes a$& epi&i&ymis may ca#se steri!ity.