100QforCIP 30QforDiagnosticReview

NAME:_______________________________________________ SCORE: _______
YEAR AND SEC.____________ Date:__________
GENERAL NOTE: NO ERASURES ARE ALLOWED IN ALL ITEMS. ANY FORM OF ERASURE/S WILL
BE MARKED WRONG. PLACE ALL YOUR ANSWERS ON THE ANSWER SHEET.
Part 1 – CHOOSE THE ANSWER THAT BEST CLASSIFIES THE SITUATION.
1. Ana is 15 months old. She weighs 8.5 kg. Her temperature is 38.5°C.The health worker asked
“What are the child’s problems? The mother said, Ana has been coughing for 4 days, and she is
not eating well. This is Ana’s initial visit for this problem.The health worker checked Ana for
general danger signs. He asked “Is Ana able to drink or breastfeed? The mother said, No, Ana
does not want to breastfed. The health worker gave Ana some water. She was too weak to lift her
head. She was not able to drink from a cup.Next he asked the mother, “Is she vomiting?” The
mother said, “No” Then he asked, “Has she had convulsions?” The mother said “No”.The health
worker looked to see if Ana was abnormally sleepy or difficult to awaken. When the health worker
and the mother were talking, Ana watched them and looked around the room. She was not
abnormally sleepy or difficult to wake.
a. SEVERE PNEUMONIA Or Severe Disease
b. VERY SEVERE DISEASE
c. VERY SEVERE FEBRILE DISEASE
d. SEVERE MALNUTRITION
2. What is the corresponding treatment on your answer in the above situation?

a. Give Vitamin A. Treat the child to prevent low blood sugar. Refer URGENTLY to hospital.
b. Give first dose of an appropriate antibiotic. Treat wheezing if present. Treat the child to
prevent low blood sugar. Refer URGENTLY to hospital.
c. Treat the convulsions if present now. Complete assessment immediately. Give first
dose of an appropriate antibiotic. Treat the child to prevent low blood sugar. Refer
URGENTLY to hospital
d. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar.
Give one dose of paracetamol in clinic for fever (38°C or above). Refer URGENTLY to hospital.
3. Nilo is 4 years old. He weighs 10kg. His temperature is 38°C.The health worker asked about the
child’s problems. Nilo’s parents said. “He is coughing and has ear pain.” This is his initial visit for
this problem. The health worker asked. “Is your child able to drink or breastfeed?” The parents
answered. “Yes.” “Does Nilo vomit everything?” he asked. The parents said. “No.” The health
worker asked. “Has he had convulsions?” They said, “No.” The health worker looked at Nilo. The
child was not abnormally sleepy or difficult to awaken.
a. MASTOIDITIS
b. NO EAR INFECTION
c. FEVER BACTERIAL INFECTION UNLIKELY
d. NO PNEUMONIA: COUGH OR COLD

a. Give paracetamol for fever (38°C or above). Advise mother when to return immediately.
Follow-up in 2 days if fever persists. If fever is present every day for more than 5 days,
refer for assessment.
b. Give first dose of an appropriate antibiotic. Give first dose of paracetamol for pain. Treat the
child to prevent low blood sugar. Refer URGENTLY to hospital.
c. Advise mother to go to ENT specialist for assessment.
d. Treat wheezing if present. If coughing more than 30 days, refer for assessment. Soothe the
throat and relieve the cough with a safe remedy. Advise mother when to return immediately.
Follow up in 2 days if wheezing. Follow-up in 5 days if not improving
1
5. Brabham is 18 months old. He weighs 11.5kg. His temperature is 37.5°C. His mother brought him
to the health center because he has a cough. She says he is having trouble breathing. This is his
initial visit for this illness. The health worker checked Brabham for general danger signs. Brabham
is able to drink. He has not been vomiting. He has not had convulsions. He is not abnormally
sleepy or difficult to awaken.“How long has Brabham had this cough?” asked the health worker.
His mother said he had been coughing for 6 or 7 days. Brabham sat quietly on his mother’s lap.
The health worker counted the number of breaths the child took in a minute. He counted 41
breaths per minute. He thought, “Since Bramham is over 12 months of age, the cut-off for
determining fast breathing is 40. He has fast breathing.” The health worker did not see any chest
indrawing. He did not hear stridor.
a. NO PNEUMONIA: COUGH OR COLD
b. PNEUMONIA
c. VERY SEVERE DISEASE
d. SEVERE PNEUMONIA Or Severe Disease

a. Treat wheezing if present. If coughing more than 30 days, refer for assessment. Soothe
the throat and relieve the cough with a safe remedy. Advise mother when to return
immediately. Follow up in 2 days if wheezing. Follow-up in 5 days if not improving
b. Give an appropriate antibiotic for 5 days. Treat wheezing if present. If coughing
more than 30 days, refer for assessment. Soothe the throat and relieve the cough with
a safe remedy. Advise mother when to return immediately
c. Treat convulsions if present now. Complete assessment immediately. Give first dose of
an appropriate antibiotic. Treat the child to prevent low blood sugar. Refer URGENTLY to
hospital.
d. Give first dose of an appropriate antibiotic. Treat wheezing if present. Treat the child to
prevent low blood sugar. Refer URGENTLY to hospital
7. Erwin is 6 months old. He weighs 5.5kg. His temperature is 38°C. His mother said he has had
cough for 2 days. The health worker checked for general danger signs. The mother said that
Erwin is able to breastfeed. He has not vomited during this illness. He has not had convulsions.
Erwin is not abnormally sleepy or difficult to awaken.The health worker said to the mother. “I want
to check Erwin’s cough. You said he has had cough for 2 days now. I am going to count his
breaths. He will need to remain calm while I do this. The health worker counted 58 breaths per
minute. He did not see chest indrawing. He did not hear stridor.
b. PNEUMONIA

a. Treat wheezing if present. If coughing more than 30 days, refer for assessment. Soothe the
b. Give an appropriate antibiotic for 5 days. Treat wheezing if present. If coughing more
than 30 days, refer for assessment. Soothe the throat and relieve the cough with a
safe remedy. Advise mother when to return immediately
c. Treat convulsions if present now. Complete assessment immediately. Give first dose of an
appropriate antibiotic. Treat the child to prevent low blood sugar. Refer URGENTLY to
hospital.
2
9. Teny is 8 months old. She weighs 6 kg. Her temperature is 39°C. Her father told the health
worker. “Teny has had cough for 3 days. She is having trouble breathing. She is very weak.” The
health worker said. “You have done the right thing to bring your child today. I will examine her
now.”The health worker checked for general danger signs. The mother said, “Teny will not
breastfeed. She will not take any other drinks I offer her.” Teny does not vomit everything and has
not had convulsions. Teny is abnormally sleepy. She did not look at the health worker or her
parents when they talked.The health worker counted 55 breaths per minute. He saw chest
indrawing he decided Teny had stridor because he heard a harsh noise when she breathed in.
b. PNEUMONIA
b. Give an appropriate antibiotic for 5 days. Treat wheezing if present. If coughing more than 30
days, refer for assessment. Soothe the throat and relieve the cough with a safe remedy.
Advise mother when to return immediately
hospital.
11. Randy is 18 months old. He weighs 9 kg, and his temperature is 37°C. His mother says he has
had a cough for 3 days.The health worker checked for general danger signs. Randy’s mother said
he is able to drink and has not vomited anything. He has not had convulsions. Haron was not
abnormally sleepy or difficult to awaken. The health worker counted the child’s breaths. He
counted 38 breaths per minute. The mother lifted the child’s shirt. The health worker did not see
chest indrawing. He did not hear stridor when he listened to the child’s breathing.
b. PNEUMONIA
hospital.
13. Sam has had diarrhea for five days. He has no blood in the stool. He is irritable. His eyes are
sunken. His father and mother also think that Joel’s eyes are sunken. The health worker offers
Sam some water, and the child drinks eagerly. When the health worker pinches the skin on the
child’s abdomen, it goes back slowly.
3
a. SEVERE DEHYDRATION
b. NO DEHYDRATION
c. SOME DEHYDRATION
d. PERSISTENT DIARRHOEA
a. Advise the mother on feeding. Give multivitamin, mineral supplement. Advise mother when to
return immediately. Follow-up in 5 days.
b. PLAN B
c. Give fluid and food to treat diarrhoea at home (Plan A). If child is 2 years or older and there is
cholera in your area, give antibiotic for cholera. Advise mother when to return immediately.
Follow-up in 5 days if not improving.
d. PLAN C
15. Cora has had diarrhea for 3 days. There was no blood in the stool. The child was not abnormally
sleepy of difficult to awaken. She was not irritable or restless. Her eyes were sunken. She was
able to drink, but she was not thirsty. The skin pinch went back immediately.
b. NO DEHYDRATION
c. SOME DEHYDRATION
b. PLAN B
c. Give fluid and food to treat diarrhoea at home (Plan A). If child is 2 years or older and
there is cholera in your area, give antibiotic for cholera. Advise mother when to return
immediately. Follow-up in 5 days if not improving.
d. PLAN C
17. Daisy has had diarrhea for 2 days. She does not have blood in the stool. She is restless and
irritable. Her eyes are sunken. She is not able to drink. A skin pinch goes back very slowly
b. NO DEHYDRATION
c. SOME DEHYDRATION
b. PLAN B
d. PLAN C
19. Cris has had diarrhea for five days. There is no blood in the stool. The health worker assesses
the child for dehydration. The child is not abnormally sleepy or difficult to awaken. He is not
restless and irritable. His eyes look normal and are not sunken. When offered water, the child
drinks eagerly. A skin pinch goes back immediately.
b. NO DEHYDRATION
c. SOME DEHYDRATION
4
b. PLAN B
d. PLAN C
21. Raindee is at the health center today because she has had a diarrhea for 4 days. She is 25
months old. She weighs 9 kg. Her temperature is 37.0 Celsius. Raindee has no general danger
signs. She does not have cough or difficult breathing. The Health Worker said to her mother,
“When Raindee has diarrhea, is there any blood in the stool?” The mother said “no” The Health
Worker checked for signs of dehydration. Raindee is not abnormally sleepy or difficult to awaken.
b. DYSENTERY
c. SEVERE PERSISTENT DIARRHOEA
a. Treat dehydration before referral unless the child has another severe classification.
Refer to hospital
b. Advise the mother on feeding. Give multivitamin, mineral supplement. Advise mother
when to return immediately. Follow-up in 5 days.
c. Treat for 5 days with an oral antibiotic recommended for Shigella. Advise mother when
to return immediately. Follow-up in 2 days.
d. PLAN C
23. She is not restless or irritable. Her eyes are not sunken. Raindee drinks eagerly when offered
some water. Her pinch goes back immediately.
b. NO DEHYDRATION
c. SOME DEHYDRATION
b. PLAN B
d. PLAN C
25. Kimchu is 14 months old. She weighs 12 kg. Her temperature is 37.5 C. Kimchu’s mother said the
child has had diarrhea for 3 weeks. Kimchu does not have any general danger signs. She does
not have cough or difficult breathing. The Health Worker assessed her diarrhea. He noted she
had a diarrhea for 21 days. He asked if there has been blood in the child’s stool. The mother said
“no”
b. DYSENTERY
5
a. Treat dehydration before referral unless the child has another severe classification. Refer to
hospital
b. Advise the mother on feeding. Give multivitamin, mineral supplement. Advise mother
when to return immediately. Follow-up in 5 days.
c. Treat for 5 days with an oral antibiotic recommended for Shigella. Advise mother when to
d. PLAN C
27. The health worker checked Kimchu for signs of dehydration.The child is irritable throughout the
visit. Her eyes are not sunken. She drinks eagerly. The skin pinch goes back immediately.
b. NO DEHYDRATION
c. SOME DEHYDRATION
b. PLAN B
d. PLAN C
29. Darna is 11 months old. She weighs 5.6 kg. Her temperature is 37 C. Her mother brought her to
the health center because Darna has diarrhea. She does not have any general danger signs. She
does not have cough or difficult in breathing. The health worker assessed Darna for signs of
diarrhea. The mother said the diarrhea began 2 days ago. There is no blood in the stool. Darna is
not abnormally sleepy or difficult to awaken, and she is not restless or irritable. Her eyes are
sunken. When offered fluids. Darna drinks eagerly as if she was thirsty. The skin pinch goes back
immediately.
b. NO DEHYDRATION
c. SOME DEHYDRATION
b. PLAN B
d. PLAN C
31. Katrina is 3 years old. She weighs 10 kg. Her temperature is 37 C. Her mother came today
because Katrina has cough and diarrhea. She does not have any general signs. The health
worker assessed her for cough or difficult breathing. She has had cough for 3 days. He counted
36 breaths per minute. She does not have chest indrawing or stridor.
b. PNEUMONIA
6
hospital.
33. When the health worker asked how long Katrina had diarrhea, the mother said, “for more than 2
weeks.” Neriss is irritable during visit, but her eyes are not sunken. She is able to drink, but she is
not thirsty. A skin pinch goes back immediately.
b. NO DEHYDRATION
c. SOME DEHYDRATION
b. PLAN B
d. PLAN C
35. Sherlock is 10 months old. He weighs 8 kg. His temperature is 38.5 C. He is here today because
he had a diarrhea for 3 days. His mother noticed blood in the child’s stool. Sherlock does not
have any general danger signs. He does not have cough or difficult breathing. The health worker
assesses the child for diarrhea.
b. DYSENTERY
hospital
b. Advise the mother on feeding. Give multivitamin, mineral supplement. Advise mother when to
d. PLAN C
37. “You said Sherlock had blood in his stool. I will check now for signs of dehydration.” The child is
not abnormally sleepy or difficult awaken. He is not restless or irritable. He does not have sunken
eyes. The child drank normally when offered some water and does not seem thirsty. The skin
pinch goes back immediately.
7
b. NO DEHYDRATION
c. SOME DEHYDRATION
b. PLAN B
d. PLAN C
39. Angel is 10 MONTHS OLD. He weighs 8.2 kg. His temperature is 37.5°C. His mother says he has
a rash and coughThe health worker checked Angel for general danger signs. Angel was able to
drink, was not vomiting, did not have convulsions and was not abnormally sleepy or difficult to
awaken.The health worker next asked about Angel’s cough. The mother said Fidel had been
coughing for 5 days. He counted 43 breaths per minute. He did not see chest indrawing. He did
not hear stridor when Angel was calm.Angel did not have diarrhea.
b. PNEUMONIA
hospital.
41. Next the health worker asked about Angel’s fever. There is malaria risk. The mother said Angel
had felt hot for 2 days. Angel did not have stiff neck. He has had a runny nose with his illness, his
mother said. The health worker did not have facilities for examination of a blood smear.Angel has
a rash covering his whole body. Angel’s eyes were red. The health worker checked the child for
complications of measles. There were no mouth ulcers. There was no pus draining from the eye
and no clouding of the cornea. There was no dengue risk at the time that the health worker saw
Angel.
a. SEVERE DENGUE HEMORRHAGIC FEVER
b. VERY SEVERE FEBRILE DISEASE
c. FEVER; MALARIA UNLIKELY
d. FEVER: DENGUE HEMORRHAGIC FEVER UNLIKELY
a. Give one dose of paracetamol in health center for high fever (38.5 C or
above).Advise mother when to return immediately. Follow up in 2 days if fever persists
If fever is present everyday for more than 7 days, refer for assessment. Treat other
causes of fever.
8
b. If persistent vomiting or persistent abdominal pain or skin petechiae or positive tourniquet
test are the only positive signs, give ORS (plan B). If any other signs of bleeding are positive,
give fluids rapidly as in Plan C. Treat the child to prevent low blood sugar. Refer all children
URGENTLY to hospital DO NOT GIVE ASPIRIN.
c. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar.
Give one dose of paracetamol in health center for high fever (38.5 C or above). Refer
URGENTLY to hospital.
d. Advise mother when to return immediately. Follow-up in 2 days if fever persists or child
shows signs of bleeding. DO NOT GIVE ASPIRIN
43. Mike is 5 months old. He weighs 5.2 kg. His axillary temperature is 37.5 C. His mother said he is
not eating well. She said he feels hot; she wants a health worker to help him.Mike is able to drink,
has not vomited, does not have convulsions, and is not abnormally sleepy or difficult to awaken.
Mike does not have cough, said his mother. He does not have diarrhea.Because Mike’s
temperature is 37.5 C and he feels hot, the health worker assessed Mike further for signs related
to fever. It is the rainy season, and there is a risk of malaria. There is no dengue risk. The mother
said Mike’s fever began 2 days ago. He has no measles within 3 months. He does not have stiff
neck, his nose is not runny, and there are no signs suggesting measles. The blood smear for
malaria was positive.
a. VERY SEVERE FEBRILE DISEASE/ MALARIA
b. MALARIA
c. FEVER; NO MALARIA
d. SEVERE DENGUE HEMORRHAGIC FEVER
a. Treat the child with an oral antimalarial. Give one dose of paracetamol in health
center for high fever. Advise mother when to return immediately. Follow-up in 2 days if
fever persists. If fever is present everyday for more than 7 days, refer for assessment
d. Give one dose of paracetamol in health center for high fever (38.5 C or above) Advise
mother when to return immediately Follow-up in 2 days if fever persists. If fever persists
everyday for 7 days, refer for assessment. Treat other causes of fever.
45. Darwin is 3 years old. He weighs 9.4 kg. His temperature is 37 C. His mother says he feels hot.
He also has cough he says. The health worker checked for general danger signs. Darwin was
able to drink, had vomited, did not have convulsion, and was not abnormally sleepy or difficult
awaken. The mother said Darwin had coughing for 3 days. The health worker counted 51 breaths
a minute. He did not see chest indrawing. There was no stridor when Darwin was calm. Darwin
does not have a diarrhea.
b. PNEUMONIA
9
hospital.
47. The health worker also thought that Darwin felt hot. He assessed the child further for signs of
fever. There is a malaria risk. He has felt hot for 5 days, the mother said. He has not had measles
within last three months. He did not have a stiff neck, there was no runny nose, and no
generalized rash. It was not possible to take a blood smear. There was no risk of dengue.
a. Give one dose of paracetamol in health center for high fever (38.5 C or
above).Advise mother when to return immediately. Follow up in 2 days if fever persists
If fever is present everyday for more than 7 days, refer for assessment. Treat other
causes of fever.
49. Letty is 5 months old. She weighs 5 kg. Her temperature is 36.5 C. Her family brought her to the
health center because she feels hot and has cough for 2 days. She is able to drink. She has not
vomited or has convulsions, and is not abnormally sleepy or difficult to awakenThe health worker
said, “I am going to check her cough now.” The health worker counted 43 breaths per minute.
There was no chest indrawing and no stridor when Letty was calm.Letty did not have a diarrhea.
b. PNEUMONIA
hospital.
10
51. “Now, I will check your fever,” said the health worker. Letty lives in an area where many cases of
malaria occur all year long (malaria risk). Her mother said, “Letty has felt hot off and on for 2
days.” She has not had measles within the last 3 months. She does not have stiff neck or runny
nose. The blood smear was positive for P. falciparum.
b. MALARIA
a. Treat the child with an oral antimalarial. Give one dose of paracetamol in health center
for high fever. Advise mother when to return immediately. Follow-up in 2 days if fever
persists. If fever is present everyday for more than 7 days, refer for assessment
b. If persistent vomiting or persistent abdominal pain or skin petechiae or positive tourniquet test
are the only positive signs, give ORS (plan B). If any other signs of bleeding are positive, give
fluids rapidly as in Plan C. Treat the child to prevent low blood sugar. Refer all children
c. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar. Give
one dose of paracetamol in health center for high fever (38.5 C or above). Refer URGENTLY
to hospital.
d. Give one dose of paracetamol in health center for high fever (38.5 C or above) Advise mother
when to return immediately Follow-up in 2 days if fever persists. If fever persists everyday for
7 days, refer for assessment. Treat other causes of fever.
53. Letty has generalized rash. Her eyes are red. She has mouth ulcers. They are not deep and
extensive. She does not have pus draining from the eye. She does not have clouding of the
cornea.
a. MEASLES
b. SEVERE COMPLICATED MEASLES
c. FEVER POSSIBLE BACTERIAL INFECTION
d. MEASLES WITH EYE OR MOUTH COMPLICATIONS
a. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar. Give
one dose of paracetamol in clinic for fever (38°C or above). If clouding of the cornea or pus
draining from the eye, apply tetracycline eye ointment. Give Vitamin A.
b. Give paracetamol for fever (38°C or above). Give Vitamin A. Advise the mother when
to return immediately. Follow- up in 2 days if not improving.
c. Give paracetamol for fever (38°C or above). If pus draining from the eye, treat eye infection
with tetracycline eye ointment. Give Vitamin A. If mouth ulcers, treat with gentian violet.
Advise mother when to return immediately. Follow-up in 2 days.
d. Refer URGENTLY to hospital. Give paracetamol for fever (38°C or above).Treat apparent
causes of fever. Advise mother when to return immediately. Follow-up in 2 days if fever
persists. If fever is present every day for more than 5 days, refer for assessment.
55. Connie is 12 months old. She weighs 7.2 kg. Her axillary temperature is 36.5 C. Her mother
brought Connie to the health center today because she feels hot. Connie has no general danger
signs. She does not have cough or difficult breathing. When asked about diarrhea, the mother
said, “Yes, Connie had diarrhea for 2 or 3 days.” She has not seen any blood in the stool. Connie
has not been abnormally sleepy or difficult to awaken. Her eyes are not sunken. She drinks
normally. Her skin pinch returns immediately.
11
b. NO DEHYDRATION
c. SOME DEHYDRATION
b. PLAN B
d. PLAN C
57. The health worker said, “You brought Connie today because she feels hot. I will check her fever.”
There is a malaria risk. Her mother said that Connie felt hot for 2 days. She has not had measles
within last 3 months. There is no stiff neck, no runny nose, and no generalized rash. She has no
other cause of fever. The blood smear was positive.
b. MALARIA
a. Treat the child with an oral antimalarial. Give one dose of paracetamol in health
center for high fever. Advise mother when to return immediately. Follow-up in 2 days if
fever persists. If fever is present everyday for more than 7 days, refer for assessment
mother when to return immediately Follow-up in 2 days if fever persists. If fever persists
everyday for 7 days, refer for assessment. Treat other causes of fever.
59. There were cases of dengue fever in her village. Connie has no sign of bleeding, back vomitus or
black stools. The health worker can find no signs of bleeding or petechiae. Connie’s hands were
warm.
a. Give one dose of paracetamol in health center for high fever (38.5 C or above).Advise mother
when to return immediately. Follow up in 2 days if fever persists If fever is present everyday
for more than 7 days, refer for assessment. Treat other causes of fever.
12
to hospital.
d. Advise mother when to return immediately. Follow-up in 2 days if fever persists or
child shows signs of bleeding. DO NOT GIVE ASPIRIN
61. Nemia is 3 years old. She weighs 10 kg. Her axillary temperature is 38° C. Her mother brought
her to the health center because she has cough. She also has a rash.The health worker checked
Nemia for danger signs. She was able to drink, she had not been vomiting everything, and she
did not have convulsions. She was not abnormally sleepy or difficult to awaken
b. PNEUMONIA
hospital.
63. The health worker assessed Nemia’s cough. The mother told the health worker, Nemia had been
coughing for 2 days. The health worker counted 42 breaths per minute. The health worker did not
see chest indrawing. He did not hear stridor when Nemia was calm.When the health worker
asked if Nemia had diarrhea, the mother said NONext the health worker assessed Nemia’s fever.
It is the wet season and there is a risk of malaria. She has felt hot for 3 days the mother said. She
does not have stiff neck. She does not have a runny nose. The blood smear was negative.Nemia
has a generalized rash. Her eyes are red. She does not have mouth ulcers. Pus is not draining
from the eye. There is no clouding of the cornea.There was no dengue risk.
a. Give one dose of paracetamol in health center for high fever (38.5 C or above).Advise
mother when to return immediately. Follow up in 2 days if fever persists If fever is
present everyday for more than 7 days, refer for assessment. Treat other causes of
fever.
to hospital.
13
65. Ernesto is 24 months old. He weighs 9.5kg. Her axillary temperature is 37°C. His mother says
Ernesto has not been eating well lately, and she is worried about himThe health worker checked
for the general danger signs. Ernesto is able to drink, he is not vomiting, he has not had
convulsions and he is not abnormally sleepy or difficult to awaken.Ernesto does not have cough,
and he does not have diarrhea.The health worker asked if the mother thought that Ernesto had
fever. She said he has been feeling hot the last 2 days. The malaria risk is always there. He has
not had measles within the last 3 months. He does not have stiff neck, and there is no runny
nose.He does not have rash. He does not have signs suggesting measles. No other cause of
fever is present. It was not possible to examine a blood smear. There was no dengue risk.
b. MALARIA
a. Treat the child with an oral antimalarial. Give one dose of paracetamol in health center for
high fever. Advise mother when to return immediately. Follow-up in 2 days if fever persists. If
fever is present everyday for more than 7 days, refer for assessment
to hospital.
mother when to return immediately Follow-up in 2 days if fever persists. If fever
persists everyday for 7 days, refer for assessment. Treat other causes of fever.
67. Marina is 48 months old. She weighs 14 kg. Her axillary temperature is 37°C. Her mother was
worried because of the rashes that appeared on her extremities today.When the health worker
checked for the general danger signs. Marina is able to drink. She is not vomiting, has had no
convulsions and is not abnormally sleepy or difficult to awaken.Marina does not have cough and
does not have diarrhea.The health worker asked if Marina had fever or had been feeling hot. Her
mother said that Marina had been hot for 3 days. There is no malaria risk and Marina has not
been away from the area in the past months. She does not have stiff neck or a runny nose. She
has not had measles during the past 3 months. She has no signs of measles. It is now rainy
season and there have been cases of dengue in the barangay. Marina has not been bleeding
from the nose or gums, or in the vomitus or stools. She has petechiae on her arms and trunk but
no signs of shock
a. Give one dose of paracetamol in health center for high fever (38.5 C or above).Advise mother
when to return immediately. Follow up in 2 days if fever persists If fever is present everyday
for more than 7 days, refer for assessment. Treat other causes of fever.
14
to hospital.
d. Advise mother when to return immediately. Follow-up in 2 days if fever persists or
child shows signs of bleeding. DO NOT GIVE ASPIRIN
69. Sally is 3 years old. She weighs 13kg. Her temperature is 37.5°C. Her mother came to the health
center today because Sally has felt hot for the last 2 days. She was crying last night and
complained that her ear was hurting. The health worker checked and found no general danger
signs. Sally does not have cough or difficult breathing. She does not have diarrhea. There is no
risk of malaria. Sally had no stiff neck and no signs of measles. There was no dengue risk. Next
the health worker asked about Sally’s ear problem. The mother said she is sure Sally has ear
pain. The child cried most of the night because her ear hurt. There has been discharge coming
from Sally’s ear on and off for about a year, said the mother. The health worker did not see any
pus draining from the child’s ear. He left behind the child’s ears and felt tender swelling behind
one ear.
a. MASTOIDITIS
b. NO EAR INFECTION
d. ACUTE EAR INFECTION
a. Give an antibiotic for 10 days. Give paracetamol for pain.Dry the ear by wicking. Advise
mother when to return immediately. Follow-up in 5 days.
b. Give first dose of an appropriate antibiotic. Give first dose of paracetamol for
pain.Treat the child to prevent low blood sugar. Refer URGENTLY to hospital.
d. Give paracetamol for fever (38°C or above). Advise mother when to return immediately.
Follow-up in 2 days if fever persists. If fever is present every day for more than 5 days, refer
for assessment.
71. Dana is 18 months old. She weighs 9 kg. Her temperature is 37°C. Her mother said that Dana
had discharge coming from her ear for the last 3 days. Dana does not have any general danger
signs. She does not have cough or difficult breathing. She does not have diarrhoea and she
does not have fever. The health worker asked about Dana's ear problem. The mother said that
Dana does not have ear pain, but the discharge has been coming from the ear for 3 or 4 days.
The health worker saw pus draining from the child's right ear. He did not feel any tender swelling
behind either ear. Record Dana's signs of ear problem and classify them.
a. MASTOIDITIS
b. NO EAR INFECTION
a. Give an antibiotic for 10 days. Give paracetamol for pain.Dry the ear by wicking.
b. Give first dose of an appropriate antibiotic. Give first dose of paracetamol for pain.Treat the
for assessment.
15
73. Anna is 18 months old. She weighs 7 kg. Her temperature is 38.5°C. Her mother brought her
today because the child has felt hot and has a rash. The health worker saw that Anna looks like
skin and bonesThe health worker checked for general danger signs. Anna is able to drink, has
not vomited, has not had convulsions and is not abnormally sleepy or difficult to awaken.She
does not have cough or difficult breathing. She does not have diarrhea.Because Anna’s mother
said the child felt hot and because her temperature is 38.5°C, the health worker assessed her for
fever. Anna lives where there is a malaria risk.
b. MALARIA
a. Treat the child with an oral antimalarial. Give one dose of paracetamol in health center
for high fever. Advise mother when to return immediately. Follow-up in 2 days if fever
persists. If fever is present everyday for more than 7 days, refer for assessment
to hospital.
d. Give one dose of paracetamol in health center for high fever (38.5 C or above) Advise mother
when to return immediately Follow-up in 2 days if fever persists. If fever persists everyday for
7 days, refer for assessment. Treat other causes of fever.
75. She has had fever for 5 days She has a generalized rash and she had red eyes. She has
measles. She does not have stiff neck. She does not have a runny nose. Her blood smear was
positive for P.vivax. The health worker assesses her for signs of measles complications. Anna
does not have mouth ulcers. There is no pus draining from the eye and no clouding of the cornea.
Anna does not have an ear problem. There is no dengue risk in the area.
a. MEASLES
b. SEVERE COMPLICATED MEASLES
c. FEVER POSSIBLE BACTERIAL INFECTION
d. MEASLES WITH EYE OR MOUTH COMPLICATIONS
a. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar. Give
one dose of paracetamol in clinic for fever (38°C or above). If clouding of the cornea or pus
draining from the eye, apply tetracycline eye ointment. Give Vitamin A.
b. Give paracetamol for fever (38°C or above). Give Vitamin A. Advise the mother when
to return immediately. Follow- up in 2 days if not improving.
c. Give paracetamol for fever (38°C or above). If pus draining from the eye, treat eye infection
with tetracycline eye ointment. Give Vitamin A. If mouth ulcers, treat with gentian violet.
d. Refer URGENTLY to hospital. Give paracetamol for fever (38°C or above).Treat apparent
causes of fever. Advise mother when to return immediately. Follow-up in 2 days if fever
persists. If fever is present every day for more than 5 days, refer for assessment.
77. The health worker next checked her for malnutrition or anemia. She has visible wasting. There is
no palmar pallor. She does not have edema of both feet. The health worker determined her
weight for age chart booklet. Determine if this child’s weight for age is very low.
a. NOT LOW WEIGHT
b. ANAEMIA
16
c. NO ANAEMIA
d. LOW WEIGHT
a. Assess the child`s feeding and counsel the mother on feeding according to the FOOD box on
the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days. Give Iron.
Advise mother when to return immediately.
b. If child is aged from 6 - 30 months, give one dose of Iron weekly.
c. Assess the child`s feeding and counsel the mother on feeding according to the FOOD
box on the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days.
Advise mother when to return immediately. Follow-up in 30 days
d. If child is less than 2 years old, assess the child’s feeding and counsel the mother on feeding
according to the FOOD box on the COUNSEL THE MOTHER chart. If feeding problem,
follow-up in 5 days
79. Kalisa is 11 months old. He weighs 8 kg. His temperature is 37°C. His mother says he has had
a dry cough for the last 3 weeks. Kalisa does not have any general danger signs. The health
worker assessed his cough. It has been present for 21 days. He counted 41 breaths per minute.
The health worker does not see chest indrawing. There is no stridor when the child is calm.
Kalisa does not have diarrhoea. He has not had a fever during this illness. He does not have an
ear problem.
b. PNEUMONIA
hospital.
81. The health worker checked Kalisa for malnutrition and anaemia. Kalisa does not have visible
severe wasting. His palms are very pale and appear almost white. There is no oedema of both
feet. The health worker determined Kalisa's weight for age. (Look at the weight for age chart in
your chart booklet and determine Kalisa's weight for age.) “Normal”
a. NOT LOW WEIGHT
b. ANAEMIA
c. NO ANAEMIA
d. LOW WEIGHT
17
c. Assess the child`s feeding and counsel the mother on feeding according to the FOOD box on
the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days. Advise mother
when to return immediately. Follow-up in 30 days
d. If child is less than 2 years old, assess the child’s feeding and counsel the mother on
feeding according to the FOOD box on the COUNSEL THE MOTHER chart. If feeding
problem, follow-up in 5 days
83. Alulu is 9 months old. He weighs 5 kg. His temperature is 36.8°C. He is at the clinic today
because his mother and father are concerned about his diarrhoea. He does not have any general
danger signs. He does not have cough or difficult breathing. He has had diarrhoea for 5 days, the
father said. They have not seen any blood in the stool. Alulu is not restless or irritable. He is not
lethargic or unconscious. His eyes are not sunken. He is thirsty and eager to take the drink of
water offered to him. His skin pinch goes back slowly. He does not have a fever. He does not
have an ear problem.
b. NO DEHYDRATION
c. SOME DEHYDRATION
b. PLAN B
c. Give fluid and food to treat diarrhea at home (Plan A). If child is 2 years or older and there is
cholera in your area, give antibiotic for cholera. Advice mother when to return immediately.
d. PLAN C
85. Next, the health worker checked for signs of malnutrition and anaemia. The child does not have
visible severe wasting. There is no palmar pallor. He does not have oedema of both feet. The
health worker determined Alulu's weight for age.
a. NOT LOW WEIGHT
b. ANAEMIA
c. NO ANAEMIA
d. LOW WEIGHT
follow-up in 5 days
87. Antonio is 37 months old. He weighs 9.5 kg. His temperature is 37.5°C. His mother says he
feels hot. He has been crying and rubbing his ear. The health worker checks Antonio for general
danger signs. He is able to drink, does not vomit everything he drinks, has not had convulsions
and is not lethargic or unconscious. He does not have cough or diarrhoea. Because his mother
has reported a history of fever and because his temperature is 37.5°C, the health worker
assesses Antonio for fever. The risk for malaria is high. He has had fever for 3 days, says his
18
mother. He has not had measles in the last 3 months. His neck moves easily. He has a runny
nose, and there are no signs suggesting measles. The health worker asks if Antonio has an ear
problem. The mother says he has had ear pain. She also says she has seen ear discharge for
about 5 days. The health worker sees pus draining from the ear. He does not feel any tender
swelling behind either ear.
a. MASTOIDITIS
b. NO EAR INFECTION
a. Give an antibiotic for 10 days. Give paracetamol for pain.Dry the ear by wicking.
b. Give first dose of an appropriate antibiotic. Give first dose of paracetamol for pain.Treat the
for assessment.
89. He then checks the child for malnutrition and anaemia. Antonio looks thin, but he does not have
visible severe wasting. He does not have palmar pallor. He does not have oedema of both feet.
a. NOT LOW WEIGHT
b. ANAEMIA
c. NO ANAEMIA
d. LOW WEIGHT
follow-up in 5 days
91. Mishu is 4 months old. She weighs 5.5 kg. Her temperature is 38.0°C. She is in the clinic today
because she has diarrhoea. She does not have any general danger signs. She is not coughing
and does not have difficult breathing. The health worker assessed her further for signs of
diarrhoea. She has had diarrhoea for 2 days and there is blood in the stool, said the mother.
Mishu was not restless or irritable; she was not unconscious or lethargic.
b. NO DEHYDRATION
c. SOME DEHYDRATION
d. DYSENTERY
hospital
b. Advise the mother on feeding. Give multivitamin, mineral supplement. Advise mother when to
19
d. PLAN C
93. Her eyes were not sunken. She drank normally, and did not seem to be thirsty. Her skin pinch
went back immediately. The health worker next assessed her for fever. The malaria risk is high
at this time of year. Mishu has had fever for 2 days, said the mother. She has not had measles
in the last 3 months. She does not have a stiff neck or runny nose. There are no signs
suggesting measles. Mishu does not have an ear problem. The health worker checked for
malnutrition and anaemia. She does not have visible severe wasting. There is no palmar pallor
and no oedema of both feet. The health worker determined her weight for age. At birth Mishu
received BCG and OPV 0. Four weeks ago, she received DPT 1 and OPV 1.
b. NO DEHYDRATION
c. SOME DEHYDRATION
b. PLAN B
d. PLAN C
95. Jemilla is 37 months old. She weighs 15.3 kg. Her temperature is 38.5°C. Jemilla's family
brought her to the clinic today because she has a stomach ache, feels hot, has a runny nose and
rash, and is coughing. The health worker checked her for general danger signs. She was able to
drink, did not vomit everything she drank, did not have convulsions, and was not lethargic or
unconscious. The health worker assessed the child for cough or difficult breathing. The parents
said she has been coughing for 2 days. The health worker counted 55 breaths a minute. He did
not see chest indrawing. He did not hear any unusual noise when she breathed in. Jemilla does
not have diarrhoea, said the parents. However, she has been feeling hot, they said. Her risk of
malaria is high. She has had fever for two days. She has not had measles in the last 3 months.
Her neck moves easily. She has a runny nose. The health worker looked for signs suggesting
measles. Her rash was not generalized; it was only on her hand. Jemilla did not have an ear
problem, said the parents. The health worker checked Jemilla for malnutrition and anaemia. She
does not have visible severe wasting. She does not have palmar pallor. She does not have
oedema of both feet. The health worker determined her weight for age. Jemilla has received
BCG, OPV 0, OPV 1, OPV 2, OPV 3, DPT 1, DPT 2, and DPT 3.
b. PNEUMONIA
20
hospital.
97. Terese is 6 months old. She weighs 4 kg. Her temperature is 37°C. Her mother brought her to
the clinic because Terese has a cough. Her mother is also concerned that Terese looks thin.
The health worker did not find any general danger signs.The health worker assessed her cough.
The mother said Terese had the cough for 4 days. The health worker counted 52 breaths per
minute. Terese did not have chest indrawing, and there was no stridor when the child was calm.
Terese did not have diarrhoea, and she did not have fever. There was no ear problem, said the
mother.
b. PNEUMONIA
hospital.
99. The health worker saw that Terese had visible severe wasting. She did not have palmar pallor.
She did not have oedema of both feet. The health worker determined the child's weight for age.
She has had BCG, OPV 0, OPV 1 and DPT 1.
a. SEVERE MALNUTRITION
b. ANAEMIA
c. NO ANAEMIA
d. LOW WEIGHT
a. Give Vitamin A. Treat the child to prevent low blood sugar. Refer URGENTLY to
hospital.
b. Assess the child`s feeding and counsel the mother on feeding according to the FOOD box on
c. If child is aged from 6 - 30 months, give one dose of Iron weekly.
d. Assess the child`s feeding and counsel the mother on feeding according to the FOOD box on
the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days. Advise mother
when to return immediately. Follow-up in 30 days
Part 2 Healthy Lifestyle and IYCF:
21
1. When measuring the blood pressure of an adult, how much of the upper arm circumference
should be covered by the cuff?
a. One-third d. The entire upper arm
b. Two-third e. Do not know
c. Three-fourths
2. When monitoring an adult's blood pressure, the cuff should be inflated to:
a. 250 mm Hg d. 30 mm Hg above the obliteration of
b. 300 mm Hg the pulse
c. 50 mm Hg above the last recorded e. Do not know
3. Based on guidelines, how many times should the BP be measured per visit?
a. Once d. Take a second reading only if the first
b. Twice reading is very high
c. Three times e. Do not know
4. In children 13 years or younger, the best indicator of diastolic blood pressure is:
a. The initial appearance of sounds upon c. The distinct muffling of sounds upon
deflation of cuff deflation of cuff
b. The disappearance of sounds upon d. None of the above
deflation of cuff e. Do not know
5. Prior to BP measurement, it is important to minimize extraneous factors that may affect the accuracy of
the reading. In general, a client should not smoke or ingest caffeine within ____ before BP measurement.
a. 5 minutes
b. 10 minutes
c. 15 minutes
d. 30 minutes
e. Do not know
22
6. In most healthy subjects, there is little difference between BP taken in sitting, standing or lying down position.
a. True
b. False
7. Philippine Clinical Guidelines recommend routine use of the diaphragm of the stethoscope for BP auscultation.
a. True
b. False
8. Patients with normal readings should have blood pressure evaluations every:
a. Six months
b. Year
c. Two years
d. Five years
e. Do not know
9. In an adult, which of the following BP readings will be considered possible hypertension?

a. 146/92
b. 128/80
c. 110/76
d. 134/86
e. Do not know
10. A person with hypertension will usually have:

a. Headache
b. Dizziness
c. Weight loss
d. No symptoms
e. Do not know
11. The most common cause of essential hypertension is:

a. Atherosclerosis
b. Renal disease
c. Diabetic vessel change
d. Heart disease
e. Do not know
12. Which of the following is the “bad” cholesterol?

a. VLDL
b. LDL
c. HDL
d. Do not know
13. Which of the following is the “good” cholesterol?

a. VLDL
b. LDL
c. HDL
d. Do not know
14. For Filipinos, the recommended daily allowance for sodium is no more than 2000 mg. of sodium or 5
gms. sodium chloride (table salt). This is equivalent to ____ of salt:
a. one level teaspoon
b. one heaping teaspoon
c. one level tablespoon
d. one heaping tablespoon
e. Do not know
15. To improve cardiovascular fitness, what type of exercise is recommended?

a. Aerobic exercise
b. Anaerobic exercise
c. Isometric exercise
d. Any kind of exercise
e. Do not know
16. How many minutes should the warm-up phase of exercise be?
a. 15 minutes
b. 20 minutes
c. 30 minutes
d. 45 minutes
e. Do not know
17. For physical activity to be beneficial, it should be done at least:

a. Once a week
b. Twice a week
c. Three times a week
d. Everyday
e. Do not know
18. Maximum heart rate for a person aged 25 years is __ per minute.
a. 200
b. 195
c. 190
d. 185
e. Do not know
19. The target heart rate for exercise of a healthy adult is usually ___ of the maximum heart rate
a. 50-60%
b. 60-70%
c. 50-70%
d. 60-90%
20. For the elderly person, the target heart rate is:
a. lower than the average adult
b. same as the average adult
c. higher than the average adult
d. Do not know
21. In women, a waist-hip ratio of greater than ____ indicates increased risk of health complications
associated with obesity.
a. 0.70
b. 0.75
c. 0.85
d. 1.0
e. Do not know
22. The best indicator of obesity is:

a. Weight
b. Body Mass Index (BMI)
c. Waist circumference
d. Waist-hip ratio
e. Do not know
23. A person is considered obese if the weight is ___ greater than the desired or ideal body weight.
a. 15%
b. 20%
c. 25%
d. 30%
e. Do not know
24. Data needed to compute body mass index (BMI) are:

a. Weight
b. Height and weight
c. Skinfold measurement
d. Abdominal girth
e. Do not know
25. Which of the following BMI values indicate obesity?

a. 30.1
b. 22.5
c. 21.3
d. 24.9
e. Do not know
26. The recommended laboratory test to screen for diabetes is:

a. 8 hour fasting blood sugar (FBS)
b. 6 hour fasting blood sugar
c. 2 hour post-prandial blood sugar
d. Random blood sugar
e. Do not know
27. For screening purposes, which one of the following laboratory tests would you recommend?
a. Triglyceride d. Total cholesterol
b. LDL e. Do not know
c. HDL
28. Breast self-examination (BSE) is best performed:

a. Any day of the month
b. 2-3 days before menstruation
c. 1 week before menstruation
d. 1 week after menstruation
e. Do not know
29. Pap's smear should be done yearly for women at high risk, to include all of the following except:
a. Aged 18-65 years old and above
b. Those with multiple partners
c. Those who are sexually active
d. Commercial sex workers
e. Do not know
30. Which of these chemicals or gases contained in tobacco is addicting?

a. Tar
b. Nicotine
c. Carbon monoxide
31. Who among the following is NOT a passive smoker?

a. Persons with family members who smoke
b. Persons who frequent smoke-filled rooms
c. Pregnant woman who smokes
d. Fetus of a pregnant woman who smokes
32. Which of the following statements about smoking cessation is true?

a. “Tapering off” is the best way to stop smoking completely
b. Switching to “low-tar, low-nicotine” cigarettes makes it easier to stop smoking
c. Both are true
d. Neither one is true
e. Do not know
33. Which of the following statements about smoking cessation is true?

a. If you have tried to stop smoking and failed, you probably can't stop
b. There is nothing your physician can do to help you to stop smoking
c. Both are true
d. Neither one is true
e. Do not know
34. The following are advantages of breastfeeding except:
a.Protects against infection
b.Helps bonding and development
c. Helps delay a new pregnancy
d. Protects the mother’s health
e.None of the above
35. The mother is suffering from colds. Which of the following is the advice for the mother?
a.Limit the contact of the mother to the baby
b.Continue breastfeeding
c. Stop breastfeeding until the mother get well
d.Advise the mother to drink a lot of fluids.
36. On a breastfeeding seminar, the speaker tackles on the variations in the composition of breast milk. Upon
discussion which of the following should be clarified when stated by the speaker.
a. Hind milk is whiter than foremilk because of its fat content.
b. Hind milk provide much of energy
c. Hind milk is produced in large amount.
d.Foremilk provides all the water that the body need on the first six months of life of the infant.
37. Edith’s baby boy has not gained much weight over the past two months. As Edith tells you about it, she burst into
tears. Which of the following response shows that you accept how Edith feels.
a.Don’t worry – I am sure he will gain weight soon.
b.Shall we talk about what foods to give your baby?
c. You’re really upset about this aren’t you?
38. Agnes is in tears. Her baby is refusing to eat vegetables and she is worried.
a.Don’t cry – many children do not eat vegetables.
b.You are really worried about this, I know.
c. It is important that your baby eats vegetables for the vitamins he needs.
39. “My baby looks so thirsty during this very hot climate. Should I give him extra fluid?” The mother complained. The
best response for this is:
“I can see that you are worried with your baby.”
“That’s very wrong!”
“That’s one of the misconception of the mother.”
“Don’t worry, your baby is fine.”
40. Which of the following is the best advice for the mother?
a.Give him extra cold water.
b.Give him fruit juices.
c. Your baby does not need extra drinks.
d.Give him water.
41. What age is most advisable for the infant to be introduced to complementary feeding?
a.4 mos.
b.5 mos.
c. 6 mos
d.7 mos.
42. The gland in the areola which secretes an oily fluid to keep the skin healthy.
a.Mammary gland
b.Areolear gland
c. Montgomery’s gland
d.Bartholene’s gland
43. The following are signs and sensation of an active oxytocin reflex. Select all that apply.
a.Pain from uterine contractions, sometimes with a rush of blood, during feeds in the first week.
b.A squeezing or tingling sensation in her breast just before she feeds her baby
c. Milk dripping from her other breast, when her baby is suckling.
d.Slow deep sucks and swallowing by the baby, which show that breast milk is flowing into the mouth
44. Breast milk can be frozen for up to:

A 1 month
B 3 months
C 6 months
D 12 months
45 Which of the following statements is not appropriate in breastfeeding?

A Thaw frozen breast milk for use in tepid water
B Use the microwave oven to warm the milk
C Motherhood illness decreases the milk supply
D Breastfeeding provides psychological and emotional satisfaction for the infant
and the mother
46 The nurse instructs the young mother on breast care. The instructions include
the following: (1) Avoid using soap on the nipples; (2) Change frequently
breast pads; (3) Expose nipples to air intermittently. These measures are
specific to the prevention of:
A Newborn colic
B Breast engorgement
C Mastitis
D "Let-down" reflex
47 The type of milk that is present in the breasts after 2 weeks post partum is
called:
A Transitional milk
B Hind milk
C Mature milk
D Colostrum
48 Engorgement for a breastfeeding patient lasts about?

A 12 hours
B 24 hours
C 48 hours
D 72 hours
49 The nurse understands that a baby is sucking adequate amounts of milk when
there is:
A Adequate sleep
B Frequent feedings
C Weight gain
D Maternal diet high in vitamin C
50 The young mother complains of engorged breasts. Which of the following
interventions would be most helpful?
A Teach the client to express her breasts while in a warm shower
B Apply a breast binder
C Administer a lactation suppressant
D Apply ice on the affected breasts

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NAME:_______________________________________________ SCORE: _______

YEAR AND SEC.____________ Date:__________

Part 1 – CHOOSE THE ANSWER THAT BEST CLASSIFIES THE SITUATION.

2. What is the corresponding treatment on your answer in the above situation?

4. What is the corresponding treatment on your answer in the above situation?

6. What is the corresponding treatment on your answer in the above situation?

8. What is the corresponding treatment on your answer in the above situation?

Part 2 Healthy Lifestyle and IYCF:

9. In an adult, which of the following BP readings will be considered possible hypertension?

10. A person with hypertension will usually have:

11. The most common cause of essential hypertension is:

12. Which of the following is the “bad” cholesterol?

13. Which of the following is the “good” cholesterol?

15. To improve cardiovascular fitness, what type of exercise is recommended?

17. For physical activity to be beneficial, it should be done at least:

22. The best indicator of obesity is:

24. Data needed to compute body mass index (BMI) are:

25. Which of the following BMI values indicate obesity?

26. The recommended laboratory test to screen for diabetes is:

28. Breast self-examination (BSE) is best performed:

30. Which of these chemicals or gases contained in tobacco is addicting?

31. Who among the following is NOT a passive smoker?

32. Which of the following statements about smoking cessation is true?

33. Which of the following statements about smoking cessation is true?

a.Protects against infection

b.Helps bonding and development

c. Helps delay a new pregnancy

d. Protects the mother’s health

e.None of the above

a.Limit the contact of the mother to the baby

c. Stop breastfeeding until the mother get well

d.Advise the mother to drink a lot of fluids.

a. Hind milk is whiter than foremilk because of its fat content.

b. Hind milk provide much of energy

c. Hind milk is produced in large amount.

a.Don’t worry – I am sure he will gain weight soon.

b.Shall we talk about what foods to give your baby?

c. You’re really upset about this aren’t you?

a.Don’t cry – many children do not eat vegetables.

b.You are really worried about this, I know.

“I can see that you are worried with your baby.”

“That’s very wrong!”

“That’s one of the misconception of the mother.”

“Don’t worry, your baby is fine.”

a.Give him extra cold water.

b.Give him fruit juices.

c. Your baby does not need extra drinks.

d.Give him water.

44. Breast milk can be frozen for up to:

45 Which of the following statements is not appropriate in breastfeeding?

48 Engorgement for a breastfeeding patient lasts about?

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NAME:_________________________________________ SCORE: _

YEAR AND SEC.__ Date: