UNIVERSITY OF LA SALETTE COLLEGE OF NURSING MIDTERM EXAMINATION Community Health Nursing I.

MULTIPLE CHOICES: Instruction: Write the letter of your choice that corresponds to the correct answer to each of the following questions. NO ERASURES. NO SUPERIMPOSITIONS. The Global goal of Primary Health Care as stated in the Alma Ata Declaration is Health for All by the year 2000 through self-reliance. It doesnt mean however that nobody will be sick or disabled anymore. Nor does it mean that health care professionals will provide care for everybody in the country or in the world for all their existing ailments. 1. The World Health Assembly launched the Global Strategy for Health for All was during 1979. In what year does the conference popularly known as the Alma Ata started? a. 1979 c. 1879 b. 1878 d. 1978 2. In May 1977, the resolution decided that the main social target of governments and of WHO should be the attainment by all the people of the world. It was then the assembly adopted the resolution of WHA 30:43. What was the goal of the Assembly? a. 30th World Health Assembly b. leading the people to a socially and productive life c. Healthy People by the year 2010 d. level of health that will permit them to lead a socially and productive life 3 4. An essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally, accessible to individuals and families in that community and country can afford to maintain at every stage of their development in the spirit of self-reliance and selfdetermination defines PHC. The adaptation of the goal was signed by President Marcos on October 1979 through the Letter of Instruction ____ a. 935 b. 949 c. 919 d. 979 and has an underlying theme of _____________________. a. Health in the Hands of the People by 2020 b. Health for All in the Year 2000 c. Health in the Hands of the people by 2000 d. Health for all in 2010 5. This type of health care facility is the first contact between the community members and contact between the community members and the other levels of health facility. a. Primary Care b. Secondary Level of Care c. Primary Level of Care c. Barangay Health Workers 6. This type of health care facilities rendered intensive care for intensive and complicated cases. Select all that apply. 1. Private Hospital 2. Tertiary Level Hospitals 3. Regional and Provincial Hospitals 4. Municipal Health Office a. 1,2,3,4 b. 1,3,4 c. 1,2,3 d. 1,2 7. It is the process of enabling people to increase control over and to improve their health is the definition of health promotion as stated in the _____________. a. Bangkok Charter b. Ottawa Charter c. Jakarta Charter c. Alma Ata Conference 8. Greens definition of Health Education is any combination of learning experience designed to facilitate voluntary adoptions of behaviors conducive to health. Health education covers the continuum of the levels of prevention. Select all that apply.

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1. health promotion, specific health protection 2. early diagnosis and treatment 3. disability limitation 4. rehabilitation a. all of the above b. 2,3,4 b. 1,3,4 c. none of the above 9. All of the following are the Major Strategies of Primary Health Care, EXCEPT: 1. Elevating health to a comprehensive and sustained national effort 2. Advancing essential national health research 3. Health and Development are interrelated 4. Promoting and supporting community-managed health care 5. Increasing efficiencies in the health sector a. 1, 2, 3 and 4 b. 1, 3,4 and 5 c. 1,2,4 and 5 c. 2,4,and 5 10. It is a means of improving the health of the people by employing various methods of scientific procedures to show the most healthful ways of living. a. IEC b. Health Promotion c. Health Education d. Health Prevention 11. The health services should be present where the supposed recipients are. This is the principle of Accessibility, Availability, Affordability and Acceptability of Health Services. The following are Strategies of the Four As, except: a. Health services delivered where the people are b. Use of traditional medicine with essential drugs c. Use of resident volunteer health worker as health care provider d. Training design and curriculum based on community needs and priorities 12. The ultimate goal of primary health care is better health for all. WHO has identified five key elements to achieving that goal, except: 1 reducing exclusion and social disparities in health (universal coverage reforms); 2 organizing health services around people's needs and expectations (service delivery reforms); 3 integrating health into all sectors (public policy reforms); 4 pursuing collaborative models of policy dialogue (leadership reforms); and 5 increasing stakeholder participation. a. 1,2,3,4 and 5 b. 2,3,4,5 c.1,3,4,5 d. 1 and 5 only 13. It was the first international declaration underlining the importance of primary health care. The primary health care approach has since then been accepted by member countries of WHO as the key to achieving the goal of "Health for All". a. Jakarta Charter b. Alma Ata Conference c. Ottawa Charter d. Bangkok Charter 14. According to the Ottawa Charter, health promotion : Select all that apply. 1. "is not just the responsibility of the health sector, but goes beyond healthy life-styles to well-being" 2. "aims at making... [political, economic, social, cultural, environmental, behavioural and biological factors] favourable through advocacy for health" 3. "focuses on achieving equity in health" 4. "demands coordinated action by all concerned: by governments, by health and other social and economic sectors, by nongovernmental and voluntary organization, by local authorities, by industry and by the media" 5. "should be adapted to the local needs and possibilities of individual countries and regions to take into account differing social, cultural and economic systems" a. 1,3,4 b. 1,2,3,4 c. 2 and 5 15. An action taken prior to the onset of disease, which removes the possibility that the disease will ever occur. a. Primary Prevention b. Secondary Prevention c. Tertiary Prevention d. Tertiary Level of Health Care Facility

16. It includes the concept of positive health, that encourages the achievement and maintenance of an acceptable level of health that will enable every individual to lead a socially and economically productive life. a. Primary Prevention b. Secondary Prevention c. Tertiary Prevention d. Secondary Level of Health Care Facility 17. Action which halts the progress of a disease at its incipient stage and prevents complications. a. Primary Prevention b. Secondary Prevention c. Tertiary Prevention d. Primary Level of Health Care Facility 18. All measures available to reduce or limit impairment and disabilities, minimize suffering caused by existing departures from good health and to promote the patient's adjustment to irremediable conditions a. Primary Prevention b. Secondary Prevention c. Tertiary Prevention d. None of the above Situation: There are other important basic knowledge in the performance of our task as Community Health Nurse in relation to IMMUNIZATION, these include: 19. To ensure universal adequate and regular supply of potent vaccines for implementing units the DOH has institutionalized a Vaccine Independence Initiative with the assistance of which international agency? a. WHO b. World Bank c. UNICEF d. Research Institute for Tropical Medicine (RITM) 20. The greatest protection of individuals from acquiring Hepatitis B infection that may develop into a chronic liver disease is: a. Safe sex practice b. Avoidance of alcohol c. Hepatitis B immunization d. Proper nutrition 21. Mrs. Kimchu is due to bring her baby back to the health center for the third dose of immunization three weeks from now but she came today with her baby and requested that her baby be immunized because they are going abroad tomorrow and will return only to the country after 4 weeks. The nurse tells Mrs. Kimchu that: a. It is alright for the third immunization to be delayed for a week anyway lengthening the interval between doses of vaccines leads to higher antibody levels. b. It is good that she brought her baby for immunization because delaying the last dose will reduce its effectivity. c. It is alright not to immunize her child today anyway they can always restart immunization to ensure complete protection from diphtheria, tetanus and pertussis once they are back. d. The health center cannot give immunization that is not scheduled but they can always go to a private practitioner for immunization anytime. 22. Which of the following vaccines is not administered by intramuscular (IM) injection? a. Measles vaccine b. Hepa-B vaccine c. Tetanus toxoids d. DPT 23. This vaccine content is derived from RNA recombinants: a. Tetanus toxoids b. Hepatitis B vaccines c. DPT d. Measles 24. Which of the following conditions is NOT true about contraindication to immunization? a. Do not give BCG if the child has known AIDS b. Do not give BCG if the child has known hepatitis c. Do not give DPT2 or DPT3 to a child who has had convulsions within 3 days of DPT d. Do not give DPT to a child who has recurrent convulsion or active neurologic disease. 25. This is the vaccine needed before a child reaches one (1) year in order for him/her to qualify as a fully immunized child. a. Measles c. BCG b. DPT d. Hepatitis

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26. Mrs. Bernabe brought her 6 month old baby Jena to the clinic for immunization. She told the nurse that Jena has already received BCG and a first dose of DPT when she was 8 weeks old. Mrs. Bernabe was not able to bring Jena to the clinic for her next DPT immunization because they went to the province. She is asking the nurse if Jena can still receive her DPT immunization. The nurses reply is that: a. They will have to start her DPT immunization all over again because the interval is more than 2 months already. b. Jena will be given her 2nd dose of DPT and Mrs. Bernabe should bring her back to the clinic after four weeks to complete her DPT immunization. c. Jena will receive two injections of DPT today to make sure that the vaccine will take effect on her. d. Jena can no longer receive DPT immunization because she is more than five months. 27. Which is not true of measles vaccines? a. It can be given at the same time as DPT. b. It should be given at nine months because it provides higher protection than if it is given at 12 months c. It is given subcutaneously. d. It is alright to give Measles vaccine to a child with diarrhea and low grade fever. 28. Which of the following dose of tetanus toxoid is given to the mother to protect her infant from neonatal tetanus and likewise provide 10 years protection for the mother? a. Tetanus toxoid 3 b. Tetanus toxoid 2 c. Tetanus toxoid 5 d. Tetanus toxoid 4 29. The goal of the governments EPI program is to eliminate which diseases by year 2008: a. Poliomyelitis and tetanus b. Tetanus and measles c. Poliomyelitis and rabies d. Hepatitis B and poliomyelitis 30. Hepatitis vaccine is given subcutaneously a dose of 0.5 ml. it can be given as early as: a. Nine months b. Six months c. At birth d. School entrance 31. BCG provides protection from the following infections except: a. Leprosy b. Tuberculosis c. Meningitis d. Pneumonia 32. The vaccines most sensitive to heat are: a. DPT and Hepa B b. BCG and TT c. OPV and measles d. BCG and measles 33. The temperature where the refrigerator where vaccines are stored should be checked how many times a day? a. Two times a day, in the morning and afternoon before going home. b. Three times a day, in the morning at 12nn and at 5pm. c. Once a day as long as the refrigerator is not frequently opened to keep temperature inside it stable. d. It is not needed to monitor to temperature because the refrigerators thermostat is maintained at the desired temperature. 34. A new mother asked the nurse why she must immunize her baby at so young an age against hepatitis B when they do not have family history of the disease. The nurse explains to the mother that: a. Hepatitis B infection is easily spread nowadays by droplet and kissing of the baby by adults. b. Even if the mother is immune against hepatitis B, the immunity is never transferred to the baby so all newborns are susceptible. c. Even if no family members have the disease, it is possible that they are carriers and can still transmit the microorganisms causing hepatitis to the newborn. d. Hepatitis B vaccine contains modified virus that will stimulate antibody production in her baby to provide lifelong immunity.

35. If the child spits the OPV vaccine administered, the nurse: a. Should ask the mother to return the child after two days to be given another dose. b. Should give the child mother dose immediately. c. Should not give another dose because OPV Vaccine is absorbed by the glands in the tongue immediately after giving it. d. Should ask the child if he swallowed the medication before giving another dose. 36. The following two vaccines are easily damaged by heat but not destroyed by freezing: a. DPT and BCG b. BCG and Hepatitis B c. Tetanus toxoid and BCG d. Polio and measles vaccine 37. All of the following immunizing agents come in liquid form: a. BCG, Measles, OPV, TT b. DPT, OPV, Measles, TT c. Hepa B, TT, Polio, OPV d. BCG, TT, Hepa B, Polio 38. The correct temperature to store vaccines in arefrigerator is: a. Between 2 deg C and +8 deg C b. Between -4 deg C and +8 deg C c. Between -8 deg C and 0 deg C d. Between -8 deg C and +4 deg C 39. You should see to it that measles vaccine is administered as follows: a. 0.1 ml intradermally b. 0.5 ml intramuscularly c. 0.5 ml subcutaneously d. Two drops orally 40. What age group is targeted by the DOH health teams during immunization days? a. 0-24 months b. 0-59 months c. 0-12 months d. 1-5 year olds 41. In order for children to be classified as Fully Immunized Child (FIC), he should have received the following immunizations before he reaches the age of one: a. 3 doses DPT, single dose Measles, 5 doses TT, single dose BCG, 3 doses OPV, 3 doses Hepa B b. Single dose BCG, 3 doses each of DPT, OPV, Measles Vaccine and Hepa B c. Single dose BCG, 3 doses OPV, one dose Measles Vaccine, 3 doses Hepa B, 3 doses DPT d. 3 doses OPV, one dose BCG, 3 doses Measles Vaccine, 3 doses DPT, single dose Hepa B 42. Measles is given subcutaneously on a dose of 0.5 ml. at what age is this done? a. Nine months b. At birth: BCG c. 4 weeks to 6 weeks: DPT and OPV d. 6 months 43. Lily took of sister at San Lazaro Hospital. She was exposed to viral Hepatitis. Hence she was given an injection of gamma globulin by her physician. This is: 1. Natural immunity 2. Active immunity 3. Artificial immunity 4. Passive immunity a. 1 and 4 c. 1 and 2 b. 2 and 3 d. 3 and 4 You are in-charge of the Rural Health Unit. For your immunization activities, you see to it that you have adequate supply of vaccines. This year, 300 infants are due for DPT and measles immunization. 44. Mrs. Flores asked the rural health midwife about the immunization schedule. The correct response of the midwife is that immunization is: a. Conducted once a month in the barangay health station usually at Wednesdays b. Conducted every day in the barangay health center c. Conducted only when there are more than 100 children to be immunized. d. All immunization is to be conducted at the health center and hospital OPD starting 2008

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45. Protection against polio is increased if given earlier. When is the right age? a. Birth b. 2 weeks c. 4 weeks d. 6 weeks 46. If measles given at nine months, what is the percentage that measles can be prevented? a. 75 % b. 85 % c. 95 % d. 100 % 47. How many doses should DPT be given with an interval of four weeks? a. 4 b. 3 c. 5 d. 6 48. Which of the following vaccines is given at birth for protection as part of protection from other members of the family? a. Measles b. BCG c. DPT d. OPV 49. Which PD provided the legal basis for compulsory basic immunization for infants and children below eight (8) years of age? a. Presidential proclamation no 6 b. RA 7846 c. Pd No 996 d. Presidential proclamation no 773 50. What is the EPI based on? a. Research studies on communicable diseases b. Scenario of the community affected c. Epidemiological situation d. Report of basic health services 51. The grandmother of a 3 year old asks to give immunization on another day because they are going on a vacation. What will you do? a. Give immunization anyway and tell her it is not possible to delay b. Tell her to bring the card to the center of the place where they are going to c. Instruct the grandmother to return the next day for immunization d. Tell her that it is alright if immunization is given after vacation 52. What is the immunization they should have before reaching one year? a. Measles b. DPT c. OPV d. BCG 53. Tetanus vaccine is a: a. Bacterial toxin b. Weakened microorganism c. Antibody d. Live attenuated tetanus bacilli 54. Tetanus toxoid is to be given to pregnant mothers. Which immunization gives a 10 year protection for the mother and 99% protection against neonatal tetanus to infants born from them? a. TT2 c. TT4 b. TT3 d. TT5 55. BCG is given to protect the baby from infection at what age? a. At birth b. At 1 month c. At 2 months d. At 9 months

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Situation: In July 1976, the DOH launched the EPI in cooperation with the WHO and UNICEF. 56. Which vaccine is a requirement for school entrants regardless of the presence of BCG scar? a. DPT b. BCG c. Anti- tetanus d. Hepa B 57. At what age of the child should the 7 EPI immunizable diseases be schedules to provide immunity to the child? a. At 2 years old b. At 8 months c. Before childs first birthday d. After the childs first birthday 58. Which of the following is not an element of EPI? a. Target selling b. Presidential decrees and proclamation c. Cold chain logistic management d. Surveillance studies and research 59. Which of the following is the principle of EPI in relation to the protection of the population? a. The target population is the whole community rather than just the individual so the mass approached is utilized b. The target setting should be established before the cold chain logistics is computed c. Surveillance studies and research should be part of the epidemiology d. There should be overall performance on assessment and evaluation 60. In the immunization schedule, when is the BCG vaccine given? a. At birth or anytime after birth b. Anytime when mother requests c. At nine month together with measles d. At 6 weeks together with DPT 61. The polio vaccine is given orally, by drops, for which reason? a. It is a project of Rotary international b. It is only a one dose vaccine c. It is prepared in liquid form d. Infant is just six weeks old 62. In preparing for an immunization session which of the following tasks is done first? a. Review the target list in manual b. Coordinate with the leader in the community c. Announce date and time to RHU d. Send letter to mothers and RHU 63. The following statement refers to the objective of EPI? a. Reduce the morbidity and mortality among infants and children b. To reduce the morbidity among children c. To reduce mortality among children d. To reduce maternal mortality 64. The first step in outbreak investigation is: a. Establish the existence of outbreak b. Prepare for fieldwork c. Verify diagnosis d. Define and identify cases 65. When the public health nurse monitor cases of Dengue in her municipality of assignment, she is performing her function as: a. Researcher b. Care provider c. Coordinator d. Supervisor 66. After receiving measles vaccine, the 11 month old son of Mrs. Manzano developed fever. The mother brought the child back to the health center very much concerned that her child might be having adverse reactions to the immunization. The nurse tell Mrs. Manzano that: a. Normally, the child will have slight fever. The fever is a sign that the childs vaccine is working and is helping the body develop antibodies against measles. b. Some children develop allergic reactions like fever but the doctor will prescribe an antiallergy drug to her child.

c. It is unusual for a child to develop fever after vaccination; maybe the child has other infections that are causing the elevated temperature. d. Fever is a sign that the body is rejecting the vaccine. A skin test will be done to find out if the child has developed antibodies or not. 67. A mother asked the nurse if there is an overdose for measles vaccination because the barangays health worker has told her that she has to bring her 3 year old daughter to the health center for measles vaccination again because there will be a vaccination campaign. The nurses reply is: a. Only children who have not yet received measles vaccine can be vaccinated. b. The childs immunity for measles will be strengthened if she allows her child to be vaccinated again. c. Her child is no longer eligible for measles vaccination because she is already past 3 years old. d. Her child may not receive measles because of possible overdose but she will receive Vitamin A supplementation 68. Mariel has chickenpox, the school nurse instructed her mother not to let Mariel go to school to prevent transmitting the infection to other children. Mariels teacher asked the nurse when is chickenpox most communicable, the correct response is: a. Chicken pox is contagious when the blisters begin to heal and turn brownish. b. Chicken pox is communicable from the day of the appearance of blisters until the child is febrile. c. Chicken pox is contagious five days before and 5 days after the appearance of blisters. d. Chicken pox is communicable only before the appearance of blisters. Situation: Jerry, diagnosed with Dengue, is having high fever, abdominal pain, and headache. 69. Important preventive measure for dengue fever include: a. Prophylactic drug treatment with antivirals b. Mass vaccination during rainy season c. Elimination of small collections of water such as flower vases d. Fogging or daily spraying of insecticides 70. Dengue cases is usually lowest during: a. July to November b. February to April c. December to February d. May to July 71. Which of the following is the diagnostic test for H-fever? a. Rumple leads test b. Malarial smear c. Immunochromatographic test d. Nocturnal blood exam 72. In doing a tourniquet test, how would petechiae be considered positive? a. 10 b. 20 c. 30 d. 5 73. In a patient with dengue fever, which of the following will you give the patient as part of the nursing intervention? a. Water and salt solution b. Oresol c. Saline solution d. IV fluids 74. Which is an independent nursing intervention for a patient with Dengue Hemorrhagic Fever? a. Give aspirin for fever and muscle pains b. Put ice bag over forehead if patient has nose bleed c. Place patient in prone position to relieve abdominal position d. Give high fiber and high protein food 75. In a patient with dengue fever, which of the following will you give the patient as part of the nursing intervention? a. Water and salt solution b. Oresol c. Saline solution d. IV fluids

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76. Which is an independent nursing intervention for a patient with Dengue Hemorrhagic Fever? a. Give aspirin for fever and muscle pains b. Put ice bag over forehead if patient has nose bleed c. Place patient in prone position to relieve abdominal position d. Give high fiber and high protein food Situation: Measles is an acute highly communicable disease with prodromal fever, conjunctivitis, coryza and cough. 77. Lina is 15 months old. Her immunity from her mother lasted only 6 months. Today she came to see you because of spots in her buccal mucosa. What do you call this spots? a. Ksolovik b. Patamyx c. Koplik d. IGM 78. What is the other name of measles? a. Hansen b. Rubeola c. Varicella d. Rubella 79. Measles vaccine can be combined with others immunizing agents to be given simultaneously. What is the combined measles vaccine to be given to children starting 15 months? a. BCG b. BBR c. MCG d. MMR 80. Which of the following statements is true about measles? A. It is an acute paramyxovirus infection B. It is highly contagious C. The prodrome period last for about two weeks D. The rash usually begins behind the ears and neck E. The cause of death is usually from complications F. Serum antibodies appear on the third day of the incubation period a. A,B,C,D,E,F b. A,B,D,E c. A,C,E,F d. B,D,E 81. An important independent nursing action for a child with measles would include: a. Ensuring that the room is well lighted b. Performing tepid sponge bath to reduce fever c. Encouraging the child to drink juice and water frequently d. Wearing face mask when administering nursing to the child 82. How is measles transmitted? a. Contamination b. Sexual c. Food d. Droplet 83. Which of the following statements about measles is true? 1. Grayish specks at inner surface of the appear after the appearance of morbilliform rash 2. Transmission is by nasopharyngeal and oropharyngeal droplets expelled during sneezing or coughing by infected persons 3. Mortality in children is often due to pneumonia 4. It is most communicable before the rash appears: period of coryza or catarrhal when flu like symptom and koplik spots appear for about two days. Immediate isolation is needed during this period morbiliform appears rash appears on third to fourth day, that begins on the face towards trunk and extremities 5. Wrights stain of nasal scrapings show multinucleated glant cells during prodromal period. a. 1,2,3,4 b. 2,3,4,5 c. 1,3,4,5 d. 1,2,3,5

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Situation: Lena has had scabies since she was 19 years old. She is now 21 years old and has learned to cope with her illness. 84. The siblings of Len understand that her condition can be transmitted to them. As such, understand that they should observe the ff. except: a. Not to share towel and beddings with their sister b. Separate their laundry from her laundry c. Keep their house clean all the time d. To apply betadine antiseptic everyday to prevent being infected 85. To be effective, Lena applies lindane lotion in the ff. manner except: a. It is applied before going to sleep b. It is applied from the neck down the entire body c. It should be left for 2-4 hours d. Soap and water is used to wash off the medication from skin 86. A simple diagnostic test for scabies is: a. Geimsa staining and exposing skin under ultraviolet light to expose mite b. Using petroleum gel applied over skin to cause mite to travel to surface of skin where it is easily seen c. All of these d. A drop of mineral oil over burrow then scraping the skin and viewing sample under microscope to reveal mite 87. The causative agent of scabies is: a. Female itch mite called Sarcoptes scabiel b. Male and Female itch mite called Sarcoptes scabiel c. Eggs of sarcoptes scabies that hatcj under skin d. Toxins implanted by itch mite sarcoptes scabies Situation: during rainy season, several areas in the country become flooded w/ water. Leptospirosis is one infection that is common during this season. 88. Leptospirosis is also known w/ the ff names except: a. Wells disease and trench fever b. Mud and flood fever c. Japanese seven days fever and spiroketal jaundice d. Catarrhal jaundice and ragpicker disease 89. Treatment of leptospirosis is symptomatic but the drug is prescribed at 200 mg orally once a week for prevention. What is drug of choice? a. Doxycyline b. Rifampicin c. Chloramphenicol d. Ziduvodine 90. Mode of transmission of leptospirosis a. Open skin contact b. Sexually transmitted c. Contaminated food d. Droplet 91. A person suspected of having leptospirosis should have his urine be tested for presence of microorganism: a. During 1st week of illness b. After 10th day of illness c. Febrile period d. Microorganism is present in urine during 1st 6 months after contracting infection 92. Vic, 16 year old asked if it is possible to be infected while swimming public pools. The nurse replied that: a. Infection w/ leptospirosis is possible w/ recreational swimming in water contaminated w/ urine of human and animals having infection b. It is not possible as long as he has no open wounds c. There is no danger during daytime because leptospires die when exposes to sunlight d. He can protect himself by applying 70% alcohol before swimmimg Situation: filariasis is endemic in Marinduque and Sarangani Provinces. 93. Filariasis is characterized by long incubation period that typically ranges from: a. 2-4 weeks b. 4-6 months c. 2-3 years d. 8-16 months

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94. Mr. Abad is brought by his wife to a doctors clinic to be tested for filariasis upon advise of their family physician. The most diagnostic test that he will undergo would be: a. Immunochromatographic test b. Nocturnal blood examination c. Stool exam d. Urinalysis 95. Mr. Abad is in acute stage of disease, expected findings this time will include the ff.: a. Lymphangitis, lymphadenitis, epidydimitis b. Hydrocele, lymphedema, elephantiasis c. Orhitis, hydrocele, elephantiasis d. Lymphangitis, lymphedema, orchitis 96. The vector of filariasis is: a. Female anopheles b. Wuchuchereria bancrofti c. Aedes poecillus d. Aedes aegypti Situation: Leprosy is a chronic disease of the nerves and peripheral nerves. 97. As your advocate role, which of the ff should not be included in your teaching for healthful living in patients with leprosy? a. Good personal hygiene b. Good night life c. Proper nutrition d. Adequate rest and sleep 98. Preventive aspect of care is a priority consideration. Which of the ff vaccine is also preventive measure? a. BCG b. DPT c. Gamma d. ATS 99. As nurse in community, your responsibility in treatment of leprosy is one of the ff: a. Isolate themselves from society b. Telling patients not to have skin to skin contacts c. Have their children be adopted by their relatives d. Help educate on the nature of disease 100. All but one is the early sign of leprosy: a. Madarosis b. Change in skin color c. Nasal obstruction or bleeding d. Ulcers that do not heal 101. Leprosy can be transmitted through a. Blood b. Semen c. Sex d. Prolonged skin to skin contact 102. Mang Danny is affected by leprosy and is on schedule for multi-drug therapy. Which daily treatment is usually prescribed by physician for multibacillary type in 28 days? a. Clofazimine 50 mg and dapsone 100 mg b. Dapsone 10 mg and rifampicin 600 mg c. Clofazemine 50 mg and rifampicin 50 mg d. Rifampicin 150 mg and dapsone 50 mg 103. As a nurse, you must do assessment upon seeing a patient with leprosy. The ff. are early signs and symptoms except: I. Change of skin color II. Loss of sensation on skin lesion III. Loss of eyebrow IV. Ulcers that do not heal a. I, II b. III c. IV

104. The name for a comprehensive strategy which primary health services around the world is using to detect and cure TB patients a. National TB Program b. Direct Observe Treatment Short Course c. Center for Communicable Diseases d. International TB Control Organization 105. The source of infection in PTB is through which of the ff? a. Contamination of potable water b. Direct contact with infected persons c. Crowded living patterns d. Sexual intercourse 106. Under category I of the new TB treatment regimen is prescribed to the ff. but: a. New pulmonary TB patient sputum positive b. Seriously ill patient with form of smear-negative TB with extensive parenchyma involvement c. Seriously ill patient with form of extra pulmonary TB d. Previously treated patient classified as relapse and failure 107. Which of the ff is the mode of transmission of TB? a. Skin contact b. Ingested bacilli c. Airborne droplet d. Bacilli exposure 108. In TB control program DOH has specific objectives, one on prevention programs which is focused on children. Which on below is this program? a. Sputum collection and examination b. Tuberculin skin testing c. EPI for BCG vaccine d. Maternal and child health nursing 109. A standard procedure in rural institution and all government health centers for TB symptomatic patients which is low but has adequate sensitivity and specificity is: a. Sputum smear microscopy b. Chest X-ray c. Blood culture d. Tuberculin testing 110. Which level of prevention does case finding and screening falls into: a. Primary level of Prevention b. Secondary level of prevention c. Tertiary level of prevention d. Complete level of prevention TRUE OR FALSE Instruction: Write the word True if the Statement is Correct. If the statement is False, identify and write the word or words that makes the statement incorrect. 1. Breast milk will not transmit the mothers tiredness or sickness to the baby. 2. Crying after breastfeeding is NOT a sign that a baby needs milk formula or other solutions. 3. If milk other than breastmilk has to be used, give it from a clean cup (not a bottle) and use cooled water to mix the milk powder. 4. Breastmilk alone is the best possible food and drink for a baby in the first 4 6 months of life. 5. Milk powder solutions can lead to poor growth if enough water is added in order to make it go further. 6. Breatfeeding may lead to serious illness and even death of the baby. Unless, boiled water is used and the teat and bottle are sterilized. 7. If mothers have sore or cracked nipples, they should not expose the nipple to air as much as possible between feedings. 8. Use both breasts at each feeding because both breasts contain the same good milk. 9. Breastmilk helps protect the baby against diarrhea, cough and colds. Other milk solutions do not. 10. Breastfeeding is also a permanent family planning method.

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