Primary Health Care

SITUATION: The legal basis of Primary Health Care

in the Philippines is the letter of instruction (LOI)
#949 on October 1979, one year after the
conference at Alma Ata, Russia in 1978.
1. Essential elements of PHC include/s:
1. Provision of essential drugs
2. Vital statistics
3. MCH includes FP
4. Treatment of locally endemic disease
a. 1,2,3,4
b. 2,3,4
c. 1,3,4
d. 1,2,3

 Primary health care was declared during the

first international conference on primary health
care held in Alma Ata, USSR on September 612, 1978 by WHO.
The goal was Health for all by the year 2000.
This was adopted in the Philippines through
Letter of Instruction 949 signed by President
Marcos on October 19, 1979 and has an
underlying theme of Health in the Hands of
the People by 2020.

Elements/components of Primary
Health Care
1. Environmental Sanitation (adequate supply of
safe water and good waste disposal)
2. Control of communicable diseases.
3. Immunization
4. Health education
5. Maternal and child health & Family planning
6. Adequate food & proper nutrition
7. Provision of medical care & emergency treatment
8. Treatment of locally endemic diseases
9. Provision of essential drugs

SITUATION: The legal basis of Primary Health Care

in the Philippines is the letter of instruction (LOI)
#949 on October 1979, one year after the
conference at Alma Ata, Russia in 1978.
1. Essential elements of PHC include/s:
1. Provision of essential drugs
2. Vital statistics
3. MCH includes FP
4. Treatment of locally endemic disease
a. 1,2,3,4
b. 2,3,4
c. 1,3,4
d. 1,2,3

2.Categories of health workers

composed the primary,
secondary and tertiary health
care teams. To which category do
traditional healers belong?
a.Brgy. Health Workers
b.Trained Personnel
c. Grassroots workers
d.Intermediate level health workers

Levels of Health Care and Referral

System
1. Primary Level of Care
Primary care is devolved to the cities &
municipalities.
Health care are provided by:
1.
2.
3.
4.
5.
6.

Center physicians
Public health nurse
Rural health midwives
Barangay health workers
Traditional healers
Others at the barangay health stations & rural
health units

2. Secondary level of care

Secondary care is given by physicians
with basic training.
This is usually given in health facilities
either privately owned or government
operated such as infirmaries,
municipal and district hospitals & outpatient dept of provincial hosp.

3. Tertiary level of care

Tertiary care is rendered by specialists
in health facilities including medical
centers as well as regioanl & provincial
hosp, & specialized hosp such as phil
heart center.

2.Categories of health workers

composed the primary,
secondary and tertiary health
care teams. To which category do
traditional healers belong?
a.Brgy. Health Workers
b.Trained Personnel
c. Grassroots workers
d.Intermediate level health workers

3. Primary Health care is focused on:

a. The promotion of the community
participation in problem identification
and provision of solution to such
problems.
b. The promotion of the collaboration
between the government and the
private sector.
c. The role of the national government in
nation building
d. Self-reliance on the health professionals

As a strategy for primary health care,

it focuses responsibility for health on
the individual, his family and the
community.
It includes full participation ad active
involvement of the community towards
the devt of self-reliant people, capable
of achieving an acceptable level of
health and well being.

3. Primary Health care is focused on:

a. The promotion of the community
participation in problem identification
and provision of solution to such
problems.
b. The promotion of the collaboration
between the government and the
private sector.
c. The role of the national government in
nation building
d. Self-reliance on the health professionals

4. Mang Kulas is one of your clients. He

is suffering from tuberculosis at present.
His sputum exam is positive. Health
educating the family of Mang Kulas to
prevent them from getting the disease
falls under what level of prevention?
a. Primary level
b. Secondary level
c. Tertiary level
d. Specialized

5. This is the key strategy in PHC

a. Effective use of appropriate
technology
b. Partnership
c. Active community Participation
d. Multi-sectoral approach

Four cornerstones/pillars in primary

health care
1.
2.
3.
4.

Active community participation

Intra and inter-sectoral linkages
Use of appropriate technology
Support mechanism made available

5. This is the key strategy in PHC

a. Effective use of appropriate
technology
b. Partnership
c. Active community Participation
d. Multi-sectoral approach

6. Who receives referral of

grassroots level?
a. Village
b. Intermediate
c. Primary
d. Council

Two levels of primary care

workers
1. Village or barangay health workers.
This refers to trained community
health workers or health auxiliary
volunteer or a traditional birth
attendant or healer.
2. Intermediate level health workers.
General medical practitioners or
their assistant. Public health nurse,
rural sanitary inspectors and
midwives may compose these

6. Who receives referral of

grassroots level?
a. Village
b. Intermediate
c. Primary
d. Council

7. Levels of Health Care services

are determined by which of the
following?
a. Funding system at all levels
b. Active Participation of the
community
c. Availability of health care
personnel
d. Referral to other services

8. Say is a trained community

worker in the community. Say is
identified as what level of primary
health worker?
a. Intermediate level of health care
b. Village or grassroots health
worker
c. Trained Hilot
d. Volunteer

9. Health problems beyond the

capability of the village health
workers are referred to an
intermediate health facility,
usually at
a. District hospital
b. Medical center
c. Specialty Clinic
d. Rural health unit

10. Which of the following are intermediate

health workers?
1. Sanitary Inspector
2. Municipal Health Officer
3. Nutritionist
4. Village health worker
5. Public Health Nurse
6. Midwife
a. All of these
b. 1,2,5,&6
c. 1,2,3,&4
d. None of the above

12. Promotion of health is a major responsibility

of the CHM this refers to;
a. activities that seek to protect clients from
potential or actual health threats & their
harmful consequences.
b. activities directed toward developing the
resources of clients that maintain or enhance
well being.
c .Activities directed toward decreasing the
probability of specific illness or dysfunctions in
individuals.
d. activities aimed to prevent spread of
microorganisms to individual.

11. The most midwife intervention in

health promotion is:
a. Health information,
communication and education
b. Screening and case finding
activities
c. Behaviour modification for healthy
living
d. Community Organization for
health action

13. You need to gather a lot of data

about the community. Which of these
can be given least priority?
a. community's belief and practice
b. community's knowledge in health
c. community's political leadership
d. community's way of life

14. You studied the figures of

disease and accidents that occurred
in Monteverdi for the last 2 years.
These figures are referred to as;
a. mortality statistics
b. rates and ratios
c. mortality and morbidity statistics
d. morbidity statistics

Mortality statistics of deaths

Morbidity statistics of disease
Rate shows the relationship between a vital
event and those persons exposed to the
occurrence of said event, within a given area
and during a specified unit of time .
Ratio is use to describe relationship
between 2 numerical quantities or measures
of events without taking particular
considerations to the time or place.

14. You studied the figures of

disease and accidents that occurred
in Monteverdi for the last 2 years.
These figures are referred to as;
a. mortality statistics
b. rates and ratios
c. mortality and morbidity statistics
d. morbidity statistics

15. Which of the following gives a

good reflection of the state of
health of
Monteverdi?
a. maternal morbidity rate
b. infant mortality rate
c. age-specific birth rate
d. crude death rate

Crude birth rate a measure of one

characteristics of the natural growth or
increase of a population.
CBR=total no. of live births reg in a
given
calendar year x 1000
estimated population as of july 1 of
same year

Crude death rate a measure of one

mortality from all causes which may
result in a decrease in population.
CDR= total no. of deaths registered in
a given calendar year x 1000
Estimated population as of july 1 of
same year

Infant mortality rate measures the

risk of dying during the 1st year of life.
It is a good index of the general health
condition of a community since it
reflects the changes in the
environment and medical condition of
a community.

Specific death rate describes more

accurately the risk of exposure of
certain classes or groups to particular
diseases.
Maternal mortality rate measures the
risk of dying from causes related to
pregnancy, chilbirth and puerperium.

15. Which of the following gives a

good reflection of the state of
health of
Monteverdi?
a. maternal morbidity rate
b. infant mortality rate
c. age-specific birth rate
d. crude death rate

16. The residents in Brgy. Iba with

26,000 populations will be organized
to form committees to encourage
them to participate in the health
promotions program. This is:
a. Program information
b. Determination of needs
c. community mobilization
d. integration

17. In health education, the health

worker should have adequate
knowledge regarding facts about
disease in nature, routes of
transmissions, prevention and control
in order to:
a. Correct myths and misconceptions
b. Treat patients with the disease
c. conduct research studies
d. Control the spread of the disease

18. Records of births and deaths in the

barangay should be reported as one of the
functions of the midwife in vital statistics.
The crude birth ratio is computed per 1,
000 population by:
a. Dividing total live births over maternal
deaths
b. Dividing total live births over total
population
c. Dividing live births over population
d. Dividing maternal deaths over live births

19. Last May, there was an outbreak

of cholera fever due to
contamination of its water supply.
Disease incidence ended in June.
This pattern of disease occurrence is:
a. Sporadic
b. Epidemic
c. Endemic
d. Pandemic

Sporadic is the intermittent occurrence of a few

isolated cases in a given locality. The cases are few
and scattered, so that there is no apparent
relationship between them and they occur on and
off intermittently, through a period of time.
Endemic continuous occurrence throughout a
period of time, of usual number of cases in a given
locality. The disease therefore is always occuring in
the locality and the level of occurrence is more or
less constant through a period of time.

Epidemic- unusually large number of

cases in a relatively short period of
time.
Pandemic simultaneous occurrence
of epidemic of the same disease in
several countries. It is another pattern
of occurrence from an international
perspective.

19. Last May, there was an outbreak

of cholera fever due to
contamination of its water supply.
Disease incidence ended in June.
This pattern of disease occurrence is:
a. Sporadic
b. Epidemic
c. Endemic
d. Pandemic

20. Epidemiology is the study of

occurrences and distribution of
disease, as well as health. In the
case of dengue Haemorrhagic fever,
the Anopheles mosquito is a/an:
a. Agent
b. Host
c. Fomite
d. None of the above

Agent the intrinsic property of microorganism to

survive and multiply in the environment to produce
disease. Causative agent is the infectious agent or
its toxic component that is transmitted from the
source of infection to the susceptible body.
Host is any organism that harbors and provides
nourishment for another organism.
Fomite an inanimate object or substance capable
of carrying infectious organisms, such as germs or
parasites, and hence transferring them from one
individual to another.

20. Epidemiology is the study of

occurrences and distribution of
disease, as well as health. In the
case of dengue Haemorrhagic fever,
the Anopheles mosquito is a/an:
a. Agent
b. Host
c. Fomite
d. None of the above

Situation: Mr. Laurel, a public midwife is

conducting community class in Brgy. Kawayan
about pulmonary Tubercolosis.
21. Category 3 treatment regimen for TB is
prescribed to:
a. New pulmonary TB Patients whose sputum is
positive
b. Previously treated patients who are on relapse
c. New pulmonary TB Patients whose sputum is
serum-negative for 3x & a chest x-ray of PTB
minimal
d. Previously treated patients who are failures

Category

Type of TB patient

New smear-positive
PTB
New smearnegative PTB with
extensive
parenchymal
lesions on CXR as
assessed by
theTBDC
EPTB, and
Severe concomitant
HIV disease

Treatment failure
Relapse
Return after default
Other

New smearnegative PTB with

minimal
parenchymal
lesions on CXR as
assessed by the

Treatment Regimen
Intensive
phase

Continuation
phase

2HRZE

4HR

2HRZE/1HRZ
E

5HRE

2HRZE

4HR

Situation: Mr. Laurel, a public midwife is

conducting community class in Brgy. Kawayan
about pulmonary Tubercolosis.
21. Category 3 treatment regimen for TB is
prescribed to:
a. New pulmonary TB Patients whose sputum is
positive
b. Previously treated patients who are on relapse
c. New pulmonary TB Patients whose sputum is
smear-negative for 3x & a chest x-ray of PTB
minimal
d. Previously treated patients who are failures

22. What TB drug is net given to

children under age 6 who are too
young to report visual
disturbances.
a. INH
b. Rifampicin
c. Ethambutol
d. PZA

 Rifampicin causes orange

discoloration of sweat and urine.
Isoniazid (INH) causes peripheral
neurits (give vit. B6)
Pyrazenamide (PZA) causes
increase level of uric acid
Ethambutol causes optic neuritis
Streptomycin contraindicated to
pregnant women.

22. What TB drug is net given to

children under age 6 who are too
young to report visual
disturbances.
a. INH
b. Rifampicin
c. Ethambutol
d. PZA

23. Category treatment regimen for

TB is prescribed. This is given:
a. 2 months intensive phase, 4
months maintenance phase
b. 3 months intensive phase 2
months maintenance phase
c. 2 months intensive phase, 2
months maintenance phase
d. 3 months intensive phase, 6
months maintenance phase

24. When can trained hilot attend to a

delivery?
a. When at a time of delivery, no
licensed personnel trained on
maternal care is around
b. when the patients is living in a remote
area
c. when the worker is considered to
have a high risk pregnancy
d. The mother requested the hilot to
attend to the delivery

25. What mineral supplement is

given to pregnant woman in the
third trimester of pregnancy?
a. vit. C
b. Fe-Iron
c. Folic Acid

26. The following are benefits of

breastfeeding to the infant except:
a. Provides a nutritionally complete
food for the young infant
b. strengthens the infants immune
system, preventing many infections
c. Reduces the infants exposure to
infection
d. Provides a natural methods of
delaying pregnancies.

27. In order to strengthen the community

participation in health activities in the community,
which of this following should be done by the public
health Midwife?
1. Identify the existing and potential leaders of the
community
2. Form a core group for health
3. Formulate action program for health
4. Tell the community leaders what to do for their
health problems
a. 1 &3
b. 3&4
c. 1&2
d. 2&3

28. Which of the following characterized Primary

Health Care?
1. Essential Health care accessible and acceptable
to individual and families in the community
2. The cost of care is affordable to community and
country
3. the setting is in tertiary hospitals
4. Require health personnel and specialized
training
a. 1 &4
b. 3 & 4
c. 1 & 2
d. 2 & 3

Situation: You are assigned as a public health

midwife to oversee the different health
activities in your community
29. While you were going over the record of Mrs. Uy
who missed her prenatal appointment date. Her
review of the family folder showed the following:
GR-II, PARA II; with slight edema; BP=150/100. Mrs.
Uy eldest son in underweight is sick of H-fever.
Midwife Linda planned a home visit. Which of the
following would you give priority in planning her for
the family?
a.
Mrs. Uys eldest son who is sick with H-fever
b. Mrs. Uy pre-eclampsia
c.
nutritional status of Mrs. Uys eldest son
d. Family Potential threat of cross-infection from
H-fever

30. Elisa is on her 1 month pregnancy. Her first

child is 3 months old. She asked you if she
should stop breastfeeding her first baby since she
is now pregnant. Your response should be the ff.
EXCEPT:
a. Breastfeeding during pregnancy is not harmful
to either of the babies.
b. Sudden weaning can be harmful and can
make the older child ill
c. Breast milk is only valuable until the child is 4
months old
d. She can start giving solid foods in preparation
for weaning when her child is 4-6 months old.

31. Which of the following statements is correct

regarding Community health Midwife (CHM)?
a. Professional growth & development of the PHM
is the responsibility of the Department Health
b. Provision of CHM care is not any way affected
by policies of the agency where the midwife
work.
c. The PHM worked with community 1 to 6 years
can solely determine the health needs of the
community
d. Evaluation of the health status of individuals &
families should be done in consultation with
them.

32. In developing capability of the

people to assume more responsibility
for their health, which of the following
statements would you consider most
important?
a. Lead-lag in the health activities
b. Organizing the community for health
c. identifying health problems with the
people
d. making medicine available

33. Prioritization of community

needs/problems for action is a
activity in COPAR under the phase
of:
a. Pre-entry
b. Entry
c. Organizational building
d. Sustenance and strengthening

34. Community diagnosis is a step

in organizing a community. Its main
purpose is to:
a. Gather and analyze data on the
characteristics of the community
b. Determine available community
resources
c. Identify health related needs
and problems of the community

35. The first step in organizing a

community is to gain entry to the
community. Which of the following
activities needs to be done for this step?
a. Arranging meeting with identified key
leaders of the community
b. Making courtesy call to the identified
community leaders
c. Gathering initial information about
the community
d. All of these activities

36. If you are a midwife in a

community and you conducted a
health teaching, which of the
following will you include to help in
promoting food sanitation?
a. Proper hand washing and
techniques
b. Cooking demonstration
c. Health certificate
d. Training on food handlers

37. COPAR is defined as:

a. Community organization
participatory action research
b. Community organizing program
action research
c. Community organizing
participatory action research
d. Community organization
participatory active research

38. Rice water stool is indicative

of:
a. Amebiasis
b. Typhoid fever
c. Cholera
d. Schistosomiasis

39. Type of infection acquired

while the patient is confined in
hospital:
a. Nosocomial
b. Community-acquired
c. Respiratory
d. None

40. Which of the following is alive,

attenuated bacterial vaccine?
a. Tetanus
b. Pertussis
c. Diphtheria
d. BCG

41. The following vaccines are

given in 3 doses:
a. DPT & Polio
b. Measles and hepatitis
c. Measles and Polio
d. BCG & DPT

42. Kissing, sneezing, coughing

constitute the so called:
a. Vector
b. droplet
c. nosocomial
d. Fomites

43. The arching back is known as:

a. Opisthotonous
b. tonic spasm
c. Clonic
d. all of these

44. The method, which laymen call

the dry-wet dry actually refers to
the natural planning method
called:
a. Withdrawal method
b. Ogino-knaus method
c. Billing method
d. BBT

45. Rabies is preventable but not

curable;
a. True
b. False
c. None
d. all of these

46. Vitamin D can best be obtain

through:
a. Vitamin D capsule O.D
b. Eating food high in Vitamin D
c. Regular exercise
d. Exposure to sunlight

47. Tuberculin test is done to

detect the:
a. Diphtheria
b. Measles
c. Tuberculosis
d. Pneumonia

48. Breastfeeding is encourage for

the following maternal reason,
EXCEPT:
a. Aids in involution
b. Prevents milk leg formation
c. Prevent mastitis
d. Economical

49. One way of disinfecting the

room occupied by a patient with
communicable disease is:
a. Damp dusting
b. Boiling
c. Fumigation
d. Aeration

50. The system insuring the

potency of vaccines from the time
of manufacture to the time of
administered to the child or
pregnant woman is called the:
a. Potency chain
b. cold chain
c. Speed chain
d. Freeze chain

51. The following disease can be

transmitted through skin
penetration, except:
a. Tetanus
b. hookworm infection
c. Hepatitis B
d. Ascariasis

Situation: The midwife must be able to apply

her knowledge and skills in the care of pt. with
various kinds of disease condition in the home,
health center or community and the DOH
programs as well.
52. Rheumatic heart disease is a heart disease
among children. As a community midwife, you
should educate the parents to protect their
children from?
a. Tonsillitis or sore throat
b. Measles
c. Mumps
d. Fracture

53. In one of your home visits, you

found out that Elena a 2 year old child
id having diarrhea. To prevent
dehydration you will advise Elenas
mother to give her oresol amounting
to:
a. 900-1400 ml. during first 4 hours
b. 400-700 ml. during first 4 hours
c. 200-300 ml, 3 times a day
d. 700-900 ml. after each lose control

54. The public health midwife needs to

visit different patient & families.
Among these listed who should be
visited last?
a. Pregnant mother and her family
b. Adolescent with a psycho-social
problem
c. patient with typhoid fever
d. Diabetic patient

55. To improve uterine contractions

&facilitates the descent of the baby,
the midwife allowed to do which
procedure?
a. Inject pitocin IM to induce uterine
contractions
b. Push the fundus with full force
c. Give an NSSS Anemia
d. All of these

56. The boy passed out ascaris. Which

of the following needs to be taught by
the midwife to the family?
a. The child must always wear slippers
to prevent re-infestation
b. Proper hand washing technique
before eating and after elimination
c. Always let the boy wear an under
pants
d. All of these

57. Lack of Vit. D leads to:

a.
b.
c.
d.

Scurvy
Beri-beri
Rickets
Osteoporosis

58. Communicable disease are real

transmitted to others during the stage
of:
a. Rehabilitation
b. Remission
c. Communicability
d. Incubation

59. When the baby is born with thick

cervix caseosa, the midwife can readily
remove the excess by using:
a. Soap & warm water
b. baby oil
c. Mild detergent
d. All of these

60. The proper technique of disposing

tissue wipes use by a patient with
active TB may be do through?
a. Throwing them directly into an open
waste basket
b. Collection them in paper bag and
burn after
c. Both of the following

61. Which of the following disease do

you expect to find skin rashes?
a. Hemorrhagic fever
b. Diphtheria
c. Filiariasis

62. When a girl has prediculosis, a

simple household intervention that can
be done is:
a. Apply kerosene to the hair before
shampooing
b. Use guava leaves decoction for
rising the hair
c. Use warm water for washing the hair

63. The following vaccine are damage

by freezing:
a. DPT & Tetanus Toxoid
b. Measles and BCG
c. Both A & B

64. Opened reconstituted vaccine

should be discarded properly.
Discard DPT, polio, measles, TT:
a. After 4 hour
b. at the end of working day
c. after six hours

65. In the preparation of the Oresol,

solution is made by:
a. 1 packed of oresol in 500 ml. of
clean water
b. 1 packed of oresol in 1000 ml. of
clean water
c. 2 packed of oresol in 500 ml. of
clean water

66. When breastfeeding child has

diarrhea, the best advise a midwife
can give to the mother:
a. Continue breastfeeding if possible
increase
b. Give anti diarrhea tablet for the
baby
c. Discontinue breastfeeding
d. All of these

67. The diagnostic test for H-fever:

a.
b.
c.
d.

Tourniquet test
Mantoux test
schillings test
widal test

68. The presence of Koplicks spot is a

pathognomonic symptom:
a. Poliomyelitis
b. Typhoid fever
c. Robeola
d. Rubella

69. Primary level of prevention

includes:
a. Giving of immunization
b. Vitamin B2 and B
c. Regular well baby check up
d. all of these

70. The current trend on the treatment

of diarrhea is:
a. NPO until diarrhea stops to give rest
to the GIT
b. Use of anti-diarrheal & Antibiotics
c. Oral rehydration therapy (ORT)
d. All of these

71. Who among of the following would

be best qualified for a home delivery?
a. G3P2 with a regular AP check-up
from the 5th month
b. G2P0 with a regular AP check-up
from the 1th month
c. G7P5 a relative of the midwifery

72. Pertussis is also known as:

a.
b.
c.
d.

Shigelloses
Enteric Fever
PTB
whooping cough

73. A method of maintaining health,

treating disease an alleviation pain by
applying pressure or massaging
certain point on the body surface:
a. Yoga
b. Acupuncture
c. Acupressure
d. Physical therapy

74. The following are elements of

expanded program on
immunization, EXCEPT;
a. Information, Education &
communication
b. Surveillance, studies and
research
c. Target setting
d. None of the above

75. A disease is said to be endemic

when it is constantly present in a
community. What should a midwife is
expected to do in an endemic area?
a. Health education
b. Child survival
c. all of these
d. mass immunization
e. Environmental improvement

76. You perform Leopolds maneuver

to your pregnant client. In order to get
accurate result and provide comfort to
the client, you instruct the client to:
a. Empty her bladder
b. warm her hands
c. avoid eating prior to the procedure
d. hyperventilate for a short period of
time

77. Pulmonary tuberculosis, an

infection of the lungs is community
transmitted by inhalation of droplets.
Which is not included as precipitating
factors of PTB?
a. Alcoholism
b. HIV Infection
c. Poor nutrition and crowded living
conditions
d. drug abuse

78. a pregnant woman diet includes

adequate supplies of calcium and
phosphorous which are essential in the
development of the babys:
a. Bones and teeth
b. Kidney and liver
c. heart & blood vessels
d. all of these

79. A client requested a midwife to

explain to him the disease process of
Hepa B, its mode transmission, what is
the midwife best response?
a. By droplet infection
b. Through open wounds
c. through blood transfusion
d. through body secretions

80. Breast milk can be refrigerated

and preserved for as long as:
a. 1 month
b. 3 months
c. 72 hours
d. 5 months

 Freezer 3-6 months

Body freezer 3-5 days
- 1st in, 1st out

80. Breast milk can be refrigerated

and preserved for as long as:
a. 1 month
b. 3 months
c. 72 hours
d. 5 months

81. Diseases spread by indirect

contact, which enters the body by
mouth:
a. Mumps
b. Diphtheria
c. Typhoid Fever
d. Measles

82. Which refers to the excessive

loss of water from body tissues,
accompanied by a disturbance in
the balance of essential
electrolytes?
a. Vomiting
b. Dehydration
c. loose vowel movements
d. all of these

83. This is a fat soluble vitamin that

promotes the absorption of calcium from
the intestine and therefore essential to
be the maintenance of calcium and
phosphorous levels in the body and to
formation of sound teeth and bones:
a. Vitamin A
b. Vit. E
c. Vit. C
d. Vit. K

84. Nausea and vomiting are especially

common complaints from early
pregnancy to 16 weeks. Of the following
managements measures of nausea and
vomiting, which is not included?
a. Eat CHON before sleep
b. Request her care provider to
prescribe anti anemic
c. Restricted fat, high CHO
d. Small frequent feedings

SITUATION: IMMUNIZATION is a regular activity of

the RHU. The midwife participates actively in the
campaign for immunization as well as in the
implementation & evaluation of the immunization
activities.
85. In view of the intensive campaign for
immunization. Mrs. Reyes brings her a 3 week old
child for the first time to the health center. What
kind of immunization can be given to Mrs. Santos:
a. BCG, DPT, HEP.B
b. BCG
c. BCG, OPV, DPT
d. BCG & MEASLES only

86. When oral polio vaccine is given,

sometimes the child vomits or spit this
out. When this happen?
a. Give one drop
b. Give a booster dose after 4 weeks
c. give another 2 drops
d. consider this as normal

87. When giving BCG, The angulations

of
a.
b.
c.
d.

the needle should be:

10-15 degrees
45 degrees
Perpendicular to the skin
0 degrees

88. Care should be taken in administering

& transporting polio vaccine to
immunization sites in the barangay. Which
of the following should be done?
a. Get only 1 vial out of the container at a
time
b. Bring out from the container all vials to
be used for the day
c. Returned unconsumed opened vials
into the container
d. All of the above

89. A pregnant woman should be

immunized for the babys
protection with:
a. DPT vaccine
b. Tetanus Toxoid
c. Hepatitis B vaccine
d. MMR

90. Which of the following vaccine

should be kept at a temperature of +2
to 8C?
a. OPV & Measles
b. DPT & Tetanus Toxoid
c. VCG & OPV
d. Measles & BCG

91. This vaccine is considered as the

most sensitive vaccine to heat:
a. MEASLES
b. TETANUS TOXOID
c. BCG
d. OPV

SITUATION: Mario is one of your

clients. He is suffering from
tuberculosis at present. His sputum
exam is positive (+).
92. Tuberculosis is caused by what
microorganism?
a. Mycobacterium
b. Plasmodium
c. Clostridium
d. Filterable virus

93. Tuberculosis can be transmitted

through:
a. Direct contact
b. Indirect contact
c. Both A & B
d. Neither A nor B

94. Health education the family of

Mario to prevent them from getting the
disease falls under what level of
prevention?
a. Primary
b. Secondary
c. Tertiary
d. Specialized

95. A positive (+) sputum exam would

qualify if Mario for this TB treatment?
a. Standard Regimen
b. Multiple drug therapy (MDT)
c. Short Course Chemotherapy (SCC)
d. None of these

96. The SCC for TB is given for a

period of:
a. One year
b. 4 months
c. 2 months
d. 6 months

97. Tuberculosis as health problem is

classified as:
a. Health threat
b. Health deficit
c. Stress point
d. Foreseeable crisis

98. Mario is jobless represent. Hence,

the family is having a problem in
making both ends meet. Unemployed
is classified as:
a. Health threat
b. Health deficit
c. Stress point
d. Nursing problem

99. The childhoods of Mario dont have

BCG immunization. This family health
problem constitutes as:
a. Health threat
b. Health deficit
c. Stress point
d. Foreseeable crisis

100. Barangay Ibas population is

composed of 12,000 men, 500 of which
are senior citizens, 14,000 women, 200 of
which are pregnant and 600 are senior
citizens and out of the 8,000 children,
50% belong to the under 5 age group. Its
total population is:
a. 34,800
b. 34,600
c. 34,000
d. 35,300