COMMUNICABLE DISEASE PRACTICE TEST 1.

A person who harbors the microorganism but does not manifest the signs and symptoms of the disease is called:
y y y y

a. Contact b. Infected c. Suspect d. Carrier

Carriers harbor the microorganism but does not manifest the signs and symptoms of the disease. CONTACT = person who has a close association with a person. SUSPECT = person whose medical history reveals that he¶s having the disease. INFECTED = person who medical and diagnostic test reveals that he is having the disease. 2. Which of the following term refers to the degree of pathogenicity of a microbe, or in other words the relative ability of a microbe to cause disease?
y y y y

a. Susceptibility b. Virulence c. Infection d. None of the above

Virulence is the capacity of the microorganism to cause the disease. It refers to the degree of pathogenicity of a microbe, or in other words the relative ability of a microbe to cause disease when they multiply and grow in number. 3. Direct sputum smear microscopy (DSSM) is the primary diagnostic tool in tuberculosis case finding. Which of the following conditions does a DSSM is contraindicated?
y y y y

a. Fever b. Cough c. Hemoptysis d. Tonsillitis

The only contraindication for sputum collection is hemoptysis; in which case, DSSM will be requested after control of hemoptysis. 4. The most hazardous period for development of clinical disease is how many months after infection with Mycobacterium Tuberculosis?
y y y y

a. 4-5 months b. 2-3 months c. 6-12 months d. 12-18 months

Isoniazid and Rifampicin b. Isoniazid and Rifampicin Category I TB patient Intensive phase: Rifampicin. Treatment regimen for Category I TB patient on the continuation phase includes which AntiTB drugs? y y y y a. 8. A client with TB has been treated before with Anti-TB drug. Pyrazinamide. 5. Pyrazinamide d. Massive hemoptysis b. Rifampicin c. The client is under which category of TB patient? y y y y a. Category IV . The nurse told the client that the reddish-orange discoloration of urine is the side effect of which anti-TB drug? y y y y a. Ethambutol Continuation Phase: Rifampicin and Isoniazid 7. Based on the National Tuberculosis Control Program patients with TB are recommended to seek hospitalization if they have the following condition: y y y y a. Isoniazid. A client with TB who is taking anti-TB drugs who calls the nurse because of urine discoloration. Category I b. Etambutol. Category II c. Isoniazid b. Etambutol and Streptomycin d. Ethambutol Rifampicin causes the reddish-orange urine output. All of these Patients with TB are recommended for hospitalizations with the following conditions: ‡ Massive hemoptysis ‡ Pleural effusion ‡ Military TB ‡ TB meningitis ‡ TB pneumonia ‡ Those requiring surgical intervention or with complications 6. Pyrazinamide and Ethambutol c.The most hazardous period for the development of clinical disease after the infection with Mycobacterium Tuberculosis is 6-12 months. Category III d. According to the client his urine turned reddish-orange. Pleural effusion c. With complications d. however the treatment failed. Pyrazinamide.

BCG vaccination newborns b. the gradual recovery of health and strength after illness . methods of control and early diagnosis. 5 months Category III patients are new smear-negative PTB with minimal parenchymal lesions on CXR. Isoniazid and Pyrazinamide for 2 months in the intensive phase and Rifampicin and Pyrazinamide in the continuation phase. y y y y Prevention of TB includes the following measures: a. Availability and accessibility of medical. Treatment regimen includes Rifampicin. Incubation period c. and return after default is under the Category II of TB patient. 3 months c. He asked the nurse about the duration of his treatment regimen during the intensive phase. Public education about TB and its mode of transmission. laboratory and x-ray facilities forexamination. Mang Jose is Category III TB patient. All of these Preventive Measures of TB includes the ff: (1) Prompt diagnosis and treatment (2) BCG vaccination of newborns (3) Public education about TB and its mode of (4) Transmission. Frequent sneezing) š Period of Illness ± patient is actually manifesting thesigns and symptoms of the disease š Convalescence ± is the gradual recovery of health and strength after illness 12. relapse. methods of control and early diagnosis (5) Availability and accessibility of medical. The time interval between the first exposure to the appearance of the first signs and symptoms is called: y y y y a.Clients who had treatment with TB but failed to recover. Prodromal period b. 9. 4 months d. Stage of illness d. 10. d. Convalescence Stage of Illness: š Incubation Period ± time interval between the first exposure to the appearance of the first signs and symptoms PRODROMAL PERIOD = premonition of an impending attack of a disease (Ex. c. 2 months b. y Prodromal period is best described as: a. Intensive phase in Category III patients lasts for: y y y y a. 11. laboratory and x-ray facilities for examination.

PRODROMAL PERIOD = premonition of an impending attack of a disease (Ex. cough II. IPV Routine DPT immunization of all infants which can be started at 1 ½ months of life and given at monthly intervals in 3 consecutive months. y y y y The mother of an infant with pertussis should be instructed of the following except: a. Frequent sneezing). All of these Pertusis is communicable during the Catarrhal stage. y y y y To prevent whooping cough.7 days after the exposure after exposure to 3 weeks after onset of typical paroxysms. nasal catarrh (rhinitis nasal congestion). The etiologic agent for Dengue Hemorrhagic Fever (DHF) is: . BCG b. which of the following vaccines should be given to infants? a. 16. Convalescence ± is the gradual recovery of health and strength after illness. patient is actually manifesting the signs and symptoms of the disease c. DPT c. Booster dose is given at the age of 2 years and again at 4-5 years of age. 13. A child should not be fed during a cough attack to prevent aspiration. STAGES I. Paroxysmal stage c. Special attention to diet is needed when the child vomits after cough paroxysms. Feed the child during an attack c. Catarrhal stage b. Provide abdominal support b. first exposure to disease d. This constitutes the primary injection. y y y y Pertussis is becoming communicable during which stage of illness? a. premonition of an impending attack of a disease Stage of Illness: Incubation Period ± time interval between the first exposure to the appearance of the first signs and symptoms. (Coughing in one expiration which ends in a whoop or a high-pitched CROW) III.y y y b. A child is diagnosed with dengue fever. Allow the child to rest d. Catarrhal Stage ± fever. Period of Illness ± patient is actually manifesting thesigns and symptoms of the disease. Convalescence Stage (recovery) 15. 14. Convalescence d. . OPV d. Paroxysmal ± 5-10 times rapid successive coughing.

AedesAegypti c. Chikungunya virus b. Shock 19. Which of the following is least likely observed during the toxic stage? y y y y a. y y y y The child presents with high fever and less hemorrhage. no shock Severe. Other s/s observed are the ff: Vomiting. Rose spot . No petechiae are present c. Hematemesis c. 20 or more petechiae per 2. Vectors/ source of infection: AedesAegypti. Moderate c. High fever d. Infected person The etiologic agents for DHF are the following:Dengue viruses (1. Mild b.5 cm square or 1 inch square are observed. Severe d. Unstable BP. Severe abdominal pain. Frequent GI bleeding (hematemesis/melena).2. During the fastidial stage of typhoid fever 3 cardinal symptoms are observed to the client. frank type: flushing.4) and Chikungunya virus. but less hemorrhage. Severe abdominal pain b.5 cm square or 1 inch square are observed d. Clinical manifestations of DHF are divided into 3 stages. sudden high fever. the temperature is lowered. 15-20 petechiae per 2. Common household mosquito. shock and terminating in recovery or death. 17. Common household mosquito d. y y y y Rumpel Leads Test for DHF is positive when: a. 10-15 petechiae per 2. Unstable BP During the toxic or hemorrhagic stage. 18. Narrowed pulse pressure. followed by sudden drop of temperature.y y y y a. Ladder-like fever b.5 cm square or 1 inch square are observed Rumpel Leads Test or Torniquet Test is positive when there are 20 or more petechiae per 2. The child¶s DHF is classified as: a.5 cm square or 1 inch square are observed b. with or without petechial hemorrhage Moderate DHF: high fever. No DHF Mild DHF: slight fever. severe hemorrhage. These cardinal symptoms include the following except: y y a.3. 20. Infected person.

SchistosomaMansoni. d. Constipation . S.Filariasis 23. Metrifonate .Schistosomiasis . Japonicum B . 21. Haematobium. Fastidial Stage: 2nd week 3 Cardinal symptoms (Ladder-like fever . Haematobium.SchistosomaMansoni. S. Japonicum B . S.Diphtheria ± Corynebacterium diphtheria (KlebsLoeffler Bacillus) D . Defervescence Stage: 3rd week (GI Bleeding . Diphtheria d. board-like/rigid abdomen). Epidemic Parotitis c. Schistosomiasis b. Schistosomiasis b. Splenomegaly d. Rose Spot. The drug of choice for Schistosomiasis that kills all types of microorganisms that can cause this communicable disease is: y a. Filariasis A . hematochezia) (Peritonitis (severe abdominal pain. Spleenomegaly). The vector¶s peak biting is from 9pm to 3am. Diarrhea. Nematode parasites BrugiaMalayi and WuchereriaBancrofticauses the communicable disease called: y y y y a. Plating of Neem trees and other herbal plants. mosquito coils. b. y y y y Preventive measures for malaria least likely include: a. S. Filariasis A .melena.Epidemic Parotitis (MUMPS) ± Mumps Virus C .y y c. Epidemic Parotitis c. y y y y Klebs-Loeffler Bacillus is the etiologic agent of which communicable disease? a.Epidemic Parotitis (MUMPS) ± Mumps Virus C . None of these Wearing clothing that covers the legs and arms in the EVENING prevents the occurrence of malaria.Diphtheria ± Corynebacterium diphtheria (KlebsLoeffler Bacillus) D . Abdominal Pain. 22. Using mosquito repellents. Wearing of clothing that covers the arms and legs at daytime.Schistosomiasis . Diphtheria d. c.sometimes). Lysis or Convalescent: 4th to 5th week.Stairway fever. Hematochezia Prodromal Stage: 1st week (FEVER.Filariasis 24.

11. Diethycarbamazine Citrate (DEC) is for filariasis. 3. Metrifonate b. 15. 9. Diethylcarbamazine Citrate d. 2. 7. A B C C D A B B A D B D B A B A B C D D B . 6. 13. Oxamniquine c. 21. Praziquantel (Biltricide) is the drug of choice against all species. Diethylcarbamazine Citrate d. 16. 18. Japonicum.y y y b. S. Mansoni and Metrifonate for S. 10. 5. Haematobium. 12. 14. Oxamniquine c. Praziquantel Schistosomiasis¶ etiologic agents can be either of the following: SchistosomaMansoni. 20. 19. S. y y y y Treatment for filariasis includes the administration of which drug? a. 17. Answers: 1. 8. Haematobium. Alternative drugs are Oxamniquine for S. 4. Praziquantel Diethycarbamazine Citrate (DEC) or Hetrazan is used for the treatment of filariasis. 25.

D C D C . 23.22. 24. 25.

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