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# EPIDEMIOLOGY, HEALTH STATISTICS & RESEARCH

## 1. The 95 percent confidence interval for a sample mean value represents:

A. The range in which the true population mean is most likely to exist.
B. The authors !elief that the presented data are true.
". The range in which 95 percent of the sample values fall.
#. A test for statistical significance of the mean value.
\$. %& the following statements' which !est descri!es the specificity of a
clinical test(
A. The proportion of non)diseased individuals who have a negative
test
B. The proportion of diseased individuals who have a positive test
". The proportion of diseased and non)diseased individuals who are
correctly categori*ed !y the test
#. The proportion of test)negative individuals who are free of disease
#ata from clinical studies are reported fre+uently in the form of ,\$ !y \$-
ta!les.
A \$ !y \$ ta!le for a hypothetical test is shown !elow:
Test .esult #isease /resent #isease A!sent
/ositive 50 \$0
1egative 20 50
2. 3hat is the test sensitivity(
A. 42 percent ". 51 percent
B. \$9 percent #. 26 percent
7. 3hat is the positive predictive value(
A. 51 percent ". 26 percent
B. 75 percent #. 22 percent
5. 8ou have decided to conduct a research pro9ect in your office. A num!er
of steps should !e taken to assure a successful study. 3hat is the first
step you should complete in planning your pro9ect(
A. &ormulate the study +uestion.
B. "onsult with a statistician.
". #esign a form for collecting data.
#. #etermine the necessary sample si*e.
4. 8ou have conducted a clinical trial in which you measured !lood pressure
in the same patients during a control period and after \$ weeks of
treatment with an experimental antihypertensive medication. :ystolic
!lood pressure was the characteristic you measured. 8ou now want to
determine whether there was a significant difference in the average
;mean< systolic !lood pressure !etween the control and treatment
periods. 3hich of the following is the most appropriate statistical
procedure for this determination(
5.
A. /aired t test ". two sample t test
B. "hi)s+uare #. correlation coefficient
6. =xperimental studies:
A. Are the most effective studies to assess causal relationships.
B. Are synonymous with o!servational studies.
". .e+uire that su!9ects !e randomly assigned to exposure and
nonexposure groups at all times.
#. =xcludes community trials.
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9. 3hich of the following statements is true regarding prospective cohort
studies(
A. They measure the relative risk of developing a disease for an
individual with an exposure.
B. >ndividuals are grouped on the !asis of their disease status.
". :u!9ect attrition is not a ma9or potential flaw.
#. They cannot !e used to o!serve multiple exposures and conditions.
=. They are poor in elucidating temporal relationships !etween
exposure and disease.
10. 3hich of the following statements is true regarding cross)sectional
studies(
A. They assess exposure and disease status simultaneously.
B. They can yield information regarding disease incidence.
". They are more time)consuming to perform than case)control or
cohort studies.
#. They are an effective design to determine casual relationships.
=. They are not an appropriate methodology to draw conclusions from
chart data!ases or census data.
11. 3hich of the following is an example of cohort studies(
A. ?en are grouped as to whether or not they have had radioactive
exposure@ then their existing medical records are evaluated for a
diagnosis of lung cancer.
B. 3omen are grouped as to whether or not they have chronic
o!structive lung disease@ then they are asked a!out their
occupational history.
". 3omen are given a +uestionnaire assessing weight and menstrual
symptoms.
#. A group of elderly veterans are followed for adverse reactions to the
flu vaccine.
1\$. A family physician !elieves that sterile !utterfly stripping is 9ust as effective
as suturing with regard to the closure of simple lacerations. To test his
theory' he uses sterile !utterfly strips to close the next \$5 lacerations that
he sees in his office. Ae reports that 94 percent of the lacerations had
excellent results. 3hich of the following statements is true regarding this
experiment(
A. This is a case)series design.
B. This design is an ineffective one for the initial study of the
phenomenon.
". >t can !e assumed that all lacerations were e+uivalent with regard
to location' extent' and mechanism of in9ury.
#. The next phase of study should !e a prevalence design.
=. :terile !utterfly stripping is at least e+uivalent to suturing with
regard to its a!ility to attain ade+uate wound closure.
12. >n dou!le)!lind randomi*ed clinical trials:
A. The distri!ution of characteristics !etween the exposure and
nonexposure groups is determined !y chance.
B. The investigator is aware of who is and who is not getting the
exposure.
". The su!9ects are not aware that they are taking part in a research
protocol.
#. The su!9ects are permitted to choose whether they want to !e in
the exposure or non)exposure group.
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OCCUPATIONAL HEALTH, INDUSTRIAL MEDICINE & MEDICAL
SOCIOLOGY
17. The following agentBs causing diffuse mottling of the lungs:
A. Bagasse ". :ilica
B. "andida #. TB
15. :u!stituteBs causing neurological pro!lems:
A. ?ercury ". As!estos
B. :ilica #. Bagasse
14. /neumoconiosis is caused !y:
A. As!estos ". Bagassosis
B. "otton dust #. Bagasse
15. This mineral dust is incura!le and may lead to the development of
Tu!erculosis:
A. :ilica ". "ryptococcus
B. Aistoplasma #. Aspergillosis
16. An important component of an occupational history is:
A. temporal relationship of symptoms with work time
B. associated symptoms among family mem!ers
". family illnesses
#. dietary history
19. The most exposed industry to ergonomic pro!lems:
A. ?anufacturing ". &ishing
B. ?ining #. Agriculture
\$0. Threshold limit value C is the time weighted average concentration which
nearly all workers can !e exposed daily without adverse effect for the
following num!er of work hoursBworkweek:
A. 70)hour workweek ". 76)hour workweek
B. 1\$)hour workday #. 4 hours work shift
SANITATION, ENVIRONMENTAL MEDICINE & HUMAN ECOLOGY
\$1. "onsidered most dangerous with regards to possi!le disease spread:
A. clinical carrier ". non)immuni*ed
B. clinical stage patient #. terminally ill patient
\$\$. This allows organic material to undergo !io and photo degradation'
resulting in simple organic molecules that can actually !e !eneficial to the
environment:
A. "omposting ". :ource reduction
B. .euse and recycling #. All of the a!ove
\$2. An example of an agent)environment interaction is:
A. /opulation of a ,carrier- making use of an infected water supply !oth
for drinking and food preparation
B. Ditamin " ta!lets placed in colored !ottles
". &ly control program
#. Businesss favorite of eating ,sushi- in Eapanese restaurants
\$7. 3hat treatment is needed if the !acteriological +uality of water is 5'000)
50'000 coliformsB100 ml(
A. #ou!le treatment ". #isinfection
B. Fook for another source #. "hlorination
\$5. The most critical step in waste reduction and recycling is:
A. 3aste segregation ". collection of solid waste
B. incineration #. transfer and transport
\$4. The main o!9ective of solid waste processing is:
A. to recover whatever may !e reusa!le
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B. to provide livelihood for scavengers
". to discover other sources of income
#. to minimi*e !ulk of waste to !e dumped at sea
\$5. The most important pu!lic health issues addressed !y correct waste
management:
A. "omposting of solid waste from la!oratories
B. "ontrol of vectors of infectious disease
". =radication of mos+uito causing #engue
#". >mprovement of parks and pu!lic places
FAMILY MEDICINE

\$6. Biopsychosocial ?odel focuses on:
A. ?ultifactorial causes of
illness
". %rgan system dysfunction
B. #isease oriented #. Biological orientation
\$9. The most challenging and rewarding stage for the physician in the &amily
>llness Tra9ectory:
A. ?a9or therapeutic efforts
B. Accuracy of diagnosis
". =arly ad9ustment to possi!le outcome
#. Ad9ustment to permanency of outcome
20. >t is process which encompasses screening for a!normalities' early
detection of disorders that can !e alleviated' and likewise the prevention
of ill)health:
A. &amily Aealth "are ". &amily >llness Tra9ectory
B. &amily Fife "ycle #. &amily Assessment Tools
21. The nature of illness whose characteristics of experience provide little
time for physical and psychological ad9ustment for family mem!ers:
A. Acute illness ". Terminal illness
B. "hronic illness #. #e!ilitating illness
2\$. The most difficult stage of the &amily >llness Tra9ectory for the patient:
A. Accuracy of diagnosis
B. Ad9ustment to permanency of outcome
". ?a9or therapeutic efforts
#. =arly ad9ustment to possi!le outcome
22. This household is in the typical case)economically independent su!sisting
in the first instance from the occupational earnings of the hus!and)father:
A. 1uclear family ". =xtended family
B. "orporate family #. Blended family
27. An acronym that stands for factors affecting health which can !e
considered resource and pathology:
A. :".==? ". &amily A/GA.
B. &amily "ircle #. &amily Genogram
25. "omponent of the &amily Genogram that pro9ects the dynamism of family
relationships:
A. &unctional chart ". &amily >llness and history
B. &amily resources #. /edigree or &amily Tree
24. A Genogram using functional sym!ols:
A. depicts relationships
B. focuses on the most ill family mem!er
". emphasi*es the pro!lem of the patient
#. therapeutic interventions
25. The ,therapeutic Triangle- in ?edicine refers to which of the following(
A. /atientBfamilyBhealth care team
B. /atientBfamily' health care institution' health care team
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". /atientBfamily' friendsBextended family' health care team
#. /atient' health care team' community
26. 3hat stage of the &amily Fife "ycle is characteri*ed !y parents
developing adult type relationships !etween the grown children and
themselves(
B. 1ewly married couple #. &amily in later life
29. 3hat family process involves ordered se+uences of interaction that typify
how family functions(
A. &amily pattern ". Triangulation
B. #isengagement #. =nmeshment
70. 3hich of the following is characteristic of the hospice program(
A. availa!le \$7 hours a day
B. designed for marginali*ed population
". renders only medical care
#. composed of nurse and physician only
71. #uring the interview process' which of the following will most likely put the
patient on the defensive' that is' make the patient feel that his or her
pro!lem or !ehavior must !e 9ustified and defended(
A. Beginning the +uestion with
,3hy(-
". Faundry)list +uestions
B. #irect +uestion #. %pen)ended +uestions
7\$. This is a component of the family health care plan which involves health
maintenance for each &amily mem!er:
A. /reventive ". Therapeutic
B. #iagnostic #. .eha!ilitative
72. A family meeting should !e done in the following situation:
A. 14 yBo old female' first pregnancy
B. 1\$ yBo female with acne
". 7 yBo old !oy with acute nasopharyngitis
#. 20 yBo old male for annual employment physical
HEALTH ADMINISTRATION & MANAGEMENT, PUBLIC HEALTH
77. A characteristic of /rimary health care that differentiates it from the
A. "ommunity participation in the stages of planning
B. Assurance of financial !acking of the government
". "overage of the ma9ority of the population
=. #rug provision for all indigent patients
75. &ecal occult !lood is a screening test for:
A. colorectal "A ". >nflammatory !owel disease
B. cervical cancer #. hemorrhoids
74. "riteria that 9ustifies doing screening test:
A. "an identify patients likely to have the disease at pre)symptomatic
stage
B. "an identify patients who have the disease at symptomatic stage
". "an identify patients who will not !enefit from treatment
#. "an identify patients who will not !enefit from reha!ilitation
75. 3hich of the health maintenance plan is true for adult patients(
A. &B: should !e done for o!ese 70 yBo female with family history of
hypertension
B. &ecal occult !lood is recommended for 50 years old and a!ove
". D#.FB./. should !e done on all males
#. =lectrocardiogram should !e done on all 50 years old and a!ove
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76. 3hich of the following statements a!out chemoprophylaxis is true(
A. Fow dose aspirin for men 45 years old and a!ove prevents heart
disease
B. =strogen with progestin increases the risk of endometrial cancer
". =strogen replacement therapy decrease the risk of osteoporosis when
started in women 70 years old and !elow
#. "hemoprophylaxis is warranted only in younger patients
79. A health promotion measure:
A. Htili*ation of healthBmedical services
B. Hse of mos+uito repellant
". Ditamin supplementation to increase !ody resistance
#. >solating patients with infectious diseases
50. A reha!ilitation measure:
A. %rgani*ed feeding program
B. Hse of iodi*ed salt !ecause of prevalence of goiter
". Teaching to deaf mute children sign language orBand lip reading
#. /rescri!ing eyeglasses to those with initial stage of nearsightedness
;myopia<
51. The process of isolating patients with &lu falls under:
A. :pecific protection ". #isa!ility limitation
B. =arly diagnosis and
treatment
#. Aealth promotion
5\$. &actors affecting community reaction:
A. /revious exposure ". Dirulence of agent
B. "hance contact #. Dolume of agent
52. An epidemic occurs due to:
A. A!sence of an immune !arrier
". =mergence of a new strain of the disease agent
#. ?igration of a population group
57. "onsidered a missed human reservoir of disease:
A. Hndiagnosed and therefore unreported case of a disease
B. /atient wrongly diagnosed !ecause of inade+uate la!oratory work)up
". :eek medical consultation
#. "orrectly diagnosed patient !ut unreported case
55. >ncrease in life expectancy is mainly due to:
A. #ecrease in mortality in the younger age groups
B. >mprovement in health information dissemination
". Better diagnostic facilities
#. #iscovery of effective drugs
54. /reventive measures are most effective when applied to a person:
A. unaffected ". affected symptomatic
B. affected asymptomatic #. without complications
55. ?ilas father and mother !oth have dia!etes. :he consulted !ecause of
polyuria. 3hich determinant of health is explored in the history(
A. Genetic inheritance ". :ocial factors
B. Belief systems #. 1utrition
56. #enotes a non)human carrier of infections organisms that can transmit
disease directly to humans:
A. Dectors ". /lasmodium :p.
B. .odents #. All of the a!ove
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59. :tep in epidemiological method of investigation include:
A. #iscovering historical occurrence of diseases
B. &ormulation of community diagnosis of health and disease
". =stimation of mor!idity and mortality rates
#. ?aking critical appraisal of existing information
40. 3hich statement is T.H= a!out the "ontrol of #iarrheal disease
program(
A. =mphasi*es home therapy !y continued feeding and increase fluid
intake
B. Aims to eradicate food and water !orne diseases
". Targets children under 5 ) 5 years old
#. /romotes the use of anti)diarrheal drugs as mainstay of treatment
41. >n making o!9ectives for health education' the following is important:
A. They are worded in terms of learner !ehavior
B. An affective o!9ective re+uires hands)on experience
". =valuation clarifies what need to !e strengthened
#. >nstructor a!ility is important in planning the learning activity.
4\$. /artnership approach to community health development is among the:
A. private sector' government sector and the community
B. community and its local government leaders
". international and national agencies
#. private and government practitioners
42. The first contact of the community to the health chain' as defined !y the
/A" system is the:
A. village health workers ". hospital personnel
B. intermediate level health workers #. !arangay captain
47. The health status of a community may !e measured or expressed in
terms of:
A. its statistical indices of mor!idity and mortality
B. availa!ility of health care services
". availa!ility of pu!lic utilities
#. utili*ation of health care services
A. formation of o!9ectives
B. identification of roles and their relationships
". educational analysis
#. determination of resources
44. >dentifying and prioriti*ing health pro!lems is part of this planning
process:
A. situational analysis ". plan investigation
B. plan implementation #. plan formulation
45. Best people to identify and prioriti*e community health pro!lems:
A. community residents ". health workers
B. social workers #. consultants
46. The initial step in planning for the provision of health and medical care
services for a community is to:
49. The gross domestic product ad9usted with the net factor income from the
rest of the world:
A. Gross 1ational /roduct ". Gross #omestic /roduct
B. Gross Dalue Added #. "onsumer /rice >ndex
A. define the health pro!lems ". set the o!9ectives
B. determine the pro9ected !udge #. decide on what services to provide
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50. The o!9ectives in the tertiary prevention of non)communica!le diseases
include the following:
A. help the patient function maximally within the restrictions
imposed !y the disease
B. removal of the agent from the environment
". screening
#. immuni*ation
51. >n computing the cost of illness' the following data are needed:
A. Average daily income or wage
B. Average days of non)mor!id condition
". Average cost of savings
#. 1um!er of death
5\$. Aealth education involves:
A. process of translating knowledge into action
B. telling people what to do
". giving lectures a!out health
#. issuing rules and regulations to stop a !ad ha!it
52. The primary o!9ective of health education is to:
A. improve health practices
B. transfer technology to lay personnel
". impart knowledge
#. promote health in general
57. /u!lic health services ;national and local< must give emphasis on:
A. prevention' promotion and maintenance of health
B. treatment of diseases
". reha!ilitation of the disa!led
#. provision of emergency and first aid services
55. The role of government agencies in solving community health pro!lems:
A. guide' assist and facilitate community efforts in meeting its needs
B identify the pro!lem of the community
". provide funds for the pro9ect
#. provide comparative statistics
54. >n pu!lic health' the most fre+uent pro!lem of scarcity of resources is
!est met !y:
A allocate resources according to needs
B. transfer of funds
". complete for national funds
#. increase manpower training
55. The managerial approach to motivation in health development is:
A. to develop a shared responsi!ility for achieving organi*ational
and individual goals !y contri!uting on the !asis of his interest
and a!ilities
B. manipulate workers !y considerate treatment
". induce workers to perform !y giving them high wages
#. motivate workers to do overtime work
56. The most effective change in health !ehavior occurs when:
A. the individual incorporates the change into his system of values
B. the educator is an attractive figure
". a reward is offered if the change is adopted
#. the individual is threatened with punishment if he does not accept
the change
59. =valuation of a health program is necessary in order to:
A. determine if other o!9ectives have !een attained
B. prematurely stop the program implementation
". allocate availa!le resources to another program
#. re)assign health manpower to other worthy programs
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60. The !asic indicator most often used to reflect the economic health of a
country is:
A. infant mortality rate ". migration rate
B. infant mortality rate #. population density
HEALTH CARE: PHILIPPINE SETTING
61. The most common type of attendant at !irth utili*ed !y &ilipino women:
A. Ailots ". physicians
B. ?idwives #. nurses
6\$. ?aternal health status of the /hilippines is still poor !ecause of the
following:
A. doctors attend to I of deliveries
B. !irth rate is relatively low
". maternal death rate is relatively low
#. J deliveries are in hospital
62. >n the /hilippines' the primary factor to consider in the design of the health
care delivery system is:
A. prevalent diseases ". education of the masses
B. population growth #. nutritional re+uirement
67. .epu!lic Act 5655 is also known as ,The 1ational >nsurance Act of 1995-
covers:
A. all &ilipino citi*ens ". government employees only
B. private employees only #. unemployed citi*ens
65. The priority or target group in the 1ational Anti)TB /rogram as recogni*ed
!y /A>FA=AFTA and #%A is:
A. sputum positive cases
B. sputum negative !ut with history suggestive of TB
". sputum negative cases !ut with possi!le K)ray findings
#. sputum negative !ut with clinical findings suggestive of TB
64. This specifically consists of a core list of drugs approved and authori*ed
!y the #%A:
A. =ssential #rug Fist ". /ositive #rug Fist
B. Generic Fist #. /rohi!ited #rug Fist
65. By tailored procurement of drug !y government' it will make availa!le to
its own clientele:
A. the !est drug at least cost ". !ulk !uying
B. the expensive drugs at low cost #. the cheapest drug
66. #%A %ffice that is responsi!le for handling matters pertaining to drugs'
la!oratories' facility and professional licensing is:
A. :tandards and regulations ". Aospital services
B. ?anagement services #. /u!lic Aealth services
69. #%As goal of improving the general health status of the population
re+uire:
A. .educe infantBchild mortality rate ". >ncrease total fertility rate
B. #ecrease life expectancy #. >ncrease growth rate
90. /A>FA=AFTA Benefits /ackage includes:
A. 1ormal :pontaneous #elivery of first two ;\$< !irths
B. %utpatient psychotherapy and counseling for mental disorder
". #rugs and alcohol a!use and dependency treatment
#. Aome and reha!ilitation services
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91. The primary aim of decentrali*ation is:
A. To increase resource !ase for primary care' shifting from central to
peripheral
B. To decrease health center utili*ation rate
". To give accounta!ility to political authority
#. To relegate procurement of drugs and supplies to FGHs
9\$. /revention of cancer recurrence and complications falls under what level
of prevention of the #%A "ancer "ontrol /rogram:
A. Tertiary ". /rimary
B. :econdary #. /rimordial
92. True of TB in the /hilippines:
A. #%T: aims to improve treatment compliance
B. ?ore common in age group 40 and over
". Three times more common among females than males
#. .emains the L 1 leading cause of mortality in the country
97. The most effective control measure for Tu!erculosis which is prevalent in
the /hilippines is:
A. ?ass B"G vaccination
B. ,"lean Air- "ampaign to eliminate pollution
". ?assive nutritional correction and support
#. /romotion of chemoprophylaxis for contactsBexposed population
95. 3hich of following tops the list of ma9or causes of intestinal parasitism in
the /hilippines:
A. Ascaris Fum!ricoides ". "apillaria /hilippinensis
B. Aookworms #. Trichuris Trichiura
94. 3hich of the following has the highest prevalence of all the risk factors to
cardiovascular diseases according to the #%A "ardiovascular
/rotection /rogram(
A. hypertension ". o!esity
B . smoking #. stress
#. Bereavement must cater to the family mem!ers also
95. >n \$002' 1ational 1utrition :urvey ;&1.>< showed that the prevalence of
this vitamin and mineral deficiency remains high for:
A. Ditamin A M iodine ". Ditamin A M Ninc
B. Ditamin B M iron #. Ditamin # M iodine
GOVERNMENT PROGRAMS
95. >f !oth parent are ?edicare mem!ers' the dependent children may claim
!enefit from mem!ership of:
A. ?other ". &ather
B. Both mother and father #. %ne can choose
96. &amily planning means:
A. Doluntary descisions and
positive action of couples to have a
desired num!er of children
". Fegal a!ortions
B. >ntra)uterine device and pills #. Onowledge of the different family
planning methods
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99. The ma9or activities undertaken in the maternal and child health program
does 1%T include
A. >mmuni*ation of pregnant
mothers against measles
C. /romotion of prenatal care
B. /roper pneumonia prevention #. ?onitoring of growth and health
status of infants and children
100. >n the ,Hnder &ive- /rogram' the !est screening procedure for
tu!erculosis:
A. :putum examination C. Tu!erculin testing
B. :urveillance #. "hest x)ray
101. The prere+uisite for any rational drug policy is
A. Availa!ility C. Puality assurance
B. Accessi!ility #. Afforda!ility
10\$. #rugs not covered !y patent protection and which are la!eled
solely !y their international proprietary name is:
A. "omplementary drugs C. Generic drugs
B. =ssential drugs #. "ore drugs
102. /hilAealth gives medical coverage to dependents of mem!ers who
are:
A. parents over 40' children !elow
\$1
C. parents over 40' children !elow
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B. parents over 45' children !elow
\$1
#. parents over 45' children of any
age
107. /hilhealth !enefits vary according to the following except:
A. .elative unit value of surgery C. Type of hospital
B. Actual cost of care #. Type of physician
105. /hil)Aealth sets standards' guidelines and procedures prior to
allowing doctors and hospitals to !ecome part of the 1A>/. This process
is called:
A. evaluation C. recognition
B. accreditation #. acceleration
104. The &amily /lanning program consist of the foloowing =K"=/T:
A. /romotion of knowledge on the
use of contraceptive devices
C. =ncouraging legal a!ortion
B. Aelping childless couples to !ear
children
#. family planning services
105. The following preventive measures are included in the 1ational TB
"ontrol /rgram =K"=/T:
A. Giving chemoprophylaxis for
those not yet infected
C. =arly treatment of infective TB
cases
B. B"G vaccination of eligi!le
population
#. Aealth education
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106. According to the revised =xpanded /rogram of >mmuni*ation' the
contraindicationBs to immuni*ation isBare:
a. ?alnourished child c. #iarrhea
!. Temperature of 25.5 C 26
o
d. "onvulsions after #/T
109. A greater measure of success of a TB control program could !e
expected if activities were centered on:
a. 3ider coverage of B"G immuni*ation
!. #evelopment of more effective treatment methods
c. Amelloration of the socio)economic status of the general population
d. >dentification and treatment of early cases
110. Toxic effects of >1A has !een reported as:
a. #iarrhea c. "horioretinitis
!. Aepatitis d. =xtrapyramidal symptoms
111. >n an ,under six- program the !est screening procedure for
tu!erculosis is:
a. "hest x)ray c. Tu!erculin test
!. :putum examination for A&B d. B and " only
11\$. All are ingredients of %resol ;oral rehydration fluid< =K"=/T:
a. "alcium chloride c. /otassium chloride
!. :odium chloride d. Glucose
112. .outine immuni*ation of children include the following =K"=/T:
a. B"G c. ?easles
!. Thyphoid d. #iphtheria
117. The folowing immuni*ations are recommended for 2)months old
children consulting at an ,under six clinic-:
a. #/T d. A and B
!. ?easles vaccine e. A and "
c. B"G
115. >mmuni*ation is contraindicated among
a. ?alnourished children c. "hildren with diarrhea
!. Breastfed !a!ies d. "hildren with prolonged fe!rile
illness
114. "ontraindications for administering a live attenuated vaccine
include all of the following =K"=/T:
a. Acute fe!rile illness
!. .ecent administration of immune glo!ulin host
c. >mmunosuppressive disorder or compromise
d. Administration of another live vaccine
115. B"G vaccination is administered on the right deltoid are a !y:
a. >ntramuscular method c. >ntradermal method
!. :u!cutaneous method d. :cratch method
116. The recommended 3A% schedule for measles vaccination is at:
a. Birth c. 2 months
!. 4 weeks d. 9months
119. ?aternal anti!odies convey passive measles immunity to infants
pro!a!ly until age:
a. 1\$ to 15 months c. 2 to 4 months
!. 4 to 9 months d. 16 C \$7 months
1\$0. The descision to give the ra!ies vaccine is influenced !y any of the
following =K"=/T:
a. The severity of the !ite
!. The condition of the animal at the time of exposure
c. The part of the !ody that was !itten
d. The condition of the animal 15 days after axposure
12
1\$1. The following are the statements of /olicy of the Generic Act of
1966' =K"=/T:
a. /romote' encourage' and re+uire the use of generic terminology
!. /enali*e any violation of the Act
c. =mphasi*e the scientific !asis for the use of drugs
d. =nsure ade+uate supply of drugs with generic names
1\$\$. The following organi*ations 9ointly with the #epartment of Aealth
are involved in the education drive for the Generics Acts' =K"=/T:
a. #epartment of &inance
!. /hilippine >nformation Agency
c. #epartment of Focal Governments
d. #epartment of =ducation' "ulture M :ports
1\$2. 3hich of the folowing would !e !est reflect the inade+uancy of
maternity care services in the community(
a. :mall proprotion of hospital !irths
!. :mall proportion of deliveries attended !y physicians
c. Farge proprotion of maternal deaths due to hemorrhage
d. 1one of the a!ove
1\$7. The leading cause of maternal death in the /hilippines is:
a. A!ortion c. Toxemia of pregnancy
!. >nfection d. Aemorrhage
1\$5. Aigh risk in maternal mortality are mothers
a. Hnder 15 years or a!ove 75 years
!. 15 C \$0 years
c. \$0 C \$5 years
d. 20 C 25 yers
1\$4. The most effective method of contraception is:
a. >H# c. .hythm method
!. /ills d. Barrier or condoms
1\$5. This is 1%T one of the priority needs of a mother
a. 1utrition promotion and growth surveillance
!. "ontrol of infectious disease including tetanus
c. ?aternal care
d. 1utrition supplementation
1\$6. The target group for tetanus toxoid immuni*ation is:
a. 3omen 1\$)59 years c. All persons
!. 3omen 15)77 years d. All women regardless
of age
1\$9. At !irth a &ilipino !a!y usually weighs:
a. \$000 gms c. 2000 gms
!. \$500 gms d. 7000 gms
120. /revention of prematurity can !e done !y:
a. /romotion of preconceptional care
!. >mprovement of o!stetrical service
c. >mprovement of maternal nutrition
d. >mprovement of prenatal care
121. Among the following factors' which has the F=A:T influence on the
many infants during the first day of life(
a. /oor environmental sanitation
!. >ncompetent attendance at delivery
d. ?aternal malnutrition
12\$. "hemotherapeutic agents are applied to the eyes of the new!orn to
prevent
13
a. Euvenile cataract c. :yphilis
!. Gonorrhea d. Trachoma
PUBLIC HEALTH
122. Fong)standing lack of vitamin A is maifested in the form of this
ocular lesion:
a. Oeratomalacia c. 1yctalopia
!. "orneal xerosis d. Bitots spots
127. >f a 4)month old !a!y is suffering from diarrhea' the following
should !e told to the mother:
a. :top !reast)feeding c. Give ,am and tea only
!. :top the usual food given d. 1one of these
125. The role of governmental agencies in solving community health
pro!lems is to:
a. >dentify the pro!lem of the community
!. /rovide funds for the pro9ect
c. /rovide comparative statistics
d. Guide' assist' and facilitates community efforts in meeting its needs
124. >n pu!lic health' the most fre+uent pro!lem is scarcity of resources.
This can !e !est met !y:
a. Transfer of funds c. Allocate resources according
to needs
!. "ompete for national funds d. >ncrease manpower
training
EPIDEMIOLOGY
125. >n writing a research proposal' the formal statement a!out the most
likely outcome of the proposed research falls under:
a. Fiterature review c. Aypothesis
!. ?ethodology d. %!9ectives
126. The factors that effect the relia!ility of an instrument are the
following =K"=/T:
a. %!server variation c. Fack of congruency
!. Fack of precision d. Fack of validity
129. A control or comparison group is necessary in:
a. #escriptive studies c. "ross)sectional studies
!. /revalence studies d. /rospective studies
170. The importance of reviewing the availa!le literature related to
research pro!lem is
a. To prevent duplication of work that has !een done !efore
!. >t may lead to refine the pro!lem definition
c. To find out the authors of these works
d. To provide good reasons for others to support the proposed
research
171. Among the following demographic characteristics' which does not
contri!ute to high fertility in the /hilippines(
a. Aigh marriage rate c. >ncreasing life span
!. 8oung population d. Fow median age on marriage
17\$. The greatest contri!utor to population growth in A:>A today is:
a. >ncreased mortality rate c. #ecreased !irth rate
!. >ncreased !irth rate d. #ecreased mortality rate
172. Fife expectancy is lower among the
a. ?arried c. 8oung professionals
!. :ingle d. :eparated B divorced
14
177. >n the choice of a pro!lem for research' which of the following
criteria is the F=A:T important(
a. Availa!ility of technical and logistic support
!. /ro!a!ility of solving the pro!lem !y research
c. /ro!a!ility of acceptance for pu!lication
d. Hseful applica!ility of the results
175. Because of its inherent weakness' this method is not utili*ed in the
collection of scientific data:
a. "ensus c. .egistration method
!. Puestionnaire method d. "ase record method
174. The following epidemiologic approach may !e utili*ed when the
disease !eing investigated has not !een studied yet in the past:
a. #escriptive c. "ohort prospective
!. .etrospective d. =xperimental
175. This type of study can !est demonstrate a cause and effect
relationship:
a. =xperimental study c. Analytic study
!. #escriptive study d. "ross)sectional
176. The possi!ility of cause)effect relationship is difficult to assess in:
a. =xperimental c. "ohort
!. "ross)sectional d. "ase)control
179. To determine if there is any relationship !etween oral contraceptive
use and chlamydia infection' an investigator selected a sample of 100
women attending a social hygiene clinic. Ae then measured the predictor
and outcome varia!les !y talking a history of oral contraceptive use and
sending a cervical swa! to the la! for chlamydia culture. The design of
this study is:
a. "ohort study c. "ase control
!. "ross)sectional d. =xperimental study
150. 3hat is the first step in the conduct of a clinical trial(
a. "learly and precisely state the reasons for conducting the trial
!. "learly define the criteria for selecting the participants
c. "learly precisely state the o!9ectiveBs of the trial
d. ?ake a clear staements of facts governing conduct of the trial of
the would !e participants
151. The o!servational study in which su!9ectys are sampled !ased on
the presence or a!sence of a risk factor interest' these su!9ects are
followed over the time for the development of a disease outcome:
a. "ase control study c. "ohort study
!. =cologic study d. "ross)sectional study
15\$. An investigator wanted to determine if there is a significant
difference in the mean systolic !lood pressure 10 women !efore and after
oral contraceptive use for 2 months. The appropriate statistical test for
significance for this study is:
a. Analysis of veriance c. :tudent t)test
!. "hi)s+uare analysis d. /alred t)test
152. >n chi)s+uare' one would like to demonstrate that
a. There is a definite cause)effect association
!. There is a significant association among categories
c. There is a significant correlation
d. The num!er in the \$ x \$ ta!le are diffecrent from one another
157. The o!9ective of data processing is to facilitate
a. :tatistical analysis c. "ompletion of data
!. Termination of research d. :ummari*ing of data
15
155. #escriptive statistics include the following =K"=/T:
a. specific rate c. graphical representation
!. measures of dispersion d. ta!ular presentation
154. The measure that tends to !e misleading in the presence of erratic
value is
a. ?ode c. ?edian
!. ?ean d. All of the a!ove
155. 3hen distri!ution is symmetrical' the manner of tendency what
should !e chosen is:
a. ?ode c. ?ean
!. All of these d. ?edian
156. .andomi*ation is a procedure used for assignments or allocation of
su!9ects to treatment and control groups is experimental studies.
.andomi*ation ensures
a. That assignments occurs !y chance
!. That treatment and control groups are alike in all respects expect
treatment
c. Bias in o!servation is eliminated
d. The place!o effects are eliminated
159. 3hen samples are chosen !ecause they are handy and easy this
is:
a. :imple random sampling c. Aapha*ard sampling
!. :ystematic sampling d. "luster sampling
140. %ne of these is 1%T included in the comprehensive maternal and
child health program policies:
a. /regnant women should !e given iron ta!lets during the second
and third trimester and throughout the lactation period
!. A!normal pregnancies may !e delivered at home !y a
professionally)trained health worker
c. Growth and development of infants and children should !e
monitored !y growth charts and developmental screening devices
d. The new!orn receive immediate care at !irth and !reast feeding
instuted within 20 minutes after delivery
141. /opulation density is determined !y use of two data. %ne is total
population and the other is:
a. Age and sex distri!ution of the community
!. Area of the community
c. >ncome of the community
d. .esources in the community
14\$. /opulation would !ecome younger if:
a. Both its crude !irth rates and crude death rates remain high
!. >ts crude !irth rates remain high !ut its crude death rates decline
c. >ts crude !irth rates decline !ut its crude death rates remain high
d. Both its crude rates and death rates decline
142. The population pyramid shows the distri!ution of a population
according to:
a. Age and sex c. &ertility
!. >nflow)outflow e+uation d. /ercentage of !irths and
deaths
147. The arrangement of the population in space in a given time
a. "omposition c. :patal distri!ution
!. :ocial mo!ility d. :i*e
16
POISONING
145. >n childhood poisoning' emesis should 1%T !e induced if the
poison is:
a. Bar!iturates c. #rain cleaner
!. Acetaminophen d. >1A
144. The following does 1%T conform to the 1965 &amily "ode of the
/hilippines
a. The contracting parties to a marriage may!e of the same gender
!. ?arriage solemni*ed !y a person not legally authori*ed to perform
marriage are void
c. A marriage contracted !y any person during the su!sistence of a
previous marriage shall !e null and void
d. ?ayor can no longer solemni*e marriage
RATES AND RATIO
145. The current priority health pro!lem of the /hilippines is:
a. ?alnutrition c. .apid population growth
!. "ommunica!le disease d. All of the a!ove
146. The office that is changed with the function of collecting and
reporting of vital health statistics is the:
a. Bureau of "ensus and :tatistics c. Aealth >nformation :ervice
#%A
!. Bureau of ?edical :ervices d. #epartment of #isease
"ontrol
149. This is the measure of mortality which will tell us what the 10
leading causes of death rate are:
a. "ase fatality rate c. >nfant mortality rate
!. "ause specific death rate d. /roportionate death rate
150. The purpose of immediate notification of disease is to:
a. :tudy the natural cause of the disease
!. Hpdate the statistical data
c. /revent the spread of the disease
d. :tudy the trend of the disease
OCCUPATIONAL HEALTH
151. %ne of the following cancers is 1%T associated with occupational
exposures:
a. Breast "A c. Fung "A
!. Bladder "A d. Fiver "A
15\$. The conservation of health in relation to work' the working
environment and assurance of work efficiency is:
a. >ndustrial hygiene c. %ccupational medicine
!. %ccupational health d. >ndustrial medicine
152. Hnwanted sound has this physiologic effect on an employee:
a. #eafness c. >nefficiency
!. >rritation d. Autism
ETHICS
157. The primary o!9ective of the practice of medicine according to the
"ode of ?edical =thics in the /hilippines is:
a. Be good citi*en c. Be solicitous to patients
!. Be a fiend of man d. :ervice to mankind
FAMILY MEDICINE
155. The following are important roles of a family physician:
a. /ersonal physician to each mem!er of the family
!. ?anages the collective health pro!lems of the family
c. .ecogni*es the effects of illness upon the other family mem!ers
d. All of the a!ove
17
154. The family life cycle:
a. #epicts the expansion and correction of the family
!. &ocuses on ma9or events of developments within a single family
c. >nvolves a se+uence of stressful changes
d. A and B only
155. ?easures that the family physician can take to reduce the impact
illness on the family are as follows:
a. #o not include the family in deciding on the care of the sick
!. >nform the family of measures important to the success of treatment
c. 3atch for change in attitude or negative reaction among family
d. A and B only
e. B and " only
156. The /hilippine age structure is considered young. >t means
a. A !ig percentage of the population is made up of the youth
!. ?ore dependents for workers
c. /eople are retiring young
d. A and B only
e. B and " only
PRIMARY HEALTH CARE
159. The ma9or cause of disa!ilities in developing countries is:
!. >nfectious disease d. A and B
160. The first contact of the community to the health chain' as defined !y
the /A" system is the:
a. hospital personnel c. intermediate level health
b. village health workers d. !arangay captain workers
161. The following are true for volunteer community health workers'
=K"=/T:
a. They esta!lish linkage !etween government and non)government
organi*ation
!. They are residents of the community
c. they are community)!ased
d. they provide only curative care
16\$. 3hen a community shares in the responsi!ility and participates in
defining the health and health)related pro!lems in the community' this is
known as:
a. intrasectoral linkage c. appropriate technology
b. community participation d. intersectoral linkage
162. 3hich of the following is 1%T included in the essential health
service of /rimary Aealth "are(
a. immuni*ation against the ma9or infectious diseases
b. provision of essential drugs
c. provision of safe water and !asic sanitation
d. appropriate treatment of all existing diseases
167. 3hich of the following is in line with the principles of /rimary Aealth
"are(
a. doctors make all the decisions in a community health program
!. free clinics are held in the population
c. a !arangay health council is esta!lished to plan' implement and
evaluate community program
d. hilots are not allowed to attend deliveries
18
165. /rimary Aealth "are ;/A"< refers to
a. the first contact of a patient with a professional health care provider
b. a su!)system of the health care delivery system
c. a type of health care program designed for communities
#. an approach to making health care availa!le and accessi!le to the
population
164. A health care system that has the greatest impact on the health of a
society' while making the !est use of its resources' fulfills which of the
following values of social accounta!ility(
A. .elevance ". "ost)effectiveness
B. Puality #. =+uity
165. /arents who are not +ualified as legal dependents' indigents or
retirees can avail of /hilAeatlth !enefits through the:
A. ?edicare /ara :a ?asa ". :ponsored /ro9ects
B. >ndividually)paying program #. 1on)paying mem!ers
166. An important feature of a "ommunity)Based Aealth /rogram is:
A. preset program o!9ectives
B. managed solely !y the peoples organi*ation
". people participation in all stages of development
#. availa!ility of modern health e+uipment for community
page
B 1. An act instituting a national health insurance program for all
&ilipinos and 264
esta!lishing the /hilippines Aealth >nsurance "orporation.
A. .epu!lic Act 5519
B. .epu!lic Act 5655
". .epu!lic Act 5140
#. .epu!lic Act 4455
?/F: 1
" \$ This is also known as "lean Air Act.
269
A. .epu!lic Act 5\$55
B. .epu!lic Act 5662
". .epu!lic Act 6579
#. .epu!lic Act 5400
?/F: 1
A 2 Aouse Bill 416 is also known as:
702
A. 1ational To!acco "ontrol Act
B. .ooming)>n and Breastfeeding Act
". Generics Act
#. 1ational Blood :ervices Act
?/F: 1
# 7 The 1ational Aealth >nsurance /rogram ;1A>/< shall give the
highest priority 709
to achieving coverage of the entire population with at least a !asic
minimum
package of health insurance !enefits' the guiding principle is:
A. :ocial solidarity
B. =+uity
". "ompulsory coverage
#. Hniversality
?/F: 1
" 5 ?andates iodi*ation of all food grade salt and making this availa!le
to all 265
communities nationwide.
19
A. .epu!lic Act 67\$2
B. .epu!lic Act 6954
". .epu!lic Act 615\$
#. .epu!lic Act 5654
?/F: 1
B 4 "hildren were hospitali*ed after their mother fed them with poisonous
mushroom.
The mother was una!le to differentiate poisonous from nonpoisonous
species.
Aow would you assess the ?effect of her action(
A. #irectly voluntary
B. >ndirectly voluntary
". /ositively voluntary
#. 1egatively voluntary
?/F: 0.5
B 5 A patient who has emphysema finds it difficult to +uit smoking. Aow
would you
assess the morality of the patients action(
A. >mperfectly voluntary !ecause of impairment of knowledge
B. >mperfectly voluntary !ecause of ha!it
". /erfectly voluntary act
#. An act of man not performed without free will
?/F: 0.5
A 6 3hich among the following is a human act(
A. "heating in class
B. Oilling !y a known schi*ophrenic
". An accident caused !y severely intoxicated person
#. Oilling of a wife !y the hus!and who caught her in the act of
infidelity
?/F: 0.\$5
A 9 A superior officer not stopping an evil act of a lower rank officer despite
knowledge
of the same is QQQQQQQQQ.
A. =+ually guilty as that of the lower rank officer
B. 1ot guilty of the act
". Guilty !ut of a lesser degree
#. 1ot morally accounta!le
?/F: 0.5
B 10 3ithdrawing food and water in a progressively deteriorating Al*heimer
disease
patient. 3hich principle is !eing violated(
A. Beneficence
B. 1on)maleficence
". Autonomy
#. Eustice
?/F: 0.5
B 11 3hich among the following situations is ethical(
A. An A>D positive patient continues to engage in unprotected sex.
B. "ommercial sex workers are mandated to undergo regular
screening for sexually
transmitted diseases including A>#:.
". #onating !lood for a fee
#. The owner of an esta!lishment is doing a research on smoking.
his employees to !e part of the study.
?/F: 0.\$5
A 1\$ A 55)yBo dia!etic patient with gangrenous foot refused to !e
amputated knowing
20
all the risks and !enefits. :he said she is too old to live without a
leg. The doctor
agreed. 3hat is your ethical evaluation of the doctors decision(
A. .ight. /atients autonomy is respected.
B. 3rong. Theres harm to the patient.
". .ight. /atient accepted an additional !urden.
#. 3rong. /atients a!ility to decide is +uestiona!le.
?/F: 0.5
" 12 A patient told his doctor that he do whatever is !est for him. This is not a
violation
of the principle of autonomy !ecause of the following reason:
B. Gives up what is due
". #elegate authority
#. Fooses right to what is due
?/F: 0.\$5
B 17 /rinciple that emphasi*es the freedom to have children
A. Autonomy
B. >nviola!ility of life
". Beneficence
#. :tewardship
?/F: 1
# 15 The principle of !eneficence means
A. To do good
B. To do good at all times
". To do good without any harm
#. To do good with minimal harm
?/F: 0.5
# 14 The following are true =K"=/T
A. Truth telling of harm overrides confidentiality
B. >n emergency situation informed consent can !e waived
". Hnplugging of life)sustaining machines is 9ustifia!le if and when
they are no
longer useful to the dying person
#. "linical research need not involve animal experimentation
?/F: 0.\$5
# 15 A 50)yBo +uadriplegic patient ;paraly*ed in all 7 lim!s< following
repeated
strokes re+uests that no resuscitation !e performed if he goes into
cardiac
arrest. The following would 9ustify a #o 1ot .esuscitate order
=K"=/T
A. .esuscitation will cause serious physical and emotional !urden
B. .esuscitation is against patients autonomous wish
". .esuscitation is extraordinary means
#. .esuscitation is proportionate means
?/F: 0.\$5
A 16 The principle of totality is the governing principle in the following
situation:
A. /lastic surgery and mutilation with due cause
B. Doluntary organ donation
". "onfinement of mentally against their will
#. "onflict of interest
?/F: 0.5
B 19 Aospitals cannot !e held lia!le for patients who go home against
!ecause patient
A. Gave up what is due
B. Fost right to what is due
21
#. #elegated authority
?/F: 0.5
B \$0 A patient in the ward has renal failure. As a 9unior intern assigned to
monitor
the patient' you noticed that his Rmedication is !eing given in toxic
dose. 3hich
virtue is needed in this situation(
A. >ntegrity
B. "ourage
". .espect
#. Aonesty
?/F: 1
" \$1 3hich among the following situations is a nonviolation of the
principle of 9ustice(
A. Oidneys for transplant are scarce. 8ou decided to !uy from
indigent patients.
B. Allocating more of the government funds to kidney transplant
program
than to the free immuni*ation program for children under six
". &ollowing a typhoon' health care is given to the victim who will
die without an aid
#. "ompulsory tu!al ligation in government hospital
?/F: 0.5
B \$\$ 3hich among the following patients vying for one availa!le
respirator would gain
the most from using the respirator(
A. Trauma victim with severe !rain damage. %nly few !rainstem
functions
remain. Ae is unlikely to recover.
B. /atient with infection of the nervous system that rendered him
paraly*ed from
the trunk down. Ae is' however' progressively improving and is
expected to recover.
". /atient with complete and irreversi!le spinal in9ury that has left
her paraly*ed
from the neck down. :he is a!le to talk !ut totally dependent on
the respirator.
#. "ancer patient undergoing palliative treatment
?/F: 0.\$5
" \$2 A poor patient needing care agrees to enroll in a research study so
as to !e
3as an
informed consent o!tained in this case(
A. 8es. >nformation is understood !y su!9ect. 1o evidence of
constraint on
su!9ects voluntariness.
B. 1o. Fack of competence
". 1o. Puestiona!le voluntariness due to su!9ects personal
circumstance.
#. 1o. /ro!a!le incomplete disclosure and deception.
?/F: 0.5
B \$7 An employee was discovered to !e sick during the annual physical
examination
if he
continues with his 9o!. Ae pleads not to tell his employer. 3hat
should the physician do(
22
A. ?aintain confidentiality at all times
B. Break confidentiality for the !est interest of the patient
". Break confidentiality for the !est interest of innocent third party
#. 3ait and o!serve
?/F: 0.5
A \$5 3hich among the following is 1%T a condition to stop treatment in
a dying patient(
A. Fife is preserved !y ordinary means
B. /atient andBor family consents
". >rrefuta!le evidence that !iological death is imminent
#. Treatment will not prolong life for any significant time
?/F: 0.\$5
# \$4 The type of domestic violence' which is considered to !e the most
common of elder
mistreatment' is called
A. /hysical a!use
B. ?aterial exploitation
". "aregiver neglect
#. =motional a!use
?/F: 1
# \$5 An elderly patient was noted to have hematoma in the legs. Hpon
pro!ing' patient
claimed he fell from the !ed. "aregiver was hesitant to !ring him to
the hospital for
medical management. 3hat will you do(
A. .eport to authorities
B. /erform home safety assessment
". =xpand social services
#. Assess family functioning
?/F: 0.5
B \$6 Given a patient who is a victim of partner a!use' the following may
!e done =K"=/T
A. #raw a safety plan
B. #o couple counseling
". .efer to mental health professional
#. .efer to womens desk
?/F: 0.5
" \$9 >n cases of sexual assault' the following is recommended:
A. "ollect clothing and place in plastic !ag
B. #o a urine pregnancy test
". Give empiric anti!iotic treatment for :T#
#. >nsert >H# within \$7 hours to prevent pregnancy
?/F: 0.\$5
# 20 Tertiary prevention for those who are victims of violence includes
A. :creen for possi!le violence
B. /rovide appropriate medical care
". >nform women of their rights
#. .efer to local support group and shelter
?/F: 1
" 21 &amily' as a group of people' is defined in various ways. 3hich
among the following
description runs common among the various definitions(
A. .elated !y !lood or marriage
B. .elated !y strong affection
". "omprises a permanent household
#. "hanges through time
?/F: 0.\$5
23
" 2\$ Tom and Tina have !een living with their aunt and grandmother
since their
parents went a!road to work as nurses. 3hat is the type of family
structure(
A. 1uclear
B. =xtended
". :ingle)parent
#. "ommunal
?/F: 1
B 22 As parents' Eim and Fora make sure that they spend +uality time
with their children.
They play and do things together with them. 3hat function of the
family do they
perform(
A. Biologic
B. /sychologic
". =ducational
#. :ocio)cultural
?/F: 0.55
" 27 Eohn and ?arsha is a family with four children aged 14' 10' 4 and
7. Both
hus!and and wife are in their mid)forties. 3hat second order
changes can !e
anticipated in their family life cycle stage(
A. Taking on parenting role
B. :haring responsi!ilities with extended family
". &ocusing on marital and career issues
#. Oeeping communication system open
?/: 0.\$5
B 25 Finda was diagnosed with myoma last \$007. .ecently' she
developed vaginal
!leeding. :he was told she needs to undergo hysterectomy. :he
was su!se+uently
o!served to !e crying and socially withdrawn. >dentify the stage in
the illness tra9ectory.
A. .eaction to diagnosis
B. ?a9or therapeutic efforts
#. Ad9ustment to permanency of outcome
?/F: 1
# 24 3hich among the following statements is 1%T true(
A. &or every disease' there is a corresponding impact of illness.
B. &or illness with acute onset' the family is more prone to a crisis
situation.
". &or stages \$ M 5 of the illness tra9ectory' the family will go
through the same
process of denial' anger' and depression.
#. &or chronic illness' the family is less prone to stress due to
coping through time.
?/F: 0.\$5
A 25 ?rs. # !egan having difficulty remem!ering things' missing at time
of work' and
appearing in pu!lic in an untidy state at age of 47 years. ?rs. #
was !rought to a
doctor for consult and was diagnosed to have Al*heimers disease.
Because
24
?rs. #s condition seemed to progress rapidly' the attending
physician did a home
visit. 3hen he arrived' she found ?rs. # unkempt' !edridden and
has lost weight.
The daughter who lives with her complained of exhaustion and of
getting very little
help from her si!lings. >n assessing the condition of the index
patient and the family'
the doctor made use of several tools. 3hich among the following
tools and their
corresponding indication for use is 1%T correct(
A. A/GA. C assess familial resources
B. Genogram C identify alternate caregivers
". :".==? C assess capacity of family to participate in health
care
#. &amily map C descri!e family dynamics
?/F: 1
# 26 A 7\$)yBo woman' married with \$ daughters from ?as!ate revealed
a \$)yr. history of
!reast mass. /hysical examination showed a cachectic patient
with unilateral multiple
!east mass with foul smelling discharge. The patient sought
consult with faith healers
in their hometown. Aer family and relatives firmly !elieve that it
was due to ,!arang-
;witchcraft<. :he was !rought to ?anila to consult with another
faith healer. :he
refused to see a doctor' as it would render ineffective the treatment
!eing done to her
!y the faith healer. #eep in her heart she has given up hope for
cure. &or a doctor to
understand the health !eliefs and practices of the family and the
index patient' what
tool in family assessment should !e used(
A. "linical Biographies
B. &amily "ircle
". =comap
#. :".==?
?/F: 1
" 29 >n evaluating the potential crisis once the patient dies' which among
the following
would help evaluate the degree of disruption in the function of the
family(
A. &amily stressor
B. &amily developmental stage
". &amily role
#. &amily coping history
?/F: 0.\$5
A 70 3hat would consists tertiary level of prevention for the family(
A. Aospice care
B. "ounseling
". Aealth education
#. Breast examination
?/F: 1
25
A 71 >t is essential health care !ased on practical' scientifically sound
and socially
accepta!le methods of technology made universally accessi!le to
individuals
and families in the community and through their full participation
and a cost that
the community and country can afford to maintain at every stage of
their
development in the spirit of self reliance and self determination.
A. /rimary Aealth "are
B. /rimary "are
". :econdary "are
#. Tertiary "are
?/F: 1
" 7\$ An evaluation or appraisal of present conditions and existing
resources is 161
A. /lanning
B. Assessment
". :ituational analysis
#. >mplementation
?/F: 0.\$5
# 72 #emographic factors in planning includes description of
161
A. =xisting health services
B. 3orking health systems
". :ocio)economic)environmental conditions
#. Age)gender composition and distri!ution
?/F: 1
# 77 Aealth status evaluation includes the following' except
161
A. >nfant mortality rate
B. Aospital services utili*ation
". All of the a!ove
#. 1one of the a!ove
?/F: 1
B 75 A gap !etween what is and what should !e
\$55
A. >dea
B. /ro!lem
". /riority
#. "ondition
?/F: 0.\$5
# 74 >n the /rimary Aealth "are approach' focus group discussion and
community 69
assem!ly are strategies for:
A. Appropriate technology
". =sta!lishing support groups
#. "ommunity participation
?/F: 0.\$5
B 75 3orking together with the people' learning their language and
eventually 169
esta!lishing a her!al)medicinal garden for people consumption is
an example of
A. =sta!lishing support groups
B. Appropriate technology
#. "ommunity participation
?/F: 0.\$5
26
" 76 An example of esta!lishing support groups for program continuity
\$42
A. "ommitting civic' religious' non)government organi*ations to
actively participate
B. /utting up a Botika sa Barangay with the help of the ?unicipal
council
". "reation of an organi*ation of asthmatic patients in the early
identification and
proper referral of asthmatics
#. "onsultative meetings with community leaders for the creation
of latrines in
certain areas
?/F: 0.\$5
B 79 Among the list' the program that would !enefit the greatest num!er
of people: 205
A. /rovision of food and drugs
B. Accessi!ility to safe water
". Aealth education
#. /roper waste collection and disposal
?/F: 0.\$5

# 50 >n the course of implementation' when the +uality of service is not
at par' 277
management should:
A. .eview esta!lished standards
B. .eprimand staff concerned
". ?easure difference in output
#. ?odify activitiesBo!9ectives
?/F: 0.22
A 51 #uring an evaluation procedure' complaints against nurses have
!een recorded 27\$
and analy*ed. >n making decisions' management should !e
reminded of:
A. =rror of practical significance
B. :tatistical data as evidence !ased materials
". %pinions of co)managers and staff
#. Generali*ation !ased on records at hand
?/F: 0.\$5
D 52 Epidemiology can be defined as the study of:
A. The etiology of disease in humans
B. The fre+uency of causes of death in humans
". The determinants of fre+uency pf disease in humans
#. The distri!ution and determinants of fre+uency of disease in
human populations
?/F: 0.\$5
B 52 The time interval !etween entry of an infectious agent into a host
and the onset
symptoms is called
A. The communica!le period
B. The incu!ation period
". The preinfectious period
#. The noncontagious period
?/F: 0.\$5
A 57 /rimary prevention may !e !est undertaken during the period of:
A. /re)pathogenesis
B. /athogenesis
". .esolution or se+uelae
#. Any of the a!ove
?/F: 0.22
27
# 55 >n the study of the cause of a disease' the essential difference
!etween an
experimental study and an o!servational study is that in the
experimental
investigation
A. The study is prospective
B. The study and control groups are of e+ual si*e
". The study and control groups are selected on the !asis of
history of exposure
to the suspected risk factor
#. The investigators apply an intervention to influence the outcome
of the study' for
effective methods of treatment' prevention' or clinical
management
?/F: 0.\$5
B 54 The occurrence of a group of illnesses of similar nature at a rate
a!ove the expected
num!er is called:
A. Ayperendemic
B. =pidemic
". =ndemic
#. /andemic
?/F: 0.5
# 55 To determine whether maternal deficiency of folate is a cause of
congenital defects
of the neural tu!e' the mothers of 100 new!orns with congenital
neural tu!e defects
and \$00 new!orns without congenital neural tu!e defects were
+uestioned a!out intake
of multivitamins and folate during pregnancy. 3hat type of study is
this(
A. "linical trial
B. "ross)sectional
". "ohort
#. "ase)control
?/F: 0.\$5
A 56 A study revealed an odds ratio of 2.25 ;95 S "onfidence >ntervalT
1.25)6.7\$<
associated with maternal deficiency of folate. >f the study descri!ed
is accurate'
which of the following statements is true(
A. .esults suggest that a !a!y whose mother had folate
deficiency is a!out 2.25
times as likely to !e !orn with congenital defects of the neural
tu!e as a !a!y
whose mother did not have folate deficiency and the association
is significant ;pU0.05<.
B. .esults suggest that the odds of giving !irth to new!orns
with congenital defects
of the neural tu!e among mothers with folate deficiency is 2.25
as compared to
mothers who do not have folate deficiency and the association
is significant ;pU0.05<.
". .esults suggest that the risk of giving !irth to new!orns
with congenital defects
of the neural tu!e among mothers with folate deficiency is 2.25
times as
compared to mothers who do not have folate deficiency and the
association
is significant ;pU0.05<.
#. The results provide no evidence that maternal deficiency
of folate is
28
associated with congenital defects of the neural tu!e in the
offspring.
?/F: 0.\$5

Fou :tewells' a pioneer in the study of diarrheal disease' has developed a
new diagnostic test for cholera. 3hen his agent is added to the stools' the
organisms develop a characteristic ring around them ;Ae calls it the ,.ing)
Around)the "holera- V.A"W test<. Ae performs the test on 100 patients
known to have cholera and 100 patients known not to have cholera with
the following results:
"holera 1o "holera
;X< .A" test 91 1\$
;)< .A" test 9 66
Total 100 100
A 59 The sensitivity of .A" test
A. 91BV91X9W x100ST 91S
B. 66BV9X66Wx100ST 91S
". 91BV91X1\$Wx100ST 66S
#. 66BV1\$X66Wx100ST 66S
?/F: 0.\$5
#uring the investigation of an out!reak of food poisoning at a summer camp'
food histories were o!tained form all campers as indicated in the ta!le !elow.
"onsumed &ood #id 1ot "onsume &ood
Food served Ill Not
Ill
Specific Attack
Rate
Ill Not
Ill
Specific
Attack Rate
Aam!urger 4 7 4B10 T 40S 7 7 7B6 T 50S
/otatoes 5 2 5B10 T 50S \$ 2 \$B5 T 70S
>ce cream 6 10 6B16 T 77S \$ \$ \$B7 T 50S
"hicken 12 5 12B16 T 5\$S 1 5 1B6 T 1\$.5S
Femonade \$ 6 \$B10 T \$0S 7 7 7B6 T 50S
# 40 The incriminated food item is most likely to !e:
A. Aam!urger
B. /otatoes
". >ce cream
#. "hicken
?/F: 0.\$5
# 41 The num!er of deaths from a given cause in a specified time period
divided !y
the total deaths in the same time period is:
A. "rude death rate
B. >ndirect death rate
". "ase fatality rate
#. /roportionate mortality rate
?/F: 0.\$5
A 4\$ >f the infant mortality of a community 46B1000 live !irths. This
means:
A. 46 out of every 1000 !a!ies !orn alive died during infancy
B. 46 !a!ies died !efore reaching their first !irthday
". 46 out of 1000 persons in that community were infant deaths
#. 46S of all deaths were infants
?/F: 0.\$5
" 42 The !est source of data or distri!ution according to age' sex and
geographical
location is:
29
A. .eports of occurrence of notifia!le diseases
B. Birth certificate
". "ensus
#. .egistries of certain disease
?/F: 0.5
" 47 Approval of research proposals using human su!9ects is done !y:
A. #epartment chairman
B. .esearch "ommittee
". >nstitutional review !oard
#. /."
?/F: 0.5

A 45 3hich of the following sampling method is appropriate when a
population is not
A. .andom
B. ?ulti)stage
". :tratified
#. :ystematic
?/F: 0.22
A 44 >n pu!lic health' the rate that are used to measure illness is known
as:
A. ?or!idity rate
B. 1atality rate
". ?ortality rate
#. :pecific rate
?/F: 0.22
B 46 3hich among the following measures fertility:
A. :ex ratio
B. "rude !irth rate
". ?aternal mortality rate
#. Fife expectancy
?/F: 0.22
" 49 >n the a!sence of an attending doctor at death' the responsi!ility of
signing the death
certificate goes to:
A. "losest of kin
B. 1urses
". Focal Aealth %fficer
#. ?idwife
?/F: 1
A 50 %!9ectives of the research tell:
A. 3hat varia!les are !eing considered
B. The affirmation of the hypothesis formulated
". 3hen the !iostatistician must come in
#. Aow much funds to re+uest
?/F: 0.22
" 51 The part which tells the reader what the different parts of the
diagram stand
for is called:
A. :ource
B. Title
". Fegend
#. &ootnote
?/F: 0.5
" 5\$ The research design is essentially:
A. 3hat the researcher will do to answer the research +uestions
B. Aow the research will collect the data
". Both
30
#. 1either
?/F: 0.5
B 52 The index that measures the killing power of a disease is:
A. /revalence rate
B. "ase fatality rate
". >nfant mortality rate
#. :waroops index
?/F: 1
B 57 >n a small sample in which an immediate knowledge of variation is
needed'
the measure used is:
A. :tandard #eviation
B. .ange
". Dariance
#. Puartile deviation
?/F: 0.22
# 55 :pecifying the kind of su!9ects !est suited to the research +uestion
and where
to recruit them' is the process of:
A. =xclusion criteria
B. :ampling
". .andomi*ation
#. :election criteria
?/F: 0.5
# 54 The purpose of !linding in data collection is to achieve:
A. Accuracy
B. Dalidity
". /recision
#. %!9ectivity
?/F: 0.22

A 55 The population pyramid shows the distri!ution of a population
according to:
A. Age and sex
B. >nflow)outflow e+uation
". &ertility
#. /ercentage of !irths and deaths
?/F: 0.5
" 56 The computed collective characteristics derived from the entire
population
are called:
A. Daria!les
B. :tatistic
". /arameters
#. >ndicators
?/F: 0.5
# 59 The pro!a!ility that a person has the disease given a positive test
result is:
A. 1egative predictive value of the test
B. :ensitivity of the test
". :pecificity of the test
#. /ositive predictive value of the test
?/F: 0.5
A 60 The disease or condition which directly caused the death of a
patient is:
A. >mmediate cause
B. Hnderlying cause
". >ntervening' antecedent cause
#. 1one of the a!ove
31
?/F: 0.22
A 61 "onfidence limits are calculated using:
A. The mean and its standard error
B. The mean and the range
". The median and its standard error
#. The mean and the range
?/F: 0.5
B 6\$ .andomi*ation is a procedure used for assignments or allocation of
su!9ects
to treatment and control groups in experimental studies.
.andomi*ation ensures:
A. That place!o effects all eliminated
B. That treatment and control groups are alike in all respects
except treatment
". That o!servation is eliminated
#. That assignment occurs !y chance
?/F: 0.22
A 62 /ost)neonatal mortality has !een closely linked to:
A. =nvironmental factors
B. ?aternal health prior to pregnancy
". =vents during delivery
#. ?aternal health during pregnancy
?/F: 0.5
" 65 The !ranch of science that counts' measures and numerically
states fact is:
A. #emography
B. ?edical statistics
". :tatistics
#. Aealth statistics
?/F: 0.5
B 64 This is the measure of mortality which will tell us what the 10
death rate are:
A. "ase fatality rate
B. "ause specific death rate
". >nfant mortality rate
#. /roportionate death rate
?/F: 0.5
A 65 The administrator of a day care center reports that a child under his
care has
9ust !een diagnosed as having meningitis. Ae is concerned a!out
the other children
in the center and wants to know what to do. 3hich of the following
must !e known
in order that recommendation can !e made(
A. 1um!er of children in the center
B. /revalence of meningitis in the community
". Age range of the children
#. 1um!er of employees in the center
?/F: 0.\$5
# 66 Daccine /reventa!le diseases' =K"=/T:
27
A. Aepatitis B
B. Tu!erculosis
". #iphtheria
#. &ilariasis
?/F: 1
32
A 69 The most common cause of cancer deaths among !oth men and
women in the 64
country is:
A. Fung
B. Breast
". Fiver
#. "olo)rectal
?/F: 1
" 90 ?os+uito)!orne diseaseBs' =K"=/T:
70
A. ?alaria
B. #engue
". Tu!erculosis
#. &ilariasis
?/F: 1
B 91 &ood)!orne and water)!orne diseaseBs' =K"=/T:
59)4\$
A. Typhoid
B. #engue
". Aepatitis A
#. "holera
?/F: 1
A 9\$ Based on >?"> recommendation' a child with pneumonia or
dysentery should
A. \$ days
B. 5 days
". 17 days
#. 20 days
?/F: 1
B 92 >f a child is seen with pus draining from the ear and discharge is
reported for
less than 17 days or with ear pain' diagnosis is likely:
A. ?astoiditis
B. Acute ear infection
". "hronic ear infection
#. 1o ear infection
?/F: 1
B 97 A child having diarrhea was noted to !e irrita!le with sunken eyes
and slow
return of skin pinch is classified as:
A. 1o dehydration
B. :ome dehydration
". :evere dehydration
#. Dery severe dehydration
?/F: 1
B 95 An approach whose aim is to improve the performance of the
health service
delivery system > order to !etter meet peoples needs' consistent
with the !asic
values of +uality' e+uity' relevance and cost)effectiveness.
A. /rimary Aealth "are
B. Towards Hnity &or Aealth
". #evolution
#. #ecentrali*ation
?/F: 0.5
" 94 .ecommended initial work up when suspecting /TB:
A. "hest K)ay
B. //#
". :putum A&B
33
#. "ulture
?/F: 0.5
B 95 :uspended solid particles which are generated !y condensation
from gaseous 29
state' generally after volatili*ation from molten metals:
A. Gases
B. &umes
". ?ists
#. #ust
?/F: 0.\$5
A 96 The most important parameter of drinking water +uality is:
A. Bacteriological
B. "hemical
". /hysical
#. %rganic constituents
?/F: 0.22
# 99 ?inimata disease is due to:
A. &luoride
". Arsenic
#. ?ercury
?/F: 0.22
A 100 A measure to terminate existence of a ha*ard through destruction
with the aid of
physical' chemical or !iological agent:
A. Treatment
B. :hielding
". >solation
#. :u!stitution
?/F: 0.5

.=&=.=1"=
/hilippine Aealth "are &act!ook Dol. 1
.eferences for +uestions 4)70
Alora' Angeles' B>%=TA>":' 1TT")A/' H/)?anila' 1991
?onge' ?ichael' =thical /ractices in Aealth M #isease. ?anila:
:inag)Tala /u!lishers' >nc. 1997
.akel' .o!ert' Text!ook of &amily /ractice' /hiladelphia: 3.B.
:aunders "ompany'
\$00\$' pp 51)6\$
/rimer on /rimary Aealth "are
/AA\$0\$ module' #epartment of Aealth /olicy and Administration'
H/)"ollege of /u!lic Aealth
.eadings in Aealth :ystem ?anagement' \$
nd
edition
.ef. &or +uestions 5\$)40
?ac?ahon' B' and /ugh' T' =pidemiology /rinciples and
?ethods' \$
nd
edition
.ef for +uestions 41)65
?endo*a' %? et al' &oundations in :tatistical Analysis for the
Aealth :ciences' ?anila' #=B:'
"/A)H/?' 1995
Simple Muliple C!"i#e: C!""\$e !e Si%&le Be\$ A%\$'e(
.ecall:
1. Ade+uate emergency exit is a provision of:
A. fundamental physiologic needs ". protection
against contagion
B. fundamental psychologic needs #. p("e#i"%
)&)i%\$ )##i*e%\$
34
.ecall
\$. 3hich of the following is a fundamental psychologic needs of man that
has to !e met !y a
standard house
A. protection from excessive noise ". p("+i\$i"% ",
)*e-u)e p(i+)#.
B. provision of ade+uate space #. provision of unpolluted
environment
.ecall
2. 3hich of the following is considered a special dwelling unit(
A. AotelB?otel ". Semi%)(ie\$
B. >nn #. #ormitories
.ecall
7. 3hich of the following is the considered a most valua!le component of
refuse(
A. ,(ui peel\$ ". paper
B. tin can #. card!oard
.ecall
5. &or ur!an areas' the most ideal waste disposal system is.
A. sanitary pit privy ". \$e'e()&e
\$.\$em
B. septic tank system #. pour)lush latrine
.ecall
4. 3hich of the !elongs to the "ategory >> waste disposal unit(
A. "istern flush toilet connected to a sewerage system
B. P"u(/,lu\$! l)(i%e
". Bucket latrine
#. Bored hole latrine
.ecall
5. The most common cardiovascular disease that affect &ilipinos is
A. .heumatic Aeart disease
B. "DAB:troke
C. I\$#!emi# He)( *i\$e)\$e
#. Aypertensive Aeart disease
.ecall
6. An exercise program to !e effective' an optimal level of intensity must !e
achieved. This is measured in terms of the:
A. capacity to push himself to the limits ". a!ility to endure pain
B. m)0imum !e)( ()e ,"( )&e #. threshold for exhaustion
.ecall
9. 3hich of the following anthropometric measurements is the !est indicator
of current or recent malnutrition(
A. weight for age ". 'ei&! ,"( !ei&! ,"(
)&e
B. height for age #. !ody mass index
.ecall
10. A short)term solution to micronutrient deficiency disorders is:
A. food fortification ". tri)media nutrition
education
B. \$uppleme%)i"% #. community food
production
Analysis
35
11. 3hich of the following will not !e achieved !y a totally successful
/hilippine /lan of Action for 1utrition ;//A1<(
A. &ull fortification of selected /hilippine made food items with vitamin A '
>odine' and >ron
B. "omplete compliance and adoption of the &ilipino family to desira!le
food and feeding practices
". E()*i#)i"% ", )ll #)u\$e\$ ", m)l%u(ii"% i% !e P!ilippi%e\$
#. Assurance of food supply ade+uacy with augmentation from home and
community food production
.ecall
1\$. >t is only the female Anopheles mos+uito which is involved in the
development of
/lasmodium specie !ecause
A. there are no male Anopheles mos+uitoes
B. ,em)le m"\$-ui"e\$ %ee* ) 1l""* me)l 1e,"(e !e. #)% p("*u#e
e&&\$
". male Anopheles have no pro!oscis
#. only the female mos+uitoes are attracted to human !lood
.ecall
12. The natural mode of transmission of malaria is !y
A. co)natal transfusion
B. contaminated needles
C. i%"#ul)i"% ", \$p"("2"ie\$ !("u&! !e m"\$-ui" 1ie\$
#. !lood transfusion
.ecall
17. Aow many provinces in the country are endemic for malaria(
A. 34 ", !e 56 p("+i%#e\$ ". 1\$ of the 56 provinces
B. 70 of the 56 provinces #. 6 of the 56 provinces
.ecall
15. The =xpanded /rogram of >mmuni*ation ;=/>< of the government is aimed
at reducing the >nfant ?ortality and ?or!idity !y decreasing the
prevalence of
A. tu!erculosis' diphtheria' pertussis'tetanus'polio'measles'hepatitis A
B. u1e(#ul"\$i\$, *ip!!e(i),pe(u\$\$i\$,e)%u\$,p"li",me)\$le\$,!ep)ii\$
B
". tu!erculosis'diphtheria'tetanus' pertussis'german
measles'polio'hepatitis B
#. tu!erculosis' diphtheria'polio'measles'hepatitis A'tetanus'hepatitis B
.ecall
14. 3hich of the following is included in the ,extended family-(
A. Si\$e(/i%/l)' ". illegitimate child
B. :tep)parents #. &oster children
.ecall
15. 3hich of the following ,:tage "ritical Tasks- will a ,Fong Term ?arriage-
encounter(
A. #ifferentiation from family of origin ". M)i%)i%i%& #"uple
,u%#i"%i%&
B. .enegotiating relationship #. .enewing marriage
commitment
.ecall
16. 3hich of the following family is much more closely knit(
A. uppe( #l)\$\$ ". lower class
B. lower class #. lowest class
.ecall
19. A child experience conflict with practices in the home and school
regulations is at what ,:tage of &amily Fife "ycle-(
36
A. The Faunching family ". The 1ewly ?arried
"ouple
B. T!e F)mil. 'i! ."u%& #!il*(e% #. The &amily with
Analysis
\$0. =xtension of "overage of 1A>/ mem!ers includes which of the following
A. woring mother
!. 22 years high school student
C. 40 years old congenital cerebral palsy patient
D. "# years old acti\$e %olice officer
.ecall .ecall
\$1. \$1. 3hich of the following surgical procedures has the highest .DH( 3hich of the following surgical procedures has the highest .DH(
A. A. .uptured appendix wB a!scess or generali*ed peritonitis .uptured appendix wB a!scess or generali*ed peritonitis
B. B. C!"le#.\$e#"m. '7 e0pl"()i"% ", #"mm"% *u# C!"le#.\$e#"m. '7 e0pl"()i"% ", #"mm"% *u#
". ". #ilation and curettage #ilation and curettage
#. #. T.A.A.B.:.% T.A.A.B.:.%
.ecall
\$\$. 3hich of the following is a case of 1A>/ Benefits forfeiture
A. Dehicular accident patient confinement in a non)accredited hospitals
B. /atient died within the first \$7 hours
". /atient was transferred to a !etter e+uipped hospital !efore the first \$7
hours of confinement
#. P)ie% ')\$ *i\$#!)(&e 'i!i% !e ,i(\$ 89 !"u(\$ ", #"%,i%eme% 1.
)% )##(e*ie* !"\$pi)l
.ecall
\$2. %ne of the responsi!ilities of the %ccupational ?edicine /ractitioner is to
A. /eriodic examination exclusively done for high risk groups
B. /re placement examination exclusively done for high risk groups
C. Spe#i)l e0)mi%)i"% e0#lu\$i+el. *"%e ,"( !i&! (i\$: &("up\$
#. =fficient record keeping exclusively done for high risk groups
.ecall
\$7. 3hich of the following is considered an %ccupational #isease(
A. #ia!etes mellitus ". Acid peptic
disease
B. Aypertension D. P%eum"#"%i"\$i\$
.ecall
\$5. 3hich of the following is an intrinsic factor in occupational disease
causation (
A. social customs ". organi*ational set up
B. \$"#i"/e#"%"mi# #l)\$\$ #. disease agents
Application
\$4. 3hich !ranch of statistics are you using when you compute for the
average age of a
sample of 100 medical students(
A. *e\$#(ipi+e \$)i\$i#\$ ". estimation of parameter
B. inferential statistics #. hypothesis testing
.ecall
\$5. An advantage of using secondary data is that:
A. data are usually complete.
B. accuracy of data is assured.
". relevance of data is not usually a pro!lem.
D. *)) )(e ",e% )+)il)1le )%* )##e\$\$i1le.
Analysis
\$6. A "ity Aealth %fficer was notified of 10 cases of what seemed to !e like
37
#engue fever. Ae wanted to determine if this was a !eginning epidemic.
3here can
he get information on additional cases' if any(
A. registries of diseases ". hospital records
B. (ep"(\$ ", %"i,i)1le *i\$e)\$e\$ #. community clinic
records
.ecall
\$9. An attri!ute of statistical data which reflects the consistency of data when
more than
one o!servation is done is:
A. sensitivity ". validity
B. specificity D. p(e#i\$i"%
.ecall
20. The a!ility of a diagnostic test to produce results closest to the true value
of the
measurement is called:
A. sensitivity C. +)li*i.
B. predicta!ility #. precision
.ecall
21. The normal distri!ution or Gaussian curve is descri!ed as having the
following
characteristic:
A. mean is *ero ". standard deviation of XB) 1
B. pro!a!ility of 0.05 #. me)%, me*i)% )%*
m"*e )(e e-u)l
.ecall
2\$. The area under the normal distri!ution curve representing o!servations
that lie
!etween \$ standard deviations from their mean is e+ual to
A. 46.50S C. ;4.<<=
B. 90.5S #. 99.50S
.ecall
22. &or a distri!ution that is skewed to the left' the mean would !e:
A. at the same position as the median ". to the right of the median
B. " !e le, ", !e me*i)% #. e+ual to the mode
.ecall
27. >f the pro!a!ility that a particular event ;A< will occur depends on or is
influenced !y the prior occurrence of another event ;B<' that pro!a!ility is
called
A. a piori pro!a!ility C. #"%*ii"%)l
p("1)1ili.
B. empirical pro!a!ility #. complementary
pro!a!ility
Application
25. 3hich of the following is a nominal varia!le(
A. nutritional status ". serum glucose level
B. "u#"me ", ill%e\$\$ #. !ody
temperature
.ecall
24. The rationale for the use of the 8ates correction factor to offset the ,no
expected values less than 5- is to
A. make the chi)s+uare value smaller
B. make the p)value smaller
C. m):e !e *i,,e(e%#e 1e'ee% !e "1\$e(+e* )%* e0pe#e* +)lue\$
\$m)lle(
#. make the confidence interval smaller
38
.ecall
25. >n a 2 x 7 contingency ta!le' the degree of freedom is
A. \$ ". 5
B. 3 #. 1\$
.ecall
26. At the conventional level of significance' an o!served difference !etween
\$ proportions is considered significant if:
A. p/+)lue i\$ > <.<4 ". chi)s+uare value is Y\$
B. *)value is Y 5 #. confidence interval is Y
\$:#
.ecall
29. 3hich of the following is used to show pro!a!le relationship !etween two
+uantitative varia!les(
A. "omponent !ar diagram ". Bar graph
B. S#)e(p"i% *i)&()m #. /ictogram
.ecall
70. 3hich of the following is an alternative to the pie chart(
A. Bar graph ". &re+uency /olygon
B. C"mp"%e% 1)( *i)&()m #. Aistogram
.ecall
71. 3hich of the following is used to portray a!solute or relative fre+uencies'
population rates' or other numerical measurement across the categories
of a +ualitative or a discrete +uantitative varia!le(
A. B)( &()p! ". &re+uency
polygon
B. Fine #iagram #. Aistogram
.ecall
7\$. 3hich type of data presentation is appropriate if the intention is to show
detailed information(
A. Textular presentation ". Graphical presentation
B. T)1ul)( p(e\$e%)i"% #. All of the a!ove
.ecall
72. 3hich of the following isBare re+uirementBs for Puestionnaire
A. i \$!"ul* !)+e \$e%\$ii+i., \$pe#i,i#i., )%* p"\$ii+e p(e*i#i+e +)lue
B. respondents are not expected to know all the answer to the +uestions
". should !e am!iguous
#. fairly offensive
.ecall
77. :econdary data are collected !y which of the following methods of data
collection(
A. (e+ie' ", lie()u(e7*"#ume%\$ ". in+uiry
B. survey #. o!servation
.ecall
75. "hronologically' which of the following steps in Puestionnaire /reparation
should !e last(
A. Fist the varia!les to !e measured ". /repare the
draft of the +uestion
B. /retest the +uestionnaire #. M):e
%e#e\$\$)(. m"*i,i#)i"%
.ecall
74. >f death occurred within the 9urisdiction of the /hilippines !ut the exact
place of its occurrence cannot !e determined' the death shall !e
registered in the office of the local civil registrar of
A. pl)#e ", 1u(i)l up"% !e p(e\$e%)i"% ", ) #e(i,i#)e
B. victims last known address upon the presentation of a certificate
". !irthplace of the victim upon the presentation of a certificate
#. none of the a!ove
39
.ecall
75. 3hich of the following should !e accomplished if a less than 5 months
fetus dies \$7 hours
after !irth(
A. !irth certificate only
B. death certificate only
C. 1"! 1i(! )%* *e)! #e(i,i#)e\$
#. !oth !irth and death certificates marked for :tatistical /urposes %nly
.ecall
76. The process of o!taining a sample where the pro!a!ility of inclusion of a
unit is not known specified is o!served in which of the following sampling
methods(
A. :imple .andom sampling ". :tratified
:ampling
B. :ystematic sampling #. ?u") \$)mpli%&
.ecall
79. >mportance of appropriate determination of sample si*e includeBs:
A. the expense 'time and work is increased
B. !e ,e)\$i1ili. ", !e \$u*. i% e(m\$ ", )+)il)1ili. ", !e \$u1@e# i\$
)\$\$u(e*
". the duration of study and estimate of the !udget can !e extended
!eyond the estimates.
#. the precision of the study is diminished
Application
50. An investigator wants to undertake a study involving the incidence of drug
a!use among &ilipinos' which of the following methods is the most
appropriate sampling method to !e used(
A. :imple .andom :ampling ". :ystematic :ampling
B. :tratified :ampling #. Muli\$)&e S)mpli%&
.ecall
51. Fiving disease agents that readily die outside the human host re+uire for
their successful
transmission re+uires:
A. an intermediate host ". a common vehicle
B. a vector #. !e m"\$ *i(e#
#"%)#
.ecall
5\$. Aerd immunity depends on the following factors
A. degree to which an affected individual is capa!le of transmitting the
infection
B. the length of time during which an individual is infectious
C. \$i2e )%* \$"#i)l 1e!)+i"u( ", !e #"mmu%i.
#. all of the a!ove
.ecall
52. "haracteristics of passive immunity
A. it is temporary
B. it usually lasts 4 months in the new!orn
". it protects an individual for life
D. A )%* B
.ecall
57. >t is the first stage in the natural history of disease wherein disease has
not yet developed
although the groundwork has !een laid through the presence of factors
that favor its occurrence
A. P(ep)!"&e%e\$i\$ ". =arly clinical stage
B. =arly /athogenesis #. Fate clinical stage
.ecall
40
55. The level of prevention that is aimed at intervening !efore pathological
changes have !egun
during the natural history stage of suscepti!ility
A. P(im)(. p(e+e%i"% ". Tertiary prevention
B. :econdary prevention #. none of the a!ove
.ecall
54. A pattern of disease occurrence in a community where the greater
proportion of the cases are
su!clinical illustrates the
A. >nterference phenomenon ". Berksonian !ias
B. I#e1e(& p!e%"me%"% #. /earls fallacy
.ecall
55. "ertain diseases that do not confer immunity affect all age groups !ut the
incidence rates
are generally among the very young and the very old !ecause
A. they generally are more exposed to such diseases
B. !e. &e%e()ll. !)+e l"'e( &e%e()l (e\$i\$)%#e
". they have had no experience with such diseases
#. immuni*ation protects them from ac+uiring the disease
.ecall
56. #iseases which confers long lasting immunity are highest at
A. ."u%&e( )&e &("up\$ ". older age groups
B. middle age groups #. very young and very old
age groups
.ecall
59. The most important personal varia!le related to disease occurrence is
A. )&e ". marital status
B. sex #. socio)economic status
.ecall
40. #eath rates are higher for males than females throughout life and this may
!e due to the
following
A. sex)linked inheritance ". differences in hormonal
!alance
B. environment #. )ll ", !e )1"+e
.ecall
41. The ?:& ratio for Acute ?yocardial >nfarction mortality declines !y age 70
!ecause
A. ,em)le\$ l"\$ !e p("e#i+e !"(m"%e\$
B. females live longer
". more females than males !y this age and after
#. females seek medical care more than the males
.ecall
4\$. The most direct measure of socio)economic status
A. occupation ". ,)mil. i%#"me
B. family si*e #. area of residence
.ecall
42. %!served differences in disease fre+uency can !e due to errors of
measurement in which of
the following(
B. differences in precision of diagnosis #. A )%* B "%l.
.ecall
47. >n which particular situation will you suspect the disease to !e a ,place-
disease(
A. The disease has a high occurrence in the native inha!itants !ut not
among the immigrants.
41
B. T!e *i\$e)\$e !)\$ ) !i&! "##u((e%#e i% 1"! !e %)i+e i%!)1i)%\$
)%* !e mi&()%\$ " !e pl)#e.
". The disease will continue to have a high occurrence among the
offspring of the native inha!itants who have migrated out of the area.
#. The disease has a low occurrence among the native inha!itants and a
high occurrence among the migrants.
.ecall
45. >n the /hilippines' generally' variation in mortality rates !etween the cities
and the provinces
are due to differences in:
A. genetic suscepti!ility of the populations
B. exposure to the risk factors
C. )+)il)1ili. )%* )##e\$\$i1ili. ", me*i#)l #)(e
#. accuracy and completeness of diagnosis and reporting
Analysis
44. 3hich of the following can !est explain the higher occurrence of !reast
cancer
among the second generation "hinese' Eapanese and ?exican migrants
than the
first generation migrants(
A. The second generation migrants lost the protection provided !y their
genetic make)up.
B. The first generation migrants partly retained their traditional ha!its and
practices.
". T!e \$e#"%* &e%e()i"% mi&()%\$ 'e(e e0p"\$e* " !e (i\$: ,)#"(\$
,"( ) l"%&e( pe(i"*
", ime.
#. Breast cancer has a long latency period and therefore' would !e
expressed more in the
second generation migrants.
.ecall
45. Aigh herd resistance to an infectious disease limits the occurrence of the
disease
in a community !ecause:
A. >t prevents exposure of the population to the disease.
B. I 1l"#:\$ !e ()%\$mi\$\$i"% ", !e *i\$e)\$e.
". >t shortens the transmission time.
#. >t reduces the chances of death among the cases.
.ecall
46. "hanges in disease fre+uency usually encompassing several decades are
referred to as:
A. /eriodic trends ". cyclic intrinsic variations
B. \$e#ul)( (e%*\$ #. cyclic extrinsic fluctuations
.ecall
49. >f the line graph of mortality of a particular disease showed an a!rupt dip
or
decrease' this would most likely !e due to:
A. an increase in herd resistance of the population
B. an improvement in diagnostic procedures
C. )% imp("+eme% i% (e)me% m"*)liie\$
#. altered procedures in assigning causes of death
.ecall
50. Aigher patterns of non)infectious diseases during certain seasons are
pro!a!ly due to
A. accumulation of suscepti!les
B. change in the climate facilitating multiplication of disease agent
C. #!)%&e i% #lim)e m"*i,.i%& !um)% )#i+iie\$
=. change in disease reporting
.ecall
42
51. A "ase)report is commonly done for
A. statistical and registration purposes
B. legal purposes
C. *"#ume%i%& )% i%e(e\$i%& me*i#)l "**i.
#. generating hypothesis
.ecall
5\$. 3hich type of study determinesBmeasures !oth the exposure or factor and
the effect or outcome at the same time(
A. "ase)report study ". C("\$\$/\$e#i"%)l \$u*.
B. "ase)series study #. =cological study
Analysis
52. 3hich of the following study is appropriate if an investigator wants to
compare the \$ and 5 years survival rates of leukemia if the su!9ects are
randomly given a certain drug K(
A. "ase :eries studies ". "ase "ontrol studies
B. "ohort studies #. E0pe(ime%)l \$u*ie\$
Analysis
57. 3hich of the following is most appropriate if the o!9ective of the study is to
determine if hypotension increases the chance of fatal outcome in ?>
patients
A. "ase :eries studies ". "ase "ontrol studies
B. C"!"( \$u*ie\$ #. =xperimental studies
.ecall
55. The initial step in the analysis of data in case)control studies is
A. determination of the scale of measurement
B. )\$\$e\$\$me% ", !e ,)#"(
". computation of the indicators
#. assessment of causality
.ecall
54. The appropriate indicators in "ase)control study is
A. !e ,(e-ue%#.7p(e+)le%#e ", !e i%*epe%*e% +)(i)1le i% 1"! !e
#)\$e\$ )%* #"%("l\$
B. the fre+uencyBprevalence of the dependent varia!le in the exposed
and unexposed groups
". the measure of risk of occurrence
#. existence of statistical association
.ecall
55. :tatistical association found !etween a factor and disease could !e
causal if the association is strong@ the strength of association in "ase)
control studies is measured !y the
A. .elative risk ". O**A\$ ()i"
B. Attri!uta!le risk #. .isk ratio
.ecall
56. 3hich of the following statements is true a!out cohort studies(
A. They are also called prevalence studies.
B. Su1@e#\$ )(e #!"\$e% "% !e 1)\$i\$ ", '!e!e( !e. !)+e !e
"u#"me "( %".
". They !egin with identification of a risk group.
#. Actual risk of the outcome cannot !e determined using cohort studies.
.ecall
59. 3hich is an advantage of a concurrent over a non)concurrent cohort
study(
A. smaller sample si*e ". less !iases
B. shorter follow)up period #. *i(e# me)\$u(eme% ",
"u#"me
43
.ecall
60. A re+uirement for validity of cohort studies is that:
A. su!9ects should !e representative of target population.
B. exposure varia!le should !e randomly distri!uted !etween the study
groups.
". \$u*. &("up\$ \$!"ul* 1e \$imil)( i% )ll (e\$pe#\$ e0#ep ,"( !e
e0p"\$u(e.
#. investigator should !e !linded to eliminate !ias.
.ecall
61. A varia!le other than the one under investigation which may !e associated
with
!oth the factor and the outcome and thus may produce a spurious
association is called aBan:
A. independent varia!le ". #"%,"u%*i%& +)(i)1le
B. dependent varia!le #. misclassification varia!le
.ecall
6\$. 3hich of the following is not a re+uirement of a descriptive study(
A. S)mple (ep(e\$e%)i+e ", )(&e p"pul)i"%
B. "ontrols
". :imilarity of comparison groups
#. All of the a!ove
.ecall
62. 3hich of the following is T.H= with regards to the su!9ects of an
=xperimental study(
A. :ample representative of target population
B. well and diseased persons can included in the sample in a trial of
preventive measure
C. *i\$e)\$e* pe(\$"%\$ #)% 1e !e \$u*. p"pul)i"% i% ) #u()i+e (i)l
#. all of the a!ove
.ecall
67. 3hich of the following is a strength of =xperimental study(
A. appropriate for diseases with low or rare occurrence
B. can study multiple effect of a single exposure
C. )ll"'\$ )(i,i#i)l m)%ipul)i"% ", !e \$u*. ,)#"(\$
#. all of the a!ove
.ecall
65. 3hich of the following statement is T.H=(
A. Blinding aim to eliminate the effects of intervention
B. Pl)#e1" )*mi%i\$()i"% )im " elimi%)e !e e,,e#\$ ", u%i%e%*e*
,)#"(\$
". Both !linding and /lace!o administration aim to eliminate the effects of
intervention
#. Both !linding and /lace!o administration aim to eliminate the effects of
intended factors
.ecall
64. The strongest of all research study is:
A. Hncontrolled Trial ". C("\$\$/O+e( T(i)l
B. /arallel "ontrolled Trial #. Puasi)experiment
.ecall
65. >n an experimental study' if groups show dissimilarity' ad9ustments should
!e done in the:
A. ?easurement of !aseline varia!le ". measurement of outcome
varia!le
B. Application of treatment #. )%)l.\$i\$ ", *))
.ecall
66. 3hich of the following is most vulnera!le to Aawthorne effect(
A. /arallel controlled trial C. U%#"%("lle* (i)l
44
B. "ross)over trial #. 1one of the a!ove
.ecall
69. 3hich of the following trial should !e use to determine the effectiveness of
a health program(
A. C"mmu%i. (i)l ". Therapeutic trial
B. "linical trial #. /rophylactic trial
.ecall
90. #engue is currently occurring in epidemic proportion in several areas in
the country !ecause
A. the existing strain of the disease agent has !ecome more virulent
B. a new strain of the disease agent has !een introduced
C. ", i%#(e)\$e* "pp"(u%iie\$ ,"( ()%\$mi\$\$i"%
#. of inade+uacy of health services
.ecall
9\$. To esta!lish the existence of an out!reakBepidemic' which of the following
should !e done(
A. construct the epidemic curve
B. determine the onset of the epidemic
C. #"mp)(e !e p(e\$e% i%#i*e%#e 'i! !e %"(m)l e0pe#)%#.
#. compute and compare the attack rate
.ecall
92. .educing or exhausting the suscepti!les in the area to prevent new cases
from developing
would !e accomplished if
A. they are +uarantined
B. !e. )(e ))#:e* 1. !e *i\$e)\$e
". the cases are isolated
#. the cases are ade+uately treated
.ecall
97. >f +uarantine is necessary to contain an out!reakBepidemic' who of the
following should !e
+uarantined(
A. "ases ". contacts
B. "arriers #. \$u\$pe#\$
.ecall
95. 3hich type of study is generally utili*ed in investigating
out!reakBepidemics(
A. case series ". #"!"(
B. case)control #. interventional
.ecall
94. The initial step in planning for data collection is:
A. #etermine the research o!9ectives ". :pecify source of data

B. I*e%i,. !e *)) " 1e #"lle#e* #. "hoose the
appropriate method
.ecall
95. /lanning for data collection is !ased on the:
A. (e\$e)(#! "1@e#i+e\$ ". num!er of su!9ects
B. data to !e collected #. time for data collection
.ecall
96. The main consideration in the choice of the method of data collection is
the:
A. )1ili. ", !e me!"* " .iel* me)\$u(eme%\$ "( +)lue\$ !) i\$
#l"\$e\$ " !e (ue +)lue
B. availa!ility of resources for data collection
". accepta!ility of the method to the su!9ects
45
#. a!ility of the method to achieve good coverage of the study population
.ecall
99. The pro!a!ility that a test will declare positive those who have the disease
is:
A. \$e%\$ii+i. ". positive predictive value
B. specificity #. positive likelihood ratio
.ecall
100. "haracteristic of selection of appropriate and ade+uate su!9ects includes:
A. A vital stage in any research activity.
B. Begins with determination of suita!le reference or target population
and ends with
response of the selected persons to the invitation to 9oin the study.
". >t influences the validity of the study.
D. All ", !e )1"+e
BQQQ1. Adopted children are considered mem!ers of:
A. Blended family
B. 1uclear family
". =xtended family
#. "onsanguineal family
BQQQ\$. "ommunity interaction and independence are encouraged in this family
type:
A. .andom type family
B. %pen type family
". "lose type family
#. "orporate family
BQQQ2. This family assessment tool ena!les the physician to determine family
dynamics
and family health pro!lems:
A. &amily Genogram
B. A/GA.
". :".==?
#. &amily "ircle
AQQQ7. /resent day &ilipino families have accepted this family phenomenon:
A. Aus!and no longer monopoli*es as the !read winner
B. >nstitutionali*ation of the aged mem!er
". /arenting is restrictive
#. Authoritative parents
AQQQ5. &amily Fife "ycle provides the physicians the most important information
regarding:
A. se+uence of stressful events with familys read9ustments to maintain
health
and via!ility
B. weak points are identified for the physician to strengthen
". !ad practices for the physician to correct
#. the dominant person in the family is identified for the physician to
solely rely on himBher
"QQQ4. "onsidered most challenging stage of the family life cycle :
B. 1ewly married couple
". &amily with young children

## #QQQ5. This stage of family Fife "ycle is characteri*ed !y the shifting

generational roles:
A. 1ewly married couple
46
". Faunching family
#. &amily in later years
#QQQ6. A time for positive growth and creative exploration for the entire family
B. 1ewly married couple
". &amily with young children
"QQ9 . The most important aspect of health promotion among adolescents
A. :creening
B. >mmuni*ation
". Aealth education
#. "ounseling
AQQ10. Almost 50S of pregnant &ilipino women are suffering from::
A. anemia
B. scurvy
". vitamin deficiency
#. lack of iodine
"QQ11 ?edian urinary iodine level that indicates mild >##
A. U \$0 ugBF
B. \$0)79 ugBF
". 50)99 ugBF
#. Y 100 ugBF
"QQ1\$. #aily vitamin A intake of pregnant women should not exceed
A. 500 iuBday
B. 5'000 iuBday
". 10'000 iuBday
#. \$0'000 iuBday
=. \$00'000 iuBday
BQQ12 ?ost fre+uently reported de!ilitating chronic disorder among the elderly:
A. asthma
B. hypertension
". dia!etes mellitus
#. arthritis
"QQ17 Triage is done during this phase of the =mergency ?edical :ervices
system:
A. pre)treatment phase
B. preliminary care phase
". definitive care phase at the receiving facility
#. recuperation phase
AQQQ15. 3hich of the following is the real primary target of 1ational
>mmuni*ation #ay(
A. /oliomyelitis
B. Tu!erculosis
". ?easles
#. #iptheria' pertussis' tetanus
#QQQ14 The main goal of the countrys "A.> program is:
A. =arly detection of pneumonia cases
B. /rompt treatment of /neumonia cases
". =fficient clinical assessment and management of /neumonia cases
#. .eduction of /neumonia deaths
AQQ 15. To lessen mortality from pneumonia' the "A.> program endorses:
A. early diagnosis of pneumonia cases
47
B. hospital admission of all patients with pneumonia
". giving oral anti!iotics to all children with cough and colds
#. influen*a immuni*ation
"QQQ16. 3ith the emergence of cardiovascular as the leading cause of mortality'
#%A
formulated the 1ational "ardiovascular #isease /revention and "ontrol
/rogram aimed primarily to:
A. identify high risk individuals
B. treat all identified cases of cardiovascular disease
". promote healthy lifestyle
#. promote the use of indigenous drugs to treat cases

#QQ19. >naccessi!ility to health care in the /hilippines is mostly due to:
A. migration of doctors to other countries
B. lack of health centers and !arangay health stations
". lack of nurses
#. most hospitals' health care facilities and doctors are ur!an !ased
BQQQ\$0. >ncreased prevalence rate is seen in:
A. increasing population
B. increased survival
". increased incidence
#. epidemics

BQQQ\$1. A stage in the &amily Fife "ycle where parents and grandparents are
encountering crisis as well:
A. Faunching
B. &amily in later years
#. &amily with young children
A.QQ\$\$. An example of primary prevention is:
A. ?easles immuni*ation
B. self examination of the !reast for tumors
". smoking cessation after a heart attack
#. cervical cytology screening
BQQ \$7. Births in the /hilippines are registered in the municipality or city :
A. where the infants parents live
B. where the infant was !orn
". of the parents choice
#. listed as the familys permanent residence
R
" QQ\$5. The cause of death coded for the purpose of ta!ulating mortality
statistics is:
A. >mmediate cause of death
B. intermediate cause of death
". underlying cause of death
#. antecedent cause of death
BQQ\$4 . The registration of death in the /hilippines as specified !y law must
!e done
not later than:
A. \$7 hours after death
B. 76 hours after death
". \$ weeks after death
#. 20 days after death
"QQ\$5. #eaths in the /hilippines are registered in the municipality or city::
A. where the deceased was !orn
B. of the persons usual residence
". where the person died
#. listed as the persons permanent address
48
AQQ\$6 Accumulation of this metal in organs and tissues of humans has !een
!rain damage:
A. mercury
B. aluminum
#. silver
BQQ \$9 This "&" offender is ,o*one safe- and does not contain chlorine:
A. A"&" ;hydrochlorofluorocar!ons<
B. A&"s ;hydrofluorocar!ons<
". Aydrocar!ons
#. "hlorofluorocar!ons
BQQ .20. ?ethod of food preservation which prevents multiplication of !acteria
without
destroying them:
A. preserving
B. refrigeration
". fermentation
#. pickling
"QQ21 . ?ost important test to determine if the water is potentially dangerous:
A. physical examination
B. !iological examination
". !acteriological examination
#. chemical examination
BQQQ2\$. The coliform count from a well is 25B100 cc. The treatment re+uired is:
A. .e9ection of sources
B. :tandard treatment
". #ou!le treatment
#. Triple treatment
AQQQ22. ?ilk is !est preserved !y this method:
A. :terili*ation
B. Boiling
". &ree*ing
"QQQ27. %f the following devices for excreta disposal' the most dangerous in
contaminating ground water is:
A. "hemical privy
B. /ail system
". Bored hole latrine
#. :eptic tank
BQQQ25 The concentration of which of the following greenhouse gases is affected
!y
deforestation
A. 3ater vapor
B. "hlorofluorocar!ons
". ?ethane
#. 1itrous oxide
BQQQ24. &ormation of sticky precipitates of soap with water indicates that the
water is:
A. /olluted
B. Aard
". "ontaminated
#. :oft
49
#QQQ25. >ncrease in which of the following in drinking water is associated with
Al*heimers disease
A. Antimony
B. Ninc
". :ilver
#. Aluminum
BQQQ26. #issolved gases and odors in water are removed !y:
A. &iltration ". :edimentation
B. Aeration #. "oagulation
#QQQ29. "hlorination of water is directed towards:
B. %dor #. Bacteria
BQQQ 70. The recommendedl refuse disposal method for hospital is:
A. #umping
B. >ncineration
". .ecycling
#. "omposting
AQQQ71. The cheapest and most fre+uently used refuse disposal in the
community
!ut can result to water and air pollution is:
A. #umping
B. :anitary landfill
". >ncinerationW
#. .eduction and salvage
"QQ7\$. The first step in an epidemiologicBout!reak investigation@
A. &ormulate the hypothesis
B. "haracteri*e the epidemic
". #etermine the existence of an epidemic
#. >mplement control methods
BQQ72. The ultimate goal of an epidemiologic investigation:
A. To re+uest for international aid
B. >nstitute curative' preventive and control measures to avoid more cases
". >dentify administrative and operational pro!lems of a health agency
#. To determine discrepancies or gaps in policy implementation

AQQQ77. /rimary Aealth "are "oncept is:
A. meant for people to attain health !y !eing responsi!le for it
B. the provision of all health care services at afforda!le prices
". meant to give accessi!le' afforda!le and availa!le primary'
secondary and tertiary care
#. a level of care
BQQ75. #irection of personnel and techni+ues in operation as a component of
pu!lic
A. organi*ation
B. management
". staffing
#. performance evaluation

AQQ74 . "ommunity #iagnosis is usually regarded as:
A. situational analysis
B. analysis of needs
". health survey
#. health program planning
"QQ75. >n the model of a Aealth "are #elivery :ystem' ,input- refers to:
A. health activities
B. health products
". health resources
50
#. feed!ack
AQQ76. .egulation of importation' manufacture' marketing' and consumer
utili*ation of
all drugs refer to:
A. +uality control
B. rational use of drugs
". development of self)reliance in the local pharmaceutical industry
#. tailored or targeted procurement of drugs !y the government
#QQ79. "ontrol as a component of a health system model is exemplified !y:
A. immuni*ation programs
B. num!er of fully immuni*ed children
". vaccines and reagents
#. immuni*ation protocol
"QQQ50. >n community health planning' the B=:T people to identify and prioriti*e
pro!lems are the:
A. "ommunity doctors #. :ocial worker
B. Dolunteer health workers =. 1ursesBmidwives
". "ommunity people themselves
"QQ51. .ecognition of each ones roles and functions in a multidisciplinary team
is
A. "omprehensive
B. "ontinuous
". Teamwork
#. "oordinated
BQQ5\$. >n a planning cycle' analysis of why programs and pro9ects fail is:
A. :ituational analysis
B. =valuation
". >mpact analysis
#. planning
AQQ52. 3ith the implementation of the Focal Government "ode' municipal and
city
health services are placed under the supervision of the:
A. "ity and municipal mayors
B. #octors of district hospitals
B. #%A
". /GA
#QQ57. 3hich of the following will make a country a priority for international aid(
A. >?. of 5B1000 live!irths
B. >?. of 15B1000 live!irths
". >?. of \$0B1000 live!irths
#. >?. of 50B1000 live!irths
BQQ55. The ideal denominator for ?aternal ?ortality .ate !ut cannot !e used :
A. Total live!irths
B. 1um!er of pregnant women
". Total !irths
#. ?idyear population
AQQ54. ?ost commonly used index of fertility:
A. "rude Birth .ate
B. General &ertility .ate
". Age :pecific Birth .ate
#. Total &ertility .ate
"QQ55. .egarding exposure and outcome a relative risk of 15 for a certain
disease
means:
A. 1on causal association
B. Beneficial association
51
". Aarmful association
#. #efinite causal association
BQQ56. :waroop-s index in an indicator of the following:
A. medical ' social and economic condition of the area where it is applied
B. a !etter chance for longer survival given to a population
". relative importance of different diseases as cause of death
#. the ,killing power- of a disease

BQQ59. The first line of defense against occupational ha*ard:
A. personal protective e+uipment
B. engineering control
". ergonomics
#. good nutrition
ABB3<. F"( )\$.mp"m)i# )%* %"(m"e%\$i+e el*e(l., 1l""* p(e\$\$u(e
m"%i"(i%& \$!"ul*
!e:
A. =very month
B. =very 4 months
". =very year
#. 3henever convenient
AQQ41. &or high risk elderly women /aps smear should !e done:
A. Annually
B. =very \$ years
". =very 2 years
#. =very 5 years
"QQ4\$. The earliest relia!le predictor of pneumonia in the "A.> /rogram is:
A. cyanosis
B. chest indrawing
". tachypnea
#. lethargy
BQQ42. >n the "A.> /rogram a child with productive cough must !e given:
A. Antitussives
B. A lot of fluids
". =xpoectorants
#. Anti!iotics
"QQ47. >n the "A.> /rogram the diagnosis for a 4)month old child with .. T
40Bmin'
"hest ' indrawing' intercostal and su!costal retraction !ut without
cyanosis
A. 1o pneumonia
B. /neumonia
". :evere pneumonia
#. Dery severe pneumonia
AQQ 45. The first line of anti!iotic regimen under the "A.> /rogram:
A. oral "o)trimoxa*ole
B. procaine penicillin
". chloramphenicol
#. gentamicin

BQQ44 :o that an epidemic of chicken pox will not occur the !est control
measure is:
a. &uarantine of cases
b. isolation of cases
c. control of animal reservoir
d. surveillance of cases

#QQ45. :uccess in %.T of a child with diarrhea at home is achieved !y:
52
A. the doctor explaining to the motherBcaretaker how it is done
B. having posters on the clinic wall showing how %.T is done
". a nurse or health worker demonstrating %.T
#. the motherBcaretaker practicing giving %.T guided !y a health worker
BQQ46. The main thrust in the control of diarrhea !y the #%A:
A. en\$ironmental sanitation
B. oral rehydration therapy with %.=:%F
". pu!lic education
#. immuni*ation
AQQ49. A very early sign of dehydration in a child with diarrhea:
A. thirst
B. sunken eyes
". increased pulse and !reathing rates
D. somnolence
#QQ50. /rimary reason for inclusion of glucose in oral rehydration solution:
A. as a source of calorie
B. for palata!ility
". to increase the nutritive value
#. to help in the a!sorption of sodium
BQQ51. A. proportionate ?ortality indicator:
A. Age)sex specific death rate
B. :waroops index
". >nfant ?ortality .ate
#. 1eonatal ?ortality .ate
!!"#. \$o establis% &ays to improve t%e overall %ealt% stat's of comm'nities
t%e best
e(perimental approac% to 'se is)
A. Clinical trial
B. "ommunity trial
". Therapeutic trial
#. >ntervention trial
BQQ52. The most accurate relative risk is the one esta!lished in:
A. case)control study
B. cohort prospective
". cohort retrospective
#. cross)sectional study
=. all of the a!ove
BQQ57. To determine the prevalence of a disease this study design is used
A. #escriptive #. cohort
B. "ross sectional =. experimental
". "ase control
"QQ55. A cross)sectional study is not applica!le for this purpose:
A. determine the magnitude of diseases
B. esta!lish !aseline data
". study causes of disease
#. study rare diseases
#QQ54. "ontrols in a case)control study are those:
A. who will constitute the comparison group
B. who will not develop the outcome
". who will not !e given the experimental drug
#. who do not have the illness !eing studied
53
"QQ56. The most important thing to consider in the selection of cases in a case)
control
study:
A. That the cases will definitely show positive exposure
B. That the cases can !e interviewed regarding past experiences
". That the cases satisfy the specific diagnostic criteria
#. That the cases are typical of the patients to !e studied
"QQ59. 1ot true of cohort studies:
A. >nvestigators still have to wait for the outcome
B. "ontrols are those without exposure or risk factor
". >ntervention is given to the exposure group
#. :tudy moves forward with time
"QQ60. :tatementBs that descri!es an experimental study:
A. The investigator can only o!serve occurrence of disease in people
under
natural setting
B. "ontrast in outcome !etween study groups are o!served' not created
in a
controlled way
". The investigator controls conditions under which the study is done
#. The investigator o!serves disease occurrence in people who are
grouped on the !asis of experience or exposure.
#QQ61. The study design where the investigator has control over the conditions
of the
study:
A. cross)sectional l
B. case)control
". cohort
#. experimental

#QQ 6\$.=xperimental studies are concerned with
A. >nvestigating hypothesis regarding causal association
B. ?easuring effects on animals of introducing in a controlled way new
cures for diseases
". %!serving distri!ution of diseases in population
#. Testing hypothesis through direct control over assignment of su!9ects to
study groups
#QQ 62. >ntervention trial is exemplified !y:
A. :imple mastectomy for !reast cancer
B. B"G vaccination for prevention of TB
". >sonia*id for TB prophylaxis
#. Antihypertensive drugs to minimi*e stroke

54
BQQ 67. The pro!a!ility sampling method that assures ade+uate representation
of
minority su!)groups
A. :ystematic sampling
B. :tratified sampling
". "luster sampling
#. :imple random sampling
:
"QQ65. ?anagement of infants with diarrhea under the "## /rogram
A. .est the stomach !y fasting for a day
B. :hift from !reastfeeding to lactose free formula
". Add vegeta!le oil to food
#. :tart co)trimoxa*ole after 4 episodes of diarrhea

#QQ64. The most effective method to control TB in the /hilippines is:
A. >solation of TB patients
B. ?ass chemoprophylaxis with >1A
". ?ass chest x)ray and treatment of cases
#. ?ass B"G vaccination
BQQ 65.The most common complication associated with B"G vaccination is:
con\$ulsion
encephalitis
reactivation of TB
BQQ 66.The management for an infant who developed a 10 mm red' tender
swelling at
the B"G site is:
A. application of topical anti!iotic on the swelling
B. assurance of the mother that no treatment is needed
". application of pulveri*ed >1A on the swelling
#. prophylactic >1A at 10 mgBkgBday
"QQ69. %ccurrence of a group of illness of similar nature clearly in excess of
normal
expectancy@
A. Aoloendemic
B. Ayperendemic
". =pidemic
#. /andemic
"QQ90 The rate used as an indicator of an out!reak or an epidemic:
A. ?or!idity rate
B. "ase fatality rate
". >ncidence rate
#. /revalence rate
AQQ91. A graphical presentation of data most useful in locating cases during an
epidemic:
A. :pot map
B. /ictograph
". :catter diagram
#. Aistogram
"QQ9\$. .isk considered due to exposure:
A. relative
B. a!solute
". attri!uta!le
#. odds ratio
AQQ92. The one that esta!lishes cause)effect relationship is:
A. relative risk
B. a!solute risk
". attri!uta!le risk
#. odds ratio
55
BQQ97. .andomi*ed control trial means:
A. randomi*ation was used and there is a control group
B. randomi*ation was used' there is a control group and conditions are
controlled !y the investigator
". randomi*ation was used' there is a control group and the study is
!linded
#. randomi*ation was used' there is a control group' the study is dou!le
!linded
#QQ95. "ross)over trial means:
A. with separate comparison groups
B. with separate control groups
". no control group
#. su!9ect and control are the same persons
#QQ94. To encourage community participation' the local doctor should do the
following:
A. invite people from civic organi*ations
B. refer to specialist if the need arises
#. listen when people relate their pro!lems
BQQ95. >n the /hilippines' the age range most infected with A>D is:
A. 15 C \$7 years old
B. \$5 C 29 years old
". 25 ) 77 years old
#. 75 C 55 years old
BQQ96. The most important mission of the #epartment of Aealth
A. /romote healthy lifestyle
B. =nsure accessi!ility and +uality of health care
". .educe mor!idity and mortality
#. >mprove the general health status of the people
"QQ99. 3hich diagnostic test is constantly reviewed in the 1ational TB
program(
A. Bronchoscopy
B. "hest x)ray
". :putum culture
#. Tu!erculin skin test
"QQ100. >f a pregnant woman received 2 doses of Tetanus Toxoid she will have
an
immunity against tetanus for how many years(
A. 2 years
B. 5 years
". 10 years
#. 15 years
"QQ101. The mother of a 5)month old infant claimed that her !a!y had received
complete immuni*ation for his age. %ne can assume that the !a!y has
A. B"G and measles vaccine
B. B"G' 2 doses of %/D and 1 measles vaccine
". B"G and \$ doses of #/T vaccine
#. B"G' 2 doses of %/D' #/T' Aepatitis B vaccine' 1 measle7s vaccine
1. /rimary health care as defined in Alma Ata is referred to as:
A. first contact !etween a physician and the patient
B. \$()e&. uili2i%& p)(i#ip)"(. )pp(")#! i% !e p("+i\$i"% ",
1)\$i# !e)l! \$e(+i#e\$ " !e pe"ple.
". training program on first aid for the people in the communities
#. a program of health activities carried out !y health professionals
56
\$. A characteristics feature of /rimary Aealth "are include one of the
following:
A. #"mmu%i. p)(i#ip)i"%
B. infrastructure development and moderni*ation
". emphasis on curative medical care
#. training of health professionals
2. /eople empowerment in primary health care is !rought a!out through this
means:
A. volunteerism among the target population
B. hiring and employment of community health workers
C. #"mmu%i. "(&)%i2)i"% p("#e\$\$
#. endorsement from church and political community leaders
7. This type of health program allows maximum room for community
participation and empowerment:
A. hospital !ased program
B. community oriented health program
C. #"mmu%i. m)%)&e* !e)l! p("&()m
#. community)!ased health program
5. The !asic foundation of the community !ased and managed health
program is:
A. team approach
B. health human rights
". e+uality and 9ustice
D. #"mmu%i. "(&)%i2)i"%
4. The main case finding strategy advocated in the 1ational Tu!erculosis
/rogram is:
B. \$puum mi#("\$#"p.
". #%T:
#. ?antoux test
5. Based on the national ?alaria control program' the currently
recommended principal measure directed against the mos+uito vectors in
?alaria is:
A. !iologic vector control
B. residual spraying with ##T
C. u\$e ", #!emi#)l imp(e&%)e* m"\$-ui" %e\$
#. sterili*ation of male mos+uitoes
6. The >ntegrated ?anagement of "hildhood >llnesses ;>?">< re+uires the
delivery of the following service;s< for a child who visit a physicians clinic
for any health related pro!lems:
A. routine immuni*ation
B. !reastfeeding education for the mother
". proper and ade+uate nutrition counseling
D. )ll ", !e )1"+e
9. The most cost effective preventive measure for the control of
cardiovascular diseases:
A. "D# screening using ="G
B. environmental cleanliness
C. p(im"(*i)l p(e+e%i"% ", CVD (i\$: ,)#"(
#. genetic counseling
10. This is an essential health service that is availa!le' accessi!le and
afforda!le !y the community:
A. social care
B. preventive medicine
". medical care
D. p(im)(. !e)l! #)(e
11. The following level of health care does 1%T !elong to primary level:
57
A. teacher health guardians
B. eme(&e%#. !"\$pi)l
". rural health unit
#. rural health midwife
1\$. 3hich of the following measures has the greatest impact on community
health(
A. provision of social services
B. p("+i\$i"% ", p")1le ')e( \$uppl.
". immuni*ation
#. medical care of the sick
12. The health status of a community may !e measured or expressed in terms
of:
A. availa!ility and utili*ation of health care services
B. availa!ility of pu!lic utilities
C. i\$ \$)i\$i#)l i%*i#e\$ ", m"(1i*i. )%* m"()li.
#. all of the a!ove
A. ,"(m)i"% ", "1@e#i+e\$
B. identification of roles and their relationships
". educational analysis
#. determination of resources
15. The local health department is usually associated with this type of health
care planning:
A. mor!idity planning
B. p"pul)i"%/1)\$e* pl)%%i%&
". institution)!ased planning
#. financial planning
14. The prime yardstick of child health level in the community is
A. i%,)% )%* #!il* m"()li. ()e
B. num!er of live !irths
". num!er of preschool children
#. num!er of health centers
15. Growth monitoring is important in a primary health care program !ecause
it
A. ell\$ u\$ !"' m)%. #!il*(e% )(e ) (i\$: ", 1ei%& m)l%"u(i\$!e*
B. affords an occasion for maternal education
". tells us how many children are undernourished in the community
#. improves the nutritional status of children in the community
16. 3hich factor determines the highest use of health care(
A. sex
B. education
C. )&e
#. income
19. The lowest operating unit of the #%A is the:
A. emergency hospital
B. (u()l !e)l! u%i
". !arangay health station
#. district health office
\$0. /u!lic health centers do 1%T need constant supplies of:
A. )%i*i)((!e)l\$
B. analgesics
". antipyretics
#. anti!iotics
58
\$1. A primary health care team is composed of:
A. %ffice of the :ecretary of Aealth
B. /rovincial Aealth %fficer and staff
". ?unicipal Aealth Hnit and staff
D. I%e(*i\$#ipli%)(. #"mp"\$ii"% ", #"mmu%i. pe"ple '"(:i%& "
&)!e( u%*e( p(",e\$\$i"%)l \$upe(+i\$i"%
\$\$. The principal and uni+ue strategy of the /A" is:
A. emp"'e(me% ", !e pe"ple
B. holistic health care delivery
". teamwork among health personnel
#. sociali*ation of health care
\$2. 3hich of the following is 1%T included in the essential health service of
/rimary Aealth "are(
A. immuni*ation against the ma9or infectious disease
B. p("+i\$i"% ", ,(ee *(u&\$
". provision of safe water and !asic sanitation
#. appropriate treatment of all existing diseases
\$7. ?edicare !enefits include:
A. psychiatry
B. \$u(&e(.
". optometry
#. diagnostic tests
\$5. Hnder ?edicare and most hospitals' the anesthesiologistZs fee should
1%T exceed QQQQQS of the allowa!le surgeonsZ fee:
A. 10S
B. C<S
". 70S
#. \$0S
\$4. The 1995 1ational Aealth >nsurance /rogram covers the:
A. government employees only
B. indigent patients only
C. )ll Filipi%" #ii2e%\$
#. unemployed citi*ens
\$5. B"G vaccine is given according to the =xpanded /rogram on >mmuni*ation
of the /hilippines' at what age(
A. 2 months
B. 4 months
C. ) 1i(!
#. 9 months
\$6. "ontrol TB infectivity is !est achieved !y:
A. isolation
B. personal hygiene and cleanliness
C. p("mp \$pe#i,i# *(u& (e)me%
#. education
\$9. The #epartment of Aealth currently recommends the most effective mode of
anti)TB treatment !y:
A. two)week monitoring
B. *i(e#l. "1\$e(+e* !e()p.
". home visits
#. health center !ased follow)up
20. #uring a diarrhea !out' !reastfeeding of this infant should !e
A. stopped and su!stitute with a lactose)free formula
B. temporarily discontinued
C. &i+e% m"(e ",e%
#. limited
59
21. A program in the control of communica!le diarrheal diseases !y the
#epartment of Aealth:
A. hydrotherapy
B. "(e\$"l !e()p.
". physiotherapy
#. use of intravenous fluids
2\$. :creening of children has !een proven cost)effective for all of the following'
=K"=/T:
A. !.pe(e%\$i"%
B. iron)deficiency anemia
". vision impairment
#. tu!erculosis
22. The "ivil registry Faw includes the registration of
A. Births and marriages
B. !irths' sickness and marriages
C. 1i(!\$, *e)!\$, m)((i)&e\$
#. !irths' deaths' sicknesses' marriages
27. A \$6 day old infant is classified as:
A. %e"%))l m"()li.
B. fetal neonatal mortality
". post)neonatal mortality
#. perinatal mortality
25. The denominator in getting the sex ratio in a population is
A. %um1e( ", ,em)le\$
B. num!er of fertile females
". num!er of fertile males
#. num!er of males
24. An investigator reported three cases of carcinoma of the lungs among
workers in a cement plant. This type of study is !est descri!ed as
A. "ohort
B. C)\$e \$e(ie\$
". "ase report
#. "ase control .
25. The ma9or activities undertaken in the maternal and child health program
does 1%T include
A. Immu%i2)i"% ", p(e&%)% m"!e(\$ )&)i%\$ me)\$le\$
B. proper pneumonia prevention
". promotion of prenatal care
#. monitoring of growth and health status of infants and children
26. %ne of the ma9or determinants of the degree to which chance affects the
findings in any particular study is
A. statistical testing
B. \$)mple \$i2e
". randomi*ation
#. !ias
29. Aepatitis B spread is 1%T known to occur in
A. e)i%& ,""*
B. sexual contacts
". household contact
#. mother to child transmission in perinatal period
70. 3hat kind of epidemiologic study should !e done to determine the cause of
an unusual infection(
A. experimental studies
B. )%)l.i# \$u*.
". descriptive study
#. none of these
60
71. %ne of the following is 1%T descriptive of a young population
A. population pyramid with a wide !ase
B. median age of \$0)\$7 years
". crude !irth rate greater than 20B1000
D. *epe%*e%#. ()i" ", D:D
7\$. :pecific health protection can !e carried out !y
A. Immu%i2)i"%
B. chemotherapy
". Aealth education
#. A and B only
72. The =xpanded /rogram on >mmuni*ation is concerned with this particular age
group:
A. I%,)%\$ 1el"' D .(, \$#!""l e%()%#e, )%* p(e&%)% '"me%
B. >nfants !elow 4 mos' pre)schoolers' and pregnant women
". 1eonates' pre)schoolers' and post)partum women
#. >nfants of any age' school children' and pregnant women
77. The recommended age for the start of #/T)%/D immuni*ation under the
government =/> is
A. 6 weeks
B. 10 weeks
C. 3 'ee:\$
#. 1\$ weeks
75. An example of artificial active immunity is one that is derived from
A. giving of gamma glo!ulin
B. +)##i%)i"%
". actual illness
#. transplacental passage of anti!odies
74. "ontrolled studies mean
A. An experiment is !eing done
B. T!e(e i\$ ) #"mp)(i\$"% &("up
". the characteristics of the participants are all the same
#. a group is not to !e given the experimental procedure
75. A study was done to prove that co)trimoxa*ole is more effective than other
drugs in treating respiratory tract infections in am!ulatory patients in a
community. The suita!le control group will receive
A. Another drug for respiratory infections
B. T!e \$)%*)(* *(u& ,"( (e)i%& (e\$pi()"(. i%,e#i"%\$
". another experimental drug for respiratory infection
#. a place!o
76. A comparison or control groups is 1%T necessary in
A. /rospective studies
B. .etrospective studies
". experimental studies
D. *e\$#(ipi+e \$u*ie\$
79. .esults are generali*ed to a compara!le population
A. >nternal validity
B. E0e(%)l +)li*i.
". !ias
#. confounders
50. #ou!le !lind determination of the exposure and outcome is for the purpose of
A. .educing the effects of losses to follow up
B. .educing the effects of sampling variation
". achieving compara!ility of cases and controls
D. )+"i*i%& "1\$e(+e( )%* \$u1@e# 1i)\$
61
51. #escri!es the distri!ution of cases !y the varia!les of person' time' and
place in order to study and explain acute out!reaks of disease and to
develop hypothesis a!out disease transmission:
A. "ase control studies
B. Analytic studies
C. *e\$#(ipi+e \$u*ie\$
#. =xperimental studies
5\$. #escriptive studies do
A. #raw inferences a!out cause and effect
B. /redict outcome
". not have a sample si*e estimation
D. %" (e-ui(e ) !.p"!e\$i\$
52. The possi!ility of cause)effect relationship is difficult to assess in
A. =xperimental
B. C("\$\$/\$e#i"%)l
". cohort
#. case)control
57. A study comparing the prevalence of hepatitis B infection among
government and private hospitals falls under
A. #escriptive study
B. "ohort study
". case)control
D. #("\$\$/\$e#i"%)l
55. A well)defined group of people who have had a common experience or
exposure who are then followed up for the incidence of new diseases or
events is a
A. Daria!le
B. :ample
". "ase
D. C"!"(
54. %dds ratio is the measure of analysis commonly used in
A. "ase report
B. C)\$e/#"%("l \$u*ie\$
". case series
#. cohort studies
55. A study is planned to determine if there are more users of oral
contraceptives among patients with throm!ophle!itis than among well
persons. To achieve the o!9ective' which of the following type of studies is
most appropriate(
A. "linical
B. #escriptive
". concurrent cohort
D. #)\$e #"%("l
56. >n a cohort study of the association of leukemia with x)ray exposure' the
relative risk was found to !e 2. 3hat does this mean(
A. T!"\$e 'i! 0/(). e0p"\$u(e !)+e !(ee,"l* p("1)1ili. ",
*e+el"pi%& leu:emi)
B. K)ray exposure protects the person from developing leukemia
". there is no association !etween leukemia and x)ray exposure
#. none of the a!ove
59. 3hich of the following study designs most appropriately illustrates this case
history: ,A total of \$00 newly diagnosed patients with endometrial cancer are
allocated to treatment with either surgical removal alone or surgical removal
A. Cli%i#)l (i)l
B. "ase)control study
". case series report
62
#. cohort study
40. The o!servational study in which su!9ects are sampled !ased on the
presence or a!sence of a risk factor of interest. These su!9ects are
followed over time for the development of a disease outcome
A. "ase)control study
B. =cologic study
C. #"!"( \$u*.
#. cross)sectional study
41. >n +ualitative data' the appropriate measure of central tendency is the
A. median
B. average
". mean
D. m"*e
4\$. [>n a fre+uency distri!ution' the value that divides the o!served values into
two parts is the
A. median and mode
B. me*i)%
". mean
#. mode
42. >f there is an inherent order or progression among categories' they are said
to !e measure !y:
A. numerical scale
B. nominal scale
". discrete scale
D. "(*i%)l \$#)le
47. To represent the trend over time in crude !irth rate and crude death rate in a
given province' the !est graph to use is a:
A. !ar
B. histogram
C. li%e *i)&()m
#. fre+uency polygon
45. The rate that measures the pro!a!ility of a person dying in a year
regardless of age' sex' race' etc is:
A. case fatality rate
B. neonatal mortality rate
C. #(u*e *e)! ()e
#. specific death rate
44. The following indices use the midyear population as the denominator'
=K"=/T:
A. crude !irth rate
B. measles incidence rate
". crude death rate
D. p("p"(i"%)e m"()li. ()e
5\$. The following is an indirect method of nutritional assessment:
A. 3eight for height
B. /ercentage of low !irth weight !a!ies
". Aeight for age
D. 'easles mortality rate
52. The num!er of live !irths reported during a given time interval divided !y the
estimated num!er of women in the 15)77 year old group at mid)interval is:
A. crude !irth rate
B. incidence rate
". prevalence rate
D. ,e(ili. ()e
57. This is the most commonly used index of fertility:
63
A. crude death rate
B. infant mortality rate
C. maternal mortality rate
D. #(u*e 1i(! ()e
55. Tur!idity of a given water is due to the:
!. total mineral content
c. su!stances in solution
*. impu(iie\$ i% \$u\$pe%\$i"%
54. Aardness of water is primarily due to:
). #)l#ium )%* m)&%e\$ium
!. nitrogen content
c. iron content
d. sulphur content
55. Faws and regulations on &ood :anitation are implemented to protect the
pu!lic against fraud and deceit. :ome of the restraints are the following'
=K"=/T:
a. mis!randing
!. sale of damage food
*. )*e-u)e ,""* \$"()&e
56. 3hich of the following is the primary o!9ective of food sanitation(
). " e%\$u(e !e #"%\$umpi"% ", \$),e )%* '!"le\$"me ,""*
!. to prevent the sale of food which is inferior in value and +uality
c. to cut down spoilage and wastage of food
d. none of the a!ove
59. =xcreta disposal is considered to !e sanitary if
a. there is minimal fecal handling
1. i p(e+e%\$ \$"il )%* ')e( #"%)mi%)i"%
c. it is accessi!le and accepta!le contamination
d. it prevents !oth soil water contamination and there is minimum
fecal handling
60.%ne of the following is not a domestic sewage:
). \$e')&e #"mi%& ,("m i%*u\$(i)l "pe()i"%\$
!. sewage coming from commercial esta!lishments
c. sewage coming from households
d. sewage coming from offices
61.:anitary methods of excreta disposal includes the following' =K"=/T:
). 1"(e* !"le l)(i%e
!. septic tank
c. a+ua privy
d. pour flush latrine
6\$. The most practical and sanitary way to excrete disposal in the rural areas is:
a. overhung latrine
1. ')e(/\$e)le* "ile
c. chemical toilet
d. septic toilet
62.A gas produced !y the !iodegradation of waste is:
). Me!)%e
!. oxygen
c. car!on monoxide
d. car!on dioxide
67.>n the most part of the world' vector control is largely through:
a. genetic manipulation of vectors
64
!. modifying the environment of vectors
#. u\$e ", #!emi#)l pe\$i#i*e\$
d. extensive pu!lic health education
65.The pro!a!ility that a person has the disease given a positive test result is:
a. negative predictive value of the test
!. sensitivity of the test
c. specificity of the test
*. p"\$ii+e p(e*i#i+e +)lue ", !e e\$
64. A physician wants to determine the prevalence of parasitism among school
children in an ur!an area. There is great varia!ility in the economic status in that
locality. %n one hand' most children in private schools come from affluent
families' and on the other hand' most children from pu!lic schools come from
poor families. The most appropriate type of sampling methodology to use in this
situation is:
A. simple random sampling ". \$()i,ie* ()%*"m \$)mpli%&
B. systematic sampling #. multi)stage sampling
65. /hilhealth !enefits vary according to the following except:
A. .elative unit value of surgery
B. A#u)l #"\$ ", #)(e
". Type of hospital
#. Type of physician
66. %ne can !e reasona!ly sure that the hypothesi*ed cause preceded the
occurrence of the disease and that disease status did not differentially influence
the selection of su!9ects !y study factor level in a:
A. "ross)sectional study ". "ase)control using prevalent cases
B. C"!"( \$u*. #. =xperimental study design
69. The following method of data analysis is most relevant for the cohort study
design:
A. /revalence odds ratio
B. /revalence rate
". %dds ratio
D. Rel)i+e (i\$:
90. This is a sampling method wherein every su!9ect falling within a fixed
sampling interval is o!tained from a population 1 which is arranged in some
definite way:
A. :imple random sampling
!. (ystematic sampling
". :tratified sampling
#. "luster sampling
91. 3hen a researcher wants to test for the association !etween two
categorical varia!les' the appropriate statistic to use is:
). C!i \$-u)(e
!. T test
c. Analysis of variance
d. "orrelation coefficient
92. The rate that measures the pro!a!ility of a person dying in a year
regardless of age' sex' race' etc is:
A. case fatality rate
B. neonatal mortality rate
). crude death rate
#. specific death rate
97. 3hich method of collecting data is devoid of o!server error and !ias(
A. >nterview
". %!servation
#. .eview of documents
65
95. Hsed to descri!e the relative importance of different fatal disease in the
population of different age' sex' occupation etc.
a. specific death rate
!. attack rate
c. cause of death rate
d. proportionate mortality rate
94. The peculiar feature of a cross sectional study that distinguishes it from
other study designs is:
A. I%,"(m)i"% "% 1"! !e i%*epe%*e% )%* *epe%*e% +)(i)1le\$
)(e #"lle#e* \$imul)%e"u\$l. ) !e ime ", !e \$u(+e.
B. >nformation on the independent varia!le is collected first' after which
the su!9ects are followed up later for assessment of the dependent
varia!le
". >nformation on the dependent varia!le is o!tained' after which
assessment of the independent varia!le is made
#. >nformation on !oth the independent and dependent varia!les are
o!tained !y doing either +ueries or actual o!servation
95. The effect of an inade+uate sample si*e for a study is:
A. :u!9ects may not !e a random representative of the !ase population
B. There may not !e enough su!9ects that will develop the outcome' in
order to detect a difference
". The researcher will not !e a!le to apply the appropriate statistical test
for the kind of data availa!le
D. T!e (e\$e)(#!e( mi&! ,i%* )% )\$\$"#i)i"% 1e'ee% i%*epe%*e%
)%* *epe%*e% +)(i)1le\$, e+e% i, !e(e )#u)ll. i\$ %"%e
96. The group most vulnera!le to nutritional deficiencies:
). P(e&%)% '"me%
!. 3orking group
d. 1on)lactating mothers
99. The most sanitary source of water is:
). G("u%*')e(
1. R)i%')e(
c. :urface water
d. Brackish water
100. The primary disinfectant in water treatment:
a. &luorine
1. C!l"(i%e
c. Aluminum sulfate
d. &erric sulfate
:%H."=::
Beaglehole' Bonita' O9ellstrom@ BASIC EPIDEMIOLOGY STUDENTAS TEET'
3orld Aealth %rgani*ation' Euly 1990
"lark' #.' ?ac?ahon' B: PREVENTIVE AND COMMUNITY MEDICINE, \$
1#
ed
1961
#%A Aealth /rograms ?anual
Gupta' ?.@ ?aha9an' B: TEETBOOF OF PREVENTIVE AND SOCIAL
MEDICINE, 2
rd
ed \$002
Eekel' =lmore M Oat*@ EPIDEMIOLOGY BIOSTATISTICS AND PREVENTIVE
MEDICINE, 1994
Ou*ma' Bohnen!lust@ BASIC STATISTICS FOR THE HEALTH SCIENCES 7
th

ed.' ?cGraw)Aill \$001
66
Fast' E@ 3allace' .@ PUBLIC HEALTH AND PREVENTIVE MEDICINE, 12
th
ed'
199\$
/hilhealth ?anual
:anche*' ?orelos' Balta*ar' /eralta@ RESEARCH METHODS IN HEALTH AND
MEDICINE, Dol. 1 /lanning .esearch ;2
rd
ed.< /hilippine "ouncil for Aealth
.esearch and #evelopment 1994
EmnBuermpcmexam +uestions for apmc may 7 \$005
1. This is a !ranch of medicine that deals with provision of comprehensive
health care to people regardless of age or sex:
A. /u!lic Aealth
B. "ommunity ?edicine
". /reventive ?edicine
#. &amily ?edicine
Answer: # C/roceedings of the %rientation "ourse in &amily ?edicine p. 6
2. This is the !ranch of medicine that deals with the study of the causes'
distri!ution' and control of disease in populations:
A. &amily ?edicine
B. /reventive ?edicine
". =pidemiology
#. /u!lic Aealth
Answer: " C =pidemiology !y Feon Gordis p. \$
7. 3hich of the following is an example of chemoprophylaxis for new!orns(
A. Daricella vaccine
B. =rythromycin ointment
". &olic acid
#. B"G
Answer: B C &amily ?edicine Am!ulatory "are and /revention !y ?engel et. al
p. 524
5. #r. Aook wants all of his children and their respective families to live with him
and his wife until the time of his death. This is an example of what family
structure(
A. 1uclear
B. =xtended
" ". :ingle /arent
# #. Blended
Answer: B C /roceedings of the orientation course in &amily ?edicine pp. 17)15
4. The stepfather and half)!rother of Oeanna lives with her and her mother. This
is an example of what family structure(
A. 1uclear
B. =xtended
". :ingle /arent
#. Blended
Answer: # ) /roceedings of the orientation course in &amily ?edicine pp. 17)15
5. The family life cycle starts with this stage:
A. 1ewly ?arried "ouple
B. &amily 3ith 8oung "hildren
Answer ": /roceedings of the orientation course in &amily ?edicine p. 16
67
6. >n the family A/GA.' resolve is elicited !y
A. asking if the family supports the patient in his desire for progress
B. looking into patientZs desire to openly communicate pro!lems with the
family
". Asking if the patient feels loved !y family mem!ers
#. in+uiring if the patient is given ade+uate time !y the mem!ers of the
family
Answer #: /roceedings of the orientation course in &amily ?edicine p. 71
9. 3hich of the following does not descri!e the "H..=1T state of the /hilippine
health situation(
A. #ou!le !urden of disease
B. "ontinuing threat from emerging and resurgent diseases
". Aighly centrali*ed health care system
#. Farge variations in health status across population and
socioeconomic groups
Answer ": &ilipino .eport "ard on Aealth' :ocial 3eather :tations :urvey \$000
11. A score of 6 on the family A/GA. indicates:
A. A highly functional family
B. A moderately dysfunctional family
". A severely dysfunctional family
#. A large' extended family structure
Answer A ) : /roceedings of the orientation course in &amily ?edicine p. 71
12. 3hich of the following parameters are evaluated in :".==?( 3hich of the following parameters are evaluated in :".==?(
A. A. =ntrepreneurial =ntrepreneurial
B. B. =conomic =conomic
". ". .esolve .esolve
#. #. ?ental ?ental
Answer B ) Answer B ) /roceedings of the orientation course in &amily ?edicine p. 76
17. A dashed line ;)))))))< that connects a male and female couple in the family 17. A dashed line ;)))))))< that connects a male and female couple in the family
genogram denotes genogram denotes
A. A. a married couple a married couple
B. B. a legally separated couple a legally separated couple
". ". a consanguinous marriage a consanguinous marriage
#. #. live)in partners live)in partners
Answer # ) Answer # ) /roceedings of the orientation course in &amily ?edicine p. 74
14. 8ou should use an ZarrowZ sym!ol in your patientZs genogram to signify: 14. 8ou should use an ZarrowZ sym!ol in your patientZs genogram to signify:
A. The index patient A. The index patient
B. The head of the family B. The head of the family
". #eath in the family ". #eath in the family
#. /rovider of the family #. /rovider of the family
Answer A ) Answer A ) /roceedings of the orientation course in &amily ?edicine p. 24
15. :tage in the illness tra9ectory experienced !y the patient and family 15. :tage in the illness tra9ectory experienced !y the patient and family
mem!ers prior to contact with medical care providers mem!ers prior to contact with medical care providers
A. %nset of illness A. %nset of illness
B B B. >mpact /hase B. >mpact /hase
" " ". ?a9or therapeutic efforts ". ?a9or therapeutic efforts
# # #. =arly ad9ustment to outcomes #. =arly ad9ustment to outcomes
Answer A ) Answer A ) /roceedings of the orientation course in &amily ?edicine p. \$9
16. The most catastrophic form of "ere!rovascular Accident
A. Facunar
B. Thromo!oem!olic
68
". Aemorrhagic
#. Transient ischemic attack
Answer " C Aarrison /rinciples of >nternal ?edicine 17
th
ed. /. \$27\$
19. "hronic !ronchitis is a disorder in which productive cough is present in most
days
A. for at least \$ months of the year' for more than 2 consecutive years
B. for at least 2 months of the year' for more than \$ consecutive years
". for at least \$ months of the year' for more than \$ consecutive years
#. for at least 2 months of the year' for more than 2 consecutive years
Answer B ) Aarrison /rinciples of >nternal ?edicine 17
th
ed p. 1751
\$0. ,>t measures what is supposed to !e measured- refers to:
69
A. :pecificity
B. :ensitivity
". Dalidity
#. .elia!ility
Answer #. =pidemiology !y Gordis p. 57
\$1. >n =pidemiology' it is defined as the proportion of the true negatives correctly
identified !y the test.
A. :pecificity
B. :ensitivity
". Dalidity
#. .elia!ility
Answer A. =pidemiology !y Gordis p. 59
\$\$. >t is one with potentially an infinite num!er of possi!le values in any interval.
A. "ontinuous varia!le
B. Bul!ous varia!le
". "ategorical varia!le
#. #iscrete varia!le
Answer A C &oundations of statistical analysis for the Aealth :ciences !y ?endo*a et. al
p. 5
\$2. Another name for ranking scale' it has an implicit order relationship.
A. 1ominal
B. %rdinal
". >nterval
#. .atio :cales
Answer B ) &oundations of statistical analysis for the Aealth :ciences !y ?endo*a et. al
p. 5
\$7. The most fre+uently occurring value in a series of o!servations:
A. &re+uency distri!ution
B. ?edian
". 3eighted mean
#. ?ode
Answer # ) &oundations of statistical analysis for the Aealth :ciences !y ?endo*a et. al
p. 152
\$5. The highest score minus the lowest score e+uals the:
A. /ercentile rank
B. >nter+uartile difference
". .ange
#. :tandard deviation
Answer " ) &oundations of statistical analysis for the Aealth :ciences !y ?endo*a et. al
p. 162
\$4. The s+uare root of variance:
A. :tandard deviation
B. >nter+uartile range
". /ercentile
#. Ourtosis
Answer A ) &oundations of statistical analysis for the Aealth :ciences !y ?endo*a et. al
p. 166
70
\$5. This measure compares standard deviations !etween several investigations
examining the same varia!le:
A. "oefficient of variation
B. &ractional integer
". &re+uency distri!ution
#. Puartile deviation
Answer A ) &oundations of statistical analysis for the Aealth :ciences !y ?endo*a et. al
p. 169
\$6. All of the following are true of the normal distri!ution =K"=/T:
A. >t is symmetrical a!out the mean
B. >t is completely determined !y \$ parameters: the mean and the standard
deviation
". >t has different values for the mean' median' and the mode
#. >t has long tapering tails that extend infinitely in either direction without touching
the K axis
Answer " C &oundations of statistical analysis for the Aealth :ciences !y ?endo*a et.
al pp. \$06)\$09
\$9. The weight of &ilipino !a!ies at !irth was measured and found to have a mean of
\$500 grams and a standard deviation of 200 grams. 3hich of the following
statements is true(
A. 46.5S of the !a!ies would have a weight ranging from \$\$00 to \$500 grams
B. 95S of the !a!ies would have a weight ranging from 1900 to 2100 grams
". 99.5S of &ilipino !a!ies would have a weight !etween \$\$00 and \$600 grams
#. All of the !a!ies measured will have a weight !etween \$\$00 and \$500 grams
Answer B ) &oundations of statistical analysis for the Aealth :ciences !y ?endo*a et. al
p. \$11
20. 3hich of the following measures central of tendency will have the highest value in a
distri!ution that is skewed to the left(
A. Average
B. ?ean
". ?edian
#. ?ode
Answer # ) &oundations of statistical analysis for the Aealth :ciences !y ?endo*a et. al
p. 159
21.&irst step in a research process
a. >ntroduction
!. .esearch o!9ective
#. H.p"!e\$i\$
d. "onceptual definition
e. .esearch pro!lem
Answer ") Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.22
2\$.The fre+uency distri!ution of the sample mean that is generated !y
performing repeated sampling and o!taining the mean from each sample is
called
). S)mpli%& *i\$(i1ui"%
!. /ercentage ta!ulation
c. &re+uency ta!ulation
71
d. 1one of the a!ove
Answer A) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.\$1
22.This refers to a statement a!out the value of a population parameter which is either
re9ected or not re9ected in hypothesis testing
a. .esearch +uestion
1. Null !.p"!e\$i\$
c. Alternative hypothesis
d. :tatistical decision
Answer B) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.22
27.The test statistic that is used to compare the proportions of three different groups is

a. *)test
!. t)test
#. C!i/\$-u)(e e\$
d. Finear regression
Answer ") Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.74
25.The process of determining a range of values such that the parameter of interest is
included in this range is called
). I%e(+)l e\$im)i"%
!. /oint estimation
c. Aypothesis testing
d. "ritical region
Answer A) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.52
25.>n hypothesis testing' this refers to the pro!a!ility of o!taining the o!served result or
a more extreme one under the null hypothesis
a. type > error
!. power
#. p/+)lue
d. type >> error
Answer ") Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.25
26.>n a study to compare the efficacy of two drugs' the statement ,The proportion of
patients that are cured !y #rug A is the same as that !y #rug B-' is called a
). Null !.p"!e\$i\$
!. Alternative hypothesis
c. :tatistical decision
d. .esearch synthesis
Answer A) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.22
29.The first step in hypothesis testing is
a. :tate the level of significance
!. :pecify the test statistic
c. :tate the alternative hypothesis
*. S)e !e %ull !.p"!e\$i\$
Answer #) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.22
70.3hich of the following statements is true a!out confidence intervals(
72
).T!e !i&!e( !e #"%,i*e%#e le+el, !e 'i*e( !e i%e(+)l
e\$im)e.
!.The higher the confidence level' the narrower the interval
estimate.
c.The confidence level does not affect the width of the
confidence interval.
d.1one of the a!ove
Answer A) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.\$5
71.>ncidence of a disease in a particular population over a specified time period:
).M"(1i*i. ()e ". Attack rate
!.?ortality rate #. "rude rate
Answer A) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.5\$
7\$.The cumulative incidence of the disease when the duration of a disease is short and
the o!servation period covers an entire epidemic:
a. "ase fatality rate ". ?ortality rate
1.A)#: ()e #. ?or!idity rate
Answer B) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.50
72..An individual who has contact with or who manifests the risk factor prior to
!ecoming ill:
).E0p"\$e* ". >nfected
!.>nflicted #. 3ell
Answer A) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.5\$
77.The infant mortality rate of a country in a given year is 75.1 per year per 1000 live
!irth means:
a.75.1 infants died !efore reaching their first !irthday
!.75.1S of all deaths occurred in infants !elow one year
#.94.D i%,)%\$ *ie* 1e,"(e (e)#!i%& !ei( ,i(\$ 1i(!*). pe(
D<<< li+e 1i(!\$
d.75.1 infants per 1000 of the population died
Answer A) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.5\$
75.An extraneous varia!le is called
a. >ndependent varia!le
1.C"%,"u%*i%& +)(i)1le
c.#ependent varia!le
d.=xposure varia!le
Answer B) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.40
74. . /erformance of new !orn screening should !e done :
A. \$7 hours after !irth !ut not more than one week
B. \$7 hours after !irth !ut not more than five days
C. 89 !"u(\$ ),e( 1i(! 1u %" m"(e !)% !(ee *).\$
#. anytime after !irth
=. none of the a!ove
Ans. ") http:BBwww.doh.gov.phBhealthQlaws.htm
75.The varia!le assumed to influence the pro!lem
).I%*epe%*e% +)(i)1le
73
!."onfounding varia!le
c'#ependent varia!le
d."ontinuous varia!le
Answer B) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.56
76. 1ew!orn :creening Act of \$007 is also known as:
A. RA ;866
B. .A 9266
". .A 9\$65
#. .A 9265
Ans. A) http:BBwww.doh.gov.phBhealthQlaws.htm
79.. /enalties imposed in on individuals who violate the clean air act are the following
except:
A. first offense C one thousand pesos
B. second offense C not less than two thousand pesos !ut not more than four
thousand
". third offense C suspension of drivers license
D. ,"u(! ",,e%\$e G imp(i\$"%me% ", !(ee m"%!\$
Ans. #) http:BBwww.doh.gov.phBhealthQlaws.htm
50.The assumption of the relation !etween two varia!les to !e studied
a. >ntroduction
!..esearch o!9ective
#.H.p"!e\$i\$
d."onceptual definition
e. .esearch pro!lem
Answer ") Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.22
51. An Act which was design to promote corneal transplantation in the country:
A. "orneal Transplant A"T
B. %rgan Transplantation A"T of 1996
C. E%)#e* "% Fe1(u)(. 8<,D;;4
#. =nacted on ?ay \$0'1995
Ans. ") http:BBwww.doh.gov.phBhealthQlaws.htm
5\$. A study that descri!es an interesting or unusual condition in a group of patients
A. "ase report
B. =cological study
". "ross)sectional study
#. "ase control study
E. C)\$e \$e(ie\$
Answer =) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.47
52..ecall !ias is a common pro!lem in what type of study
a. "ase report
!. =cological study
c. "ross)sectional study
*. C)\$e #"%("l \$u*.
e. "ohort study
Answer #) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.42
57. A study that esta!lishes the association !etween risk factor and outcome varia!le
a."ase report
!.=cological study
74
c."ross)sectional study
d."ase control study
e.C"!"( \$u*.
Answer =) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.4\$
55.>n epidemiologic studies' the identification of causal factors is !ased on the
experience of
a.An individual
1.A &("up ", i%*i+i*u)l\$
c. =xperimentation
d. 1one of the a!ove
Answer B) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.46
54.This refers to statistical procedures that allow valid generali*ation of results from a
sample to the population it is supposed to represent
a.:tatistical Association
!."ausal Association
c.#escriptive statistics
*.S)i\$i#)l i%,e(e%#e
Answer d) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.1
55.3hen one sets of the maximum pro!a!ility of making an error of re9ecting the null
hypothesis when it is true' he is specifying the
a."ritical region
!.:tatistical test
#.Le+el ", Si&%i,i#)%#e
d./ower
Answer ") Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.27
56.>n statistical inference' this term refers to the total collection of elements of interest
).P"pul)i"%
!.:ample
c./arameter
d.:tatistic
Answer a Answer d) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.1) Aigh)
8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.1
59.This refers to the procedures in assessing evidence from a sample' whether or not
the data from the sample supports a hypothesis a!out a population
a.:tatistical inference
!.=stimation
#.H.p"!e\$i\$ e\$i%&
d.#escriptive statistics
Answer c) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.22
40.>n a sample of 500 Grade > children examined' 750 were found to have dental caries.
The proportion 90S computed !y dividing 750 !y 500 is an example of
a./opulation
!.:ample
75
c./arameter
*.S)i\$i#
e. unskilled workers
Answer d) Aigh)8ield Biostatistics !y Fippincott 3illiamsM 3ilkins p.\$1
41.,#ou!le !urden of disease- means
a. 3hile the patient has to suffer the physiologic effects of an illness' he also
has to contend with its psychological and economic impact
1. H!ile i%,e#i"u\$ *i\$e)\$e\$ ", p"+e(. \$ill )1"u%*, *e&e%e()i+e
ill%e\$\$e\$ )(e "% !e (i\$e.
c. The top causes of mor!idity always comes in a pair of related illnesses
d. An infectious disease may !e aggravated !y a concomitant degenerative
illness.
Ans. B) Annual .eport of the &ield Aealth :ervice >nformation :ystem pp 112)1\$\$ .
:ec. &rancisco #u+ue >>>
47.3hich of the following does not descri!e the "H..=1T state of the /hilippine health
situation(
a.#ou!le !urden of disease
!."ontinuing threat from emerging and resurgent diseases
#.Hi&!l. #e%()li2e* !e)l! #)(e \$.\$em
d.Farge variations in health status across population and socioeconomic
groups
e.Aealth status generally improving !ut at a slower rate compared to
neigh!oring Asian countries
Ans. ") Annual .eport of the &ield Aealth :ervice >nformation :ystem pp 112)1\$\$ .
:ec. &rancisco #u+ue >>>
45.>n relation to the preceding +uestion' which agency takes the principal responsi!ility
for primary health care and service delivery at the community level as accorded !y law(
).L"#)l G"+e(%me% C!ie, E0e#ui+e\$ Ili:e !e M)."(, G"+e(%"(\$<
!.The #epartment of Aealth :ecretary
c.The /resident of the .epu!lic
d.The #octors and midwives in the community
Ans. #) Annual .eport of the &ield Aealth :ervice >nformation :ystem pp 112)1\$\$ .
:ec. &rancisco #u+ue >>>
44.After infancy' this is the most common cause of disease and deaths for young
children' especially !elow 5 years of age
a.>mmuni*a!le >nfectious disease
!.#egenerative diseases
c.=merging diseases like Avian &lu
*.M)l%u(ii"%
Ans. #) Annual .eport of the &ield Aealth :ervice >nformation :ystem pp 112)1\$\$ .
:ec. &rancisco #u+ue >>>
45. .A 5662 is also known as:
A. ?edical workers !enefits and compensation act
B. B)()%&). He)l! H"(:e(\$ I%#e%i+e\$ )%* Be%e,i\$ A# ", D;;4
". Barangay Aealth 3orkers Benefits Act of \$002
#. Doluntary Blood #onation Act of \$00\$
Ans. B) http:BBwww.doh.gov.phBhealthQlaws.htm
46. Aospital Ficensure Act' which re+uires that all hospitals !e licensed is also known
as:
76
A. RA 9883
B. .A \$7\$4
". .A \$\$47
#. .A 1\$25
Ans. A) http:BBwww.doh.gov.phBhealthQlaws.htm
49. The 1ational Blood :ervices Act was enacted into law in:
A. 1994
B. 1995
". \$000
D. D;;9
Ans. #) http:BBwww.doh.gov.phBhealthQlaws.htm
50. An Act esta!lishing /hilhealth is also known as:
A. /hilippine Aealth >nsurance Act of 1995
B. 1ational Aealth >nsurance Act of 1995
". 1ational !lood donation Act of 1995
D. P!ilippi%e He)l! I%\$u()%#e )%* Be%e,i\$ A# ", D;;4
Ans. #) http:BBwww.doh.gov.phBhealthQlaws.htm
51. Traditional and Alternative medicine act of 1995 esta!lished this to promote
A. TA?ATA
B. /AT>A"
C. PITAHC
#. TA?A"
Ans. ") http:BBwww.doh.gov.phBhealthQlaws.htm
5\$. TA?A was esta!lished in:
A. Eune \$6' 1995
B. August \$6'1994
". :eptem!er 20'1996
D. Jul. 86, D;;5
Ans. #) http:BBwww.doh.gov.phBhealthQlaws.htm
52. .epu!lic Act 6277 is an amendment to :
A. /B 105
B. /B \$29
". /B 501
#. /B 556
Ans. B) http:BBwww.doh.gov.phBhealthQlaws.htm
52. %n of the policies of this Act is to protect the consumer from deceptive' unfair and
unconsciona!le sales act and practices.
A..A 5292
B. C"%\$ume( A# ", !e P!ilippi%e\$
". Both
#. 1one of the A!ove
Ans. B) http:BBwww.doh.gov.phBhealthQlaws.htm
57.The level of state involvement is lowest in which policy instrument(
a.Auction of property rights
1.I%,"(m)i"% )%* e0!"()i"%
c.:u!sidy
d..egulations
55. An Act regulating the packaging' use' sale and distri!ution of to!acco and other
related products.
A.RA ;8DD
77
B. /B 9\$11
". to!acco protection act of \$002
#. To!acco #istri!ution Act of \$00\$
Ans. A) http:BBwww.doh.gov.phBhealthQlaws.htm
55. The ?agna "arta of /u!lic Aealth 3orkers' also known as .A 5205 was enacted
on:
A. April \$7'1992
B. M)(#! 83, D;;8
". April \$7' 1997
#. ?ay 1'1992
Ans. B) http:BBwww.doh.gov.phBhealthQlaws.htm
56. To promote and encourage voluntary !lood donation is one of the policies of the:
A. Blood #onation Act
B. %rgan #onation Act
C. Bl""* Se(+i#e\$ A#
#. %rgan :ervices Act
Ans. ") http:BBwww.doh.gov.phBhealthQlaws.htm
59. An Act regulating the practice of pharmacy in the /hilippines:
A. .A 5456
B. .A 592\$
C. RA 4;8D
#. .A 5927
Ans. ") http:BBwww.doh.gov.phBhealthQlaws.htm
60. .A 6277 is also known as:
A. 1ational A>#: /revention Act
B. To!acco #istri!ution Act
C. A# P(e+e%i%& H"\$pi)l Dep"\$i\$
#. "lean Air Act
Ans. " ) http:BBwww.doh.gov.phBhealthQlaws.htm
61. "onducting an ocular view of all existing hospitals in the /hilippines is one of the
duties of the :
A. #/3A
B. #epartment of :anitation
C. DOH/ H"\$pi)l Se(+i#e\$
#. Aospital Ficensure Board
Ans. ") http:BBwww.doh.gov.phBhealthQlaws.htm
6\$. An act to promote' re+uire and ensure the ade+uate supply' distri!ution' use and
acceptance of drugs and medicines identifies !y their generic names.
A. Ge%e(i#\$ A#
B. /harmacy .egulation Act
". A>#: Act
#. .A 4445
Ans. A) http:BBwww.doh.gov.phBhealthQlaws.htm
62. An Act prohi!iting the sale' distri!ution and manufacture of counterfeit drugs:
A. RA 6C<8
B. .A 60\$2
". .A 6\$02
#. .A 602\$
Ans. A) http:BBwww.doh.gov.phBhealthQlaws.htm
67. The "lean Air Act of 1999 was enacted on:
A. Eune \$2' 1996
B. Euly \$6'1999
". Euly \$5'1999
78
D. Jul. 85,D;;6
Ans. #) http:BBwww.doh.gov.phBhealthQlaws.htm
64. >ncluded in the mandate of this act is the reporting of A>DB A>#: positive individuals
for the purpose of monitoring A>#: cases in the /hilippines:
A. A>D monitoring and control act of 1995
B. P!ilippi%e AIDS P(e+e%i"% )%* C"%("l A# ", D;;6
". /hilippine A>#: "ontrol Act of 1996
#. A>#: A"T of 1995
Ans. B) http:BBwww.doh.gov.phBhealthQlaws.htm
65.3hen was the Alma Ata declaration initially intended to !e achieved(
a. 8ear 1990
1. Ye)( 8<<<
c. 8ear \$015
d. Hndetermined
Ans B )Aealth for all !eyond \$000: the demise of the Alma)Ata #eclaration and /rimary
Aealth "are in developing countries@ Eohn Aall and .ichard Taylor entitled [
66.3hen are the ?illennium #evelopment Goals ;?#Gs< initially intended to !e
achieved(
a.8ear 1990
!.8ear \$000
#.Ye)( 8<D4
d.Hndetermined
Ans. ")ATT/:BBwww.un.orgBmillenniumgoals
69.3hich of the following is not a direct health)related ?#Gs(
a..educe child mortality !y two)thirds among children under five
!.>mprove maternal health !y reducing maternal mortality !y three)
+uarters
c."om!at A>DBA>#:' ?alaria' and other diseases
*.A#!ie+e u%i+e(\$)l p(im)(. e*u#)i"%
Ans. d)ATT/:BBwww.un.orgBmillenniumgoals
90.3hich of the following is not an ?#G(
a.Achieve universal primary education
!./romote gender e+uality and empower women
c."om!at A>DBA>#:' ?alaria' and other diseases
*.A#!ie+e U%i+e(\$)l !e)l! p("m"i"% )#i+iie\$
Ans. #)ATT/:BBwww.un.orgBmillenniumgoals
91.3hich approach enumerated !elow emphasi*es the need for community
participation in achieving !etterment for health(
a./rimary "are Approach
!.?illennium #evelopment Goals
#.P(im)(. He)l! C)(e )pp(")#!
d.=radication of =xtreme /overty and Aunger
9\$.3hich approach enumerated !elow emphasi*es the need for investments in health
to achieve national development(
a./rimary "are Approach
1.Mille%%ium De+el"pme% G")l\$
c./rimary Aealth "are approach
d.=radication of =xtreme /overty and Aunger
Ans. B)ATT/:BBwww.un.orgBmillenniumgoals
79
92.Eeffrey :achs' a Aarvard)educated economist' authored the document
commissioned !y the 3orld Aealth %rgani*ation ;3A%< that eventually esta!lished the
glo!al funds. The said funds pooled monetary and various resources together at the
glo!al level and earmarked these into /rograms and activities targeted to eradicate
de!ilitating diseases' especially in aid of developing countries. 3hat is the title of his
document(
).HHO C"mmi\$\$i"% "% M)#("e#"%"mi#\$ )%* He)l!
!.3A% "ommission on Aealth)related =conomics
c./rimary Aealth "are
d.The "ommission on the ?illennium #evelopment Goals
Ans. A.)?A".%="%1%?>": A1# A=AFTA: >1D=:T>1G >1 A=AFTA &%.
="%1%?>" #=D=F%/?=1T !y Eeffrey :achs pp 1)15 =xecutive :ummary

97.The ?#Gs stipulated reductions in maternal and child mortalities !y a fraction of a
!enchmark value. The ?#Gs are compared to the situation during which year that
served as !enchmark(
).D;;<
!.\$000
c.\$015
d.undetermined
Ans. A.)ATT/:BBwww.un.orgBmillenniumgoals
95.3hich of the following statements is false(
a.The document that served as !asis for the ?#Gs showed evidences
!etween the links of disease and poverty.
1.T!e Alm) A) De#l)()i"% i\$ "1\$"lee \$i%#e i \$!"ul* !)+e 1ee%
)#!ie+e* i% !e .e)( 8<<<.
c.The Alma Ata #eclaration uses the primary health care approach.
d.The ?illennium #evelopment Goals is conceptuali*ed !ehind the idea
that !etter health means !etter productivity and vice)versa.
e.The ?#Gs push us to achieve !etter investments for health.
Ans B )Aealth for all !eyond \$000: the demise of the Alma)Ata #eclaration and
/rimary Aealth "are in developing countries@ Eohn Aall and .ichard Taylor entitled [
94.3hich of the following is not an essential element of primary health care(
a.>mmuni*ation
!.=ssential ?edicines
#.M)e(%)l M"()li.
d.3ater and :anitation
Ans " )Aealth for all !eyond \$000: the demise of the Alma)Ata #eclaration and
/rimary Aealth "are in developing countries@ Eohn Aall and .ichard Taylor entitled [
95.3hich of the following is not an essential element of primary health care(
a.1utrition and supplemental feeding
!.=ssential ?edicines
c.?aternal and "hild Aealth
*.P"pul)i"% C"%("l )%* M)%)&eme%
Ans # )Aealth for all !eyond \$000: the demise of the Alma)Ata #eclaration and
/rimary Aealth "are in developing countries@ Eohn Aall and .ichard Taylor entitled [
96.3hich of the following is not an essential element of primary health care(
a.>mmuni*ation
!.=ndemic #iseases
#.U%i+e(\$)l P(im)(. E*u#)i"%
d."urative "are
80
Ans " )Aealth for all !eyond \$000: the demise of the Alma)Ata #eclaration and
/rimary Aealth "are in developing countries@ Eohn Aall and .ichard Taylor entitled [
99.3hat year was the Alma Ata #eclaration adopted !y over 120 3A% ?em!er):tates'
including the /hilippines(
a.1956
!.1946
#.D;56
d.1966
e.1996
81
Ans " )Aealth for all !eyond \$000: the demise of the Alma)Ata #eclaration and
/rimary Aealth "are in developing countries@ Eohn Aall and .ichard Taylor
entitled [
100.According to the 3A%' health is defined as:
a..1ot merely the a!sence of disease
!.The a!sence of infirmity
c.The complete physical' mental and social well)!eing of a person
*.All ", !e )1"+e
e.1one of the a!ove
Ans #)Aealth for all !eyond \$000: the demise of the Alma)Ata #eclaration
and /rimary Aealth "are in developing countries@ Eohn Aall and .ichard
Taylor entitled [
1. >n what case should a family case conference or meeting !e of least help(
A. child admitted for +!' and \$omiting of three days duration
B. Two year old newly diagnosed to have thalassemia' a !lood disorder
". &ifty three year old working mother diagnosed with :tage >>> !reast "A
#. &orty five year old father with TB who remains symtomatic on the 5
th

month of medication
\$. The single most difficult time in the entire illness experience is
A. onset of illness
!. diagnosis of ma,or debilitating or terminal illness
". financial aspects of application of therapy
#. ad9ustment to permanency of outcome
2. Total evaluation of health care involving family relations' social and cultural
systems leading to !etter evaluation of health care
A. family life cycle
!. family systems theory
". family set)up
#. family relationshipsBparent)child interaction
7. #%A program to control diarrhea is targeted for
A. under 5 years of age
B. children and pregnant women
". lactating mothers
#. \$)17 years old
5. The following are covered !y /hilhealth except
A. le&iim)e m)((ie* D; .e)( "l* *)u&!e(
B. thirty year old legally !lind man
". sixty five year old mother working at a sari)sari store !ut depends for
most needs on employed forty year old son
#. spouse who is not an 1A>/ mem!er
4. >n 199\$ all administrative powers were transferred to political units and health
managers came under the management of non)health managers.
A. centrali*ation
!. de\$olution
". reorgani*ation
#. restructuring
5. %ne of the guiding principles of .A 5655 is universality which refers to
A. ade+uately meeting the needs for personal health services at various
stages of a mem!ers life
B. p("+i\$i"% " )ll #ii2e%\$ !e me#!)%i\$m ", &)i%i%& ,i%)%#i)l
)##e\$\$ " !e)l! \$e(+i#e\$
". provision of uniform !asic !enefits
#. !alancing economical use of resources with +uality of care
6. ?em!ership in the 1A>/ shall take effect
A. three days after payment of premiums
!. upon enrollment and payment of premiums
". at the time the mem!er gets sick
#. one month after enrollment and payment of premiums
9. %ne of the following characteri*es the ,essential drug- concept
A. should !e implemented !y those in the government sector
B. "%e #"ul* \$ele# )1"u 84< e\$\$e%i)l *(u&\$ ,"( ;<= ", !e
*i\$e)\$e\$ i% !e #"u%(.
". does not allow patients to choose from a list of generic drugs
#. discrepancy !etween availa!ility of drugs and needs of population
10. The following are categories of health services granted to the mem!er or his
dependents for in)patient hospital care
A. room and board
B. fee for privately hired nurse
". personal preventive services
#. food supplements
11. A!ility of the !ody to produce antitoxin with diphtheria vaccine
A. agent characteristic
B. !"\$ #!)()#e(i\$i#
". host)agent characteristic
#. agent)environment characteristic
12. .eferral to home care program of a diagnosed cancer patient
A. primary prevention
B. secondary prevention
C. e(i)(. p(e+e%i"%
#. primordial prevention
17. The amount of chopped fresh leaves of lagundi for adults is
A. two teaspoons
B. two ta!lespoons
". four ta!lespoons
D. \$i0 )1le\$p""%\$
15. %ne of the following is used as diuretic and anti)urolithiasis agent
A. ulasimang !ato
B. \$)m1"%&
". yer!a Buena
#. guava
14. Ampalaya leaves is recommended for
A. insulin)dependent dia!etes mellitus
B. %"%/i%\$uli% *epe%*e% *i)1ee\$ melliu\$
". non)toxic goiter
#. toxic goiter
15. %ne of the following medicinal plants contains vinca alkaloids and may !e
used as an anticancer agent
B. aloe vera
C. ("\$)\$ *e 1).1)."%
#. tawa)tawa
16. 3hen garlic is used to lower cholesterol' it should not !e
A. !roiled
B. soaked in vinegar
". fried
D. ()'
19. :ta!ility of vitamins under refrigeration
A. agent*en\$ironment interaction
B. host)environment interaction
". human host)agent interaction
#. agent)host)environment interaction
\$0. :econd line of defense against disease agents
A. secretions
B. respiratory cilia
". mucous mem!ranes and nails
D. lymph glands
\$1. /er single period of confinement a general practitioner will !e paid !y the
/hilhealth
A. 500 pesosBday
B. D4< pe\$"\$7*).
". 200 pesosBday
#. \$00 pesosBday
\$\$. :trategies to control TB in the /hilippines except
A. #%T: for all patients
B. F(ee me*i#i%e\$ )+)il)1le ,"( p)ie%\$ i% pu1li# !"\$pi)l\$ "%l.
". Active participation of private practitioners in 1T/
#. 1T/ reaches out to physicians in private sector
\$2. =ssential elements of primary health care except
A. ?"A including =/>
B. Basic sanitation and safe water
C. P("+i\$i"% ", ,""* \$uppl.
#. =ssential drugs availa!le
\$7.%ne of the advantages of decentrali*ing the health system is
A. G(e)e( (ep(e\$e%)i"% ", +)(i"u\$ p"lii#)l, (eli&i"u\$, e!%i#, )%*
(i1)l &("up\$ i% *e+el"pme% *e#i\$i"%/m):i%&.
B. Bureaucratic and highly structured nature of the health system
facilitates more efficient delivery of services
". Fesser participation of citi*ens in development planning and
management' hence' lesser conflict
#. Greater control of officials in the central office as regards to planning
and implementation of programs
\$5. According to .ule >K of the ?agna "arta' a pu!lic health worker who is
regularly employed under permanent status shall have security of tenure
A. But he can !e dismissed anytime from work if his !oss finds him
unsatisfactory for the 9o!
B. I, !e i\$ u%@u\$l. *i\$mi\$\$e* ,("m !e \$e(+i#e, !e7\$!e \$!)ll 1e
e%ile* " (ei%\$)eme% 'i!"u l"\$\$ ", \$e%i"(i. (i&!\$ )%*
p).me% ", 1)#: ')&e\$7\$)l)(ie\$ )%* "!e( 1e%e,i\$
". And can never !e terminated from his 9o!
#. But is not entitled to !enefits and !ack wages if un9ustly dismissed
from service
\$4. &amily type that includes stepparents and stepchildren !rought a!out !y
annulment' separation and remarriage
A. nuclear
B. extended
C. 1le%*e*
#. communal
\$5. True of systems concepts of family !y ?inuchin except
A. adapting to change is hallmark of healthy functioning
B. symptoms of our mem!er have effect within the family
". repeating interaction patterns regulate !ehavior of mem!ers
D. u\$u)ll. !e(e )(e +i#im\$ )%* +i#imi2e(\$ i% !e ,)mil.
\$6. &amily structure where relationship exists !etween at least three people and
two collude against the other
A. #")lii"%
B. alliance
". role selection
#. !oundaries
\$9. =nmeshment as family process occurs in the following
A. mother)child su!system excludes father in parenting
B. third person comes into a two)pair system to diffuse conflict
C. mem1e(\$ )(e "+e(l. (e)#i+e " \$(e\$\$ "% "%e mem1e(
#. parents have privacy from children
20. True of family genogram construction except
A. consist of at least three generations
B. first!orn is farthest to the right with si!ling following to the left
". hori*ontal lines connects children with spouses
#. children connected to parents with vertical lines
21. >n A/GA.' this measures the satisfaction attained in solving pro!lems !y the
communicating
A. Affection
B. .esolve
D. P)(%e(\$!ip
2\$. A mother who insists to accompany her son enrolling in medicine proper
during the routine physical exam in school
A. Triangulation
B. "oalition
". #isengagement
D. E%me\$!me%
22. A daughter sides with her mother regarding their pro!lem with the father.
They accuse the father having another woman
A. #")lii"%
B. disengagement
". triangulation
#. enmeshment
27. A family with three children ages 9' 10' and 15 living with their
grandparents in the city have adopted a \$)year old !oy. The familys A/GA.
is 2. This familys function is
A. normal
B. mildly dysfunctional
". moderately dysfunctional
D. \$e+e(el. *.\$,u%#i"%)l
25. Atherosclerotic changes in coronary vessels
A. :tage of :uscepti!ility
B. S)&e ", P(e\$.mp"m)i# *i\$e)\$e
". :tage of "linical disease
#. :tage of #isa!ility
24. ?easles followed !y the development of su!acute sclerosing panencephalitis
A. :tage of "linical disease
B. :tage of :uscepti!ility
". :tage of /resymptomatic disease
D. S)&e ", Di\$)1ili.
25. :econdary prevention except
A. \$pe#i,i# p("e#i"%
B. disa!ility limitation
". prompt treatment
#. early diagnosis
26. Aealth promotion except
A. u\$e ", immu%i2)i"%\$
B. genetics
". personality development
#. periodic selective examination
29. Fevels of preventive measures affecting reaction of the host to the
stimulus except
A. \$pe#i,i# p("e#i"%
B. reha!ilitation
". disa!ility limitation
#. early diagnosis and prompt treatment
70. Tertiary prevention except
A. sheltered workshop
B. half)way homes
". occupational therapy
D. imp("+eme% i% '"(:i%& #"%*ii"%\$ i% *u\$. i%*u\$(ie\$
71. =arly diagnosis and prompt treatment in cancer include the following except
A. Re#(uime% )%* ()i%i%& ", \$pe#i)li\$\$
B. :elf)examination of !reast
". "ancer detection centers
#. :elective examination
7\$. A!ility to stimulate the host to produce agglutinins' opsonins' antitoxins' etc.
A. /athogenicity
B. Dirulence
C. A%i&e%i#i.
#. >nfectivity
72.?easure of a!ility of an agent when lodged in the !ody to set up local or
general tissue reaction
A. P)!"&e%i#i.
B. Dirulence
". >nfectivity
#. incu!ation period
77. The most relevant part of the death certificate !ecause it is the one counted
in the statistics since it is the !asic condition which !egan the train of events
which led to death
A. immediate cause of death
B. intervening cause of death
". intermedial cause of death
D. u%*e(l.i%& )%e#e*e% #)u\$e
75. 3hich of the following is true regarding physiologic ad9ustments in
temperature(
A. The percent of the !ody surface wetted with sweat decreases with the
need to lose heat until maximum sweating occurs.
B. The sweat' which runs off' the !ody is of great value in removing heat
from the !ody' since heat is lost only when sweat is evaporated.
C. I, !e empe()u(e )%* !umi*i. )(e 1"! !i&!, !e 1"*. m). 1e
u%)1le " l"\$e \$u,,i#ie% !e).
#. ?en do not voluntarily replace the water lost !y sweating@ the
74. .elation of high temperature and humidity to physical work
A. ?uscular work contri!utes little to the total !ody heat load than
environmental conditions
B. Re#)l empe()u(e i\$ m"\$ #l"\$el. (el)e* " !e ()e ", p!.\$i#)l
'"(k
". The capacity of a man to work drops off at high temperature !ecause
of lack of oxygen supply.
#. A marked increase in lactic acid in the !lood limits the capacity of man
to work at high temperature.
75. >f the !ody is immersed in cold water' rather than cold air
B. air conducts heat faster than water
". air has a higher specific heat value
D. e%i(e 1"*. \$u(,)#e l"\$e\$ m"(e !e) " !e ')e(
76. This is the \$
nd
most a!undant greenhouse gas:
A. nitrous oxide
B. "&"s
". "ar!on dioxide
D. Me!)%e
79. This is not necessary in the formation of %*one
A. !.*("#)(1"%\$
B. :%\$
". 1itrous oxide
#. :unlight
50. The process of removing or destroying all micro!ial life of an o!9ect
A. antisepsis
B. \$e(ili2)i"%
". disinfection
#. antimicro!ial
51. =xert their action !y in9uring plasma mem!ranes
A. p!e%"l\$
B. !iguanides
". halogens
#. alcohols
5\$. True on halogens as disinfectants except
A. >odine may com!ine with certain amino acids to inactivate en*ymes
B. Germicidal action of chlorine is !ased on the formation of
hyperchlorous acid when chlorine is added to water
C. I"*i%e i\$ )+)il)1le )\$ ) i%#u(e I#"m1i%e* 'i! )% "(&)%i#
m"le#uleK.
#. "hlorine is used as a disinfectant in gaseous form
52. The following statements are correct regarding surface)active agents except
A. Acid anionic detergents are used to clean dairy e+uipment
B. :oaps assists in the removal of microorganisms through scru!!ing
". #etergents decrease the surface tension among molecules of a li+uid
D. S")p\$ !)+e ) 'i*e ()%&e ", &e(mi#i*)l )#i"%
A. ?icrowave can kill micro!es indirectly as materials get hot.
B. The effects of radiation depend on wavelength and duration
C. Ul()+i"le ()*i)i"% !)\$ ) !i&! *e&(ee ", pe%e()i"% )%* e0e(\$
p(im)(. 1. i"%i2i%& ')e(
#. K)rays exert its effect !y forming highly reactive hydroxyl radicals
55. The seven target diseases are:
A. measles' polio' pneumonia' tetanus' chicken pox' TB
B. diphtheria' mumps' polio' T!' tetanus' measles
C. TB, p"li", me)\$le\$, *ip!!e(i), pe(u\$\$i\$, e)%u\$, !ep B
#. Tetanus' pertussis' tonsillitis' measles' tetanus' TB
54. =xtremely low fre+uency electromagnetic fields can cause !rain tumor and
this is emitted !y
A. television sets
B. laser printers
". Kerox machines
D. Mi#("')+e "+e%
55. A \$0)year)old female in respiratory distress was !rought to the emergency
room for intentional ingestion of a poisonous su!stance. %f the following'
which is the most appropriate thing to do first.
A. Get a detailed history
B. M)i%)i% +i)l \$i&%\$
". Give antidote
#. >nduce vomiting
56. "ontamination of food !y cockroaches is as example of :
A. vehicle)!orne transmission
B. air)!orne transmission
C. me#!)%i#)l ()%\$mi\$\$i"%
#. !iological transmission
59. Gas responsi!le for explosion in gar!age dumps:
A. car!onic acid gas
B. car!on monoxide
C. me!)%e
#. nitrogen
40. Hsual speech fre+uency is:
A. 0 d!
B. 1\$0 d!
C. 4<< " 8<<< H2
#. \$0 to \$0'000 A*
41. ?ost likely to occur during cases of !om! explosions:
A. #"%*u#i+e !e)(i%& l"\$\$
B. noise Cinduced deafness
". sensorineural hearing loss
#. temporary threshold shift
4\$. >n storing vaccines' the following should !e remem!ered
A. #/T vaccine can !e stored in the free*er and thawed
B. The diluent should !e in the area where the solvent is
C. Ne+e( :eep +)##i%e i% !e *""( ", !e (e,(i&e()"(
#. >f the vaccine stored a!ove or !elow safe temperature it will not lose its
potency if it is for a short period of time only.
42. >n transporting vaccine using a vaccine carrier this vaccine should !e placed
in contact with fro*en ice packs
A. B"G
B. OPV
". #/T
#. TT
47.This vaccine is most easily damaged !y sunlight
A. polio vaccine
B. BCG
". #/T
#. Tetanus toxoid
45. A fully immuni*ed child has finished
A. B"G' \$ #/T' \$ %/D
B. B"G' 2 #/T' 2 %/D
C. BCG, CDPT, C OPV, Me)\$le\$
#. 2 #/T' 2 %/D' ?easles
44. A \$1 year old woman is pregnant with her first child' she had had received \$
doses of #/T when she was a child. Aow many doses does she need so that
all infants !orn to her will !e protected(
A. 8
B. 2
". 7
#. 5
45. 1ormal reaction to B"G vaccination are the following except
A. small and tender swelling a!out 10mm across after \$ weeks
B. swelling !ecame small a!scess when vaccinated after \$)2 weeks
". formation of scar after a!out 10 weeks
D. )#ue i%,l)mm)i"% (e)#i"% )ppe)(i%& 9/8 *).\$ ", +)##i%)i"%
46. The separation of infected persons for the period of communica!ility to
prevent transmission of infectious agent to those who are suscepti!le is
A. +uarantine
B. surveillance
C. i\$"l)i"%
#. herd immunity
49. The prevention transmission of highly contagious or virulent infection that
may !e spread !y !oth air and contact is
A. \$(i# i\$"l)i"%
B. contact isolation
". respiratory isolation
#. drainage precaution
50. These diseases are internationally +uarantina!le diseases and thus are
la!eled as #iseases Hnder :urveillance !y 3A%.
A. pl)&ue, #!"le(), \$m)llp"0
B. plague' typhoid fever' cholera
". leprosy' smallpox' plague
#. malaria' leprosy' smallpox
5\$. 3hen shellfish is harvested from a contaminated area' it should purge !efore
consumption for approximately:
A. 1 day
B. 1 week
C. 8 'ee:\$
#. \$ days
52. %ne of the neurotoxins found in coal:
B. chromium
C. m)%&)%e\$e
#. arsenic
57. The most important test for pota!ility of water.
A. taste and odor
B. chemicals
". algae' microorganism
#. \$(ep #"li,"(m\$
55. =xamples of water)!orne diseases =K"=/T :
A. amoe!iasis
B. minimata disease
C. poliomyelitis
D. \$#!i\$"\$"mi)\$i\$
54. ?an is the definitive host in:
A. dengue fever
B. ,ili)(i)\$i\$
C. malaria
D. .ocky mountain spotted fever
55. .ats and other rodents are the reservoir and source of several diseases of
man except
A. schistosomiasis
B. salmonellosis
C. *e%&ue !em"((!)&i# ,e+e(
#. plague
56. 3hich should !e first priority in disaster relief(
A. :afety of food supply
B. Dector control
C. E0#(e) *i\$p"\$)l
#. /romotion of personal hygiene
59. =arly effects of ioni*ing radiation includes the following except
A. anorexia' nausea' vomiting
B. marrow syndrome
". sterility
D. i%#(e)\$e #!il*!""* #)%#e(
60. The following are environmental sources of occupational stress except
A. excessive noise
B. attitudinal pro!lems
". hotBcold fever
D. p"\$u(e
61. The !acterial limits for pasteuri*ed milk and milk products is:
A. 100' 000Bml
B. 10'000Bml
C. 8<,<<<7ml
#. 1gmBml
6\$. A selective' partial limitation of freedom of movement of contacts' on the
!asis of known or presumed differences in suscepti!ility and related to danger
of disease transmission.
A. a!solute +uarantine
B. m"*i,ie* -u)()%i%e
". isolation
#. surveillance
67. 3hat type of sampling techni+ue is used for ,?an)in)the)street- surveys and
interviews among senior citi*ens who drop in at a health !ooth in :? "ity(
A. simple random
. systematic
). hapha-ard
*. cl'ster
65. 3hat is the a!ility of a study to demonstrate an association if one exists(
A. alpha
B. / value
C. p"'e(
#. Type >> error
64. >n contrast to o!servational studies' experimental research:
A. attempts to descri!e prevailing trends occurring in a population
B. empi(i#)ll. e\$\$ ) #)u\$e/e,,e# (el)i"%\$!ip )m"%& +)(i)1le\$
". re+uires two or more population groups in a study
#. identifies risk factors accompanying the independent varia!le
65. Any of the following may !e included as an ,exposure- in health research
except:
A. potential risk factor
B. T!e "u#"me 1ei%& \$u*ie*
". The treatment or therapy
#. A health pro!lem
66. The following are impact programs of #%A except
A. soil)transmitted helminthes disease control
B. ra!ies control
). malaria control
#. environmental health services
69. Type of out!reak where exposure is !rief and all cases develop within one
incu!ation period of the disease.
A. common source out!reak with intermittent exposure
B. common source out!reak with continuous exposure
C. p"i% \$"u(#e "u1(e):
#. propagated out!reak
90. A distri!ution that is negatively skewed has)
A. !i&!e( ,(e-ue%#. "% !e (i&!
B. higher fre+uency on the left
". a flatter distri!ution than the normal distri!ution
#. a more peaked distri!ution than the normal distri!ution
91. 3hich has a wider interval(
A. 60S confidence interval
B. 90S confidence interval
". 95S confidence interval
D. ;;= #"%,i*e%#e i%e(+)l
9\$. Aims to reveal the existing gaps in knowledge regarding the pro!lem
!eing studied
A. significance of the study
B. research +uestion
C. (e+ie' ", lie()u(e
#. conceptual framework
92. A nominal scale:
A. i\$ m)*e up ", l)1ele* "( %)me* #)e&"(ie\$ 'i! %" implie* "(*e(
B. is a ranking scale
". has an ordering of values with one !etter than the other
#. has e+ual distances !etween values
97. >n a stratified sampling:
A. k is determined !y dividing the num!er of items in the sampling frame
!y the desired sample si*e
B. !e p"pul)i"% i\$ ,i(\$ *i+i*e* i%" (ele+)% \$u1&("up\$ )%* )
()%*"m \$)mple i\$ \$ele#e* ,("m e)#!
". the pro!a!ility that a su!9ect may !e selected is unknown
#. the assignment of su!9ects to treatments is done !y using random
methods
95. 3hich is used to test for differences among proportions(
A. paired t)test
B. B. \$)sample t)test
". A1%DA
D. D. C!i/\$-u)(e e\$
94. An investigator conducts a historical cohort study to explore the relationship
!etween perimenopausal exogenous estrogen use and the risk of coronary
heart disease ;"A#<. A total of 5000 exposed and 5000 unexposed women
are enrolled and followed for 15 years for the development of myocardial
infarction ;?><. A total of \$00 estrogen users and 200 nonusers had ?>s. 3hat
is the relative risk for ?>(
A. 0.22
B. 0.50
C. <.35
#. 1.5
95. A study was undertaken to compare results of the surgical treatment of
duodenal ulcer. A total of 1'256 patients who met the study criteria were
randomly assigned to one of four surgical procedures. The purpose of the
randomi*ation was to )
A. ensure that the dou!le)!lind aspect of the study was maintained
B. "1)i% !e u%1i)\$e* *i\$(i1ui"% ", &""*/ )%* p""(/(i\$: p)ie%\$ i%
)ll (e)me% &("up\$
". achieve the same num!er of patients on each operation
#. guarantee that the study group was a representative sample of the
general population
96. A newly developed test for dia!etes produced positive results in 126 of 150
known dia!etics and in \$7 of 150 persons known not to have dia!etes.
3hat is the sensitivity of the test(
A. 67S
B. 65.\$S
". 66S
D. ;8=
99. Treatment of a patient with gonorrhoea constitute:
A. primary prevention for the patient' secondary prevention for potential
contact
B. \$e#"%*)(. p(e+e%i"% ,"( p)ie%, p(im)(. p(e+e%i"% ,"( p"e%i)l
#"%)#
". secondary prevention for patient' tertiary prevention for contact
#. tertiary prevention for contact' primary prevention for patient
100. An indirect health impact of climate change:
A. heat wave in =urope in \$002 causing more than \$0'000 deaths
B. respiratory illness due to an increase in o*one
". altered concentration of fungal spores causing respiratory pro!lems
D. El NiL" e+e%\$ #)u\$i%& *e%&ue "u1(e):\$