Community Medicine 2nd LE

1. Which of the following statements about the NOMINAL GROUP TECHNIQUE is FALSE? C.
A. ensures relatively equal participation among members
B. every member’s input is taken into account Trans 2.01
C. the facilitator can ‘veto’ any input deemed disruptive Democratic process allowing for equal say among all participants, regardless of
D. voting is an integral part of the process position in the agency or community.

2. Which of the following is TRUE in DETERMINING THE FINAL RANKING OF TOP PRIORITY PROBLEMS? A.
A. the problem with the lowest total score is ranked as the highest priority problem
B. problem with the lowest priority are given a score of 1 by members Final Ranking of Top priority problems
C. members give a score of 100 to the problem they deem to have the highest priority The moderator asks each participant to rank the list of final eight problems as
D. none of the above follows:
-most important: score of 1
-least important: score of 8

3. Which of the following is TRUE regarding CITY UERM? A.

A. it is a group of islands in the Visayas divided into 3 areas
B. it is predominantly made up of Muslims
C. majority of the population does not understand English
D. more than half of households do not have safe water supply

4. Which of the following diseases/condition have the HIGHEST MORBIDITY in CITY UERM? B.
A. cardiovascular disease
B. infectious disease
C. malignant neoplasms
D. pneumonia

5. Which of the following diseases/condition have the HIGHEST MORTALITY in CITY UERM? D.
A. cardiovascular disease
B. infectious disease
C. malignant neoplasms
D. pneumonia

For numbers 6-8, match the World Health Organization (WHO) building blocks of healthcare systems with the WHO building blocks
corresponding indicators: 1. Service delivery- are those who provide effective, safe, quality, personal and
A. service delivery non-personal health interventions to those who need them
B. health workforce 2. Health workforce- essential for the efficient management and operation of
C. health information system the public health system; main drivers
D. financing 3. Health information system- ensures production, analysis, dissemination and
E. leadership and governance use of reliable and timely information on health determinants, health system
performance, and health status
4. Financing- raises adequate funds for health, in ways that ensure people can
use needed services and are protected from financial catastrophe
5. Leadership and Governance- ensures that health authorities take
responsibility for steering the entire health sector; provides health policies,
strategies, plans that set a clear direction for the health sector
6. Annual number of graduates of health professions educational institutions per 100,000 population by level B.
and field of education.

7. Ratio of household out-of-pocket expenses payments for health to total expenditure on health D.

8. Number and distribution of in-patient beds per 10,000 population A.

9. In this type of DECENTRALIZATION, a set of functions, power and authority is transferred from the national D.
government to local government units (LGUs)
A. deconcentration Deconcentration- administrative authority is transferred to regional or local
B. delegation health offices
C. privatization Delegation- a well-defined tasks, functions, and authority is transferred to
D. devolution organizations outside the central government
Privatization- government functions are transferred to non-governmental
organizations
Devolution- a set of functions, power and authority is transferred from the
national government to LGUs

10. Goals of President Benigno S. Aquino’s HEALTH REFORM AGENDA (i.e., National Objectives for Health 2011- B.
2016) include the following EXCEPT:
A. more equitable health financing Three goals of Health Reforms agenda
B. more focused health policies and stringent regulations/legislation 1. better health outcome
C. better health outcomes (from leading morbidity-mortality cases) 2. more equitable financing
D. increased responsiveness and client/patient satisfaction 3. increased responsiveness and client satisfaction

11. In HEALTH FACILITIES, the Integrated Management of Childhood Illnesses (IMCI) promotes the following, B.
EXCEPT:
A. accurate identification of childhood illnesses in the out-patient (ambulatory) setting In health facilities, the IMCI:
B. judicious use of modern diagnostic tests in identifying high-risk pediatric patients -promotes accurate identification of childhood illnesses in outpatient settings
C. ensure appropriate combined treatment of major pediatric illnesses -ensures appropriate combined treatment of all major illnesses
D. speeds up the referral system/ process for severely ill children -strengthens the counseling of caretakers
-speeds up the referral of severely ill children

12. The following activities are included in the Garantisadong Pambata program, EXCEPT: A.
A. screening for inborn errors of metabolism
B. vitamin A supplementation Services provided by GP:
C. mass deworming (i.e., for soil-transmitted helminthiasis -EPI
D. ferrous sulfate supplementation -Vitamin A supplementation
-mass deworming
-ferrous sulfate supplementation
-Operation Timbang to monitor malnourished children

13. Under the updated Expanded Program on Immunization, the following VACCINES are now available in A
barangay health centers, EXCEPT:
A. varicella vaccine In 2010, new vaccines have been included in the EPI by the Department of
B. rotavirus vaccine Health
C. measles-mumps-rubella (MMR) vaccine Measles, Mumps, Rubella (MMR)
D. pneumococcal conjugate vaccine Rotavirus (RV)
Haemophilus influenza B (HiB)
Pneumococcal conjugate vaccine (PCV)
Trans 2.02 (p. 3)

For numbers 14 and 15, refer to the 4-TIERED SERVICE DELIVERY MODEL Basic emergency obstetric care services at the health center level should include
A. Community Based Team (CBT) at least the following:
B. Basic Essential Obstetric-Newborn Care (BEONC) parenteral antibiotics
C. Basic Emergency Obstetric-Newborn Care (BEmONC) parenteral oxytocic drugs
D. Comprehensive Emergency Obstretric Newborn Care (CEmONC) parenteral sedatives for eclampsia
manual removal of placenta
manual removal of retained products

14. Within this tier, skills of health professional are upgraded to include services that will allow blood transfusion D
and performing caesarian section, including treatment of neonatal sepsis among infants.
Comprehensive emergency obstetric care services at the district hospital level
(first referral level) should include all components of BEmONC plus surgery,
anaesthesia, and blood transfusion.

15. Within this tier, different forms of artificial contraception may be performed, including bilateral tubal ligation C
(BTL), insertion of intra-uterine device (IUD), and even make (non-scalpel) vasectomy. Components of BEmONC:
administration of IM/IV antibiotics
administration of IV/IM anticonvulsants
administration of IM oxytocin as part of the active management of third stage of
labor
delivery of imminent breech
manual removal of retained products of conception and blood clots
manual removal of retained placenta
administration of antenatal steroids in premature and essential newborn care

16. Based on the latest data from the Bureau of Epidemiology (formerly National Epidemiology Center), which of A
the following describes the patient of HIV/AIDS TRANSMISSION in the Philippines?
A. There is a shift in the predominant mode of sexual transmission from heterosexual contact to homosexual Transmission of HIV:
activities, specifically among males who have sex with other males (MSMs)
B. In Metro Cebu, the incidence of HIV is more commonly seen via vertical transmission (i.e., HIV-infected Sexual transmission: 27,310
pregnant mother to growing fetus/neonate), rather than sexual contact MSM contact: 13,052 (highest on the list)
C. The current HIV/AIDS incidences may be described as “low and slow”
D. HIV/AIDS has been increasing among healthcare professional because of accidental needle prick injuries, Trans 2.02 (p. 4)
specifically at San Lazaro Hospital and the Research Institute for Tropical Medicine

17. The following is/are strategy/-ies employed for VECTOR CONTROL (i.e. Anopheles flavirostris) under the D
National Malaria Program:
A. use of long-lasting insecticide treated mosquito nets National Malaria Control in the Philippines
B. indoor residual spraying Vector Control
C. biological control using the mosquito fish, Gambusia affinis (Long lasting) insecticide-treated mosquito nets
D. A and B only Indoor residual spraying

Trans 2.02 (p. 5)

18. The following are RISK REDUCTION OBJECTIVES of National Dengue Control Program, EXCEPT: A
A. establish a dengue reference laboratory capable of performing IgM capture for ELISA for dengue surveillance
B. reduce risk of human exposure to Aedes bite by house index of <5 and Breteau Index of 20 Risk Reduction Objectives of National Dengue Control Progam:
C. increase percentage of households practicing removal of mosquito breeding places to 80%
D. increase awareness of dengue fever/dengue hemorrhagic fever to 100% Reduce the risk of human exposure to Aedes bite by house index of <5 and
Breteau index of 20 (count of larvae in a household)
Increase the percentage of households practicing removal of mosquito breeding
places to 80%
Increase awareness on dengue fever (DF)/dengue hemorrhagic fever (DHF) to
100%

Trans 2.02 (p. 6)

19. The Mag-HL Tayo --- National Healthy Lifestyle Campaign aims to reduce prevalence of the following non- D
communicable diseases, EXCEPT:
A. malignant neoplasm Mag-HL Tayo aims to reduce prevalence of lifestyle diseases, particularly
B. diabetes mellitus cardiovascular diseases (HTN, malignant ischemic disease), cancers, diabetes
C. chronic obstructive pulmonary disease mellitus, and obstructive pulmonary diseases
D. nephritic/nephrotic syndrome Trans 2.02 (p. 7)

20. Components of the Mag-HL Tayo--- National Healthy Lifestyle Campaign include the following, EXCEPT: C
A. stress management
B. cigarette smoking cessation Program Components of Mag-HL Tayo
C. vaccination against cancer (e.g. HPV, HBV)
D. weight reduction and active lifestyle Lifestyle Physical Activity Program
Healthy Diet and Weight Control Program
Feeding Program
Stress Management Program
Tobacco Control Program
Control of Alcohol Use Program

Trans 2.02 (p. 7)

21. Which of the following is NOT part of the THREE THRUSTS OF KALUSUGAN PANGKALAHATAN (KP)? D
A. attainment of health-related MDGs
B. financial risk protection through PhilHealth Three Thrusts of KalusuganPangkalahatan
C. improved access to quality health care facilities Financial risk protection
D. provision of more affordable essential medications Better health outcomes
attainment of health-related UN MDGs
Responsive health system by improving the health care facilities

Trans 2.02 (p.2)

22. Which of the following is TRUE regarding the NATIONAL TUBERCULOSIS CONTROL PROGRAM? D
A. envisions a TB-free Philippines
B. goal to reduce mortality rate to 23/100,000 National Tuberculosis Control Program
C. targets a case detection rate of 90% vision: TB-free Philippines
D. all of the above
 Note: sorry I can’t find a source for letters B and D, but you may check
Trans 2.02 p. 6

23. The following are OBJECTIVES of the FOOD AND WATERBORNE DISEASES PREVENTION AND CONTROL
PROGRAM, EXCEPT:
A. ensure availability of first line and second line antimicrobial and anti-parasitic medications
B. increase public awareness in preventable food- and water-borne illnesses
C. increase infrastructures related to food sanitation and safe water delivery
D. procurement of IV solutions for adult and pediatric patients in diarrhea outbreaks
C
Objectives:
Prevent the occurrence of food and waterborne outbreaks through strategic
placement of water purification solutions and tablets
2. Procure Intravenous Fluid solutions, venosets and IV cannula
3. Place first line and second line antimicrobial and anti-parasitic medicines
4. Increase public awareness in preventable food-borne illnesses
5. Increase coordination between the National Epidemiology Center (NEC) and
Regional epidemiology surveillance Unit (RESU) to adequately respond to
outbreaks and provide technical support;
6. Procure Typhidot-M diagnostic kits for the early detection and treatment of
typhoid patients;
7. Procure Typhoid vaccine and oral cholera vaccine to reduce the number of
cases seen after severe flooding;
8. Provide training to local government unit (LGU) laboratory and allied medical
personnel on the Accurate laboratory diagnosis
9. Provide guidance to field medical personnel with regard to the correct
treatment protocols vis-à-vis various parasitic, bacterial, and viral pathogens
involved in food and waterborne diseases.

24. Which of the following is NOT included in the TEN MEDICINAL PLANTS APPROVED BY THE DEPARTMENT OF B
HEALTH (DOH)?
A. Lagundi (Vitex negundo) Ten medicinal plants approved by DOH
B. Okra (Abelmoschus esculentus) Akapulko
C. Sambong(Blumea balsamifera) Ampalaya
D. Tsaang Gubat(Carmona retusa) Bawang
Bayabas
Lagundi
Niyog-niyogan
Sambong
Tsaanggubat
UlasimangBato /Pansit-Pansitan
Yerba Buena

http://www.philippineherbalmedicine.org/doh_herbs.htm

25. Which is not part of the 4Es strategy of the violence and injury prevention program? D
A. Education related to violence and injury prevention
B. Enactment of laws and policies related to violence and injury prevention 4Es include:
C. Engineering to reduce the impact of causes of injury Education
D. Evaluation of places of productivity such as offices, factories and schools Enactment of policies
Engineering to reduce the impact of causes of injury
Economic incentives
26. The National Objectives for Health 2016-2020 is an example of what type of program plan? C
A. Short term Since 5 years
B. Intermediate term
C. Medium term Short term plan- usually done at the health center; planning at the beginning of
D. Long term the year and implementation by July
Medium term plan- plans of DOH like National Objectives for Health (currently
2010 to 2015; in our manual is 2005-2010)
Long term plan- usually happens upon election of a new mayor (9 years total)

27. Which of the following is the perfect model for health program planning? D
A. Precede-Proceed There is no perfect model
B. Strategic Planning
C. Area Based Program Planning
D. None of the above

28. Which of the following is/are part/s of the 3 Fs of program planning? D

A. Steps are sequential Should be sequential, adapts to needs and functional in scope
B. Adapts to the needs of the stakeholders
C. Functional in scope
D. All of the above

29. In a SWOT analysis, the following is/are part/s of the internal environment analysis: C
A. Rotary Club International
B. Sin Tax Law
C. Accessibility of Health Centers
D. A and B only

30. Which of the following serves as basis for the formulation of a program plan? D
A. Health impact of the problem to the community
B. An organization’s mission and goals
C. External and Internal environment issues
D. All of the above

31. Guidelines in formulating a program plan include the following except: D.

A. Stating the changes that are expected to result from the implementation of program activities
B. Should quantify the expected amount of change over time period
C. Stating the direction and magnitude of the target changes
D. Defining the implementers of program activities

For numbers 32-35, choose answers from the choices given below:
A. To build a community of healthy people
B. Eliminate gender disparity in primary and secondary education preferably by 2005 and at least all levels by
2015
C. By 2017, the personnel of Bacoor City Health Office will approximate at least 70% of the health human
resource/population ratio
D. Conduct of training of barangay health workers on proper nutrition
E. To tap International Funding Agencies in order to supplement inadequate funding for health programs
32. Which of the above statements is a properly stated PROGRAM GOAL? B

33. Which of the above statements is a properly stated PROGRAM OBJECTIVE? C

34. Which of the following statements is a properly stated STRATEGY? E

35. Which of the above statements is a properly stated ACTIVITY? D

36. Which of the following is an appropriate strategy for Leadership and Government? A
A. Provision of a scholarship for a Master’s Degree to Public Health for the Medical Officers of the health office
B. Provision of laptops for all Medical Officers of use in the electronic database of patients By giving scholarship programs to medical officers in the health office, you
C. Conduct of training on the latest Clinical Practice Guidelines for all health personnel actually improve their ability to lead and govern their jurisdiction
D. Conduct of annual program implementation and review to evaluate the different programs being
implemented

37. Which program planning statement is being referred to by the following? A

-“Promote:
 Sense of pride and belonging to Alma Mater
 Strengthening of College of Medicine
 Professional Growth
 Advancement of the medical profession
 Adherence to Hippocratic Oath
-Establish more meaningful and greater linkage, greater social interaction and bonding among alumni and
between the Medical Center and between the Medical Center and the Alumni
-Build UERMMMCI as the medical community of excellence, compassion, harmony and respect”

A. Mission
B. Vision
C. Values
D. Goals

38. Which of the following is an impact measure for a program on Expanded Program on Immunization? C.
A. Number of fully immunized child Impact measures long term results; how your program affects the status of the
B. number of children given anti-measles vaccine community
C. decrease in infant mortality rate
D. decrease in incidence of pulmonary tuberculosis A, B, D are outcomes.
E. A and B only

39. Accounting as an ADMINISTRATIVE CONCERN is involved with the following functions: D.

A. rendition of reports to the public
B. enumeration of accomplishments
C. evaluation of accomplishments
D. all of the above
40. Method is a type of resource coordinated by management B.
A. false 5 M’s of Management: manpower, money, mission, method, materials
B. true

For numbers 41-43, match the activities done under the main functions of management: Planning: includes setting objectives, outlining activities
A. Planning Implementation: includes execution, deployment, processing of information
B. Implementation Evaluation: includes effectiveness, efficiency
C. Evaluation

41. allocation and mobilization of resources B

42. determine economic use of all types of resources C

43. procuring resources required for performing its activities A

44. Which of the following is NOT part of the decision-making roles of a manager? D.
A. Crisis handler
B. innovator Roles played by managers in decision-making
C. negotiator -assignment of responsibility and authority
D. spokesperson -allocation of resources
-charting of new directions for the agency
-introduction of changes/innovations
-solve major and minor crises
-negotiate with workers, other agencies and the public

For number 45 and 46, identify the type of MANAGEMENT STYLE experienced by the staff. B. high concern for people, low concern for task
A. Authority compliance D. high concern for people and task
B. Country club
C. Impoverished management low concern for people, high concern for task
D. Team management low motivation, low productivity rate

45. There is low motivation and high turnover rate of the staff A

46. The staff are at a loss, fail to accomplish their objectives and unable to meet deadlines C
47. Which principle of management requires that the number of individuals reporting to a supervisor should not C.
be more than he can effectively handle?
A. Delegation of authority and responsibility Delegation: passing on the task when manager is overloaded or when he feels
B. Division of work task can be done by subordinate
C. Span of control
D. specification of objectives

48. What type of organizational chart presents the duties of the segments of organization and indicates the A.
interrelationships of these functions?
A. Functional Structural - outlines the basic relationships between various components of the
B. position organization
C. structural Position - shows the names, position, and title or rank of personnel as they fit
into the plan of organization
Trans 2.04, pg. 3

For 49 and 50, identify the TYPE OF COMMUNICATION involved: Administrative order lays down policies, rules and guidelines.
A. Administrative Order Department circular because it is already describing how a particular policy
B. Department Circular should be implemented; “how to”
C. Memorandum Order Memorandum Order - reminder of matters dealt with in orders, circulars or
D. Department Order instructions which are not fully implemented
Department Order - confined to a particular purpose or a specific object, person
or class, usually involving movement of personnel
Trans 2.04, pg. 5

49. “National Policy and Strategic Framework on Adolescent Health and Development” which aims to provide a A
strategic framework for the adolescent health program that is anchored on universal health care and provide
policy direction and guidelines for DOH office, its attached agencies, LGUs and development partners in
prioritizing interventions for adolescent health.

50. Reiteration on the observance of precautionary measures in the disposal of dead persons. Chapter XXI B
“Disposal of Dead Persons” mandate the CEUE to monitor and enforce quality standards of embalming practice
in the Philippines and exercise the powers necessary to ensure the maintenance of efficient, ethical and
technical, moral and professional standards in its practice, taking into account the quality of care to be rendered
to respective clientele.