PREVENTIVE MEDICINE AND PUBLIC HEALTH 1

Physician’s Licensure Examination

June 7, 2008; 1:00- 5:00
PREVENTIVE MEDICINE AND PUBLIC HEALTH

I. Epidemiology and Biostatistics

1. A recent study found higher incidence of Sudden Infant death Syndrome (SIDS) for
children of mothers who smoke. If the rate for smoking mothers is 230/100,000, and
the rate for non-smoking mothers is 71/100,000, what is the relative risk for children
of mothers who smoke?
A. 0.32
B. 3.2
C. 159
D. 230
2. Prevalence is a measure of:
A. Cases occurring within an interval
B. Old and new cases in the community
C. Old cases only
D. New cases only
3. When two or more observers measure the same variable in the same subjects, it is
known as:
A. Instrument variability
B. Inter observer variation
C. Intra observer variation
D. Controlled trial variation
4. True about life expectancy in the Philippines , EXCEPT
A. Rose from 61.6 in the 80’s to the 70’s in the early 70’s
B. Females higher than males
C. Lowest in the ARMM
D. Is comparable to Thailand
5. IMR is affected by socio-demographic factors. In the Philippines, a child will most
likely not celebrate his/her first birthday if :
A. The mother is illiterate
B. The child is born in the urban area
C. The child is born in the ARMM
D. The child is born less than a year after a previous child
6. A study was conducted to assess the effects of smoking on the memory of medical
students. The objective was to focus on all medical students with a 5 pack year
smoking history . A group from 2nd year students of UPCM was invited for the study.
In this study, all students who have been smoking would be the
A. Target population
B. Study population
C. Study sample
D. Population at risk
7. A component part diagram such as a pie diagram is used to portray:
A. Percentages
B. Trends
C. Frequencies of discreet variables
D. Frequencies of continuous variables
8. An epidemiologic study that provides clues for diseases etiology and hypothesis for
further study:
A. Cross sectional study
B. Cohort study
C. Descriptive study
D. Case-control study
9. This is the measure of mortality which reveals the rates of ten leading cause of
death
A. Case fatality rate
B. Cause specific death rate
C. Infant mortality rate
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Physician’s Licensure Examination
June 7, 2008; 1:00- 5:00
D. Proportionate death rate
10. To establish the trend of birth events in 5 years, the measure to use is
A. Crude birth rate (CBR)
B. Total Fertility rate (TFR)
C. Age-specific Birth Rate (ASBR)
D. Child woman ration
11. An age dependency ratio of 105 can be interpreted as
A. 100 persons are dependent on the 105
B. The computed value is not representative of the number of dependents to be
supported
C. 105 persons will be supported by 100 able bodied persons
D. There are less number of dependents per 100 persons
12. Which among the following is the reference population in a research study to test the
effectiveness of a vaccine against tetanus neonatorum?
A. All neonates without tetanus
B. Mothers who have tetanus
C. All patients with tetanus
D. All neonates with tetanus
13. A measure of prognosis that identifies the number of those who died among those
diagnosed with the disease is
A. 5year survival
B. Median survival
C. Relative survival
D. Case fatality
14. This measure is indicative of the potential for prevention if the exposure can be
eliminated
A. Relative risk
B. Attributable risk
C. Prevalence risk
D. Proportionate mortality ratio
15. Several studies have found that approximately 85% of cases of lung cancer are due to
cigarette smoking. This is an example of
A. Incidence rate
B. Attributable risk
C. Relative risk
D. Prevalence risk

II. Communicable and Non-communicable Diseases

1. The following is/are important factor/s of the disease to be considered before asking
for a screening test.
a. Common disease c. both
b. Cause significant morbidity d. neither
2. Giving influenza vaccine to an elderly diabetic is a form of
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Waste of money
3. Patients who receive immune globulin for prevention or modification of measles
should NOT be given measles vaccine until after:
a. 4 weeks
b. 3 – 4 months
c. 2 – 3 months
d. 5 – 6 months
4. True about Measles vaccine EXCEPT
a. Provides protection against mumps, measles and german measles
b. All children should have two doses first at 12- 15 months then at 4 – 6 years
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Physician’s Licensure Examination
June 7, 2008; 1:00- 5:00
c. All adults should receive a booster provided they have sufficient measles
antibody titers or had history of actual disease
d. Infants 6-11 months should be given one dose prior to travel to an endemic
area
5. The annual chest exam as part of a periodic health exam is meant for the early
detection of
a. Chronic lung disease
b. Cancer of the lungs
c. PTB
d. All of the above
6. The length of time between detection of cancer with screening tests and the time in
which the disease by the presence of signs and symptoms would otherwise have been
detected in the absence of screening is called:
a. Overdiagnosis bias
b. Selection bias
c. Lead time bias
d. Length bias
7. Vaccines should not be given to the following:
a. Child who has fever of 38’C and is anorexic and lethargic
b. Child has allergy to duck meat
c. Child with history of convulsion
d. All of the above
8. The most effective screening tool for colon cancer is
a. Clinical history and family genogram
b. FOBT
c. Annual digital rectal exam
d. Colonoscopy every other year
9. Risk factors that are associated with breast cancer include all of the following
EXCEPT
a. menarche before age 12
b. menopause after age 50
c. obesity
d. no exception
10. Sunscreen of at least 15 SPF are recommended to protect against the most serious of
dermatologic malignancies which is
a. Malignant melanoma
b. Squamous cell carcinoma
c. Basal cell carcinoma
d. Actinic keratosis
11. False positive test may result with FOBT if there is inadequate preparation. For
three days prior to the exam, patients must be restricted from taking
a. High doses of NSAID
b. Vitamin C
c. Meat
d. All of the above
12. The following are live attenuated vaccines EXCEPT
a. Measles c. Hepatitis B
b. Rubella d. Oral polio
13. The screening instrument used to detect alcohol abuse is called
a. CAGE questionnaire
b. Family APGAR
c. DSM-4
d. Fagerstrom test
14. The drug of abuse that imposes the largest health and economic burden on society is
a. Amphetamines
b. Nicotine
c. Hallucinogens
d. coccaine
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Physician’s Licensure Examination
June 7, 2008; 1:00- 5:00
15. Determined efforts to reduce drug abuse led to requirement of drug testing. Most
substance of abuse maybe detected. All of the following are correct EXCEPT
a. Marijuana maybe detected up to 3 -4 weeks even after occasional use
b. Major metabolite of cocaine is detectable 2-3 days after use
c. PCP positive test means use within the previous week
d. Sympathomimetic agents in decongestants may test positive for
amphetamines
16. Based on the NCEP’s ATP3 recommendations, a patient with 2 or more major risk
factors must aim for LDL levels
a. < 100
b. < 130
c. < 160
d. < 200
17. Osteoporosis has been associated with
a. Positive family history
b. Poor dietary calcium particularly during adolescence
c. Ingestion of large amounts of red meat
d. All of the above
18. Hormone replacement therapy is absolutely contraindicated for
a. Undiagnosed dysfunctional uterine bleed
b. Active thrombophlebitis
c. Suspected breast cancer
d. All of the above
19. Sangkap Pinoy program is the government response to micronutrient deficiency. It
has fortified food with
a. Vitamin A
b. Iron
c. Iodine
d. All of the above
20. This nematode infection is transmitted when infective larvae penetrate the skin
a. Schistosomiasis
b. Hookworm infection
c. Both
d. neither

III. Health Systems

1. The Department of Health is the lead agency in health. Its major mandate is to
e. Provide national policy direction and develop national plans, guidelines on
health
f. Send representatives to local health Boards
g. Both
h. Neither
2. According to WHO, the Millenium Development Goals and the Medium Term
Philippine Development Plan, the major goals of the health sector is/are:
a. better health outcomes
b. more responsive health system
c. more equitable health financing
d. all are correct
3. In the Philippine health system, the ____ is the comprehensive operational
framework that will be used to implement reform strategies as a single package.
a. Health Sector Reform agenda of 1999
b. Fourmula One for Health launched in 2005
c. National Objectives for Health 2005 – 2010
d. None of the above
4. The Local Health Board is
a. Chaired by the local chief executive
b. An advisory body to local executives on matters of health
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Physician’s Licensure Examination
June 7, 2008; 1:00- 5:00
c. Both
d. neither
5. The restructuring of DOH in 1999 led to the identification of four regulatory bodies
which include all of the following EXCEPT
a. Bureau of Food and Drug
b. Bureau of Health Facilities and Services
c. Bureau of Research and Laboratories
d. Bureau of Health Devices and Technology
6. This regulatory body is responsible for international health surveillance and security
against the introduction and spread of infectious diseases
a. Bureau of Food and Drug
b. Bureau of Health Facilities and Services
c. Bureau of Research and Laboratories
d. Bureau of Quarantine
7. The St Peregrine Hospital has 5 departments, which include Family Medicine,
Internal Medicine, Pediatrics, OB-Gyne and Surgery. It is able to manage almost all
medical and surgical conditions except those that require neurosurgical interventions
or interventional diagnostic cardiology. It is considered a
a. First level referral hospital
b. Second level referral hospital
c. Tertiary level referral hospital
d. End referral specialty hospital
8. Republic Act 9211 otherwise known as Tobacco Control act of 2003 regulates
a. Sale and distribution of tobacco producrs
b. Advertisements and packaging of tobacco products
c. Both
d. Neither
9. Framework Convention on Climate Change with the objective of reducing
greenhouse gases that cause climate change.
a. FCTC
b. Ottawa Charter
c. Kyoto protocol
d. Bangkok Charter
10. The 1995 National Health Insurance Program covers
a. The employed sector
b. Government workers
c. All Filipino citizens
d. Indigent groups

IV. Environmental / Occupational Health

1. Carbon monoxide poisoning can occur in the following situations EXCEPT

a. Indoor cooking with charcoal
b. Portable gas stove for indoor cooking
c. Leak in a car’s exhaust
d. No exception
2. Rheumatoid arthritis and Osteoarthritis have been linked to occupational risks due to
a. Exposure to vibration
b. Repetitive trauma
c. Knee bending and lifting of heavy weights
d. All of the above
3. Children who developed cerebral palsy, birth defects and neonatal retardation may
have been most likely exposed to this environmental toxin
a. Lead
b. Methyl mercury
c. Polychlorinated biphenyls
d. tobacco
4. The following are aeroallergens in allergic rhinitis and asthma EXCEPT
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Physician’s Licensure Examination
June 7, 2008; 1:00- 5:00
a. Pollen
b. House dust mites
c. Molds
d. Tobacco smoke
5. The noise level that may cause long-term hearing impairment in unprotected factory
workers, pump-boat operators and tricycle drivers is:
a. 20 dB
b. 40 dB
c. 60 dB
d. 80 dB