Student Overview 202010440 AHMAD JALAL KANAWATI ID: 202010440

Course Primary Health Care & Rural

STUDENT SCORE Health

94.74% Instructor
Assessment
G. Andrade
Final Exam COM116
Assessment Date 12/15/2020
Questions 40
Incorrect Questions 2

Questions 2 INCORRECT QUESTIONS / 40 TOTAL

# QUESTION AND ANSWER CHOICES POINTS CATEGORIES

1 A 35-year-old actor is referred by his surgeon 2 1/1 4

days post-op. He has become irritable, is suffering
from diarrhea, complains of muscle cramps, and is
nauseated. He acknowledges occasional drug use
but denies that he is “hooked on it.” His temperature
is 37.9 C (100.2 F), pulse is 90/min, and blood
pressure is 150/90 mm Hg. His pupils are dilated but
are equal and reactive to light. He is restless and
irritable but coherent and oriented. He denies
psychotic symptoms. He repeatedly verbalizes that
he needs to go home and that the hospital is
making him sick. What is his diagnosis?

A. Cocaine intoxication
B. Cocaine withdrawal
C. Heroine intoxication
D. Heroine withdrawal
E. Amphetamine withdrawal

/
2 A 62-year-old male is admitted to the hospital for an 1/1 4
elective knee replacement. Three days after surgery
he complains to the surgical resident that he has
been seeing a cat under his bed and has been
feeling sacred and anxious. On physical exam he is
tremulous, his pulse is rapid and his blood pressure
is elevated. What is the most likely cause of his
problems?

A. Alcohol intoxication
B. Alcohol withdrawal
C. Amphetamine intoxication
D. Cocaine withdrawal
E. Heroine intoxication

3 A 55-year-old female has been taking 1/1 4

benzodiazepines in therapeutic doses prescribed by
her primary care physician, for many years. She
decides to stop taking the medication. After three
days without medication, she calls her doctor. Which
of the following symptoms is she most likely to
report?

A. Decreased sensory sensitivity

B. Increased appetite
C. Rhinorrhea
D. Tremors
E. Yawning

/
4 A 42-year-old man presents to the local crisis center 1/1 4
requesting alcohol detoxification. He has a 20-year
history of heavy drinking, with the longest period of
abstinence bring 4 months. His last drink was 2
nights ago, and he now complains of discomfort and
anxiety. Physical examination reveals coarse
tremors and facial flushing. His blood pressure is
155/95, he is tachycardic at 115/min, and has a
temperature of 38.5 degrees. Thiamine is
administered. What is the best treatment for this
patient’s condition?

A. Disulfiram
B. Haloperidol
C. Lorazepam
D. Methadone
E. Bupropion

5 A mother reports that her teenage daughter 1/1 4

engages in recurrent binge-eating. She has heard
her “throwing up” in the bathroom frequently.
Additionally, the girl exercises daily to the point of
exhaustion. There has been no recent weight loss.
Her BMI is 22, with blood pressure 80/52 mm Hg.
Physical examination shows poor dentition with a
loss of enamel. Her teeth are chipped and ragged,
and the parotid gland is enlarged. The lungs are
clear. The heart is tachycardiac with frequent,
skipped beats. Calluses on the dorsal surface of the
left hand are noted. What is her likely diagnosis?

A. Bulimia nervosa
B. Anorexia nervosa
C. Body dysmorphic disorder
D. Generalized anxiety disorder
E. Obsessive compulsive personality disorder

/
6 A 34-year-old woman presents with a 10-year history 1/1 4
of episodes in whichshe eats large quantities of
food, such as eight hamburgers and three quartsof
ice cream, at a single sitting. Because of her intense
feelings of guilt, shethen repeatedly induces
vomiting. This cycle repeats itself several times
aweek. She is extremely ashamed of her behavior
but says, “I can’t stop doingit.” On examination,
which of the following physical findings is most likely
tobe seen?

A. Dental caries
B. Lanugo
C. Muscle wasting
D. Alopecia
E. Body weight at less than the 10th percentile of
normal

7 A 37-year-old man with an IQ of 53 occasionally 1/1 4

prefers to not eat the food he is offered, and instead
eats stones. As a result, he is getting complications
with constipation. Sometimes, out of the pain as a
result of the constipation, he stimulates his throat
with his fingers, in the hope of throwing up to get rid
of the stones. The physician checks the knuckles
and sees some marks. This patient’s diagnosis is:

A. Pica
B. Bulimia nervosa
C. Food avoidant restrictive disorder
D. Binge eating disorder
E. Tourette’s disorder

/
8 A 21-year-old woman is brought to the emergency 1/1 4
room because she had a fall in the gym and now
has severe back pain. She is following a vegan diet
to lose weight. Her last menstrual period was three
months ago. She weighs 50 kg and is 170cm tall.
She has soft hair in her lower extremities. Which of
the following is the most likely diagnosis?

A. Anorexia nervosa
B. Bulimia nervosa
C. Pica
D. Binge eating disorder
E. Avoidant/restrictive eating disorder

9 A good example of plain language is: 1/1 0

A. pain in joints
B. respiratory problems
C. community resources
D.  physiotherapy
E. mental health

10 The most effective strategies to improve patient understanding is using: 1/1 0

A. closed ended questions

B.  open ended questions
C. an interpreter
D. a teaching back method
E. drawings

/
11 THROWN OUT 0/0 0
Which of the following vaccines is stored at the freezing compartment?

A.
BCG

B.
Hepatitis B

C.
OPV

D.
DPT

E.
Measles

12 What is the frequency of growth monitoring for a 3-year-old child? 1/1 0

A.
Every month

B.
Every 2 months

C.
Every 3 months

D.
Every 4 months

E.
Every 6 months

/
13 A pregnant mother in her first visit to the ANC provided the date of her last 1/1 0
menstrual period as May 9th 2020. What is her expected date of delivery
(EDD)?

A.
February 2nd 2021

B.
February 16th 2021

C.
March 23rd 2021

D.
March 30th 2021

E.
April 7th 2021

14 A primigravida at 30 years of age who is 4 months 1/1 0

pregnant should visit the antenatal clinic:

A.
third trimester

B.
weekly.

C.
monthly.

D.
twice monthly.

E.
three times monthly.

F.
every 3 months.

/
15 What is the main objective of immunization coverage? 1/1 0

A.
To identify groups at risk of contracting vaccine
preventable diseases.

B.
To ensure regular delivery and uptake of vaccines.

C.
To improve knowledge and practices of mothers.

D.
To strengthen the cold chain system.

E. To describe the activities within various

components of routine immunization services.

16 Which of the following is a component of the routine immunization system? 1/1 0

A.
Vaccine supply and quality

B.
Professional development

C.
Referral services

D.
Planning

E.
Coordination

/
17 Which of the following is a characteristic of an extension phase of family life 1/1 0
cycle?

A.
Marriage to birth of first child

B.
Birth of first child to birth of last child

C.
Birth of last child to first child leaving home

D.
First child leaves home to last child leaving
parents’ home

E.
Spouse’s death followed by death of the survivor
(extinction)

18 Which one of the following factors is influencing health more than the 1/1 0
others?

A.
Social factor

B.
Biological factor

C.
Physical environment factor

D.
Health care system

E.
Gender equality

/
19 The international conference in Alma Ata (1978) [Union of Soviet Socialist 1/1 0
Republics (USSR)] issued a declaration which stated that PHC includes
which of the following promotive health services?

A.
Provision of essential drug and vaccine.

B.
Prevention of local endemic disease.

C.
Family planning services.

D.
Immunization of children.

E.
Mental health.

20 The primary health care preventive services include which of the following? 1/1 0

A.  Out patient Clinic

B. Lab. services
C. First aid services
D. School health services
E. Long-term facilities

21 Which of the following strategies for health are good in “selective primary 1/1 0
health care model”?

A. Medical intervention
B. Multi-sectorial collaboration
C. Health promotion
D. Care of vulnerable groups
E. Social services

/
22 Comprehensive primary health care system focuses on which of the 0/1 0
following?

A.
Providing early diagnosis and treatment

B.
Disease monitoring

C.
Addresses issues of equity and social justice

D.
Exploring relationship between health
determinants

E.
Women empowerment

23 Health is best described as a resource that allows a person to have: 1/1 0

A.
a social and spiritual life.

B.
a productive social and economic life.

C.
economic well-being.

D.
vocational capacity.

24 Which of the following Middle East countries have completed demographic 1/1 0
and epidemiological transition?

A.
Egypt

B.
Jordan

C.
Lebanon

D.
Bahrain

E.
Iraq

/
25 Which of the following is a physical agent that may be associated with a 1/1 0
disease?

A.
Humidity.

B.
Herbicides.

C.
Unpaved roads.

D. Pesticides.
E. Pressure injuries.

26 What is the public health role of employers and business? 0/1 0

A.
Vehicle for public discourse

B.
Education and training

C.
Health in all policies

D.
Wellness initiatives

E.
Health monitoring

27 Which of the following events in public health history is known as 1/1 0

pandemic?

A.
Siege of Kaffa

B.
Spanish flu

C.
Hurricane Katrina

D.
Chernobyl disaster

E.
Hiroshima bombing

/
28 A disease occurrence among a population that is in excess of what is 1/1 0
expected for a given time and place is known as:

A.
pandemic.

B.
intervention.

C.
epidemic.

D.
prevention.

E.
endemic.

29 The health impact pyramid illustrates the impact of different types of public 1/1 0
health interventions. Which of the following intervention has high-impact
level in population health?

A.
Tobacco warning labels

B.
Cholesterol screening

C.
Seat belt law

D.
Poverty reduction

E.
Medical care

30 THROWN OUT 0/0 0

Which of the following types of family consists of two parents and their
children who live in a household together?

A.
Single parent

B.
Nuclear

C.
Multi-generation

D.
Joint

/
31 Government agencies such as Dubai Health Authority (DHA) contribute to 1/1 0
public health services by which of the following activities?

A.
Wellness initiatives and benefits

B.
Health education and promotion

C.
Health in all policies

D.
Public service

E.
Rehabilitation services

32 Ten essential assessment core functions in public health services include 1/1 0
which of the following?

A.
Monitor health

B.
Develop policies

C.
Enforce laws

D.
Conduct research

E.
Health survey

/
33 To implement the public health approach, practitioners use and apply 1/1 0
scientific methods. Which of the following core sciences is included in public
health approach?

A.
Health policy

B.
Global health

C.
Environmental health

D.
Public health surveillance

E.
Health economy

34 The greatest public health achievements in this century include: 1/1 0

A.
community sanitation measures.

B.
assuring quality public health services.

C.
motor vehicle safety.

D.
food labelling.

35 A determinant is a factor that contributes to which of the following? 1/1 0

A.
Prevention of illness

B.
Physical well-being

C.
Generation of trait

D.
Mental health

/
36 Which of the following is an approach used in Public 1/1 0
Health?

A. Individual healthcare delivery system  

B. Traditional public health on populations
C. Social policy interventions
D. Risk factor identification

37 On January 1st 2016, the 17 Sustainable Development Goals (SDGs) of the 1/1 0
2030 agenda for sustainable development was adopted by world leaders in
UN summit and officially came into force. Which of the following is
addressed by goal number one?

A.
Good Health

B.
Zero Hunger

C.
No Poverty

D.
Quality Education

E.
Gender equality

38 Which country has the best health system according to WHO reports? 1/1 0
A.
United Kingdom

B.
Germany

C.
France

D.
United States

E.
Italy

/
39  Ideally, the first visit of a pregnant mother to the 1/1 0
antenatal clinic should be:

A. before getting pregnant

B. as early in pregnancy
C. second trimester
D. third trimester

40  According to the WHO recommendations, when 1/1 0

should the mother starts breastfeeding the newborn
baby?

A. Within 30 minutes after birth

B. Within 12 hours after birth
C. Within 36 hours after birth
D. After infant's condition stabilizes
E. Within a day after birth