1.

With the desire for medical trainees to become five star physicians, terminal competencies were formulated for each role.
Which of the following roles is being fulfilled when a physician practices environmental awareness and protection?
2. 2. In this stage of family life cycle, one of the second order chances is the renegotiation of the marital system with the
partner?
3. 3. Family level effects can either be beneficial or harmful to the health of an individual. Which of the following choices is an
attribute of a well-functioning family?
4. 4. In what stage of the illness trajectory does previous knowledge, prior experience, and own medical beliefs play a great
role?
5. 5. Rodrigo is a 53-yo known hypertensive, who recently suffered a major cerebrovascular accident, making him dependent
on his wife and children for all his activities of daily living. The commitment of Rodrigo’s Family members to devote time to
support each other’s physical and emotional growth in this period of medical crisis represents which aspect of family APGAR?
6. 6. During one family meeting, Inday mentioned that she wanted to go abroad to work there, establish a career, and probably
start her own family. However, her father vehemently disapproves of her decision and is ordering her to stay and run the family
business instead. This has been a stressors and a cause of depression for Inday. In which part of the family APGAR do you
think she will score the lowest?
7. 7. A group of family medicine residents are currently appraising a journal on a randomized controlled double-blinded trial.
Which section of the journal should they look for in order to determine whether blinding was done?
8. 8. You were appraising an article comparing the effectiveness of music therapy with standard treatment versus standard
treatment alone in the management of behavioral and psychiatric symptoms of dementia. Table 1 shows the baseline
characteristics of subjects belonging to the two groups. Which among the variables would violate the validity criteria that the
two groups must be similar at the start of the study?
9. 9. Refer to the summary of results of a study which evaluated the accuracy if the CT stonogram (CT-S) versus intravenous
pyelogram (IVP) in detecting urolithiasis among asymptomatic adults. From the given table, which of the following statements
is TRUE?
10. 10. The number needed to treat (NTT) is the reciprocal of:
11. 11. In evaluation diagnostic tests, the likelihood ratios must be determined. To do this, one must be able to determine the
different measures of accuracy. Which of the following is defined as the proportion of people with the disease who will have a
positive result?
12. 12. In evaluating clinical trails, one must scrutinize for the possibility of selection bias. Which of the following procedures
or method should be primarily evaluated for this purpose?
13. 13. In which type of study design are measurements of exposure/s and outcome/s examined at the same time?
14. 14. You wanted to know whether having previously injected a quadrivalent flu vaccine at less than one year of age would
increase a child’s odds of developing autism. Which type of study is best suited for this purpose?
15. 15. You wanted to determine the association of use of e-cigarettes and acute exacerbations of asthma. You intend to recruit
asthmatic subjects from several health centers in the National Capital Region. Subjects will be grouped based on current use of
e-cigarettes and will be followed up for five years. What is the most appropriate research study design?
16. 16. What active listening skills allows the doctor to view the patient’s concern and be emphatic towards the patient by
setting aside his/her judgment and feelings to hear what the patient is really saying?
17. 17. Which active listening skill was used in this scenario? Patient: “I feel like I’m suffocating! Everyone depends on me.
My family cannot function without me. They need me to help them financially, emotionally, physically. I’m so tired. I need a
rest. I want to quit!” Doctor: You feel your family is depending too much on you, am I correct?”
18. 18. Which active listening skill was used in this scenario? A 69 y/o patient with HTN, Dyslipidemia, DM and post CVA
with no deficit came for regular follow-up appointment looking distracted and answers doctor’s questions with monosyllables.
Doctor: “I noticed that you look a bit anxious today. And it is the first time that your daughter is not with you for follow-up
consultation. Is everything all right?
19. 19. Which active listening skill was used in this scenario? Couple consulting for the first time. WIFE: “We have been in a
Boyfriend/Girlfriend relationship for 5 years. Married for 18 months. Our friend who just got married 6 months ago is now
pregnant.” HUSBAND: Quiet but nodding his head in agreement, then sighsWIFE: “We don’t understand what is wrong with
us.” DOCTOR: “I understand your concern. What exactly can I do for you?”
20. 20. In the SPIKES strategy, this is where the family physician asks the patient how much he/she wants to know about
his/her illness and prognosis.
21. 21. Which of these principles is a patient-physician privilege that protects physicians from revealing discussions with their
patients to the immediate family members?
22. 22. Which of the following depicts a physician’s responsibility to the colleagues in the profession?
23. 23. A physician who recently finished his specialty training wants to promote his profession to boost his practice.
According to the PMA Code of Ethics, which of these promotional strategies is acceptable?
24. 24. Depriving a progressively deteriorating patient with dementia with food and water violates which principle?
25. 25. What is the leading cause of accidental household poisoning among Filipino children?
26. 26. A 3-year-old child accidentally ingests a number of Paracetamol tablets, prescribed for his mother. She was brought to
the hospital suffering from nausea, vomiting and right upper quadrant abdominal pain. Which one of the following antidotes
should be given to this child?
27. 27. The following are goals of palliative care, especially for patients with active, progressive, far-advanced disease,
EXCEPT:
28. 28. A 30-year-old patient presenting with cough after attending a conference in Manila consulted for possible COVID-19
infection. During the discussion the patient is consistently inquiring about the incubation period of COVID 19 infection. Which
of the following is estimated median incubation based on PSMID Guideline?
29. 29. A 28-year-old ER nurse consulted you due to fear of she might have been exposed to COVID patient upon attending to
patient with complaint of cough and colds 3 days prior while on duty. She has throat itchiness. Which of the following is true
of the observed common symptom of the infection based on PSMID?
30. 30. Which of the following type of patients are at risk of having poor COVID 19 outcome?
31. 31. An 18-year-old student developed fever, cough and myalgia consulted at the ER because of generalized weakness. She
was the caregiver of COVID-19 probable patient at home. Patient was sent home for quarantine but not tested because of lack
of test kit. Which of the following is the disease category of this patent?
32. 32. An ER nurse consulted because of possible COVID 19 infection because she was exposed to a patient who tested
positive. She is however asymptomatic. 4 days after, the said ER nurse returned for consult, now with complaint of productive,
non-distressing cough, mild myalgia and anorexia for 3 days. Your PE finings for him are: BP=90/60mmHg; Temp=38.5 0C;
HR=109bpm; RR=29cpm; O2Sat=94% and fine crackles on bilateral lower lung fields. NPS and OPS were collected for rRT-
PCR test. The disease category of this patient if COVID 19 is considered?
33. 33. 51-year-old, Jerry, known hypertensive, consulted at the clinic because of persistent fever (moderate grade), non-
productive cough and sore throat, all of which started 6 days prior to consult. 1 day prior to consult, he noted shortness of
breath. On physical exam, BP is 130/90, CR 86/m, RR 34/m, T 38.9 0C and O2sat is 92% at room air. Crackles are heard over
both lower lung fields. Rapid diagnostic test is positive for COVID 19. Usual findings on diagnostic work-up will include:
34. 34. Jerry’s condition progressed. Persistently hypoxemic despite intervention, he was intubated and hooked to a mechanical
ventilator. Which among the following results of diagnostic exams done for Jerry would indicate cytokine storm?
35. 35. Procedure for collecting specimens for rRT-PCR include:
36. 36. ECQ, a 42y/o male, non-hypertensive, non-diabetic, is a confirmed COVID-19 case. He was initially advised home
quarantine due to mild symptoms of itchy throat and body malaise. 3 days ago, he developed on-and-off fever and progressive
shortness of breath. He was eventually brought to the ER due to respiratory distress. His RR was at 34 breaths/min and his
spO2 was 86% at room air. Based on ECQ’s presentation, what is his clinical classification?
37. 37. Which of the following conditions should you screen for before starting a patient on Tocilizumab ?
38. 38. Veerus works as a security guard in a supermarket, tasked with taking customers’ temperature at the gate. He was sent
home by his supervisor because he complained of fever and a mild sore throat while at work. He consulted your clinic because
he was hesitant to go home. He did not know what to do, afraid that he might be infected with SARS-CoV-2. You did a quick
family assessment after your clinical evaluation of the patient. You advise Veerus that he has to be on home quarantine for at
least 14 days, provided that his symptoms do not progress. What type of room would you recommend that he be placed in?
39. 39. In order to identify a family caregiver which can oversee the implementation of your prescribed home care plan for
Veerus, what family assessment tool will be useful for this purpose?
40. 40. What family assessment tool will help you assess if the Novel family has adequate resources to comply with the home
care plan?
41. 41. Veerus tells you that his family is very afraid of COVID-19 because of what they see on the news and on facebook. He
himself is very confused and anxious . What would be the best way to help the family address their fears?
42. 42. Pepe lives in a different barangay within the same municipality as Veerus and his family. Pepe will be celebrating his
birthday in 3 days’ time. Their municipality will be on GCQ by then. Which of the following is correct?
43. 43. 5 days after his initial consult, Veerus calls your clinic. His mother Wuhan developed high grade fever and cough 1 day
prior and is now complaining of difficulty of breathing. What would be the most appropriate course of action?
44. 44. The following are recommendations you may give for family-focused home care plan, EXCEPT:
45. 45. RS, a 12-week old immunodeficient infant, was referred to you by the barangay health worker supposedly for a well-
baby checkup, what vaccine should have been given at this period?
46. 46. Mila, 18 years old, whom you last saw prior to the start of the ECQ, called for vaginal spotting. She is worried that her
pregnancy might be affected from worrying too much about COVID-19 and her family’s financial condition. Her last
menstruation period was February 26, 2020 and regular 28-day menstrual cycle. Today is May 15, 2020. Compute for the
AOG.
47. 47. Studies have shown that among the following strategies to mitigate the impact of COVID-19, this has shown the most
effective in slowing, if not preventing, transmission of the virus.
48. 48. A member of a household in the community tested positive for COVID-19 but was sent home for home quarantine
because the symptoms were mild. Which of the following strategies should the community observe to reduce transmission in
the community?
49. 49. Local officials should consider the following strategies to reduce transmission of COVID-19 in the community:
50. 50. Mang Celio is an ambulance driver, they transferred a COVID patient from Los Banos Laguna to RITM, Mang Celio
is on what category based on Risk Exposure?