Department of Community Medicine Final Exam ‘S™ Year - Second patch Primary Health Care Academic Year 2014-15 Date::24 February 2015 ‘Time Allowed: 3hours hours DIRECTIONS: Each item below contains a question or incomplete statement followed by suggested responses, Select the ONE BEST response to each question and @ake a dark mark []. No penalty Question1, ‘A 50- year old asymptomatic man is reviewed in the primary health clinic , his BP is 150/90 mmHg . This is confirmed with two readings. What is the appropriate next step? A. Reassure him, this acceptable for his age. B. Start treatment with thiazide diuretic . Arrange ambulatory BP monitoring D. Re-check BP after 6 months E. Start treatment with beta-blocker Question 2, Ina pregnant lady with hypertension, the drug of choice i A. Atenolol B. Lisinopril WC. Methyldopa D. Hydrochlothiazide E. Amlopdipine In measuring the BP which of the following is true? ‘A. The cuff size has no effect on BP reading accuracy . The clinic BP recordings are usually higher than home BP readings C. Normal BP is 140/90 mmHg D. The BP readings never vary between the two arms E. During inspiration the systolic and diastolic BP increases Question 4, Which of the following life-style modifications for hypertensive patient is not true? ~— ~~" A, Weight reduction can reduce BP B. Reduction of sodium intake can cause systolic BP by 2-8 mmHg Advice smoking reduction . Maintain adequate intake of dietary potassium E. Encourage aerobic exercise at least 30 minutes daily for most daysis the drug of choice for the following conditions? ‘ARBs for diabetics and patients with chronic kidney Question 5. mich of the following ACE inhibitors or disease — B. ACE inhibitors for hypertension with pregnancy C. Betablockers for hypertension in a 35 years old patient D. Calcium channel blocker for heart failure = E. ACE inhibitor for systolic HTN in an eldery patient Question 6, ; ‘A55- year old woman presented to the primary health clinic with plyurea,polydipsia and weight loss . Her body mass index is 35, random blood ‘was 250 mg/dL. Which of the following statements is true? ° ‘This patient has diabetes mellitus and need further management B. Reassure her and repeat random blood sugar after one month C. Ask for Hb AIC to confirm the diagnosis of diabetes mellitus D. Ask for 75-gram glucose tolerance test E. Ask for fasting blood sugar to confirm the diagnosis, Question 7. ‘A 45-year old woman presents with polyuria and polydipsia.Her body mass index is 35. BP 120/70 mmHg .Her fasting blood sugar is 130 mg/dL.The most priate ini first line management is: . Dietary advice and weight loss B. Start sulphonylurea C. Start insulin D. Start metformin E. Start thiazolidinedione Question 8, A 20 — year old girl presents with abdominal pain, nausea and vomiting.She is tachypoenc and has dry tongue.She has a sweet odour from her breath. The most A. Gastroenteritis B. Acute pancraertitis Diabetic ketoacidosis D. Adrenal crisis E. Non-ketotic hyperosmolar state of the is i Which ofthe following is the mest appropriate parameter for good blood sugar A, Random blood sugar B. Fasting blood sugar C. Postprandial blood sugar . HbA lc E. Urine dipstickQuestion10, Regarding oral hypoglycemic agents: A. Glitazones are usually used as monotherapy. B. Metformin causes hypoglycemia, C. Glibenclamide is safe in elderly patients. D. Intype II DM oral hypo, glycemic agents can not be used in combination with Insulin. tl Weight guinis a side effect of sulphonylureas. Question11, A 60-yr old lady presented for regular follow up in the Primary Care Clinic. She has type II diabetes for 8 years complicated by nephropathy and neuropathy. She reports frequent hypoglycemic attacks. She was once admitted with chest pain for 2 days and discharged in stable condition.She is taking Metformin, tazone, Aspirin, Atorvastatin and Glibenclamide.HbAlc was 9%.The best A. Add insulin B. Discontinue all medications and start insulin and refer her to a diabetologist C. Discontinue metformin and start insulin iscontinue glibenclamide and start insulin and refer her to a diabetologist Quetion12, 65- year old patient is diabetic for 20 years and is onMetformin, lipid lowering agent and aspirin, His BMI is 29kg /m2, HbALc is 6%. He has excellent control of his blood sugar with no obvious complications. The appropriate investigations to do would be: A. Annual BP,HbA Ic,urinanalysis and eye check. B., See him monthly with FBS and Postprandial Blood Sugar. Annual eye check, urinary microalbuminuria, RFT, L ipids and vascular assessment D. d) Refer him for diabetologist for follow up E. Prepare him for renal replacement therapy if develops microalbuminuria ‘Question 13, Ifyou are suppose to do a community service targeting healthy adult, Your available resources allows only one clinical assessment, which of The following is the best test to do? ‘A. Measure body temperature to everyone, B. Measure oxygen saturation to everyone, C. Measure blood pressure for everyone., wren body mass index to everyone E. Measure visual acuity to everyone Question 14, One of the following is part of primary prevention of cervical cancer: A. treatment of known case ca cervix B. trivalent vaccination e vaccination against HPV 11 & 6 vaccination against HPV 33 YH essinaion agains. HPV 16&18 3tio i ing is part of Ceri sry prevention of CX b - secondary prevention of CX C. ce tertiary prevention of CX D. d-treatment of caCx FE. e- has nothing to do with CX Question 16. cervical sereening target women who are: A. 20 years and above B. between 20 and 50 CC. ggho have multiple sexual partners Siiveen 25 and 65 years E. in reproductive age. Question 17. Cervical screening include: A. cervical smear B gelposcopy Av screening + cervical smear D. HPV + cervical smear + colposcopy E. HPV> colposcopy not a criteria for screening : ‘A. there should be suitable test for examination Busghe natural history of the disease should be known Se should be done once or twice D. recognisable early and latent phase E, acceptable to the population Question 19, ‘The consequence of sexual transmitted infection is : A.cectopic pregnancy in 0% of affected ladies WAM chronic abdominal pain in 18% of affected female C. infertility in 50% of affected male untreated with chlamydia D. infertility in 95% of ladies affected with gonorrhea E. CX in 80% of affected ladies Question20. ‘One of the following is not part of primary prevention of sexual transmitted infections : A. use of condoms B._ stop risky behaviours » abstain D. abstain during encountering sexual disease E. disclosure to partner ‘Question21. Syphilis is suitable for screening in pregnant ladies because: A. ittcause still birth B. can lead to maternal death C. it can be treated by penicillin over one wk it can be treated by single dose of penicillin P A&D 4Herpes simplex virus : A. can affect baby if primary infection occur in first trimester B,, can affect baby if primary infection occur in second trimester ” can affect baby if primary infection occur in third trimester D. can affect baby if secondary infection occur in first trimester E. can affect baby if secondary infection occur in second trimester Question23, Maternal to child transmission of HIV is affected by : A. viral load B. use of high active antiretroviral therapy C. vaginal delivery Do grandb Ww: and¢ Question24. Contraception method which has lowest failure rate: A. COCS B. POPS CylucD Wr impianon. E. Tubal ligation estion?: Contraception method which protect against STI: A. IUCD BygCervical cap ‘Condom, D. Cocs E. Depo Provera Question26, Method which decrease bone mineral density : A. Implant B. Depoprovera, cc. 1UCD D. POPS E, COCS Question27 Method with long time regaining fertility after stopping it’s use : A. COCS B. POPS C. Depo Provera D, 1UcD E, Implant Question28. Copper coated IUCD can be used up to: l year . 2 years . 3 years . 5 years 10 years ™ roomQuestion29, Progestin with high androgenic side effect: ‘A. Norgestrel. B. Norgestimate C. Desogestrel D. Drosperinon E. Northindrone question30. Progestin with anti androgenic effect: A. norgestrel B. norgestimate C. desogestrel D. drosperinon E. northindrone. question31. Treatment of irregular vaginal bleeding with implanon : cocs high dose progesterone nsaid transexamic acid all of the above. question32. Implanon used as contraception for : ‘A. Lyear B. 2 years C. 3 years. D. 5 years E. 10 years question33. category 4 of medical eligibility criteria mea ‘A. no restriction for use of the method B. advantages of using the method generally outweigh the theoretical or proven risks C. theoretical or proven risks usually outweigh the advantages of using the method D. an unacceptable health risk if the contraceptive method is used E. none of the above west 1 22yrs old Indy has just been diagnosed with toxoplasmosis, you try to determine where are the risk factors, the highest risk of association in which of the following : A. drinking unpasteurized milk. B. eating raw me: C. owning a dog. D. french nationality E. having viral infection in early pregnancy. mOOD> 6Select the appropriate recommendation regarding rubella vaccination during pregnancy: ‘A. recommended if the underling disease is serious. B. recommended after exposure or before travel to endemic area. C. not routinely recommended, but mandatory during an epidemic. D. contraindicated unless exposure to the disease is unavoidable. E. contraindiated question36. How many weeks after LMP is ultrasound most use! anatomy? A. between 2 and 4 weeks after Imp. B. between 7 and 9 weeks after Imp. C. between 12 and 14 weeks after Imp. D. between 18 and 22 weeks after Imp. E. between 30 and 32 weeks after Imp. uestion37, Which one of the following nutri pregnancy? A. iron. B, vitamin d. C. vitamin a. D. calcium. E. folic acid. guestion38. At the first contact with a should be advice except: A. folic acid supplementation. B. food hygiene, including how to reduce the risk of a food-acquired infection. C. lifestyle advice. D. antenatal screening tests. place of birth. question39. ful in evaluating fetal ents is the most likely to be deficient during healthcare professional, the following information Frequency of antenatal appointments for a woman who is nulliparous with an uncomplicated pregnancy: ‘A. aa schedule of 7 appointments should be adequate. B. b- once every month till 38 wks. C. ca schedule of 10 appointments should be adequate. D. d- once every 2 weeks till the 36 wks. E. once every 6 weeks, till labor. At booking, the following lifestyle considerations should be considered EXCEPT. ‘A. women should be advised to take a vitamin d supplement. 3. ton supplementation shoul be ofered outnely to all pregnant women . dietary supplementation with folic acid before concept t sia supe ption and throughout the D. smoking cessation, EB Bregnant women shouldbe informed that vitamin supplementation should be 4a eesralowing screening tests are not recommended routinely during antenatal care: . A. bacterial vaginosis. B. CMV. C. rubella, ; D. asymptomatic bacteriuria, E, group b streptococcus infection. question$2. _ Risk factors for sereening for gestational diabetes in a healthy population include the following. A. body mass index above 30 kg/m2. B. previous macrosomic baby weighing 4.0 kg or above C. maternal age more than 40. D. multiparity. E. multiple pregnancy. question43. During routine antenatal care, monitoring of fetal growth and well-being, which of the following is correct. A. symphysis— fundal height should be measured and recorded at each antenatal appointment from 14 weeks. B. fetal presentation should be assessed by abdominal palpation from 30 weeks. C. routine formal fetal-movement counting should not be offered D. auscultation of the fetal heart has a good predictive value. E. routine use of antenatal electronic fetal heart rate monitoring (cardiotocography) for fetal assessment. questions. The first line of the treatment for uncomplicated falciparum malaria:insudan A. artesunate plus sulfadoxine- pyrimethamine” in form of tablets, B. rtesunate plus sulfadoxine- pyrimethamine” in form of syrup, C. (artemether-lumefantrine in for of tablets D. (artemether-lumefantrine in for of syrup E. quinine hydrochloride or quinine sulphate orally The following disease need notification to ministry of health in health cenre ‘A. malaria need monthly report B. watery diarthea need weekly report C. tyhoid fever need daily report D. bilharziasis need weekly report E. tyhus fever need immediate report question 46, The treatment of simple waterydiarrhea in health center without dehydration oral co triamozole and ors oral co trimazole and mertondazole and orse oral cotrimazole and ors and zine . oral zine and ors zine, cotriamozol and ors moomP &¥ question47, which of the following statements are true? ‘A. a child who has epilepsy should be given dpt vaccine B. a child who is immunocompromised should not be given beg vaccine C. achild who has fever should not be immunized D. a child who is being referred for severe pneumonia should be immunized before referral. E. achild who is low weight should not be immunized juestion48. How much ors should be given to a 12-month-old child with acute diarrhoea with some dehydration weighing 11 kg? A. as much as the child wants B. 50 ml of ors after each loose stool C. 200 ml of ors after each loose stool D. 400-700 ml over 4 hours E. 300-500 ml in 24 hours question4' Which of the following actions should be included in the treatment of a 20-month old child with diarrhoea for 6 days without blood in the stools, no general danger signs, who is irritable, drinks eagerly and in whom the skin pinch goes back promptly? A. plana B. planb C. plane D. give antibiotic for 3 days E. follow up in 2 days if not improvinge. 700 — 900 ml over 4 hours questionS! ‘What is "fast breathing" in a S-week-old infant? (circle only one option) A. 30 breaths per minute or more B. 40 breaths per minute or more C. 50 breaths per minute or more D. 60 breaths per minute or more E, 70 breaths per minute or more questionS1. How long the respiratory rate should be counted for in a 7-week-old infant? (circle only one option) A. for 10 seconds and then multiplied by 6 B. for 15 seconds and then multiplied by 4 C. for 20 seconds and then multiplied by 3 D. for 30 seconds and then multiplied by 2 E. for 60 seconds ‘uestion52. ‘Which of the following age groups do the imei clinical guidelines address? A. birth up to 5 years ° B. 2 months up to 2 years C. I week up to 5 years D. 2 months up to 6 years E. 2years to 5 years_ ificati ire? ate following actions docs @ green-coded classification require? ‘A. give pre-referral treatment B. advise mother on home care C. advise mother on antibiotic treatment D. refer urgently to hospital E. e reassurance of mother questionS4. m . ‘ Wi i th of the following signs is a "general danger sign" in a sick child who is 3 months old? A. blood in the stool for 4 days B. pus with blood draining from the ear C. convulsions since birth D. unable to breastfeed E. axillary temperature 2 39.0°¢ questions: What is "fast breathing" in a 3-month-old child? A. 20 breaths per minute or more B. 30 breaths per minute or more C. 40 breaths per minute or more D. 50 breaths per minute or more E. 60 breaths per minute or more auestion5i ‘Which among the following situations classifies a child 2 months up to 5 years old as pneumonia? A. fast breathing, one general danger sign, no chest indrawing, no stridor B. fast breathing, no general danger sign, chest indrawing, no stridor C. fast breathing, no general danger sign, no chest indrawing, stridor D. fast breathing, no general danger sign, no chest indrawing, no stridor E. fast breathing, one general danger sign, chest indrawing, no stridor A. immediately B. in less than | seconds less than 2 seconds D. in 2 seconds or more E. in more than 2 seconds questionS8, How do you classify a 6-month-old child who has been having diarrhoea for 9 days, has vomited this morning, has sunken eyes and in whom the skin pinch goes back slowly? A. severe dehydration, severe persistent diarrhoea B. severe dehydration C. some dehydration, severs persistent diarrhoea D. some dehydration, severe persistent diarrhoea E. no dehydration 10nS9, Which of the followin, A. diarrhoea lastin; B. diarthoea lastin, C. diarrhoea lastin D. diarthoea lastin E. diarrhoea lastin question6( which of the followin, 9-month-old child, last three days, no lethargy history of fever stiff neck convulsions last night vomiting Question61, how do you classify a 10-month-old child living in a low malaria risk area who had a generalized rash with fever and red eyes three weeks ago, now has an axillary temperature of 38.3°c, no general danger signs, has pus draining from the eye, has no other signs nor causes of fever? A. very severe febrile disease B. b. malaria, measles C. c, fever ~ malaria unlikely, severe complicated measles D. d. fever — malaria unlikely, measles with eye or mouth complications measles question62. Which of the following signs must a child have to be classified as mastoiditis? A. redness behind the ear B. swelling behind the ear C. pus draining from one of the ears D. pus draining from both ears E, tender swelling behind the ear question63. How do you classify an 11-month-old boy whose weight is between <~ 2 and> ~ 3 z-score and who has some palmar pallor? severe malnutrition, severe anaemia low weight, severe anaemia severe malnutrition, anaemia low weight, anaemia not low weight, anaemia is consistent with a classification of persi i a eonleent with sation of persistent diarrhoea? for more than 7 days g for more than 10 days 8 for 14 days or more 8 for more than 14 days ng signs or symptoms would make you classify as malaria a living in a low malaria risk area, who has had fever for the Funny nose, no measles and no other cause of fever? moow> PoODP> ‘How do you classify a 7-month-old girl whose weight is between <~ 2 and >-3 z-score and who has some palmar pallor? severe malnutrition, severe anaemia marasmus, anaemia low weight, anaemia not low weight, anaemia not low weight, no anaemia moOm> 11coca, which of the following signs is in ‘a 12-month-old child with cough and diarrh an indication for urgent referral? ‘A, restless, irritable ; B, respiratory rate of 65 per minute C. axillary temperature > 39.0°C D. thirsty E. child unable to breastfeed qu stion66. . Hae avo classify a 2-year-old child with cough and diarrhoea who has 2 i indrawing, sunken eyes, in whom respiratory rate of 5 breaths/ minute, chest indrawings 0 the skin pinch goes back slowly, has no general danger ‘signs and no other signs orsymptoms 13? severe peuimonia or very $e severe peumonia or very sever severe peumionia or very severe disease, pneumonia, severe dehydration pneumonia, some dehydration question6 how do you classify an 8-month-old child who has had diarrhoea for 7 days and difticulty breathing since this morning, has no general danger signs, has & respiratory rate of 39 breaths per minute, has sunken eyes, in whom the skin pinch goes back very slowly and has no other signs or symptoms 14 ? (circle only one option) ‘A. severe pneumonia or very severe disease, severe dehydration B. severe pneumonia or very severe disease, some dehydration C. pneumonia, severe dehydration D. pneumonia, some dehydration E. no pneumonia: cough or cold, severe dehydration question68, Storing vaccines in the refrigerator need to keep the temperature between: ‘A. +8 to +10 degree of centigrade B. -8 to + 10 degree of centigrade C. +2 and +8 degree of centigrade D. -8 to +2 degree of centigrade E. -2 to +8 degree of centigrade ‘question69, health system approach for missed opportunity to trap the children for immunization at phe level is: ‘A. during enrollment to kindergarten and school B. during outpatient pediatric clinics in private hospital C. during imei case management at health center D. during mobile teams for rural and urban areas E. during referral pediatric clinics in teaching hospitals wyere disease, severe dehydration disease, some dehydration no dehydration moop> 12Defaulters in immunization program are: A. Those who use the immunization services at B. Those who use the immunization services at some tins the doses in the schedule within 4 weeks after the use ns ¢° NOt complete C. Those who use the immunization services at some time and do not complete the doses in the schedule within 10 weeks after the use. D. Those who use the immunization services at some time and do not complete the doses in the schedule within 12 weeks after the use. E. Those who use the immunization services at some time and do not complete the doses in the schedule within one year after the use. question71. Free radicals eause cumulative tissue damage; some researches related this to the pathogenesis of: A. parasiteamia B. immunity C. aging process D. cancer E. filariasis question 72, Which of the following is not probably a target for screening of diabetes? A. overweight persons individuals over the age of 40 relatives of a known diabetic person . mothers have history of macrosomia babies mothers have history of low birth weight babies estion 7 Which of the following is a life attenuated vaccine: A. plague vaceine B. meningococcal meningitis vaccine. C. pertussis vaccine D. polio oral vaccine E. pneumococal polysaccharide vaccine. oOmP The following are components of the communication process EXCEPT: A. sender, receiver and massage B. message, medium and feedback C. sender, receiver and feedback D. receiver, massage and recorder E. massage, channel and feedback ‘question75, The following is a relative contraindication of intrauterine device EXCEPT: A. pelvic inflammatory disease, B. cancer of the cervix. C_ suspected pregnancy. joderate anemia, E. vaginal bleeding of undiagnosed etiology. 13ucslion76, ve chemicals in plant food contains that prevent diseases What gre bioa ePaniosdants B, free radicals C. prooxidants D. proteins E. fats question77. | ‘The most directly associated risk factor with coronary heart diseases is: A. high density lipoprotein fow density lipoprotein C. type a personality D. APO lipoprotein E. very low density lipoprotein question78, ‘Treatment of Bitot's spots is: A. retinol eye drops B. therapeutic dose of one 100 IU retinol capsules C. one 200 1U retinol capsule D. two 100 IU retinol capsules @ E. therapeutic dose of three 200 1U retinol capsules question 79, The following are features of non-communicable diseases (NCDS) EXCEPT: ‘A. The increase in the prevalence is associated with increasing in life expectancy. B._ jt is associated with the propagated change in life styles and behaviour (eA ress from cumulative causation fetes with usually short latent period D. expected to require long period for supervision and observation of care E. NCDs could be attributable to some bacterial communicable diseases ‘question80, The most sensitive and specific screening test for breast cancer A. breast self examination Armoury mammography D. clinical examination E. fine needle specimen question81, Gestational diabetes is likely to be diagnosed among: A. diabetic female B. female with polyeystic ovaries C. malnourished pregnant women premenopausal ‘women below 30 years of age sti ‘The following are known complications of falciparum malaria EXCEPT: ‘A. anemia B. black water fever C. acute pulmonary edema D, renal failure (A hypertension 14A The community diagnostic criteria of Aa pight blindness less than 1% itot's spots more than 0.5% ‘C. 20% of population at risk D. household food insecurity at 109% E. drought for 6 months question84, Regarding HIV infection, all below statements are true EXCEPT; A. Provision of HIV testing kits isa priority for 00d case management B. infection rates are usually lower in rural arces C._ male circumcision is associated with lower risk for infection with HIV D. infection with other sexually transmitted diseases increseas the risk of infection with HIV, Aon 15-20% of infants bo question85. The structure of PHC health faciliti A. The rural hospital B. The health centre pre basic health units (including dispensaries and dressing stations) f Teaching hospitals 6. T vitamin A deficiency is: 1m to HIV positive mothers get infected includes all of the following EXCEPT: 86, The following diseases are endemic in Gezera state EXCEPT: A. malaria schistosomiasis. Ff enchocecia a . tuberculosis. E. typhoid fever question 87, Commonty,, women at risk of gestational diabetes should be sereened at: A. 24-28 weeks of pregnancy, B..20-21 weeks of pregnancy. 16-20 weeks of pregnancy. D. 30-32 weeks of pregnancy, E. 31-38 weeks of pregnancy Question 88, The following are risk factors for developing coronary heart diseases EXCEPT: A. low density lipoprotein B. type of a personality C. sedentary life P chronic gastritis E. diabetes mellitus 9. i Success in the EPI following: A. control of high incidence of measles cases in the community B. restrict the vaccination activities in one room of in the health centre C. restrict the commitment to the time schedule of child vaccination adopted by national program WD oveitabic well structured and functioning cold chain 5 extended program of immunization program depends on theE, vaccination of children attending the health centre question ‘The health care provider could use anthropometry to assess the nutritional status of individual by measuring the following parameter: ‘A. haemoglobin level B. food intake C. blood retinol dy mass index > albumin in the urine question 91. Primary health care is a philosophy started in Sudan before almaata declaration in 1977 and the following are supporting this philosophy EXCEPT: ‘A. all population have access to health services B. local health area system is the strategy in Sudan that fulfil the aim of this philosophy C. affordability is an important comer stone D. decentralization of health care management is an objective Zier ~ bottom planning is the principle question92, Definition of health information system (HIS) is: ‘A. data collection, processing, analysis and transmission B. processing, analysis and transmission of information to decision makers C. data analysis, interpretation and use for organizing health services D. data collection for organizing and operating health services processing, analysis and transmission of information question93. Sources of health information system (HIS) are not including the following: A. registration of vital events and hospital record B. Heath related ministries reports and health programs registrations C. census, published papers and the recognized internet sites D. diseases notification and vital statistics @ §. environmentalhealth data question94. ‘Which of the following is not a modifiable risk factor for hypertension? A. unhealthy diet B. trunk obesity C._ sedentary life Ainicy E. tobacco use uestion95. ‘A thirty five years old athlete man came to the health centre complaining of pain in the right groin for two days duration. Appendix was removed 5 years ago. ‘What is the most likely diagnosis? A. inguinal hernia B. urinary infection . ligament strain Ws. epididymitis E. avascular necrosisat ‘care delivery levels are: A. primary, basic health units and health centre levels B. secondary, primary, and rural hospitals levels Gecality, primary and secondary care delivery levels primary, secondary and tertiary levels E. tertiary, secondary and state hospitals levels question97, The following is not part of tobacco control Package: A. integrating promotion of tobacco into policies Hrlest Packaging and labelling of tobacco products C. ban of tobacco advertising, promotion and sponsorship D. price and tax measures to reduce the demand for tobacco E. protection from exposure to tobacco smoke question98 The following are the main components of the global strategy for prevention and control of non communicable diseases A. control of the risk factors, cost effectiveness and best buys B. health care for non-communicable diseases patients, surveillance to track non- communicable diseases and risk factors, protect people from tobacco smoke C. primary prevention to reduce the risk factors, promoting physical activity, reducing salt and trans surveillance system to track and quantify non- mmunicable diseases and risk factors, primary preventing fatty acids Soe healthy diet and prevent obesity, health care of people with non- communicable disease, ban of tobacco advertising, promotion and sponsorship E- ‘surveillance system for non-communicable diseases and risk factors, primary Prevention to reduce exposure to risk factors, health care of people with non. communicable diseases question99, Transfer of the iron from the mother to the baby occurs during Pregnancy in the followjee time: A caring the 3rd trimester of pregnancy B. during the first trimester of, Pregnancy C. during the second trimester of pregnancy D. once the baby borne E. at 21 weeks gestation duestion100. Immunization against communicable diseases under the international health regulations is carried out for which of the following diseases? A. malaria B. plague Polio D. yellow fever E. cholera ~ 7 a