Faculty of Medicine Menoufia University

Phase: Third year Course: PHC

Type: (Final Exam) Code: PHC/ELD 3204
Date: 2 /7/2021 Time: one hour
1) The exam including 3 papers
2) All questions are to be answered”.
3) For MCQs : Choose only one answer
4) Total mark of the exam: 25 marks. 5) No of Pages: 6
1-Choose the most correct answer (7 Marks 1 mark each)
1. What is the most significant factor leading to the development of anemia
in patients with CKD?
a. Reduced absorption of iron
b. Increased erythropoietin resistance
C. Reduced erythropoietin levels
d. Reduced erythropoiesis due to toxic effects of uremia on bone marrow
e. Blood loss due to capillary fragility & poor platelet function
2. Malnutrition in this patient is diagnosed when:
a. History of loss of 2% of her weight in the last 6 months
b. BMI less than 18
c. Serum albumin less than 4
d. Serum transferrin more than 200 mg/dl
3. Primary level of health care supply community needs to … of the
population:
a-10%
b- 25%
c-55%
d-80%
4. Vitamin A supplementation to a lady who gave birth recently is
categorized under which element of PHC:
a- Provision of essential drugs
b- Control of locally endemic disease
c- Provision of proper nutrition
d- Expanded program of immunization
1
5. Appropriate technology of health care means:
a- To be affordable
b- To be accessible
c- To be effective
d- To be equitable
6. Health promotion belongs to which PHC element:
a- Health education
b- Maternal and child care
c- Food and proper nutrition
d- Prevention of local diseases
7. The indicator is …………………..:-
a- Clinical procedure
b- Statistical tool
c- Laboratory marker
d- Communication method
II. Short essay questions: (Total: 14.5 marks)

(A)Theme: Basic benefit Package in family practice (4 marks)

1.Enumerate four (4) child services which provided in primary health
care (2 mark)
…………………………………………………………………………………………………………………
…………………………………….
…………………………………………………………………………..
……………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………

2
2.List four (4) health services available for Women in primary health
care ( 2 marks )

…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
………………………………………………………………………………………………………………

B) A 10-year-old boy comes to you with uncontrolled sever nasal bleeding

after trauma. You try to stop bleeding, but it doesn’t. You refer the case to
the nearest hospital

1.Name the type of referral in this case? (1 mark)

…………………………………………………………………………………………………………………

2. List four (4) causes of referral in general? (2 marks)

…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………

3
………………………………………………………………………………………………..................
..................................................................................................................

(C ) Theme: End of life care (2 Marks)

1.Define palliative care (0.5 Mark)

…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………

2.Enumerate three counseling for family caregivers (1.5 Mark)

…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………

(D) Mrs. Amira Ali, 62 years old comes to you. She is illiterate. She lives
with her husband, 65 years old. Her two sons are married, and both live
away from them. She has hypertension and diabetes for 3 years on
medication. She complains bony aches and felt down in the bathroom 2
days ago.

1.Name the type of Mrs Amira Family

…………………………………………………… (0.5 Marks)

4
 2. Name the stage of this family
……………………………………………………. (0.5 Marks)

3. List three (3) screening tests suitable for Mrs Amira complain (1
mark) and age (2 marks)
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
…………………………………..
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
…………………………………………
Theme: internal medicine (1.5 marks)
List four of risk factors of osteoarthritis in elderly patients:
1. Life style
2. obesity
3. repetitive physical work
4. smoking

5
IV-Compare between the following structures (1.5 marks)
Impaired glucose Type 2 diabetes
tolerance mellitus
Fasting plasma glucose 100-125 mg/dl More than
(mg/dl) 125mg/dl
Oral glucose tolerance 140-199mg/dl More than
test (mg/dl) 200mg/dl
Glycosylated hemoglobin 5.7- 6.5% More than
6.5%

V-Compare between the following structures (2 marks)

Traditional Model of Practice Family Medicine Model

(3 mark

Best wishes