PUBLIC HEALTH EXAMINATION

AUGUST, 2016

1) The goal of prevention in occupational health is to:

a) Eliminate hazardous substance or c) Attainment of an optimal level of condition

personal health
b) Avoid injury or illness of high risk d) Increase job
workers satisfaction
2) When cleaning the mouth, hold the tooth brush at an angle of?

a) 25 degrees c) 45 degrees

b) 35 degrees d) 55 degrees

3) The key targets in the CHPS implementation program is?

a) Community Health Officer (CHO) c) Community Health Nurse

2) Households d) Community health volunteers

4) These abnormalities show in colour changes of the skin

i) Anaemia iii) Jaundice
ii) Pneumonia iv) sphyxia a) i, ii only c) i, iii, iv only 9/ b) i, iii only d) i, ii,
iii, i
v

5) The amount of sleep needed by an individual depends on these EXCEPT

a) Sex c) Activity

b) Age d) State of health

6) The following are duties of the nurse in occupational health team

i. Assists in physical examination iii. Treats workers who are sick ii. Gives first aid

management iv. Visits sick employees at home

a) i, ii iii c) i, iii, iv

b) i, ii, iv d) ii, iii, iv

 7) Ricket is a deficiency disease of which vitamin?

a) Ascorbic acid c) Niacin

b) Calciferol d) Tocopherol

8) These are cultural practices that are neither beneficial nor harmful:
i. Putting a piece of red cloth on the iii. Wearing of talisman
wrist of a child
iv. Outdoor ceremony
ii. Use of a white clay on the skin of
the child a) i, ii, iii c) i, iii, iv b) i, ii, iv d) ii, iii, iv
9) What would you tell a mother who comes to the clinic with an eight month old
baby that the child has rashes all over the body with deep mouth sores concerning
immunity?
a) Child may have developed c) Mother should be careful not to
immunity now infect others b) Child may die if not immunize d) Mother should
bring the child
immediately weekly for observation

10) In Preparation towards school hygiene inspection:

i. The school nurse goes to the appointed school to discuss and plan with the teachers

ii. Two weeks to time, she goes to remind them of the scheduled time iii. The teacher

is asked to inform the parents with a note on the appointed day iv. A week to time,

she goes to remind them

a) i, ii, iii c) i, iii, iv

b) i, ii, iv d) ii, iii, iv

11. Which of these measurements is done to determine a severely malnourished

child?

a) RUFT c) PLUMPY NUT

b) MUAC d) WEIGHT-FOR-AGE
 12) One of these may give a long-lasting immunity.

a) Anti-tetanus serum c) Gama globulin

b) Attenuated vaccine d) Tetanol toxoid

13) Which one of these is NOT an effect of bad posture?

a) Strain on the eye and body c) Scoliosis

b) Frequent falls d) Strain on the brain

14) The following conditions are transmitted through the skin:

i. guinea worm iii. Malaria
ii. Hookworm iv. schistosomiasis a) i, ii, iii c) i, iii, iv b) i, ii, iv d) ii, iii, iv

15) The following are requirements for admitting clients for Nutritional
Rehabilitation
EXCEPT? b) MUAC less than 11.5cm

a) The child is 6-59months with c) Child is dull moderate bilateral pitting oedema:
d) Child is clinically well

16) Defecating near or into river bodies helps to transmit?

a) Ankylostomiasis c) Elephantiasis

b) Dracontiasis d) Poliomyelitis

17) Conditions for selecting communities for CHPS include?

i. prevalence of high fertility and mortality ii.

Prevalence of poverty in the area

iii. Have proven record of community participation iv. Very scattered

settlement pattern in which dwellings are often inaccessible

a) i, ii, iii c) i, iii, iv

b) i, ii, iv d) ii, iii, iv

18). In Ghana, the major nutritional deficiency conditions include?

 i) Kwashiorkor iii) Obesity ii) Marasmus iv) Stunting

a)i, ii, iii c) i, iii, iv

b) i, ii, iv d) i, ii, iii, iv

19). The limitation of the movements of persons who have been exposed to an
infectious disease for a period of time equal to the longest usual incubation period of
that disease is?
a) Convalescence c) Quarantine b) Isolation d) Verificatio
n

20) The occurrence of a disease at odd intervals and at scattered places is termed?

a) Endemic c) Pandemic

b) Epidemic d) Sporadic

21) The Roll Back Malaria program was aimed at?

a) Eliminating malaria c) Reducing the incidence of malaria

b) Eradicating malaria d) Controlling malaria

22) In disease surveillance, a situation where there is reduction in the incidence and
prevalence of a disease is?
a) Control c) Eradication

b) Elimination d) Prevention
23) These measures can control and prevent Bilhaziasis:

i. Boiling of water from river sources iii. Identification and treatment of cases
ii. Destroying river snails at river
banks iv. Protecting water bodies from
contaminatio
n

a) i, ii, iii c) i, iii, iv

b) i, ii, iv d) ii, iii, iv

24) In which stage of the development of the plasmodium in the cycle of malaria is
the mosquito infective?
a) Gametocyte c) Oocyte b) Merozoite d) Sporozoite
 25) When you are asked by a client how vaccination is different from immunization you
would explain that vaccination is the:

a) Introduction of antigens into the c) Process of ensuring proper

body development of the child
b) Prevention of specific childhood d) Process of producing antibodies in
diseases the body
26) What is the ideal temperature for storage of vaccines?

a) 0 - +2 c) -2 _ +8

b) +2 - +8 d) +0 - +8

27) The objectives of family planning in this country include?

i. Assisting people to stop having iii. Provide dual protection for
children pregnancy and STIs
ii. Manage reproductive tract iv. Provide information, education
infection and counselling a) i, ii, iii c) i, iii, iv b) i, ii, iv d) ii, iii, iv
28) One of these vaccines would be destroyed when it is left to freeze:

a) DPT/Hib Hep B c) OPV vaccine

b) Measles vaccine d) Yellow fever vaccine

29) Which of these conditions is transmitted by filarial worm?

a) Onchocerciasis c) Triachuriasis b) Schistosomiasis d) Trypanosomiasiss
30) Some of the disadvantages of the combined oral contraceptive pill are:
i. Acne on the face iii. Depression
ii. Decreased libido iv. Weight gain a) i, ii, iii c) i, iii, iv b) i, ii, iv d) ii, iii, iv

31) After immunizing a child with polio vaccine, what would you tell the mother
for the vaccine to dissolve well?
a) Close the mouth of the child for c) Open the mouth of the child
30 minutes to see the vaccine
b) Do not breastfeed for the next 30 d) Prevent the babies from
minutes crying and spitting
32) When caring for the aged in the home the nurse should bear in mind that
there is less ability of the wound to heal because of:
 a) Degeneration of tissues c) Inadequate nutrition

b) Diminished blood supply d) Inelasticity of the skin

33) All of these is are vector- borne disease except?

a) Onchocerciasis c) Trypanosomiasis

b) Schistosomiasis d) Loaiasis

34) Reasons for nursing the sick in the home may include the following:
i. Decongest health care institutions iii. Prevent complication of illness
ii. Involve family members in the iv. Use available and familiar
care resources a) i, ii, iii c) i, iii, iv b) i, ii, iv d) ii, iii, iv
35) The recommended schedule for immunization considers:

i. Age of starting the immunization immunization

ii. Doses and intervals between them iv. Route of administration of the
vaccines
iii. Strategies used for the a) i, ii, iii c) i, iii, iv b) i, ii, iv d) ii, iii, iv

36) This describes the proportion of a population that develops among all those
exposed to a particular risk:
a) Attack rate c) Incidence rate

b) Case fatality rate d) Prevalence

rates

37) The proportion of new cases during a given period of time among the population
at risk during the same period
:a) Attack rate c. Incidence rate b) Case fatality rate d) Prevalence rate
38) Benefits of ITN’s include?i. Protect the user from bite of iii. Reduce the
number of other
mosquitoes insects
ii. Repel and kill the mosquitoes iv. Difficult to treat the net with
chemicals a) i, ii, iii c) i, iii, iv b) i, ii, iv d) ii, iii, iv
 39) During physical examination of a SIX month malnourished child in the home,
the skin will be inspected for:
a) Oil c) Rashes b) Spots d) Turgor
40) Interpersonal communication establishes trusting relationships which includes:
i. Non- verbal interaction between ii. Person to person interaction
individuals between small groups
iii. Sharing of information and iv. Verbal interaction between small gro feelings

a) i, ii, iii c) i, iii, iv

b) i, ii, iv d) ii, iii, iv

41) Micro- nutrients can best be found in:

a) Carbohyderates c) Proteins

b) Minerals d) Vitamins

42) One of these may be a common cause of scalds in children at home

a) Asking children to set fire c) Falling in to open fire b) Crawling in to unquenched fire d)
Putting hands into hot water

43) Community- based Health Planning and Services (CHPS) is described as a

process of
:a) Consulting community leaders on c) Mobilizing community
their needs resources to give care

b) Educating people in the d) Providing cost- effective health

community on health services
44) Any society that does not believe in the germ theory will seek?

i. assistance from traditionalist iii. Divination for causes of events ii.

Consultation with ancestral spirits iv. Orthodox treatment of problem s

a) i, ii, iiis c) i, iii, iv

b) i, ii, iv d) ii, iii, iv

45) These are characteristics of warm bath EXCEPT?

a) It dilates the superficial skin blood c) It stimulates the stomach and
vessels intestines to improve appetite b) Aids in the removal of lactic acid d) It is useful
taken in the evening
46) A person who harbours the infectious agent and is not necessarily affected by it
but can infect others is the:

a) Agent c) Contact

b) Carrier d) Susceptible host

47) These are key players in the CHPS implementation process:

i. Community health committee iii. Community health officer
ii. Community health educator iv. Community health volunteer a) i, ii, iii c) i, iii, iv b) i,
ii, iv d) ii, iii, iv
48) Teaching aids help to: i. Arouse curiosity iii. Maintain interest
ii. Arouse tension iv. Make learning permanent c) i, iii, iv a) i, ii, iii d) ii, iii, iv
b) i, ii, iv

49) For successful breastfeeding to be achieved, the following reflexes must be

present:
i. Moro reflex iii. Suckling reflex
ii. Rooting reflex iv. Swallowing refl
e a) i, ii, iii c) i, iii, iv b) i, ii, iv d) ii, iii, iv
50) Benefits of community mobilization are that it:
i. Brings resources together iii. Creates ownership of actions
ii. Builds social support systems iv. Generates community problems a) i, ii, iii
c) i, iii, iv b) i, ii, iv d) ii, iii, iv
51) Acne vulgaris is a follicular is a follicular disorder which results from:

a) Diseased base of the hair follicles c) Obstruction of the flow of sebum

b) Excessive intake of fatty foods d) Use of oily substances on the body

52) You will advise a mother whose child has discharged ears to:
a) Apply appropriate antibiotic c) Expose the affected ear to sunlight b) Clean the ear with
cotton wool d) Wick the ear with a clean cloth
balls
53) A measure that enables the youth to lead a healthy, socially and normally
acceptable life:
 a) Observing good communication c) Family life education
skills
d) Adolescent reproductive rights
b) Health education

54) In order to identify the health needs of clients and family in the home, the
nurse must:
i. Conduct physical examination iii. Inspect health care records
ii. Explain mission to the family iv. Observe the environment a) i, ii, iii c) i, iii,
iv b) i, ii, iv d) ii, iii, iv
55) The objectives of CHPS are to: i. Develop effective inter sectoral iii. Improve equity in
access to basic
collaboration health needs
ii. Improve efficiency and iv. Increase situation analysis for good
responsiveness to client needs sanitatio
n a) i, ii, iii c) i, iii, iv b) i, ii, iv d) ii, iii, iv
56) The mode of transmission of Loaiasis is through the:

a) Hands c) Skin

b) Mouth d) Subcutaneous

57) The importance of family life education:

i ) Contributes towards the understanding and management of population issues

ii) Promotes planned parenthood iii) Promotes better understanding of one’s

self iv) It helps the youth to relate better to the opposite sex

a) i, ii only c) i, iii, iv

b) i, iv only d) i, ii, iii, iv

58) The causative organism for Elephantiasis is?

a) Glossina morsita’ns c) Trypanosome gambiense

b) Similium damnosum d) Wuchereria bancrofti

59) Anti- retroviral therapy for HIV positive women startsat?

a) 14 weeks of gestation c) 24 weeks of gestation b) Immediately the woman is d) 28
weeks of gestation
positive
60) The general danger signs in a sick child include these EXCEPT?

a) Not able to drink or breastfeed c) Child has convulsion

b) Fast breathing d) Vomits everything

61) Methods of satisfying human needs include?

i. Cooperation iii. Realistic iv. Self -esteem

goals
ii. Hard work

a) i, ii, iii c) i, iii, iv

b) i, ii, iv d) ii, iii, iv

62) How would a child's condition be managed effectively if the child has moderate
dehydration?

a) Give coconut juice plus mannitol c) Send child to hospital urgently for
infusion hydration

b) Give home available fluids plus d) Serve oral rehydration salt plus zinc
oxide zinc tablet

63) All of these are informal groups except.?

i. A group at accident scene iii. Nursing mothers at child welfare

clinic
ii. Farmers' cooperative in a village iv. Patients at out- patient departmen
t

a) i, ii, iii c) i, iii, iv

b) i, ii, iv d) ii, iii, iv

64) Which of the following limits community mobilization?

i. Burn-out iii. Maintenance
ii. Enthusiasm iv. Maturation a) i, ii, iii c) i, iii, iv b) i, ii, iv d) ii, iii, iv
 65) Water is life, but is said to be hard when it contains?

a) Concentrated micro- organism c) Mineral salts present in excess

b) Curds and furs in abundance d) Substances that are medicinal

66) The hardening of the skin of the toes caused by ill-fitting shoes is called?

a) Bromidrosis c) Callosities

b) Bunions d) Corns

67) You will recommend to individuals to bath cold water because it:
i. Closes skin pores to retain heat in iii. Relieves tension in the muscles to
the body decrease temperature
ii. Dilates the superficial blood iv. Stimulates the stomach and
vessels to induce sleep intestines to improve appetite a) i, ii, iii c) i, iii, iv b) i, ii, iv
d) ii, iii, iv
68) Protein densed diet is very necessary in the diet of:

a) The aged c) Labourers

b) Children d) Pregnant women

69) Large scale purification of water follows this process

a) c) Filtration.......chemicals......storage
Chemicals.....storage.........filtration
d) Storage........chemicals.......storage
b)
Boiling........filtration.........chemicals

70) Dampness in buildings leads to the following?

i. Hypertension iii. Pneumonia ii. Malaria iv. Rheumatis

a) i, ii,iii c) ii, iii only

b) ii,iii,iv d) iii, iv only

71) Natural lights in a room is preferred to artificial lighting because?

a) Artificial lights are expensive c)Natural lights act as germicides

 b) Artificial lights bleach the skin d) Natural lights cannot be regulated 72) Due to

changes in environmental factors the health status of people is said to be?

a) Continuum c) Equilibrium

b) Dynamic d) Optimum

73) The model used for describing the ecological system is the?

a) Wheel model c) Epidemiologic triangle

b) Environment d) Immunology

74) The safest form of prevention of sexually transmitted infections for the
unmarried person is?

a) Practice safer sex c) Abstinence

b) Consistent and correct use of d)
condom Faithfulness
75) One of the purposes of epidemiology is to

a) Ensure prompt notification of c) Quarantine

suspected persons diseases
d) Train adequate staff to control disease
b) Identify the causes of diseases s

76) Uses of disease surveillance include the following EXCEPT

a) Planning health program c) Investigation and
confirmation
b) Priority setting for action
d) Resource mobilization
and allocation
77) Which of the following factors would you consider when choosing clothing for
an 80 year old lady?
a) Availability, washability and c) Cost, comfort and washability
colour
d) Washability, comfort and colour
b) Colour, comfort and cost

78) Which of the following microorganisms is responsible for the black patches on
bread?

a) Bacteria c) Protozoa
 b) Fungi d) Virus

79) Effects of neglected hands and nails include?

i) Callitosis iii) Paronychia

ii) Hypertrophied nails iv) Corns

a) i, ii, iii c) i, iii, iv

b) i, ii, iv d) ii, iii, iv

80) The process where refuse is flushed by waste water into a collecting chamber is?
a) Garchey c) Pulverization b) Composting d) Controlled Tipping

81) Which of the following vehicle route determines mode of transmission of

infectious disease to the next host?

i. Contaminated food iii. Drugs

ii. Dust practicals iv. Wate
r a) i, ii c) i, ii iii b) ii, iii d) i, ii, iii, iv
82) These statements are true about indicators except?
a) Strengthen case management c) They show the input, process
output and impact b) They are variables that show
situations of events d) Achievement is compared to the
overall recommended practice
83) Ilness following entrance of infection into the body depends on:
i. Adequate fluid intake iii. Emotional health
ii. Constitution of host iv. Wearing of masks and gowns a) i, ii c) i, ii ,iii b) ii, iii
d) i, ii, iii, iv
84) One of the aims of rehabilitation is to: a) Inform the family about resources c) Provide
disabled persons with
available required gadgets
b) Make the disabled person live d) Relate cordially with persons with with
maximum capability disability

85) The control of the manifestations of a disease so that the disease is no longer
considered a Public Health Importance is termed as?
a) Elimination c) Control

b) Eradication d) Termination

86) In conducting home visit to a malnourished child, you will require one of the
following?
a) Blood pressure apparatus c) Vaccines

b) Protein-densed food d) Weighing

scale
87) Which of these is NOT a component of Occupational Health?

a) Prevention c) Protection

b) Planning d) Promotion

88) To prevent food- related diseases in health institutions, the kitchen should be
provided with?
i. Adequate fuel facility iii. Health inspectors
ii. Hand washing iv. Healthy staff
facilities
a) i ,ii only c) i, ii and iv only
b) ii, iv only d) ii, iii and iv only
89) Which of these are liable to cause visual impairment?

i. Cerebral palsy iii. Onchocerciasis ii. Glaucoma iv. Vitamin A

deficiency

a) ii, iv only c) i, iii, iv

b) iii, iv only d) ii, iii iv

90) Which of these are features of a disaster plan?

i) Written to address the events that are conceivable for a particular location ii) Each
emergency responder should be familiar with the plan and how it should be put into
operation iii) Must be based on the actual availability of the resources iv) Should be
rehearsed for it to be used correctly

a) i, ii, iii c) i, iii, iv

b) i, ii, iv d) i, ii, iii, iv

 91) Falls in the aged may be caused by?

a)Wasting of muscles c) Weakness in the body

b) Lose of balance d) Diminished blood supply to the

brain

92) Effects of unresolved grieving include?

a) Severe depression leading to c) Suicidal tendencies

mental illness
d) Denial tendencies
b) Hypertension and cardio vascular accident

93) Which of these vaccines should not be given to a known HIV infected child

a) Rotarix c) BCG

b) OPV d) DPT/Hib HepB

94 ) A situation in which a person’s immunity to one causative organism provides

immunity to another is?

a) Racial innate immunity c) Cross immunity

b) Individual innate immunity d) Herd immunity

95 ) All these are skills in counselling EXCEPT?

a) Listening c) Confidentiality

b) Responding d) Communications

96) Which of these is NOT a benefit of community study?

a) Provides information on the needs and problems of the people so they can be
addressed

b) Form the basis for health worker to evaluate her/his work

c) Find out who are the leaders of the community, and enquire about their lineage

d) Provides a better understanding of the culture of the people

97) Community participation has its limitations as?

 i) Absorption of government responsibility ii) Threat to political authorities iii) The
ability of community members to make up for the amount of time they invest in
programs iv) Unwillingness of community members continued support

a) I, ii iii b) I, ii, iv

c) I, iii, iv d) Ii, iii, iv

98) The methods of assessing community activities include all EXCEPT?

a) Set objectives to be evaluated b) Define targets and indicators d) How resources
used by the
community are generated
c) Decide on outcomes of activities

99) Which of these is NOT a purpose of a formal group?

a) Is to accomplish a task people want and respect them

b) The need to belong d) They can join and leave any time
they want without
c) They want to feel that other restrictions
100) Early Infant Diagnosis (EID) for HIV
exposed infant is done at?

a) 4 weeks

b) 6 weeks

c) 8 weeks

d) 10 weeks