y OO AUINAL UNIVIRSIDY WES LEKUY LADLE US AND EPIDEMIOLOCY CAT, 19/Oct/ 2018 (BCM, BNS, BPH, _BSLT) COMMUNITY HEALTH INSTRUCTION Read the instructions carefully before an communicat Si eeaiceice iswering any question, No exchange of paper or rculcato Hees enne petween or among students. This paper is made up of two sections; A and B. Set ‘as 25 multiple choice questions, Answer all by selecting the most correct answer. Section B has five structured question. Attempt all questions within 2hour 30mimutes SECTION A. ATEMPT ALL QUESTIONS (25 marks) 1, Which of these stages of prevention strategy is i r icati a trategy is intended to reduce/preyent complicati and disabilities by disease? i y re a) Primary prevention j b) Secondary pr-vention 2. Regarding modes of disese transi ©) Tertiary prevention d) primordial ission, 2 voter such as a mosquito is an example of: a) Direct disease transmission ; ¢) A single exposure b) Indirect discase transmission d) A.common vehicle exposure 3. Regarding public heatth surveillance, one of the following is not a surveillance activity. a) Data collectio 1 ©) Data dissemination b) Data analysis .d) Disease control 4. One of the fotiowir.g is not appropriate regard: Non-communicable diseases. a) Are often chronic b) Are currently the leading causes of deat in developed countries 2) Many of th-m have known causes 4d) Include permanent results of accidents. 5, The follow ng is the best definition of “epidemi*ogy” a) The study of the distribution of diseases ¢~ injuries in human populations b) The study of the distribution of diseases in human and closely associated animal population. ©) The study of “> distribution, frequency ci determinants of health problems and diseases in hynan populations d) The study of ve frequency and the distribution of she major health determining behaviors and conditions in human populetions, 6. Which of the follow measures traditionally uses the same denominator as infant mortality rate? a). Maternal mortelsty rate ©) Neonatal mortality rate b) Perinatal mortality rate d) Number a) and (b) a Ith ‘ary prevention measures jn’ oceupational ty ) Provision of erclosures b) Regular measurements of environmental exposures ©) Treatment of acquired occupational diseases 4) Personal protective gears for employees ©) Periodic medical examination - 8, In anthropometric mcasusements, a child who exhibits a weight for age of less than 90% is: a) Wasted ©) Stunted b) Unders d) A dwarf ade aii of the following except:9,, The following are tic most common malnutrition conditions in MC7{ exeePt Sooo ©) Protein energy malnutrition b)_ Low birth weight ae 4) Nutritional anemia 10, Which of the following measures stunting? Oot wear araasy * 6) Weight for beight b) Height for age 4) None of the above 11. Which of the following measues wasting? s) Weight for age ©) Weight for height b) Height for age 4) None of the above 12, Which of the following measures under weight? a) Weight for age ©) Weight for height b) Height forage None of the above 13. The main prevention strategy is applicable to souree of infeetion a) Environmental hygiene ¢) Disinfection b)_ Immunization 4) Epidemiotogical investigation 14, Interrupting the transmission rout involves the following except a) Veetor control ©) Health promotion b) Personal hygiene 4) Environmental hygiene | 15. Protecting the susceptible hosts include the following except; a) Isolation e) Treatment b) Quarantine ) Chemoprophylaxis a 16- In 2004, there were 192,000 deaths in Uganda against a mid-year population estimate of 20, 321,016. The death rate of 9.44 per 1000 was calculated. This is eailed: a. Age-specific death rate 4. Adjusted death rate b. Mid-year death rate ce. Crude death rate, ©. Death prevalence rate During the year 2014, 5000 people were registeved in the Lugazi community in Rubisizi District, (Over the sane year 250 new cases of malaria cisease were diagnosed end treated in this community but 50 of them died of the disease. 17. The incidence of malaria disease ip > -ga28 community was a. 20% 4, 300 péf 1000 of the b, 50% population 50 por 1000 of the population 18, The case fatality rate of malaria disease fa the Lugazi comme ss a. 50 per 1000 of the population ‘ c, 20% of the population b. 5% of the population d._ 56% of the population 19, Which of the following is a primary goal for undertaking owt!7e«s/ epidemic investigations? e a. Tostudy the natural history of the causative agent b, To train staff in methods of outbreak management c. Tofind the source of the infection so that immediate action may be taken to stop the ‘outbreak 4. To respond to public concerns avout the outbreak 20, ‘The following is the method of disease prevention excepta) Primary and primordial b) Secondary c) Tertiaty d) Health pfométi¢n 21, General health challenges of refugees and IDP exeiude a. Matautrition (lack of Food) b. Hygiene and sanitetion (Clean water, toilet) ¢. Disease outbreaks are common (cholera, measles, diarrhea d. Good security 22, Components of maternal and child health excludes a) Maternal health care ©) Family planning services b) Child health care 4) Environmental health @ 23. Gaps in natural history of NCDs include the following except a) Absence ofa known agent; ©) Long latent period; b) Multifactorial causatio: ¢) Easy diagnosis ev e) 24. The following are phases of disaster nanagemtent except : a) Preparedness” ©) Mitigation b) Recovery * d) Vulnerability “ 25, Socio-economic development indicators a) Population growth rate(PGR) b) Grose Domestic Product (GDP) c) Aandb 4) None of the aboveON B, ANSWER ALL QUESTIONS FROM THIS SECTION (25 marks) 1. Define and explain the various phases of the disaster managementitoh healtli of their 2. Most governments in under developed nations have tried to improve the citizens by healthcare the reasons for improving service delivery. Advance the reas underutiliz F i ks). ‘ation of health care Services in any African county (15 marks),ety nntiate between the following termls ( simu cach) faternal mortality rate and maternal mortality ratio Il, Crude dead rate and infant mortality rate Me Maal Bealhs. dete commenl: ML Neonatal mortality rate and perinaal mortality rate nse. whe, ‘de bel : - <, ® ‘ IV. Vulnerability and hazard ¥ & ee is, Dey cone | eacgaic! Sesvegbhle, fe |osene h adiense,.wlale ef An physienh RK GRE. .4. With examples, « SHIN NES eo applied in community health and * Disaster Emergency.intivesin ers and children to lose he suggest services ave made moth j 5: Maternal and child mortalities pert in community Ne crtatity rates in African (25 marks) alth and epidemiology most African countries. As an ex that can reduce maternal and child m end '