Prev Med Mar 2022
Prev Med Mar 2022
Prev Med Mar 2022
A. indolent
A case control study may have a particular advantage over B. rare
6 B
a cohort study when disease in question is C. fatal
D. virulent
A. When cold temperatures favor
disease outbreaks
B. Widely publicized fatalities caused
by emerging swine flu
7 What would be an example of the iceberg phenomenon?
C. Giving a medicine that only partially
treats an illness
D. The primary prevention of colon
cancer
_________ is the cumulative incidence of the disease when
8 the duration of the disease is short and the observation
period is
A. Pre-pathogenesis
A fishball vendor can be exposed to an Omicron virus
B. Pathogenesis
9 positive customer. During what period should primary A
C. Any of the above
prevention be observed?
D. Resolution or sequelae
A. life expectancy
The number of deaths from SARS-CoV in December 2021
B. case fatality rate
10 over the number of diagnosed cases of SARS-CoV in the B
C. standardized mortality ratio
same period is the __________
D. crude mortality rate
A. Varicella vaccine
Mrs. Mendiola is on her 1st trimester of pregnancy. Which B. Influenza vaccine
11 A
vaccine should NOT be administered? C. Hepatitis B vaccine
D. Tetanus toxoid
A. After 7 days
During pregnancy, when should the vaccination be
B. After 1 month
12 scheduled in consideration of TDap, Flu, and other D
C. After 14 days
vaccines?
D. After 3 months
A. 2.8, 3, 2
In 11 students surveyed, the number of sublings per student Mean: 31/11 = 2.8 (average of data set)
B. 2, 2.8, 3
13 were 4,5,2,2,3,1,4,2,3,2, and 3. What is the mean, median, A Median: 3 (value in the middle of data set)
C. 3, 2.8, 2
and mode numbers of siblings per student? Mode: 2 (most frequently occurring)
D. 2.8, 2, 3
A. 20.28% of infants per 1000 of the
population died in 2021
B. 17.97% of infants died before
The current infant mortality rate of the Philippines for 2022 is reaching their first birthday per 1000 Infant mortality is the death of an infant before his or https://www.cdc.
14 17.968 per 1000 live births, a 2.31% decline from 2021. live births B her first birthday. The infant mortality rate is the gov/reproductivehealth/maternalinf
What does this imply? C. 17.97% of infants died before number of infant deaths for every 1,000 live births. anthealth/infantmortality.htm
reaching their first birthday
D. 17.97% of all deaths occurred in
infants below one year
During the investigation of an outbreak of food poisoning at
a catered party, food histories were obtained from all
15 attendees as indicated in the table below. What is the
MOST likely incriminated food item? https://www.cdc.
A. ice cream gov/csels/dsepd/ss1978/lesson3/s
A food-specific attack rate is the number of persons
B. fruit salad ection2.html#:~:text=Overall%
C? who ate a specified food and became ill divided by
C. Lasagna 20attack%20rate%20is%20the,
the total number of persons who ate that food.
D. Barbecue the%20previous%20potato%
20salad%20example.
A. Low incidence
What kind of disease occurrence would tend to overestimate B. High incidence
16 D
the point prevalence? C. Short duration
D. Long duration
Assuming that rapid antigen tests has a sensitivity of 90%
A. 2/10
and a specificity of 98% and that consecutive tests are
B. 1/10
17 independent, what is the probability that a call center agent A?
C. 1/100
with possible COVID-19 will have a negative screening test
D. 4/100
for two consecutive months?
A. Selection bias
Which bias occurs when smoking and alcohol use are
B.Saturation effect
18 associated and the effect of one is linked with/or distorted by C
C. Confounding bias
the effect of the other?
D. Measurement bias
A. Economic incentives
What would BEST control injuries, both in and out of the
B. Law enforcement
19 workplace? B?
C. Ergonomic plans
D. Education
If the number of people who got OMICRON during a A. Cumulative incidence
specified period over the number of people free of the B. Incidence rate
20 C
OMICRON in the population at risk at the beginning of the C. Period prevalence
period is calculated, what is this called? D. Point prevalence
Preventive Medicine and Public Health March PLE 2022
No. Question Choices Answer Discussion Area References
For symptomatic, not severely immunocompromised
adults with mild-to-moderate COVID-19 diagnosis
and any vaccination status, we suggest the use of the
following symptom-based criteria for return to work
A. 7 clearance: (Very low certainty of evidence; Weak
Fully vaccinated COVID-positive cases who are https://www.psmid.org/philippine-
B. 14 recommendation)
21 asymptomatic or with mild to moderate symptoms need to D covid-19-living-recommendations-
C. 21
be isolated for how many days? 3/
D. 10 At least 10 days have passed since the onset of
symptoms; AND
No fever during the previous 24 hours; AND
There has been substantial improvement in
respiratory symptoms of the acute illness.
A. Fever
B. Frequency
22 Which of the following symptoms is NOT typical of cystitis? A
C. Dysuria
D. Back pain
“Immunogenicity” refers to the ability of any antigen
A. Immunogenicity
An uncommon infection with severe clinical manifestations or vaccine to trigger the body's immune response.
B. Infectivity
23 has stricken the community. The proportion of clinical cases B Infectivity is the ability of a pathogen to establish an
C. Virulence
observed BEST describes the agent's _____________ infection. Pathogenicity refers to the ability of an
D. Pathogenicity
organism to cause disease.
Tertiary disease prevention is treatment to reduce
complications from disease that is ongoing or has
A. Tertiary
A 70-year-old patient develops physical disabilities resulting long-term effects. Infarct has already occured. First Aid USMLE Step 1 2021,
B. Secondary
24 from a cerebral infract. What level of prevention should care A Primary disease prevention is for preventing disease Public Health Sciences --
C. None of the above
be directed to? before it occurs, and secondary disease prevention is Healthcare Delivery, p. 278
D. Primary
screening early and managing existing but
asymptomatic disease.
A. Physical distancing
B. Chloroquine prophylaxis
Dengue hemorrhagic fever has been on the rise. What is the
25 C. Elimination of vector habitats C
MOST effective way to prevent its occcurrence?
D. Intake of iron and Vitamin B
complex supplements
A. Symptom carrier
B. Symptom overload
26 _________ denotes the detouring sign (in family mapping)
C. Symptom imbalance
D. Symptom significance
A. during the convalescent stage of
the disease
B. before host and agent interaction
occur First Aid USMLE Step 1 2021,
Primary disease prevention: Prevent disease before it
27 It is BEST to institute the first level of prevention _____. C. after the convalescent stage of the B Public Health Sciences --
occurs
disease Healthcare Delivery, p. 278
D. during the initial interaction
between the agent, the host and
environment
A. Weight for height
What is the MOST useful indicator for long-term nutritional B. Middle-upper arm circumference Stunting is the result of long-term nutritional WHO Nutrition Landscape
28 D
deficiency in adults? C. Weight for age deprivation Information System
D. Height for age
A 24-year-old female with no known co-morbids developed A. Supportive Treatment
fever, and sore throat, with no other associated symptoms B. Azithromycin HPAAC Unified COVID-19
29 A
and normal oxygenation. She then tested positive for SARS- C. Molnupiravir Algorithms
CoV-2 infection. What is the BEST treatment for her? D. Dexamethasone and Remdesivir
A. artificial acquired passive
First Aid USMLE Step 1 2021,
A baby is born with inherent antibodies acquired from the B. artificial acquired active Passive Immunity: Receiving preformed antibodies
30 C Immunology -- Immune
mother. This is labeled _____ immunity. C. natural acquired passive (ex. maternal IgG crossing placenta)
Responses, p. 110
D. natural acquired active
A. Members uphold universal values
B. Members demand respect and
equitable treatment
Journals of the Philippine
31 What assumption is NOT consistent about the family? C. Members can be assertive and
Academy of Family Physicians
independent thinking
D. Members are capable of making
well-informed decisions
A. Admission
_____ is for those who have been exposed (close contact
B. Lockdown HPAAC Unified COVID-19
32 with a confirmed case of COVID-19) and can possibly C
C. Quarantine Algorithms
develop infection.
D. Isolation
A. incidence in rural areas
B. among the primis than secundis
C. among the very young and the very
33 Maternal Mortality has been shown to be higer _____.
old mothers
D. among the primis than the
multigravids
A. Polyunsaturated fat
What substance in our diet intake has been noted to be B. Alcohol
34
INVERSELY linked with blood pressure? C. Sodium
D. Calcium
A. A good quality CXR film is needed
to initially guide clinician in identifying
presumptive PTB for further
bacteriological confirmation.
B. Patients with CXR findings
Which of the following statements is FALSE regarding the
35 suggestive of PTB even without
role of chest radiographs in PTB diagnosis?
symptom is a Presumptive TB
C. Bilateral apical infiltrates on CXR is
considered specific for active PTB
D. A single CXR film cannot
accurately confirm active PTB
A. 130/80
What is the blood pressure target that has been shown to be B. 120/75
36
renoprotective? C. 115/75
D. 125/80
A. Hospitals catering to COVID-19
cases
What does A1-3 refer to in the priority population groups for B. Government-owned community
37
COVID-19 immunization? based primary care facilities
C. COVID-19 referral hospitals
D. Quarantine/isolation facilities
Preventive Medicine and Public Health March PLE 2022
No. Question Choices Answer Discussion Area References
A. Only health promotion involves
material and methods that are
generally non-medical
B. Only health promotion is targeted at
How is health promotion differentiated from disease specific disease
38
prevention? C. Only health promotion is targeted
at population rather than individuals
D. Only health promotion can begin
before a disease becomes
symptomatic
A. A 75 year-old male who is
diagnosed with Liver cirrhosis
B. A 35 year-old male who is
diagnosed with Hypertension and
Among the following patients, which is HIGHLY susceptible Obesity
39
to develop severe COVID-19 illness? C. A 10 year-old female who has
controlled Brochial asthma
D. A 60 year-old female who has been
in remission from Breast Cancer for 2
years
A. the throat
B. both sides of nasal cavity and
When collecting swab samples for RT-PCR testing,
40 throat
sample/s must be taken from ______.
C. one side of nostril and throat
D. one side of nasal cavity
A. Health care
Which of the following factors has a relatively minor B. Educational attainment
41
contribution to individual health? C. Family income
D. Potable water
A. allowing employees to take on
responsibility once the implementation
has begun
Implementing a health systems decision must be planned B. ordering the steps necessary to
42 carefully. Adequate planning requires all of the following achieve a fully operational decision
steps, EXCEPT ______. C. determining how things will look
when the decision is fully operational
D. listing the resources and activities
needed to implement the decision
A. social capital
The set of skills composed of understanding and managing
B. self-reliance
43 yourself and dealing effectively with others is labeled
C. career management
_______.
D. emotional intelligence
A. humoral-mediated immunity
Mothers' breastmilk can be passed to their infants to afford
B. cell-mediated immunity
44 protection from disease. This transfer of immunity is an
C. passive immunity
example of ______.
D. active immunity
A. when providing care to the general
public who are not known or
suspected COVID-19 patients
B. performing administrative/support
duties in records, billing and
In DOH Administrative Order No. 2022-0001, the Moderate
accounting, pharmacy, human
45 Risk Classification (MRC) is defined by the following,
resource department
EXCEPT ______.
C. MRC is increased due to constant
exposure to a large number of people
D. working as a staff in areas within a
health facility such as OPD triage,
Malasakit Centers, birthing center, etc.
A. They are different because "need"
is professionally defined and
"demand" is patient driven.
B. They are different because "need"
Which of the following BEST reflects the relationship takes cost into consideration and
46 between the "need" for health care and the "demand" for "demand" depends on exigencies.
health care? C. They are the same when barriers to
care are marginal and equitably
available.
D. They are synonymous and the
application equates with the other.
A. Competitiveness
Which of these refers to the practices aimed at discovering B. Knowledge management
47
and harnessing an organization's intellectual resources? C. Creativity
D. Collaboration
A. self-selection produces a biased
sample
B. false positive results are pervasive
Information obtained through screening at medical missions
48 C. comorbid conditions may be
are of little epidemiological value because ______.
concealed
D. most conditions are sporadic in
random samples
First objective is to ensure universal access to
A. treatment of all existing cases reliable diagnosis, highly
B. Vigilance against reinfection effective and appropriate treatment and preventive
National Strategic Plan for the
Malaria is endemic in some areas of the Philippines. Its C. total eradication of the mosquito measures. Under which, one of the strategies is to
49 A/B Control and Elimination of Malaria
definitive control is based on the _____. vector maintain, expand, strengthen, adapt and augment
in the Philippines
D. complete eradication of the anti-malaria interventions in areas with malaria
plasmodium parasite transmission via case management and vector
control.
A. Health Promotion
B. Expanded program of immunization
The DOH focuses on the primary prevention of disease
90 C. Maternal and child health
under 12 months of age in what program?
D. Integrated management of
childhood illness
A. lack of marketing budget to acquire
new patients
B. limited Technology Experience and
Among major concerns of doctors during this pandemic, the access to remote consultation with
91
one the is MOST stressful is ___ Patients
C. decline in revenues
D. postponements due to COVID
Restrictions
A. depression
B. high productivity
92 The following are symptoms of resistance, EXCEPT___.
C. lack of initiative
D. procrastination
Preventive Medicine and Public Health March PLE 2022
No. Question Choices Answer Discussion Area References
A. officially designating rabies
diagnostic laboratories
In the National Rabies Control Program, the DOH role B. enforcement of ordinance on dog
93
includes control measures
C. management of dog bites
D. dog vaccination
A, viral hepatitis type A
Passive immunization is the major means of prevention of B. influenza
94
which of the following disease C. german measles
D. mumps
Situation 1 - The table below shows a summary of RT-PCR (From COVID-19 Philippine
tests done on samples Testing Centers: Situationer #615, January 8, 2022)
FACILITY NAME SAMPLES TESTED INDIVIDUALS TESTED POSITIVE TESTS
Jose R Reyes Memorial Medical Center GeneXpert
241 231 165
Laboratory
Kairos Diagnostics Laboratory 1803 1743 857
Kaiser Medical Center Inc 617 617 406
Lanao Del Norte COVID-19 Testing Laboratory 99 99 31
Las Pinas General Hospital and Sattelite Trauma Center 874 874 457
CDC's test over test method: to calculate for test
positivity, divide the number of positive tests by the
A. 52.29%
total number of tests, in a select period of time, then
B. 65.80%
95 What is the positivity rate at Kaiser Meidcal Center? B multiply the result by 100. That number should give
C. 49.17%
us the percentage of tests that have come back
D. 71.73%
positive. For this problem, test positivity = 406/617 x
100
A. There are fewer testing kits
available per individuals tested
B. Some patients preferred specimens
What may have accounted for the discrepancy in the
from thoat and nasal sites, or both
96 number of samples tested and the number of Individuals
C. Two sites, nasal and throat, were
tested?
sources of specimens
D. There are more samples taken per
individual tested
Test positivity can help us understand whether an
area is doing enough tests to find its COVID-19
A. Test is able to detect the level of
infections. The metric is widely used by local, state,
infectivity
and federal agencies to roughly gauge how well
B. samples taken represent the level
disease mitigation efforts are going. Put simply, when
of exposure to the infection
97 If the positivity rate is high, it implies that the A test positivity is high, it’s likely that not enough tests
C. individuals tested were exposed
are being done and that most tests that are done are
more than 5 days earlier
performed on symptomatic people. Both of these
D. Test is valid and has good
factors—insufficient testing and only testing people
specificity and sensitvity
who feel sick—make it very likely that many cases
are going undetected.
Situation 2 - Six middled-aged drinking buddies have gone
on a Veggie diet for 3 months. Pretrial and posttrial Cholesterol level (mg/dL)
cholesterol values are as follows:
Subjects Pretrial Posttrial
A 180 182
B 225 220
C 243 241
D 150 140
E 212 222
F 218 216
Kent State University. (2022).
A. square root of 33.8/6
SPSS Tutorials: paired samples t
B. 33.8/square root of 6 SE = sample standard deviation/sqrt(number of
98 What is the standard error of these data? B test. Retrieved from https:
C. 6 x the square root of 33.8 samples)
//libguides.library.kent.
D. 33.8 x the square root of 7
edu/spss/pairedsamplesttest
The Paired Samples t Test compares the means of
two measurements taken from the same individual,
object, or related units. These "paired"
measurements can represent things like:
Kent State University. (2022).
A. Paired t-test A measurement taken at two different times (e.g.,
SPSS Tutorials: paired samples t
B. The six sample t-test pre-test and post-test score with an intervention
99 The appropriate test for statistical significance is: A test. Retrieved from https:
C. The z-test administered between the two time points)
//libguides.library.kent.
D. Odds ratio A measurement taken under two different conditions
edu/spss/pairedsamplesttest
(e.g., completing a test under a "control" condition
and an "experimental" condition)
Measurements taken from two halves or sides of a
subject or experimental unit (e.g., measuring hearing
loss in a subject's left and right ears).
A. If clinically significant, the
difference must be statistically
significant
B. Even if clinically significant, the
By mere inspection of the data, what can you conclude difference cannot be statistically
100 about the difference in the pretrial and posttrial cholesterol significant
values? C. Even if statistically significant, the
difference is probably not clinicall
significant
D. The difference cannot be clinically
and statistically significant
[1] Cohen’s d measures the size of the difference between two groups while Pearson’s r measures the
strength of the relationship between two variables.
https://www.scribbr.com/statistics/effect-size/