PRIMARY HEALTH CARE

1. A sexually transmitted protozoan disease with symptom of a yellowish green frothy

vaginal discharge:
a. Moniliasis c. Chlamydia
b. Trichomoniasis d. Gonorrhea

2. A fungal disease which cause a sexually transmitted disease and has a characteristic
curdlike vaginal discharge:
a. Moniliasis c. Chlamydia
b. Trichomoniasis d. Gonorrhea

3. Malaria can be transmitted through the following, except:

a. Anopheles mosquito c. Drug addict syringe
b. Blood transfusions d. Sexual contact

4. It is also called paralytic shellfish poisoning caused by dinoflagellates and by ingestion of

raw or inadequately cooked seafood or bi-valve mollusks.
a. Rabies c. Leptospirosis
b. Anthrax d. Red tide

5. This means the prevention of infection:

a. Sterile c. Antisepsis
b. Lypholization d. Antibiotic

6. A disease caused by a bacteria thru contact of skin especially wounds with water, moist
soil or vegetation contaminated of urine of infected rats or host:
a. Rabies c. leptospirosis
b. Antrax d. red tide

7. The following are immunizable diseases; which among them causes muscle weakness
and paralysis?
a. Pertusis c. Poliomyelitis
b. Measles d. Tetanus

8. Brgy. Maligaya has a total population of 11,500. Last year it has registered live births of
235. What is its crude birth rate?
a. 14.5 c. 11.66
b. 20.43 d. 26.55

9. Brgy. Calsadahay catchment has a total population of 9, 500. How many infants will be
eligible for DPT immunization?
a. 285 c. 295
b. 350 d. 454

10. Which of the following prenatal routine activities is part of the consultation phase?
a. History taking, urine exam
b. Leopold’s maneuver, Taking FHT
c. Health teachings and explanation of Doctor’s orders
d. Vital signs taking, FHT

11. Which is false about TB in pregnancy?

a. All drugs may be given including streptomycin.
b. Pregnancy is not contraindicated to SCC
c. TB can be transmitted during pregnancy
d. Mothers can breastfeed their babies
12. Primary level of prevention includes:
a. Giving immunizations
 b. Regular well baby check up
c. Health education
d. All of the above

13. Whooping cough is a disease caused by bacteria transmitted from one person to another
by direct contact. It is also known as:
a. Bronchitis c. enterobiasis
b. Pertussis d. Tuberculosis

14. A disease is said to be endemic when it is:

a. Constantly present in the community
b. Not continuously present in the community
c. It is scattered or occurring slowly
d. All of the above

15. We can say that PHC is utilized for health purposes when:
a. People go to the clinic everyday for check-up
b. People go to the clinic and help the health personnel
c. People are involved in identifying their own problems and solved by themselves
d. People are made to attend fund raising activities

16. The legal basis for officially adopting PHC as an approach in providing the basic need of
the community?
a. LOI (949) c. LOI 487
b. EO 119 d. PD 945

17. The front liners in implementing the basic health services in the community?
a. Nurse c. BHW
b. Midwife d. MHO

18. Which of the following diseases is spread by indirect contact and enters the body by
mouth?
a. Measles c. Typhoid fever
b. Diphtheria d. Poliomyelitis

19. The skin disease caused by itch mite?

a. Scabies c. Impetigo contagiosa
b. Ringworm d. Pediculosis

20. A disease that does not need a vector:

a. Malaria c. Filaria
b. Typhoid d. H-fever

21. Which of the following diseases do you expect to find skin rashes?
a. Hemorrhagic fever c. Schistosomiasis
b. Filariasis d. Diphtheria

22. Which of the following diseases can be obtained through contaminated food and water?
a. Dysentery c. Leprosy
b. Scurvy d. Night blindness

23. When doing a community health survey, the following information are usually taken:
a. Demographic characteristics of the population
b. Location and types of cases
c. Both of the above
d. None of the above

24. The sources of the date that can be used for planning an initial home visit are:
a. Health center personnel
 b. Patient’s record
c. Verbalizations of the family members
d. All of the above

25. The early sign of leprosy includes:

a. Loss of feeling at the middle part of the discolored patches of the skin.
b. Loss of sweating and falling of hair in affected areas
c. Both a & b
d. Neither a & b

26. Principles of public health include:

a. Determination of the needs of the community
b. It was organized for service regardless of political or religious beliefs
c. Emphasizes the role of the community in health programs
d. All of these

27. Water may transmit disease to human. Water is considered as:

a. Vector to disease
b. Vehicle to disease
c. vector and vehicle to disease
d. Universal solvent

28. Quality of water supply source can be best identified through:

a. Inspection
b. Interview of community members
c. Interpretation of result of water examination
d. use of questionnaire

29. The ideal distance of water supply source to toilet is at least:

a. 15 meters c. 25 meters
b. 20 meters d. 30 meters

30. Which of the following are vector borne diseases?

a. Gastroenteritis, dengue, malaria, tuberculosis
b. Schistosomiasis, malaria, dengue, typhoid fever
c. Tuberculosis, asthma, dengue, malaria
d. None of the above

31. Which of the following is not a characteristic of a community?

a. Composed of group of people living in a certain geographical space
b. Most communities are a small local reflection of the larger society or country which it
exists
c. Elements of harmony, shared interest and conflict exist in all communities
d. All communities have common interest and live in similar way

32. Which of the following refers to agent:

a. Consists of microorganisms that are capable of producing disease
b. Consists of chemical agents that may produce disease
c. Both a & b
d. None of the above

33. The following are direct mode of transmission except:

a. Kissing
b. By eating contaminated foods
c. Sexual intercourse
d. both a & b

34. Which of the following is a permanent method of controlling mosquitoes?

a. Use of mosquito net soaked in malathion insecticide
 b. Use of larvaevorous fish
c. Destruction of breeding places
d. Treatment of stagnant water

35. The following are diseases caused by flies, except:

a. Dysentery
b. Yellow fever
c. Typhoid fever
d. Cholera

36. Which of the following animals can transmit TB to man:

a. Monkey c. Rat
b. Cattle d. Cat

37. In home visits you learned that a lot of household members are sick of cough & colds.
You informed them that they can use the following in treating these conditions.
a. Lagundi
b. Akapulko
c. Pansit-pansitan
d. Sambong

38. Another herbal plant which the families can use for swollen gums & toothache is:
a. Herba Buena
b. Tsaang gubat
c. Ampalaya leaves
d. Lagundi

39. Iodine deficiency is common in the barrio. Families must include in their diet available
food such as:
a. Dried dilis, alamang & seaweeds
b. Eggs, poultry & leafy green vegetables
c. Squash & other yellow vegetables
d. Papaya, guyabano & other fruits

40. The possible breeding site of dengue mosquitoes is:

a. Blackish water in esteros
b. Fresh water from rivers
c. Cool crystal clear slow running water
d. Rain water in undiscarded coconut shells

41. Tetanus toxoid 2 is preferably given during this time of pregnancy:

a. Anytime during pregnancy
b. First trimester
c. 8 months
d. Last month

42. Measles vaccine is given:

a. 0.5 ml IM
b. 0.5 ml SQ
c. 0.5 ml ID
d. 0.5 ml per orem

43. The management of health problems at the community level is done through the activities
under?
a. Primary health care
b. Secondary health care
c. Tertiary health care
d. All of these

44. Immunization program is provided at the level of?

 a. Primary health care
b. Secondary health care
c. Tertiary health care
d. All of these

45. Management of AIDS infected patients is a service of?

a. Primary health care
b. Secondary health care
c. Tertiary health care
d. All of these

46. When you involve the people in identifying their prevailing problems, motivating them to
solve their problems using local/indigenous resources you are concerned with this
approach:
a. Community assembly
b. Primary health care
c. Community health care
d. Community diagnosis

47. The elements of Reproductive Health includes the following, EXCEPT:

a. Violence against women
b. Adolescent reproductive health
c. Family planning
d. None of these

48. Paolo, a newly registered midwife, is rendering service to his community by taking the
blood pressure especially among high risk groups. He is assuming the role of:
a. Counselor
b. Motivator
c. Health care provider
d. Manager

49. Paolo encourages the community to act collectively on their problem. He is assuming the
role of:
a. Model
b. Motivator
c. Counselor
d. Facilitator

50. Joey, 6 weeks old, was given DPT two weeks ago. When will he return for the second
dose?
a. After 2 weeks
b. After 4 weeks
c. After 6 weeks
d. He does not need to return to the BHS

51. An approach utilized in the community to provide health services to become accessible,
attainable and sustainable;
a. Primary care
b. health care
c. primary health care
d. health care delivery system

52. A kind of health problems that occurs when there is a gap between actual and
achievable health status;
a. health threat c. health deficit
b. health needs d. foreseeable crisis
53. Which level of health facility is the usual point of entry of a client into the health care
delivery system?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary

54. An indicator of success in community organizing is when people are able to:
A. Participate in community activities for the solution of a community problem
B. Implement activities for the solution of the community problem
C. Plan activities for the solution of the community problem
D. Identify the health problem as a common concern

55. Which of the following is an advantage of a home visit?

A. It allows the nurse to provide nursing care to a greater number of people
B. It provides an opportunity to do first hand appraisal of the home situation
C. It allows sharing of experience among people with similar health problems
D. It develops the family's initiative in providing for health needs of its members

56. Which is CONTRARY to the principles in planning a home visit?

A. A home visit should have a purpose of objective
B. The plan should revolve around the family health .needs
C. A home visit should be conducted in the manner prescribed by RHU
D. Planning of continuing care should involve a responsible-family member

57. Civil registries are important sources of data. Which law requires registration of births
within 30 days from the occurrence of the birth?
A. PD 651
B. Act 3573
C. RA 3753
D. RA 3375

58. Which is not a good methodology use in a community assessment and data gathering?
a. gathering of rumors and hearsay to get the “pulse” of the community
b. use of questionnaires
c. research and interview
d. participant observation

59. The pathognomonic sign of measles is Koplik’s spot. You may see Koplik’s spot by
inspecting the:
a. Nasal Mucosa
b. Buccal mucosa
c. Skin on the abdomen
d. Skin on the antecubital surface

60. Which of the following pairs of diseases are not contagious?

a. malaria, elephantiasis
b. diabetes mellitus, HPN
c. measles, diphtheria
d. syphilis , AIDS
61. Which is not a sexually transmitted disease?
a. syphilis, gonorrhea
b. trichomonas, Chlamydia
c. moniliasis, anthrax
d. hepatitis, AIDS

62. Which of the following system of the human body is affected when one is sick with AIDS?
a. immune b. digestive
c. respiratory d. circulatory

63. These intestinal parasites maybe transmitted thru food EXCEPT:

a. ascaris b. tapeworm c. capillaria d. hookworm

64. Freedom of choice in one of the policies of the Family Planning Program of the
Philippines. Which of the following illustrates this principle?
A. Information dissemination about the need for family planning
B. Support of research and development in family planning methods
C. Adequate information for couples regarding the different methods
D. Encouragement of couples to take family planning as a joint responsibility

65. Which biological used in EPI is stored in the freezer?

A. DPT
B. Tetanus toxoid
C. Measles vaccine
D. Hepatitis B vaccine

66. Which immunization produces a permanent scar?

A. DPT
B. BCG
C. Measles vaccination
D. Hepatitis B vaccination

67. Which of the following signs will indicate that a young child is suffering from severe
pneumonia?
A. Dyspnea
B. Wheezing
C. Fast breathing
D. Chest indrawing

68. Using IMCI guidelines, you classify a child as having severe pneumonia. What is the best
management for the child?
A. Prescribe antibiotic
B. Refer him urgently to the hospital
C. Instruct the mother to increase fluid intake
D. Instruct the mother to continue breastfeeding

69. To prevent xerophthalmia, young children are given Retinol capsule every 6 months.
What is the dose given to preschoolers?
 A. 10, 000 IU
B. 20, 000 IU
C. 100, 000 IU
D. 200, 000 IU

70. Food fortification is one of the strategies to prevent micronutrient deficiency conditions.
RA 8976 mandates fortification of certain food items. Which of the following is among
these food items?
A. Sugar
B. Bread
C. Margarine
D. Filled milk

71. Which of the following signs indicates the need for sputum examination for AFB?
A. Hematemesis
B. Fever for 1 week
C. Cough for 3 weeks
D. Chest pain for 1 week

72. What is the most effective way of controlling schistosomiasis in an endemic area?
A. Use of molluscicides
B. Building of foot bridges
C. Proper use of sanitary toilets
D. Use of protective footwear, such as rubber boots

73. Which is the BEST control measure for AIDS?

A. Being faithful to a single sexual partner
B. Using a condom during each sexual contact
C. Avoiding sexual contact with commercial sex workers
D. Making sure that one's sexual partner does not have signs of AIDS

74. For immunization of pregnant women, which tetanus toxoid is given as early as possible
during pregnancy?
a. TT3
b. TT4
c. TT1
d. TT2

75. When residents obtain water from an artesian well in the neighborhood, the level of this
approved type of water facility is:
A. I
B. II
C. III
D. IV

76. The best record used for comprehensive assessment of pregnant women for prenatal
care;
a. target client list
 b. municipal form 102
c. FHSIS form E2
d. HBMR

77. Based on the characteristics of mucus, a woman in her reproductive years is fertile when:
a. mucus is thick and dry
b. mucus is clear and watery
c. there is no mucus on dry days
d. mucus is clear, slippery, wet and stretchy

78. Which of the following is NOT considered a natural family planning method
a. basal body temperature
b. cervical mucus
c. symptho- thermal
d. hormonal

79. Bonding between a mother and her newborn child is best achieved through:
a. adequate prenatal care
b. breastfeeding
c. sense of hearing
d. nutrition

80. To determine the population covered for immunization, the nurse/ midwife should:
a. coordinate with barangay chairman
b. do house to house campaign
c. calculate eligible population
d. maintain cold chain

81. It is reconstituted vaccine administered intradermally:

a. BCG b. DPT
c. measles vaccine d. none of them

82. The minimum interval between doses of DPT is:

a. a. three weeks
b. one week
c. none since DPT is given as a single dose
d. four weeks

83. The source of infection of schistosomiasis is:

a. dog b. rat
c. pig d. snail

84. Which of the following may transfer the etiologic agent of tuberculosis to man:
a. cat b. cow
c. carabao d. goat

85. In consideration of the steps in applying the bag technique, which side of the paper lining
of the CHN bag is considered clean to make a non-contaminated work area?
a. The lower lip
b. The outer surface
c. The upper lip
d. The inside surface

86. This is an important procedure of the nurse during home visits?

a. protection of the CHN bag
b. arrangement of the contents of the CHM bag
 c. cleaning of the CHN bag
d. proper handwashing

87. Which of the following is not a member of the health team assigned in a municipality?
a. Municipal Health Officer
b. Public Health Dentist
c. Brgy. Captain
d. Public Health Nurse

88. The primary level in referral system comprise of the following EXCEPT;
a. Provincial Hospital
b. Training Hospital
c. The Brgy.
d. Rural Health Unit

89. The level of care provided by the RHM in the RHU;

a. primary level of care
b. secondary level of care
c. tertiary level of care
d. none of the above

90. Diseases that could have been prevented with a healthy lifestyle.
a. Heart Diseases, filariasis
b. Diabetes mellitus, heart disease
c. Diabetes mellitus, schistosomiasis
d. Cancer, leprosy

91. Which of the following is a natality rate?

A. Crude birth rate
B. Neonatal mortality rate
C. Infant mortality rate
D. General fertility rate

92. The Field Health Services and information System (FHSIS) is the recording and
reporting system in public health) care in the Philippines. The monthly field health
service activity report is a form used in which of the components of the FHSIS?
A. Tally report
B. Output report
C. Target/client list
D. Individual health record

93. Inadequate intake by the pregnant woman of which vitamin may cause neural tube
defects?
A. Niacin
B. Riboflavin
C. Folic Acid
D. Thiamine

94. Among the following diseases, which is airborne?

A. Viral conjunctivitis
B. Acute poliomyelitis
C. Diptheria
D. Measles
95. A 4-year old client was brought to the health center with chief complaint of severe
diarrhea and the passage of “rice water stools”. The client is most probably suffering
from which condition?
A. Giardiasis
 B. Cholera
C. Amebiasis
D. Dysentery

96. Which can be given to a patient with hyperemesis gravidarum to relieve the signs &
symptoms?
a. Have the patient eat crackers before rising from the bed in the morning
b. Offer water with meals
c. Let the patient choose what she feels like eating
d. Let the patient stay on bed until the feelings of nausea subsides.

97. Leprosy can be transmitted through?

a. blood c. semen
b. sex d. prolonged skin to skin contact

98. Tuberculosis is a re- emerging communicable disease. Which is not true about PTB?
a. DOTS is done during maintenance phase
b. Symptomatic are subjected to sputum examination
c. Resistance to the drugs is a problem
d. Smear (-) maybe positive on X-ray

99. Which of the following disease is not transmitted by a mosquito?

a. bubonic plague b. malaria
c. dengue fever d. elephantiasis

100. Which parasites maybe transmitted by eating improperly cooked food?

a. hookworm, pinworm
b. ascaris, schistosomiasis
c. tapeworm, capillaria
d. pinworm, ascaris