Cebu Doctors' University - College of Medicine Preventive and Social Medicine

CEBU DOCTORS UNIVERSITY COLLEGE OF MEDICINE
PREVENTIVE AND SOCIAL MEDICINE

1. The term applied to an epidemic occurring within more than one country or territory:
A. Epidemic
B. Endemic
C. Pandemic
D. Sporadic
2. The causative agent for Avian flu is:
A. Influenza virus A
B. Influenza virus B
C. Coronavirus
D. Retrovirus
3. One of the following statements does not belong among the criteria for a SARS
suspect:
A. Moderate to high-grade fever
B. Respiratory symptoms: cough, shortness of breath, or difficulty of breathing
C. History of contact with a person diagnosed with SARS, during the past 4
months
D. Travel to a country with known cases of SARS
4. The trees planted around the landfill help improve the quality of environmental air by
making use of the emitted:
A. Methane
B. Carbon dioxide
C. Carbon monoxide
D. Oxygen
5. Methane is the product of the decomposition of which waste products?
A. Gaseous waste
B. Solid waste (answer is organic waste produces methane: Im guessing solid
waste in landfills is the best answer for this one?)
C. Metal waste
D. Chemical waste
6. A Sanitary landfill may receive the following wastes, EXCEPT:
A. Untreated hazardous wastes
B. Cardboard
C. Grass cuttings
D. Paper
7. Without the plastic lining at the bottom of the landfill, the leachate could:
A. Produce combustible gases
B. Seep through the soil and contaminate the water supply
C. Emit foul odor
D. Make the landfill sink deeper
8. The Zero Waste Management program is primarily intended to:
A. Extend the life of the sanitary landfill
B. Recycle metal and plastic material
C. Give extra income to people
D. Recycle paper into cardboard
"The Zero Waste Management (ZWM) extends the principles of recycling to form a
circular system where as much of the original material as possible is reused.
Discarded materials are not seen as garbage in need of disposal but as valuable
resources in need of new application.

9. The ideal way to dispose of hospital waste is by :
A. Burying in a landfill
B. Incineration
C. Grinding
D. Recycling
10. Passive immunity may be acquired by the following means, EXCEPT:
A.
Intramuscular injection of immunoglobulin
B.
Transfer of maternal antibodies across the placental barrier
C.
Ingestion of colostrum by the baby
D.
Injection with viral antigen
11. Oral administration of vaccine is an effective route for which of the diseases?
A. Tetanus
B. Tuberculosis
C. Typhoid fever
D. Hemophilus influenza
Numbers 12 to 14 refer to Case 1:
Case 1 The patients who gave birth at the barangay health center were handled by the
midwife. Some developed complications.
Prenatal
No Prenatal
Age Group
Number
Number with
complication
Attack
Rate
Number
Number with
complication
Attack
Rate
15 25 yrs.
26 36 yrs.
37 47 yrs
33
27
15
15
6
2
45%
22%
13%
37
31
12
20
11
11
54%
35%
92%
12. Case 1 : The age group/s with the highest total attack rate of complication is / are:
A. 15 25 yrs.
C. 37 47 yrs.
B. 26 36 yrs.
D. All of the above
13. Case 1 : The number of patients in the 15 25 yrs old group who had prenatal checkup is :
A. 15
C. 45
B. 33
D. 48
14. Case 1 : The total number of patients without prenatal check-up who developed
complication is:
A. 20
C. 37
B. 32
D. 42
15. Which of the following is not among the top ten leading causes of morbidity in the
Philippines?
A. Respiratory diseases
B. Diarrhea
C. Influenza
D. AIDS
Last statistics from DOH 2005
1. Acute Lower Respiratory Tract Infection and
Pneumonia**
694,209 884.6 690,566 809.9
2. Bronchitis/Bronchiolitis
669,800 854.7 616,041 722.5
3. Acute watery diarrhea
726,211 928.3 603,287 707.6
4. Influenza
459,624 587.0 406,237 476.5

5. Hypertension
314,175 400.5 382,662 448.8
6. TB Respiratory
109,369 139.7 114,360 134.1
7. Diseases of the Heart
43,945
56.1
43,898
51.5
8. Malaria
35,970
46.1
36,090
42.3
9. Chicken Pox
79,236
41.1
30,063
36.3
10. Dengue fever
16. A health care system that has the greatest impact on the health of a society, while
making the best use of its resources, fulfills which of the following values of social
accountability?
A. Relevance
B. Quality
C. Cost-effectiveness
D. Equity
17. Availability of high-quality health care, to all sectors of society, especially the
underprivileged, is the goal of which social accountability value?
A. Relevance
B. Quality
C. Cost-effectiveness
D. Equity
http://whqlibdoc.who.int/hq/1995/WHO_HRH_95.7.pdf <-=- if u want to check out the
meaning for the other 2
18. The WHOs Philippine counterpart in making health policies to answer local needs is
the:
A. Association of Philippine Medical Colleges
B. Department of Health
C. City Health Office
D. Philippine Medical Association
19. The City health officer sent the sanitary inspector with medicine to treat the people of
the town infested with scabies. The action taken is a form of which level of
prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Risk assessment
20. Teaching uninfected households about sanitation and hygiene is what level of
prevention?
D. Risk assessment
21. A student who wants to get health information of a given community may obtain it
from the following, EXCEPT:
A. Local government hospital
B. City health office
C. Provincial health office
D. Department of health

22. Epidemiology differs from clinical medicine in these regards, EXCEPT:

A. Epidemiologists study groups of people, not individuals
B. Epidemiologists study well people, in addition to sick people
C. Epidemiologists try to find out the crucial difference between those stricken
and those spared
D. Epidemiologists decide optimal patient management
23. In the investigation of an epidemic of food poisoning at a banquet, high attack rates
were found for people who ate roast beef as well as those who ate mushroom sauce.
Table 1 shows combinations of the two foods that were then considered.
Table 1
Attack Rates for Food Combinations

Ate Mushroom Sauce
Did Not Eat Mushroom Sauce
Number
Attack
Number
Attack
Number
Ill
Rate
(%)
Number
Ill
Rate
(%)
Ate roast beef
150
105
70
72
Did not eat roast

beef
42
33
78
26
Thus, the infective item is most likely to be

A. Mushroom sauce
B. Roast beef
C. The combination of roast beef with mushroom sauce
D. Cooking utensil (not the meat, nor the mushroom sauce)
24. What measures the proportion of the population dying every year or the number of
deaths in the community per 1,000 populations.
A. Case fatality rate
B. Cause-specific mortality rate
C. Crude mortality rate
D. Proportionate mortality
25. Designed to measure the rate at which people without a disease develop the disease
during a specific period of time, that is, the number of new cases of a disease in a
population over a period of time.
A. Fertility rates
B. Incidence rates
C. Mortality rates
D. Prevalence rates
26. Table 3 shows the sex distribution in three large series of cases of a disease.
Table 3 Sex Distribution in Three Series of Cases of a Disease
Series
Male Cases
Female Cases
1
200
100
2
250
50
3
450
150
Total
900
300

The incidence rate of this disease by sex was
A. Twice as great in males as in females
B. Three times greater in males than in females
C. Five times greater in make than in females
D. Cannot be computed from the data given
27. Which of the following measure the number of people in a population who have the
disease at a given point in time.
A. Fertility rates
B. Incidence rates
C. Mortality rates
D. Prevalence rates
28. Epidemic refers to
A. A disease that has a low rate of occurrence but that is constantly present
in a community or region
B. An attack rate in excess of 10 per 1,000 population
C. The occurrence of illnesses of similar nature clearly in excess of the normal
expectation for that population at that time
D. The annual case rate per 100,000 population
29. Case fatality rate for a given disease refers to
A. The crude mortality rate per 100,000 population
B. Cause-specific mortality rate due to the disease
C. The percentage of deaths among cases of the disease
D. The proportion of deaths due to the disease among all deaths from all causes
30. The two major measures of disease frequency are:
A. Sensitivity and specificity
B. Positive and negative predictive values
C. Incidence and prevalence
D. Relative and Absolute risks
31. The ratio of the incidence of the group with the factor to the incidence of the group
without the factor
A. Absolute risk
B. Attributable risk
C. Relative risk
D. Predictive value
Relative risk is a ratio of the probability of the event occurring in the exposed group versus a nonexposed group.
32. Measures the amount of the incidence that can be attributed to one particular factor.
A. Absolute risk
B. Attributable risk
C. Relative risk
D. Predictive value
33. Sometimes called as retrospective study because of its direction of inquiry.
A. Case-Control Study
B. Cross-Sectional Study
C. Cohort Study
D. Experiment
34. Because the events of interest transpire after the study is begun, this study is
sometimes called prospective study.

A.
B.
C.
D.
Case-Control Study
Cross-Sectional Study
Cohort Study
Experiment
35. Because it focuses on a point in time, it is sometimes also called prevalence study.
C. Cohort Study
D. Experiment
36. A group of people who share a common experience within a defined time period.
A. Bias
B. Cohort
C. Placebo
D. Stratum
37. Which of the following is not a characteristic of a case-control study?
A. It is relatively inexpensive
B. Relative risk may be estimated from the results
C. Incidence rates may be computed
D. One selects controls without the disease
38. The strongest weapon in the scientific armamentarium to test a hypothesis.
C. Cohort Study
D. Experiment
39. A well-known phenomenon in medicine is that patients given only inert substances
will often show subsequent clinical improvement when compared with similar
patients not so treated
A. Block randomization
B. Placebo effect
C. Stratification
D. Surveillance
40. Defined as the detection of the occurrence of health-related events or exposures in a
target population.
A. Predictive Value
B. Sensitivity
C. Specificity
D. Surveillance
41. The __________ of a test is defined as the percentage of persons with the disease of
interest who have positive test results.
A. Negative Predictive Value
B. Positive Predictive Value
C. Sensitivity
D. Specificity
42. The __________ provides a way to look at risk in case-control studies.
A. Absolute Risk Reduction
B. Odds Ratio
C. Relative Risk
D. Relative Risk Reduction

43. The four oclock habit of the Dengue Prevention campaign is about:
A. Immunization
B. Environmental sanitation
C. Personal hygiene
D. Anti-viral treatment
44. When educating the patient about Vitamin A, you will not include which of the
following?
A. Yellow squash and carrots are rich food sources
B. Prevents night blindness
C. It is an anti-oxidant
D. Minimum daily requirement is 400 to 600 gms
45. The pathology in Vitamin A deficiency is:
A. Loss of muscle mass
B. Skin hyperpigmentation
C. Xerophthalmia
D. Exophthalmus
46. Inclusion of Iodized salt in the daily diet prevents:
A. Mental deficiency in children
B. Thin, brittle bones
C. Loose, non-elastic skin
D. Attention deficit hyperactivity disorder
47. Long-term psychiatric monitoring of a former drug user, who has been rehabilitated is
a form of:
D. Quartiary prevention
48. The incubation period of AIDS is from the time:
A. Patient is infected up to the time AIDSrelated symptoms manifest
B. The patient starts having large lymph nodes to the time severe lung infection
manifests
C. Patient manifests mild symptoms until he/she dies
D. Patient starts feeling weak until pneumonia develops
49. The SARS virus is transmitted via :
A. Inhalation of infected droplets
B. Drinking contaminated water
C. Eating cooked infected chicken
D. Contact with infected blood
50. The characteristic clinical presentation of a patient with tuberculosis is a combination
of which of the following:
A. Fever throughout the day, nosebleeding (epistaxis), loss of appetite
B. Cough of 2 weeks, evening fever, weight loss, loss of appetite
C. Fever of one week, abdominal enlargement, loss of appetite
D. Weight loss, large neck lymph nodes, anemia
51. Malfunctioning liver, distended abdomen and jaundice are symptoms consistent with:
A. Chronic alcoholism
B. AIDS
C. Protein deficiency
D. Carbohydrate deficiency

52. When taking the history of a woman whom you suspect to have STD, you would like
to assess the possibility of exposure (risk assessment) by asking about:
A. Number of children
B. When the symptoms started
C. Number of sexual partners
D. Health of parents
53. The incidence of tuberculosis is correctly stated as (using an arbitrary number):
A. 100,000 new cases per year
B. 100,000 tuberculous persons
C. 100,000 cases of newly diagnosed, plus undergoing treatment and healed TB
cases
D. 100,000 cases confined in hospital
54. Prevalence of tuberculosis is correctly stated as (using an arbitrary number):
A. 2 billion TB cases in the world
B. 2 billion new TB cases in the world per year
C. 2 billion combined treated and healed TB cases per month
D. 2 billion TB cases, excluding the newly diagnosed cases
55. The capacity of a test to become negative in the absence of the disease is:
A. Specificity
B. Sensitivity
C. Predictive value of a negative test
D. Probability
56. The capacity of the test to become positive in the presence of the disease is its:
A. Specifity
B. Sensitivity
C. Predictive value
D. Probability
Numbers 57. to 60 refer to Case 3. Factory employees were screened for tuberculosis
using the PPD tuberculin test and Chest x-ray.
Chest x-ray (+)
Chest x-ray (-)
Totals
Test (PPD) +
A
B
A+B
Test (PPD) C
D
C+D
Totals
A+C
B+D
A+ B + C + D
57. Case 3: The group of subjects/employees with the highest probability of being
tuberculous :
A. A + C
B. A + B
C. A
D. B
58. Case 3: Total number of subjects/employees who are probably tuberculous:
A. A + C
B. B + D
C. A + B
D. C + D

59. Case 3: Predictive value of a positive chest xray:
A. A / A + B
B. B / A + B
C. A / A + C
D. B / B + D
60. Case 3: Predictive value of a negative chest xray:
A. A / A + B
B. B / A + B
C. A / A + C
D. B / B + D
61. A reduction in infant mortality may be interpreted as:
A. Increased life expectancy of infants
B. Increased life expectancy of infants and mothers
C. Decreased number of pregnancies
D. Effective family planning programs
62. Morbidity data would include the following, EXCEPT:
A. Accidents in the workplace
B. Deaths from accidents
C. Absences from work
D. Work-related illnesses
63. The best way to reduce the prevalence of heart diseases is to:
A. Train more cardiologists
B. Opening more coronary care units at the barangay level
C. Providing affordable medicines for cardiac diseases
D. Develop intensive health education programs to inform the communities
about prevention
64. DOTS is Department of Health program for:
A. TB diagnosis
B. TB treatment
C. TB prevention
D. A and B only
65. Direct Observation Treatment, Short-course for tuberculosis is focused on which
level of prevention?
A. Primary
B. Secondary
C. Tertiary
D. A and B only
66. The Alma Ata Declaration is about which of the following?
A. Protection of women and children from violence
B. Health as a universal human right
C. Proper garbage disposal
D. Reduction of infant and maternal mortality
67. The science and art responsible for the maintenance and improvement of the health
of the population, with police power to impose sanctions on anyone that may harm
the health of the public is:
A. Preventive medicine
B. Public health
C. General practice

D. Social medicine
68. If a clinician practicing in CDH suspects that a deep well is the source of typhoid
fever of three of his patients, the person with the power to have the water source shut
down is:
A. Attending physician himself
B. Sanitary inspector
C. Cebu Doctors Hospital administrator
D. City health officer
69. The opposite of Equality between husband and wife is Paternalism, which means:
A. Dominance of men through their control of the family, commerce and
society
B. Men are the superior members of the family through their active participation
in household chores and upbringing of children
C. Men control external affairs, like business, while women control the home
D. Inheritance of wealth is from father to son only
70. The practice of financially-independent adult sons and daughters, who take time to go
home during holidays demonstrates 3 of the following characteristics, EXCEPT:
A. Shared attributes
B. Belongingness
C. Lifelong membership
D. Child-centeredness
71. When a child kisses the hand of elders as a form of greeting, it is said that the parents
have taught him/her well, fulfilling the following family function, EXCEPT:
A. Biological
B. Socialization
C. Educational
D. Cultural
72. When a child is quarrelsome in school, does not mix well with his classmates, and
does not answer when greeted by classmates, the parents must have performed
poorly in their _______________ function.:
A. Biological
B. Socialization
C. Educational
D. Cultural
Numbers 73 to 75 refer to Case 4: Ms. Ai-Ai has 3 children, aged 8 yrs. old, 5 yrs. 1
yrs., by three different men, but she has remained single. They live with Ai-ais aunt who
has 2 grown up children, aged 29 and 30 years old. Ai-ai says that her children and her
aunt and cousins are the only family for her. What type family does Ai-ai have?
73. Case 4: What type of family does Ai-ai have?
A. Single parent, Nuclear family
B. Single parent, Extended family
C. Blended family
D. Polygamous family
74. Case 4: At what stage of family development is Ai-ais family?

A.
B.
C.
D.
Family with newborn child

Family with school-age children
Family with adolescent children
Launching family
75. Case 4: At what stage of development is the Aunties family?

A. Family with school-age children
B. Family with adolescent children
C. Launching family
D. Family in later years (Empty nest)
76. At which stage of family development do the parents begin to feel they are no longer
needed by their children?
A. Family with a new born child
B. Family with a child of school-age
C. Family with an adolescent child
D. Launching family
77. When the husband prevents the wife from going out with friends and her own
parents, does not allow her to use the phone, and he shouts and smashes her things
when she disobeys him on such matters; Which of the following forms of controlling
does not apply?
A. Isolation
B. Physical punishment
C. Intimidation
D. Emotional abuse
78. About 60 years ago, only women with higher IQ and grades, with extraordinary talent
than the male competitors, were accepted in medical schools. This is an example of:
A. Male-female power disparity
B. Socialization and learned behavior
C. Medicalization of the problem
D. Trivialization
79. The physician who is not aware of the issues on gender sensitivity, shows concern
only for the cuts and bruises, and does not address the emotional trauma and the risk
to the patients life; such an attitude is called:
A. Male-female power disparity
B. Socialization and learned behavior
C. Medicalization of the problem
D. Trivialization
80. The woman who allows herself to be verbally abused by her husband must be
educated about husband and wife relationship that is based on:
A. Equality and Responsible parenting
B. Equality and Respect
C. Equality and Honesty
D. Equality and Economic partnership
81. The SARS virus may be acquired by:
A. Droplet infection
B. Airborne transmission
C. Sexual contact
D. Fecal-oral transmission
82. The carcinogenic substance in tobacco smoke is:
A. Carbon monoxide

B. Cyanide
C. Nicotine
D. Tar
83. Which of the following is a primary prevention activity for drug addiction?
A. Imprisonment of drug pushers
B. Responsible parenting seminar
C. Submission of a drug addict for rehabilitation
D. Drugs test for applicants of drivers license
84. Which of the following diseases cannot be prevented by hygienic methods of
handling food and drinks?
A. Hepatitis A
B. Hepatitis B
C. Amebiasis
D. Typhoid fever
85. Which of the following conditions cannot be classified as a case of malnutrition?
A. Obesity
B. Kwashiorkor
C. Marasmus
D. Diabetes mellitus
86. Which of the following is/are solely the responsibility/ies of the public health
practitioner?
A. Prompt diagnosis and treatment
B. Report the case to proper authorities
C. Trace and identify other sexual contacts of the index case
D. A and B only
87. The most common disease brought home by a child is:
A. Intestinal parasitism
B. Dengue fever
C. Respiratory tract infection
D. Measles
88. The appropriate term to describe Binos situation, who continues to smoke 2 packs of
cigarettes daily inspite of the chronic cough is:
A. Tolerance to tobacco
B. Tobacco dependence
C. Addiction to tobacco
D. Misuse of tobacco
89. Bino has progressively increased the dose of diazepam, to put him to sleep, from 10
mg to 30 mg daily over 2 years, which is due to:
A. Tolerance
B. Resistance
C. Withdrawal
D. Misuse
90. Nurses and physicians must protect themselves from acquiring HIV infection by:
A. Getting vaccinated
B. Wearing a mask
C. Not touching the patient
D. Following precautionary measures in handling used hypodermic needles

91. The most powerful risk factor predisposing persons to atherosclerotic peripheral
occlusive disease is:
A. Alcohol abuse
B. Cigarette smoking
C. Old age
D. Male gender
92. Being a good role-model for the children is about:
A
A. Economic partnership
B. Responsible parenting
C. Honesty and accountability
D. Trust and support
93. Negotiation and fairness means:
A. Supporting her goals in life
B. Economic partnership
C. Earning trust and confidence through honesty
D. Seeking mutually satisfying resolution to conflict
94. Talking in loud, angry voices, when a couple is trying to find a solution to conflicting
opinions is the opposite of :
A. Shared responsibility
B. Responsible parenting
C. Non-threatening behavior
D. Honesty and accountability
95. Which of the following functions is fulfilled when the children stay healthy because
of completed immunizations?
A. Biological
B. Educational
C. Socialization
D. Cultural
96. Teaching the child to steal is a distortion of which function?
A. Biological
B. Educational
C. Socialization
D. Cultural
97. The type of abuse when the spouse does not speak to his partner, without any
explanation, but only to express anger or dissatisfaction.
A. Physical
B. Sexual
C. Psychological
D. Social
98. The type of abuse, when the wife is not allowed to meet friends and family members;
not allowed to go out of the house.
A. Economic
B. Psychological
C. Social
D. Verbal

99. Blaming the rape victim for the assault, because she wore make-up and a mini-skirt
(victim-blaming) is a promotive factor in the causation of violence, which is known
as:
A. Sex-role stereotype
B. Medicalization
C. Socialization
D. Trivialization
100. When the wife refuses to have sex with her husband and he forces her, he can be
charged in court for:
A. Physical injuries
B. Marital rape
C. Battering
D. Frustrated homicide

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CEBU DOCTORS UNIVERSITY COLLEGE OF MEDICINE

PREVENTIVE AND SOCIAL MEDICINE