COMMUNITY HEALTH NURSING MCQS

1. Which is the primary goal of community health nursing?

a) To support and supplement the efforts of the medical profession in the promotion of
health and prevention of
b) To enhance the capacity of individuals, families and communities to cope with their
health needs
c) To increase the productivity of the people by providing them with services that will
increase their level of health
d) To contribute to national development through promotion of family welfare, focusing
particularly on mothers and children
Answer: (B) Rational: To enhance the capacity of individuals, families and
communities to cope with their health needs.
To contribute to national development through promotion of family welfare, focusing
particularly on mothers and children.
2. CHN is a community-based practice. Which best explains this statement?
a) The service is provided in the natural environment of people
b) The nurse has to conduct community diagnosis to determine nursing needs and problems
c) The service are based on the available resources within the community
d) Priority setting is based on the magnitude of the health problems identified
Answer: (B) The nurse has to conduct community diagnosis to determine nursing needs
and problems.
Community-based practice means providing care to people in their own natural
environments: the home, school and workplace,
3. Population- focused nursing practice requires which of the following processes?
a) Community organizing
b) Nursing, process
c) Community diagnosis
d) Epidemiologic process
Answer: (C) Community diagnosis
Population-focused nursing care means providing care based on the greater need of the
majority of the population. The greater need is identified through community diagnosis.
4. RA 1054 is also known as the Occupational Health Act. Aside from the number a of
employees, what other factor must be considered in determining the occupational health
privileges to which the workers will be entitled?
a) Type of occupation,: agriculture, commercial, industrial
b) Location of the workplace in relation to health facilities
c) Classification of the business enterprise based on net profit
d) Sex and age composition of employees
Answer: (B) Location of the workplace in relation to health facilities
Based on R.A. 1054, an occupational nurse must be employed when there are 30 to 100
employees and the workplace is more than 1 km. away from the nearest health center.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
5. A business firm must employ an occupational health nurse when it has at least how
many employees.
a) 21
b) 101
c) 201
d) 301
6. When the occupational health nurse employs ergonomic principles, she is performing
which of her roles?
a) Health care provider
b) Health educator
c) Health care coordinator
d) Environment manager
Answer: (D) Environmental manager
Ergonomics is improving efficiency of workers by improving the worker’s environment
through appropriately designed furniture
7. A garment factory does not have an occupational nurse. Who shall provide the
occupational health needs of the factory workers?
a) Occupational health nurse at the Provincial Health Office
b) Physician employed by the factory
c) Public Health nurse of the RHU of their municipality
d) Rural Sanitary inspector of the RHU in their municipality
8. “Public health services are given free of charge”. Is this statement true or false?
a) The statement is true; it is the responsibility of government to provide haste services
b) The statement is false; people pay indirectly for public health services
c) The statement may be true or false; depending on the Specific service required
d) The statement may be true or false; depending on policies of the government concerned.
Answer: (B) The statement is false; people pay indirectly for public health services.
Community health services, including public health services, are prepaid paid services,
through taxation
9. According to C.E. Winslow, which of the following is the goal of Public Health?
A. For people to attain their birthrights and longevity
B. For promotion of health and prevention and diseases
C. For people to have access to basic health services
D. For people to be organized in their health efforts
Answer: (A) For people to attain their birthrights of health and longevity
According to Winslow, all public health efforts are for people to realize their birthrights of
health and longevity.
10. We say that a Filipino has attained longevity when he is able to reach the average
life span of Filipinos. What other statistic may be used to determine attainment of
longevity?
A. Age-specific mortality rate
B. Proportionate mortality rate
C. Swaroop’s index

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
D. Case fatality rate
Answer: (C) Swaroop’s index
Swaroop’s index is the percentage of the deaths aged 50 years or older. Its inverse represents
the percentage of untimely deaths (those who died younger than 50 years).
11. Which of the following is the most prominent feature of public health nursing?
A. It involves providing home care to sick people who are not confined in the hospital
B. Services are provided free of charge to people within the catchment area
C. The public health nurse functions as part of a team providing a public health nursing
service
D. Public health nursing focuses on preventive, not curative services
Answer: (D) Public health nursing focuses on preventive, not curative, services.
The catchment area in PHN consists of a residential community, many of whom are well
individuals who have greater need for preventive rather than curative services.
12. According to Margaret Shetland, the philosophy of public health nursing is based on
which of the following?
A. Health and longevity as birthrights
B. The mandate of the state to protect the birthrights of its citizens
C. Public health nursing as a specialized field of nursing
D. The worth and dignity of man
Answer: (D) The worth and dignity of man
This is a direct quote from Dr. Margaret Shetland’s statements on Public Health Nursing.
13. Which of the following is the mission of the Department of Health?
A. Health for all Filipinos
B. Ensure the accessibility and quality of health
C. Improve the general health status of the population
D. Health in the hands of the Filipino people by the year 2020
14. Region IV Hospital is classified as what level of facility?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
Answer: (D) Tertiary
Regional hospitals are tertiary facilities because they serve as training hospitals for the
region.
15. What is true of primary facilities?
A. They are usually government-run
B. Their services are provided on an out-patient basis
C. They are training facilities for health professionals
D. A community hospital is an example of this level of health facilities
Answer: (B) Their services are provided on an out-patient basis.
Primary facilities government and non-government facilities that provide basic out-patient
services.
16. Which is an example of the school nurse’s health care provider function?

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
A. Requesting for BCG from the RHU for school entrance immunization
B. Conducting random classroom inspection during measles epidemic
C. Taking remedial action on an accident hazard in the school playground
D. Observing places in the school where pupils spend their free times
Answer: (B) Conducting random classroom inspection during a measles epidemic
Random classroom inspection is assessment of pupils/students and teachers for signs of a
health problem prevalent in the community.
17. When the nurse determines whether resources were maximized in implementing
LigtasTigdas, she is evaluating:
A. Effectiveness
B. Efficiency
C. Adequacy
D. Appropriateness
Answer: (B) Efficiency
Efficiency is determining whether the goals were attained at the least possible cost.
18. You are a new B.S.N. graduate. You want to become a Public Health Nurse. Where
will you apply?
A. Department of Health
B. Provincial Health Office
C. Regional Health Office
D. Rural Health Unit
Answer: (D) Rural Health Unit
R.A. 7160 devolved basic health services to local government units (LGU’s). The public
health nurse is an employee of the LGU.
19. RA 7160 mandates devolution of basic services from the national government to
local government units. Which of the following is the major goal of devolution?
A. To strengthen local government units
B. To allow greater autonomy to local government units.
C. To empower the people and promote their self-reliance
D. To make basic services more accessible to the people
Answer: (C) To empower the people and promote their self-reliance
People empowerment is the basic motivation behind devolution of basic services to LGU’s.
20. Who is the Chairman of the Municipal Health Board?
A. Mayor
B. Municipal Health Officer
C. Public Health Nurse
D. Any qualified physician
Answer: (A) Mayor
The local executive serves as the chairman of the Municipal Health Board.
21. Which level of health facility is the usual point of entry of a client into the health
care delivery system?
A. Primary
B. Secondary

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
C. Intermediate
D. Tertiary
Answer: (A) Primary
The entry of a person into the health care delivery system is usually through a consultation in
out-patient services.
22. The public health nurse is the supervisor of rural health midwives. Which of the
following is a supervisory function of the public health nurse?
A. Referring cases or patients to the midwife
B. Providing technical guidance to the midwife
C. Proving nursing care to cases referred by the midwife
D. Formulating and implementing training programs for midwives
Answer: (B) Providing technical guidance to the midwife
The nurse provides technical guidance to the midwife in the care of clients, particularly in the
implementation of management guidelines, as in Integrated Management of Childhood
Illness.
23. One of the participants in a hilot training class asked you to whom she should refer
a patient in labor who develops a complication. You will answer, to the;
A. Public health nurse
B. Rural health midwife
C. Municipal health officer
D. Any of these health professionals
23. Answer: (C) Municipal Health Officer
A public health nurse and rural health midwife can provide care during normal childbirth. A
physician should attend to a woman with a complication during labor.
24. You are the public health nurse in a municipality with a total population of about
20,000. There are3 health midwives among the RHU personnel. How many more
midwife items will the RHU need?
A. 1
B. 2
C. 3
D. 4
Answer: (A) 1
Each rural health midwife is given a population assignment of about 5,000.
25. If the RHU needs additional midwife items, you will submit the request for
additional midwife items for approval to the:
A. Rural Health Unit
B. District Health Office
C. Provincial Health Office
D. Municipal Health Board
Answer: (D) Municipal Health Board
As mandated by R.A. 7160, basic health services have been devolved from the national
government to local government units.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
26. As an epidemiologist, the nurse is responsible for reporting cases or notifiable
diseases. What law mandates reporting cases of notifiable diseases?
A. Act 3573
B. RA.3753
C. RA 1054
D. RA 1082
Answer: (A) Act 3573
Act 3573, the Law on Reporting of Communicable Diseases, enacted in 1929, mandated the
reporting of diseases listed in the law to the nearest health station
27. According to Freeman and Heinrich, community health nursing is a developmental
service. Which of the following best illustrates this statement?
A. The community health nurse continuously develops himself personally and professionally
B. Health education and community organizing are necessary in providing community health
services
C. Community health nursing in intended primarily for health promotion and prevention and
treatment of disease.
D. The goal of community health nursing is to provide nursing services to people in their own
place of .residence
Answer: (B) Health education and community organizing are necessary in providing
community health services.
The community health nurse develops the health capability of people through health
education and community organizing activities
28. Which disease was declared through Presidential Proclamation No. 4 as a target for,
eradication in the Philippines?
A. Poliomyelitis
B. Measles
C. Rabies
D. Neonatal Tetanus
28. Answer: (B) Measles
Presidential Proclamation No. 4 is on the LigtasTigdas Program.
29. The public health nurse is responsible for presenting the municipal health statistics
using graphs and tables. To compare the frequency of the leading causes of mortality in
the municipality, which graph will you prepare?
A. Line
B. Bar
C. Pie
D. Scatter diagram
Answer: (B) Bar
A bar graph is used to present comparison of values, a line graph for trends over time or age,
a pie graph for population composition or distribution, and a scatter diagram for correlation
of two variables.
30. Which step in community organizing involves training of potential leaders in the
community?

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
A. Integration
B. Community organization
C. Community study
D. Core group formation
30. Answer: (D) Core group formation
In core group formation, the nurse is able to transfer the technology of community organizing
to the potential or informal community leaders through a training program.
31. In which step are plans formulated for solving community problems?
A. Mobilization
B. Community organization
C. Follow-up/extension
D. Core group formation
Answer: (B) Community organization
Community organization is the step when community assemblies take place. During the
community assembly, the people may opt to formalize the community organization and make
plans for community action to resolve a community health problem.
32. The public health nurse takes an active role in community participation. What is the
primary goal of community organizing?
A. To educate the people regarding community health problems
B. To mobilize the people to resolve community health problems
C. To maximize the community’s resources in dealing with health problems
Answer: (D) To maximize the community’s resources in dealing with health problems
Community organizing is a developmental service, with the goal of developing the people’s
self-reliance in dealing with community health problems. A, B and C are objectives of
contributory objectives to this goal.
33. 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
Answer: (A) Participate in community activities for the solution of a community problem
Participation in community activities in resolving a community problem may be in any of the
processes mentioned in the other choices.
34. Tertiary prevention is needed in which stage of the natural history of disease?
A. Pre-pathogenesis
B. Pathogenesis
C. Predromal
D. Terminal
Answer: (D) Terminal
Tertiary prevention involves rehabilitation, prevention of permanent disability and disability
limitation appropriate for convalescents, the disabled, complicated cases and the terminally ill
(those in the terminal stage of a disease)

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
35. Isolation of a child with measles belongs to what level of prevention?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
Answer: (A) Primary
The purpose of isolating a client with a communicable disease is to protect those who are not
sick (specific disease prevention).
36. On the other hand, Operation Timbang is_____ prevention?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
Answer: (B) Secondary
Operation Timbang is done to identify members of the susceptible population who are
malnourished. Its purpose is early diagnosis and, subsequently, prompt treatment.
37. Which type of family-nurse contact will provide you with the best opportunity to
observe family dynamics?
A. Clinic consultation
B. Group conferences
C. Home visit
D. Written communication
Answer: (C) Home visit
Dynamics of family relationships can best be observed in the family’s natural environment,
which is the home.
38. The typology of family nursing problems is used in the statement of nursing
diagnosis in the care of families. The youngest child of the delos Reyes family has been
diagnosed as mentally retarded. This is classified as:
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
Answer: (B) Health deficit
Failure of a family member to develop according to what is expected, as in mental
retardation, is a health deficit.
39. The delos Reyes couple have 6-year old child entering school for the first time. The
delos Reyes family has a:
A. Health threat
B. Health deficit
C. Foreseeable crisis
D. Stress point
Answer: (C) Foreseeable crisis
Entry of the 6-year old into school is an anticipated period of unusual demand on the family.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
40. 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
Answer: (B) It provides an opportunity to do first hand appraisal of the home situation.
Choice A is not correct since a home visit requires that the nurse spend so much time with the
family. Choice C is an advantage of a group conference, while choice D is true of a clinic
consultation.
41. 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
Answer: (C) A home visit should be conducted in the manner prescribed by the RHU.
The home visit plan should be flexible and practical, depending on factors, such as the
family’s needs and the resources available to the nurse and the family.
42. The PHN bag is an important tool in providing nursing care during a home visit.
The most important principle in bag technique states that it;
A. Should save time and effort
B. Should minimize if not totally prevent the spread of infection
C. Should not overshadow concern for the patient and his family
D. May be done in variety of ways depending on the home situation, etc.
Answer: (B) Should minimize if not totally prevent the spread of infection.
Bag technique is performed before and after handling a client in the home to prevent
transmission of infection to and from the client.
43. To maintain the cleanliness of the bag and its contents, which of the following must
the nurse do?
A. Wash his/her hands before and after providing nursing care to the family members
B. In the care of family member’s, as much as possible, use only articles taken from the bag
C. Put on an apron to protect her uniform and fold it with the right side out before putting it
back into the bag.
D. At the end of the visit, fold the lining on which the bag was placed, ensuring that the
contaminated side is on the outside.
Answer: (A) Wash his/her hands before and after providing nursing care to the family
members.
Choice B goes against the idea of utilizing the family’s resources, which is encouraged in
CHN. Choices C and D goes against the principle of asepsis of confining the contaminated
surface of objects.
44. The public health conducts a study on the factors contributing to the high morality
rate due to heart diseases in the municipality where she works. Which branch of
epidemiology does the nurse practice in this situation?
A. Descriptive
B. Analytical
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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
C. Therapeutic
D. Evaluation
Answer: (B) Analytical
Analytical epidemiology is the study of factors or determinants affecting the patterns of
occurrence and distribution of disease in a community.
45. Which of the following is a function of epidemiology?
A. Identifying the disease condition based on manifestations presented by a client
B. Determining factors that contributed to the occurrence of pneumonia in a 3 year old
C. Determining the efficacy of the antibiotic used in the treatment of the 3 year old client
with pneumonia
D. Evaluating the effectiveness of the implementation of the Integrated Management of
Childhood Illness
Answer: (D) Evaluating the effectiveness of the implementation of the Integrated
Management of Childhood Illness
Epidemiology is used in the assessment of a community or evaluation of interventions in
community health practice.
46. Which of the following is an epidemiologic function of the nurse during an
epidemic?
A Conducting assessment of suspected cases to detect the communicable diseases
B. Monitoring the condition of the cases affected by the communicable disease
C. Participating in the investigation to determine the source of epidemic
D. Teaching the community on preventive measures against the disease
Answer: (C) Participating in the investigation to determine the source of the epidemic
Epidemiology is the study of patterns of occurrence and distribution of disease in the
community, as well as the factors that affect disease patterns. The purpose of an
epidemiologic investigation is to identify the source of an epidemic, i.e., what brought about
the epidemic.
47. The primary purpose of conducting an epidemiologic investigation is to;
A. Delineate the etiology of the epidemic
B. Encourage cooperation and support of the community
C. Identify groups who are at risk of contracting the disease
D. Identify geographical location of cases of the disease in the community
47. Answer: (A) Delineate the etiology of the epidemic
Delineating the etiology of an epidemic is identifying its source.
48. Which is a characteristic of person-to-person propagated epidemic?
A. There are more cases of the disease than expected
B. The disease must necessarily be transmitted through a vector
C. The spread of the disease can be attributed to a common vehicle
D. There is gradual buildup of cases before we epidemic becomes easily noticeable
Answer: (D) There is a gradual buildup of cases before the epidemic becomes easily
noticeable.
A gradual or insidious onset of the epidemic is usually observable in person-to-person
propagated epidemics.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
49. In the investigation of an epidemic, you compare the present frequency of the
disease with the usual frequency at this time of the year in this community. This is done
during which stage of the investigation?
A. Establishing the epidemic
B. Testing the hypothesis
C. Formulation of the hypothesis
D. Appraisal of facts
Answer: (A) Establishing the epidemic
Establishing the epidemic is determining whether there is an epidemic or not. This is done by
comparing the present number of cases with the usual number of cases of the disease at the
same time of the year, as well as establishing the relatedness of the cases of the disease.
50. The number of cases of Dengue fever usually increases towards the end of the rainy
season. This pattern of occurrence of Dengue fever is best described as;
A. Epidemic occurrence
B. Cyclical variation
C. Sporadic occurrence
D. Secular occurrence
Answer: (B) Cyclical variation
A cyclical variation is a periodic fluctuation in the number of cases of a disease in the
community.
51. In the year 1980, the World Health Organization declared the Philippines, together
with some other countries in the Western Pacific Region, “free” of which disease?
A. Pneumonic plaque
B. Poliomyelitis
C. Small pox
D. Anthrax
Answer: (C) Smallpox
The last documented case of Smallpox was in 1977 at Somalia.
52. In the census of the Philippines in 1995, there were about 35,299,000 males and
about 34,968,000 females. What is the sex ratio?
A. 99.06:100
B. 100.94:100
C. 50.23%
D. 49.76%
Answer: (B) 100.94:100
Sex ratio is the number of males for every 100 females in the population.
53. Primary health care is a total approach to community development. Which of the
following is an indicator of success in the use of the primary health care approach?
A. Health services are provided free of charge to individuals and families
B. Local officials are empowered as the major decision makers in matters of health
C. Health workers are able too provide care based on identified health needs of the people
D. Health programs are sustained according to the level of development of the community

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
Answer: (D) Health programs are sustained according to the level of development of the
community.
Primary health care is essential health care that can be sustained in all stages of development
of the community.
54. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients
would sometimes get false negative results in this exam. This means that the test is not
perfect in terms of which characteristic of a diagnostic examination?
A. Effectiveness
B. Efficacy
C. Specificity
D. Sensitivity
54. Answer: (D) Sensitivity
Sensitivity is the capacity of a diagnostic examination to detect cases of the disease. If a test
is 100% sensitive, all the cases tested will have a positive result, i.e., there will be no false
negative results.
55. Use of appropriate technology requires knowledge of indigenous technology. Which
medical herb is given for fever, headache and cough?
A. Sambong
B. Tsaanggubat
C. Akapulko
D. Lagu
Answer: (D) Lagundi
Sambong is used as a diuretic. Tsaanggubat is used to relieve diarrhea. Akapulko is used for
its antifungal property.ndi
56. What law created the Philippine institute of Traditional and Alternative Health
Care?
A. RA 8483
B. RA4823
C. RA 2483
D. RA 3482
Answer: (A) R.A. 8423
“AN ACT CREATING THE PHILIPPINE INSTITUTE OF TRADITIONAL AND ALTERNATIVE
HEALTH CARE (PITAHC) TO ACCELERATE THE DEVELOPMENT OF TRADITIONAL AND
ALTERNATIVE HEALTH CARE IN THE PHILIPPINES, PROVIDING FOR A TRADITIONAL
AND ALTERNATIVE HEALTH CARE DEVELOPMENT FUND AND FOR OTHER PURPOSES”
signed to a law on December 9, 1997.
57. In traditional Chinese medicine, the yielding, negative and feminine force is termed:
A. Yin
B. Yang
C. Qi
D. Chai
Answer: (A) Yin
Yang is the male dominating, positive and masculine force.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
58. What is the legal basis of Primary Health Care approach in the Philippines?
A. Alma Ata Declaration of PHC
B. Letter of Instruction No 949
C. Presidential Decree No. 147
D. Presidential Decree 996
Answer: (B) Letter of Instruction No. 949
Letter of Instruction 949 was issued by then President Ferdinand Marcos, directing the
formerly called Ministry of Health, now the Department of Health, to utilize Primary Health
Care approach in planning and implementing health programs.
59. Which of the following demonstrates inter-sectoral linkages?
A. Two-way referral system
B. Team approach
C. Endorsement done by a midwife to another midwife
D. Cooperation between PHN and public school teacher
Answer: (D) Cooperation between the PHN and public school teacher
Intersectoral linkages refer to working relationships between the health sector and other
sectors involved in community development.
60. The municipality assigned to you has a population of about 20/000. Estimate the
number of 1-4 year old children who be given Retinol capsule 200.000 every 6 months.
A. 1,500
B. 1,800
C. 2,000
D. 2,300
Answer: (D) 2,300
Based on the Philippine population composition, to estimate the number of 1-4 year old
children, multiply total population by 11.5%.
61. Estimate the number of pregnant women who will be given tetanus toxoid during an
immunization outreach activity in a barangay with a population of about 1,500.
A. 265
B. 300
C. 375
D. 400
Answer: (A) 265
To estimate the number of pregnant women, multiply the total population by 3.5%.
62. To describe the sex composition of the population, which demographic tool may be
used?
A. Sex ratio
B. Sex proportion
C. Population pyramid
D. Any of these maybe used
Answer: (D) Any of these may be used.
Sex ratio and sex proportion are used to determine the sex composition of a population. A
population pyramid is used to present the composition of a population by age and sex.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
63. Which of the following is a natality rate?
A. Crude birth rate
B. Neonatal mortality rate
C. Infant mortality rate
D. General fertility rate
Answer: (A) Crude birth rate
Natality means birth. A natality rate is a birth rate.
64. You are computing the crude rate of your municipality, with a total population o
about 18,000 for last year. There were 94 deaths. Among those who died, 20 died
because of diseases of the heart and 32 were aged 50 years or older. What is the crude
death rate?
A. 4.1/1000
B. 5.2/1000
C. 6.3/1000
D. 7.3/1000
Answer: (B) 5.2/1,000
To compute crude death rate divide total number of deaths (94) by total population (18,000)
and multiply by 1,000.
65. Knowing that malnutrition is a frequent community health problem, you decided to
conduct nutritional assessment. What population is particularly susceptible to protein
energy malnutrition (PEM)?
A. Pregnant women and the elderly
B. Under 5 year old children
C. 1-4 year old children
D. School age children
Answer: (C) 1-4 year old children
Preschoolers are the most susceptible to PEM because they have generally been weaned.
Also, this is the population who, unable to feed themselves, are often the victims of poor
interfamilial food distribution.
66. Which statistic can give the most accurate reflection of the health status of a
community?
A. 1-4 year old age-specific mortality rate
B. Infant mortality rate
C. Swaroop’s index
D. Crude death rate
Answer: (C) Swaroop’s index
Swaroop’s index is the proportion of deaths aged 50 years and above. The higher the
Swaroop’s index of a population, the greater the proportion of the deaths who were able to
reach the age of at least 50 years, i.e., more people grew old before they died.
67. In the past year, Barangay A had an average population of 1655. 46 babies were
born in that year, 2 of whom died less than 4 weeks after they were born. They were 4
recorded stillbirths. What is the neonatal mortality rate?

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
A. 27.8/1000
B. 43.5/1000
C. 86.9/1000
D. 130.4/1000
Answer: (B) 43.5/1,000
To compute for neonatal mortality rate, divide the number of babies who died before
reaching the age of 28 days by the total number of live births, then multiply by 1,000.
68. Which statistic best reflects the nutritional status of a population?
A. 1-4 year old age-specific mortality rate
B. Proportionate mortality rate
C. Infant mortality rate
D. Swaroop’s index
Answer: (A) 1-4 year old age-specific mortality rate
Since preschoolers are the most susceptible to the effects of malnutrition, a population with
poor nutritional status will most likely have a high 1-4 year old age-specific mortality rate,
also known as child mortality rate.
69. What numerator is used in computing general fertility rate?
A. Estimated midyear population
B. Number of registered live births
C. Number of pregnancies in the year
D. Number of females of reproductive age
Answer: (B) Number of registered live births
To compute for general or total fertility rate, divide the number of registered live births by the
number of females of reproductive age (15-45 years), then multiply by 1,000.
70. You will gather data for nutritional assessment of a purok. You will gather
information only from families with members who belong to the target population for
PEM. What method of delta gathering is best for this purpose?
A. Census
B. Survey
C. Record Review
D. Review of civil registry
Answer: (B) Survey
A survey, also called sample survey, is data gathering about a sample of the population
71. In the conduct of a census, the method of population assignment based on the actual
physical location of the people is termed;
A. De jure
B. De locus
C. De facto
D. De novo
Answer: (C) De facto
The other method of population assignment, de jure, is based on the usual place of residence
of the people.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
72. 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
Answer: (A) Tally report
A tally report is prepared monthly or quarterly by the RHU personnel and transmitted to the
Provincial Health Office.
73. To monitor clients registered in long-term regimens, such as the Multi-Drug
Therapy, which component will be most useful?
A. Tally report
B. Output report
C. Target/client list
D. Individual health record
Answer: (C) Target/client list
The MDT Client List is a record of clients enrolled in MDT and other relevant data, such as
dates when clients collected their monthly supply of drugs.
74. 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
Answer: (A) P.D. 651
P.D. 651 amended R.A. 3753, requiring the registry of births within 30 days from their
occurrence
75. Which of the following professionals can sign the birth certificate?
A. Public health nurse
B. Rural health midwife
C. Municipal health officer
D. Any of these health professionals
75. Answer: (D) Any of these health professionals
R.A. 3753 states that any birth attendant may sign the certificate of live birth.
76. Which criterion in priority setting of health problems is used only in community
health care?
A. Modifiability of the problem
B. Nature of the problem presented
C. Magnitude of the health problem
D. Preventive potential of the health problem
Answer: (C) Magnitude of the health problem

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
Magnitude of the problem refers to the percentage of the population affected by a health
problem. The other choices are criteria considered in both family and community health care.
77. The StrongSigla Movement has been launched to improve health service delivery.
Which of the following is/are true of this movement?
A. This is a project spearheaded by local government units
B. It is a basis for increasing funding from local government units
C. It encourages health centers to focus on disease prevention and control
D. Its main strategy is certification of health centers able to comply with standards
Answer: (D) Its main strategy is certification of health centers able to comply with
standards.
SentrongSigla Movement is a joint project of the DOH and local government units. Its main
strategy is certification of health centers that are able to comply with standards set by the
DOH.
78. Which of the following women should be considered as special targets for family
planning?
A. Those who have two children or more
B. Those with medical conditions such as anemia
C. Those younger than 20 years and older than 35 years
D. Those who just had a delivery within the past 15 months
Answer: (D) Those who just had a delivery within the past 15 months
The ideal birth spacing is at least two years. 15 months plus 9 months of pregnancy = 2 years.
79. 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
Answer: (C) Adequate information for couples regarding the different methods
To enable the couple to choose freely among different methods of family planning, they must
be given full information regarding the different methods that are available to them,
considering the availability of quality services that can support their choice.
80. A woman, 6 months pregnant, came to the center for consultation. Which of the
following substances is contraindicated?
A. Tetanus toxoid
B. Retinol 200,000 IU
C. Ferrous sulfate 200mg
D. Potassium iodate 200 mg, capsule
Answer: (B) Retinol 200,000 IU
Retinol 200,000 IU is a form of megadose Vitamin A. This may have a teratogenic effect.
81. During prenatal consultation, a client asked you if she can have her deliveryat home.
After history taking and physical examination, you advised her against a home delivery.
Which of the following findings disqualifies her for a home delivery?
A. Her OB score is G5P3

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
B. She has some palmar pallor
C. Her blood pressure is 130/80
D. Her baby is in cephalic presentation
Answer: (A) Her OB score is G5P3.
Only women with less than 5 pregnancies are qualified for a home delivery. It is also
advisable for a primigravida to have delivery at a childbirth facility.
82. Inadequate intake by the pregnant woman of which vitamin may cause neural tube
defects?
A. Niacin
B. Riboflavin
C. Folic Acid
D. Thiamine
Answer: (C) Folic acid
It is estimated that the incidence of neural tube defects can be reduced drastically if pregnant
women have an adequate intake of folic acid.
83. You are in a client’s home to attend to a delivery. Which of the following will you do
first?
A. Set up a sterile area
B. Put on a clean gown and apron
C. Cleanse the client’s vulva with soap and water
D. Note the interval, duration and intensity of labor and contractions
Answer: (D) Note the interval, duration and intensity of labor contractions.
Assessment of the woman should be done first to determine whether she is having true labor
and, if so, what stage of labor she is in
84. In preparing a primigravida for breastfeeding, which of the following will you do?
A. Tell her that lactation begins within a day after delivery
B. Teach her nipple stretching exercises if her nipples are everted
C. Instruct her to wash her nipples before and after each breastfeeding
D. Explain to her that putting the baby to breast will lessen blood loss after delivery
Answer: (D) Explain to her that putting the baby to breast will lessen blood loss after
delivery
Suckling of the nipple stimulates the release of oxytocin by the posterior pituitary gland,
which causes uterine contraction. Lactation begins 1 to 3 days after delivery. Nipple
stretching exercises are done when the nipples are flat or inverted. Frequent washing dries up
the nipples, making them prone to the formation of fissures.
85. A primigravida is instructed to offer her breast to the baby for the first time within
30 minutes after delivery. What is the purpose of offering the breast this early?
A. To initiate the occurrence of milk letdown
B. To stimulate milk production by the mammary acini
C. To make sure that the baby is able to get the colustrum
D. To allow the woman to practice breastfeeding in the presence of the health worker
Answer: (B) To stimulate milk production by the mammary acini

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
Suckling of the nipple stimulates prolactin reflex (the release of prolactin by the anterior
pituitary gland), which initiates lactation.
86. In a mother’s class, you discuss proper breastfeeding technique. Which of these is a
sign that the baby has “lactated on” the breast property?
A. The baby takes shallow, rapid sucks
B. The mother does not feel nipple pain
C. The baby’s mouth is only partly open
D. Only the mother’s nipple is inside the baby’s mouth
Answer: (B) The mother does not feel nipple pain.
When the baby has properly latched on to the breast, he takes deep, slow sucks; his mouthis
wide open; and much of the areola is inside his mouth. And, you’re right! The mother does
not feel nipple pain.
87. You explain to a breastfeeding mother that breast milk is sufficient for all of the
baby’s nutrient needs only up to:
A. 3 months
B. 6 months
C. 1 year
D. 2 years
Answer: (B) 6 months
After 6 months, the baby’s nutrient needs, especially the baby’s iron requirement, can no
longer be provided by mother’s milk alone.
88. What is given to a woman within a month after the delivery of a baby?
A. Malunggay capsule
B. Ferrous sutfate l00mg O.D.
C. Retinol 200.000 IU 1 capsule
D. Potassium Iodate 200 mg, 1 capsule
Answer: (C) Retinol 200,000 I.U., 1 capsule
A capsule of Retinol 200,000 IU is given within 1 month after delivery. Potassium iodate is
given during pregnancy; malunggay capsule is not routinely administered after delivery; and
ferrous sulfate is taken for two months after delivery.
89. Which biological used in EPI is stored in the freezer?
A. DPT
B. Tetanus toxoid
C. Measles vaccine
D. Hepatitis B vaccine
Answer: (C) Measles vaccine
Among the biologicals used in the Expanded Program on Immunization, measles vaccine and
OPV are highly sensitive to heat, requiring storage in the freezer.
90. Unused BCG should be discarded how many hours after reconstitution?
A. 2
B. 4
C. 6
D. At the end of the day

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
Answer: (B) 4
While the unused portion of other biological in EPI may be given until the end of the day,
only BCG is discarded 4 hours after reconstitution. This is why BCG immunization is
scheduled only in the morning.
91. In immunity school entrants with BCG, you not obliged to secure parental consent.
This is because of which legal document?
A. PD 996
B. RA 7864
C. Presidential Proclamation No. 6
D. Presidential Proclamation No. 46
Answer: (A) P.D. 996
Presidential Decree 996, enacted in 1976, made immunization in the EPI compulsory for
children under 8 years of age. Hepatitis B vaccination was made compulsory for the same age
group by R.A. 7846.
92. Which immunization produces a permanent scar?
A. DPT
B. BCG
C. Measles vaccination
D. Hepatitis B vaccination
Answer: (B) BCG
BCG causes the formation of a superficial abscess, which begins 2 weeks after immunization.
The abscess heals without treatment, with the formation of a permanent scar.
93. A 4 week old baby was brought to the health center for his first immunization.
Which can be given to him?
A. DPT1
B. OPV1
C. Infant BCG
D. Hepatitis B Vaccine
Answer: (C) Infant BCG
Infant BCG may be given at birth. All the other immunizations mentioned can be given at 6
weeks of age.
94. You will not give DPT 2 if the mother says that the infant had?
A. Seizures a day after DPT1
B. Fever for 3 days after DPT1
C. Abscess formation after DPT1
D. Local tenderness for 3 days after DPT 1
Answer: (A) Seizures a day after DPT 1.
Seizures within 3 days after administration of DPT is an indication of hypersensitivity to
pertussis vaccine, a component of DPT. This is considered a specific contraindication to
subsequent doses of DPT.
95. A 2-month old infant was brought to the health center for immunization. During
assessment, the infant’s temperature registered at 38.1 C. Which is the best course of
action that you will take?

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
A. Go on with the infant’s immunization
B. Give paracetamol and wait for his fever to subside
C. Refer the infant to the physician for further assessment
D. Advise the infant’s mother to bring him back for immunization when he is well
Answer: (A) Go on with the infant’s immunizations.
In the EPI, few while the unused portion of other biological in EPI may be given until the end
of the day, only BCG is discarded 4 hours after reconstitution. This is why BCG
immunization is scheduled only in the morning.er up to 38.5°C is not a contraindication to
immunization. Mild acute respiratory tract infection, simple diarrhea and malnutrition are not
contraindications either.
96. A pregnant woman had just received her 4th dose of tetanus toxoid. Subsequently,
her baby will have protection against tetanus for how long?
A. 1 year
B. 3 years
C. 10 years
D. Lifetime
Answer: (A) 1 year
The baby will have passive natural immunity by placental transfer of antibodies. The mother
will have active artificial immunity lasting for about 10 years. 5 doses will give the mother
lifetime protection.
97. A 4-month old infant was brought to the health center of cough. Her respiratory
rate is 42/minute. Using the IMCI guidelines of assessment, her breathing is considered;
A. Fast
B. Slow
C. Normal
D. Insignificant
Answer: (C) Normal
In IMCI, a respiratory rate of 50/minute or more is fast breathing for an infant aged 2 to 12
months.
98. 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 in drawing
Answer: (D) Chest indrawing
In IMCI, chest indrawing is used as the positive sign of dyspnea, indicating severe
pneumonia.
99. 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

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
D. Instruct the mother to continue breastfeeding
Answer: (B) Refer him urgently to the hospital.
Severe pneumonia requires urgent referral to a hospital. Answers A, C and D are done for a
client classified as having pneumonia.
100. A 5-month old infant was brought by his mother to the health center because of
diarrhea occurring 4 to 5 times a day. His skin goes back slowly after a skin pinch and
his eyes are sunken. Using the IMCI guidelines, you will classify this infant in which
category?
A. No signs of dehydration
B. Some dehydration
C. Severe dehydration
D. The data is insufficient
Answer: (B) Some dehydration
Using the assessment guidelines of IMCI, a child (2 months to 5 years old) with diarrhea is
classified as having SOME DEHYDRATION if he shows 2 or more of the following signs:
restless or irritable, sunken eyes, the skin goes back slow after a skin pinch
101. Based on the assessment, you classified a 3-month old infant with the chief
complaint of diarrhea in the category of SOME DEHYDRATION. Based on the IMCI
management guidelines, which of the following will you do?
A. Bring the infant to the nearest facility where IV fluids can be given
B. Supervise the mother in giving 200 to 400 ml of Oresol in 4 hours
C. Give the infant’s mother instructions on home management
D. Keep the infant in your health center for close observation
Answer: (B) Supervise the mother in giving 200 to 400 ml. of Oresol in 4 hours.
In the IMCI management guidelines, SOME DEHYDRATION is treated with the
administration of Oresol within a period of 4 hours. The amount of Oresol is best computed
on the basis of the child’s weight (75 ml/kg body weight). If the weight is unknown, the
amount of Oresol is based on the child’s age.
102. A mother is using Oresol’ in the management of diarrhea of her 3-year old child.
She asked you what to do if her child vomits. You will tell her to:
A. Bring the child to the nearest hospital for further assessment
B. Bring the child to the health center for IV therapy
C. Bring the child to the health center for assessment by the physician
D. Let the child rest for 10 minutes then continue giving Oresol more slowly
Answer: (D) Let the child rest for 10 minutes then continue giving Oresol more slowly.
If the child vomits persistently, that is, he vomits everything that he takes in, he has to be
referred urgently to a hospital. Otherwise, vomiting is managed by letting the child rest for 10
minutes and then continuing with Oresol administration. Teach the mother to give Oresol
more slowly.
103. A 1 1/2 year old child was classified as having 3rd degree of protein energy
malnutrition, kwashjorkor. Which of the following signs will be most apparent in this
child?
A. Voracious appetite

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
B. Wasting
C. Apathy
D. Edema
Answer: (D) Edema
Edema, a major sign of kwashiorkor, is caused by decreased colloidal osmotic pressure of the
blood brought about by hypoalbuminemia. Decreased blood albumin level is due a protein-
deficient diet.
104. Assessment of a 2-year old child revealed “baggy pants”. Using the IMCI
guidelines, how will you manage this child?
A. Refer the child urgently to a hospital for confinement
B. Coordinate with the social worker to enroll the child in a feeding program
C. Make a teaching plan for the mother, focusing on the menu planning for her child
D. Assess and treat the child for health problems like infections and intestine al parasitism
Answer: (A) Refer the child urgently to a hospital for confinement.
“Baggy pants” is a sign of severe marasmus. The best management is urgent referral to a
hospital.
105. During the physical examination of a young child, what is the earliest sign of
exophthalmia that may observe?
A. Keratomalacia
B. Corneal opacity
C. Night blindness
D. Conjunctivalxerosis
Answer: (D) Conjunctivalxerosis
The earliest sign of Vitamin A deficiency (xerophthalmia) is night blindness. However, this is
a functional change, which is not observable during physical examination.The earliest visible
lesion is conjunctivalxerosis or dullness of the conjunctiva due to inadequate tear production.
106. 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
Answer: (D) Conjunctivalxerosis
The earliest sign of Vitamin A deficiency (xerophthalmia) is night blindness. However, this is
a functional change, which is not observable during physical examination.The earliest visible
lesion is conjunctivalxerosis or dullness of the conjunctiva due to inadequate tear production.
107. The major sign of iron deficiency anemia is pallor. What part is best examined for
pallor?
A. Palms
B. Nailbeds
C. Around the lips
D. Lower conjunctival sac
Answer: (A) Palms

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
The anatomic characteristics of the palms allow a reliable and convenient basis for
examination for pallor.
108. 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
Answer: (A) Sugar
R.A. 8976 mandates fortification of rice, wheat flour, sugar and cooking oil with Vitamin A,
iron and/or iodine.
109. What is the best course of action when there is a measles epidemic in a nearby
municipality?
A. Give measles vaccine to babies aged 6 to 3 months
B. Give babies aged 6 to 11 months one dose of 100,000 IU of Retinol
C. Instruct mother to keep their babies at home to prevent disease transmission
D. Instruct mothers to feed their babies adequately to enhance their babies resistance
Answer: (A) Give measles vaccine to babies aged 6 to 8 months.
Ordinarily, measles vaccine is given at 9 months of age. During an impending epidemic,
however, one dose may be given to babies aged 6 to 8 months. The mother is instructed that
the baby needs another dose when the baby is 9 months old.
110. A mother brought her daughter, 4 years old, to the RHU because of cough and
colds. Following the IMCI assessment guide, which of the following is a danger sign that
indicates the need for urgent referral to a hospital?
A. Inability to drink
B. High grade fever
C. Signs of severe dehydration
D. Cough for more than 30 days
Answer: (A) Inability to drink
A sick child aged 2 months to 5 years must be referred urgently to a hospital if he/she has one
or more of the following signs: not able to feed or drink, vomits everything, convulsions,
abnormally sleepy or difficult to awaken.
111. Management of a child with measles includes the administration of which of the
following?
A. Gentian violet on mouth lesions
B. Antibiotic to prevent pneumonia
C. Tetracycline eye ointment for corneal opacity
D. Retinol capsule regardless of when the last dose was given
Answer: (D) Retinol capsule regardless of when the last dose was given
An infant 6 to 12 months classified as a case of measles is given Retinol 100,000 IU; a child
is given 200,000 IU regardless of when the last dose was given.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
112. A mother brought her 10 month old infant for consultation because of feverwhich
started 4 days prior to consultation. To determine malaria risk, what will you do?
A. Do a tourniquet test?
B. Ask where the family resides
C. Get a specimen for blood smear
D. Ask if the fever is present everyday
Answer: (B) Ask where the family resides.
Because malaria is endemic, the first question to determine malaria risk is where the client’s
family resides. If the area of residence is not a known endemic area, ask if the child had
traveled within the past 6 months, where he/she was brought and whether he/she stayed
overnight in that area.
113. The following are strategies implemented by the DOH to prevent mosquito-borne
diseases. Which of these is most effective in the control of Dengue fever?
A. Stream seeding with larva-eating fish
B. Destroying breeding places of mosquitoes
C. Chemoprophylaxis of non-immune persons going to endemic areas
D. Teaching people in endemic areas to use chemically treated mosquito nets
Answer: (B) Destroying breeding places of mosquitoes
Aidesaegypti, the vector of Dengue fever, breeds in stagnant, clear water. Its feeding time is
usually during the daytime. It has a cyclical pattern of occurrence, unlike malaria which is
endemic in certain parts of the country.
114. Secondary prevention for malaria includes?
A. Planting of neem or eucalyptus trees
B. Residual spraying of insecticides at night
C. Determining whether a place is endemic or not
D. Growing larva-eating fish in mosquito breeding places
Answer: (C) Determining whether a place is endemic or not
This is diagnostic and therefore secondary level prevention. The other choices are for primary
prevention
115. Scotch tape swab is done to check for which intestinal parasite?
A. Ascaris
B. Pinworm
C. Hookworm
D. Schistosoma
Answer: (B) Pinworm
Pinworm ova are deposited around the anal orifice.
116. 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
Answer: (C) Cough for 3 weeks

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
A client is considered a PTB suspect when he has cough for 2 weeks or more, plus one or
more of the following signs: fever for 1 month or more; chest pain lasting for 2 weeks or
more not attributed to other conditions; progressive, unexplained weight loss; night sweats;
and hemoptysis.
117. Which clients are considered targets for DOTS category?
A. Sputum negative caviar cases
B. Clients returning after default
C. Relapses and failures of previous PTB treatment regimens
D. Clients diagnosed for the first time through a positive sputum exam
Answer: (D) Clients diagnosed for the first time through a positive sputum exam
Category I is for new clients diagnosed by sputum examination and clients diagnosed to have
a serious form of extra pulmonary tuberculosis, such as TB osteomyelitis.
118. To improve compliance to treatment, what innovation is being implemented in
DOTS?
A. Having the health worker follow up the client at home
B. Having the health worker or a responsible family member monitor drug intake
C. Having the patient come to the health center every month to get his medications
D. Having a target list to check on whether the patient has collected his monthly supply of
drugs
Answer: (B) Having the health worker or a responsible family member monitor drug
intake
Directly Observed Treatment Short Course is so-called because a treatment partner,
preferably a health worker accessible to the client, monitors the client’s compliance to the
treatment.
119. Diagnosis of leprosy is highly dependent on recognition of symptoms. Which of the
following is an early sign of leprosy?
A. Macular lesions
B. Inability to close eyelids
C. Thickened painful nerves
D. Sinking of the nose bridge
Answer: (C) Thickened painful nerves
The lesion of leprosy is not macular. It is characterized by a change in skin color (either
reddish or whitish) and loss of sensation, sweating and hair growth over the lesion. Inability
to close the eyelids (lagophthalmos) and sinking of the nosebridge are late symptoms.
120. Which of the following clients should be classified as a case of mutibacillary
leprosy?
A. 3 skin lesions, negative slit skin smear
B. 3 skin lesions, positive slit skin smear
C. 5 skin lesions, negative slit skin smear
D. 5 skin lesions, positive slit skin smear
Answer: (D) 5 skin lesions, positive slit skin smear
A multibacillary leprosy case is one who has a positive slit skin smear and at least 5 skin
lesions.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
121. In the Philippines, which condition is the most frequent cause of death associated
by schistosomiasis?
A. Liver cancer
B. Liver cirrhosis
C. Bladder cancer
D. Intestinal perforation
Answer: (B) Liver cirrhosis
The etiologic agent of schistosomiasis in the Philippines is Schistosomajaponicum, which
affects the small intestine and the liver. Liver damage is a consequence of fibrotic reactions to
schistosoma eggs in the liver.
122. 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
Answer: (C) Proper use of sanitary toilets
The ova of the parasite get out of the human body together with feces. Cutting the cycle at
this stage is the most effective way of preventing the spread of the disease to susceptible
hosts.
123. 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
Answer: (B) II
A communal faucet or water standpost is classified as Level II.
124. For prevention of Hepatitis A, you decided to conduct health education activities.
Which of the following is Irrelevant?
A. Use of sterile syringes and needles
B. Safe food preparation and food handling by vendors
C. Proper disposal of human excreta and personal hygiene
D. Immediate reporting of water pipe leaks and illegal water connections
Answer: (A) Use of sterile syringes and needles
Hepatitis A is transmitted through the fecal oral route. Hepatitis B is transmitted through
infected body secretions like blood and semen.
125. Which biological used in EPI should not be stored in the freezer?
A. DPT
B. OPV
C. Measles vaccine
D. MMR
Answer: (A) DPT

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
DPT is sensitive to freezing. The appropriate storage temperature of DPT is 2 to 8° C only.
OPV and measles vaccine are highly sensitive to heat and require freezing. MMR is not an
immunization in the Expanded Program on Immunization.
126. You will conduct outreach immunization in a barangay with a population of about
1500. Estimate the number of infants in the barangay.
A. 45
B. 50
C. 55
D. 60
Answer: (A) 45
To estimate the number of infants, multiply total population by 3%.
127. In IMCI, severe conditions generally require urgent referral to a hospital. Which of
the following severe conditions Does not always require urgent referral to hospital?
A. Mastoiditis
B. Severe dehydration
C. Severe pneumonia
D. Severe febrile disease.
Answer: (B) Severe dehydration
The order of priority in the management of severe dehydration is as follows: intravenous fluid
therapy, referral to a facility where IV fluids can be initiated within 30 minutes, Ore
sol/nasogastric tube, Ore sol/Orem. When the foregoing measures are not possible or
effective, then urgent referral to the hospital is done.
128. A client was diagnosed as having Dengue Fever. You will say that there is slow
capillary refill when the color of the nailbed that you pressed does not return within
how many seconds?
A. 3
B. 5
C. 8
D. 10
Answer: (A) 3
Adequate blood supply to the area allows the return of the color of the nailbed within 3
seconds.
129. A 3-year old child was brought by his mother to the health center because of fever
of 4-day duration. The child had a positive tourniquet test result. In the absence of other
signs, which of the most appropriate measure that the PHN may carry out to prevent
Dengue shock syndrome?
A. Insert an NGT and give fluids per NGT
B. Instruct the mother to give the child Oresol
C. Start the patient on IV Stat
D. Refer the client to the physician for appropriate management
129. Answer: (B) Instruct the mother to give the child Oresol.
Since the child does not manifest any other danger sign, maintenance of fluid balance and
replacement of fluid loss may be done by giving the client Oresol.

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130. 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
Answer: (B) Buccal mucosa
Koplik’s spot may be seen on the mucosa of the mouth or the throat.
131. Among the following diseases, which is airborne?
A. Viral conjunctivitis
B. Acute poliomyelitis
C. Diphtheria
D. Measles
Answer: (D) Measles
Viral conjunctivitis is transmitted by direct or indirect contact with discharges from infected
eyes. Acute poliomyelitis is spread through the fecal-oral route and contact with throat
secretions, whereas diphtheria is through direct and indirect contact with respiratory
secretions.
132. Among children aged 2 months to 3 years, the most prevalent form of meningitis is
caused by which microorganism?
A. HemophilusInfluenzae
B. Morbillivirus
C. Streptococcus Pneumoniae
D. Neisseria meningitides
Answer: (A) Hemophilusinfluenzae
Hemophilus meningitis is unusual over the age of 5 years. In developing countries, the peak
incidence is in children less than 6 months of age. Morbillivirus is the etiology of measles.
Streptococcus pneumoniae and Neisseria meningitidis may cause meningitis, but age
distribution is not specific in young children.
133. Human beings are the major reservoir of malaria. Which of the following strategies
in malaria control is based on this fact?
A. Stream seeding
B. Stream clearing
C. Destruction of breeding places
D. Zooprophylaxis
Answer: (D) Zooprophylaxis
Zooprophylaxis is done by putting animals like cattle or dogs close to windows or doorways
just before nightfall. The Anopheles mosquito takes his blood meal from the animal and goes
back to its breeding place, thereby preventing infection of humans.
134. The use of larvivorous fish in malaria control is the basis for which strategy of
malaria control?
A. Stream seeding
B. Stream clearing

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
C. Destruction of breeding places
D. Zoo prophylaxis.
Answer: (A) Stream seeding
Stream seeding is done by putting tilapia fry in streams or other bodies of water identified as
breeding places of the Anopheles mosquito.
135. Mosquito-borne diseases are prevented mostly with the use of mosquito control
measures. Which of the following is NOT appropriate for malaria control?
A. Use of chemically treated mosquito nets
B. Seeding of breeding places with larva-eating fish
C. Destruction of breeding places of the mosquito vector
D. Use of mosquito-repelling soaps, such as those with basil or citronella
Answer: (C) Destruction of breeding places of the mosquito vector
Anopheles mosquitoes breed in slow-moving, clear water, such as mountain streams.
136. A 4-year old client was brought to the health center with chief complaint of severe
diarrhea and the passage of “rice water”. The client is most probably suffering from
which condition?
A. Giardiasis
B. Cholera
C. Amebiasis
D. Dysentery
Answer: (B) Cholera
Passage of profuse watery stools is the major symptom of cholera. Both amebic and bacillary
dysentery are characterized by the presence of blood and/or mucus in the stools. Giardiasis is
characterized by fat malabsorption and, therefore, steatorrhea.
137. In the Philippines, which specie of schist soma is endemic in certain regions?
a) S. mansoni
b) S. japonicum
c) S. malayensis
d) S. haematobium
Answer: (B) S. japonicum
S. mansoni is found mostly in Africa and South America; S. haematobium in Africa and the
Middle East; and S. malayensis only in peninsular Malaysia.
138. A 32 year old client came for consultation at the health center with the chief
complaint of fever for a week. Accompanying symptoms were muscle pains and body
malaise. A week after the start of fever, the client noted yellowish discoloration of his
sclera. History showed that he waded in flood waters about 2 weeks before the onset of
symptoms. Based on this history/ which disease condition will you suspect?
A. Hepatitis A
B. Hepatitis B
C. Tetanus
D. Leptospirosis
Answer: (D) Leptospirosis

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
Leptospirosis is transmitted through contact with the skin or mucous membrane with water or
moist soil contaminated with urine of infected animals, like rats.
139. MWSS provides water to Manila and other cities in Metro Manila. This is an
example of which level of water facility?
a) I
b) II
c) III
d) IV
Answer: (C) III
Waterworks systems, such as MWSS, are classified as level III.
140. You are the PHN in the city health center. A client underwent screening for AIDS
using ELISA. His result was positive. What is the best course of action that you may
take?
a) Get a thorough history of the client, focusing on the practice of high risk behavior
b) Ask the client to be accompanied by a significant person before revealing the result.
c) Refer the client to the physician since he is the best person to reveal the result to the client
d) Refer the client for a supplementary test, such as Western blot, since the ELISA result
maybe false
Answer: (D) Refer the client for a supplementary test, such as Western blot, since the
ELISA result may be false.
A client having a reactive ELISA result must undergo a more specific test, such as Western
blot. A negative supplementary test result means that the ELISA result was false and that,
most probably, the client is not infected.
141. 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
Answer: (A) Being faithful to a single sexual partner
Sexual fidelity rules out the possibility of getting the disease by sexual contact with another
infected person. Transmission occurs mostly through sexual intercourse and exposure to
blood or tissues.
142. the most frequent causes of death among clients with AIDS are opportunistic
diseases. Which of the following opportunistic infections is characterized by
tonsilllopharyngitis?
a) Respiratory candidiasis
b) Infectious mononucleosis
c) Cytomegalovirus disease
d) Pneumocystis carina pneumonia
Answer: (B) Infectious mononucleosis
Cytomegalovirus disease is an acute viral disease characterized by fever, sore throat and
lymphadenopathy.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
143. To determine the possible sources of sexually transmitted infections, which is the
BEST method that may be undertaken by the public health nurse?
a) Contact tracing
b) Community survey
c) Mass screening tests
d) Interview suspects
Answer: (A) Contact tracing
Contact tracing is the most practical and reliable method of finding possible sources of
person-to-person transmitted infections, such as sexually transmitted diseases.
144. Antiretroviral agents, such as AZT are used in the management of AIDS. Which of
the following is not an action expected of these drugs?
a) They prolong the life of the client with AIDS
b) They reduce the risk of opportunistic infections
c) They shorten the period of communicability of the disease
d) They are able to bring about a cure of the disease condition
Answer: (D) They are able to bring about a cure of the disease condition.
There is no known treatment for AIDS. An antiretroviral agent reduces the risk of
opportunistic infections and prolong life, but does not cure the underlying immunodeficiency
145. A barangay had an outbreak of German measles. To prevent congenital rubella,
what is the BEST advice that you can give to women in the first trimester of pregnancy
in the barangay?
a) Advise them on the sign of German Measles
b) Avoid crowded places, such as markets and movie houses
c) Consult at the health center where rubella vaccine may be given
d) Consult a physician who may give them rubella immunoglobulin
Answer: (D) Consult a physician who may give them rubella immunoglobulin.
Rubella vaccine is made up of attenuated German measles viruses. This is contraindicated in
pregnancy. Immune globulin, a specific prophylactic against German measles, may be given
to pregnant women.
146. when a community health nurse speaks on behalf of the people. Her roll will be as a
a) Leader
b) Advocate
c) Manager
d) Educator
147. Number of death per thousand, per year due to all causes is known as;
a) Infant mortality rate
b) Crude death rate
c) Maternal mortality rate
d) Neonatal death rate
148. The function of community health nurse in industrial health is ;
a) To assess the job and potential health hazards.
b) Educate community about preventive measure that are not essential
c) To have monthly medical examination.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 d) None of the above
149. In village community health worker will refer the client direct to;
a) district hospital
b) university hospital
c) tehsil hospital
d) basic health unit
150. Community participation should be considered;
a) as a way to control people
b) as a way to direct people
c) as a way for people to gain control
d) all of the above
151. Community diagnosis means;
a) Health analysis by the health team
b) Health analysis by the community
c) Self analysis by the community
d) All of the above
152. For an effective health education the community health should assess the leaners;
a) need
b) post experience
c) readiness
d) all of the above
e) only A & B
153. Which of the following is measured by the process indicators?
a) Recourses used to perform the activities.
b) Activities performed by different level of workers
c) Effects of performed activities
d) Ultimate impact of activities on health status of the population.
154. Community is diagnosed by the following process;
a) History + Survey +test
b) Talk with community + examination + test
c) Examination + record + survey
d) Record + Talk with community +survey
155. In your community rotation you have planned to interview the religious leader of
the community. This type of interview can be called as
a) Net working
b) Participants observation
c) Informative interview
d) None of the above
156. The purpose of conducting a survey is / are
a) To identify the need of the community
b) Evaluate the effectiveness of any program
c) To utilize the resources properly
d) All of the above

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
157. When a survey is done to identify the needs of any health program it is called
a) analytic survey
b) population survey
c) descsriptive survey
d) all of the above
158. Data analysis is the study to
a) community strengths
b) health needs
c) trends in health care
d) all of the above
159. Strategy of prevention will be;
a) health education to children
b) apply insecticide to children scalp
c) ask teacher to apply insecticide on infested children’s scalp
d) vaccinate all children against pediculosis
160. following method of health education will be effective;
a) demonstrate how to apply insecticide.
b) Role play on preventive measures
c) Show posters on how lice spread
d) All of the above
161. Which of the following strategy will be used in order to evaluate health education
program on pediculosis?
a) Ask children whether they wash their hands before eating
b) Survey of teacher school children and parents for awareness of preventive measures.
c) Examine hair of children for infestation of pediculosis.
d) B& C
162. The disadvantage of mass media is
a) It reaches large audience .
b) It is non-individualized
c) It is efficient
d) It is low cost per volume
163. Which of following is an example of secondary prevention?
a) Specific immunization
b) Avoidance of allergens
c) Screening survey of hypertension
d) Selective placements of employees in the industry.
Answer; Screening survey of hypertension.
164. The best teaching strategy to give health education to the children of class is ;
a) Role play
b) Lecture
c) Experiment
d) Discussion
Answer; Role play

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
165. the best intervention taken by the school health nurse for child who continues
eating junk food is to ;
a) Ask parents not to give money to the child.
b) Don’t let the child go out of class in break time .
c) Counsel the child to change the habit.
d) Screen the child for high cholesterol level.
Answer; Counsel the child to change the habit.
167. All of the following are the members of the health team except one;
a) Medical officer
b) Income tax officer
c) Health supervisor
d) Female health worker
Answer ; Income tax officer
168. The occupational hazard caused by acid vapors in industry is
a) Chemical
b) Physical
c) Biological
d) Psychological
Answer ; Physical
169. Harmful effect of noise include;
a) Deafness and ear damage
b) Heart disease
c) Cerebral vascular damage
d) Hypertension
Answer; Deafness and ear damage
170. Improvement in the literacy rate of a community from 38% to 39% is an example
of;
a) Process indicator
b) Input indicator
c) Outcome indicator
d) Impact indicator
Answer; outcome indicator
171. Which of the following is an example of input indicator?
a) Number of health education session conducted
b) Percentage of population receive health education
c) Amount of money spent for health education.
d) Decline in morbidity rate of a community
Answer; Number of the heath education session conducted
172. Which of the following is an element of Primary Health Care?
a) Equitable distribution of resources
b) Appropriate treatment of common diseases
c) Appropriate technology
d) Manpower development

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 e) Multi-sectoral approach
Answer; Appropriate treatment of common disease.
173. The essential components of postnatal education are;
a) Infant feeding
b) Immunization
c) Birth spacing
d) All of the above
Answer; All of the above
174. Number of children immunized in a health center during a month is an example of
a) Process indicator
b) Input indicator
c) outcome indicator
d) Impact indicator
Answer; Process indicator
175. Which is the best way of preventing worm infestation?
a) By boiling water
b) By immunization
c) Proper use of Latrine
d) Early treatment
Answer; Proper use of Latrine
176. Following are the objectives of health education except one;
a) To create awareness regarding health practices.
b) To dispel miss-concept regarding health practices
c) To instruct people to attend clinics
d) To train people, use judgment before acting
Answer; to train people use judgment before acting
177. Community health nurse plans, organize, coordinates implements and controls the
various health care programs, is an example of ROLE OF NURSE as
a) Evaluator
b) Manager
c) Coordinator
d) Collaborator
Answer; Collaborator
178. Which health department in Pakistan carries function of occupation safety and
health Administration?
a) Department of justice
b) Department of agriculture
c) Department of labor
d) Department of commerce
Answer; Department of Labor
179. Which international agencies support and help the Pakistan in time of natural
disaster, Flood, Earthquake
a) International labor organization

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 b) International Red Cross
c) International agricultural organization
d) International development organization
Answer; International Red Cross
180. Following are the methods of data collection except one
a) Questionnaire
b) Face to face interview
c) Hospital record
d) Newspaper
181. Environment has following components except one
a) Physical
b) Mental
c) Biological
d) Social
Answer; Mental
182. The notification is done for the following disease except one
a) Cholera
b) Scabies
c) Hepatitis
d) Diabetes
183. Following are the health indicator except one
a) Crude death rate
b) Nutritional status
c) Infant mortality rate
d) Crude birth rate
184. Following are the sources of data collection regarding vitals events except one.
a) Census
b) Registration of vital events
c) Records
d) Notification vital events
185. Census is done after every
a) 5 years
b) 8 years
c) 10 years
d) 12 years
186. Patient has server pain of short duration in community this pain is
a) Anticipatory
b) Acute
c) Altered
d) Deficit
Answer; Acute

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
187. Community health juries carry out in co-operation with the other health team
member example for;
a) Dependent nursing intervention
b) Independent nursing intervention
c) Independent nursing intervention
d) Group nursing intervention
Answer; Group nursing intervention
188. Community health nurse performed activates without direction of doctor orders is
called
a) Intra-dependent nursing intervention
b) Dependent nursing intervention
c) Interpedently nursing intervention
d) Independent nursing intervention
Answer; independent nursing intervention
189. Which stage the community health nurse gives feedback and modify nursing care
plan.
a) Assessment stage
b) Planning stage
c) Evaluation stage
d) Action stage
Answer; Evaluation stage
190. Pakistan is underdeveloped country the health and sanitation infrastructure are
generated
a) Very good
b) Good
c) Fair
d) Poor
Answer; Poor
191. Which one of the disease are outbreaks in Pakistan in October 2006;
a) Malaria
b) Dengue fever
c) Tuberculosis
d) AIDS/HIV
Answer; Dengue fever
192. According national surveillance data which suggest that the overall number of
HIV/AIDS are
a) 40,0000
b) 40000
c) 4000
d) 400
Answer; 4000
193. The government of Pakistan wants to stabilize the population( achieved zero
growth).

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 a) 2022
b) 2002
c) 2020
d) 2032
Answer; 2020
194. The infant mortality rate for Pakistan per live birth is
a) 97/1000
b) 78/1000
c) 77/1000
d) 67/1000
Answer 77/1000
195. Primary information collected by community health nurse is called
a) Direct information
b) Indirect information
c) Inter-direct information
d) Intra-indirect
Answer ; Direct information
196. community health nurse generating information about community belief, norms,
values power by;
a) Windshield
b) Information interviews and participant observation
c) Survey
d) Information interviews
Answer; Information interviews and participant observation
197. The nurse driving a car or riding public transportation can observe many
dimension community life and environment through the
a) Analysis of existing data
b) Survey
c) Windshield survey
d) Interview and questioner
Answer; Windshield survey
198. Community health nursing collect the information through public documents
health and statistical date and health record is called
a) Primary data collect method
b) Secondary data collect method
c) Tertiary data collect method
d) Primary and secondary data collect method
Answer; Secondary data collect method
199. Which one of the data collection method is the best for community health nurse?
a) Survey
b) Windshield
c) Analysis
d) Information interview

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
Answer; Information interview
200. According the community health diagnosis that social economic group is upper
class, lower class, middle class is called
a) Social diagnosis
b) Social physiology
c) Social psychology
d) Social anatomy
Answer; Social diagnosis
201. According the community health diagnosis to punish the criminals by removing
from the society is called
a) Social psychology
b) Social anatomy
c) Social physiology
d) Social diagnosis
Answer; Social physiology
202. Authentic Nursing diagnosis list is given by ;
a) American nursing diagnosis association
b) Nursing diagnosis association North American
c) Diagnosis association North American association
d) North American nursing diagnosis association
Answer; North American nursing diagnosis association
203. The terms (NANDA) used in the nursing diagnosis since
a) 1987
b) 1986
c) 1985
d) 1988
Answer; 1986
204. A community health nurse works in ;
a) Hospital
b) Community
c) Social organization
d) Private clinic
Answer; Community
205. Community as client the target of service includes;
a) Community health
b) Partnership
c) Community health and partnership for community
d) Nurse and community
Answer ;Community health and partnership for community
206. Community health nurse improve the health of community used strategies except
one ;
a) Status
b) Structural

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 c) Processes
d) Implantation
Answer; Implantation
207. A strageties to improve community health b/w lay and professional partners must
be aware and other awareness right and responsibilities partnership by;
a) First partnership
b) Second partnership
c) Third partnership
d) Fourth partnership
Answer; First partnership
208. The nursing process has traditionally been defined as a systemic method for ;
a) Assessing, diagnosing, plan, evaluating
b) Evaluating, assessing, diagnosing, plan
c) Diagnosing, plan, evaluating, assessing
d) Plan, evaluating, assessing, diagnosis
Answer; Assessing, diagnosing, plan, evaluating.
209. Nursing process is an orderly systemic manner of deterring (preventing) the
patients.
a) Social problems
b) Health problems
c) Economic problems
d) Traditional problems
Answer; Health problems
210. How many phase of community health care process;
a) Four
b) Five
c) Six
d) Seven
Answer; Five
211. Data collection by observation is express by
a) Word
b) Number
c) Organizing
d) Summarizing
Answer; Number
212. Demographic data is expressed by;
a) Interview and questionnaire
b) Belief, values
c) Age, sex
d) Norms, power
Answer; Age, sex
213. Epidemiology deals with the study of ;
a) Endemics

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 b) Epidemics
c) Pandemics
d) None of above
Answer; None of above
214. Disease is caused by the interaction of following factors except one ;
a) Age
b) Environment
c) Temperature
d) Host
Answer; Temperature
215. Aggregate of all external conditions that influence our life is called
a) Health
b) Wealth
c) Illness
d) Environment
Answer; Environment
216. The study of living organism’s interaction with the environment is called
a) Etiology
b) Ecology
c) Ethiology
d) Enology
Answer; Ecology
217. In ecology the term biosphere refers to the world of
a) Non-living things
b) Living things
c) Non-and living things
d) Loving things
Answer; Living things
218. Ecosystem represents;
a) Loving things
b) Living things
c) Non living and living things
d) Non-living things
Answer; Living things
219. According the Barry Commoner’s law ‘’every things is connected to everything
else
a) First law
b) Second law
c) Third law
d) Fourth law
Answer; Third law
220. The first piece of legislation to consider environments as whole was the
environment protection ordinance sanctioned establishment in Pakistan

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 a) 1981
b) 1982
c) 1983
d) 1984
Answer; 1983
221. Environmental protection council chaired by the;
a) President
b) Prime minister
c) Chief minister
d) Minister
Answer; Minister
222. Community health nurse to aware of psychosocial factors except one
a) Lack of privacy
b) Lack of opportunity social interaction
c) Lack of space
d) Lack of water
Answer ; Lack of water
223. The term global warming means;
a) Gradual increase earth temperature
b) Gradual decrease earth temperature
c) Gradual constant earth temperature
d) Gradual increase and decrease earth temperature
Answer ; Gradual increase earth temperature
224. How much fresh water in world ;
a) 05%
b) 04%
c) 03%
d) 02%
Answer 02%
225. Community people used traffic signals sign board in village for
a) Normative safety
b) Substantive safety
c) Perceived safety
d) Productive safety
Answer; Substantive safety
226. The terms safety means
a) Internal protection
b) External protection
c) Internal and external protection
d) Non internal and external protection
Answer; Internal and external protection
227. A method for identifying the missing cases is called
a) Surveillance

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 b) Sentinel surveillance
c) Survey
d) Walking survey
Answer; Sentinel surveillance
228. The term data means
a) Information
b) Enforcement
c) Encouragement
d) Image
Answer; Information
229. Community health nurse asked the question to responded (client) in Yes or No
form is called
a) Closed question
b) Attitude question
c) Open question
d) Behavior question
Answer; Close question
230. Closed questions are partially useful in obtaining
a) Positive and negative information
b) Factual information
c) Additional information
d) Motivation
Answer; Factual information
231.Which type of interview community health nurse asked the question client in
general question and to talk free in ;
a) Structured interview
b) Unstructured interview
c) Semi-structured interview
d) Planned interview
Answer; Planned interview
232. which is alternative form of face interview
a) Questionnaire
b) Observation
c) Telephone
d) Case study
Answer; Telephone
233. Community health nurses observed the without unaware respondents is called
a) Disguised observation
b) Undisguised observation
c) Personal observation
d) Contrived observation
Answer; Personal observation

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
234. Respondents are aware they are being observed by community health nurse is
called ;
a) Natural observation
b) Disguised observation
c) Undisguised observation
d) Fixed observation
Answer; Fixed observation
235. Community health nurse respondent observed by video, closed circuit television is
called ;
a) Chemical devices
b) Physical devices
c) Mechanical devices
d) Social devices
236. Community health nurse indentify that malaria is common disease over all
Pakistan than other country is called
a) International variation
b) National variation
c) Rural variation
d) Urban variation
Answer; International variation
237. Community health nurse identify that common cold/ influenza communicable
disease occurrence in season is called
a) Short term fluctuation
b) Periodic fluctuation
c) Long term fluctuation
d) Midterm fluctuation
Answer; Periodic fluctuation
238. Notification of disease is also valuable sources of
a) Morality
b) Morbidly
c) Incidence
d) Prevalence
Answer; Incidence
239. Health indicator help to community health nurse to express the health status of the
a) Community
b) People
c) Public
d) Pakistan
240. In 17 century (Greek era the term ‘’ Hygeia ‘’ stand by
a) Goodness of health
b) Badness of health
c) Protected the health
d) Healing the disease

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
241. When a community health nurse tells the truth or do not mislead to other is called
principle of ethics;
a) Confidently
b) Veracity
c) Caring
d) Advocacy
Answer; Veracity
242. In nursing practice when community health nurse are responsible for promotion
protection of disease to meet the basic health needs of clients is called
a) Accountability
b) Future direction
c) Justice
d) Autonomy
Answer; Accountability
243. The declaration of Alma-Ata on primary health care was adapted at the
international conference from;
a) 6 --- 12 September
b) 6 ---- 22 September
c) 6 ----25 September
d) 6 ----30 September
Answer; 6 – 12 September 1978
244. Alma Ata declaration ‘’health for all’’ currently is acceptable for all people of the
year
a) 2000
b) 2008
c) 2009
d) 2010
Answer; 2000
245. In primary health care the principle EQUITY means;
a) Equal distribution of sources to all
b) Distribution of sources on the basis of needs
c) Equality for all
d) Distribution of scours to healthy people
Answer; Equal distribution of sources to all
246. The best level that define primary prevention is
a) Defending
b) Fighting
c) Finding
d) Lighting
Answer; Defending
247. The catchments area of Taluka head quarter hospital is
a) 10,000
b) 50,000

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 c) 10,000
d) More than 100,000
Answer ; More than 100,000
248. Rural health center consists of number of beds
a) 15 beds
b) 25 bed
c) 50 beds
d) 100 beds
Answer ; 25 beds
249. Community member tell community nurse they need more antenanal care services;
a) Felt need
b) Express need
c) Normative need
d) Comparative need
Answer ; Felt need
250. The role of community health nurse in expectation unclear is called
a) Conflict role
b) Ambiguity role
c) Overload role
d) Incompetence role
Answer ; Ambiguity role
251. In community the client is need of friend is called
a) Safety need
b) Social need
c) Physiological need
d) Self esteem need
Answer ; Social need
252. Community health nurse to maximize net benefit over costs and services the
greatest people in called;
a) Utilitarian theory
b) Maximum theory
c) Egalitarian theory
d) Elites theory
Answer ; Maximum theory
253. In the early 19th century health focused on environmental condition is
a) Over crowded Garbage dump
b) Sanitation and personal hygiene
c) Communicable disease
d) A& B
Answer ; Sanitation and personal hygiene
254. The period of prey Christian era people health focused on
a) Medicines and pharmacology
b) Magic and superstition

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 c) Herbal treatment
d) All of the above
Anwer ; Medicines and pharmacology
255. Historical development of community health nursing is
a) Early home care stage
b) Before mid 1800s
c) The late 1600s
d) Before 1600s
Answer ; Early home care stage
256.The early roots home care nursing began with religious charitable groups is
a) Midwives
b) Old testament women
c) Nurses
d) Public health nurse
Answer ; Old Testament women
257. The role of Religion in the Development of community health nursing as
a) Brotherhood third century
b) Greeks 200 BC
c) Midwives and nursed
d) Community health nurse
Answer ; Community health nurse
258. Public health nursing define;
a) The term describing CHN from 1900 to 1950
b) The basis for a sense of unity belonging
c) Need of the protection and improvement
d) To visit the sick poor in their home
Answer; Need of the protection and improvement
259. In modern period, changes and development of medicine & public health will be
well understood by;
a) Studying the empirical health era
b) Study of community
c) Study of Anthropology
d) Study of community health nursing
Answer; Study of Anthropology
260. Basic science era is ;
a) 1800 --- 1850
b) 1950 –1975
c) 1850 –1900
d) 1900 ---1950
Answer; 1850 – 1900
261. Principle of community health nursing is
a) Establish scientific bases practice
b) Avoidance change health status

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 c) Nurses in community work with rich people
d) Work with non government organization
Answer; Establish scientific bases practice
262. Scope of community health nursing is ;
a) Focus on aggregates or population group
b) Some people and communities need help
c) Health is only none of the competing values of people
d) Health and illness decision making
Answer; Health and illness decision making
263. Types of pollution are;
a) Air pollution
b) Water pollution
c) Noise pollution
d) All of them
Answer; All of them
264. Sources of surface water are;
a) Springs
b) River & stream
c) Ponds & stream
d) B&C
Answer; B&C
265. Following are the sources of ground water except one ;
a) Spring
b) Deep wall
c) River & stream
d) Shallow well
Answer; Deep wall
266. Deficiency of vitamin-C causes one of the following diseases;
a) Night blindness
b) Beriberi
c) Scurvy
d) Rickets
Answer; Scurvy
267. The word nutrition is derived from the word nutricus means ;
a) To suckle of breast
b) To gain energy
c) Nourishment
d) None of them
Answer; To gain energy
268. Fecal born disease can be transmitted through;
a) Hands
b) Water & food
c) Soil & flies

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 d) All of them
Answer; All of them
269. Which one the following disease is spread by insects;
a) Tetanus
b) Diphtheria
c) Malaria
d) Measles
Answer; Malaria
270. Basic health unit (BHU) cover the population
a) 5000 to 10,000
b) 10,000 to 15000
c) 15000 to 20,000
d) 50,000 to 100,000
Answer; 5000 to 10,000
271. The water soluble vitamins are ;
a) Vitamin-C
b) Vitamin-A
c) Vitamin-B
d) A & C
Answer; A&C
272. Alma-Ata declaration was held at;
a) USA
b) Pakistan
c) Kazakhstan
d) England
Answer; Kazakhstan
273. Night blindness disease is due to the lack of ;
a) Vitamin-A
b) Vitamin-B12
c) Vitamin –C
d) Vitamin – D
Answer; Vitamin-A
274. Goiter disease is due to lack of;
a) Protein
b) Iodine
c) Vitamin –C
d) Calcium
Answer; Iodine
275. Morbidity is a term which means;
a) Death
b) Prohibited
c) Disease
d) Problem

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
Answer; Disease
276. Deficiency of vitamin-k causes the disease of ;
a) Rickets
b) Osteomalacia
c) Scurvy
d) Bleeding in capillaries
Answer; Bleeding in capillaries
277. Which one sterilization method can be used at home?
a) Auto calve method
b) Radiation method
c) Boiling method
d) None of them
Answer; Boiling method
278. All of the following are natural methods of water purification except one ;
a) Evaporation
b) Storage
c) Distilled water
d) Oxidations
Answer; Oxidations
279. First additional dose of Polio vaccine should be given to the child at the age of ;
a) One week
b) 4 months
c) 5 months
d) 6 months
Answer; One week
280. Which one of the following is the route for giving BCG vaccine?
a) Oral
b) Intra muscular
c) Subcutaneous
d) Intra dermal
Answer; Intra dermal
281. Which one of the following is the disease of skin?
a) Measles
b) Small pox
c) Chicken pox
d) Scabies
Answer; Scabies
282. Which one of the following is the communicable disease which eradicated from the
world?
a) Tetanus
b) Small pox
c) Leprosy
d) Tuberculosis

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
Answer; Tuberculosis
283. DPT and oral polio vaccination should be started at;
a) Birth
b) 3 months
c) 6 weeks
d) 6 months
Answer; DPT
284. Any disorder of pregnancy causes;
a) Premature birth
b) Abortion
c) Still birth
d) All of them
Answer; All of them
285. Urinary frequency in early pregnancy is mostly due to ;
a) Increase fluid intake
b) Hormonal change
c) Pressure of uterus on bladder
d) None of them
Answer; Pressure of uterus on bladder
286. The combined oral pills contain;
a) Estrogen & progesterone in equal amount
b) Estrogen less & progesterone more
c) Progesterone less & estrogen more
d) Contain only estrogen
Answer; Contain only estrogen
287. Which one of the following is a killed vaccine?
a) DPT
b) Polio
c) Measles
d) BCG
Answer; DPT
288. The best time of insertion of intra uterine contraceptive device is ;
a) Immediate after menses
b) After 5 days of menses
c) Before menses
d) None of them
Answer; Immediate after menses
289. High risk mother maybe;
a) Anemic
b) Diabetic
c) Prime Para
d) All of them
Answer; All of them

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
290. Peurpurium is defined as period of
a) 6 to 8 weeks after delivery
b) 6 to 8 weeks before delivery
c) Lactation period
d) Menses period
Answer; 6 to 8 weeks after delivery
291. The growth chart record contains the information about child
a) Nutrition gain
b) Vaccine status
c) Weight gain
d) Early detection of defect
Answer; Early detection of defect
292. Vasectomy is the method of family planning as ;
a) Temporary method
b) Permanent method
c) Natural method
d) Chemical method
Answer; Permanent method
293. Which one of the following is the live vaccine?
a) ARV( ant rabies vaccine)
b) Cholera
c) BCG
d) DPT
Answer; ARV (Anti Rabies vaccine)
294. The most common glands is involved in Mumps is ;
a) Tonsils gland
b) Thyroid gland
c) Parotid gland
d) Para thyroid gland
Answer; Parotid gland
295. When a pregnant mother first feels fetal movement is called
a) Conception
b) Fluttering
c) Lightening
d) Quickening
Answer; Quickellning
296. Which organ of human being is invaded malarial damage by parasite?
a) Spleen
b) Liver
c) Stomach
d) Kidney
Answer; Spleen
297. Major complication of measles is;

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 a) Otitis media
b) Bronchitis
c) Diarrhea
d) A & B
Answer; A & B
298. In post natal mother, lochia should be checked for;
a) Amount
b) Colour
c) Consistency
d) All of them
Answer; All of them
299. Which one of the following is the following is the positive signs of pregnancy
a) Backache
b) Nausea
c) Vomiting
d) Fetal heart sound
Answer; Fetal heart sound
300. The duration of full term pregnancy is
a) 24 weeks
b) 34 weeks
c) 36 weeks
d) 40 weeks
Answer; 40 weeks
301. All are the feature of health education except
a) Knowledge is actively acquired
b) Develop reflexive behavior
c) The process is behavior centered
d) Discipline primitive desire
e) Appeal to reason
302. Following are used in the planning for health education except
a) Ensuring participation
b) Catchy slogans
c) Cover felt needs
d) Using simple words
303. Which of the following is a very effective method of health education to
bring on challenge in health behavior of people?
a) Penal discussion
b) Symposium
c) Group discussion
d) Workshop
304. In health care education programmed, a group of 10 people are speaking
on topic of common interest, best is,
a) Penal discussion
b) Symposium
c) Group discussion

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 d) Workshop
305. All are true about penal discussion except
a) Two way discussion
b) There is no specific agenda ,no order of speaking and no set speeches
c) Chief panelist initiates the discussion
d) Each one prepare a topic of discussion
306. Which one is true about symposium?
a) Series of speech are presented on selected subject
b) Two way discussion
c) Their a discussion among member on subject
d) Chairmen makes a summary at the end of entire session
307. In which type there is no two way communication?
a) Lectures
b) Symposium
c) Group discussion
d) Penal discussion
308. The best teaching opportunity for a health worker in community is while
a) Giving health talk at home
b) Demonstrating to a group of mother
c) Examining mother and children
d) Completing the records
309. For education of general public most potent media is
a) Television
b) Radio
c) Newspapers
d) Health magazines
310. Which one of the following measure the degree to which objectives and
targets are fulfilled and quality of result obtained
a) Management
b) Planning
c) Evaluation
d) Monitoring
311. Diarrhea is more common during weaning because of
a) Declining level of maternally acquired antibodies
b) Lack of active immunity in infants
c) Introduction of contaminated food
d) All f the above

312. Congenital infections associated with mental retardation are all except
a) Rubella
b) Syphilis
c) Cytomegalovirus
d) HIV
313. Which of the most closely resembles juvenile delinquency
a) Bedwetting
b) speech problem
c) School failure

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 d) Destructiveness
314. Children with parental disharmony are more prone to
a) Mental retardation
b) Accidents
c) Epilepsy
d) Delinquency
315. Society is defined as
a) A group of people bound by rules
b) An association with regulated membership
c) An association patterned on norms of interaction
d) A collection of people
316. Family in which parents have separated or where death has occurred of
one or both of the patients
a) Broken family
b) Single parent family
c) Problem family
d) Incomplete family
317. Application of scientific method of investigation of study of complex human
organization and service is
a) Network analysis
b) Operational research
c) Public health research
d) System analysis
318. Which one of the following is not a requirement to be satisfied by health
information system?
a) System should be population based
b) System should be problem oriented
c) System should express information briefly
d) System should have no provision for feedback of data
319. Data collection by health information system is useful for
a) Measuring health status of the people
b) National and international comparison of health status
c) Assessing the attitudes and degree of satisfaction of all beneficiary
d) All of the above
320. The primary function of census is
a) population enumeration
b) to find out birth rate
c) to find out different mortality rate
d) to find out age and sex distribution of population
321. Lay reporting involves collection of information by
a) Medical health workers
b) Non-professional health care workers
c) Public
d) Private agencies
322. Which is not true of sample registration system?
a) Dual record system
b) Continues enumeration of birth and death

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 c) Provide denominator for calculating rates
d) Cover only certain parts of the country
e) Independent survey every 6 months
323. The causes of death in village is assessed by
a) Census
b) Simple registration system
c) Model registration system
d) Mortality investigation
324. All of the following are true about notification of disease except
a) Primary function is to effects prevention and control of disease
b) Provide information about fluctuations in disease frequency
c) Cover a large part of total sickness in community
d) Provide early warning about outbreak of disease
325. A medical officer working at BHU in periphery of Baluchistan noticed that
most of the people present with painful cutaneous ulcers on the exposed parts
of the body. Almost all of them gave history that it started as granular nodule
after some insect bite. The medical officer realized that they had been bitten by
a) Aedesaegypti
b) Phelbotomus
c) glossinapalpalis
d) none of the above
326. In Pakistan about 50 %population is illiterate and smoking is mostly
prevalent among the poor govt. have started giving pictorial warning instead
of written to have as great impact of health education in people. This strategy
is more focused in
a) Massage
b) Receiver
c) Sender
d) Channel
327. A 7 year old child reported to a private hospital with history of snakebite.
On examination, there were petechial hemorrhage and bleeding from rectum.
The toxic ingredient in snake venom responsible for those sign is
a) Proteolysin
b) Neurotoxin
c) Cholinesterase
d) None of above
328. for providing quality health services community participation plays an
essential role .to ensure maximum community participation ,which level of
health care system should be strengthen
a) Primary health care
b) Secondary health care
c) Tertiary health care
d) 1st level referral facility
329. To improve health of nation the MDGs mainly focused on
a) Women education
b) HMIS
c) Health system research
d) Fertility regulation

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
330. The effectiveness of an intervention will depend primarily on
a) Equity
b) Equality
c) Money
d) Comprehensiveness
331. A mother brings her four year old child to a doctor with the complaint of
intense perianal itching. Despite being fed properly, he has not gained weight
for the last few months. The likely condition is:
a) Enterbiasis
b) Ascariasis
c) Scabies
d) Ankylostomiasis
e) Filariassis
332. A patients presents with fever, rigors and chills. He complains of severe
weakness and lethargy. His blood film is positive for ring worms of protozoa.
The likely diagnosis:
a) Malaria
b) Amoebiasis
c) Balantidiasis
d) Toxoplasmosis
e) Leishmaniasis
333. A rubber industry worker presents with abdominal colic and severe
anemia. His blood examination reveals basophilic stippling of RBCs and
microcytic anemia. What is the likely diagnosis?
a) Lead poisoning
b) Benzene poisoning
c) Radiation effects
d) Sideroblasticanaemia
e) Worm Infestation
334. A 35 years old man working in roofing industry presented to his primary
care physician with complaints of dyspnea and chronic dry cough. Chest x-ray
revealed pulmonary hyperinflation with honey-comb appearance and calcified
pleural plaques. What is the likely diagnosis?
a) Anthracosis
b) Asbestosis
c) Byssinosis
d) Silicosis
e) Farmer’s lung
335. In the mica mines of Bihar, out of 329 miners examined, 34.1% were found
suffering with irritant cough, dyspnea on exertion and pain in the chest. On

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
chest x-ray, there was snow storm appearance in the lung fields. What is the
most likely diagnosis?
a) Asbestosis
b) Anthracosis
c) Siderosis
d) Silicosis
e) Tobacosis
336. An industrial presented with pulmonary TB. On chest x-ray, calcification
and fibrosis were seen. The likely industry he had worked in is:
a) Sand blasting
b) Poultry
c) Cotton
d) Agriculture
e) Sugar
337. A general practitioner purchased BCG vaccine for his clinic. He should
store this vaccine at his clinic in:
a) A dark place
b) Deep freezer
c) Water carrier
d) Refrigerator
e) Shelf
338. A disease outbreak occurred in India last year. Many patients either
presented with enlarged painful lymph nodes or pneumonia with high grade
fever and toxicity. High mortality due to pneumonia was also reported. The
likely epidemic is:
a) Dengue
b) Plaque
c) Filariasis
d) Yellow fever
e) Malaria
339. A mother brought her child with history of paroxysmal cough and
restlessness. On examination, he showed a loud aspiratory sound and
subconjunctival hemorrhage. On the basis of clinical presentation, what
should be the drug of choice?
a) Erythromycin
b) Ampicillin
c) Tetracycline
d) Sulphadiazine
e) Co-trimoxazole

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
340. An army troop while being transported to Himalayan station had to stay at
altitude of 12000 feet for four days. One of the soldiers developed pulmonary
edema. The best immediate measure to be taken is:
a) Antibiotic therapy
b) Suction of pulmonary fluids
c) Artificial respiration
d) Shift the patient to lower altitude
e) Administer Diuretics
341. Hospital administration wants to setup a method for safe disposal of
infectious waste. They have enough expenses. What should be the best option
for them?
a) Single chamber incinerator
b) Double chamber pyrolytic incinerator
c) Microwave irradiation
d) Dumping
e) Chemical disinfection
342. A 50 years old industrial worker presented to doctor with complaints of
whistling, buzzing and deafness. He had been working for 8 hours in a day
with exposure to noise of 90db and 2000Hz. What is the most likely cause of
his condition?
a) Age
b) Stress
c) Duration of work
d) Loudness of sound
e) Frequency of sound
343. To control the rising incidence of non-communicable diseases, legislation
based on tobacco control will be adopted to prevent onset of the risk behavior.
This prevention will be:
a) Primordial
b) Health promotion
c) Specific protection
d) Disability limitation
e) Primary prevention
344. A mother brings her 10 years old boy to a psychiatrist. She complaints
that when her boy gets close to a school, he stars getting severe pain in the
abdomen which settle upon coming back. His IQ is within normal limits and his
academic record is satisfactory. The clinical presentation is suggestive of:
a) Juvenile delinquency
b) Psychosomatic disorder
c) Mental retardation

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
d) Education Difficulties
e) Habit disorder
345. A 10 years old boy presented with complaints of fever, accompanied by
profuse sweating for the last 1 week. He also complained of multiple joint
pains. Serum ASO titer was increased. The likely diagnosis is:
a) Malaria
b) Dengue
c) Hepatitis B
d) Rheumatic fever
e) Ricketts
346. Cancer registration in important for any cancer control program. It
provides a base for assessing the magnitude of problem and for planning the
necessary action. If the size for population based case registry is 6 milion,it is
considered to be:
a) Inadequate
b) Very small
c) Adequate
d) Very large
e) Usually large
347. Smokers have risk of lung cancer four times more than non-smokers. If
smoking indicates causal association, this characteristics gives:
a) Specificity
b) Strength of association
c) Coherence
d) Consistency
e) Temporal sequence
348. A public health physician wants to study the load of hypertension in
Rawalpindi district to establish special screening and treatment services in the
mentioned area. Which design is more useful for this?
a) Cross-sectional
b) Case series
c) Case control
d) Cohort
e) Experimental
349. In a prospective study of the relationship between oral contraceptives use
and the subsequent risk of developing heart diseases, a cohort of 1000 women
were followed for 5 years. The result were as follows:
Oral contraceptives CHD Present CHD Absent
use Yes A(245) B(75)
No C(50) D(630)

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
What is the incidence rate (absolute risk) of heart disease among those who
did not use oral contraceptives?
a) 630/(50+630)
b) 75/ (245+75)
c) 50/ (50+630)
d) 245/ (245+75)
e) 680/ (320+680)
350. A mother brought her four years old child to the doctor. She gave the
history that her child was in close contact with the case of diphtheria in
school. She was very anxious about her child and gave history of boaster dose
of DT two years ago. What be the line of management of such a child?
a) Booster dose of DT with penicillin
b) Active and passive immunization
c) Active and passive immunization with chemoprophylaxis
d) Only keep under surveillance for 1 week
e) Nothing more required
351. A 5 years old is brought to the emergency department with history of dog
bite. Examination revealed multiple transdermal bites on the left leg. The best
management for such patient is:
a) Anti-rabies serum, suturing of wound, TT
b) Anti-rabies serum, suturing of wound, Rabies vaccine
c) Vaccine, leave wound open, TT, ARS
d) Vaccine, leave wound open, TT
e) No treatment if the dog disappeared
352. A teacher of 4th class brought her student to the school medical officer
with complaints of gum bleeding and subcutaneous bruising for last five days.
The student looked very pale. The clinical picture represents deficiency of:
a) Tocopherol
b) Ascorbic acid
c) Thiamine
d) Pyridoxine
e) Cyanocobalamine
353. A 6 year old child presented to school medical officer with complaints of
fever, malaise and painful swallowing. On examination, a diffuse swelling was
observed on the sides of the face below and in front of the years. The doctor
diagnosed him as a case of mumps. What is the most important management
for him?
a) Analgesics only
b) Active and passive immunization

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
c) Passive immunization
d) Antibodies only
e) Rest analgesics and balanced diet
354. In the health education program conducted at a school about deficiency
of micronutrients leading to various infection and high mortality. To avoid
susceptibility of children to infections, the vitamin supplement to be
emphasized more is:
a) B1
b) B2
c) A
d) D
e) K
355. After excision of breast for CA breast, a surgical reconstruction of breast
tissue was done. This reflects:
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Medical treatment
e) Surgical treatment
356- The atmospheric pressure at earth surface close to the sea level average
750mmHg. If a man lives at an altitude of 13000 feet above the sea level for few
years. The main physiological effect is:
a) Decrease in respiration
b) Increases in concentration of Hb
c) Decrease in concentration of Hb
d) Decrease in cardiac output
e) Increase in concentration of urine
357- Restriction of activities of a contact, who has been exposed to a case of
communicable disease for maximum incubation period, is termed as:
a) Elimination
b) Quarantine
c) Surveillance
d) Control
e) Isolation
358- Our rural masses are facing multiple health problems. The best approach
to deal with their problems is to provide:
a) Basic health services
b) Health education
c) Safe water supply and sanitation
d) Free medical care
e) Primary health care
359- Which one of the following is not included in the elements of primary
health care:
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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 a) Immunization services
b) Family planning services
c) Specialized services
d) Health education regarding water and sanitation
e) Provisions of essential drugs
360- The primary headquarters of WHO are present in which of the following
countries:
a) Switzerland
b) France
c) America
d) England
e) Egypt
361- When a new treatment is developed that delays death but does not
produce recovery from a chronic disease, which of the following will occur?
a) Prevalence of disease will decrease
b) Incidence of disease will decrease
c) Prevalence of disease will increase
d) Incidence of disease will decrease
e) Incidence and prevalence will decrease
362- Which of the following gives the strength of association between the
cause and disease?
a) Prevalence rate
b) Case fatality rate
c) Adjusted rate
d) Incidence rate
e) Disease index
363- Which one of the following is not included in analytical epidemiological
studies?
Historical cohort studies
a) Cohort studies
b) Case control
c) Case report
d) Experimental studies
364- Which of the following is true for school health team?
a) It consists of one male doctor one female doctor and two nurses:
b) It serves up to 5000 school children
c) Every school, small or large should have its own school health team linked
with BHUs
d) It is responsible for curative health care
e) School health records are a reliable source of data in Pakistan
365- Which of the following arrangements regarding desks and chairs is
recommended for school children?
a) Minus type
b) Plus type
c) Benches to accommodate a large number of children in a small space
d) Desks with revolving seats
e) Desks with recliner chairs

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
366- The routine medical inspection of school children during school career
should at least be:
a) Once every year
b) Four times in the total schooling period
c) On the request of teacher
d) In the disease outbreak
e) Once in the total schooling period
367- The presence of nitrates in water indicates:
a) The temporary hardness of water
b) Permanent hardness of water
c) Fresh faecal population
d) Past faecal population
e) Parasitic contamination of water
368- Mottling of teeth is a nutrition related condition which results from:
a) Deficiency of Fluorine in drinking water
b) Deficiency of chlorine in drinking water
c) Excess of Fluorine in drinking water
d) Excess of Nitrates in water
e) Malabsorption
369- The most important factor which makes the smoking cessation program
successful is:
a) The desire of the smoker to quit
b) Availability of replacement therapy
c) A well planned program
d) The advice by a competent doctor
e) Follow up program
370- Which one is incorrect about tobacco smoking? The babies born to
mothers who smoke? Weigh on average 200g less at birth than those of non-
smokers
a) It is responsible for about 3 million death/ year in the world
b) In developed world, per capita consumption of tobacco is increasing
c) Dose response relationship is seen in cigarette smoking and lung
cancer
d) Withdrawal symptoms include irritability, sleep problems and tremors
371- Self-administration of a drug for non-medical reasons in quantities and
frequencies which may impair an individual’s ability to function effectively and
which may result in social, physical or emotional harm is best named as:
a) Drug dependence
b) Drug tolerance
c) Drug abuse
d) Self-medication
e) Drug therapy
372- In a health education program, if a group of ten people are speaking on a
topic of common interest; it is called as:
a) Workshop
b) Panel discussion
c) Group discussion
d) Symposium

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 e) Demonstration
373- In which of the following disasters injuries usually exceed death?
a) Earth-quake
b) Landslides
c) Avalanches
d) Floods
e) Explosion
374- Personal health services include all of the following except:
a) MCH services
b) School health services
c) Occupational health services
d) Water supply
e) Child welfare
375- Specific protection includes following except:
a) Safety of foods and drugs
b) Treatment of cases
c) Chemoprophylaxis
d) Use of gloves and masks
e) Immunization
376- Following are components of PHC except:
a) Provision of essential drugs
b) MCH and family planning
c) Health education
d) Immunization
e) Equity
377- Growth chart recommended by WHO has how many reference curves?
a) One
b) Two
c) Three
d) Four
e) Five
378- Planning should be based on:
a) Felt needs
b) Demands
c) Normative needs
d) Comparative needs
e) Expressed needs
379- Failure of program depends upon:
a) No treatment provided
b) Wrong treatment provided
c) Non-systematic treatment
d) All of the above
e) None of the above
380- Appropriate technology means following except:
a) Available
b) Attainable
c) Accessible
d) Affordable
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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 e) Acceptable
381- Causes of failure of Health for all by 2000 are following except:
a) Population explosion
b) Excess of funds
c) Political atmosphere
d) Lack of awareness
e) Less community participation
382. After excision of breast for CA breast, a surgical reconstruction of breast
tissue was done. This reflects:
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Medical treatment
e) Surgical treatment
383. A demographer observed that birth rate and death rate of Pakistan is
decreasing but birth rate is still more than death rate. What do you think in
which phase of demographic transition does Pakistan currently exists?
a) High stationary
b) Late expanding
c) Early expanding
d) Declining
e) Low stationary
384. Many women in a country are educated independent and they work for
earning their livelihood too. When the number of male is express in relation to
100 to these females, this is:
a) Sex ratio
b) Sex rate
c) Dependency ratio
d) Literacy rate
e) Working women
385. A woman belonging to poor community represent with diarrhea and
dermatitis. He also shows sign of personality and memory dysfunction. His
history suggests that his staple diet is maize. The likely diagnosis is:
a) Pellagra
b) Korsakoff’s psychosis
c) Vitamin B12 deficiency
d) Riboflavin deficiency
e) Biotin deficiency
386 A four year old child presented in OPD with sign of edema on limbs, blond
sparse hair and dermatosis. His weight was 70% of the standard for his age.
The likely diagnosis is:
a) Nephrotic syndrome
b) Marasmus
c) Seborrhoic dermatitis

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 d) Wet beriberi
e) Kwashiorkor
387. October 2005 earthquake cause countless death. Several NGOs
participated to combat the post disaster phase and the most important point
they considered in order of preference was:
a) Vaccination against infectious disease
b) Provision of safe water and food
c) Disposal of dead bodies
d) Vector control
e) Disposal of solid waste
388. WHO day is celebrated on:
a) 6th May
b) 7th April
c) 7th August
d) 1st May
e) 31st May
389. Demography deals with following except:
a) Size of population
b) Distribution
c) Momentum of population
d) Structure of population
e) Changes of population
390. Malnutrition is also called:
a) Under nutrition
b) Over nutrition
c) Imbalance
d) Specific deficiency
e) All of the above
391. Anthropometry includes:
a) Height measurement
b) Weight measurement
c) Skin fold thickness
d) Arm circumference
e) All of the above
392. The first indicator of PEM is:
a. Under weight for age
b. Under height for age
c. Weight for height
d. None of the above
e. All of the above
393. Adulteration of food consists of:
a) Mixing
b) Substitution
c) Concealing the quality
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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
d) Adding the toxicant
e) All of the above
394. Job of medical officer at BHU includes following except:
a) Curative
b) Administrative
c) Preventive
d) Medico legal
395. Which of the following is missing in Pakistan regarding yellow fever?
a) Agent
b) Host
c) Vector
d) Environment
396. Incubation period of dengue hemorrhagic fever is:
a) 2 -7 days
b) 3-9 days
c) 4-12 days
d) 5-10 days
e) 6-14 days
397. Following is a modifiable disease:
a) Hepatitis
b) Cholera
c) Plague
d) Yellow fever
e) Polio
398. Physical quality life index includes following except:
a) Life expectancy
b) Literacy rate
c) Infant mortality rate
d) GDP- per capita
399. Components of safe motherhood comprise of all except:
a) Family limitation
b) Antenatal care
c) Clean and safety delivery
d) Emergency obstetric care
e) Family planning
400. Following are parts of IMCI except:
a) Malaria
b) Pneumonia
c) Diarrhea
d) Meningitis
e) Malnutrition
401. Following are the main components of IMCI except:

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
a) Improvement of case management skills of staff
b) Improvement in health system for effective management of childhood illness
c) Improvement of family and community
d) Encouragement of intergenerational herbal treatment
402. Children with parental disharmony are more prone to:
a) Mental retardation
b) Accidents
c) Epilepsy
d) Delinquency
403. An industrial worker presented with pulmonary TB. On chest X-ray,
calcification and fibrosis were seen. The likely industry he has worked in is:
a) Sand blasting
b) Poultry
c) Cotton
d) Agriculture
e) Sugar
404. A 40 yrs. old tuberculosis patient on ATT for the last two months
presented to his physician with complaints of tingling, numbness and loss of
peripheral sensations. The most likely drug used with these symptoms is:
a) Isoniazid
b) Rifampicin
c) Streptomycin
d) Pyrazinamide
e) Ethambutol
405. To control the increasing incidence of non-communicable diseases,
legislation based on tobacco control will be adopted to prevent onset of the
risk behavior. This prevention will be:
a) Primordial
b) Health promotion
c) Specific protection
d) Specific prevention
e) Tertiary prevention
406. A public health physician wants to study the load of hypertension in
Rawalpindi district to establish special screening and treatment services in the
mentioned area. Which design is more useful for this?
a) Cross-sectional
b) Case series
c) Case control
d) Cohort
e) Experimental
407. Which of the following sets of components of the cigarette smoke is a
causal agent of the coronary artery disease?

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
a) Tar and nicotine
b) Nicotine and carbon monoxide
c) Carbon monoxide and tar
d) Tar, nicotine, and carbon mono oxide
408. Which of the following is the measure of the burden of the disease in a
defined population and effectiveness of interventions?
a) Parks index
b) Disability adjusted life year DALY
c) Bed disability days
d) Activities of daily living index
409. Which of the following is basic need indicator?
a) Calorie consumption
b) GNP per capita
c) Doctors and nurses per population
d) All of the above
410. Malaria eradication failed in Pakistan due to:
a) Lack of community participation
b) Private sector involvement
c) More focused on urban malaria
d) More focused on rural malaria
411. Common school health problem is:
a) Diabetes
b) Obesity
c) Parasitic infestation
d) Epilepsy
e) Arthritis
412. Which of the following is not included in GOBI-FFF:
a) Growth monitoring
b) ORS
c) Breast feeding
d) Immunization
e) Family limitation
f) Female education
413. Choose the one which is not a type of need:
a) Felt need
b) Expressed need
c) Comparative need
d) Normative need
e) All of the above

414. Following is not a type of new born infection:

a) Neonatal tetanus
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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
b) Congenital syphilis
c) New born with HIV
d) Cystic fibrosis of lungs
e) New born with HBV
415. As quoted in planning Commission report 2005, select the incorrect
option:
a) Doctor population ratio 1: 1500
b) LBW babies 25%
c) Doctors ( PMDC-2005) 110000
d) Addicts 5 million
e) No access to potable clean water 80%
416. Intra uterine growth retardation may be due to the following except:
a) Smoking
b) Short maternal stature
c) Heavy physical work
d) Low parity
e) Low socio economic status
417. Characteristics of a screening test are following except:
a) Acceptability
b) Attainability
c) Repeatability
d) Validity
e) yield
418. A unique environmental problem that has been encountered in marine
water in recent years is the appearance of poison in certain species of fish,
this is mostly due to

a) Increased use of nuclear technology Extensive deforestation particularly in

watersheds
b) Desertification which cause diminution of biological potential
c) Accelerated or man-caused erosion leading to worse effects
d) Uncontrolled disposal of sewage & liquid from domestic waste

419. Since the ultimate objective of UNICEF is to reduce child morbidity &
mortality, the deaths of children is mainly due to

a) High prevalence rate of measles in children

b) Uncontrolled cases of pneumonia
c) Malnutrition
d) Dehydration caused by diarrhea

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
e) Acute respiratory infections

420. Nitrates are required for life but in very small amounts. Presences of
excessive nitrates in water are responsible for

a) Discoloration of teeth
b) Atherosclerosis
c) Blue baby syndrome
d) Kidney failure
e) Acute MI

421. Byssinosis embraces a gradation of respiratory symptoms which range

from acute dyspnoea with cough, reversible breathlessness & chest
tightness, this disease is seen in workers of

a) Cement industries
b) Textile industries
c) Coal mines
d) Grain fields
e) Iron industries

422. Noise is one of the worst pollutant of the urban environment, generally
speaking, levels of noise which can lead to permanent deafness include

a) 80-85 dB
b) 85-90 dB
c) 100-105 dB
d) 140-150 dB
e) 60-65 dB

423. The primary health care (PHC) approach is essential to achieving an

acceptable level of health throughout the world. The fundamental principle
of PHC at all stages is

a) Equality
b) Community participation
c) Universally acceptable technology
d) Prioritization of health problems
e) Health services assessment

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
424. Two decades ago, the government of Pakistan initiated an accelerated
health programmed (AHP), the main focus of this programmed is
a) Control of neonatal & childhood illnesses
b) Control of infant mortality rate & female education
c) Promotion of mental health
d) Immunization & TBAs training
e) Promotion of exclusive breastfeeding
425. The school health team in a whole –time medical service consists of
school medical officer, a nurse & an attendant, the medical officer conducts a
periodical routine medical inspection of child
a) Total of 3 examinations during school career
b) Total of 4 examinations during school career
c) Total of 5 examinations during school career
d) Total of 6 examinations during school career
e) Total of 7 examinations during school career

426. Follow-up service is essential and is required to ensure that the defects
noticed by the medical officer of the school are corrected promptly. The
follow up service is done through

a) Health officer in charge of school health

b) Health assistant
c) School teacher
d) School health Nurse
e) Parents of child

427. Whenever a school is constructed, the height of classroom should be

about 12feet and the minimum floor space for pupils is

a) 8sq feet
b) 11sq feet
c) 13sq feet
d) 15sq feet
e) 17sq feet

428. In case of measles, the isolation criteria of infected child include

a) 14 days after appearance of rash

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
b) 11 days after appearance of rash
c) 9 days after appearance of rash
d) 7 days after appearance of rash
e) 5 days after appearance of rash
429. The child with persistent diarrhea can be safely managed in the
outpatient clinic, at least initially ,including symptoms
a) With blood in stool
b) With no signs of dehydration
c) With severe dehydration
d) With moderate signs of dehydration
e) With low grade fever
430. In a low malarial risk area or season, children with fever and no general
danger sign or stiff neck are classified as having malaria, and given anti-
malarial only when there is
a) If they have runny nose, and no measles
b) If they have no runny nose and have measles
c) If they have no measles
d) If they have no runny nose ,no measles
e) If they have fever with pneumonia
431. The standard classification criteria for dysentery in child is
a) Severe dehydration
b) High grade fever
c) Stiff neck
d) Blood in stool
e) Reluctance to feed
432. Pre-disaster activities can be expressed by mnemonic POSDCORB as
a) P=planning, O=organization, S=staffing, D=directing, CO=coordinating,
R=reporting, B=budgeting
b) P=planning, O=organization, S=services, D=directing, CO=coordinating,
R=reporting, B=budgeting
c) P=planning, O=organization, S=staffing, D=documenting, CO=coordinating,
R=reporting, B=budgeting
d) P=planning, O=organization, S=staffing, D=directing, CO=coordinating,
R=reviewing, B=budgeting

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
e) P=planning, O=organization, S=staffing, D=directing, CO=communicating,
R=reporting, B=budgeting
433. A disease that is interpreted as being punishment for one’s past sins in
some cultures is;
a) Leprosy
b) Tuberculosis
c) HIV
d) Syphilis

434. In ancient india the celebrated authorities in Ayurvedic medicine were

except:

a) Atreya
b) Charaka
c) Susruta
d) Hippocrates
435. Barefoot doctor and acupuncture is the system of:
a) India
b) China
c) Egypt
d) Greek
436. One applied to non-living things and physical factors with which man is
in constant interaction is the:
a) Physical environment
b) Biological environment
c) Macro environment
d) Micro environment
437. The study of man as a social being in his total environment is the:
a) Social medicine
b) Indian medicine
c) Preventive medicine
d) None of these
438. The time interval between invasion by an infectious agent and
appearance of the just sign/ symptom of the disease in question is the
a) Latent period
b) Quarantine

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
c) Incubation period
d) Terminal period

439. The subjective component of well being is referred to as:

a) Standard of living
b) Quality of work
c) Quality of life
d) Physical quality of life
440. The following are the components of level of living except:
a) Health
b) Environment
c) Education
d) Occupation

441. The process of continuous progressive improvement of the health status

of a population is:

a) Community development
b) Block development
c) Society development
d) Health development

442. The floating tip of the ice berg represents:

a) Clinical cases
b) Apparent cases
c) Latent cases
d) Undiagnosed cases

443. Sleeping sickness is transmitted by:

a) Black fly
b) Tsetse fly
c) Sand fly
d) House fly

444. Screening of immigrants for infectious disease is

a) Mass screening

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
b) Selective screening
c) Prospective screening
d) Prescriptive screening

445.80% of the cholera cases can be diagnosed within a few minute by:

a) Culture exam
b) Biochemical exam
c) Microscopically exam
d) None of these

446. Immunity comes from the bone-marrow derived lymphocytes is

a) Humeral
b) Cellular
c) Passive
d) Herd
447. The part is under five clinic’s symbol that represents mother’s felt need
is;
a) Base
b) Centre
c) Sides
d) Apex
448. Cohort study is also known as accepted:
a) Prospective study
b) Retrospective study
c) Forward looking study
d) Incidence study
449. An infection that always occurs in association with hepatitis B is:
a) Hepatitis A
b) Hepatitis E
c) Hepatitis D
d) Hepatitis C
450. The central family planning institute was established in
a) Chennai
b) Mumbai
c) Kolkata

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
d) New Delhi

451. The recommended land size for higher elementary schools by the school
health committee is:

a) 1.5 acres
b) 10 acres
c) 15 acres
d) 20 acres

452. The major antibody responsible for immediate allergic anaphylactic

reaction is :

a) IgE
b) IgG
c) IgM
d) IgA

453. Progeny of primitive man is:

a) Traditional healer
b) Magician
c) Religious man
d) None of these
454. Father of Indian surgery is:
a) Susruta
b) Charaka
c) Atreya
d) Vaghbhata

455. An epidemiologist who studied the epidemiology of cholera:

a) John Simon
b) William Budd
c) John snow
d) James Lind

456. Health means absence of disease is the concept of:

a) Ecology

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
b) Holistic
c) Biomedical
d) Psychosocial

457. Infant mortality, life expectancy at age one and literacy are the
consolidated index of:

a) Quality of life
b) Physical quality of life
c) Standard of living
d) Child health

458. In the late 19th century the multiple cause theory was overshadowed by:

a) Germ theory
b) Holistic theory
c) Biomedical theory
d) None of these

459. Submerged portion of ice-berg represents;

a) Carrier
b) Clinical case
c) Undiagnosed case
d) Latent case

460. Tear out by roots is the literal meaning of:

a) Isolation
b) Elimination
c) Eradication
d) Transmission

461. Ongoing measurement of performance of a health service refers to:

a) Evaluation
b) Surveillance
c) Scrutinization
d) Monitoring

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
462. Population strategy is the approach recommended by WHO for:

a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Primordial prevention

463.The process of enabling people to improve health is:

a) Health education
b) Health promotion
c) Rehabilitation
d) Specific protection

464. Any restriction to perform an activity is termed as;

a) Dysuse
b) Handicap
c) Disability
d) Impairment

465. The pattern of disease in a community described in terms of:

a) Community participation
b) Community evaluation
c) Community treatment
d) Community diagnosis

466. The study of defined population is a unit of:

a) Epidemiology
b) Clinical medicine
c) Social medicine
d) Anthropology

467. The ratio of the incidence of the disease or death among exposed and
the incidence among non-exposed is :

a) Attributable risk
b) Relative risk

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
c) Population at risk
d) High risk
468. Selective partial limitation of freedom of movement is
a) Absolute quarantine
b) Isolation
c) Modified quarantine
d) Segregation
469. The science of the health of travelers is
a) Entomology
b) Epidemiology
c) Ecology
d) Emporiatrics
470. Presumptive identification of unrecognized disease is
a) Mass screening
b) Selective screening
c) Prospective screening
d) Prescriptive screening
471. India was declared smallpox fee in the year
a) 1977
b) 1975
c) 1973
d) 1971
472. In India people talk of curing snake bites by:
a) Mantras
b) Traditional healer
c) Priest
d) Magic
473. The science of Ayurveda gradually developed from the medical
knowledge in the
a) Ring veda
b) Yajur veda
c) Same veda
d) Atharv veda
474. Public health was born in
a) Greek

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
b) Egypt
c) Rome
d) China
475. The first case of a communicable disease introduced into the population
unit being studied is the
a) Primary case
b) Secondary case
c) Index case
d) Risk case
476. The level of noise , a normal conversation produces;
a) 20 to 30 dB
b) 40 to 50 dB
c) 50 to 60 dB
d) 60 to 70 dB
477. The stage in which there is high birth and death rate:
a) Early expanding
b) High stationary
c) Declining
d) Low stationary
478. Lung function test is an example for;
a) Mass screening
b) High risk screening
c) Multiphase screening
d) Selective screening
479. An animal associated with laptospirosis is
a) Dog
b) Cat
c) Rat
d) Pig
480. Purification of water can be done in the home easily by
a) Boiling
b) Filtration
c) Mixing alum
d) Adding chlorine
481. Health survey and planning committee is popularly known as the

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
a) Bhase committee
b) Chadah committee
c) Mudaliar committee
d) Mukerji committee
482. National health policy was evolved by the govt. of India in the year;
a) 1980
b) 1981
c) 1982
d) 1983
483. Retarded intrauterine fetal growth results in;
a) Low birth weight babies
b) Small far date babies
c) Pre-term babies
d) Term babies
484. The ratio of the incidence of the disease among exposed and non-
exposed and the incidence among non-exposed is;
a) Attributable risk
b) High risk
c) Relative risk
d) Risk difference
485. The census is taken in most countries of the world at regular intervals
usually of :
a) 10 years
b) 15 years
c) 5 years
d) 20 years
486. The commonly occurring valve in a distribution of data is :
a) Mean
b) Median
c) Range
d) Mode
487. Historically in 1747, one who performed a human experiment of
soldiers;
a) James Lind
b) Edward Jenner

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
c) Finley
d) John Snow
488. The one indicator included in WHO list for monitoring progress towards
health for all is ;
a) Health policy indicator
b) Crude death rate indicator
c) Literacy rate
d) Annual growth rate indicator
489. The requirement indicator of iron intake for lactating mother per day is:
a) 32mg
b) 35 mg
c) 40 mg
d) 45 mg
490. The amount of breast milk a poor Indian women secrete per day during
first year is :
a) 300 to 400 ml
b) 400 to 600 ml
c) 350 to 400 ml
d) 500 to 600 ml
491. The APGAR score of 4 to 6 indicates;
a) Moderate depression
b) Prompt action
c) Severe depression
d) Death during neonatal period
492. The state that has MMR higher than the national average is;
a) Andhra Pradesh
b) Madhya Pradesh
c) Uttar Pradesh
d) Rajasthan
493. The term to be used to include all bio-chemical, structural and functional
disorders present at birth is;
a) Congenital malformation
b) Birth defects
c) Congenital anomaly
d) All of the above

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
494. First time medical examination of school children was carried out in
India in the year;
a) 1909
b) 1907
c) 1908
d) 1910
495. The method that kills vibrio cholera within 30 minutes is
a) freezing
b) boiling
c) Drying
d) None of the above
496. The ability of an infection’s agent invade and multiply in a host is:
a) Pathogenicity
b) Prepathogenicity
c) Infectivity
d) Virulence
497. The epidemiological terminology, soil refers to;
a) Human host
b) Disease agent
c) Environment
d) Social status
498. An attribute that is significantly associated with the development of a
disease is;
a) Agent factor
b) Host factor
c) Environment factor
d) Risk factor
499. One way of measuring virulence of an infection’s agent is by;
a) Attack rate
b) Incidence rate
c) Case fatality rate
d) Morbidity rate
500. Case control study is also known except;
a) Prospective study
b) Retrospective study

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
c) Forward-looking study
d) Incidence study
501. Usual or expected frequency of the disease within a geographic area
refers to;
a) Epidemic
b) Endemic
c) Sporadic
d) Pandemic
502. The term refers to the first case to come to the attention of the
investigator;
a) Index case
b) Primary case
c) Secondary case
d) Clinical case
503. Vaccine that must be stored in the freezer compartment is:
a) DPT
b) BCG
c) Measles
d) Typhoid
504. Immunity of a community or a group of people;
a) Active
b) Passive
c) Herd
d) None of these
505. The immunoglobulin that is transported across the placenta is;
a) IgG
b) IgM
c) IgA
d) IgE
506. Hand washing is an example for disinfection;
a) Concurrent
b) Terminal
c) Recurrent
d) Current
507. Screening of a whole population or a sub-group is the

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
a) Prospective screening
b) Prescriptive screening
c) Mass screening
d) Selective screening
508. In India the recent census is taken in the year;
a) 2000
b) 1990
c) 1980
d) 1970
509. Percapita space for students in a classroom should be
a) 5sq.ft
b) 15sq.ft
c) 10sq.ft
d) 20 sq.ft
510. Minister for health and family welfare of govt. of India at present is
a) Dr. Thackur
b) Mr.Shatrugan Sinha
c) Dr.Anbumani
d) Miss Mayavathy
511. Schick test is done to identify the immunity status against
a) Diphtheria
b) Measles
c) Mumps
d) German measles
512. A nationwide family planning program was launched in India in
a) 1952
b) 1950
c) 1955
d) 1953
513. Great sanitary awakening took place in
a) Biomedical
b) Psychosocial
c) Ecological
d) Holistic
514. The index that is used to know the expectation of life free of disability;

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
a) Health index
b) Physical quality of life index
c) Sullivan’s index
d) All of these
515. Sentinel surveillance is used to identify
a) Missing cases
b) Clinical cases
c) Undiagnosed cases
d) Latent cases
516. Softening of water is recommended when the hardness exceeds—mg
per liter:
a) 500
b) 450
c) 400
d) 300
517. The level of noise, people can tolerate without damage to hearing by
daily exposure:
a) Up to 100dB
b) Up to 85dB
c) Up to 90dB
d) Up to 120dB
518. An instrument that measures humidity:
a) Anemometer
b) Barometer
c) Hygrometer
d) Cyclometer
519. Kala azar is transmitted by:
a) Tsetse fly
b) Sand fly
c) House fly
d) Black fly
520. The disease which may be transmitted by eating unwholesome meal:
a) Amoebiasis
b) Ascariasis
c) Dracunculiasis

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
d) Taeniasis
521. The mosquito that lays eggs singly:
a) Anopheles
b) Culex
c) Aedes
d) Mansonia
522. The stage in which there is high birth rate and declining death rate:
a) High stationary
b) Low stationary
c) Late expanding
d) Early expanding
523. New revised population policy was in the year:
a) 1976
b) 1986
c) 1966
d) 1956
524. The lynchpins of the family planning delivery system in India in the
village:
a) Social worker
b) Anganwadi worker
c) Village health nurse
d) Traditional birth attendant
525. In the year 1972,Govt. of India introduced:
a) National family welfare programme
b) All India hospital postpartum programme
c) Medical termination of pregnancy
d) National population policy
526. The head quarters of South East Asia region of WHO is in:
a) Dhaka
b) New Delhi
c) Thailand
d) Ceylon
527. B lymphoid cells are responsible for :
a) Cellular immunity
b) Passive immunity

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
c) Humaral immunity
d) Hard immunity
528. A test that identifies the person’s immune status to diphtheria:
a) Lepromin
b) Tuberculin
c) Skin clip
d) Schick
529. Health survey and development committee was appointed by the Govt.
of India in the year:
a) 1943
b) 1942
c) 1941
d) 1940
530. Rh anti D immunoglobulin should be given at weeks of gestation;
a) 24
b) 26
c) 28
d) 30
531. Guthrie test is done to find out the disorders of :
a) Carbohydrate metabolism
b) Amino acid metabolism
c) Fat metabolism
d) All the above
532. The energy value of human milk per 100 ml is:
a) 60 Kcal
b) 70 Kcal
c) 80 Kcal
d) 90 Kcal
533: these areas a group of communicable diseases or infections that are transmitted
predominantly from person to person through intimate sexual contact;

a) Venereal diseases
b) Sexually Transmitted Diseases.
c) Sexual contact diseases
d) HIV/AIDS
e) Only A & B

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
534. Restriction of activities of contact, who has been exposed to a case of communicable
disease for maximum incubation period, is termed as;

a) Elimination
b) Quarantine
c) Surveillance
d) Control
e) Isolation

535. According to WHO it is estimated that globally more than people get an STD every
day.
a) One Million
b) 1.5 Million
c) 10 Million
d) 30,000
e) 33,000

536. Which age group has the highest incidence of STD infections?

a) 15 – 25 years
b) 25 –35 years
c) 35 –50 years
d) 50 – 60 years
e) All of the age groups has same incidence of STDs.

537. Which of the following will cur Genital Herpes?

a) Cream put on the Lesions

b) Antiviral Drugs
c) It cannot be cured
d) Antibiotic Therapy
e) Laser and Cauterization

538. it’s not easily spread through sex. It may spread through contact with infected
blood contaminated razors, needles, tattooand body piercing equipment’s, or manicure
and pedicure tools that have not been properly sanitized , and a mother can pass it to
her baby during delivery;

a) Hepatitis B
b) Hepatitis C
c) Human papilloma Virus
d) HIV / AIDS
e) Cancroids

539. Which of the following pair of STDs could be transmitted from mother to fetus;

a) Gonorrhea, Chlamydia
b) Hepatitis B, Herpes
c) Syphilis, HIV
d) Trichomoniasis, Chlamydia

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
540. Trepenoma Palladium, a Gram –ve spirochete bacteria, responsible for spread of
which of the following sexually transmitted diseases?

a) Gonorrhea
b) Chlamydia
c) Trichomoniasis
d) Syphilis
e) Chncroids

541. A 22 year old women presents with a 2cm ulcer on her labia majora. The lesion is
painless and has raised border. What would be the differential diagnosis of the lesion?

a) Adenovirus infection
b) Chlamydia Trachomatis infection
c) Neisseria Gonorrhea infection
d) Papilloma virus infection
e) Trepenoma Palladium infection

542. There is greater like hood of the mother passing on the infection if she has acute
infection of -------------- in the second or third trimester or up to 2 months after delivery;

a) Hepatitis B
b) Hepatitis A
c) HIV / AIDS
d) Human Papilloma Virus
e) Chlamydia

543. A 20 year old women who reports unprotected sex with a new partner 2 weeks
previously develops fever and left and lower quadrant abdominal pain with onset in
association with her menstrual periods. Neisseria Gonorrhea is cultured from her
endocervix. The diagnosis is Gonococcal Pelvic inflammatory diseases. What is the
common consequence of the infection?

a) Cancer of the Cervix

b) Infertility
c) Urethral stricture
d) Uterine fibroid tumors
e) Vaginal rectal fistula

544. This infection can be transmitted congenitally, but it is more likely to occur from
mixing of the mothers and infant blood at the time of delivery. It is found in the breast
milk with about a 25% chance of it being transmitted to the infant;

a) Hepatitis B
b) Hepatitis C
c) HIV/AIDS
d) Human Papilloma virus
e) Chlamydia

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
545. Which of the following are not the symptoms of Gonorrhea?

a) Conjunctivitis
b) Skin discoloration
c) Burning sensation while urination
d) Painful or swollen testicles
e) Vaginal discharge

546. Which of the following sexually active individuals would be more likely to contract
Gonorrhea?
a) 19 year old Caucasian male
b) 40 year old African American female
c) 25 year old African American female
d) 26 year old Asian male
e) All of them have equal chance of getting the infect

547. All of the following statements regarding etiologic agents of chancroids are correct
except;
a) The organism is a small gram negative rod
b) The organism requires X factor but not V factor
c) The organism grow well on stander chocolate Agar
d) On Gram stain of the lesion the organism occurs in strands
e) The organism is susceptible to erythromycin

548. Women are greater risk for HPV genital infections because;

a) They are often a passive partner in sex act

b) Of their hormonal make up
c) They have larger mucosal surface area exposed in genital area
d) Of the frequency of their menstrual cycle
e) All of the above

549. Which of the following situation and individual may not be called a carrier?

a) A person during incubation period

b) Person who has not shown any signs and symptoms
c) A person suffering with disease and under treatment
d) After a disease has been clinically treated in a person
e) Carry organism and disease at the same time.

560. Infection of fetus is most likely to occur if primary or secondary syphilis occur

a) Before second month of pregnancy

b) Before 4th month of pregnancy
c) After 6th month of pregnancy
d) After 8th month of pregnancy
e) During the whole course of the disease.

561. These are a group of communicable diseases or infections that are transmitted
predominantly from person to person through intimate sexual contact.

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
a) Venereal Diseases
b) Sexually Transmitted Diseases
c) Sexual contact diseases
d) HIV / AIDS
e) Only A & B option

562. Restriction of activities of a contact who has been exposed to a case of

communicable disease for maximum incubation period is termed as

a) Elimination
b) Quarantine
c) Surveillance
d) Control
e) Isolation
563. The principal health worker in ICDS project is the
a) Balwadi worker
b) Project worker
c) Health guide
d) Anganwadi worker
564. The term that confirms the structural defects at birth as per WHO document is;
a) Congenital malformation
b) Congenital anomaly
c) Birth defects
d) All the above
565. First time medical examination of school children was carried out in ;
a) Lucknow
b) Delhi
c) Bombay
d) Baroda
566. The recommended land size for primary school by the school health committee is ;
a) 5 acres
b) 10 acres
c) 15 acres
d) 20 acres
567. The ability of an infection’s agent to induce clinically apparent illness is ;
a) Pathogenicity
b) Infectivity
c) Virulence
d) Prepathogenicity
568. In epidemiology terminology, seed refers to;
a) Human host
b) Environment
c) Culture
d) Disease agent
568. Prevention of the development of risk factors in population is
a) Primary prevention
b) Primordial prevention
c) Secondary prevention
d) Tertiary prevention

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
569. Case control studies are often called as;
a) Retrospective study
b) Observational study
c) Incidence study
d) Prospective study
570. The incidence of the disease in the total population minus the incidence of the
disease among those who were not exposed is the ;
a) Relative risk
b) High risk
c) Population attributable risk
d) Population risk
571. Constant presence of a disease within a given geographic area is
a) Epidemic
b) Endemic
c) Pandemic
d) Sporadic
572. An inanimate or article capable of transferring disease agent is;
a) Food
b) Faeces
c) Fingers
d) Fomites
573. A diluents to be used for reconstituting the BCG vaccine is;
a) Distilled water
b) Glucose water
c) Saline water
d) Normal saline
574. Primary resistance shown by the bacteria against TB drugs in patient who has;
a) Not received the drug
b) Received the drug
c) Discontinued the drug
d) None of these
575. An infection that is essential water borne disease is;
a) Hepatitis A
b) Hepatitis E
c) Hepatitis D
d) Hepatitis B
576. The result of the Monteux test is read after:
a) 24 hours
b) 72 hours
c) 48 hours
d) 12 hours
577. Koplick’s spot is seen in the case of
a) Measles
b) Mumps
c) Diphtheria
d) Pertusis
578. Dacunculiasis is a vector borne disease of parasite:
a) Hook worm
b) Round worm
c) Guinea worm

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
d) Pin worm
579. Tridosha theory of disease is the significance in;
a) Ayurveda
b) Unani
c) Siddha
d) Homeopathy
580. Father of public health is:
a) plague
b) cholera
c) Malaria
d) Leprosy
581. Code of personal hygiene was the law of
a) Manu
b) Charaka Samhita
c) Susruta Samhita
d) Code of ethics
582. A naval surgeon advocated the intake of fresh fruits and vegetables for the
prevention of survey:
a) John Snow
b) William Budd
c) John Simon
d) James Lind
583. Disease is the maladjustment between an organism and the environment is the
concept of;
a) Holistic
b) Biomedical
c) Ecology
d) Psychosocial
584. In immunization against chlorea immunity develops after:
a) 6 days
b) 10 days
c) 15 days
d) 20 days
585. The components of health system are except
a) Concepts
b) Ideas
c) Objects
d) Policy
586. The science of mutual relationship between living organism and their environment
is;
a) Ecology
b) Embryology
c) Etiology
d) Economic
587. The continuous scrutiny of the factors that determine the occurrence and
distribution disease is the:
a) Evaluation
b) Surveillance
c) Monitoring
d) Elimination

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
588. Imperfect tool in the control of transmission of disease is;
a) Primary prevention
b) Tertiary prevention
c) Secondary prevention
d) None of these
589. A disadvantage for a given individual that limits normal role is;
a) Handicap
b) Impairment
c) Disability
d) Dysuse
590. The study of cases is a unit of:
a) Epidemiology
b) Clinical medicine
c) Social medicine
d) Community medicine
591. The term applied to all those to whom an event could have happened whether it did
or not is
a) Person at risk
b) Exposed to risk
c) Population at risk
d) High risk
592. The epidemic usually shows a gradual rise and tails off over a much longer period
of time is;
a) Point source epidemic
b) Modern epidemic
c) Epidemic curve
d) Propagated epidemic
593. The separation for special consideration, control of observation of some part of a
group of persons from others is defined as;
a) Absolute quarantine
b) Segregation
c) Isolation
d) Quarantine
594. The period between diagnosis by early detection and diagnosis by other means is
a) Screening time
b) Time lag
c) Lead time
d) Diagnostic time
595. The requirement of calcium intake for lactating mother per day;
a) 500 mg
b) 1000mg
c) 1500mg
d) 1250mg
596. The first great Indian physician and teacher in Ayurvedic medicine
a) Charaka
b) Atreya
c) Susruta
d) Vaghbhate
597. The concept that has the basis of the germ theory of disease;
a) Ecological
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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
b) Psychosocial
c) Biomedical
d) Holistic
598. The physical quality of life index consolidates all these except
a) Infant mortality
b) Life expectancy
c) Literacy
d) Morbidity
599. Unit of rural planning and development is;
a) Block
b) Taluk
c) Corporation
d) District
600. The well in which the water rises the level of ground water :
a) Tube well
b) Step well
c) Dug well
d) Artesian well
601. The well taps the water from the above the first impervious layer;
a) Shallow well
b) Deep well
c) Sanitary well
d) Artesian well
602. An instrument that measures the air velocity;
a) Anemometer
b) Barometer
c) Cyclometer
d) Psychrometer
603.Cyclops is the intermediate host of;
a) Ascariasis
b) Amoebiasis
c) Drancunculiasis
d) Ancylostmiasis
604. An animal associated with viral encephalitis;
a) Dog
b) Pig
c) Cat
d) Fox
605. The stage in which there is low birth and low death rate
a) Early expanding
b) High stationary
c) Declining
d) Low stationary
606. Pulse polio immunization is given to
a) Prevent polio
b) Eradicate polio
c) Reduce polio incidence
d) None of these
607. The first country that launched a nation-wide family planning programmed
a) China

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
b) Pakistan
c) England
d) India
608. The international health regulation is done by;
a) UNO
b) WHO
c) ILO
d) FAO
609. The heart of the slow sand filter;
a) Vital layer
b) Sand bed
c) Water level
d) Brick layer
610. Duration of immunity is long in:
a) Killed vaccine
b) Toxoids
c) Mixed vaccine
d) Live vaccine

611. Estimated fluid deficit in severe dehydration;

a) 40 to 50 ml/kg
b) 100 to 110 ml/kg
c) 50 to 75ml/kg
d) 75 to 100ml/kg
612. In India health for all by 2000 AD has been achieved through;
a) Comprehensive health care
b) Holistic health care
c) Primary health care
d) Community development programmed
613. Voluntary health agency involved actively in relief work is
a) Bharat Sevak Samaj
b) Indian Red Cross society
c) Kasthurba memorial fund
d) Central social welfare board
614. The death of foetus in womb is called
a) Term birth
b) Abortion
c) Still birth
d) Miscarriage
615. The recommended national target of trained dais to population in rural area is;
a) 1: 2000
b) 1: 500
c) 1: 5000
d) 1:1000
616. The growth chart recommended by government of India has;
a) Three reference curves
b) Two reference curves
c) Four reference curves
d) One reference curves
617. National iodine deficiency disorders control programmed was initiated by;

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
a) Ministry of health and family welfare,
b) Ministry of health and social welfare
c) Ministry of social welfare
d) Ministry of education
618. The most important tool for a community health worker is
a) Health education
b) Medication
c) Delivery kit
d) Job description
619. Duration of maternity benefit according to ESI Act is
a) 30 days
b) 8 weeks
c) 12 weeks
d) 14 weeks
620. The most appropriate time for IUD insertion is
a) During or within 10 days of menstruation.
b) At about midst of the cycle
c) Just after menstruation
d) At any time of menstrual cycle.
621. The basic anthropometric measurements observed in infants are;
a) Height ,weight,midarm ciumference
b) Height, weight, head circumference and chest circumference
c) Height, weight, midarm circumference, head and chest circumference
d) Weight,head and chest circumference
622. Length of the baby at birth is about;
a) 25 cm
b) 50 cm
c) 60 cm
d) 75 cm
623. Bitot spot is caused by the deficiency of
a) Vitamin B1
b) Vitamin B6
c) Vitamin A
d) Vitamin B12
624. A rich source of iron is
a) Green leaves
b) Egg
c) Milk
d) Pulses
625. Sanitary wells should be located;
a) 200 feet away from sewage
b) 250 feet away from sewage
c) 100 feet away from sewage
d) 150 feet away from sewage
626. The quantity of bleaching powder required to disinfect a well is
a) 2 gms for 1000 litres of water
b) 2.5 gms for 1000 litres of water
c) 3 gms for 1000 litres of water
d) 3.5 gms for 1000 litres of water
627. Sewage purification takes place by the action of

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
a) Aerobic organisms
b) Anaerobic organisms
c) Aerobic and anaerobic organisms
d) None of the above
628. Imamate immunity is the immunity the individual possesses by virtue of his;
a) Genetic make-up
b) As a result of previous infections
c) Introducing readymade antibodies into the body.
d) None of the above
629. Concurrent disinfection means disinfecting the infectious agent;
a) Throughout of course of illness
b) After recovery from illness
c) After death of the sick person
d) During the pre-pathogenic phase
630. The antenatal mother needs to be registered.
a) Before 12 weeks of pregnancy
b) Before 16 weeks of pregnancy
c) Before 10 weeks of pregnancy
d) As early as the pregnancy is diagnosed.
631. Breast feeding needs to be initiated;
a) After 2 hours of delivery
b) After 3 days of delivery
c) After 2 days of delivery
d) Soon after birth
632. Rooming in practice means;
a) Baby is kept in a separate room
b) Baby is kept close to the mother
c) Baby is kept in a warm room
d) Baby is kept in a nursery
632. Oral pill is not given to a lady when she is
a) Menstruating
b) Breast feeding
c) Bleeding
d) None of the above
633. Poor man’s meat is
a) Ragi
b) Jowar
c) Pulses
d) Wheat
634. A disease which is prevalent in a geographic area continuously at a low level is
known as;
a) Epidemic
b) Endemic
c) Exotic
d) Pandemic
635. Retrospective studies is based on
a) Present observations
b) Past data or events
c) Experiments
d) None of the above

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
636. Live vaccines are prepared from;
a) Live attenuated organisms
b) Dead organism
c) Live organism
d) None of the above
637. Pulse polio immunization gives
a) Herd immunity
b) Passive immunity
c) Active immunity
d) Acquired immunity
638. The instrument used to measure the thermal comfort is
a) Clinical thermometer
b) Dial thermometer
c) Kata thermometer
d) Bath thermometer
639. Measles is transmitted by;
a) Droplet infection
b) Cross infection
c) Direct contact
d) Orofaecal route
640. A latrine which is sanitary is the
a) Water-seal latrine
b) Pit latrine
c) Bore hole latrine
d) None of the above
641. The health survey and development committee was chaired by;
a) M.S.Chadah
b) A.L.Mudaliar
c) A.K.Mukerji
d) Joseph Bhore
642. Vitamin A is;
a) Water soluble
b) Fat soluble
c) Both A and B
d) None of the above
643. National malaria control programmed came into force in the year;
a) 1953
b) 1954
c) 1958
d) 1957
644. The weight of a baby at birth is about
a) 2 kg
b) 2.5 kg
c) 3 kg
d) 3.5 cm
645. November 14th is celebrated as
a) Father’s day
b) Teacher’s day
c) Children’s day
d) Elder’s day

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
646. The causative organism for leprosy is
a) M.leprae
b) M.tuberculosis
c) Leprosy parasite
d) None of the above
647. Causative organism for Kock’s disease is
a) M.tuberculosis
b) M.leprae
c) M.diphtheriae
d) None of the above
649. The health survey and planning committee was appointed in the year;
a) 1962
b) 1958
c) 1959
d) 1960
650. Babies born between 28th to 37th weeks are
a) Full term babies
b) Term babies
c) Post term babies
d) Preterm babies
651. The postnatal period is also known as;
a) Antenatal period
b) Intranatal period
c) Puerperium
d) All the above
652. The first five year plan was started in;
a) 1947
b) 1949
c) 1955
d) 1951
653. Deficiency of iodine can cause;
a) Goiter
b) Blindness
c) Pellagra
d) All of the above
654. Measles vaccine is given at the age of
a) Birth
b) 10 weeks
c) Nine months
d) 1year
655. April 7th is celebrated as
a) World population Day
b) World Health Day
c) International Nurse’s Day
d) World women’s day
656. Founder of the Red Cross movement
a) Henry Durant
b) Robert Powell
c) Joseph John
d) None of the above

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
657. Vaccines should be stored at a temperature of
a) 0 Centigrade
b) 8 Centigrade
c) 2 centigrade to 8 centigrade
d) Room temperature
658. Whooping cough is also called as;
a) Pertusis
b) Variolla
c) Rubella
d) Mumps
659. The drug of choice in leprosy is
a) Cotrimoxazole
b) Dapsone
c) Penicillin group
d) All the above
660. Ability power of the organism which sick the person is called
a) Virulence
b) Vector
c) Fomites
d) Quarantine
e) Surveillance
661. Following are the components of environment except one
a) Physical
b) Sanitation
c) Social
d) Noise
e) Physiological
662. One of the following is improper method of refuse disposal
a) Water carriage method
b) Burning method
c) Dumping method
d) Compositing method
e) Controlled tipping method
663. Occurrence of disease id due to the following factors;
a) Host
b) Agent
c) Environment
d) Cold and hot temperature
e) A,B & C
664. Spread of disease by the use of patients clothes, utensil & furniture is called
a) Garbage
b) Fomites
c) Vector
d) Infectious
e) Sullage
665. When disease spreads by the flies and animals as vehicle is called
a) Vector
b) Virulence
c) Epidemic
d) Sporadic

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
e) Pandemic
666. Goiter disease is caused due to lack of
a) Iodine
b) Calcium
c) Iron
d) Potassium
e) Sodium
667. Housing can fulfill the following needs
a) Physical needs
b) Protective needs
c) Economical needs
d) Privacy needs
e) All of the above
668. One of the following is communicable disease in skin
a) Scabies
b) Measles
c) Chicken pox
d) Small pox
e) Tetanus
669. One of the following is called soil of disease.
a) Host
b) Agent
c) Environment
d) Heat
e) Contaminated disease
670. All of the following are physical agents for the disease EXCEPT one
a) Contaminated water
b) Contaminated air
c) Improper light
d) Dust
e) Organism
671. One of the following is to be the cause of death in children
a) Scabies
b) Common cold
c) Flu
d) Intestinal worms
e) Gastroenteritis
672. Which one of the following is pure water in nature
a) Rain water
b) River water
c) Deep well water
d) Shallow well water
e) Tube well water
673. Indicator of the health is
a) IMR
b) CBR
c) MMR
d) Morbidity rate
e) All of the above
674. PHC principles are

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
a) Dignity of people
b) Equity of budget
c) Affordable facilities for the people
d) Accessible facilities for the people
e) All of the above
675. One of the following spread diseases is eradicated from the world
a) TB
b) Leprosy
c) Tetanus
d) Chicken pox
e) Small pox
676. Following are the natural methods of water purification
a) Sunlight
b) Evaporation
c) Storage
d) Oxidation
e) All of the above
677. Fecal borne disease can be transmitted by
a) Flies
b) Soil
c) Hands
d) Water
e) All of the above
678. Which one of the following is ground water source?
a) Spring water
b) River water
c) Stream water
d) Lakes water
e) Ponds water
679. One of the following is surface water source
a) Spring water
b) Tube well water
c) Deep well water
d) Shallow well water
e) River water
680. Pollution types are
a) Air pollution
b) Water pollution
c) Noise pollution
d) A&B
e) All of the above
681. Morbidity is considered as
a) Death
b) Disease
c) Sickness
d) Accident
e) Poisoning
682. Source of area pollution is
a) Organic dust
b) Combustion

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Sr.Nursing Lecturer SCON, SMC, LHR
c) Industries
d) Lack of trees
e) All of the above
683. Which of the following disease is spread by the biting insect
a) Malaria
b) Tetanus
c) Chicken pox
d) Small pox
e) Measles
684. One of the following contain the human excreta
a) Sewage
b) Sullage
c) Refuse
d) A&B
e) None of the above
685. New born baby can be prevented from the tuberculosis disease by the vaccine of
a) BCG
b) DPT
c) DT
d) Measles
e) Polio
686. The best source of vitamin-C is
a) Cereals
b) Milk & milk products
c) Drinking water
d) Green leafy vegetables
e) Citrus fruits
687. Bacteria in drinking water maybe destroyed by one of the following method
a) Boiling method
b) Chloride method
c) Caustic soda method
d) Alum method
e) A,B&C
688. Separation of sick person of spread disease is called
a) Carrier
b) Isolation
c) Sterilization
d) Fumigation
e) Virulence
689. Mumps disease is caused by the organism
a) Virus
b) Bacteria
c) Fungus
d) Rickets
e) Protozoa
670. Spreading on disease at world level is called
a) Pandemic
b) Epidemic
c) Endemic
d) Sporadic

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
e) Communicable
671. The target goal of health for all peoples was adopted by the WHO in the year
a) 1977
b) 1978
c) 1981
d) 1984
e) 1990
672. BHU proves the treatment facilities to the population
a) 1 to 5 thousand
b) 5 to 10 thousand
c) 10 to 20 thousand
d) 20 to 30 thousand
e) 50 to 100 thousand
673. Improper disposal of excreta leads to all of the following EXCEPT one
a) Polio
b) Typhoid
c) Intestinal worms
d) Marasmus
e) A &B
674. Taluka hospital are the under the administration of
a) NGO
b) Local Government
c) Municipal committee
d) Provincial government
e) Federal government
675. The resistance power of the body against the disease by getting the diet called
a) Antibody
b) Antigen
c) Immunity
d) Defense mechanism

676. Method of health education which consists of objects meth and specimen is called
a) Exhibition method
b) Panel discussion
c) Lecture method
d) None of the above

677. Role of community health nurse are following except

a) Health care provider
b) Councilor
c) Manager
d) Examination of patient & advance treatment

678. While giving advice on family planning following factors who be considered
a) Health of children
b) Health of mother
c) Health of father
d) All of the above

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
679. Which one the following is water borne disease
a) Tuberculosis
b) Typhoid
c) Diphtheria
d) None of them

680. Demographic process is elated to which one the following

a) Age group
b) Total population
c) Sex distribution of population
d) All of the above
681. What do you know the family planning?
a) Abortion of unwanted pregnancy
b) Having only 2 children
c) To decide the number of children want couple hare
d) Not having any children at all

682. Endometrium during pregnancy is called

a) Decidue
b) Tropheblast
c) Blast cuts
d) Myo metrium
683. Early detection to prevent chronic disease and disability
a) Surgical treatment
b) Tertiary prevention
c) Secondary prevention
d) Primary prevention
685. Common health problem in school children are
a) Dental caries
b) Malnutrition
c) A&B
d) None of them

686. Domiciliary midwifery means

a) Delivery service at Govt hospital
b) Delivery services at home
c) Delivery service at private hospital
d) None of the above

687. The most of the victims of heroin addict belong to

a) Child age group
b) Young age group
c) Middle age group

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
d) Old age group

688. One of the following is more common disease in geriatric

a) Malaria
b) Typhoid
c) Scabies
d) Hypertension
689. Health education is a process to motivate the community to
a) Build more school
b) Increase health workers
c) Adopt healthy life style
d) None of the above

689. Which of the following method is the best to show age and distribution of
community?
a) Family folders
b) Population pyramid
c) Pie chart
d) Base line survey form
690. The learning process is effective by
a) Client readiness
b) Environment
c) Teacher attitude
d) All of them
691. Formative evaluation is
a) Yearly process
b) Once in 5 years process
c) Ongoing process
d) Midyear process

692. Commonest complication of measles is

a) Purpura
b) Typhoid fever
c) Otitis media
d) Scabies

693. Growth of population dress not depend on

a) Birth rate
b) Migration of population
c) Life expectancy
d) All of them

694. Occurrence of new cases during a specified period of time called

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
a) Prevalence
b) Incidence
c) Morbidity
d) Mortality

695. Collection of data of any disease in community is called

a) Health survey
b) Prevention of disease
c) Screening of disease
d) Intervention

696. The difference between birth and death rate is called

a) Growth rate
b) Demographic Gap
c) Genetic gap
d) Nutritional gap

697. Disease which can cure with proper food only is

a) Marasmus
b) Kwashiorkor
c) Tuberculosis
d) A&B

698. Evaluation is concerned with

a) Performance of learner
b) Effectiveness of teacher
c) Quality of program
d) All of them

699. Which type of worms can be visualized in vomiting and stool?

a) Thread worms
b) Round worms
c) Hook worms
d) Tape worms

700. Which is the right time for insertion of IUCD

a) Just before the menses
b) First day of menses
c) 5th day of menses
d) During pregnancy

702. When a pregnant mother first feels fetal movement is called

a) Quickening
b) Lightening
c) Fluttering
d) Conception

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
703. The cord of new born baby is cut down with aseptic technique prevent from
a) Chest infection
b) Tetanus
c) Malaria
d) Diarrhea

704. The main cause of maternal death includes the following except one
a) Infection
b) Birth injury
c) Low birth weight
d) Malaria

705. The nurse should watch the following problems during postnatal care
a) PPH
b) Mastitis
c) Mental disorder
d) All of them

706. The uterine discharge during the first 3 to 4 weeks of postnatal is called
a) Robera
b) Lochia
c) Serosa
d) Alba

707. The care of mother at the time of delivery is called

a) Antenatal care
b) Post natal care
c) Intra natal care
d) None of them

708. Following is the signs & symptoms of pregnancy except one

a) Amenorrhea
b) Quickening
c) Bladder irritation
d) Constipation

709. The prenatal period for Embryo is

a) 0 to 14 days
b) 9 weeks to birth
c) 14 days to 9 weeks
d) None of them

710. The function of antenatal clinic is

a) Register antenatal care
b) Antenatal examination
c) Home visit

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
d) All of them
711. Following are the high risk pregnancy EXCEPT one
a) Girl under 18 years
b) Girl over 18 year
c) Short structure
d) Multi Para pregnancy

712. The care of women during pregnancy is called

a) Intra natal care
b) Postnatal care
c) Antenatal care
d) A&B

713.What is the health teaching for menstruation women?

a) Use vaginal pad
b) Daily bath
c) Consultation of WMO
d) All of them

714. The first menses is called

a) Menopause
b) Menstruation
c) Dysmenorrheal
d) Menarche
715. The death of women during pregnancy is called
a) Pregnant death
b) Maternal mortality
c) Mother death
d) Gestational death

716. Which of the following are functions of family?

a) Provide personal security
b) Giving satisfaction
c) Provide social placement
d) All of them
717. The family in which father /male is the dominant is called
a) Extended family
b) Matriarchal family
c) Patriarchal family
d) Nuclear family

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Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR
 Page 115
Mr. Amjad Mehmood Baig
Sr.Nursing Lecturer SCON, SMC, LHR