2018 PAST QUESTIONS

DIPLOMA IN COMMUNITY HEALTH

COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER I
SECTION A: OBJECTIVE QUESTIONS (30 MARKS)
1. Etiquette can be defined as:
(a) a system which guides and controls the moral behaviour and manifest in character
and mind
(b) Code of manners behaviour and action which are expected of a professional
(c) Qualities a person has learned to believe are important and worth a while
(d) Occupation which demands a high standard of education as well
2. Duties of community health workers does not includes:
(a) Training junior workers
(b) Caring for the sick
(c) Providing PHC services
(d) Non dissemination of health information
3. Affluence is associated with one of the following disease:
(a) Tuberculosis
(b) Obesity
(c) Sickle cell Anaemia
(d) Kwashiorkor
4. Medical sociology studies the following except:
(a) Aetiology and distribution of illness
(b) Social change and health care
(c) Social stress and disease
(d) Immorality and disease
5. Procreation as one of the obligation of the family has to do with:
(a) Sexual satisfaction
(b) Producing off springs
(c) Discipline of erring members

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 (d) Feeding and caring for the family
6. Educational technology used in communication includes all except:
(a) Simulation
(b) Plannel graph
(c) Video compact disc (VCD)
(d) Puppets
7. One of these does not promote effective education:
(a) Lack of electricity
(b) Respect for tradition and culture
(c) Favourable environment
(d) Being a good listener
8. The following means can be used to pass information on health to individual and
families except:
(a) Group discussion
(b) Observation
(c) Demonstration
(d) Story telling
9. Principle of health education do not include:
(a) Personality
(b) Adaptability
(c) Clarity
(d) Simplicity
10. PHC approach of the Nigeria health system emphasizes:
(a) Lack of electricity
(b) Attitudes of the health worker
(c) Quality assurance
(d) Delay in payment
11. One of these is a cultural theory of disease causation in Nigeria:
(a) Act of God

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 (b) Male circumcision
(c) Forbidden hard work for pregnant mothers
(d) Prolonged breast feeding
12. Factors that promotes and supports integrated primary health care services exclude:
(a) Cohesive health team
(b) Operational two-way referral system
(c) Profit making mechanism
(d) Efficient information system
13. All are traditional practices that are not detrimental to health except:
(a) Prolong breast feeding
(b) Spousal inheritance
(c) Male circumcision
(d) Post-puerperal diet
14. Methods of learning does not include:
(a) Forgetting
(b) Reading
(c) Listening
(d) Feeding
15. All are importance of psychology except:
(a) It helps people relate better
(b) It helps in further research
(c) It helps people to cope with environment
(d) It helps in training coordinator
16. The principle of personality development includes all but one:
(a) Moral development
(b) Moral decadence
(c) Growth of conscience
(d) Development of ethical values
17. Advocacy in PHC has one of the following rationales:

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 (a) To seek to have funds from government coffers
(b) To provide leaders the opportunity to identify with and therefore act as models
(c) To make health care hard to get
(d) To mobilize the community
18. For the sustainability of community health programme and enhanced commur
participation one of the following is indispensable:
(a) Community diagnosis
(b) Community development
(c) Community collaboration
(d) Community mobilization
19. All are methods used in community diagnosis except:
(a) History taking
(b) Interview methods
(c) Observation
(d) Group discussion
20. The role of situation analysis on PHC include:
(a) Knowing the number of population
(b) To know the real health status of the people
(c) Number of street for out-reach services
(d) Ability to attend courses for the year
21. All are parenteral routes of introducing medicines into the body except:
(a) Sublingual
(b) Subcutaneous
(c) Intrathaecal
(d) Intramuscular
22. If a tablet of paracetamol available is 500mg and a patient is prescribed 1g. how many
tablet(s) will the patient take?
(a) 1 tablet
(b) ½ tablets

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 (c) 4 tablets
(d) 2 tablets
23. All are non-steroidal antinflammatory drugs except:
(a) Acetylsalicylic acid
(b) Hyoscine butylbromide
(c) Ibuprofen
(d) Piroxicen
24. Pharmacology has the following branches with the exception of:
(a) Toxicology
(b) Pharmacokinetics
(c) Idiosyncracy
(d) Pharmacotherapeities
25. Factors that determine the drug selection for a specific health facility include all except:
(a) Acceptability
(b) Ability of health workers to cover many patients
(c) Prevailing health problems
(d) Availability of fund
26. Objectives of national essential drug programme does not include:
(a) To appoint drug committee members from the community members from
community
(b) To make
27. Drugs are classified using these forms except:
(a) Syrup
(b) Suspension
(c) Water
(d) Capsules
28. Problems of drug revolving fund include all except:
(a) Adequate support by the local authority
(b) Delay in payment

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 (c) Credit without equivalent subsidy
(d) Sudden price increase
29. Importance of the two-way referral system include all except:
(a) Ensure continuity of care
(b) Ensure adequacy of care
(c) Ensure delay in care
(d) Ensure that cases are treated at appropriate level
30. All are cases for referral to the next level of care except:
(a) Green stick fracture
(b) Acute appendicitis
(c) Renal failure
(d) Strangulated hernia

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 2018 PAST QUESTIONS
DIPLOMA IN COMMUNITY HEALTH
COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER I
SECTION B: EASY QUESTIONS (70 MARKS)
ANSWER ALL QUESTIONS
1.
a. Outline five (5) behaviour and attitudes expected of a community health practitioner
towards his/her profession
b. Explain five (5) rules and regulations of community health practice
c. Mention five (5) lay down rules of the profession which a practicing community health
practitioner must face sanctions for his/her actions
2.
a. Describe five (5) types of marriage
b. As a CHEW state five (5) reasons for studying medical sociology
c. Explain the three (3) domains of human learning
d. Briefly discus the following defense mechanism
i. Rationalization
ii. Projection
iii. Compensation
iv. Regression
3.
a. Briefly explain the following communication concepts
i. Counselling
ii. Socratic health education
iii. Behaviour change communication
iv. Interpersonal communication
v. Mass media
b. Enumerate six (6) conditions that must be met for effective communication to take
place
c. Enumerate five (5) qualities of a good message

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d. State five (5) limitations of lecture methods
4.
a. Enumerate four (4) rationale for ward health services in PHC
b. Outline five (5) objectives of ward health services in PHC
c. Explain the three (3) tiers of the Nigeria health care delivery system
d. Define PHC according to world health organization (WHO)
5.
a. State six (6) strategies of implementing PHC in Nigeria
b. Define community mobilization
c. Enumerate six (6) rationale for community mobilization
d. Enumerate eight (8) information that can be obtained during situation analysis
6.
a. Discuss five (5) steps involved in the management of essential drugs programme
b. State five factors to be taken into cognizance when choosing essential drugs for use in
PHC facilities
c. Explain the pharmacokinetic properties of drugs under the following headings
i. Drug absorption
ii. Drug distribution
iii. Drug metabolism
iv. Drug excretion
d. Explain “sublingual route” of drug administration
7.
a. Define outreach service
b. State five (5) factors that could militate against the conduct of outreach services in PHC
c. Itemize six (6) activities for implementing a successful outreach service
d. Mention three (3) advantages of the two way referral system
e. Enumerate five (5) constraints that hinder effective referral service

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 2018 PAST QUESTIONS
DIPLOMA IN COMMUNITY HEALTH
COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER II
SECTION A: OBJECTIVE QUESTIONS (30 MARKS)
1. Fat soluble group of vitamins consists of the following except:
a. Ascorbic acid
b. Retinal
c. Calciferol
d. Tocopherol
2. A biological state resulting from the deficiency or excess of one of more essential
nutrients is termed:
a. Protein energy malnutrition (PEM)
b. Poor feeding
c. Obesity
d. Malnutrition
3. All are functions of dietary fibres with the exception of:
a. Satisfaction of hunger
b. It aids the formation of cholesterol
c. Attracts water, thereby increasing the bulk and softness of faecal matter
d. It stimulates and enhances bowel movement
4. One of the following is not a conventional method of food preservation:
a. Refrigeration
b. Use of chemical
c. Salting
d. Canning
5. In history taking one of the following is not necessary:
a. The health worker used the medium to build trust and good relationship
b. Exposing the financial income of the patient
c. It helps in understanding the health condition of the patient

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 d. It exposes the family history of ill health
6. One of these is not done during routine examination of patient:
a. Pulse rate
b. Blood pressure
c. Estimation of skin elasticity
d. Temperature taking
7. These are possible ways of acquiring immunity except:
a. Mother to child transmission through placenta
b. Mother to child transmission through breastfeeding
c. Having sub-clinical immunization
d. Having sub-clinical infection
8. A substance which when introduced into the body system under favourable condition
can stimulate the production of antibodies is termed:
a. Chemoprophylaxis
b. Antigen
c. Chemotherapy
d. Immunoglobulin
9. Cold chain equipment include all the following except:
a. Freezer
b. Refrigerator
c. Vaccine carrier
d. Compressor
10. The following group of vaccine must not be frozen:
a. Pentavalent TT
b. BCG TT, pentavalent
c. Pentavalent, OPV, measles
d. HBV, BCG, pentavalent
11. Immunity is best described as:
a. Ability of the body to resist infection

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 b. Ability of the body to develop adequately
c. Ability of the body to absorb food
d. Ability of the body to resist drugs toxicity
12. Primary tissues in the human body are all except:
a. Epithelium
b. Connective tissues
c. Nervous tissue
d. Simple epithelial tissue
13. The largest gland in the body that occupies the right hypochodrium and extend into the
epigastrium and left hypochondrium is called:
a. Heart
b. Liver
c. Pancrease
d. Stomach
14. Anatomy is:
a. The science that deals with the study of the structure of the human body
b. The science that deals with the structure of the human mind
c. The scientific study of the structures and functions that make up the body
d. The study of human biological environment
15. All are not functions of gall bladder except:
a. It adds mucus to the bile via its lining membrane
b. Storage of vitamin B12
c. Transportation of blood to the lungs
d. Production of gastric juice
16. The substance that gives the stool its normal colour is called:
a. Lipase
b. Chemotrypsin
c. Hydrochorie acid
d. Bile

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17. Movement of food from the mouth to the stomach is known as:
a. Digestion
b. Auscultation
c. Peristalsis
d. Poriodontitis
18. One of the following best define wound:
a. A shortage of blood supply to the bran
b. Break in the continuity of the tissue
c. Escape of blood from the blood vessels
d. Break in the continuity of the bone
19. On the job training methods for community health workers does not include:
a. In-service training
b. Delegation
c. Internship
d. Job rotation
20. Rationales for conducting human resource training programme among community
health workers does not include:
a. To promote staff capacity development and motivation
b. To update the knowledge and skills of trained health workers on current and
contemporary health issue and technological development
c. To encourage health workers treat all cases that is presented to them
d. To correct the inadequacies of an initial programme
21. Maslow’s postulation on hierarchy of needs takes into cognizance all of the following
except:
a. Self-neglect
b. Self-esteem
c. Self-actualization
d. Love and affection

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22. A statement depicting what particular task a worker should undertake or perform is
referred to as:
a. Duty roster
b. Delegation
c. Enforcement
d. Job description
23. Components of good management in PHC includes all except:
a. Division of labour
b. Motivation of personnel
c. Delegation without authority
d. Management by objectives
24. Factors that can cause in effective supervision in PHC include all except:
a. Inadequate materials
b. Poor attitude of supervisor
c. Adequate logistic supports
d. Inadequate motivation
25. One of the following is not an effect of improper budgeting:
a. Staff are retrenched
b. Uncompleted project
c. Salaries will not be paid
d. Drug are made available in the facilities
26. All are books of prime entry in accounting except:
a. Ledger
b. Cash book
c. Petty cash book
d. Daily sales book
27. One of these is an example of visible money:
a. Cheque
b. Bank notes

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 c. Dividend warrant
d. Budgetary allocation
28. Expendable supplies does not include:
a. Syringes needles and dressing
b. Furniture vehicles and building
c. Registers cards and referral forms
d. Drugs in the form of tables, syrups and injectables
29. The major challenges of health management information system (HMIS) is:
a. Poor logistics support
b. Outbreak of diseases
c. Increase in population rate
d. High poverty index
30. The following data was generated at Konga Health Centre for Antenatal visits in the
month of January 2015.
10, 2, 5, 6, 10, 2, 6, 10, 15, 10 the mode of the above observation is:
a. 2
b. 6
c. 5
d. 10

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 2018 PAST QUESTIONS
DIPLOMA IN COMMUNITY HEALTH
COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER II
SECTION B: EASY QUESTIONS (70 MARKS)
ANSWER ALL QUESTIONS
1.
a. State five (5) direct ways by which the nutritional status of a child can be assessed
b. Enumerate five (5) functions of lipid (fat and oil)
c. Highlight four (4) principles of weaning
d. State three (3) advantages of breast feeding to:
i. The mother
ii. The baby
2.
a. A ten year old Moju was brought to your clinic with complains of burns from boiling
water. Her face, hands and groin were involved.
On examination she was pain but no lethargy: she has 8% superficial burns with
blisters
Manage her condition with standing orders
b. State five (5) ways by which assess effectiveness of a training session
c. Highlight five (5) advantages of regular staff training
d. Enumerate six (6) sign and symptoms of fracture
3.
a. Discuss five (5) factors that influence the resistance ability of individuals, families
and the community to diseases
b. Enumerate five (5) ways maintaining cold chain system in your health clinic/centre
c. Explain five (5) rules to observe in collecting specimen
d. State five (5) laboratory safety rules
4.
a. List five (5) cranial nerves
b. Enumerate five (5) functions of blood

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 c. Briefly describe the five (5) types of bones found in the human skeleton
d. List five (5) factors that affect heart rate
5.
a. Enumerate five (5) purposes of supervision in an organization
b. State five (5) describe the qualities of a good objective
c. Entry the following transactions in the cash book of Kaka clinic for September, 2017
Step 1: cash at hand (balance b/d) N 2,327.00
Step 2: paid salaries for the month of august N 1,500.00
Step 5: sold drug N 1, 360.00
Step 6: bought dressing materials N 700.00
Step 7: cash for treatment N 2, 350.00
Step 10: paid for office furniture N 1, 540.00
Step 12: purchased stationeries N 85.00
Step 15: sold drugs N 4,500.00
6.
a. Enumerate five (5) responsibilities of the local government for effective health
information management
b. State five (5) types for graphic presentation of data
c. The following data were generated at David health centre for patients attendance in
the month of June 2017.

Patient Disease suffered

5 Malaria
2 HIV/AIDS
10 Diarrhoea
3 Hypertension
i. Calculate the percentage of the incidence of each of the diseases mentioned
above
ii. Graphically present the above cases in a pie chart

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 2018 PAST QUESTIONS
DIPLOMA IN COMMUNITY HEALTH
COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER III
SECTION A: OBJECTIVE QUESTIONS (30 MARKS)
1. One of the components of environmental health is:
a. Provision of shelter
b. Examination of patient for silicosis
c. Provision of environmental hazards
d. Provision of healthful housing
2. All are rationales for reproductive health in PHC except:
a. To ensure the safety and health of the mother and baby
b. To make health care services available to few people in the community
c. To properly manage reproductive ailment through adequate treatment and referrals
so as to ensure optimal productivity
d. To equip the health worker with the knowledge and skill necessary for the provision
of safe motherhood
3. The continuum of antenatal service rendered to expectant mother in the health facility
exclude:
a. Chest examination
b. Pelvic examination
c. Abdominal examination
d. Physical examination
4. The benefit of antenatal care is:
a. Reducing labour period
b. Determine number of children couple should expect
c. To deliver abnormal babies
d. To ensure delivery of matured live and health baby
5. One of these is a major disorder of pregnancy:
a. Amenorrhoea

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 b. Morning sickness
c. Changes in the uterus
d. Hyperemesis gravidarum
6. One of these is not part of the female external genitalia:
a. Clitoris
b. Cervix
c. Labia majora
d. Pubic hairs
7. One of the following best describes uterine cycle of female reproductive cycle:
a. Luteal phase awaiting fertilization
b. Forllicular phase maturation of ovum
c. Ovulation-expulsion of ovum
d. Proliferation phase-build up on endometrium
8. All are factors that influence the physiological process of tooth eruption in individual
with the exception of:
a. Hereditary
b. Caries
c. Congenital problem
d. Infections
9. Common aetiologies of the inflammation or degeneration of the gum tissue include all
EXCEPT:
a. Adequate dieting
b. Immunosuppressive diseases like HIV/AIDs
c. Poor hygiene of the oral cavity
d. Hormonal changes during pregnancy
10. Causes of under- five mortality include all EXCEPT:
a. Malaria and Measles
b. Tinea capitis
c. Acute respiratory infections

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 d. Diarrhoea with malnutrition
11. The United Nation (UN) declaration on the rights of the child encompass the following
with the exception of:
a. The right to special care of handicapped
b. The right to food and shelter
c. The right to recreation and play
d. The right to juvenile delinquency
12. Mania has the following characteristics features EXCEPT:
a. Solitude
b. Impaired judgement
c. Rational decisions
d. Mood swings
13. Components of school health programme include all EXCEPT:
a. Safe school environment
b. School home and community relationship
c. Health Education
d. Family Planning
14. In assessment of the health needs of the school child the following methods are used
EXCEPT
a. Workshop/symposia
b. Interviewing
c. Review of existing records/document
d. Observation
15. One of the following diseases does not present with febrile condition
a. Malaria
b. Measles
c. Chicken pox
d. Epilepsy
16. In communicable and non-communicable disease the word sporadic means:

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 a. A disease that spread over a large region of the population
b. A disease which affect one slowly but rather last a long time
c. A disease that affect a few individuals in scattered forms in a population
d. A disease that affect one suddenly but rather last a short time
17. One of the following is a zoonotic disease:
a. Plasnodiasis
b. Rabies
c. Ankylostomiasis
d. Enteric fever
18. Route of transmission of diseases include the following except:
a. Transplacental route
b. Sexual route
c. Nosocomial route
d. Inhalation droplet
19. General control measures to the communicable disease include all except:
a. Contact and carrier tracing and investigation
b. Early diagnosis
c. Prompt and correct treatment
d. Elimination of infection
20. Factors contributing to the spread of emerging and re-emerging disease include:
a. Prompt and adequate immunization
b. Avoidance of overcrowding
c. Reporting to the appropriate authority
d. Increasing migration of people across the world
21. Severe escape of blood from the body could result to one of the following:
a. Hypovolaemic shock
b. Cardiogenic shock
c. Septic shock
d. Neurogenic shock

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22. A mishap that involves many people with varying degrees of injuries and sometimes
deaths is referred to as:
a. Road traffic accident
b. Motor accident
c. Mass casualty
d. Building collapse
23. Otitis media is the:
a. Infection of the middle ear
b. Infection of the mouth
c. Infection of the external ear
d. Infection of the cars
24. The following is an instrument used in the examination of the car:
a. Ophthalmos
b. Otoscope
c. Auriscope
d. Stcthosope
25. One of the arms of primary ear, nose and throat care include:
a. Provision of facia plastic and reconstruction surgery
b. Promote problem that may arise through ear nose and throat
c. Promote early identification and management of ear, nose and throat disorders
d. Encourage all ill practice associated with or to ear, nose and throat
26. A thin, semi-transparent partition of fibrous connective tissue between the external
auditory canal and middle ear, covered with a mucous membrane best describes:
a. Tympanic membrane
b. Auditory ossicles
c. Eustachian tube
d. Semi-circular canal
27. Defects of the eye that could impair include all the following except:
a. Astigmatism

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 b. Conjunctive
c. Hypermetropia
d. Longsightedness
28. The medical condition characterized with the opacity of the lens that could cause
blindness in an individual is referred to as:
a. Glaucoma
b. Conjunctivitis
c. Iritis
d. Cataract
29. Health benefits of exercise in the elderly include the following except:
a. Increased metabolic disorders
b. Improvement of cardio-respiratory function
c. Lowering of blood pressure
d. Correction of dyslipidemic and impaired glucose tolerance
30. Some characteristics of the mentally retarded individuals includes all except:
a. Having high intelligent quotient
b. Can’t think clearly
c. Do not understand what is happening to him
d. Keep to self and take of self, most of the time

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 2018 PAST QUESTIONS
DIPLOMA IN COMMUNITY HEALTH
COMMUNITY HEALTH EXTENSION WORKERS (CHEW)
PAPER II
SECTION B: EASY QUESTIONS (70 MARKS)
ANSWER ALL QUESTIONS
1.
a. List five (5) objectives of environmental health
b. State five (5) advantages of recommending ventilated improved Pit (VIP) latrine over
water carriage system (WCS)
c. Enumerate five (5) preventive measures of pneumoconiosis
d. State five (5) pre-disposing factors to occupational diseases
2.
a. Explain four (4) types of menstrual disorders
b. State five (5) complications of breech presentation
c. Explain five (5) side effects and complications of intra-uterine contraceptive device
d. Enumerate three (3) causes of infertility
i. In female
ii. In male
3.
a. Enumerate four (4) causes of halitosis
b. State four (4) functions of saliva
c. Briefly discuss five (5) prevention and control of dental caries
d. State seven (7) functions of school health services
4.
a. Itemize five (5) components of child survival strategy in Nigeria
b. State five (5) factors militating against successful child’s immunisation in your
community
c. Enumerate five (5) effects of alcoholism
d. List five (5) positive mental health habits
5.

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 a. Enumerate six (6) symptoms of tuberculosis in children
b. State four (4) benefit of long lasting insecticidal treated net (LLIN)
c. State five (5) characteristics of non-communicable diseases
d. Enumerate five (5) signs of successful cardio-pulmonary resuscitation
6.
a. State five (5) unsafe practices detrimental to ear, nose and throat
b. Enumerate five (5) signs and symptom of acute tonsillitis
c. Discuss ophthalmia neonatoricum under the following headings
i. Definition
ii. Four causative agent
iii. Four signs and symptoms
7.
a. State five (5) rationales for the care of the aged in the community
b. Outline five (5) characteristics of ageing
c. List five (5) causes of handicapping conditions in the community
d. Enumerate five (5) ways by which handicapped people can be helped in the
community

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