6695157 MCQ Practical Health Care Primary Health Care Investigation

MCQ By D. Nihal Salah Shihab Health care System in Egypt (Practical ) 1- The function of any health care system include the following (choose one or more): a- Production of resources b- Management c- Arrangement of resources into health programs d- Provision of health services e- All the above

( e)

2- The health services in any health care system may be of : a- Primary care level b- Secondary care level c- Tertiary care level d- All of the above e- both a & b

(d )

3- The primary health care in the health care system is the ------- as compared with other levels of care (2nd and 3rd levels). a- Less costly for the community and the system. b- Less costly for the community but not for the system. c- Most costly d- Same costly.

( a)

4- The ----------- is the first contact with individuals in any health care system. a- Secondary level of care b- primary level of care (b) c- tertiary level of care. 5- secondary health services need: (Choose either 1 , 2, or 3 ) a- Procedures for diagnosis and treatment b- High degree of skills and technology. c- Some degree of specialization (2) d- Complex surgical operations. 1 = a , b, d. 2 = a , c. 3=c,d.

6- Match from below the suitable answer for the above statements ( Choose one or more answers): a- Primary health care services.----------------( 2, 4 ) b- Secondary health care services ------------ ( 1 ) c- Tertiary health care services-----------------( 3 ) 1- It needs some degree of specialization and is costly. 2-It is the less costly health care services 3- It needs a high degree of skills and advanced technology. 4- It is the first contact with individuals in any health care system. 7- The population health needs in Egypt are determined by all the following characteristics EXCEPT : a- Unemployment b- The rate of low socio-economy. c- The excess number of new physicians per year. d- High incidence of communicable diseases.

( c)

8- The followings may determine the population health needs in Egypt (you may choose more than one answer ) a- a high incidence of communicable disease. b- a high number of physicians / 1000 population c- Literacy rate ( a, c, d ) d- Unemployment 9- The following determinants can reflect the population health needs in Egypt : a- Women are about 1/4 of the labor force. b- High infant mortality rate. c- Literacy rate and unemployment (d) d- All of the above. 10- All the followings are merits (advantages) of the health care system in Egypt EXCEPT : a- An extensive infrastructure of physicians , clinics and hospitals. b- 40% of the population have formal coverage. ( b) c- Physical accessibility to health care is available to all citizens. d- Availability of immunizations and medical technology. 11- Write either ( 1) or ( 2) in front of each statement below; (1) = health care system merits (advantages), (2) = health care system constraints :a- Physically accessible to all citizens within 5 km of any health center or unit. ( 1 ) b- There are extensive infrastructure of physicians, clinics and hospitals. (1) c- Health infrastructure is mal-distributed.--------------------------------------------( 2 ) d- Over 80% of the population have access to safe water.--------------------------( 1 ) e- Egypt has four times physicians per capita than other comparable income countries—(2 )

12- The maternal mortality rate in Egypt in 2004, is : a- 67.6 / 100 live births. b- 67.6 / 1000 live births c- 67.6 / 100,000 live births d- 67.6 / 1000,000. live births

( c)

13- In Egypt, there are geographic differences between the governorates in infant and child mortality as well in maternal mortality rates. This is considered as :a- A merit in the health care system. b- Defects in the accessibility and equity of the services. (d) c- Constraints in the Egyptian health care system. d- Both ( b) & ( c ) 14- All of the followings are considered constraints in the Egyptian health care system EXCEPT: a- All the citizens have basic rights of accessibility to health services. b- Non-communicable disease preventive programs are not well established. c- High infant and child mortality d- Medical school graduates are two to three times more than needs.--------------( a) 15-In the Egyptian health care system; the number of physicians are: (choose one or more): a- Sufficient for the citizens.------------------------------------( a , c ) b- Not sufficient. c- Sufficient and exceeds the needs of the health care system. d- Much more in primary health care doctors (general practitioners) and much less in the specialists. 16- In the Egyptian health care system; the effectiveness and quality of the services can be improved by all of the followings EXCEPT: a- Spending more funds (money) on the maintenance of the equipments. b- More physicians' training. c- Increase the number of workers in the health centers.--------------------------( c) d- Upgrading the nursing medical education. 17- The Egyptian health care system are characterized by having: a- Four times physicians per capita than other comparable income countries. b- 1:3 physicians per occupied hospital bed. c- Too many specialists relative to primary health care physicians. d- All of the above. -------------------------------( d) 18- In the Egyptian health care system: a- There is an extensive infra structure of physicians. b- There is a mal-distribution in physicians between governorates. c- Both ( a ) & ( b ).-----------------------------------------------------------( c )

d- There are much more managers than the physicians 19- In Egypt health care system, the physicians must be: a- Increase in their numbers than the present. b- Increase in their numbers than the present and their clinical training. c- Improve their clinical training.-------------------------------------( c ). d- Non of the above. 20- --------------Doesn't affect the population health needs in Egypt. a- The prevalence of communicable diseases. b- Large areas of agricultural land.-------------------------( b). c- Unemployment d- Illiteracy.

Primary health care 1-The primary health care can be defined as the essential health care based on: a- Practical methods. b- Scientifically sound technologies c- Socially acceptable methods and technologies. d- All the above.--------------------------------------------( d ) 2-Primary level of health care is significant than other levels because: a- It is cheap. b- It is the base of secondary and tertiary health care. c- Both of the above. d- It is the key to achieve an acceptable level of health e- All the above.------------------------------- ( e) 3- Primary health care ( PHC) is the first contact between individuals and the health care system. This statement is considered a part of : a- Definition of PHC b- Significance of the PHC---------------------------------------(b) c- Objectives of the PHC 4- The ------------- is the cheapest, basic health care services applied for the mothers. a- Secondary level of health care inside the maternal hospitals. b- Maternal health services applied inside health units or centers---------------------(b) c- Psychological management needed after abortion or labor in certain cases. 5-Primary health care objectives include: a- Health promotion of the community b- Prevention and control of the diseases. c- Both ( a )& (b ).----------------------------------(c )

d- Neither (a) nor (b). 6- Immunization of children against major communicable diseases is a measure included as : a- Preventive element in primary health care (PHC) b- Promotive element in PHC c-Curative element in PHC 7- Assurance of proper nutrition specially for mothers and children is a basic --------- measure in primary health care. a- Curative b- Preventive c- Rehabilitative d- Promotive ---------------------------------------(d ) 8-Accessibility of the health services to all individuals is a basic right in : a- Tertiary health care level b- secondary care level c- primary care level---------------------------------( c) d- All the above 9- All the followings are principles of primary health care EXCEPT: a- It should be accessible b- It should be acceptable c- it should be comprehensive d- It should be paid much money.----------------------------(d ) 10- Primary health care services are available at the following sites: a- Maternal and child health centers (MCH) b- Health offices c- Both ( a) & ( b) d- Rural health units f- All of the above ---------------------------------------------( f ) 11- Match the most convenient service from below to the above sites applying the service (you can choose more than one ): a- Health office----------------------------------------------------( 1, 3, 5 ) b- School health unit--------------------------------------( 2 ) c- Maternal and child health centers.-----------( 4 ) 1- Immunizations for infants 2- Immunizations of 4th primary school children. 3- Monitoring of the environment and sanitation 4- Health care of the pregnant mothers. 12- Family planning services can be applied in: a- Maternal and child health centers b- Urban and rural health centers c- Both of the above------------------------------------------( c ) d- Urban health centers.

13- Urban health centers provide services for : a- Mothers and their children only b- School children only c- Both ( a ) & ( b ) d- All the residents in the same locality of the center-------------------- (d ) 14- The personnel working in -------- include 3 sanitariums, one laboratory technician, two dentists, physicians, .. a- Mothers and their children only. b- Urban health centers ------------------------------------- ( b ) c- Health office d- Fever hospitals 15-Sick leaves for the governmental employees can be extracted from : a- Health office------------------------------------------------- (a ) b- Maternal and child health center c- Chest hospital d- Pharmacy (dispensary ). 16- Rural health unit make the following services: a- Maternal and child health services b- Registration of birth and death c- Family planning services d- All of the above --------------------------------------------( d ) 17- Health education is one of the basic services in: a- Maternal child health center b- Family planning center c- Both a and b d- All the primary health care activities of units and centers---------------------------( d ) 18- The physicians in primary health care centers or units ……………….. of high specialty and technical skills. a- Must be b- Shouldn't be c- Are not in need to be ----------------------------( c ) 19- The medical services in the primary health care, can be applied by: a- Highly specialized doctors b- General practitioners ------------------------------- ( b ) c- Chief nurses d- Non of the above 20- Food inspection is a service which can be introduced through: a- Health office b- Urban health center c- Both a and b ---------------------------------- ( c )

d- Non of the above

By Dr. Nihal Salah Investigation of infectious diseases epidemics 1- For investigating an epidemic diseases or food poisoning; the following steps are recommended:a- Verify the clinical and laboratory diagnosis. b- Verify if there is an epidemic c- Both ( a) & ( b ) d- Study an epidemic as regards time, place and persons e- All of the above ------------------------------( e ) 2- In the investigation of an infectious disease epidemics, we should study the TIME as respect : a- Time of occurrence of complications. b- Time of onset of symptoms and signs---------------------( b ) c- Time of recovery from the disease 3- The followings are required to demonstrate the characteristics of an epidemic or outbreak EXCEPT a- Time of onset of the disease b- Place of the diagnosed cases c- Health care providers-----------------------------------( c ) d- Personal characteristics of the cases 4- When we investigate an outbreak of food poisoning , we should at first do the following: a- Verify the diagnosis clinically and laboratory.-------------( a ) b- formulate a hypothesis. c- Test a hypothesis 5- Investigating human or animal sources of infection is an important step in: a- Any infectious disease epidemic b- Any food poisoning outbreaks c- Both ( a ) & ( b)-------------------------------( c ) d-Non of the above

1- The function of any health care system include the following (choose one or more): a- Production of resources b- Management c- Arrangement of resources into health programs d- Provision of health services e- All the above ( e) 3- The primary health care in the health care system is the ------- as compared with other levels of care (2nd and 3rd levels). a- Less costly for the community and the system. b- Less costly for the community but not for the system. c- Most costly d- Same costly. ----------( a)

8- The followings may determine the population health needs in Egypt (you may choose more than one answer ) a- a high incidence of communicable disease. b- a high number of physicians / 1000 population c- Literacy rate -----( a, c, d ) d- Unemployment 2-Primary level of health care is significant than other levels because: a- It is cheap. b- It is the base of secondary and tertiary health care. c- Both of the above. d- It is the key to achieve an acceptable level of health e- All the above.------------------------------- ( e)

11- Match the most convenient service from below to the above sites applying the service (you can choose more than one ): a- Health office-----------------------------------------( 1, 3, 5 ) b- School health unit--------------------------------------( 2 ) c- Maternal and child health centers.-----------( 4 ) 1- Immunizations for infants 2- Immunizations of 4th primary school children. 3- Monitoring of the environment and sanitation 4- Health care of the pregnant mothers. 17- Health education is one of the basic services in: a- Maternal child health center b- Family planning center c- Both a and b d- All the primary health care activities of units and centers(d ) 2- In the investigation of an infectious disease epidemics, we should study the TIME as respect : a- Time of occurrence of complications. b- Time of onset of symptoms and signs---------------------( b ) c- Time of recovery from the disease 4- When we investigate an outbreak of food poisoning , we should at first do the following: a- Verify the diagnosis clinically and laboratory.-------( a ) b- formulate a hypothesis. c- Test a hypothesis