Community Medicine 2012-2013

Section 3-B Transcribed by: Yo Mama, aka Daniel Gallares Official Sponsors: Cliffbars & Pong’s Inspired by: MikaTRON

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Shifting  Exam:  Dr.  Pineda  2012  

1. Which of the following organizational techniques can ..which purposes and objectives of a particular clarified and effectuated? a. Human resource development b. Planning c. Management d. training 2. What function of management involves selecting objecives programs and procedures for achieving them, either for the entire enterprise or any organized part of it? a. Directing b. Staffing c. Planning d. Evaluating 3. The need for teamwork and effective communication the following management principles? a. Order b. Esprit de corps c. Stability of tenure d. subordination 4. What management principle states that the clearer the….highest management position in an enterprise to every ….more effective decision making and organizational communication a. Division of work b. Unity of command c. Unity of direction d. Scalar chain 5. Administration is a complex process aimed at: a. Coordinating all existing services thru hierarchy regardlyss of expenditures b. Supervising and controlling people to work as one regardless of expenditures c. Achieving objectives with the least possible expenditure of time, energy and money consistent with the agreed quality of work d. Achieving objectives with the greatest expenditure of time, energy and money consistent with the agreed quality of work 6. Which of the following management steps requires setting up a large scale activity that involves different partners, staged interventions and specific period of engagement? a. Rational planning b. Strategic planning c. Project Planning d. Module Planning

Section 3-B Transcribed by: Yo Mama, aka Daniel Gallares Official Sponsors: Cliffbars & Pong’s Inspired by: MikaTRON

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7. Which is a description of what the organization would look like to be in a…. preferred future when it is fulfilling its purpose? a. Vision b. Mission Statement c. Policy d. Program 8. In SWOT analysis, determination of opportunities and threats pertains to which of the following considerations? a. Factors External to the organization b. Factors internal to the organization c. Objectives of organization d. Vision and mission statements 9. Transformation of health care is best manifested by which of the following directions? a. Shift from acute care to continuum of care b. Emphasis on advancement in technology c. Responsibility for treating individual patients d. Goals to improve health infrastructure 10. Health protection specifically involves which of the following actions? a. Translating knowledge into action b. Telling people what to do c. Giving lectures about health d. Issuing rules and regulations to prevent, correct or put a stop to bad habits 11. The health status of a community may be measured/expressed in terms of which of the following indicators? a. Availability of health care services b. Availability of public utilities c. Its statistical indices of morbidity and mortality d. Utilization of health care services 12. Measures of health status traditionally have been based on mortality data. The principal reason why this may no longer be satisfactory in the coming years is. a. Changes in diagnostic technology permit early detection of disease b. The infant mortality rate has declined so much that it no longer serves its usefulness c. The population is growing older and more subject to the burden of chronic illness than in the past. d. There is less risk of fatal infection thatn in the past. 13. Which of the following rate measurements reflect the adequecy of basic service provision including those for health by a country? a. Infant mortality rate b. Child mortality rate c. Crude birth rate d. Crude death rate

Section 3-B Transcribed by: Yo Mama, aka Daniel Gallares Official Sponsors: Cliffbars & Pong’s Inspired by: MikaTRON

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14. In which of the following ways is health promotion distinctly different from its disease prevention component? a. Only health promotion can begin before a disease becomes symptomatic b. Only health promotion involves materials and methods that are generally non medical c. Only health promotion is targeted at population rather than individuals d. Only health promotion is targeted at specific diseases 15. If the cost of preventing a hip fracture is greater than the cost of surgical repair, which of the following statements is true? a. A preventive strategy still may be indicated in such instances b. With the presence of hip fracture, conservative management still is the best option c. No attempt should be made to prevent hip fracture until a more costeffective strategy is devised. d. There is no available regimen to choose from 16. …health monitoring” refer a. modification of the periodic health examination… conditions in one given individual at a given st b. Routine performance of a calendared comprehens c. The aggressive use of diagnostic technology du….lifetime d. The completion of periodic health surveys com….database 17. Which of the following best reflects the relationship between…..healthcare and the “demand” for health care? a. They are always the same b. They are different because “need” is professionally… “demand” is patient generated c. They are different because “need” take cost into d. They are the same when barriers to care are mini 18. “An organized system of health care delivery, offering a ……benefits, in which members are voluntarily enrolled and …..prepaid period” a. Health insurance b. Managed care c. Socialized care d. Out-of-pocket 19. Which of the following outcomes best reflects DOH’s goal and strategies …improving the general health status of the population? a. Reduce infant/child mortality rate b. Reduce life expectancy c. Maintain present total fe d. Maintain present population 20. Which of the following statements regarding the relationship between…and health care use is correct? a. People always use the same amount of health care independent..insurance b. Compared with other goods and services, people change the am…health care they use significantly in repsonse to changes in insur c. People with less insurance use less health care, which in effect le …. Decreases in both necessary and unnecessar d. No empiric information is available to determine… their behavior depending on their insurance coverage

Section 3-B Transcribed by: Yo Mama, aka Daniel Gallares Official Sponsors: Cliffbars & Pong’s Inspired by: MikaTRON

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21. DOH’s goal of effective change in the pattern of total fertility rate leads to …of the following consequences for the health sector? a. Reduce need for obstetrical care b. Reduce spacing between births c. Increase demand for EPI d. Increase MCH intervention 22. Double burden of disease for the philippines is best exemplified by which of the following scenario? a. Deaths are mainly due to communicable disease b. Leading causes of morbidity and mortality are not preventable c. Leading non-communicable causes of morbidity are hypertension …diseases of the heart d. Epidemiological shift is from non-communicable to communicable diseases 23. A difficult situation of double burden of disease for the Philippines is best…handled by DOH as the national government increases its stake in which of the following primary health care approaches? a. Health system infrastructure b. Appropriate technology c. Human resources d. Strategic partners 24. Which aspect of care accounts for 63% of all services provided by primary … facilities under public health? a. Preventive b. Curative c. Diagnostics d. rehabilitative 25. Republic Act of 7875 or “The National Insureance Act of 1995” covers which of the population of Filipinos? a. Government employees only b. Private employees only c. All filipino citizens d. Marginalized citizens 26. For how many years are health care professionals accredited by the Philippine Health Insurance Corporation? a. Four (4) years b. Three (3) years c. Two (2) years d. One (1) year 27. Which of the following diagnostic outcomes is prioritized by the DOTS (National Anti-TB) Program of PHILHEALTH and DOH? a. Sputum negative but with history suggestive of TB b. Sputum negative cases but with possible X-ray findings c. Sputum positive cases d. Sputum negative but with clinical findings suggestive of TB

Section 3-B Transcribed by: Yo Mama, aka Daniel Gallares Official Sponsors: Cliffbars & Pong’s Inspired by: MikaTRON

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28. Which is the most effective mode of anti-TB treatment for both PHILHEALTH and the Department of Health currently recommend? a. Daily home visits b. Two weeks monitoring c. Directly observed therapy d. Health center based follow up 29. What document specifically consists of a core list of drugs approved and authorized by the DOH and used by PHILHEALTH for re-imbursement purpose a. Positive drug list b. Generic list c. Essential drug list d. Prohibited drug list 30. Drugs which are labeled solely by their international proprietary name and …. Covered by patent protection a. Complementary drugs b. Generic drugs c. Essential drugs d. Core drugs 31. The twin moves of the national government to promote rational the development of the Philippine National Drug Formulary and following considerations? a. Manage drug cost b. Review and amend promotion and advertising of drugs c. Direct manufacture of drugs d. Control importation of drugs 32. Which of the following duly licensed, DOH and PHILHEALTH accredited health care providers is devoted primarily to the maintenance and operation of facilities for health promotion, prevention, diagnosis, treatment, and care and which under the law should comply with the 20% discounted fees for identified services to senior citizens as well as people with disabilities a. Health care institution b. Health care professional c. Health main d. Community 33. Which service is compensable under PHILHEALTH a. Outpatient psychotherapy and counseling for mental disorder b. Drugs and alcohol abuse and dependency treatment c. Home and rehabilitation services d. Normal spontaneous delivery of first four (4) births 34. In which of the following situations can PHILHEALTH benefit entitlement availed of? a. Payment of at least three (3) monthly contributions within the six month period prior to confinement b. Confinement in an accredited hospital for less than 24 hours due to illness or disease requiring hosptial c. Confinement falls outside the 45 days allowance for room and b complies with the rule/policy on single period of confinement. d. Confinments in non-accredited hospitals for an elective surgical procedure

Section 3-B Transcribed by: Yo Mama, aka Daniel Gallares Official Sponsors: Cliffbars & Pong’s Inspired by: MikaTRON

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35. ….or the following indicators best reflects…product adjusted with the net factor income from the rest of the world a. Gross Regional Domestic Product b. Gross Value Added c. Gross national Product d. Consumer P 36. in computing for the cost of illness, which of the following data a. average days of non-morbid condition b. average costs of savings c. number of deaths d. average daily income 37. almost half of the total health spending in the Philippines is paid t of the following schemes a. Philippine Health Insurance Corporation b. Private Health Insurance and Community-Based Health Financial Schemes c. Out-of-pocket Settlement of Individual Families d. National and Local Government 38. Which landmark legislation was signed as a law by the late President Corazon Aquino and focused on devolution of health servies in the Philppines a. World Health Assembly of 1977 b. Local Government Code of 1991 c. Philippine Medical Act of 1959 d. Health Sector Reform Agenda of 2000 39. Which economic evaluation determines if health screening, nutrition counseling, lifestyle advise, medications or cardiac bypass surgery would provide the most additional years of life expectancy (quality adjusted life-years) for a hypertensive individual? a. Cost-benefit analysis (CBA) b. Cost-effective analysis (CEA) c. Cost-minimization analysis (CMA) d. Cost-utility analysis (CUA) 40. Under the Philippine Disability Act, health professionals play important role in promoting the employment of people with disabilities. Which statement supports this direction? a. Educate employers on work abilities of disabled b. Decline employment of a disabled on the basis of absence disabled c. Situate people with disabilities in the workplace setting on a very limited capacity d. Consider the idea that disabled individuals may not perform instance 41. Which of the following support legislation enhances the mobility disabilites by requiring certain buildings, institutions, establisment utilites to install manageable facilities and other devices, including and communication devices? a. Accessibility Law (Batas Pambansa Blg. 344) b. White Cane Act (RA 6759) c. The Economic Independence of Disabled Persons Act (SB 1730) d. Magna Carta for Disabled Persons (7277)

Section 3-B Transcribed by: Yo Mama, aka Daniel Gallares Official Sponsors: Cliffbars & Pong’s Inspired by: MikaTRON

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42. Which subset of the Philippin populations is required by to undergo drug testing” a. Applicants for Professioinal Regulatory Commission License b. Applicants for Civil Service Commission accreditation c. National athletes bound for international competitions d. Officers and members of the military, polic and other law enforcement agencies. 43. …of the following characteristics? a. “persons who reach the age of emancipation which is 18 years” b. “persons who are below eighteen (18) years of age” or those …unable to fully take care of themselves or protect themselves from neglect, cruelty, exploitation or discrimination beause of a physical diability or condition” c. “persons who are below twenty-one (21) years of age” d. “persons who are below twenty-one (21) years of age or those …unable to fully take care of themselves or protect themselves from neglect, cruelty, exploitation or discrimination beause of a physical diability or condition” 44. The Comprehensive Dangerous Drugs Act of 2002 (RA 9165) penalizes individuals with life imprisonment and a fine of P 500,00.00 to P 10,000,000 if caught with possession of which banned substances? a. Ten (10) grams of methamphethamine hydrochoride or “shabu” b. Ten (10) grams of marijuana c. Ten (10) grams of anabolic corticosteroids d. Ten (10) grams of MDMA or “ecstasy” PMA, TMA, LSD, GHB 45. Philippine statutes on child protection define child labour as illegal employment children under which age setting? a. Those below age fifteen (15) where house hold chores are done one’s own family b. Those below age fifteen (15) where they are not directly under sole responsibility of their parents or legal guardian and whose w …endangers their life, safety, health and morals. c. Those below age fifteen (15) yeaers who are employed in exclusive family undertakings where their safety, health, schooling and normal development are not impaired. d. Those below age fifteen (15) years old but below 18 years of age who are employed in non-hazard undertakings

Section 3-B Transcribed by: Yo Mama, aka Daniel Gallares Official Sponsors: Cliffbars & Pong’s Inspired by: MikaTRON

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46. TRUE/FALSE :To protect drinking water from contamination, the following measures shall be observed; prohibition of bathing or washing clothes within a radius of 25 meters from any well or other source of drinking water and prohibition of construction of artesian, deep or shallwo wells within 25 meters from any source of pollution. 47. TRUE/FALSE: The installation of booster pumps where low-water pressure prevail is allowed by law in order to enhance water flow and supply direct from the water distribution line of water supply system. 48. TRUE/FALSE: R.A. 9165 or the “Comprehensive Dangerous Drugs Acts of 2002” requires the random drug testing of students in public and private secondary, tertiary, and higher educational institutions and vocational technical schools. 49. TRUE/FALSE Ambulant food vendors are allowed to sell food items that can be cooked on-site and require the use of utensils 50. TRUE/FALSE: Employers are mandated to provide control measures to reduce intensity of noise sufficiently to render it harmless to workers and to eliminate it as sources as a nuisance. 51. TRUE/FALSE 52. TRUE/FALSE: The Local Health Authority may permit the slaughter of…..consumption outside abattoirs in certain exigencies 53. TRUE/FALSE: School health services required in the set-up include …examination, periodic immunization, medical and dental …treatment for common emergencies, and counselling and 54. TRUE/FALSE: Filipino senior citizens are granted free medical and dental … health establishments (government and private) anywhere … subject to guidelines to be issued by the Department of Health… Government Service Insurance System and Social Security 55. TRUE/FALSE: The human organ donation shall be authoried in writing by … specifying the recipient, the organ or part of his body to be… the specific purpose for which it will be utilized. A married person…make such donation only with the consent of his spouse. 56. TRUE/FALSE: When the cause of death is a dangerous communicable disease, the remains shall be buried within 24-48 hours after death and shall not be taken to any place of public assembly with only the adult members of the family of the deceased may be permitted to attend the funeral 57. TRUE/FALSE: Permission to disinter remains of persons who died of dangerous communicable diseases may be granted after a burial period of three (3) years.

Section 3-B Transcribed by: Yo Mama, aka Daniel Gallares Official Sponsors: Cliffbars & Pong’s Inspired by: MikaTRON

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HIGH QUALITY HEALTH CARE (5 ITEMS) A. ACCEPTABILITY B. ACCESSIBILITY C. AVAILABILITY D. ADEQUACY E. APPROPRIATENESS F. ACCOUNTABILITY 58. There is a public disclosure of financial records and standards. F 59. The care provided is compatible with the patient belief system. E 60. Care is provided during the times it is needed. C 61. There are geographic or financial barriers to care. B 62. The interventions are properly selected and perfromed by trained professionals. D A. B. C. D. E. F. G. H. I. J. K. L. M.

2.9% 5% 9.5% 15% 44% 75.7% 3.5% 6 67.5 years 72.8 years 15-49 years 82,636,689 91,868,309

63. No. of births per woman of child bearing 3.5% 64. Life expectancy of female filipinos 72.8 years 65. Life expetancy of male filipinos 67.5 years 66. Total health expenditure as a percentage of ….Gross National Product 5% 67. Percent of total expenditure spend on a personal 75.7% 68. Percent of total health expenditure as a share ….insurance under PHILHEALTH 15% 69. Percent of total health expenditure as out-of-pocket settle… by individual filipino families for health services 44% 70. Projected population of Filipinos in 2010? 91,868,309