The pathognomonic sign of measles is Koplik’s spot. You may see Koplik’s spot by inspecting the:
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Solution
Answer: (B) Buccal mucosa
Koplik’s spot may be seen on the mucosa of the mouth or the throat.
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?
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Solution
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.
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?
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Solution
Answer: (A) 3
Adequate blood supply to the area allows the return of the color of the nailbed within 3 seconds.
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?
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Solution
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, Oresol/nasogastric tube, Oresol/orem. When the foregoing measures are not possible or effective, tehn urgent referral to the hospital is done.
You will conduct outreach immunization in a barangay with a population of about 1500. Estimate the number of infants in the barangay.
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Solution
Answer: (A) 45
To estimate the number of infants, multiply total population by 3%.
Which biological used in EPI should not be stored in the freezer?
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Solution
Answer: (A) DPT
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.
For prevention of Hepatitis A, you decided to conduct health education activities. Which of the following is Irrelevant?
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Solution
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.
When residents obtain water from an artesian well in the neighborhood, the level of this approved type of water facility is:
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Solution
Answer: (B) II
A communal faucet or water standpost is classified as Level II.
What is the most effective way of controlling schistosomiasis in an endemic area?
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Solution
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.
In the Philippines, which condition is the most frequent cause of death associated by schistosomiasis?
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Solution
Answer: (B) Liver cirrhosis
The etiologic agent of schistosomiasis in the Philippines is Schistosoma japonicum, which affects the small intestine and the liver. Liver damage is a consequence of fibrotic reactions to schistosoma eggs in the liver.