100qforcip_30qfordiagnosticreview

8/6/2019 100QforCIP_30QforDiagnosticReview

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NAME:_______________________________________________ SCORE: _______YEAR AND SEC.____________ Date:__________

GENERAL NOTE: NO ERASURES ARE ALLOWED IN ALL ITEMS. ANY FORM OF ERASURE/S WILLBE MARKED WRONG. PLACE ALL YOUR ANSWERS ON THE ANSWER SHEET.

Part 1 CHOOSE THE ANSWER THAT BEST CLASSIFIES THE SITUATION.

1. Ana is 15 months old. She weighs 8.5 kg. Her temperature is 38.5C.The health worker askedWhat are the childs problems? The mother said, Ana has been coughing for 4 days, and she isnot eating well. This is Anas initial visit for this problem.The health worker checked Ana forgeneral danger signs. He asked Is Ana able to drink or breastfeed? The mother said, No, Anadoes not want to breastfed. The health worker gave Ana some water. She was too weak to lift herhead. She was not able to drink from a cup.Next he asked the mother, Is she vomiting? Themother said, No Then he asked, Has she had convulsions? The mother said No.The healthworker looked to see if Ana was abnormally sleepy or difficult to awaken. When the health workerand the mother were talking, Ana watched them and looked around the room. She was notabnormally sleepy or difficult to wake.

a. SEVEREPNEUMONIA Or Severe Diseaseb. VERY SEVERE DISEASE

c. VERY SEVERE FEBRILEDISEASE

d. SEVERE MALNUTRITION

2. What is the corresponding treatment on your answer in the above situation?

a. Give Vitamin A. Treat the child to prevent low blood sugar. Refer URGENTLY to hospital.

b. Give first dose of an appropriate antibiotic. Treat wheezing if present. Treat the child to

prevent low blood sugar. Refer URGENTLY to hospital.

c. Treat the convulsions if present now. Complete assessment immediately. Give first

dose of an appropriate antibiotic. Treat the child to prevent low blood sugar. ReferURGENTLY to hospital

d. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar.

Give one dose of paracetamol in clinic for fever (38C or above). Refer URGENTLY to hospital.

3. Nilo is 4 years old. He weighs 10kg. His temperature is 38C.The health worker asked about thechilds problems. Nilos parents said. He is coughing and has ear pain. This is his initial visit forthis problem. The health worker asked. Is your child able to drink or breastfeed? The parentsanswered. Yes. Does Nilo vomit everything? he asked. The parents said. No. The healthworker asked. Has he had convulsions? They said, No. The health worker looked at Nilo. Thechild was not abnormally sleepy or difficult to awaken.a. MASTOIDITISb. NO EAR INFECTIONc. FEVER BACTERIAL INFECTION UNLIKELY

d. NO PNEUMONIA: COUGH OR COLD


a. Give paracetamol for fever (38C or above). Advise mother when to return immediately.Follow-up in 2 days if fever persists. If fever is present every day for more than 5 days,refer for assessment.

b. Give first dose of an appropriate antibiotic. Give first dose of paracetamol for pain. Treat thechild to prevent low blood sugar. Refer URGENTLY to hospital.

c. Advise mother to go to ENT specialist for assessment.

d. Treat wheezing if present. If coughing more than 30 days, refer for assessment. Soothe the

throat and relieve the cough with a safe remedy. Advise mother when to return immediately.Follow up in 2 days if wheezing. Follow-up in 5 days if not improving

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5. Brabham is 18 months old. He weighs 11.5kg. His temperature is 37.5C. His mother brought him

to the health center because he has a cough. She says he is having trouble breathing. This is hisinitial visit for this illness. The health worker checked Brabham for general danger signs. Brabhamis able to drink. He has not been vomiting. He has not had convulsions. He is not abnormallysleepy or difficult to awaken.How long has Brabham had this cough? asked the health worker.

His mother said he had been coughing for 6 or 7 days. Brabham sat quietly on his mothers lap.The health worker counted the number of breaths the child took in a minute. He counted 41breaths per minute. He thought, Since Bramham is over 12 months of age, the cut-off fordetermining fast breathing is 40. He has fast breathing. The health worker did not see any chestindrawing. He did not hear stridor.

a. NO PNEUMONIA: COUGH OR COLD

b. PNEUMONIAc. VERY SEVERE DISEASEd. SEVERE PNEUMONIA Or Severe Disease


a. Treat wheezing if present. If coughing more than 30 days, refer for assessment. Soothe

the throat and relieve the cough with a safe remedy. Advise mother when to return

immediately. Follow up in 2 days if wheezing. Follow-up in 5 days if not improvingb. Give an appropriate antibiotic for 5 days. Treat wheezing if present. If coughing

more than 30 days, refer for assessment. Soothe the throat and relieve the cough witha safe remedy. Advise mother when to return immediatelyc. Treat convulsions if present now. Complete assessment immediately. Give first dose ofan appropriate antibiotic. Treat the child to prevent low blood sugar. Refer URGENTLY tohospital.d. Give first dose of an appropriate antibiotic. Treat wheezing if present. Treat the child toprevent low blood sugar. Refer URGENTLY to hospital

7. Erwin is 6 months old. He weighs 5.5kg. His temperature is 38C. His mother said he has had

cough for 2 days. The health worker checked for general danger signs. The mother said thatErwin is able to breastfeed. He has not vomited during this illness. He has not had convulsions.

Erwin is not abnormally sleepy or difficult to awaken.The health worker said to the mother. I wantto check Erwins cough. You said he has had cough for 2 days now. I am going to count hisbreaths. He will need to remain calm while I do this. The health worker counted 58 breaths perminute. He did not see chest indrawing. He did not hear stridor.




a. Treat wheezing if present. If coughing more than 30 days, refer for assessment. Soothe the


b. Give an appropriate antibiotic for 5 days. Treat wheezing if present. If coughing morethan 30 days, refer for assessment. Soothe the throat and relieve the cough with asafe remedy. Advise mother when to return immediately

c. Treat convulsions if present now. Complete assessment immediately. Give first dose of anappropriate antibiotic. Treat the child to prevent low blood sugar. Refer URGENTLY tohospital.

d. Give first dose of an appropriate antibiotic. Treat wheezing if present. Treat the child toprevent low blood sugar. Refer URGENTLY to hospital

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9. Teny is 8 months old. She weighs 6 kg. Her temperature is 39C. Her father told the health

worker. Teny has had cough for 3 days. She is having trouble breathing. She is very weak. Thehealth worker said. You have done the right thing to bring your child today. I will examine hernow.The health worker checked for general danger signs. The mother said, Teny will notbreastfeed. She will not take any other drinks I offer her. Teny does not vomit everything and hasnot had convulsions. Teny is abnormally sleepy. She did not look at the health worker or her

parents when they talked.The health worker counted 55 breaths per minute. He saw chestindrawing he decided Teny had stridor because he heard a harsh noise when she breathed in.






b. Give an appropriate antibiotic for 5 days. Treat wheezing if present. If coughing more than 30

days, refer for assessment. Soothe the throat and relieve the cough with a safe remedy.

Advise mother when to return immediatelyc. Treat convulsions if present now. Complete assessment immediately. Give first dose of an

appropriate antibiotic. Treat the child to prevent low blood sugar. Refer URGENTLY tohospital.


11. Randy is 18 months old. He weighs 9 kg, and his temperature is 37C. His mother says he has

had a cough for 3 days.The health worker checked for general danger signs. Randys mother saidhe is able to drink and has not vomited anything. He has not had convulsions. Haron was notabnormally sleepy or difficult to awaken. The health worker counted the childs breaths. Hecounted 38 breaths per minute. The mother lifted the childs shirt. The health worker did not seechest indrawing. He did not hear stridor when he listened to the childs breathing.

a. NO PNEUMONIA: COUGH OR COLDb. PNEUMONIAc. VERY SEVERE DISEASEd. SEVERE PNEUMONIA Or Severe Disease



the throat and relieve the cough with a safe remedy. Advise mother when to returnimmediately. Follow up in 2 days if wheezing. Follow-up in 5 days if not improving


days, refer for assessment. Soothe the throat and relieve the cough with a safe remedy.Advise mother when to return immediately

c. Treat convulsions if present now. Complete assessment immediately. Give first dose of an

appropriate antibiotic. Treat the child to prevent low blood sugar. Refer URGENTLY tohospital.


13. Sam has had diarrhea for five days. He has no blood in the stool. He is irritable. His eyes are

sunken. His father and mother also think that Joels eyes are sunken. The health worker offersSam some water, and the child drinks eagerly. When the health worker pinches the skin on thechilds abdomen, it goes back slowly.

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a. SEVERE DEHYDRATIONb. NO DEHYDRATIONc. SOME DEHYDRATIONd. PERSISTENT DIARRHOEA

14. What is the corresponding treatment on your answer in the above situation?a. Advise the mother on feeding. Give multivitamin, mineral supplement. Advise mother when to

return immediately. Follow-up in 5 days.b. PLAN Bc. Give fluid and food to treat diarrhoea at home (Plan A). If child is 2 years or older and there is

cholera in your area, give antibiotic for cholera. Advise mother when to return immediately.Follow-up in 5 days if not improving.

d. PLAN C

15. Cora has had diarrhea for 3 days. There was no blood in the stool. The child was not abnormally

sleepy of difficult to awaken. She was not irritable or restless. Her eyes were sunken. She wasable to drink, but she was not thirsty. The skin pinch went back immediately.



return immediately. Follow-up in 5 days.b. PLAN Bc. Give fluid and food to treat diarrhoea at home (Plan A). If child is 2 years or older and

there is cholera in your area, give antibiotic for cholera. Advise mother when to returnimmediately. Follow-up in 5 days if not improving.

d. PLAN C

17. Daisy has had diarrhea for 2 days. She does not have blood in the stool. She is restless and

irritable. Her eyes are sunken. She is not able to drink. A skin pinch goes back very slowlya. SEVERE DEHYDRATIONb. NO DEHYDRATIONc. SOME DEHYDRATIONd. PERSISTENT DIARRHOEA




d. PLAN C

19. Cris has had diarrhea for five days. There is no blood in the stool. The health worker assesses

the child for dehydration. The child is not abnormally sleepy or difficult to awaken. He is notrestless and irritable. His eyes look normal and are not sunken. When offered water, the childdrinks eagerly. A skin pinch goes back immediately.


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d. PLAN C

21. Raindee is at the health center today because she has had a diarrhea for 4 days. She is 25

months old. She weighs 9 kg. Her temperature is 37.0 Celsius. Raindee has no general dangersigns. She does not have cough or difficult breathing. The Health Worker said to her mother,When Raindee has diarrhea, is there any blood in the stool? The mother said no The HealthWorker checked for signs of dehydration. Raindee is not abnormally sleepy or difficult to awaken.

a. SEVERE DEHYDRATION

b. DYSENTERY

c. SEVERE PERSISTENT DIARRHOEA

d. PERSISTENT DIARRHOEA

22. What is the corresponding treatment on your answer in the above situation?a. Treat dehydration before referral unless the child has another severe classification.

Refer to hospitalb. Advise the mother on feeding. Give multivitamin, mineral supplement. Advise mother

when to return immediately. Follow-up in 5 days.

c. Treat for 5 days with an oral antibiotic recommended for Shigella. Advise mother when

to return immediately. Follow-up in 2 days.d. PLAN C

23. She is not restless or irritable. Her eyes are not sunken. Raindee drinks eagerly when offered

some water. Her pinch goes back immediately.a. SEVERE DEHYDRATION

b. NO DEHYDRATIONc. SOME DEHYDRATIONd. PERSISTENT DIARRHOEA




d. PLAN C

25. Kimchu is 14 months old. She weighs 12 kg. Her temperature is 37.5 C. Kimchus mother said thechild has had diarrhea for 3 weeks. Kimchu does not have any general danger signs. She doesnot have cough or difficult breathing. The Health Worker assessed her diarrhea. He noted shehad a diarrhea for 21 days. He asked if there has been blood in the childs stool. The mother saidno


b. DYSENTERY

c. SEVERE PERSISTENT DIARRHOEAd. PERSISTENT DIARRHOEA

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26. What is the corresponding treatment on your answer in the above situation?a. Treat dehydration before referral unless the child has another severe classification. Refer to

hospitalb. Advise the mother on feeding. Give multivitamin, mineral supplement. Advise mother

when to return immediately. Follow-up in 5 days.

c.Treat for 5 days with an oral antibiotic recommended for Shigella. Advise mother when toreturn immediately. Follow-up in 2 days.

d. PLAN C

27. The health worker checked Kimchu for signs of dehydration.The child is irritable throughout the

visit. Her eyes are not sunken. She drinks eagerly. The skin pinch goes back immediately.a. SEVERE DEHYDRATIONb. NO DEHYDRATIONc. SOME DEHYDRATIONd. PERSISTENT DIARRHOEA




d. PLAN C

29. Darna is 11 months old. She weighs 5.6 kg. Her temperature is 37 C. Her mother brought her to

the health center because Darna has diarrhea. She does not have any general danger signs. Shedoes not have cough or difficult in breathing. The health worker assessed Darna for signs ofdiarrhea. The mother said the diarrhea began 2 days ago. There is no blood in the stool. Darna isnot abnormally sleepy or difficult to awaken, and she is not restless or irritable. Her eyes aresunken. When offered fluids. Darna drinks eagerly as if she was thirsty. The skin pinch goes backimmediately.





d. PLAN C

31. Katrina is 3 years old. She weighs 10 kg. Her temperature is 37 C. Her mother came today

because Katrina has cough and diarrhea. She does not have any general signs. The healthworker assessed her for cough or difficult breathing. She has had cough for 3 days. He counted36 breaths per minute. She does not have chest indrawing or stridor.



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33. When the health worker asked how long Katrina had diarrhea, the mother said, for more than 2

weeks. Neriss is irritable during visit, but her eyes are not sunken. She is able to drink, but she isnot thirsty. A skin pinch goes back immediately.

a. SEVERE DEHYDRATIONb. NO DEHYDRATION

c. SOME DEHYDRATIONd. PERSISTENT DIARRHOEA




d. PLAN C

35. Sherlock is 10 months old. He weighs 8 kg. His temperature is 38.5 C. He is here today because

he had a diarrhea for 3 days. His mother noticed blood in the childs stool. Sherlock does nothave any general danger signs. He does not have cough or difficult breathing. The health workerassesses the child for diarrhea.


b. DYSENTERY

c. SEVERE PERSISTENT DIARRHOEAd. PERSISTENT DIARRHOEA


hospitalb. Advise the mother on feeding. Give multivitamin, mineral supplement. Advise mother when to

return immediately. Follow-up in 5 days.

c. Treat for 5 days with an oral antibiotic recommended for Shigella. Advise mother whento return immediately. Follow-up in 2 days.d. PLAN C

37. You said Sherlock had blood in his stool. I will check now for signs of dehydration. The child is

not abnormally sleepy or difficult awaken. He is not restless or irritable. He does not have sunkeneyes. The child drank normally when offered some water and does not seem thirsty. The skinpinch goes back immediately.


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d. PLAN C

39. Angel is 10 MONTHS OLD. He weighs 8.2 kg. His temperature is 37.5C. His mother says he has

a rash and coughThe health worker checked Angel for general danger signs. Angel was able todrink, was not vomiting, did not have convulsions and was not abnormally sleepy or difficult toawaken.The health worker next asked about Angels cough. The mother said Fidel had beencoughing for 5 days. He counted 43 breaths per minute. He did not see chest indrawing. He didnot hear stridor when Angel was calm.Angel did not have diarrhea.

a.NO PNEUMONIA: COUGH OR COLDb. PNEUMONIA

c. VERY SEVERE DISEASEd. SEVERE PNEUMONIA Or Severe Disease






c. Treat convulsions if present now. Complete assessment immediately. Give first dose of an

appropriate antibiotic. Treat the child to prevent low blood sugar. Refer URGENTLY tohospital.d. Give first dose of an appropriate antibiotic. Treat wheezing if present. Treat the child to

prevent low blood sugar. Refer URGENTLY to hospital

41. Next the health worker asked about Angels fever. There is malaria risk. The mother said Angel

had felt hot for 2 days. Angel did not have stiff neck. He has had a runny nose with his illness, hismother said. The health worker did not have facilities for examination of a blood smear.Angel hasa rash covering his whole body. Angels eyes were red. The health worker checked the child forcomplications of measles. There were no mouth ulcers. There was no pus draining from the eyeand no clouding of the cornea. There was no dengue risk at the time that the health worker sawAngel.

a. SEVERE DENGUE HEMORRHAGIC FEVER

b. VERY SEVERE FEBRILE DISEASEc. FEVER; MALARIA UNLIKELYd. FEVER: DENGUE HEMORRHAGIC FEVER UNLIKELY


a. Give one dose of paracetamol in health center for high fever (38.5 C or

above).Advise mother when to return immediately. Follow up in 2 days if fever persistsIf fever is present everyday for more than 7 days, refer for assessment. Treat othercauses of fever.

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b. If persistent vomiting or persistent abdominal pain or skin petechiae or positive tourniquettest are the only positive signs, give ORS (plan B). If any other signs of bleeding are positive,give fluids rapidly as in Plan C. Treat the child to prevent low blood sugar. Refer all childrenURGENTLY to hospital DO NOT GIVE ASPIRIN.c. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar.Give one dose of paracetamol in health center for high fever (38.5 C or above). ReferURGENTLY to hospital.

d. Advise mother when to return immediately. Follow-up in 2 days if fever persists or child

shows signs of bleeding. DO NOT GIVE ASPIRIN

43. Mike is 5 months old. He weighs 5.2 kg. His axillary temperature is 37.5 C. His mother said he is

not eating well. She said he feels hot; she wants a health worker to help him.Mike is able to drink,has not vomited, does not have convulsions, and is not abnormally sleepy or difficult to awaken.Mike does not have cough, said his mother. He does not have diarrhea.Because Mikestemperature is 37.5 C and he feels hot, the health worker assessed Mike further for signs relatedto fever. It is the rainy season, and there is a risk of malaria. There is no dengue risk. The mothersaid Mikes fever began 2 days ago. He has no measles within 3 months. He does not have stiffneck, his nose is not runny, and there are no signs suggesting measles. The blood smear formalaria was positive.

a. VERY SEVERE FEBRILE DISEASE/ MALARIAb. MALARIAc. FEVER; NO MALARIAd. SEVERE DENGUE HEMORRHAGIC FEVER

44. What is the corresponding treatment on your answer in the above situation?a. Treat the child with an oral antimalarial. Give one dose of paracetamol in healthcenter for high fever. Advise mother when to return immediately. Follow-up in 2 days iffever persists. If fever is present everyday for more than 7 days, refer for assessmentb. If persistent vomiting or persistent abdominal pain or skin petechiae or positive tourniquettest are the only positive signs, give ORS (plan B). If any other signs of bleeding are positive,give fluids rapidly as in Plan C. Treat the child to prevent low blood sugar. Refer all childrenURGENTLY to hospital DO NOT GIVE ASPIRIN.c. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar.Give one dose of paracetamol in health center for high fever (38.5 C or above). ReferURGENTLY to hospital.d. Give one dose of paracetamol in health center for high fever (38.5 C or above) Advisemother when to return immediately Follow-up in 2 days if fever persists. If fever persistseveryday for 7 days, refer for assessment. Treat other causes of fever.

45. Darwin is 3 years old. He weighs 9.4 kg. His temperature is 37 C. His mother says he feels hot.

He also has cough he says. The health worker checked for general danger signs. Darwin wasable to drink, had vomited, did not have convulsion, and was not abnormally sleepy or difficultawaken. The mother said Darwin had coughing for 3 days. The health worker counted 51 breathsa minute. He did not see chest indrawing. There was no stridor when Darwin was calm. Darwindoes not have a diarrhea.






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b. Give an appropriate antibiotic for 5 days. Treat wheezing if present. If coughing more

than 30 days, refer for assessment. Soothe the throat and relieve the cough with asafe remedy. Advise mother when to return immediately



47. The health worker also thought that Darwin felt hot. He assessed the child further for signs of

fever. There is a malaria risk. He has felt hot for 5 days, the mother said. He has not had measleswithin last three months. He did not have a stiff neck, there was no runny nose, and nogeneralized rash. It was not possible to take a blood smear. There was no risk of dengue.a. SEVERE DENGUE HEMORRHAGIC FEVERb. VERY SEVERE FEBRILE DISEASEc. FEVER; MALARIA UNLIKELYd. FEVER: DENGUE HEMORRHAGIC FEVER UNLIKELY


a. Give one dose of paracetamol in health center for high fever (38.5 C orabove).Advise mother when to return immediately. Follow up in 2 days if fever persistsIf fever is present everyday for more than 7 days, refer for assessment. Treat othercauses of fever.b. If persistent vomiting or persistent abdominal pain or skin petechiae or positive tourniquettest are the only positive signs, give ORS (plan B). If any other signs of bleeding are positive,give fluids rapidly as in Plan C. Treat the child to prevent low blood sugar. Refer all childrenURGENTLY to hospital DO NOT GIVE ASPIRIN.c. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar.Give one dose of paracetamol in health center for high fever (38.5 C or above). ReferURGENTLY to hospital.



49. Letty is 5 months old. She weighs 5 kg. Her temperature is 36.5 C. Her family brought her to the

health center because she feels hot and has cough for 2 days. She is able to drink. She has notvomited or has convulsions, and is not abnormally sleepy or difficult to awakenThe health workersaid, I am going to check her cough now. The health worker counted 43 breaths per minute.There was no chest indrawing and no stridor when Letty was calm.Letty did not have a diarrhea.









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51. Now, I will check your fever, said the health worker. Letty lives in an area where many cases of

malaria occur all year long (malaria risk). Her mother said, Letty has felt hot off and on for 2days. She has not had measles within the last 3 months. She does not have stiff neck or runny

nose. The blood smear was positive for P. falciparum.a. VERY SEVERE FEBRILE DISEASE/ MALARIAb. MALARIAc. FEVER; NO MALARIAd. SEVERE DENGUE HEMORRHAGIC FEVER

52. What is the corresponding treatment on your answer in the above situation?a. Treat the child with an oral antimalarial. Give one dose of paracetamol in health center

for high fever. Advise mother when to return immediately. Follow-up in 2 days if feverpersists. If fever is present everyday for more than 7 days, refer for assessment

b. If persistent vomiting or persistent abdominal pain or skin petechiae or positive tourniquet testare the only positive signs, give ORS (plan B). If any other signs of bleeding are positive, givefluids rapidly as in Plan C. Treat the child to prevent low blood sugar. Refer all childrenURGENTLY to hospital DO NOT GIVE ASPIRIN.

c. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar. Giveone dose of paracetamol in health center for high fever (38.5 C or above). Refer URGENTLYto hospital.

d. Give one dose of paracetamol in health center for high fever (38.5 C or above) Advise motherwhen to return immediately Follow-up in 2 days if fever persists. If fever persists everyday for7 days, refer for assessment. Treat other causes of fever.

53. Letty has generalized rash. Her eyes are red. She has mouth ulcers. They are not deep andextensive. She does not have pus draining from the eye. She does not have clouding of thecornea.a. MEASLESb. SEVERE COMPLICATED MEASLESc. FEVER POSSIBLE BACTERIAL INFECTION

d. MEASLES WITH EYE OR MOUTH COMPLICATIONS


a. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar. Give

one dose of paracetamol in clinic for fever (38C or above). If clouding of the cornea or pusdraining from the eye, apply tetracycline eye ointment. Give Vitamin A.

b. Give paracetamol for fever (38C or above). Give Vitamin A. Advise the mother when

to return immediately. Follow- up in 2 days if not improving.

c. Give paracetamol for fever (38C or above). If pus draining from the eye, treat eye infection

with tetracycline eye ointment. Give Vitamin A. If mouth ulcers, treat with gentian violet.Advise mother when to return immediately. Follow-up in 2 days.

d. Refer URGENTLY to hospital. Give paracetamol for fever (38C or above).Treat apparent

causes of fever. Advise mother when to return immediately. Follow-up in 2 days if feverpersists. If fever is present every day for more than 5 days, refer for assessment.

55. Connie is 12 months old. She weighs 7.2 kg. Her axillary temperature is 36.5 C. Her mother

brought Connie to the health center today because she feels hot. Connie has no general dangersigns. She does not have cough or difficult breathing. When asked about diarrhea, the mothersaid, Yes, Connie had diarrhea for 2 or 3 days. She has not seen any blood in the stool. Conniehas not been abnormally sleepy or difficult to awaken. Her eyes are not sunken. She drinksnormally. Her skin pinch returns immediately.


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d. PLAN C

57. The health worker said, You brought Connie today because she feels hot. I will check her fever.

There is a malaria risk. Her mother said that Connie felt hot for 2 days. She has not had measleswithin last 3 months. There is no stiff neck, no runny nose, and no generalized rash. She has noother cause of fever. The blood smear was positive.a. VERY SEVERE FEBRILE DISEASE/ MALARIAb. MALARIAc. FEVER; NO MALARIAd. SEVERE DENGUE HEMORRHAGIC FEVER

58. What is the corresponding treatment on your answer in the above situation?a. Treat the child with an oral antimalarial. Give one dose of paracetamol in healthcenter for high fever. Advise mother when to return immediately. Follow-up in 2 days iffever persists. If fever is present everyday for more than 7 days, refer for assessmentb. If persistent vomiting or persistent abdominal pain or skin petechiae or positive tourniquettest are the only positive signs, give ORS (plan B). If any other signs of bleeding are positive,give fluids rapidly as in Plan C. Treat the child to prevent low blood sugar. Refer all childrenURGENTLY to hospital DO NOT GIVE ASPIRIN.c. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar.Give one dose of paracetamol in health center for high fever (38.5 C or above). ReferURGENTLY to hospital.

d. Give one dose of paracetamol in health center for high fever (38.5 C or above) Advisemother when to return immediately Follow-up in 2 days if fever persists. If fever persistseveryday for 7 days, refer for assessment. Treat other causes of fever.

59. There were cases of dengue fever in her village. Connie has no sign of bleeding, back vomitus or

black stools. The health worker can find no signs of bleeding or petechiae. Connies hands werewarm.a. SEVERE DENGUE HEMORRHAGIC FEVERb. VERY SEVERE FEBRILE DISEASEc. FEVER; MALARIA UNLIKELYd. FEVER: DENGUE HEMORRHAGIC FEVER UNLIKELY


a. Give one dose of paracetamol in health center for high fever (38.5 C or above).Advise motherwhen to return immediately. Follow up in 2 days if fever persists If fever is present everydayfor more than 7 days, refer for assessment. Treat other causes of fever.


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d. Advise mother when to return immediately. Follow-up in 2 days if fever persists or

child shows signs of bleeding. DO NOT GIVE ASPIRIN

61. Nemia is 3 years old. She weighs 10 kg. Her axillary temperature is 38 C. Her mother broughther to the health center because she has cough. She also has a rash.The health worker checkedNemia for danger signs. She was able to drink, she had not been vomiting everything, and shedid not have convulsions. She was not abnormally sleepy or difficult to awaken






b. Give an appropriate antibiotic for 5 days. Treat wheezing if present. If coughing morethan 30 days, refer for assessment. Soothe the throat and relieve the cough with asafe remedy. Advise mother when to return immediately



63. The health worker assessed Nemias cough. The mother told the health worker, Nemia had beencoughing for 2 days. The health worker counted 42 breaths per minute. The health worker did notsee chest indrawing. He did not hear stridor when Nemia was calm.When the health workerasked if Nemia had diarrhea, the mother said NONext the health worker assessed Nemias fever.

It is the wet season and there is a risk of malaria. She has felt hot for 3 days the mother said. Shedoes not have stiff neck. She does not have a runny nose. The blood smear was negative.Nemiahas a generalized rash. Her eyes are red. She does not have mouth ulcers. Pus is not drainingfrom the eye. There is no clouding of the cornea.There was no dengue risk.a. SEVERE DENGUE HEMORRHAGIC FEVERb. VERY SEVERE FEBRILE DISEASEc. FEVER; MALARIA UNLIKELYd. FEVER: DENGUE HEMORRHAGIC FEVER UNLIKELY


a. Give one dose of paracetamol in health center for high fever (38.5 C or above).Advise

mother when to return immediately. Follow up in 2 days if fever persists If fever ispresent everyday for more than 7 days, refer for assessment. Treat other causes of

fever.b. If persistent vomiting or persistent abdominal pain or skin petechiae or positive tourniquet testare the only positive signs, give ORS (plan B). If any other signs of bleeding are positive, givefluids rapidly as in Plan C. Treat the child to prevent low blood sugar. Refer all childrenURGENTLY to hospital DO NOT GIVE ASPIRIN.




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65. Ernesto is 24 months old. He weighs 9.5kg. Her axillary temperature is 37C. His mother saysErnesto has not been eating well lately, and she is worried about himThe health worker checkedfor the general danger signs. Ernesto is able to drink, he is not vomiting, he has not hadconvulsions and he is not abnormally sleepy or difficult to awaken.Ernesto does not have cough,and he does not have diarrhea.The health worker asked if the mother thought that Ernesto hadfever. She said he has been feeling hot the last 2 days. The malaria risk is always there. He hasnot had measles within the last 3 months. He does not have stiff neck, and there is no runnynose.He does not have rash. He does not have signs suggesting measles. No other cause offever is present. It was not possible to examine a blood smear. There was no dengue risk.a. VERY SEVERE FEBRILE DISEASE/ MALARIAb. MALARIAc. FEVER; NO MALARIAd. SEVERE DENGUE HEMORRHAGIC FEVER

66. What is the corresponding treatment on your answer in the above situation?a. Treat the child with an oral antimalarial. Give one dose of paracetamol in health center for

high fever. Advise mother when to return immediately. Follow-up in 2 days if fever persists. Iffever is present everyday for more than 7 days, refer for assessment

b. If persistent vomiting or persistent abdominal pain or skin petechiae or positive tourniquet test

are the only positive signs, give ORS (plan B). If any other signs of bleeding are positive, givefluids rapidly as in Plan C. Treat the child to prevent low blood sugar. Refer all childrenURGENTLY to hospital DO NOT GIVE ASPIRIN.


d. Give one dose of paracetamol in health center for high fever (38.5 C or above) Advisemother when to return immediately Follow-up in 2 days if fever persists. If feverpersists everyday for 7 days, refer for assessment. Treat other causes of fever.

67. Marina is 48 months old. She weighs 14 kg. Her axillary temperature is 37C. Her mother wasworried because of the rashes that appeared on her extremities today.When the health workerchecked for the general danger signs. Marina is able to drink. She is not vomiting, has had no

convulsions and is not abnormally sleepy or difficult to awaken.Marina does not have cough anddoes not have diarrhea.The health worker asked if Marina had fever or had been feeling hot. Hermother said that Marina had been hot for 3 days. There is no malaria risk and Marina has notbeen away from the area in the past months. She does not have stiff neck or a runny nose. Shehas not had measles during the past 3 months. She has no signs of measles. It is now rainyseason and there have been cases of dengue in the barangay. Marina has not been bleedingfrom the nose or gums, or in the vomitus or stools. She has petechiae on her arms and trunk butno signs of shocka. SEVERE DENGUE HEMORRHAGIC FEVERb. VERY SEVERE FEBRILE DISEASEc. FEVER; MALARIA UNLIKELYd. FEVER: DENGUE HEMORRHAGIC FEVER UNLIKELY

68. What is the corresponding treatment on your answer in the above situation?a. Give one dose of paracetamol in health center for high fever (38.5 C or above).Advise mother

when to return immediately. Follow up in 2 days if fever persists If fever is present everydayfor more than 7 days, refer for assessment. Treat other causes of fever.


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d. Advise mother when to return immediately. Follow-up in 2 days if fever persists or

child shows signs of bleeding. DO NOT GIVE ASPIRIN

69. Sally is 3 years old. She weighs 13kg. Her temperature is 37.5C. Her mother came to the healthcenter today because Sally has felt hot for the last 2 days. She was crying last night andcomplained that her ear was hurting. The health worker checked and found no general dangersigns. Sally does not have cough or difficult breathing. She does not have diarrhea. There is norisk of malaria. Sally had no stiff neck and no signs of measles. There was no dengue risk. Nextthe health worker asked about Sallys ear problem. The mother said she is sure Sally has earpain. The child cried most of the night because her ear hurt. There has been discharge comingfrom Sallys ear on and off for about a year, said the mother. The health worker did not see anypus draining from the childs ear. He left behind the childs ears and felt tender swelling behindone ear.a. MASTOIDITISb. NO EAR INFECTIONc. FEVER BACTERIAL INFECTION UNLIKELY

d. ACUTE EAR INFECTION


a. Give an antibiotic for 10 days. Give paracetamol for pain.Dry the ear by wicking. Advise

mother when to return immediately. Follow-up in 5 days.

b. Give first dose of an appropriate antibiotic. Give first dose of paracetamol for

pain.Treat the child to prevent low blood sugar. Refer URGENTLY to hospital .c. Advise mother to go to ENT specialist for assessment.

d. Give paracetamol for fever (38C or above). Advise mother when to return immediately.

Follow-up in 2 days if fever persists. If fever is present every day for more than 5 days, referfor assessment.

71. Dana is 18 months old. She weighs 9 kg. Her temperature is 37C. Her mother said that Dana

had discharge coming from her ear for the last 3 days. Dana does not have any general dangersigns. She does not have cough or difficult breathing. She does not have diarrhoea and shedoes not have fever. The health worker asked about Dana's ear problem. The mother said thatDana does not have ear pain, but the discharge has been coming from the ear for 3 or 4 days.The health worker saw pus draining from the child's right ear. He did not feel any tender swellingbehind either ear. Record Dana's signs of ear problem and classify them.a. MASTOIDITISb. NO EAR INFECTIONc. FEVER BACTERIAL INFECTION UNLIKELYd. ACUTE EAR INFECTION


a. Give an antibiotic for 10 days. Give paracetamol for pain.Dry the ear by wicking.

Advise mother when to return immediately. Follow-up in 5 days.b. Give first dose of an appropriate antibiotic. Give first dose of paracetamol for pain.Treat the

child to prevent low blood sugar. Refer URGENTLY to hospital.c. Advise mother to go to ENT specialist for assessment.



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73. Anna is 18 months old. She weighs 7 kg. Her temperature is 38.5C. Her mother brought hertoday because the child has felt hot and has a rash. The health worker saw that Anna looks likeskin and bonesThe health worker checked for general danger signs. Anna is able to drink, hasnot vomited, has not had convulsions and is not abnormally sleepy or difficult to awaken.Shedoes not have cough or difficult breathing. She does not have diarrhea.Because Annas mothersaid the child felt hot and because her temperature is 38.5C, the health worker assessed her forfever. Anna lives where there is a malaria risk.a. VERY SEVERE FEBRILE DISEASE/ MALARIAb. MALARIAc. FEVER; NO MALARIAd. SEVERE DENGUE HEMORRHAGIC FEVER

74. What is the corresponding treatment on your answer in the above situation?a. Treat the child with an oral antimalarial. Give one dose of paracetamol in health center

for high fever. Advise mother when to return immediately. Follow-up in 2 days if feverpersists. If fever is present everyday for more than 7 days, refer for assessment



d. Give one dose of paracetamol in health center for high fever (38.5 C or above) Advise motherwhen to return immediately Follow-up in 2 days if fever persists. If fever persists everyday for7 days, refer for assessment. Treat other causes of fever.

75. She has had fever for 5 days She has a generalized rash and she had red eyes. She has

measles. She does not have stiff neck. She does not have a runny nose. Her blood smear waspositive for P.vivax. The health worker assesses her for signs of measles complications. Annadoes not have mouth ulcers. There is no pus draining from the eye and no clouding of the cornea.Anna does not have an ear problem. There is no dengue risk in the area.a. MEASLES

b. SEVERE COMPLICATED MEASLESc. FEVER POSSIBLE BACTERIAL INFECTIONd. MEASLES WITH EYE OR MOUTH COMPLICATIONS


a. Give first dose of an appropriate antibiotic. Treat the child to prevent low blood sugar. Give

one dose of paracetamol in clinic for fever (38C or above). If clouding of the cornea or pusdraining from the eye, apply tetracycline eye ointment. Give Vitamin A.

b. Give paracetamol for fever (38C or above). Give Vitamin A. Advise the mother when

to return immediately. Follow- up in 2 days if not improving.

c. Give paracetamol for fever (38C or above). If pus draining from the eye, treat eye infection

with tetracycline eye ointment. Give Vitamin A. If mouth ulcers, treat with gentian violet.Advise mother when to return immediately. Follow-up in 2 days.

d. Refer URGENTLY to hospital. Give paracetamol for fever (38C or above).Treat apparent

causes of fever. Advise mother when to return immediately. Follow-up in 2 days if feverpersists. If fever is present every day for more than 5 days, refer for assessment.

77. The health worker next checked her for malnutrition or anemia. She has visible wasting. There isno palmar pallor. She does not have edema of both feet. The health worker determined herweight for age chart booklet. Determine if this childs weight for age is very low.a. NOT LOW WEIGHTb. ANAEMIA

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c. NO ANAEMIAd. LOW WEIGHT


a. Assess the child`s feeding and counsel the mother on feeding according to the FOOD box on

the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days. Give Iron.

Advise mother when to return immediately.b. If child is aged from 6 - 30 months, give one dose of Iron weekly.

c. Assess the child`s feeding and counsel the mother on feeding according to the FOOD

box on the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days.Advise mother when to return immediately. Follow-up in 30 days

d. If child is less than 2 years old, assess the childs feeding and counsel the mother on feeding

according to the FOOD box on the COUNSEL THE MOTHER chart. If feeding problem,follow-up in 5 days

79. Kalisa is 11 months old. He weighs 8 kg. His temperature is 37C. His mother says he has had

a dry cough for the last 3 weeks. Kalisa does not have any general danger signs. The healthworker assessed his cough. It has been present for 21 days. He counted 41 breaths per minute.The health worker does not see chest indrawing. There is no stridor when the child is calm.

Kalisa does not have diarrhoea. He has not had a fever during this illness. He does not have anear problem.










81. The health worker checked Kalisa for malnutrition and anaemia. Kalisa does not have visible

severe wasting. His palms are very pale and appear almost white. There is no oedema of bothfeet. The health worker determined Kalisa's weight for age. (Look at the weight for age chart inyour chart booklet and determine Kalisa's weight for age.) Normala. NOT LOW WEIGHTb. ANAEMIA

c. NO ANAEMIAd. LOW WEIGHT



the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days. Give Iron.Advise mother when to return immediately.

b. If child is aged from 6 - 30 months, give one dose of Iron weekly.

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c. Assess the child`s feeding and counsel the mother on feeding according to the FOOD box on

the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days. Advise motherwhen to return immediately. Follow-up in 30 days

d. If child is less than 2 years old, assess the childs feeding and counsel the mother on

feeding according to the FOOD box on the COUNSEL THE MOTHER chart. If feedingproblem, follow-up in 5 days

83. Alulu is 9 months old. He weighs 5 kg. His temperature is 36.8C. He is at the clinic today

because his mother and father are concerned about his diarrhoea. He does not have any generaldanger signs. He does not have cough or difficult breathing. He has had diarrhoea for 5 days, thefather said. They have not seen any blood in the stool. Alulu is not restless or irritable. He is notlethargic or unconscious. His eyes are not sunken. He is thirsty and eager to take the drink ofwater offered to him. His skin pinch goes back slowly. He does not have a fever. He does nothave an ear problem.



return immediately. Follow-up in 5 days.b. PLAN Bc. Give fluid and food to treat diarrhea at home (Plan A). If child is 2 years or older and there is

cholera in your area, give antibiotic for cholera. Advice mother when to return immediately.Follow-up in 5 days if not improving.

d. PLAN C

85. Next, the health worker checked for signs of malnutrition and anaemia. The child does not have

visible severe wasting. There is no palmar pallor. He does not have oedema of both feet. Thehealth worker determined Alulu's weight for age.a. NOT LOW WEIGHT

b. ANAEMIAc. NO ANAEMIAd. LOW WEIGHT





c. Assess the child`s feeding and counsel the mother on feeding according to the FOOD

box on the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days.Advise mother when to return immediately. Follow-up in 30 days



87. Antonio is 37 months old. He weighs 9.5 kg. His temperature is 37.5C. His mother says he

feels hot. He has been crying and rubbing his ear. The health worker checks Antonio for generaldanger signs. He is able to drink, does not vomit everything he drinks, has not had convulsionsand is not lethargic or unconscious. He does not have cough or diarrhoea. Because his mother

has reported a history of fever and because his temperature is 37.5C, the health workerassesses Antonio for fever. The risk for malaria is high. He has had fever for 3 days, says his

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mother. He has not had measles in the last 3 months. His neck moves easily. He has a runnynose, and there are no signs suggesting measles. The health worker asks if Antonio has an earproblem. The mother says he has had ear pain. She also says she has seen ear discharge forabout 5 days. The health worker sees pus draining from the ear. He does not feel any tenderswelling behind either ear.a. MASTOIDITISb. NO EAR INFECTIONc. FEVER BACTERIAL INFECTION UNLIKELYd. ACUTE EAR INFECTION


a. Give an antibiotic for 10 days. Give paracetamol for pain.Dry the ear by wicking.

Advise mother when to return immediately. Follow-up in 5 days.

b. Give first dose of an appropriate antibiotic. Give first dose of paracetamol for pain.Treat the

child to prevent low blood sugar. Refer URGENTLY to hospital.c. Advise mother to go to ENT specialist for assessment.



89. He then checks the child for malnutrition and anaemia. Antonio looks thin, but he does not havevisible severe wasting. He does not have palmar pallor. He does not have oedema of both feet.a. NOT LOW WEIGHTb. ANAEMIAc. NO ANAEMIAd. LOW WEIGHT





c. Assess the child`s feeding and counsel the mother on feeding according to the FOODbox on the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days.Advise mother when to return immediately. Follow-up in 30 days



91. Mishu is 4 months old. She weighs 5.5 kg. Her temperature is 38.0C. She is in the clinic today

because she has diarrhoea. She does not have any general danger signs. She is not coughingand does not have difficult breathing. The health worker assessed her further for signs ofdiarrhoea. She has had diarrhoea for 2 days and there is blood in the stool, said the mother.Mishu was not restless or irritable; she was not unconscious or lethargic.


b. NO DEHYDRATIONc. SOME DEHYDRATIONd. DYSENTERY


hospitalb. Advise the mother on feeding. Give multivitamin, mineral supplement. Advise mother when to

return immediately. Follow-up in 5 days.

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c. Treat for 5 days with an oral antibiotic recommended for Shigella. Advise mother when

to return immediately. Follow-up in 2 days.d. PLAN C

93. Her eyes were not sunken. She drank normally, and did not seem to be thirsty. Her skin pinch

went back immediately. The health worker next assessed her for fever. The malaria risk is high

at this time of year. Mishu has had fever for 2 days, said the mother. She has not had measlesin the last 3 months. She does not have a stiff neck or runny nose. There are no signssuggesting measles. Mishu does not have an ear problem. The health worker checked formalnutrition and anaemia. She does not have visible severe wasting. There is no palmar pallorand no oedema of both feet. The health worker determined her weight for age. At birth Mishureceived BCG and OPV 0. Four weeks ago, she received DPT 1 and OPV 1.





d. PLAN C

95. Jemilla is 37 months old. She weighs 15.3 kg. Her temperature is 38.5C. Jemilla's family

brought her to the clinic today because she has a stomach ache, feels hot, has a runny nose andrash, and is coughing. The health worker checked her for general danger signs. She was able todrink, did not vomit everything she drank, did not have convulsions, and was not lethargic orunconscious. The health worker assessed the child for cough or difficult breathing. The parentssaid she has been coughing for 2 days. The health worker counted 55 breaths a minute. He didnot see chest indrawing. He did not hear any unusual noise when she breathed in. Jemilla doesnot have diarrhoea, said the parents. However, she has been feeling hot, they said. Her risk ofmalaria is high. She has had fever for two days. She has not had measles in the last 3 months.Her neck moves easily. She has a runny nose. The health worker looked for signs suggestingmeasles. Her rash was not generalized; it was only on her hand. Jemilla did not have an earproblem, said the parents. The health worker checked Jemilla for malnutrition and anaemia. Shedoes not have visible severe wasting. She does not have palmar pallor. She does not haveoedema of both feet. The health worker determined her weight for age. Jemilla has receivedBCG, OPV 0, OPV 1, OPV 2, OPV 3, DPT 1, DPT 2, and DPT 3.








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97.Terese is 6 months old. She weighs 4 kg. Her temperature is 37

C. Her mother brought her tothe clinic because Terese has a cough. Her mother is also concerned that Terese looks thin.

The health worker did not find any general danger signs.The health worker assessed her cough.The mother said Terese had the cough for 4 days. The health worker counted 52 breaths perminute. Terese did not have chest indrawing, and there was no stridor when the child was calm.Terese did not have diarrhoea, and she did not have fever. There was no ear problem, said themother.




a. Treat wheezing if present. If coughing more than 30 days, refer for assessment. Soothe thethroat and relieve the cough with a safe remedy. Advise mother when to return immediately.Follow up in 2 days if wheezing. Follow-up in 5 days if not improving





99. The health worker saw that Terese had visible severe wasting. She did not have palmar pallor.

She did not have oedema of both feet. The health worker determined the child's weight for age.She has had BCG, OPV 0, OPV 1 and DPT 1.

a. SEVERE MALNUTRITIONb. ANAEMIAc. NO ANAEMIAd. LOW WEIGHT


a. Give Vitamin A. Treat the child to prevent low blood sugar. Refer URGENTLY tohospital.

b. Assess the child`s feeding and counsel the mother on feeding according to the FOOD box on

the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days. Give Iron.

Advise mother when to return immediately.c. If child is aged from 6 - 30 months, give one dose of Iron weekly.

d. Assess the child`s feeding and counsel the mother on feeding according to the FOOD box on

the COUNSEL THE MOTHER chart. If feeding problem, follow-up in 5 days. Advise motherwhen to return immediately. Follow-up in 30 days

Part 2 Healthy Lifestyle and IYCF:

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1. When measuring the blood pressure of an adult, how much of the upper arm circumferenceshould be covered by the cuff?a. One-thirdb. Two-thirdc. Three-fourths

d. The entire upper arme. Do not know

2. When monitoring an adult's blood pressure, the cuff should be inflated to:a. 250 mm Hgb. 300 mm Hgc. 50 mm Hg above the last recorded

d. 30 mm Hg above the obliteration ofthe pulse

e. Do not know

3. Based on guidelines, how many times should the BP be measured per visit?a. Onceb. Twicec. Three times

d. Take a second reading only if the firstreading is very high

e. Do not know

4. In children 13 years or younger, the best indicator of diastolic blood pressure is:a. The initial appearance of sounds upon

deflation of cuffb. The disappearance of sounds upon

deflation of cuff

c. The distinct muffling of sounds upondeflation of cuff

d. None of the above

e. Do not know5. Prior to BP measurement, it is important to minimize extraneous factors that may affect the accuracy ofthe reading. In general, a client should not smoke or ingest caffeine within ____ before BP measurement.

a. 5 minutesb. 10 minutesc. 15 minutesd. 30 minutese. Do not know

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6. In most healthy subjects, there is little difference between BP taken in sitting, standing or lying down position.a. Trueb. False

7. Philippine Clinical Guidelines recommend routine use of the diaphragm of the stethoscope for BP auscultation.a. Trueb. False

8. Patients with normal readings should have blood pressure evaluations every:a. Six monthsb. Year c. Two yearsd. Five yearse. Do not know

9. In an adult, which of the following BP readings will be considered possible hypertension? a. 146/92

b. 128/80c. 110/76d. 134/86e. Do not know

10. A person with hypertension will usually have:a. Headacheb. Dizzinessc. Weight lossd. No symptomse. Do not know

11. The most common cause of essential hypertension is:a. Atherosclerosisb. Renal diseasec. Diabetic vessel changed. Heart diseasee. Do not know

12. Which of the following is the bad cholesterol?a. VLDLb. LDLc. HDLd. Do not know

13. Which of the following is the good cholesterol?a. VLDLb. LDLc. HDLd. Do not know

14. For Filipinos, the recommended daily allowance for sodium is no more than 2000 mg. of sodium or 5gms. sodium chloride (table salt). This is equivalent to ____ of salt:a. one level teaspoonb. one heaping teaspoonc. one level tablespoond. one heaping tablespoone. Do not know

15. To improve cardiovascular fitness, what type of exercise is recommended?a. Aerobic exerciseb. Anaerobic exercisec. Isometric exercise


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d. Any kind of exercisee. Do not know

16. How many minutes should the warm-up phase of exercise be?a. 15 minutesb. 20 minutesc. 30 minutesd. 45 minutese. Do not know

17. For physical activity to be beneficial, it should be done at least:a. Once a weekb. Twice a weekc. Three times a weekd. Everydaye. Do not know

18. Maximum heart rate for a person aged 25 years is __ per minute.a. 200b. 195c. 190d. 185e. Do not know

19. The target heart rate for exercise of a healthy adult is usually ___ of the maximum heart ratea. 50-60%b. 60-70%c. 50-70%d. 60-90%

20. For the elderly person, the target heart rate is:a. lower than the average adultb. same as the average adultc. higher than the average adultd. Do not know

21. In women, a waist-hip ratio of greater than ____ indicates increased risk of health complications

associated with obesity.a. 0.70b. 0.75c. 0.85d. 1.0e. Do not know

22. The best indicator of obesity is:a. Weightb. Body Mass Index (BMI)c. Waist circumferenced. Waist-hip ratioe. Do not know

23. A person is considered obese if the weight is ___ greater than the desired or ideal body weight.a. 15%b. 20%c. 25%d. 30%e. Do not know

24. Data needed to compute body mass index (BMI) are:a. Weightb. Height and weightc. Skinfold measurement


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d. Abdominal girthe. Do not know

25. Which of the following BMI values indicate obesity?a. 30.1b. 22.5c. 21.3d. 24.9e. Do not know

26. The recommended laboratory test to screen for diabetes is:a. 8 hour fasting blood sugar (FBS)b. 6 hour fasting blood sugarc. 2 hour post-prandial blood sugard. Random blood sugare. Do not know

27. For screening purposes, which one of the following laboratory tests would you recommend?a. Triglycerideb. LDLc. HDL

d. Total cholesterole. Do not know

28. Breast self-examination (BSE) is best performed:

a. Any day of the monthb. 2-3 days before menstruationc. 1 week before menstruationd. 1 week after menstruatione. Do not know

29. Pap's smear should be done yearly for women at high risk, to include all of the following except:a. Aged 18-65 years old and aboveb. Those with multiple partnersc. Those who are sexually actived. Commercial sex workerse. Do not know

30. Which of these chemicals or gases contained in tobacco is addicting?a. Tarb. Nicotinec. Carbon monoxide

31. Who among the following is NOT a passive smoker?a. Persons with family members who smokeb. Persons who frequent smoke-filled roomsc. Pregnant woman who smokesd. Fetus of a pregnant woman who smokes

32. Which of the following statements about smoking cessation is true?a. Tapering off is the best way to stop smoking completelyb. Switching to low-tar, low-nicotine cigarettes makes it easier to stop smokingc. Both are trued. Neither one is truee. Do not know

33. Which of the following statements about smoking cessation is true?a. If you have tried to stop smoking and failed, you probably can't stopb. There is nothing your physician can do to help you to stop smokingc. Both are trued. Neither one is truee. Do not know


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34. The following are advantages of breastfeeding except:

a.Protects against infection

b.Helps bonding and development

c.Helps delay a new pregnancy

d. Protects the mothers health

e.None of the above

35. The mother is suffering from colds. Which of the following is the advice for the mother?

a.Limit the contact of the mother to the baby

b.Continue breastfeeding

c.Stop breastfeeding until the mother get well

d.Advise the mother to drink a lot of fluids.

36. On a breastfeeding seminar, the speaker tackles on the variations in the composition of breast milk. Upon

discussion which of the following should be clarified when stated by the speaker.

a. Hind milk is whiter than foremilk because of its fat content.

b. Hind milk provide much of energy

c. Hind milk is produced in large amount.

d.Foremilk provides all the water that the body need on the first six months of life of the infant.

37. Ediths baby boy has not gained much weight over the past two months. As Edith tells you about it, she burst into

tears. Which of the following response shows that you accept how Edith feels.

a.Dont worry I am sure he will gain weight soon.

b.Shall we talk about what foods to give your baby?

c.Youre really upset about this arent you?

38. Agnes is in tears. Her baby is refusing to eat vegetables and she is worried.

a.Dont cry many children do not eat vegetables.

b.You are really worried about this, I know.

c. It is important that your baby eats vegetables for the vitamins he needs.


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39. My baby looks so thirsty during this very hot climate. Should I give him extra fluid? The mother complained. The

best response for this is:

I can see that you are worried with your baby.

Thats very wrong!

Thats one of the misconception of the mother.

Dont worry, your baby is fine.

40. Which of the following is the best advice for the mother?

a.Give him extra cold water.

b.Give him fruit juices.

c.Your baby does not need extra drinks.

d.Give him water.

41. What age is most advisable for the infant to be introduced to complementary feeding?

a.4 mos.

b.5 mos.

c.6 mos

d.7 mos.

42. The gland in the areola which secretes an oily fluid to keep the skin healthy.

a.Mammary gland

b.Areolear gland

c.Montgomerys gland

d.Bartholenes gland

43. The following are signs and sensation of an active oxytocin reflex. Select all that apply.

a.Pain from uterine contractions, sometimes with a rush of blood, during feeds in the first week.

b.A squeezing or tingling sensation in her breast just before she feeds her baby

c.Milk dripping from her other breast, when her baby is suckling.

d.Slow deep sucks and swallowing by the baby, which show that breast milk is flowing into the mouth

44. Breast milk can be frozen for up to:


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A 1 month

B 3 months

C 6 months

D 12 months

45 Which of the following statements is not appropriate in breastfeeding?

A Thaw frozen breast milk for use in tepid water

B Use the microwave oven to warm the milk

C Motherhood illness decreases the milk supply

D Breastfeeding provides psychological and emotional satisfaction for the infantand the mother

46 The nurse instructs the young mother on breast care. The instructions includethe following: (1) Avoid using soap on the nipples; (2) Change frequentlybreast pads; (3) Expose nipples to air intermittently. These measures arespecific to the prevention of:

A Newborn colic

B Breast engorgement

C Mastitis

D "Let-down" reflex

47 The type of milk that is present in the breasts after 2 weeks post partum iscalled:

A Transitional milk

B Hind milk

C Mature milkD Colostrum

48 Engorgement for a breastfeeding patient lasts about?

A 12 hours

B 24 hours

C 48 hours

D 72 hours

49 The nurse understands that a baby is sucking adequate amounts of milk whenthere is:

A Adequate sleep

B Frequent feedings

C Weight gain

D Maternal diet high in vitamin C


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50 The young mother complains of engorged breasts. Which of the followinginterventions would be most helpful?

A Teach the client to express her breasts while in a warm shower

B Apply a breast binder

C Administer a lactation suppressant

D Apply ice on the affected breasts

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