Dicm 208: Community Health 1 Question Paper
Dicm 208: Community Health 1
Course:Clinical Medicine, Surgery & Community Health
Institution: Kenya Methodist University question papers
Exam Year:2012
KENYA METHODIST UNIVERSITY
END OF 2''ND ''TRIMESTER 2012(DAY) EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE, SURGERY & COMMUNITY
HEALTH
UNIT CODE : DICM 208
UNIT TITLE : COMMUNITY HEALTH 1
TIME : 3HOURS
INSTRUCTIONS: Answer ALL Questions
SECTION A
QUESTION ONE
Health service delivery to the community partially depends on community health workers as a link between them and the community. How can the health care system ensure that community health workers are supported?
A. Giving good initial training for the community healthworkers
B. Giving good supervision
C. Provision of information whenever he CHws need
D. Regular continuing education
E. Provision of sufficient supplies, practical patient referral option and a
voice in running of the programmes.
QUESTION TWO
Which of the following are components of expanded programme on immunization?
A. Intergration
B. Training
C. Social mobilization
D. Cold chain system
E. Disease survailance
QUESTION THREE
The core roles of community health workers include
A. Bridging cultural mediation between communities and the health care system
B. Building individual and community capacity
C. Providing informal counseling and social support
D. Providing prescription to community members
E. Spearheading political action in the community
QUESTION FOUR
Health Education is concerned with changes in knowledge, feelings and behavior of people which of the following statement is a feature or characteristic of health education.
A. It is an approach for teaching patients and their families
B. It comprises of consciously constructed opportunities for learning involving some form of communication designed to improve health literacy.
C. It is concerned with fostering the motivation necessary to take action to
improve health.
D. It involves communication of information and development of skills
which demonstrates the political feasibility action to address issues.
E. Health education is not applicable to the health sector.
QUESTION FIVE
One of the policy in the expanded programme of immunization in Kenya is prevention of cross-contamination. Which of the following is a precaution in cross contamination.
A. Using a new sterile standard syringe and needle from a sealed pack for
each injection
B. Downing gloves for every procedure and proper discarding
C. Disposing used syringes and needles into a safety box
D. Never re-using a disposable syringe
E. Using an expensive equipments
QUESTION SIX
"Health or All" in primarily health care means:
A. Health is not brought within the reach of the nch in a given country.
B. It is an economic development objective
C. It is the attainment of a level of health that will enable every individual to lead a socially and economically reproductive life.
D. It is a phrase in the primary health care movement.
QUESTION SEVEN
Which of the following is an indicator for monitoring and evaluating achievement of "health for all" (HFA)
A. Health policies
B. Social and economic development
C. Provision of healthcare
D. Health status of individuals
E. The quality of education
QUESTION EIGHT
Components of Primary Health Care include:
A. Mental Health
B. HIV/AIDS
C. Health education
D. Maternal and child health services
E. Dental health
QUESTION NINE
The policy on immunization in Kenya includes the following:
A. Integration of immunization resources/activities into MCH/FP PHC framework.
B. Use of only one sterile syringe and needle for injection is used to prevent cross-infection
C. Cold chain maintained at all times and refrigerators monitored four times a day.
D. Discarding off all vaccines an hour after opening .
E. Polent vaccines that are kept at +2? c -+18?c are used.
QUESTION TEN
In our country, Kenya. Yellow fever vaccine is given in which county
A. Meru
B. Baringo
C. Kericho
D. Riftvalley
E. Keiyo
QUESTION ELEVEN
Which of the following is a proper way of monitoring the cold chain system?
A. Using temperature recording
B. use of freeze watch indicator
C. use of shake test
D. Vaccine and monitor use
E. All the above
QUESTION TWELVE
Pollution in the country and the world at large is one of the primary health issue of concern. Which of the following are major form of pollution.
A. Air pollution
B. Light pollution
C. Noise pollution
D. Soil pollution
E. Rachation contamination
QUESTION THIRTEEN
The individual factors that modify the effect of the environment include:
A. Genetic make-up
B. The age of the individual
C. Nutrition
D. Lifestyle
E. Physical condition
QUESTION FOURTEEN
Water is said to be potable when
A. is free from pathogenic substance
B. usable for domestic purpose
C. it lathers early
D. pleasant to taste
E. Free from harmful chemical substance
QUESTION FIFTEEN
Which of the following are categories of health care waste generated:
A. General waste
B. Pathological waste
C. Pharmaceutical waste
D. sharp
E. Injection waste
QUESTION SIXTEEN
An effective cold chain system requires:
A. Trained personnel
B. Efficient and reliable equipment
C. Efficient distribution of vaccines
D. Motivated personnel
E. Skilled personnel
QUESTION SEVENTEEN
The characteristics of primary health care include
A. Accesability
B. Social acceptable
C. Affordable
D. Involves the community
E. Equitable distribution
QUESTION EIGHTEEN
The accumulation of solid wastes in the environment constitutes a health hazard. Which of the following is true?
A. The organic portion of solid waste favour fly breeding.
B. The pathogen may be conveyed to man through flies and dust
C. May attract rats and flies
D. Risk of air pollution if there is combustion
E. It is a nuisance from an aesthetic point of view.
QUESTION NINETEEN
The signs and symptoms of mumps usually appear between 14 to 21 days. Which are the features of this infection:
A. Swelling of the salivary glands
B. Fever
C. Weakness
D. Painful chewing or swallowing
E. Tenderness and swelling of the testicles
QUESTION TWENTY
Some of the equipment, materials and supplies inventory that a health facility must have at all times.
A. Immunization permanent report
B. Immunization monitor charts
C. Supervision books
D. Summary sheets
E. Tally sheets.
SECTION B (SHORT ANSWER QUESTIONS
QUESTION ONE
List any SIX immunizable diseases in Kenya (3marks)
QUESTION TWO
Describe the immunization schedule in Kenya (1mark)
QUESTION THREE
State any SIX determinants of health in the community. (3marks)
QUESTION FOUR
List the EIGHT millennium development goals (MDG) (4marks)
QUESTION FIVE
Outline the pillars of Primary Health Care system
QUESTION SIX
List any FOUR levels of disease prevention. (2marks)
QUESTION SEVEN
Define the following terms
Immunization
(2marks)
Community
(2marks)
Health
(2marks)
Community participation
(2marks)
Primary health care
(2marks)
QUESTION EIGHT
Name THREE sources of water. (1.5marks)
QUESTION NINE
List any FIVE functions of the community. (2.5marks)
QUESTION TEN
List any TWO diseases in each of the following categories.
Water based diseases
(1mark)
Water-borne diseases
(1mark)
Water washed diseases
(1mark)
Water and proximity diseases
(1mark)
SECTION C (LONG ANSWER QUESTION)
QUESTION ONE
Kenya Methodist Health facility has a total population of 24,000 people in its catchment area.
What is catchment area
(2marks)
Determine the target population of this community.
(3marks)
In Kenya, what is the assumed percentage of children in a given population.
(1mark)
What is the target population
(2marks)
What is the importance of calculating a target population.
(2marks)
Supposing the facility needs 240 doses of pentavalent 1 or children in that year 2011, what is the percentage vaccine average for that particular year? Comment on your answer.
(5marks)
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