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Dicm 208: Community Health 1 Question Paper
Dicm 208: Community Health 1
Course:Clinical Medicine & Surgery
Institution: Kenya Methodist University question papers
Exam Year:2011
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2011 EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE & SURGERY
UNIT CODE : DICM 208
UNIT TITLE : COMMUNITY HEALTH 1
TIME : 3 HOURS
MCQ
Question One
With regard to Kenya’s national policy on immunization respond T/F to the following statements.
The immunization activities is intergrated into the MCH/FP PHC framework.
Only one sterile syringe and needle per injection is used to prevent cross-infection.
Potent vaccines kept at +2oC to + 8oC are used. Refrigerators monitored twice a day.
Cold chain should be maintained at all times and the refrigerators monitored twice a day.
All opened vaccines should be discarded an hour after opening.
Question Two
In Kenya the yellow fever vaccine is given only in:
Meru
Baringo
Marakwet
Kenya
Keiyo
Nairobi
Question Three
The following are ways of proper monitoring the cold chain system
Temperative recording
The freeze watch indicator
Shake test
Cold chain monitor carels
Vaccine vial monitor
Question Four
The following are methods of refuse disposal in in towns.
Dumping
Controlled tipping
Inceneration
Composting
Feeding to animals
Question Five
Deficiency of vitamin A results in
Pemicecious Anaemia
Night blindness
Abnormal growth
Keratitis
Trachoma
Question Six
Which of the following is not a water carriage system method of human excreta disposal
Bucket latrine
Pit latrine
Ventilaled pit latrin
Combined system
Separate system
Question Seven
Elements of primary health care include:
Immunization against major infectious disease
Provision of essential drugs
Food supply and proper nutrition
Management of opportunistic injections
Child health and family planning
Questions Eight
The following are major forms of pollution:
Air pollution
Light pollution
Noise pollution
Soil pollution
Radioactive contamination
Question Nine
Genetic make-up
The age of the individual
The lifestyle
Nutrition
Physical Conditions
Question Ten
Listed below are small scale water treatment methods
Disinfection
Boiling
Filtration
Three pot system
Abstraction
Question Eleven
Water is related to health in several aspects. Which of this is a water washed disease.
Schistosomiasis
Malaria
Scabies
Bacillary dysentery
Typhoid
Question Twelve
The millennium development goals have targets, one of the goals, the target "is to reduce by half the proportion of people without access to safe drinking water". Which goal is it?
Goal No. 1
Goal NO. 10
Goal No. 8
Goal No. 9
Goal No. 2
Question Thirteen
Water is said to be potable when:
Is free from pathogenic aspects
Free from harmful chemical substance
Pleasant to taste
Usable for domestic purpose
It lathers easily
Question Fourteen
The accumulation of solid wastes in the environment constitute a health hazard. Which of the statements is not true
The organic portion of solid waste favours fly breeding.
The pathogen may be conveyed to man through fillies and dust
The garbage and the refuse attract rats
The is risk of air pollution if there is combustion
Piles of refuse are a nuisance from anaesthetic point of new
Question Fifteen
The following are observed categories of health care waste generated:
General waste
Pathological waste
Pharmaceutical waste
Combustible waste
Sharps
Question Sixteen
The following are true of measles
Man is the sole reservoir
An effective vaccine is available
Is one of the most contagious diseases
Can precipitate malnutrition
An effective drug is available for chemotherapy
Question Seventeen
Regarding missed opportunities, it is missed when:
The health facility does not offer immunization services
The health workers do not routinely screen children and women for their immunization states and do not offer the recommended vaccines.
The health worker do not give all the vaccines for which the children and women are eligible at the time of the visit
When a child misses half the immunizations
There is no incidence of missed opportunities in immunization
Question Eighteen
The characteristics of primary health care include:
Accessibility
Socially acceptable
Affordable
Community Participation
Equitable distribution
Question Nineteen
The factors which hinder inter-sectoral collaboration in primary health care include:
Poor understanding of the concept of collaboration
Personal bias
Poor leadership and management skills
Differences in policies
Lack of transparency or operating in isolation
Question Twenty
An effective cold chain system requires:
Trained personnel
Efficient and reliable equipment
Efficient distribution of vaccines
Motivated personnel
Skilled personnel
SHORT ANSWER QUESTIONS
Question One
Define the following terms
Immunization
(1 Mark)
Community
(1 Mark)
Health
(1 Mark)
Community mobilization
(1 Mark)
Community participation
(1 Mark)
Environment
(1 Mark)
Primary health care
(1 Mark)
Question Two
State any SIX (6) determinants of health in the community. (3 Marks
Question Three
Briefly explain the FOUR levels of preventive of disease . (4 Marks)
Question Four
Outline FOUR (4) aims of health education. (2 Marks)
Question Five
Enumerate SIX core roles of community health workers (3 Marks)
Question Six
Outline TWO (2) factors in the selection and recruitment of community health workers.
Question Seven
List any SIX (6) immunizable diseases in Kenya. (3 Marks)
Question Eight
State any THREE objectives of expanded programme on immunization in Kenya. (1½ Marks)
Question Nine
Outline the pillars of Primary health care. (3 Marks)
Question Ten
Name THREE sources of water. (1½ Marks)
Question Eleven
Name SIX (6) water pollutants that you know. (3 Marks)
Question Twelve
Briefly explain the following terms
(i) Point source
(ii) Non-point source
Question Thirteen
Outline the THREE aims of sewage disposal. (1½ Marks)
Question Fourteen
Outline FIVE characteristics of good housing. (1½ Marks)
Question Fifteen
State any FIVE diseases associated with poor housing. (2½ Marks)
LONG ANSWER QUESTIONS
Question One
The Ministry of Health in Kenya has set the various schedules for specific immunizations. Discuss the national childhood immunization schedule.
(25 Marks)
Question Two
The millennium development goals constitute an ambitious agenda to significantly improve human conditions by 2015. State the eight millennium goals and outline their specific targets towards each goal. (15 Marks)
Question Three
With the aid of a diagram, describe water treatment method done at the Meru Water & sewerage plant (MEWASS). (20 Marks)
Question Four
Discuss the achievements and limitations of primary health care in Kenya.
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